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Eeyore

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  • "Eeyore" started this thread
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Sunday, August 12th 2007, 4:09pm

NHS failings over IVF

By Phil Kemp
Five Live Report


The chances of successful IVF treatment on the NHS are lowered because doctors do not always see patients at the best time, a BBC investigation has found.
The key moments in an IVF cycle are when eggs are collected and when the fertilised eggs are transferred back to the womb.

The top five clinics carry out these procedures at least five days a week.

But more than half of NHS clinics that responded to a Five Live Report survey did so fewer than four days a week.

Some only did it one or two days a week.

Kavita, 38, from London has been trying for a baby for eight years, during which time she has had treatment both privately and on the NHS.

She said her private treatment was always more likely to result in pregnancy.

She said: "They are waiting to see the optimum moment for when it's best to collect the eggs and monitoring the condition.

"I just remember with the NHS, it was very geared around when they could fit me in rather that when it was appropriate."

After more private treatment, Kavita has now discovered that even with IVF treatment, she is unlikely to conceive naturally.

But this was something that wasn't explained to her before her NHS treatment.

She said: "I just felt that the whole process was a complete and utter waste of time.

"All one is asking is for consideration to be given to what is appropriate for me and is the treatment tailored to my needs from a medical point of view?

"At no time could I say that that was the case."

Time pressure

Laurence Shaw is deputy medical director at the private clinic, the Bridge Centre in London.

Until 2005, he was an IVF specialist with the NHS, where he only had time to collect eggs one morning a week.

He said this was typical of the pressures other units are facing.

"The vast bulk of units up and down the country are very similar to the one I used to work in.

"They may be only free to do an egg collection or an embryo transfer on one or two days of the week."

Having the flexibility both to collect eggs and transfer embryos back into a woman's womb at the optimum moment, he said, could make a significant difference to the patient's chances of conceiving.

"This is a biological process and the more we can respond to the biological response the better.

"You are more likely to improve your pregnancy rates if you can adapt to the needs of the particular patient."

Big variations

According to figures from the regulator, the Human Fertilisation and Embryology Authority, IVF clinic success rates range from around 50% for the best performing clinics to 10% for the worst.

Clare Brown, from the patient group Infertility Network UK, said the impact week-long egg collection and embryo transfer procedures have was an area the NHS needed to look at.

"I would urge more research into what can improve success rates.

"For the sake of patients and to give them the best possible chance, we need to look into this very carefully."

5live Report: NHS Baby Blues can be heard at 1900BST on Sunday 12 August or afterwards at the 5live Report website.


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Lcli

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Sunday, August 12th 2007, 4:32pm

very interesting report.

When I had ICSI on the NHS, both times my EC and had to be on a Thursday. It was the only day they did it. Hmmm

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Sunday, August 12th 2007, 5:17pm

I heard this report on the radio this morning - it really was interesting, especially the stuff about egg collection only being doen 1 or 2 days a week in many nhs places - I didnt know that at all. That woman was also saying that she thinks a lot more research needs to be done about whether a day 5 or day 3(?) transfer is best. Well worth a listen to.
dizzyduck
Me 42 DP 40
TTC 3yrs
IVF Oct 07 and Jan 08 - both poor response & converted to IUI - BFN
May 08, Aug 08 and Oct 08 natural :BFP: m/c at 6, ,5 and 9 weeks :sadface:
May 09 another shock natural :BFP: Perfect little boy born 12 feb 2010.

Mrs M

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Sunday, August 12th 2007, 5:30pm

Interesting - my first cycle was NHS and my second private and the treatment was identical for me so didn't feel a different service xxx

------------------------------
Me 33 DH 40, TTC 7+ yrs, unexplained infertility
3 x ICSI and 3 x natural FET with assisted hatching - all BFN :(
Our treatment journey has now ended

kski

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Reg: Mar 26th 2006

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Sunday, August 12th 2007, 7:35pm

as with everything else medical -


You get the service and quality you pay for !

