Infertility

Canceled: Talk to me about your RE at Sher in NJ or RMANJ

edited September 2014 in Infertility

Today’s follicle scan on day 6 of stims showed “not a whole lot going on.”  And it’s never good news when you are expecting the nurse to call and the RE calls.  I am canceled.  I’m going in on Monday for a follow-up.

In the meantime, I am going to line-up some 2nd opinions.  I want to look into Sher in NJ and RMANJ.  Which REs do you ladies recommend?  Anyone specifically knowledgeable on poor responders?

Me: 34 | He: 40
TTC since 08/2012
DX: DOR




Re: Canceled: Talk to me about your RE at Sher in NJ or RMANJ


  • UGH!

    I don't have any advice either... but just wanted to say I'm sorry that you got cancelled. I hope you can start again soon with better results.
    **warning**
    Me (31), DH (33), one furbaby (7) - unexplained IF 
    hysteroscopy and polypectomy 2/14
    IVF #1 3/2014 - cancelled (early ovulation)
    IVF #1.2  ER 5/16/14: 23R 18F -  freeze all (12) due to concern for late onset OHSS 
    FET #1 in June - delayed due to thin lining, 7/18 SET (7.5 mm lining) resulted in chemical pregnancy
    FET #2 in Sept - 9/4 transferred 2 CCS tested embryos (6.5mm lining)
    9/13 beta #1 - 400, 9/15 beta #2 - 950, U/S 9/22 one gestational/yolk sac - next up 9/29
    3 frozen CCS tested embryos remaining
  • I am so sorry to hear this. I don't have any experience with those clinics/doctors, but I hope you're able to get back on track quickly. Do something nice for yourself today.
    Me: 34 / DH: 33
    19-year history of endometriosis. Multiple surgeries and cyst removals. Forced directly into IVF due to blocked tubes and severe adhesions.
    IVF w/ICSI and CCS #1 - Dec 2013 - Only 1 normal. Ended in CP
    IVF w/ICSI and CCS #2, at CCRM - March 2014!
    14R, 12 ICSI'd, 11F, 6 for CCS, 5 healthy blasts frozen!
    Two 5BB blasts transferred 9/10; First beta 9/19: 109; second beta 9/22: 550!
    EDD: 5/29/15

    imageimage


    BabyFetus Ticker
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  • I'm so sorry...

    I cycle with SIRM (not NJ) and have consulted with RMANJ. I consulted with Dr. Molinaro at RMANJ. One thing about SIRM (or at least my clinic, I think they use the same protocols though) is that they do batch cycling and use BCP and lupron to line up cycles, being a poor responder I would definitely ask them about what effect this would have on your cycle. I have stayed with SIRM, mostly because they are the only immune friendly "large" clinic in my area (although I recommend going with a RI over testing with SIRM, they only do very basic testing). I also have been very happy with my experience there (staff at my clinic is amazing and I love my new RE, she is very open minded to thinking outside the box for us). I really liked RMANJ as well. The big reason we didn't go with them is the fact that it would require travel and the cost (we were hoping to do one of their studies). The RE I consulted with couldn't disagree more with SIRM's protocols. He advised no BCP or lupron and doing a freeze all with PGD and then a FET with any normal embryos. They are also not very immune friendly if you ever consider looking into immune testing or working with a RI (It can still be done, but they don't really buy into any treatments and won't prescribe the meds).

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • Just wanted to say sorry to hear that. Not anywhere near that area but hope you get some great answers!

