Checklist: Questions to ask when your doctor suggests an IVF add-on

When a couple undergo IVF, they can be provided with additional procedures to consider as a part of their planned IVF treatment. These might include extra procedures, medicine or laboratory techniques, which is called IVF “add-on”. Here we shortly try to explain and guide you through your upcoming appointment.

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wawa fertility

21. september - 2022


IVF add-ons such as PGT-A, ERA and immunological treatments could be a great option for you, helping to improve your chances. And sometimes your problem may be that your doctor doesn't recommend add-ons at all; perhaps the clinic doesn’t offer them due to tradition or regulation. But it also happens that (profit-driven) clinics recommend add-ons even though research doesn’t support that it will improve your chances.

Costs (financial and physical) may not always outweigh the potential - at least at every stage of the treatment. No matter how frustrating it is, treating infertility often is a “trial and error” process where you have to try a few things and learn along the way.

Having said that, there’s no right or wrong decision. But no matter the outcome it always feels better if you’ve asked the right questions in order to make an informed decision. So here’s a few tips on questions you can ask to have a better discussion with your doctor.


Bring this checklist to your appointment.

  1. Why do I need this add-on? Do you recommend it to all patients or are there certain things that would make it suitable for me?

  2. What will happen if I don’t add this to my treatment or if I wait a while?

  3. Are there any alternatives I should know about?

  4. Are there any risks or side effects involved? How likely are they to occur?

  5. What is the cost?

  6. In your opinion, do the potential benefits outweigh the risks and costs for me?

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