Embryo Reduction

frustratedfemale

Hello,

I am happy to say that after over a year of trying, six months of fertility treatments, I am pregnant. Of course, when it rains it pours, so I am pregnant with four embryos. I have been advised and 100% agree with doing an embryo reduction to two, so I would prefer if no one tried to tell me I shouldn't do that, however there are some complications.  I live in West Africa and there are not facilities to do it here. So I have to fly to Europe or the U.S.in the next week to do it. However, there is no information about the procedure on-line. I assume people don't advertise it as a procedure they do because of the ethical issues and fear of bringing out all the fanatics.  But I seem to be in a dilemma now, I need to find a doctor but no one will talk to me about it.  I am currently looking at the Washington DC Area. or the American Hospital in Paris to do this procedure. I am wondering if anyone has doctors names or practices that I can follow up on with this?  Any help would be greatly appreciated.

Thank you.

zazu13

That is a tough situation. Perhaps contact a fertility clinic like Shady Grove? They may not do it but perhaps could direct you to somewhere. Good luck

frustratedfemale

Thanks so much to you both.  Shady Grove was my first thought and I called them yesterday and they were like, we have no idea what you are talking about, we don't do it, and don't know anyone who does, which is what made me so suspicious. I assume that they wouldn't talk to a non-patient about it, because of the fanatic issues I mentioned earlier. Right now, I am following up with Paris, Greater Washington Maternal-Fetal Medicine and GW Hospital.  No definitive answers yet about ability to do the procedure. GW mentioned a need to possibly go to Cornell in NY to do it?! I can't imagine this isn't a common thing as fertility procedures are so common now?

 

DenaMaree

"Lurking" many congrats!!
Hope you can click on this link..
https://m.humrep.oxfordjournals.org/content/15/10/2228.long

This is out of University of Oxford in Oxford, England! Perhaps consider England as an option?

shurlired

My fertility clinic definitely does reductions but it's on the west coast of the U.S. Hopefully u are able to find one closer to u. Best of luck!

zazu13

frustratedfemale said:

Thanks so much to you both.  Shady Grove was my first thought and I called them yesterday and they were like, we have no idea what you are talking about, we don't do it, and don't know anyone who does, which is what made me so suspicious. I assume that they wouldn't talk to a non-patient about it, because of the fanatic issues I mentioned earlier. Right now, I am following up with Paris, Greater Washington Maternal-Fetal Medicine and GW Hospital.  No definitive answers yet about ability to do the procedure. GW mentioned a need to possibly go to Cornell in NY to do it?! I can't imagine this isn't a common thing as fertility procedures are so common now?

 

I know that a lot of precaution is taken to avoid higher order multiples in the states so I don't actually think it is common though certainly not unheard of. My clinic has a case of quads all over the news right now (she is carrying to term - no mention of SR) Who did you speak to at shady grove? I'm sure the office staff at the phones would not have any idea, but an actual dr would have to. I would ask the RE -if you can get one to take the call like you said. Some do phone consults so maybe they wouldnt mind taking a call from non-patient.

ekreps

There are a lot more risks with more and only you can decide what is best for you and your family. I support your and every woman's decisions regarding their bodies and children. I know someone who was in the same situation and made the same decision and can ask for a referral but we are on the west coast in Cali.

cls78

Not sure if RMA NJ does reductions, but they are one of the top clinics in America. You could schedule a phone consult with one of their Doctors or at least call and speak to a representative. Best of luck to you.

blueberries8

That sounds super frustrating. I hope you will find a good lead soon. I don't think SR is super uncommon. I would concentrate more on contacting maternal fetal medicine departments -- I feel like they are the most likely to advise patients on SR and probably most REs refer patients to MFMs to educate re: the risks of higher order multiples even if they don't perform the actual procedure. I can see how RE practices might be more reluctant to talk about it because they don't want to give the impression that higher order multiples are an issue in their clinic. T&Ps to you and best wishes for a healthy pregnancy.

ETA: Actually, now that I think about it, where I live (Israel), SR is performed by MFMs/perinatologists themselves.

1+tripsmom

We made choice not to have it done we lost one of our quads naturally and have triplets. But I know there is a doc in NEw York City who does them that is where our dr wanted us to go. Also at Duke in North Carolina I was told. Insurance does not core it and it is a very expensive also. Good luck with your choice.

HeavenBlessedMom

I believe Northwestern in Chicago does them. We were advised to go when we did genetic counseling after conceiving through IVF.we had quads which quickly became triplets, yet they still advised us to talk to a counselor, and potentially do selective reduction. After two quick tests, we were happy nothing was wrong as I did not want to go through selective reduction, and we kept the three.they are now 7 months and almost 20 pounds each. Our fertility work was through northwestern is well.

lupineaura

I found this blog when I started doing more serious fertility treatments. Hopefully this helps you. https://www.mother-to-one.com

Scorpgirl444

I hope you get the answers you want.  My only question is...living in West Africa...are you even able to travel out of the continent right now?  

frustratedfemale

Thank you all for your support and advice.  I am going to post an update now for embryo reduction aka multifetal pregnancy reduction, for others who may be looking for the same information.  I think all these clinics are good to try in the states. I also found one in DC, that if you are looking for someone, send me a private message. I won't release their name for safety reasons.  So what I found out was in the United States, they are more likely to do it at 11-12 weeks, abdominally, we did not want to wait that long. The decision will only become more difficult.  I did some research and in Belgium they will go as early as 10.5 weeks.  I have decided to come to the American Hospital in Paris with Dr. Alain Thebault, he is going to do my procedure at 8 weeks and 5 days. He has been doing this procedure for 20 years and the hospital is fantastic. Even with the overnight stay (because i am traveling alone) it is coming out to approximately $4000 or 3100 euros with all the tests, consultations, anesthesia, etc., much cheaper than the US. Fortunately, my insurance will cover everything. I will let you know when it is all over.

Also, despite my living in West Africa, we are not quarantined.  The American fear of Ebola is much worse than the actual risk anyone is facing, aside from the impoverished patients in the three countries that are facing the outbreak right now.  

Thank you again for all your advice and support, i hope it will come in handy for someone else who is facing the same issues!

diz1313

i am glad you got yourself a game plan. After you posted your question I tried to research out some answers to help you out with..... man I didn't come up with much. It amazes me that there are still some aspects of fertility treatments and some of the things that come up and go with them that are still so hush hush. In any case, I wish you the best of luck. please, keep us posted on how it goes and how you are doing.

Rynleigh

Thank you for making a responsible choice to increase the chance of a safe and healthy pregnancy. I hope that your procedure goes well. Peace and strength. 

frustratedfemale

Thank you for all of your support. I have really enjoyed reading these message boards. It is great to have a community. I had the procedure.  Dr. Thebault said it went really well. It turns out that one embryo had already collapsed and one was smaller than the other two, so that is the one he reduced.  I know it was the right decision.  And my local doctor insisted on doing it so early because it is a lot easier emotionally, when it is still an embryo. I am also happy I did it as early as possible and that it is all over. After the procedure we listened to the two healthy heartbeats.  I would highly recommend this hospital and doctor if anyone else ever has a similar issue. And it does also upset me a lot that there is no information about this out there, with as many women these days pursuing fertility treatments as there are.  But everyone on the board was so helpful, so thank you!

I am going for my 12-week checkup in two weeks, so then I will feel really good about this pregnancy. It has been a long and difficult road, but if it all works out, it will have been well worth it. 

lupineaura

I'm so glad you had a good outcome!

greks84

So happy everything went well! THanks for coming back and letting us know bc I am seeing this for the first time. And I agree there should be more info about this out there.