Exploring One-Stop IVF Solutions for Rare Disease Challenges - Rare Disease

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One-stop IVF services


Hello Dr.
Chen,
I have undergone in vitro fertilization (IVF) at National Taiwan University Hospital and have also had preimplantation genetic screening (PGS).
Today, I came across information online regarding a comprehensive IVF service.
The reason we are pursuing IVF is that my husband is a spinal cord injury patient, so we must use IVF to have children.
Additionally, my husband has been injured for over ten years, which has affected the quality of his sperm, resulting in lower chances of success with IVF.
However, since we have been receiving treatment at National Taiwan University Hospital and my husband's frozen sperm is also stored there, is it possible for us to utilize the comprehensive IVF service? I saw online that the success rates are quite high, which has reignited my hope.
Given that my husband's frozen sperm is at National Taiwan University Hospital, do we have a chance? Is it possible for us to proceed with this at the hospital? We truly hope to have another baby, and we are facing difficulties in conceiving.
I wonder if there is a possibility for us?

yin, 30~39 year old female. Ask Date: 2018/08/02

Dr. Chen Ming reply Rare Disease


Understood.
Since the outpatient services at National Taiwan University are temporarily suspended, you may want to first call the genetic counselor at Changhua Christian Hospital or visit the outpatient clinic there for inquiries.

Reply Date: 2018/08/02

More Info


The journey of exploring fertility options, especially in the context of rare diseases and specific medical conditions, can be both emotionally and physically taxing. In your case, you are considering one-stop IVF solutions, particularly given your husband's spinal cord injury and the associated challenges with sperm quality.
One-stop IVF solutions, often referred to as "one-stop-shop" IVF, are designed to streamline the process of assisted reproductive technology (ART). This approach typically includes comprehensive services such as fertility assessments, egg retrieval, sperm collection (including the use of frozen sperm), embryo culture, and embryo transfer, all conducted within a single facility. This can be particularly beneficial for couples facing complex medical histories or conditions, as it minimizes the need for multiple appointments and allows for a more coordinated care approach.

Given that your husband has been dealing with spinal cord injury for over a decade, it is understandable that you may have concerns about sperm quality and the overall success rates of IVF. It is important to note that while spinal cord injuries can affect fertility, many men with such conditions can still father children, especially with the assistance of reproductive technologies. The use of frozen sperm can be an effective solution, and many fertility clinics have protocols in place to ensure that the quality of frozen sperm is maintained.

Regarding your specific inquiry about whether you can utilize one-stop IVF solutions at National Taiwan University Hospital (NTUH), it is advisable to directly contact the hospital's reproductive medicine department. They can provide detailed information about their services, including whether they offer one-stop IVF solutions and how they can accommodate your husband's frozen sperm. Since you have already undergone IVF and preimplantation genetic screening (PGS), the medical team at NTUH will have your medical history on file, which can facilitate a more tailored approach to your treatment.

In terms of success rates, while one-stop IVF solutions may boast higher success rates due to the comprehensive nature of the services offered, it is essential to remember that individual outcomes can vary based on numerous factors, including maternal age, the quality of eggs and sperm, and any underlying health conditions. Engaging in a thorough discussion with your fertility specialist about your specific circumstances will help set realistic expectations.

Additionally, emotional support is crucial during this journey. Consider seeking counseling or joining support groups for couples facing similar challenges. This can provide a safe space to share experiences and gain insights from others who understand the complexities of infertility and rare diseases.

In conclusion, exploring one-stop IVF solutions can be a promising avenue for couples facing fertility challenges, particularly in the context of rare diseases and specific medical conditions. It is essential to communicate openly with your healthcare providers, understand the options available, and seek emotional support as you navigate this journey. Your hope for a child is valid, and with the right support and medical care, there may be a path forward for you and your husband.

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