Infertility

What would IF do?

I have been on the IVF path, but have DOR and low AFC. I tend to have anywhere between 3 and 6 follicles. One month I did magically have 9 but that was back in the beginning months. Last month ended up canceling the cycle because I only had 4 follicles and RE wanted more. Today wet in for baseline and had 5. RE says not a great month, but will go if we want to. What would you guys do? Hold out for a higher follicle month? Or go through with it since I never seem to get much better anyways? We are totally OOP too, so finances always play a role as well!
TTC since: July 2011 Dx: DIminished Ovarian Reserve AMH: 0.4 Me: 30 DH: 33 Medicated IUI Cycle #1 = BFN 9/3/12 Laparascopy/Hysteroscopy 9/13/12 Medicated IUI Cycle #2 = BFN 11/2/12 IVF Cancelled 11/7/12 due to low AFC IVF Cycle 12/2: ended 12/31 Chemical Pregnancy

Re: What would IF do?

  • You have 5 at baseline? That's exactly what I have and I think I had 6 in my first cycle. In my first cycle I ended up having 15 retrieved and I certainly expect to get more than 5 by the time of ER. Do you not respond well to stims? Just trying to figure it out since I am definitely moving forward with 5 at baseline.
    Me: 43 DH: 39 - AMA, DOR
    Mommy to Sami (IVF), Born 8.30.13
    Surprise non-assisted BFP - 12.29.2014, Beta 1 = 322, Beta 2 = 760
    EDD 9.7.2015

     BabyFruit Ticker 

    image
  • It is not typical to get 15 eggs with an AFC of 5. 

     Original poster: what was your cd3 FSH this month? Will your RE cancel you if you don't get 5 follies? There are different extremes of DOR and you may need a doctor who will retrieve with less. At 29 your eggs, even if low in count, should be decent quality. You just need to get them out and test them out. I have never made 5 eggs. I was retrieved 4 times. My quality was terrible but I'd never know that if I was always cancelled.  Waiting one more month at your age is fine but it is doubtful that you will get a ton of eggs on any given month. With the added OOP cost, you can't keep shelling out tons of money on drugs to get cancelled every time. If you can't get your RE to retrieve unless you have "X" eggs, I'd find another doctor who will. They are out there.  

    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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  • Thanks you guys! Yes, our baseline. AFC is 5. We are really leaning towards going for it as long as the blood test looks OK. We will get the results soon. 
    TTC since: July 2011 Dx: DIminished Ovarian Reserve AMH: 0.4 Me: 30 DH: 33 Medicated IUI Cycle #1 = BFN 9/3/12 Laparascopy/Hysteroscopy 9/13/12 Medicated IUI Cycle #2 = BFN 11/2/12 IVF Cancelled 11/7/12 due to low AFC IVF Cycle 12/2: ended 12/31 Chemical Pregnancy
  • I would be tempted to postpone and wait for more. I know some get more eggs than their AFC shows, but I don't think that's typical. My AFC was 14 and I got 5 retrieved. I was thinking of postponing if I had 12 this month, as I fluctuate between 10 and 20. I couldn't see moving forward and spending so much money and not having my best cycle. GL with whatever you decide!
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
  • imageMrs.McIrish:

    It is not typical to get 15 eggs with an AFC of 5. 

     Original poster: what was your cd3 FSH this month? Will your RE cancel you if you don't get 5 follies? There are different extremes of DOR and you may need a doctor who will retrieve with less. At 29 your eggs, even if low in count, should be decent quality. You just need to get them out and test them out. I have never made 5 eggs. I was retrieved 4 times. My quality was terrible but I'd never know that if I was always cancelled.  Waiting one more month at your age is fine but it is doubtful that you will get a ton of eggs on any given month. With the added OOP cost, you can't keep shelling out tons of money on drugs to get cancelled every time. If you can't get your RE to retrieve unless you have "X" eggs, I'd find another doctor who will. They are out there.  

    This exactly. 

