TTC after 35

Question/Poll about your IF clinic or RE

So there has been a lot of scrambling with my last two cycles and my RE has met me every step of the way.  8pm, weekends, etc…I have her direct office line,  mobile number and text with her if I have questions.
 
When I was chatting with my little sister last night I mentioned that I was O'ing 48hrs earlier than predicted and she immediately said, "Oh, that's a bummer. Maybe next month…"  Apparently her IF clinic only works with women between the hours of 8-5 / M-F.

Is this normal?  It seems so strange to me. 

What kind of access to your RE do you have?  
~Married 11/08~
~TTC since 01/09~
~SA & B/W - 06/09 - Normal~
~Encouraged by OB to "just keep trying" 06/09 - 06/10 (oh, the wasted time)~
~HSG - 08/10 - Clear/Normal~
~Lapo - 01/11 - Normal~
~Clomid 50mg, Trigger shot, Prometrium - 01/11, 02/11, 03/11~
~BFN - 02/11~
~IUI #1 03/15/11~
BFP 3/28/2011
Diagnosed with GD at 28 weeks. Controlled through diet and exercise. No insulin.
Diagnosed with Cholestasis of pregnancy @ 36 weeks.
Delivered via C-section @ 36 weeks on 11/9/11.

TTC#2 for a few months naturally (ha!)
~IUI#1, Clomid, Trigger,  10/13 - BFN
~IUI#2, Femera, Ovidrel, 11/13




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Re: Question/Poll about your IF clinic or RE

  • I have very little ability to contact my RE. If I call the clinic, I basically can only speak with a nurse. And that's *if* they return my call that day. Usually it's the next day. Once it was two days later. This clinic does not have good communication. Consider yourself VERY lucky. I'd love to have the communication you have!

    imageimageimageimageimageimageimageimage
    My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.

    PAIF/SAIF Welcome!
    Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins
    .
    First natural PG 9/27/11; mc: 1/20/12

    First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
    IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right  & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
    ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
    IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13

    ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
    IVF #3:
    NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
    ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0.  Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN

    IVF #4: 
    (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
    ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
    ***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...

    IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
    BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
    2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
    2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
    2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
    IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
    5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
    6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
    7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
    EDD 3/18/15!

  • I went to a large practice. I did not have communication access to my RE, but I did to my RE's nurse, who was very good at answering my questions. She was also the person who delivered test results, beta numbers etc. My RE practice is open for procedures every day of the week year round, except for Christmas day I think. 

    IVF #1 ET 1 d3 embryo 10/30/11 BFP
    3 Embryos frozen (1 d5, 2 d6)

    DS born 07/29/12

    FET #1 ET 1 d5 embryo 02/10/15 BFN

    FET #2 1 d6 embryo didn't survive thaw, transferred last d6. CP :(

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  • I'm somewhere in the middle.  I don't have my doctor's direct contact information, but he (and his staff) is very responsive to any issue/problem I have.  In the past, he has called me many times after hours and weekends.  After my IVF, I was headed out of town and realized that I was out of prometrium.  His nurse met me at their office on a Saturday morning. 
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  • My experience so far has been similar to the others. Only met with the RE a few times and since then it's been the nurses doing the bloodwork and ultrasounds. The nurses have a intranet site and they are pretty responsive if a message is sent through that, less responsive if you have to leave a voicemail. But, the nurses are always incredibly helpful and patient with me.

    Me:41  DH: 46 high count but poor motility & morphology
    TTC on and off since 2005

    July 2012: Infertility tests started at OB/Gyn, HSG and HSN all clear
    Sept 2012: IUI #1 w/Clomid - BFN
    Oct 2012: IUI #2 w/Clomid - cancelled due to cyst
    Nov 2012: IUI #3 w/Clomid - BFN
    Break to move and find new PCP, OB/Gyn & RE
    Sept 2013: first appt with RE
    Nov / Dec 2013: IVF #1 with ICSI split
      Dec 6: Retrieval, 4 retrieved, 2 mature, 1 fertilized
      Dec 11: Transferred 1 (Day 5)
      Dec 30:  HCG Beta, 4980. BFP!
     1 little bean!
    EDD: August 28 30 2014
    LO Arrived! August 31 2014

    All Welcome!

