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There are many people who contribute to your care while you are in hospital. Numerous people and services work together to provide you with successful treatment in a hospital, from medical assessments and daily treatment...
Mobis Hyundai
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Primary infertility and IVF treatment. When a couple is already under pressure trying for kids, it’s always a blessing to have a doctor who can guide us in the right way. Dr. Rinki Tiwari has...
Madhuri Yadav
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We met Dr. Rinke for consultation as I had a history of PCOS and endometriosis. What we liked was she was very thorough and clear in explaining the need for different tests, medicines and the...
Madhavi Sane
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Dr. Rinkee Tiwari is the best Gynecologist Specialist in Gachibowli, Hyderabad. She is expert and specialized in the treatment of Reproductive Endocrinology, Ovulation Induction, IVF Treatment, IUI Treatment, IVM Treatment, Embryo Transfer, ICSI, PICSI, IMSI
Romil Tripathi
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Today all our dreams had come true because of Dr.Rinkie madam me and my wife had consulted many doctors but no own has made our dream true but when we meet Dr.Rinkie madam for the...
B. Shekar Naidu
Double Stimulation & Embryo Pooling
When it is not possible to collect enough egg from any patient in one IVF cycle then your clinician can advise double stimulation or embryo pooling. In double stimulation clinician will do stimulation twice and do successive 2 OPU in one menstural cycle. In embryo pooling clinician may ask you to go for 2-3 continuous IVF stimulation in each cycle and pool the embryos for further embryo transfer.
Who Needs DS or Embryo Pooling
Patients need to understand that very few patient need double stimulation or embryo pooling. Below mentioned patients may need but not necessarily-
- Poor ovarian reserve. ( AMH < 1.2 , day-2 egg count < 7)
- Advanced maternal age and poor reserve ( Age > 35, AMH < 1.2 )
- Poor responder (Previous IVF cycle had less number of eggs.)
Who Does NOT Required DS or Embryo Pooling
Again we want to emphasize that patient should understand the proper reason if clinician advise double stimulation or embryo pooling, are they really falling in the category of poor ovarian reserve or poor responder. We can not neglect the side effects of double stimulation on woman’s body so whenever this is done , it should be justified and indicated. Below mentioned patients does not usually need DS or embryo pooling-
- Normal ovarian reserve ( AMH > 1.2 , day-2 egg count > 7 )
- Young age with normal ovarian reserve.
- PCOS
- If one IVF stimulation gives bad quality egg or bad quality embryos. ( Indeed your clinician should analyse the situation deeply and find out the reason for bad quality egg)
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