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So I think it's important to remember that not all patients get pregnant on the
first cycle even and even in our youngest age group the pregnancy rate is about fifty percent
per cycle. About half of our patients won't get pregnant initially
and so usually when I like to do after an unsuccessful cycle is to have a patient
come back in and and sit down and go through everything in their cycle: look
at the medications that we used, how their ovaries responded to the
medications,
how many eggs we got at egg retrieval, how eggs fertilized, how the
embryos looked and how many embryos we put back and we look at that cycle and we
learn where to go forward from there. What are we going to change, what medications are we going to
alter, are we going to change the way we inseminated the oocytes
or are we going to change the numbers of embryos we put back to try and increase the chance of
pregnancy.