    **Signature Warning**


    TTC since July 2013
    DX: Unexplained or possibly DOR and DH 2% morph
    3 IUIs May-July: all BFN
    IVF Sept 2014: 12R 10M 8F, 5 day eSET 9/15, 4 frosties
    Beta #1 353, Beta #2 651, EDD June 3

    TRUST in the LORD with all your heart and lean not on your own understanding. Proverbs 3:5

    image 
  • No experience with those. But wanted to say im so sorry. ((Hugs))
    Me: 30 DH: 30 ~ TTC #1 Since August 2011 
    BFP #1 2/28/13, Ectopic, Tubal surgery 3/25 
    Began RE testing 8/8, Dx Unexplained, 
    IUI #1 11/1=BFN Moving on to IVF 
    IVF #1 12/2 ER 8R 7M 4 fertilized
    12/7 Transferred 2 "perfect" little blasts 12/17 BFN
    New DX= DOR, I fu*kng hate IF
    1/14 Hysteroscopy, new clean uterus!
    IVF #2: bcp, Lupron, follistim 300, menopur 225. 2/21 8R 4M 3F. 3dt of 2 perfect embryos. 1 little penguin 
     3/10 BFFN
    Regrouping. Seeing reproductive immunologist Dr. Kwak Kim 6/10 
    Kwak Kim protocol: Metformin 1000mg, vitamin D 4000iu, vitamin E 400iu, baby aspirin, Metanx, levothyroxine 75mcgs 
     Surprise BFP 9/21!!! Beta #1 247, Beta #2 630. Miscarried 10/13

  • No knowledge of this area, but I wanted to say I'm so sorry ((Hugs)) :(

    ***SIGGY WARNING***

    Our Story

    Me- 35, mild hypothyroidism

    DH- 29, low count due to a chromosomal abnormality, only option is IVF/ICSI with PGD.

    Married 5/13

    TTC since 8/13

    IVF/ICSI #1 ER 9/14 - 14R, 6M, 6F, 5 blasts off to PGD- 1 normal female, 2 balanced males

    FET 12/8 of 2 frosties - 1 male/1 female - stick babies stick! 

    Beta #1 10dp5dt 444! Beta #2 14dp5dt 2,340!  U/S 1/5-- TWINS!!!  EDD 8/26/15

    "You'll never see the rainbow if you can't survive the storm"

     image    image

    Pregnancy Ticker

  • I am so, so sorry :(

    I consulted with Dr. Peters at SIRM NJ and thought he was GREAT. We ended up doing our cycle with RMA instead though (we wanted the benefit of their super lab). I consulted with Dr. Kim - NOT GOOD. We ended up working with Dr. Molinaro and I thought he was awesome! Too bad it didn't work out for us, but I don't really think it had anything to do with the lab or the doctor in our case.

    Sending lots of hugs & you know how to reach me if you want to chat.
    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

    imageimageimage

    My Blog: Running and Dreaming for Two ~ All are Welcome!
  • I'm so sorry you got cancelled.  I don't have NJ advice -- but I really love my RE at Sher/SIRM NY. 
  • Heartbreaking to hear about a cancelled cycle. Unfortunately I don't have experience with those clinics. GL

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    January & February: 2 IUIs, BFN
    March:  IUI, ectopic, 2 surgeries with 1 tube removed
    May - July: 3 more IUIs, all BFN, on to IVF
    August: IVF#1, BFN
    September:  FET#1, BFP!!!
    It's a girl!!!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Lilypie Pregnancy tickers
  • Thank you all for your kind words.  @RunCC37 I trust your opinion.  I'm going to make appts with both of your suggestions. 
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




  • <3 if you make the trip up this way, let me know. You know where to find me, and you're welcome to stay at my house if you'd like. Sending lots of love
    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

    imageimageimage

    My Blog: Running and Dreaming for Two ~ All are Welcome!
  • So sorry you were canceled!

    No experience with RMA in NJ but I see them in CT and have been fairly pleased.  My OB recommended them because their numbers are the best apparently.
  • No advice but just wanted to say, I'm sorry (((hugs))))
    Fucking bump!!!!
  • Crap! I'm so so sorry for your cancellation. I know it's mentally really hard.

    No real advice from me, but I'm glad that other gals have had experience with the offices you mentioned. I'm in SEPA, so if you are in need of recommendations in the Philly Area let me know. I was not Dx as DOR (AMH and AFC were both stellar), but when I cycle (either with Clomid or anything else) my ovaries act like they are (stingy buggers). 