    image image
      Baby Birthday Ticker Ticker
  • My RE is amazing. Office is open for procedures every day. I have his cell and he even called me personally while he was out of town on a Sunday during my last miscarriage...just to tell me he was sorry.
    BabyFruit Ticker   image
    05/31/1997: Married DH - Began TTC right away | 08/2002: Diagnosed with PCOS, Endometriosis
    10/05/2005: Adpoted DS - Funniest boy ever!
    09/2007: Ectopic with rupture - lost right tube | 09/2012: Ectopic - saved the left tube
    08/05/2013: BFP not ectopic | EDD: 4/22/2014 | 09/15/2013: Miscarried at home
    Underwent Gastric Bypass 01/06/2014 to help with PCOS and weight.  Lost 186 lbs - had to TTA for 1 year
    Burned the bench 01/20/15 - Medicated Cycle with Clomid and HCG trigger shot on 02/08/2015
    ++++ BFP 2/17/18 ++++  EDD 10/26/2015
    "Now the God of hope fill you with all joy and peace in believing, that ye may abound in hope, through the power of the Holy Ghost." ~ Romans 15:13 
  • I'm really lucky too. My RE is very helpful - after hours I just leave a message and within a half hour he will call me back.  His office staff is incredibly helpful during our first IVF cycle - I'm a little concerned for our next cycle because his office coordinator and nurse are no longer there and there is all new office staff - hoping they are as good as the previous staff.  MH has reminded me that it's the RE and the embryologist that did well for us last time and they are still there - hoping he's right :)

    Me 38 MH 41 - TTC since June 2010 - dx with Severe MFI. Straight to IVF with ICSI. IVF #1 - ER 06/13/12 - 9 Eggs Retrieved - 4 ICSI'd - only 2 fert. 06/15/12 - 2DT - 3 cell & 6 cell with fragmentation. Beta 06/29/12 - IVF #1 = BFN. 07/20/12 - WTF Appt -Told by our RE to quit IVF. Second Opinion from RE is good. IVF#2 - November 2012. Estradiol Pills Started 11/6. Stims start 11/16. ER 11/26 - 7 eggs retrieved - all mature. 4 fertilized with ICSI. ET 11/29 Transferred 3 embryos. Beta is 12/10. 1st Beta 81 2nd Beta 160 and 3rd beta 360!!! First U/S 12/21/12 - We saw one beautiful gest. sac. 2nd U/S is 01/04/2013 - H/B 183 02/05/13 - NT Scan - everything looks good and IT'S A BOY!  Aiden was born 08/20/2013.

    IVF #2 is in progress.  ER was 05/12/14 - 11 eggs retrieved, 8 fertilized with ICSI.  ET was 05/15/14 - we transferred 3 embryos as we did on the cycle my son was conceived.  We were able to freeze 3 embryos. Beta is scheduled for 05/26/14.  1st beta - 111.  2nd beta - 159 didn't double :( 3rd beta Friday 5/30) - not a lot of hope left. Beta # 3 is 247 - probably ectopic.  Beta # 4 is 813 - possibly vanishing multiple sydrome?  06/05/14 - 5w4days - first U/S - we see a gestational sac and yolk - still have hope!  06/17/14 - 7w1day - U/S and saw and heard the heartbeat - Finally!  06/27/14 - 8w4days - Baby and heartbeat look and sound great :)  EDD 02/01/14 and It's a boy!


     "Everything will be okay in the end. If it's not okay, it's not the end."


    image


    BabyFruit Ticker


      Baby Birthday Ticker Ticker


  • That's really good to know.  Thanks All.

    I think my sister is getting the short end of the stick with her clinic.  Not working on weekends? What the heck is that all about?  I kind of assumed that I had a pretty close relationship with my RE. I credit her for saving my son's life the 1st time I was pg and she has taken me on as a full time patient since then but not to have an IF clinic open on the weekends is just dumb to me.

    If I had been at that clinic, I would have been medicated this cycle with no other intervention because my body didn't stick to a schedule.

