Infertility

Immature egg quality

Well after taking another test this morning and it being BFN I'm not feeling very hopeful about this cycle. Out of 21 eggs this cycle only 8 were mature. Last cycle all 5 they retrieved were immature. Is anyone else dealing with immature egg issues? What did your RE do for a protocol? My RE just mentioned stimming longer but not changing anything else. I just feel like that won't help anything.
Thoughts?
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Infertility blog


Trying for a baby since 4/10

DX: Infertile 6/11 Me: LPD, all other blood work clear.
DH: low sperm motility,low count.
Met with RE start clomid + TI + IUI 5/12= IUI cancelled due to positive Cystic Fibrosis carrier test. DH tested Neg. for Cystic Fibrosis,

6/12 Clomid + TI +IUI=BFN 8/10 IVF consult.
IVF #1 Started BCP 9/2 Lupron 10/11 stims 10/27 ER 11/6!! 5 eggs retreived only 1 mature. FERT report shows none made it.Cancelled cycle.

IVF #2 BCP 11/18 Lupron 12/14

Stims start 12/29 ER 1/8 ET 1/11 put in 1 grade B and 1 grade C. Beta: 1/20 = BFN

IVF# 3 7/13 BFP ended in chemical pregnancy

9/15 diagnosed with PCOS and insulin resistance gearing up for IVF# 4 Dec/ Jan

Everyone Welcome!

Re: Immature egg quality

  • Hmm, I know during my first cycle I was astonished by my single mature embie. At our wtf, RE mentioned beginning me at a highter dosage for times and perhaps skipping bcp. I believe I was over-suppressed at stimmed too low (however, I did stim for 12 days). Considering my age and size, they thought starting low was best. but not so much! I was also really concerned that I may have an egg quality issue, but none of the blood work revealed that.

    ~TTC#1 Since July 2011~ 
    Dx: Fibroids & Tubal Infertility
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  • I hope that your hpt is wrong.  I have egg quality issues, but I did stim for 12 days because the follicles were slow and 9 out of the 10 were mature.  2 made it to transfer with nothing to freeze.  So maybe if your quality is good he will have you stim longer.  I wish you nothing but the best.
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  • Well, I sure hope that dumb POAS is wrong. I don't have any suggestions really, as I have the opposite problem. I only get 4-5 eggs, but all are mature. Put us together and we'd be rockstars:-)  I don't know if it would help to tell you my protocols that got me mature eggs or not, but #1 was bcps for 3 weeks, long Lupron, then 11 days of stims with 150/150 bravelle and menopur, with 2 ovidrel triggers. #2 was 3 weeks of bcps, then 2 days of MD lupron, then stims added were bravelle 225/menopur150, 10 days. I know my RE says she likes bravelle better than others because she thinks it gives less eggs, but of better quality...

    If you do end up with a BFN (you definitely still have a fighting chance here), are you for sure going for #3?  

    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.
  • Oh no, i'm sorry you are getting bfn's. Just out of curiosity, how big are most of your follicles before your doc has you trigger? I wonder if he is not letting them get big enough and maybe having you trigger too soon? I know mine likes to get as many as possible to 17 mm. Your estrogen # should also be a good indicator of mature follicles too. I believe it's 200 for every mature follicle. Do your #'s add up?  I'm so sorry you are going through this! Maybe stimming longer is the answer, or maybe a second opinion from a different RE would help? GL! 
             

            

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     Me (34)- no issues found MH (36)- MFI due to Vericocele. Straight to IVF w/ICSI 9/12, Antagonist. 9R, 7M, 5F = BFN c/p,  New RE for IVF #2- 1/13., Long Lupron. ER on 1/22 -10R, 9M, 9F. Transfer on hold due to overstimming. FET in Feb. 2 frozen blasts. Another BFN & another c/p. RPL testing all negative besides MTHFR gene, vericocle repair surgery 4/12/13-Bilateral Grade 3 Vericocele found & fixed, IVF #3 with PGS  4/13- 11R, 9M, 9F. Transferred 2 normal=BFN, 3 normal on ice. CCRM-here we come! ODWU-All test results normal. EPP in August. 21R, 20M, 19F. 12 blasts biopsied & frozen for CCS testing. Results showed 11 normal! FET Oct. 30. 2 5d 4AA blasts transferred. First ever BFP!!! Beta 1=216, Beta 2=870 1st U/S=It's TWINS!!! It's a BOY and a GIRL!! Everyone Welcome!!! 
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  • I am surprised they are not doing a different protocol, such as antagonist.  I would seriously talk with RE about other methods, go with your gut!!!