    For my first cycle we did the antagonist protocol with BCP suppression, which was a major failure, and was cancelled. My RE was perplexed, but learned from that experience and was able to finally get a manageable group of eggs of really good quality for my next cycle (Long Lupron protocol). 

    Wishing you luck in the future!!
  • I am so sorry you were cancelled. ((hugs))

    My TTC Story:

    Me: 40,DH: 48, Married 10/07/2011, TTC since 09/2011, 03/2012 Started Clomid, 04/2012
    Clomid, 05/2012 Clomid, 06/2012 Went to RE, he found a plum size fibroid in uterus, husband has low sperm count, 06/06/2012 Removed fibroid, 08/2012 Hysteroscopy
    IVF #1 October 2012 - Retrieved 8 eggs, 5 fertilized, 10/13/2012 Transferred 3 embryos - 8, 5, and 4 cells,
    the other 2 eggs did not survive freezing, 10/26/2012 BFP!! Beta: 11, 10/26/12 Beta: 2 = Chemical Pregnancy
    IVF #2 - March 2014 - Mini IVF - Retrieved 5 eggs, 4 fertilized, 4 Frosties - 8, 9, 7, and 7 cells all in good condition. 

    IVF #3 - May 2014 - Mini IVF - Retrieved 2 eggs, 2 fertilized, 2 Frosties - 6 and 8 in good condition. 
    FET #1 - September 2014 - Transferred 2 embryos - both 8 cells - BFN

    FET#2 - November 2014 - Transferred 2 embryos - BFN

    FET#3 - February 2014


    *PAIF/SAIF Welcome*
     

    image image  image image   image image

  • Shit how did I miss this post? OMG I am so sorry!!! Canceled cycles are terrible. I'm sending big hugs for you. I don't have any info on those clinics but I am a poor responder. The first two cycles they tried me on the antagonistic protocol priming with BCP but the third my Re had me use a patch for priming thinking that I was over suppressing. Neither helped. This cycle I'm not using BCP or the patch and trying the Lupron stop protocol hoping to bring a better result. Between those 3 cycles the only thing that changed was the amount of follies that we retrieved but even having more they weren't mature. I have added COQ10 and made some lifestyle changes that I hope help also. I hope that whatever RE you change to comes up with a better plan for you. BIG HUGS!!  
    SIGGY WARNING//TICKER WARNING//PAIF

    Long of the Short:
     TTC since April 2013  DH 42 y/o I'm 30  Dh had vasectomy reversal Feb 2013 after 3 months developed scar tissue 
     First Re appt was September 2013 OOP for everything minus meds  
    DH's TESE surgery December 2013
    First cycle was February 2014 BFN none to freeze
     Second cycle was April 2014 BFP ending in Chemical Pregnancy none to freeze
     Third cycle June 2014 BFN none to freez
     Fourth cycle October 30th 28 retrieved, 13 mature and 12 fertilized
    PICSI, assisted hatching and fresh sperm from my DH's TESE surgery used
    5 FROZEN from a freeze all cycle! 
    FET completed on DECEMBER 9TH!!!
    Beta #1 13dp5dt BFP!! 800
    Beta #2 15dp5dt 2100
    Beta #3 17dp5dt 3600 
    First Scan January 5th! Everything looks great! Heart rate of 121!
    Second Scan January 20th. Baby Justone13 looks amazing. Heart rate of 175!
    Baby Girl is due August 27th
    Liv Annmarie born 8/25 7lbs 6oz 21 1/2 inches long 
    image 

  • So sorry you were cancelled. Sending big ((hugs)).
    **Signature Warning**

    Dx PCOS August 2012
    Clomid x4 = BFN
    Femara+Follistim IUIs x 6 = 3 BFN, 2 C/P, 1 early miscarriage
    IVF June 2014- 43 R, 34 M, 24 F, 12 blasts frozen and severe OHSS
    FET September 12, 2014!
    Beta #1 12dp5dt- 724
    Beta #2 14dp5dt- 1631
    Beta #3 20dp5dt- 12,813
    Pending EDD at first OB appointment 11/6. Grow babies grow!

