Every last baby out of every last egg The appropriate goal for fertility treatment in women older than 40 years

Richard J. Paulson, M.D.

Volume 105, Issue 6, Pages 1443-1444


Another patient in her 40s came to see me for a second opinion last week. Her story is quite typical, and it is easy to summarize in general terms. The patient is aged 42 years and has undergone three IVF cycles without success. More accurately, she has undergone three IVF retrievals but did not have an ET. This is because she was told that all of her embryos were found to be chromosomally abnormal. She was further advised that she seems to only be producing abnormal embryos and that she should now pursue oocyte donation.

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