Third-Party Reproduction
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CCS Testing?

Hi Girls :) 

DH and I are talking about CCS testing for our DEgg cycle. At first, we were both very quick to dismiss it because we wanted to keep the cost down. Plus, we figured that an egg donor would be super fertile, so what's the point? But I'm back to thinking about it again. We are considering a donor who is a bit older than I'd prefer (all the rest of her stats look great though). It is making me think that if we proceed with her then we should go for the CCS testing. What are your thoughts?
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TTC since March 2012
Dx: Unexplained IF, Arcuate Uterus, Minimal Endometriosis, Poor Embryo Quality
Tx History: 1 Injects+TI, 5 IUIs, 3 IVFs, 1 FET = all BFN and full of heartbreak
Plan: Waiting to see if our potential donor is a match for DE IVF #1


Pain is inevitable. Suffering is optional.

Re: CCS Testing?

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    The user and all related content has been deleted.
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    As someone who had 2 back to back miscarriages with DE, it would be worth the money. I'll never know if it was abnormal embryos or if I really needed lovenox due to 2 copies of MTHFR. It would also have saved me from doing a double amnio with my girls bc I couldn't believe they could be normal. CCS was not an option with the guaranty program we did.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

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    fwiw - my last two m/c were of genetically normal embryos. the first one might have been too, but i didn't have testing done (which I regret)

     it is my opinion (obviously biased) that drs. are very quick to blame  miscarriages on genetic issues because 
    a) it takes the "blame" off of the mother
    b) they can test for it and explain it easier than the other issues that are unknown at this point in history

    it is not an easy decision, and wish you the best.



    TTC #1 since 12/2010 DH: MFI, cancer survivor Me: Resected septate uterus, lap treated mild endo, tubes open, ovulate on own, autoimmune disease 3 Failed IUI's (2/2012, 4/2012, 6/2012) 
    IVF #1 August 2012. BFP! Beta #1 56.7 Beta #2 150 One baby, one heartbeat on 9/20/12! no h/b @7w6d. dandc @8w0d
    FET #1 December 2012, BFN
    FET #2 February 2013, no embies survived thaw
    IVF #2, BFP #2, Loss #2 March 2013, Scar tissue discovered, RPL testing,
    IVF #3, BFP #3, Loss #3 (twins) September 2013
    Hostile ute, moving onto Gestational Carrier!

    GC/FET #1 of 1 5AA blast and 1 compacted blast, February 2014, BFP #4 on 3/1/2014!
    6w u/s 1 bean with h/b of 145 bpm, 8w u/s 187 bpm
    EDD 11/7/14. Please, please, please stick little one!

    Praying unceasingly for a miracle. ALL welcome!

    image










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    I got 8 embryos from our de cycle. I wish we had done it since I've had two back to back miscarriages. So if I had the money we would of for sure done it!!
    Me 34 and DH 39 married in aug. 2002
    Did 5 round of clomid 2010 =BFN
     High levels of NK CELLS DX sept.2012 DOR:# 0.02 
    IVF #1 May 2012  ER 4, EF 2, ET 2 =BFN
    MINI IVF Oct.2012  Cancelled 10-27-12
    Ivf #3 Antagonist Protocol April 2013
    Shared cycle..Donor cycled in July Got 12 eggs 9 fertilized and 8 frozen!!
    DE FET #1 Sept. 3rd 2013 FIRST BFP EVER 5dp5dt
    miscarried Sept 24th at 5 weeks 5 days
    Etopic  D&C and hysterscopy Nov 5 2013
    dx with pre genetic blood clotting dec 2013
    FET #2 Jan 31st  2014 
    Miscarried for a second time again at 5 weeks 5 days
    Currently fostering to adopt an amazing little 1 year old boy..P.J!
    FET#3  is Oct 29th 2014
    BFN on fet #3
    Last and FINAL FET coming JAN 28th 2015
    Everyone Welcome






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    ***SIGGY/TICKER WARNING***





    Lurking...


    My opinion is probably biased but I would do the CCS testing. Our situation was a bit different than yours as we had MF issues as well but I truly believe that if we had done PGS testing for our first DE cycle we would have been spared a lot of heartache. Despite using a five time proven donor we ended up with a loss and then a BFN. We changed clinics, did CCS for our second cycle (new donor) and ended up with four normal embryos (details in siggy).  Our RE told us that even with a young donor statistically a third of CCS tested embryos end up being abnormal. My feeling is it is 100% worth it.  


    Good luck with your decision.


