been very impressed by how motivated, determined, perseverant IVF patients can
be. Lots of them are petrified of taking an injection, and have never taken an
injection before in their life.
they want a baby so desperately , they're willing to take lots of injections
during their IVF cycle and they learn to get used to it.
these IVF injections can be extremely painful, and these include the
progesterone injections, which American doctors love so much. These are given after
the embryo transfer , to provide luteal phase support.
extremely painful injection is Clexane or low-dose Heparin, which seems to have
become very popular with IVF specialists because it's supposed to increase
Not only do
doctors seem to love giving injections to patients, patients also feel that the
doctor is doing as much as possible for them by prescribing these powerful
injections for them !
after going through an IVF cycle , their butt gets so sore and their belly gets
so bruised thanks to all these shots, that very few patients are willing to go
through another IVF cycle, which is why the drop out rate is so high. And even
if they have the courage to subject themselves to the shots, their husbands
will often put their foot down and refuse to allow them to do so, because they
cannot bear to see their wife in so much pain.
What breaks my heart is that none of these
painful injections is really required at all for these poor patients. Progesterone
is far more effective when it is administered as a vaginal pessary, but old
habits die hard, and many doctors continue giving the painful IM shots for no
rhyme or reason.
there is no evidence that low-dose heparin improves embryo implantation rates,
but the pharma companies have been selling them so aggressively, that doctors
prescribe them mindlessly , because they love doing something new and
and this will help you make better decisions !