Your Fertility Questions Answered: A Candid Q&A with Dr. Eric Forman
When IVF Gets Complicated, Clear Answers Matter
The IVF process is filled with big decisions — and even bigger emotions. That’s why I host a monthly Q&A series with fertility experts who can offer both clarity and compassion. This month, I was joined by Dr. Eric Forman, Medical and Laboratory Director at Columbia University Fertility Center (recently ranked the #2 fertility clinic in the Northeast by Newsweek).
From poor embryo response to the emotional weight of repeat failure, Dr. Forman gave thoughtful, direct answers to the questions that so often leave patients confused and alone.
Key Takeaways from the Q&A with Dr. Forman
1. Is There Hope at 44 with Your Own Eggs?
Dr. Forman explained that while success rates do decline with age — especially in women over 44 — there’s still a small percentage of chromosomally normal embryos, and therefore, still a chance. He emphasized informed decision-making, realistic expectations, and knowing when to consider donor eggs, embryo donation, or other family-building paths.
2. Low-Dose IVF for Diminished Ovarian Reserve
In cases of low AMH or poor response, more medication isn’t always better. Dr. Forman discussed why low-dose stimulation — including hybrid protocols with Clomid — may be equally or more effective for certain patients, especially when high doses have led to canceled cycles.
3. Natural vs. Programmed Embryo Transfer
What’s better — a natural cycle or a medicated one? While the evidence is mixed, Dr. Forman shared that success rates appear comparable, and in some cases, a natural or modified natural cycle may carry lower risks for preeclampsia. He broke down the research and helped clarify when each approach makes sense.
4. Endometriosis, Adenomyosis, and the Lupron Debate
For those wondering whether to start with suppression (Lupron) or surgery before embryo transfer, Dr. Forman explained why opinions vary — and why “more” isn’t always better. He raised important concerns about treatment delays, unnecessary side effects, and when to move forward without intervention.
5. Recurrent Implantation Failure — Overused Term?
Dr. Forman tackled this controversial label head-on. He shared why many “implantation failures” may simply reflect chance — not pathology — and why even two or three failed euploid transfers may not indicate something is wrong. His advice: focus on embryo quality, uterine evaluation, and persistence.
Watch the Full Q&A Session
Hear Dr. Forman’s full answers and thoughtful breakdowns in the recording below:
Watch the full Q&A with Dr. Eric Forman as he answers real, complex questions about IVF response, embryo transfer, age-related fertility decline, endometriosis, and more.
Join Our Supportive Community
If you’re navigating IVF or third-party reproduction and need a space to ask questions, feel supported, and not feel so alone — join our monthly fertility support group. It’s free, virtual, and open to anyone, anywhere.
Need One-on-One Support?
As a therapist specializing in infertility and third-party reproduction, I work with individuals and couples who are feeling stuck, heartbroken, or overwhelmed by the emotional toll of treatment. If you’re craving clarity, space to process, or someone who just gets it, I’d love to help.