    ***SIGNATURE WARNING***


    TTC #1

    Me 42, DH 47

    Dx = AMA/DOR, MFI

    IVF/ICSI #1 = BFN

    IVF/ICSI #2 = BFP; early loss

    IVF/ICSI #3 (DE) = BFP; early loss

    FET = BFN

    IVF/ICSI #4 (DE w/ CCS) = BFP

    Beta #1 @ 10dp6dt = 265; Beta #2 @ 14dp6dt = 1251. 

    1st U/S @ 6w2d showed one perfect little heartbeat! 

    2nd U/S @ 7w2d. HB 132 & everything measuring on track.

    Our beautiful little girl arrived January 2015!


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    Thank you for sharing your thoughts :) 
    image
    TTC since March 2012
    Dx: Unexplained IF, Arcuate Uterus, Minimal Endometriosis, Poor Embryo Quality
    Tx History: 1 Injects+TI, 5 IUIs, 3 IVFs, 1 FET = all BFN and full of heartbreak
    Plan: Waiting to see if our potential donor is a match for DE IVF #1


    Pain is inevitable. Suffering is optional.
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    I am so glad we did testing....  we had a great young donor... out of our 8   5 day blasts 2 had trisonomy issues.  For us the cost was worth it!
    ***siggy/ticker warning***

    Me:36 DH:38 TTC#1 since 4/2012
    Me DX: Hashimotos,Hypothyroid, DOR, MTHFR,  DH: normal

     IUI #1-#4 BFNs and a few cancelled cycles in the mix.
    - poor responder
    ***Suprise BFP on 6/13/13. Natural MC @6wks 3days
    IVF#1 and 2- Cancelled due to no response on max stimms
    FET 5/20- BFP
    1st Beta- 641
    2nd beta- 2166
    Sono- TWINS!!!!
    Two Boys! Born January 2015 @36 weeks.  Healthy and no NICU!  So blessed!



    image 

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    Would do if we could, but we are tapped out for further funds for this. Our RE threw around a figure of about $5k for genetic testing on the embryos, and suggested (since insurance covers our transfers), it would be more cost effective to go without. Not sure I agree 100 percent, but without the funds it's a moot point.

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

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    edited August 2014
    The user and all related content has been deleted.
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    SophistikittySophistikitty member
    edited August 2014
    Question for @ksgsmu and anyone else who did the testing...   when they did the test do you know of there was anything about the way the embryos were growing that might have hinted at something?   Ie, they weren't as good quality, etc?  Or were they otherwise still high quality to the untested eye?  Now that we're getting closer I'm starting to get very anxious about this part.   Not that any of this will make an extra $5k suddenly appear in our bank account. 

    Our RE graded our blastocysts on a good/fair/poor scale for both the inner and outer cell mass prior to biopsy.  All but one of our eight embryos were rated good/good with one graded good/fair.  With my first DE cycle at the previous clinic (which resulted in an early loss) we were told that all four of our Day 5 embryos were “excellent”. 


    ***SIGNATURE WARNING***


    TTC #1

    Me 42, DH 47

    Dx = AMA/DOR, MFI

    IVF/ICSI #1 = BFN

    IVF/ICSI #2 = BFP; early loss

    IVF/ICSI #3 (DE) = BFP; early loss

    FET = BFN

    IVF/ICSI #4 (DE w/ CCS) = BFP

    Beta #1 @ 10dp6dt = 265; Beta #2 @ 14dp6dt = 1251. 

    1st U/S @ 6w2d showed one perfect little heartbeat! 

    2nd U/S @ 7w2d. HB 132 & everything measuring on track.

    Our beautiful little girl arrived January 2015!


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    We started with 25 eggs, 21 fertilized... by Day 3 we had 18, by day 5 we had 12 left... my RE's lab will only freeze "excellent quality" to send to testing.  We had 8 to send.  We got a call from our embryologist every couple days telling us what was going on with our embies.  It was so stresfull-in fact probably the most stressful part of the whole experience!  We had to wait about a 10 days to get our results back from our tested embies...  We had two with trisonomies which would have left to miscarriages.  We were told the sexes of the remaining embryos ( optional if you want to know).  We let our embryologist choose which two to transfer.  I am now pregnant with boy twins.
    ***siggy/ticker warning***

    Me:36 DH:38 TTC#1 since 4/2012
    Me DX: Hashimotos,Hypothyroid, DOR, MTHFR,  DH: normal

     IUI #1-#4 BFNs and a few cancelled cycles in the mix.
    - poor responder
    ***Suprise BFP on 6/13/13. Natural MC @6wks 3days
    IVF#1 and 2- Cancelled due to no response on max stimms
    FET 5/20- BFP
    1st Beta- 641
    2nd beta- 2166
    Sono- TWINS!!!!
    Two Boys! Born January 2015 @36 weeks.  Healthy and no NICU!  So blessed!



    image 

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