IVF is a postcode lottery in this country with a Huge difference in Success rates and clinical protocol -

Where you live and how much money you can afford to spend will be a major factor in determining whether youwill be successful .


k
DAD to twins

Nics

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Tuesday, August 14th 2007, 8:48pm

I agree it is a postcode lottery, I had first IVf treatment on nhs and they could only do EC on monday, wed, or friday and same for ET, whereas my new clinic are doing far more test than I ever had at nhs clinic. I also agree that money tends to speak all languages and that i will personally never go back to the nhs as waiting for them to do as they say is like waiting to win the lottery! I just wish i could win the lottery then I would make sure all the girls on this site got a paid for private linic cycle courtesy of my lottery win!
Nics
x
Nics xxxxxxxxxxxxx

Nic 8 years TTC
Insulin Dependant Diabetic
Clomid-Nothing
1st Attempt at IVF 16/4/07 :BFN:
FET- 17/8/07- Embryos didn't survive thawing process
2nd Attempt IVF :BFP:

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Reg: Jun 2nd 2007

Location: Stafford

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Wednesday, August 15th 2007, 7:29am

Oh b*gger I wish I hadn't read this post now :( I'm having TX on the NHS but I only get one shot at it and I can't afford private. It has to work for me or else I'm up the creek without a paddle ?(.

I'm having TX at Burton Hospital, Staffs does anyone know how many EC/ET days a week they have???????

Desperate Pop Tart x

TTC#1 Aug 02-Feb 08
Jan/Feb 08 - IVF#1 - BFP
It's A Boy

Oct 17th 08 - Baby Sam is born

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Reg: Mar 5th 2007

Location: south staffs

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Thursday, August 16th 2007, 2:16pm

Hi Pop Tart
We are also hopefully having treatment on the NHS at Burton shortly as we are in South Staffs we had out appointment end of May 07 and told to expect a call for treatment (well biopsy for husband) around September. Have you had first appointment? They seem really good there although I did read think on the HEFA report their success rate was not brilliant, but I am willing to give it a go.
No idea ifthey have set days for egg collection mind.
Good luck xxx

Party Queenjilly

Me 34, DH 38
ICSI - 07 BFN
ICSi 2 - BFP
2 boys born 8/6/09 gorgeous


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  • "gayle1803" is no longer a member of FZ

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Thursday, August 16th 2007, 3:47pm

I think it can all depend on the clinic itself, we had our 1st 2 ICSI at Liverpool and paid privately, it was a very busy clinic, you almost felt like you were on a cenveyor belt, we were finally given the chance of one go on the NHS and decided to try somehwere new, we opted for Shrewsbury who treat Pirvate and NHS patient, the clinic was alot smaller but the treatment seemed so much more personla, and the result was +++++++

Gayle
xx

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Reg: Jun 2nd 2007

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Thursday, August 16th 2007, 5:49pm

Hi Party Queen,

I'm sooooooooo thrilled to have found someone on FZ having TX at the same hospital :wave:

I had my baseline tests done at North Staffs Hos and DH had is SA done at Mid Staffs Hos (it was all a cock up at the North Staffs and a very long story) Anyway we have our 1st app at Burton to discuss TX in 19 days time - 4th September and we are expecting to start TX early October.

In our last consultation at Mid Staffs Hos we were recommended Burton and MFS for private TX so they must have something going for them thumbup Unfortunately though we can't afford private :tear: which reminds me I must do the lotto this weekend smile2

Do you have a diary or thread you regularly post on so I can follow your journey?

Luv Pop Tart x

TTC#1 Aug 02-Feb 08
Jan/Feb 08 - IVF#1 - BFP
It's A Boy

Oct 17th 08 - Baby Sam is born

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Reg: Mar 5th 2007

Location: south staffs

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Monday, August 20th 2007, 3:19pm

Hi Pop tart !!
No I have not done a diary or anythnig we are just behind you our appointment is 12th September where we have screening etc not sure what this is as we seem to have had every test going between us. My poor DH will probably need a biopsy to test if has sperm as at the moment he has Non obtructive azoospermia so we will see what comes of it! but they have told us they have the funding for us to proceed with treatment!
Good luck xxx

Party Queenjilly

Me 34, DH 38
ICSI - 07 BFN
ICSi 2 - BFP
2 boys born 8/6/09 gorgeous


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Monday, August 20th 2007, 8:58pm

Hi Party Queen,

Come on over to my diary anytime :cheese: My letter just says "You are advised to allow time for investigations which the doctor may request when you visit the hospital" ???????????????????????

Screening means blood tests for specific diseases I forget which ones - hope that helps :hugs: I guess we'll be getting that done as well then I'd better not tell DH I'd never get him there he hate needles it's a good job I'm the one having the injections laugh1

Luv Pop Tart x

TTC#1 Aug 02-Feb 08
Jan/Feb 08 - IVF#1 - BFP
It's A Boy

Oct 17th 08 - Baby Sam is born




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