    "I might have to wait. I'll never give up. I guess it's half timing, and the other half's luck. 
    Wherever you are, whenever it's right, you'll come out of nowhere and into my life." ~ Michael Buble

    image


  • No advice but wanted to say I'm sorry you got canceled :(

    ((Hugs))
    TTC #2 since 2011 (took 1.5 years to conceive spontaneously after multiple failed clomid cycles and 1 failed clomid +IUI)
    Me- PCOS, borderline hypothyroid
    Him- low concentration/count

    Feb 2014- started acupuncture
    Feb 2014- BFP
    March 2014- m/c @ 5 weeks
    May 2014- HSG, all clear, started Synthroid, Femara 5mg CD 3-7 + trigger + TI= BFN
    Waiting for new RE appointment end of July 2014

  • So sorry you were cancelled *big hug*
  • @Sha259‌ Who are your Philly recs? I'm in Baltimore, so they are about the same distance for me.
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




  • @ronniesgirl1981 where are you out of right now? I'm in the Baltimore area too.
    SIGGY WARNING//TICKER WARNING//PAIF

    Long of the Short:
     TTC since April 2013  DH 42 y/o I'm 30  Dh had vasectomy reversal Feb 2013 after 3 months developed scar tissue 
     First Re appt was September 2013 OOP for everything minus meds  
    DH's TESE surgery December 2013
    First cycle was February 2014 BFN none to freeze
     Second cycle was April 2014 BFP ending in Chemical Pregnancy none to freeze
     Third cycle June 2014 BFN none to freez
     Fourth cycle October 30th 28 retrieved, 13 mature and 12 fertilized
    PICSI, assisted hatching and fresh sperm from my DH's TESE surgery used
    5 FROZEN from a freeze all cycle! 
    FET completed on DECEMBER 9TH!!!
    Beta #1 13dp5dt BFP!! 800
    Beta #2 15dp5dt 2100
    Beta #3 17dp5dt 3600 
    First Scan January 5th! Everything looks great! Heart rate of 121!
    Second Scan January 20th. Baby Justone13 looks amazing. Heart rate of 175!
    Baby Girl is due August 27th
    Liv Annmarie born 8/25 7lbs 6oz 21 1/2 inches long 
    image 

  • @Justone13‌ I'm at SG in Tow.son. Where are you?
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




  • *** siggy warning - lurking ***

    I don't have experience with either of the clinics that you mentioned, but I am in NJ, and I was very satisfied with my treatment at IVF NJ.  My main doctor was Dr. Rausch, but I had good experiences with everyone on staff - especially the nurses in the OR at the Somerset location.



    *** Ticker Warning ***

    Me: 37, DH: 39, TTC 5 yrs

    2013 summary: Diagnosed with Hypothyroid; Cervical polyp removed (benign); 
    2 rounds ovidrel with timed intercourse (no result): 3 rounds IUI with clomid + ovidrel (no result)
    2014 summary (to date):
    IVF cycle 1 - ER: 4/17 (28 follicles, 3 fertilized, 2 survived to day 3);
    ET: 4/20 (3rd day, 2 embryos - 1 @ 6 cells & 1 @ 4 cells); Beta 5/1 - BFP!; 
    1st scan 5/13 - development behind, no heartbeat detected; D&C 6/2; WTF 6/13
    IVF cycle 2 - BCP begun 7/12; stims w/ HGH begun 7/26; 
    ER: 8/6, 12 follicles, 7 fertilized w/ ICSI; ET: 8/11, 3 blastocysts left, 2 transferred, 3rd arrested 8/12 - none to freeze :'(
    1st beta 8/19 - BFP! 294; 2nd beta 8/26 - 4976; 1st u/s 9/2; 2nd u/s 9/9 - two little heartbeats at 140 each!!! 
    EDD: 29-April-2015
    Other Meds: Synthroid 100 mcg/daily

      imageimageimage
    Pregnancy Ticker
  • Might be a silly question but what's DOR?

