File note

Dear A and D

Diagnosis:
1. Second unsuccessful IVF cycle
2. Primary infertility secondary to azoospermia post vasectomy reversal
3. Hypertrophic obstructive cardiomyopathy, treated cardiac septal ablation, 1998 and 1999, second procedure complicated by vascular injury requiring double bypass graft
4. Allergy to aspirin and ibuprofen
5. Dysmenorrhoea, possibly due to endometriosis
6. Short menstrual cycle


A and D were seen for review following their recent unsuccessful IVF cycle. On this occasion A was treated with a DL255 regimen. Nine eggs were collected; six of which were able to be injected with sperm following surgical extraction. Subsequently five eggs fertilised and a single embryo was transferred. Unfortunately none of the remaining embryos were suitable for freezing. A and D are understandably disappointed at the outcome of the second cycle of treatment. There are no factors however that would preclude further successful treatment in the future; in particular good numbers of motile sperm were found on biopsy and A produced a good number of eggs. They have now completed their publicly funded treatment but they would like to consider a privately funded cycle late in the year. I would again plan to treat them with a DL255 regimen, however on this occasion it would not be unreasonable to look at returning two embryos at the time of transfer. The plan at this stage is for them to book on for an IVF cycle with a pick up planned for September.

Yours sincerely ...