    I am so sorry you are going through all of this. <3

     

    Also hoping that the HPT is wrong, and you get a nice surprise ((((hugs))))

    Married BF 6/29/2002/
    TTC Since Aug 2011/
    ME:34 all clear/DH:41 DX Severe MFI/
    IVF w/ICSI OCT 2012 Stims started 10/8/ER 10/19/12/ET 10/24/Beta#1 11/2=BFN (beta was 1.2)

    IVF 2.0-Baseline 11/7/12 beta 0/All Clear
    Stim start 11/7/12//ER 11/19 11M//10F
    ET 2 embies 11/24//Beta#1 28 Beta #2 23 Beta#3 29
    stop meds Beta#4 37/C/P 5W5D EDD:8/12/13/IVF#3 in Jan

    Ivf 3-frozen 3 poor 3day/fet=bfn

    Ivf#4 New dr. New protocol=beta1 197 beta#2 677 beta#3 1557
     u/s 8/13 =TWINS 2 strong hb
    Due Date 4/4/14

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  • Thanks everyone for your responses! My RE did mention stimming longer, but I'm wondering if I should be on the Lupron and BCP. I am going to put my two cents in when we have our follow up appointment.
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    Anniversary


    Infertility blog


    Trying for a baby since 4/10

    DX: Infertile 6/11 Me: LPD, all other blood work clear.
    DH: low sperm motility,low count.
    Met with RE start clomid + TI + IUI 5/12= IUI cancelled due to positive Cystic Fibrosis carrier test. DH tested Neg. for Cystic Fibrosis,

    6/12 Clomid + TI +IUI=BFN 8/10 IVF consult.
    IVF #1 Started BCP 9/2 Lupron 10/11 stims 10/27 ER 11/6!! 5 eggs retreived only 1 mature. FERT report shows none made it.Cancelled cycle.

    IVF #2 BCP 11/18 Lupron 12/14

    Stims start 12/29 ER 1/8 ET 1/11 put in 1 grade B and 1 grade C. Beta: 1/20 = BFN

    IVF# 3 7/13 BFP ended in chemical pregnancy

    9/15 diagnosed with PCOS and insulin resistance gearing up for IVF# 4 Dec/ Jan

    Everyone Welcome!
  • imageJSM0801:
    Oh no, i'm sorry you are getting bfn's. Just out of curiosity, how big are most of your follicles before your doc has you trigger? I wonder if he is not letting them get big enough and maybe having you trigger too soon? I know mine likes to get as many as possible to 17 mm. Your estrogen should also be a good indicator of mature follicles too. I believe it's 200 for every mature follicle. Do your 's add up? nbsp;I'm so sorry you are going through this! Maybe stimming longer is the answer, or maybe a second opinion from a different RE would help? GL!nbsp;

    Last time they waited till I had follies over 20mm which I had about 5 of. All the others were around 18mm. DH and I are looking into meeting with a different RE.
    image
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    Anniversary


    Infertility blog


    Trying for a baby since 4/10

    DX: Infertile 6/11 Me: LPD, all other blood work clear.
    DH: low sperm motility,low count.
    Met with RE start clomid + TI + IUI 5/12= IUI cancelled due to positive Cystic Fibrosis carrier test. DH tested Neg. for Cystic Fibrosis,

    6/12 Clomid + TI +IUI=BFN 8/10 IVF consult.
    IVF #1 Started BCP 9/2 Lupron 10/11 stims 10/27 ER 11/6!! 5 eggs retreived only 1 mature. FERT report shows none made it.Cancelled cycle.

    IVF #2 BCP 11/18 Lupron 12/14

    Stims start 12/29 ER 1/8 ET 1/11 put in 1 grade B and 1 grade C. Beta: 1/20 = BFN

    IVF# 3 7/13 BFP ended in chemical pregnancy

    9/15 diagnosed with PCOS and insulin resistance gearing up for IVF# 4 Dec/ Jan

    Everyone Welcome!
  • I had the same thing.  I had 16 retrieved and only 9 were mature.  My RE said we would stim me longer this time and at a lower dose. They started me out low and increased me last time.  So he doesn't think i will get the increase this time.  It's so scary considering I've got so much money into meds.  Good Luck!!
     36 DH 33 TTC for over 3 years
    First mini-IVF Sept 2011... Only 1 egg! ... BFN
    Switching RE
    IVF#2 May 2012 9 eggs and only 2 sperm, WTH!
    BFN
    IVF #3 March 2013~Tesa with back-up Donor Sperm,Tesa, unsuccessful used DS~ Chemical :(   

    Switching RE's within practice

    2 frosties waiting for us, November 2013!!!!!   Transferred 2 "average" blasts 11/20/2013
    BFP!!!!!!!  Boy/Girl Twins!!!!!! Due 08/08/2014

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