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How many IVF attempts are recommended for a 39-year-old woman with good ovarian reserve?

By Dra. Isabel Herrera Meriño (fertility specialist).
Last Update: 01/03/2022

The recommended number of attempts will depend on how many blasts are obtained in the first cycle. Depending on this, the situation will be studied together with the patient and, taking into account the results and her family planning, the most appropriate decisions will be made for each case. Normally up to 3 ovarian stimulations can be performed.

The percentage of aneuploidies increases exponentially with age. Aneuploidies are alterations that occur in sperm, eggs or embryos during their early development and can result in embryos with an incorrect number of chromosomes. Chromosomal abnormalities can cause miscarriages and are also associated with genetic diseases.

For this reason, having a good ovarian reserve at an advanced reproductive age is not synonymous with having a good oocyte quality and this may be the reason why pregnancy is not achieved to term.

Due to the above, the most advisable thing for a 39-year-old woman with reproductive problems would be to perform a PGT-A test, which is the genetic study of aneuploidy of embryos cultured up to day 5 (blastocyst stage). This test makes it possible to detect and discard for transfer those embryos with numerical anomalies.

Read the full article on: Success rates of in vitro fertilization (IVF) ( 53).
Dra. Isabel  Herrera Meriño
Dra. Isabel Herrera Meriño
MD
Fertility specialist
Dr. Isabel Herrera has a degree in Medicine from the National Autonomous University of Honduras. She has worked in different countries such as Honduras, Cameroon, Germany, Dominican Republic, India and Senegal. She then moved to Spain, where she specialized in the field of Assisted Reproduction to help other women fulfill their dream of becoming mothers.
Member number: 030310741
Fertility specialist. Dr. Isabel Herrera has a degree in Medicine from the National Autonomous University of Honduras. She has worked in different countries such as Honduras, Cameroon, Germany, Dominican Republic, India and Senegal. She then moved to Spain, where she specialized in the field of Assisted Reproduction to help other women fulfill their dream of becoming mothers. Member number: 030310741.