27/07/2026
It’s so hard to see beyond the websites and the marketing - this is what I’d be asking if I were assessing an IVF clinic - some overlap with Part 1 but it bears repetition.
1. How quickly can you change my treatment protocol if needed, and how closely will you monitor me?
The best clinics monitor patients closely with scans and blood tests, sometimes every other day. Ask how decisions are made during your cycle and how quickly they can respond if you’re not progressing as expected. Blood tests can be particularly valuable because nobody knows how well you’re absorbing oestrogen or progesterone until it’s measured. The prescribed dose doesn’t always reflect the amount your body absorbs, and factors such as gut absorption and transdermal delivery can influence hormone levels. Close monitoring allows treatment to be quickly adjusted when necessary.
2. How often do you discuss complex cases as a multidisciplinary team?
Some treatment decisions benefit from input from fertility consultants, embryologists, specialist nurses and, where appropriate, reproductive immunologists or other specialists. Ask whether complex cases are reviewed collaboratively rather than by one clinician alone. If treatment decisions are made in a meeting, will you be able to discuss those decisions with the person who made them?
3.What are your live birth rates for patients like me?
Rather than asking for overall clinic success rates, ask about outcomes in women of a similar age with a similar diagnosis and fertility history. Live birth rates are generally a more meaningful measure than pregnancy rates alone.
4. What happens if my embryos don’t reach the blastocyst stage?
Ask how embryo development is monitored, how often you’ll receive updates and what information you’ll be given if embryo development stops. Will someone explain the likely reasons why this may have happened and whether it changes your treatment plan going forward?
Ask whether you can have a copy of the embryology report if things don’t go as well as hoped.
I’ve still got lots more to say on this so will add more asap. In the meantime you can always book a call to chat with me or book in online for Hertford! 🧡