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    January & February: 2 IUIs, BFN
    March:  IUI, ectopic, 2 surgeries with 1 tube removed
    May - July: 3 more IUIs, all BFN, on to IVF
    August: IVF#1, BFN
    September:  FET#1, BFP!!!
    It's a girl!!!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Lilypie Pregnancy tickers
  • DOR = diminished ovary reserve

    in my opinion, there is no silly question in IF world.. ;) everything is so complicated...
    TTC since May 2013, w/ RE since July 2014

    Me: 33 Poor responder, Low AMH
    DH: 32 Severe MFI 
    09/2014 IVF #1 - Antagonist Protocol - 2 immature eggs
    11/2014 IVF #2 - Micro Flare Lupron - 3 immature eggs
    Please forgive my writing mistakes, english is my second language.
    imageimage


  • Thanks @marianass‌

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    January & February: 2 IUIs, BFN
    March:  IUI, ectopic, 2 surgeries with 1 tube removed
    May - July: 3 more IUIs, all BFN, on to IVF
    August: IVF#1, BFN
    September:  FET#1, BFP!!!
    It's a girl!!!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Lilypie Pregnancy tickers
  • @ronniesgirl1981‌ I'm at sgf also. Down in Annapolis though. Dr mottla.
    SIGGY WARNING//TICKER WARNING//PAIF

    Long of the Short:
     TTC since April 2013  DH 42 y/o I'm 30  Dh had vasectomy reversal Feb 2013 after 3 months developed scar tissue 
     First Re appt was September 2013 OOP for everything minus meds  
    DH's TESE surgery December 2013
    First cycle was February 2014 BFN none to freeze
     Second cycle was April 2014 BFP ending in Chemical Pregnancy none to freeze
     Third cycle June 2014 BFN none to freez
     Fourth cycle October 30th 28 retrieved, 13 mature and 12 fertilized
    PICSI, assisted hatching and fresh sperm from my DH's TESE surgery used
    5 FROZEN from a freeze all cycle! 
    FET completed on DECEMBER 9TH!!!
    Beta #1 13dp5dt BFP!! 800
    Beta #2 15dp5dt 2100
    Beta #3 17dp5dt 3600 
    First Scan January 5th! Everything looks great! Heart rate of 121!
    Second Scan January 20th. Baby Justone13 looks amazing. Heart rate of 175!
    Baby Girl is due August 27th
    Liv Annmarie born 8/25 7lbs 6oz 21 1/2 inches long 
    image 

  • No advice, but I am so sorry you got cancelled. ((HUGS))
  • Dang. I'm sorry to hear this. I hope you get some useful information and options. Maybe the Estrogen Priming protocol would be a better fit for you.

    *early loss mentioned*
    Me: 34   dx: endo and DOR
    DH: 38   dx: normal
    Endometrioma removed from left ovary 4/'09 
    Started TTC Aug. 2012 
    BFP Jan. '13 - (no heartbeat at 8w appointment) spontaneously MC at 9w 
    Nov. '13 AMH level 0.98 
    April '14 IUI w/clomid BFN 
    May '14 IUI w/clomid BFN 
    June '14 AMH level 0.5 
    IVF #1 July '14, 4R/4M/3F   2 8 cells transferred on day 3, nothing made it to freeze, BFN 
    IVF #2 Nov '14 EPP stimmed for 12 days 9R/4M/4F   2 7 cells transferred on day 3, nothing to freeze, BFN
    IVF #3 May '15 cancelled after highest possible meds dosages for over two weeks. converted to IUI, BFN
    DE IVF #1 Dec '15 transferred one BB2 blast, BFP due August 2016

    ALL Welcome

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