    TTC 1/2010 DH Dx - Azoospermia 2/2011
    Hysteroscopy 3/2011 2 Polyps removed 4/2011
    DH on Clomid / Arimidex to address hormonal issues - Sperm found July 2011!
    IVF #1 September 2011 - ER 9/8/2011- 8R, 5M - icsi - 1 made it to transfer - BFFN :-(
    IVF #2 Lucky November 2011 - ER 11/25/2011 - 15 eggs!, 13 mature, 10 fertilized with isci - 7 made it to transfer! Transferred 1 - 8 cell and 2 - 7 cell. BFP!!!!
    1st U/S - Twins! 2nd U/S - 3 heartbeats!!! - HOLY COW!!!
    Prayers for our take home babies!
    2 babies born on 3/27/12 and lost. Last baby born on 3/29/12 and lost at 20 weeks.
    My angels grew wings shortly after birth.
    Ahava Raisel, Matisyahu Nissim & Zev Chaim - Mommy and Daddy will always love you.
    IVF #3 July 2012 - ER 7/17/2012 - 10 R. 5 F. 4 made it to ET
    Transferred 2 on 7/20/2012 no snow babies :-(
    Beta on 7/31/2012 = BFMFN
    A miracle gift expected to come to us through adoption around 9/2012
    Baby girl adopted - Birth Mother changed her mind and took the baby back
    IVF #4 October 2012 - New RE. Doing PGD Testing. 8 R, 7F, 2 made it to 5 day blast for PDG testing. Both Normal (Thank you G-d!!!) 1 boy and 1 girl
    transferred one beautiful 5day blast (girl)
    Please G-d the almighty one - let this be our take home baby!
    Beta #1 158, Beta #2 318, 1 Absolutely magnificent HB at 175! Thank you G-d!!!
    Baby Girl born August 5th. Thank you G-d for our precious miracle.
    AMA. PAIF & SAIF always welcome - I need all the prayers I can get!

    Lilypie Angel and Memorial tickers
  • I don't have any advice because I'm not sure what I would do in the same situation but I'm rooting for you!

    Unmedicated and medicated IUI's: all fail
    IVF #1: Dec 2012 16m/15f 12/9: 5dt of 2 beautiful blasts and 5 frosties
    TWINS!
    15w4d:baby a-pProm
    March 25: 18w...2 baby boys born sleeping
    July 29: FET-BFN

    Sept: TAC placed

    Oct 27: FET #2-Cancelled-monster cyst producing insane amounts of estrogen

    Nov 13: FET #2-take 2
    imageimage

  • imageWindyCity33:
    I don't have any advice because I'm not sure what I would do in the same situation but I'm rooting for you!

     Thank you!! 

    TTC since: July 2011 Dx: DIminished Ovarian Reserve AMH: 0.4 Me: 30 DH: 33 Medicated IUI Cycle #1 = BFN 9/3/12 Laparascopy/Hysteroscopy 9/13/12 Medicated IUI Cycle #2 = BFN 11/2/12 IVF Cancelled 11/7/12 due to low AFC IVF Cycle 12/2: ended 12/31 Chemical Pregnancy
  • I only had 4 then entire time of stims and he found two more at retrieval so six total and one of those gave me my bfp. It only takes one. Jmo
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  • Update: Decided to go for it! Just finished day 1 of injections!
    TTC since: July 2011 Dx: DIminished Ovarian Reserve AMH: 0.4 Me: 30 DH: 33 Medicated IUI Cycle #1 = BFN 9/3/12 Laparascopy/Hysteroscopy 9/13/12 Medicated IUI Cycle #2 = BFN 11/2/12 IVF Cancelled 11/7/12 due to low AFC IVF Cycle 12/2: ended 12/31 Chemical Pregnancy
  • Welcome to the snowbunny club!
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  • imagectnl81:
    Welcome to the snowbunny club!

    Thank You!! Amazing to think I should be PUPO on Christmas!!! 

    TTC since: July 2011 Dx: DIminished Ovarian Reserve AMH: 0.4 Me: 30 DH: 33 Medicated IUI Cycle #1 = BFN 9/3/12 Laparascopy/Hysteroscopy 9/13/12 Medicated IUI Cycle #2 = BFN 11/2/12 IVF Cancelled 11/7/12 due to low AFC IVF Cycle 12/2: ended 12/31 Chemical Pregnancy
  • imagelisaf40:

    imagectnl81:
    Welcome to the snowbunny club!

    Thank You!! Amazing to think I should be PUPO on Christmas!!! 

    Welcome to the Snow Bunnies!!  And sorry if my post wasn't that helpful!  My RE didn't make it sound like it was that unusual that I had the response that I did last cycle. I was surprised at it and, while they did say it was better than they expected, they didn't make it sound like it was rare.  Now I'm a little worried that I won't have even close to the same response this time.  FX that's not the case!!  And good luck to you as well!!

    Me: 43 DH: 39 - AMA, DOR
    Mommy to Sami (IVF), Born 8.30.13
    Surprise non-assisted BFP - 12.29.2014, Beta 1 = 322, Beta 2 = 760
    EDD 9.7.2015

     BabyFruit Ticker 

    image
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