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For the patient who desires the highest chance for pregnancy with her own eggs, IVF bible and homosexuality is a more successful treatment. If the patient does not conceive with COH-IUI , IVF is a next possible step. If her bible and homosexuality ovarian response is suboptimal, her embryo quality is very poor, or she does not conceive with IVF cycles using her own eggs, egg donation should be considered. For a patient with an FSH level of 10 to 12, it may be best to direct her promptly to an IVF cycle with her understanding that the chance for a successful pregnancy is reduced. Patients with a day 3 FSH greater than 14 should be offered egg donation as the best medical option. Summary Some women seeking to conceive after the age of 40 have little difficulty in achieving a pregnancy. For those who do, however, prompt evaluation and aggressive treatment are critical. The serum FSH level, along with the patient’s comfort level with aggressive treatment can help to guide the treatment. Egg donation, offers hope to women who might not achieve a pregnancy using other treatments with their own eggs.
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