    ~Married 11/08~
    ~TTC since 01/09~
    ~SA & B/W - 06/09 - Normal~
    ~Encouraged by OB to "just keep trying" 06/09 - 06/10 (oh, the wasted time)~
    ~HSG - 08/10 - Clear/Normal~
    ~Lapo - 01/11 - Normal~
    ~Clomid 50mg, Trigger shot, Prometrium - 01/11, 02/11, 03/11~
    ~BFN - 02/11~
    ~IUI #1 03/15/11~
    BFP 3/28/2011
    Diagnosed with GD at 28 weeks. Controlled through diet and exercise. No insulin.
    Diagnosed with Cholestasis of pregnancy @ 36 weeks.
    Delivered via C-section @ 36 weeks on 11/9/11.

    TTC#2 for a few months naturally (ha!)
    ~IUI#1, Clomid, Trigger,  10/13 - BFN
    ~IUI#2, Femera, Ovidrel, 11/13




    image




  • When I was seeing the RE, they were very helpful and there was always a nurse available 24/7 to ask questions to.  I always got a call back the same day.  They even saw me on the weekend because they wanted to make sure they didn't miss my ovulation.  Your sister should maybe find someone else.  I couldn't imagine having to wait a month if I happened to ovulate after hours. 
    BabyFetus Ticker
  • Mine is open weekends. I was assigned a nurse and talked to her tons via email. Anything she couldn't answer she would ask the RE and I would have the answer usually that day. They were great.
    Me:39 Dx LPD, Fibroid, AMA and all that goes with that. H:37 Dx low motility and low morphology. TTC since 3/12. Clomid 8/12 and 9/12: BFN. 11/12 on a break for Myomectomy sched. 11/26. Resume TTC early 2013.
  • And to add, my egg retrieval was on a Sunday. I think I was there at six am!
    Me:39 Dx LPD, Fibroid, AMA and all that goes with that. H:37 Dx low motility and low morphology. TTC since 3/12. Clomid 8/12 and 9/12: BFN. 11/12 on a break for Myomectomy sched. 11/26. Resume TTC early 2013.
  • My clinic has several locations, one of which is ALWAYS open on weekends and holidays (I have a tentative IUI appointment for Thanksgiving morning). I haven't really had any emergency issues, so I don't know how quickly they call back, but most of my dealings have been with our nurse, who responds to emails or voicemails within 24 hours.
  • I had a chat with my sister last night and she was just astounded that so many clinics are run differently than hers.  I think she's going to make a change soon.  

    @MarylandWed - good Luck!!  how exciting!!  How are you feeling now?

    @cu97tiger - That should make for an excellent dinnertime story to share with the family.  LOL :)
    ~Married 11/08~
    ~TTC since 01/09~
    ~SA & B/W - 06/09 - Normal~
    ~Encouraged by OB to "just keep trying" 06/09 - 06/10 (oh, the wasted time)~
    ~HSG - 08/10 - Clear/Normal~
    ~Lapo - 01/11 - Normal~
    ~Clomid 50mg, Trigger shot, Prometrium - 01/11, 02/11, 03/11~
    ~BFN - 02/11~
    ~IUI #1 03/15/11~
    BFP 3/28/2011
    Diagnosed with GD at 28 weeks. Controlled through diet and exercise. No insulin.
    Diagnosed with Cholestasis of pregnancy @ 36 weeks.
    Delivered via C-section @ 36 weeks on 11/9/11.

    TTC#2 for a few months naturally (ha!)
    ~IUI#1, Clomid, Trigger,  10/13 - BFN
    ~IUI#2, Femera, Ovidrel, 11/13




    image




  • I see my RE at the Cleveland Clinic.  He is not very accessible but if you email him he usually gets back to you within 12-24 hours.  His responses are very indepth and he seems to put some time into his answers.  He also has a great CNP that will call you back within an hour usually.  I started this cycle with going to the actual fertility clinic and I can tell these people in the office know their stuff.  I also like it because they are open 7 days a week.

    Me: 35   DH:  29

    TTC:  Since 10-31-2007

    Dx:  Me: PCOS, an-ovulation    DH:  Nothing so far

    2007-2011 - Tried Clomid, Ovidrel Trigger with TI -BFN

    11/2013 - back to RE for new plan.

    Cycle 1: Letrozole cd3-7; U/S cd12 (27mm left); ovidrel trigger; progesterone test and suppositories - BFN

    HSG- 12/16/13 - clear and "Beautiful" per Dr. Attaran

    Cycle 2- Letrozole cd3-7, ovidrel trigger, progesterone test and suppositories-BFN

    BENCHED UNTIL FURTHER NOTICE



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