Finally! After weeks of organization and much anticipation, I was finally
able to perform our first
Japanese Minimal Stimulation IVF egg retrieval at Hanabusa IVF. I believe this would be the first in the
San Diego area. What is Japanese Minimal Stimulation IVF? I am going to
save that for next time.
Let us continue. A little Valium for nerves. Local anesthesia. Japanese
retrieval catheter (which are over 30% smaller than what is typically
used in the United States). Using techniques that I have repeated and
refined thousands of times at my old place of business and Voila! Success!
“It feels weird, like going to the dentist.”
“I feel no pain!”
“This is so interesting.”
“I can’t believe it! You got the same number of eggs as the
other IVF center with so little medication!”
At our initial meeting, our patient was around Day 7 of her cycle, but
she didn’t want to skip the cycle. She was at a significant risk
of creating a lead dominant follicle. I did not want to “waste”
pricey injectable stimulation medications if there was a strong possibility
of only retrieving 1 egg so I prescribed oral Clomid only. Also, our patient
had been diagnosed as diminished ovarian reserve (she is now in her late
30’s) and had only 3 eggs from her first cycle at another center
(her second cycle was cancelled due to lack of response) so it was unlikely
she was going to produce a large number of follicles anyway.
Afterwards, I checked on our patient in Recovery. She was smiling and comfortable.
Her significant looked rather stunned. “It seems kind of silly that
we didn’t try this before.” Her significant wasn’t present
at our initial consultation so I had to explain that this wasn’t
After our initial meeting, my patient had decided to be aggressive; we
were going to grow the embryos outside her body for 5-7 days (as oppose
to the typical 3 days) and see if they reach the Blastocyst stage. She
didn’t want to potentially waste her time and money on freezing
less predictable Day 3 embryos. If her embryos reached Blastocyst, we
were also going to biopsy the embryos for genetic testing before freezing
and banking the embryos. By banking, she will optimize her chances for
a child and hedge for potential second child.
Finally, the women in San Diego who are struggling to conceive now have