Met with RE.. straight to IVF. Ventish — The Bump
Secondary IF

Met with RE.. straight to IVF. Ventish

Hi everyone.. well DH and I finally met with our RE. He was fabulous. I love the clinic and was excited to learn they have the ability to do CCS, even though it'll cost a lot. He went over all our tests with us and as I suspected suggested moving straight to IVF. Based on my super low (nonexistent?) AMH and an ultrasound he diagnosed me with DOR and says we don't have much time to act so I really need to decide in the next month or two if we want to move forward with IVF. I have really mixed feelings about it. Ladies that have been through it, is it really hard? I'm worried I'll go through all the injectibles and the procedure and he won't even get any good eggs. DH is basically leaving the decision up to me and says he'll support whatever I want to do.

I am feeling torn because I'm happy with the way things are but I really want another child. I don't want to look back 5 years from now and regret not having tried everything. To further complicate things I'm "late" this month. On CD 33 and my cycles are never longer than 30 days but I keep getting negative tests. I'm kicking myself for not charting last cycle so I don't know if I'm really late. But I keep holding out hope that I'll get a positive even though I know it's so unlikely. But until I get AF I can't move forward with the process and go for my repeat CD 3 bloodwork & sonogram. Blargh. 

Me 38, DH 34 Missed M/C 10/08 at 10 weeks DD born 8/09, TTC#2 since Jan 2011 Baby Birthday Ticker Ticker

Re: Met with RE.. straight to IVF. Ventish

  • Sorry for the news you got. I did one cycle of IVF and I found it not too bad. The shot were easier than I though. The ER was a bit painful after words, but during it you feel nothing, since you are asleep. The ET was easy, no pain, you just have to go on a full bladder. The hardest part was all the waiting for me, so not bad at all. I wish you all the luck with your decision and if you do IVF, good luck. 
    BabyFruit Ticker
  • I'm a 2IF graduate...and still lurk & offer hope when I can... 

    I did 3 IUIs back in 2011 and then went on to IVF (which was a hard thing for me to decide on...but ultimately it was the best thing) diagnosis was DOR age 36 1/2 when I first went to the RE my AMH was 0.48.  My FSH was usually no higher than 10.5...and typically my follie count was 8-10 total both sides before stims...needless to say they were able to retrieve 9 eggs...6 fertilized...and 3 were still growing ay Day 5 but that cycle was cancelled because those embies were "slow growers"...1 made it to freeze & was only given a CB rating,..but that little embie was born this past October (think I have that all in my siggy)...

    I was on an estrogen priming antagonist protocol for IVF...never on bCPs but took estrogen & then added follistim, menopur, ganirelex, and Ovidrel. Even with all the injections, it wasn't so bad...even my ER wasn't bad...not even too sore after..and the hardest part of the ET was drinking all that water and needing to lay down for a half hour after (my bladder was about to explode!)...

     Best of luck to you! I know consulting Dr Google" about AMH makes you feel like you have one foot on the old age home...but I do know there are other ladies that also got their BFP (and some without assistance) it can happen...just keep the hope!

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  • I am also a 2IF grad. If what is scaring you about IVF is the shots and pain I will say it was much easier than I thought. I ended up doing a morning shot and evening, but it gets to be routine and not a big deal. The nurses will walk you thru one step at a time and if you look at it that way it's not overwhelming. The worst part for us was the stress of the financial side we were 100 out of pocket as insurance didnt cover much. Also, the stress of waiting for results and having to do a second IVF as the first didnt work.

    I knew if we didnt try everything for a second child we would regret it. Thankfully, IVF 2 worked and we even have one frostie waiting for us.
    Good luck with your decision. Don't let your RE push you to make a decision too fast that you will regret!
    TTC#1: 14 months on our own (did HSG, b/w, SA);
    BFP on Cycle 14--TWINS! Identical twin boys stillborn at 19wks(1/9/10)
    3 break cycles; took clomid 50mg, BFP #2 Beta #1 35, Beta #2 338!!! Owen was born 2/11/11! 
    TTC#2: 4 cycles on clomid: BFNs
    BFP #3: Cycle #5 100mg clomid; beta #1 21; beta #2 6=CP 
    Cycle #6 break cycle TTC no meds=BFN
    Cycle #7: 150 clomid+ovidril+IUI=BFN (switched to RE)
    Cycle #8: follistem+ovidril+TI=BFN
    Cycle #9 Forced break due to cyst
    Cycle #10 follistem+ovidril+TI=BFN
    Cycle #11 follistem+ovidril+TI=BFN
    Cycle#12 Forced break due to cyst, went on BCP; did repeat HSG, Saline U/S
    Cycle #13 IVF: Follistim/Menapur ER 11-30 11 eggs, 5 mature, 4 fertilized and 3dt on 12-3; BFN
    Cycle #14: IVF#2 lupron/follistim/menopur ER 1-22, 19 eggs, 14 fertilized, 5dt on 1-27, BFP!! beta 1: 63, beta 2: 119; EDD 10-15-13; 1 frozen embie
    Miracle Surprise BFP, EDD 10-1-15; saw HB great Betas, 11weeks lost baby MC at home
    Moved forward with FET transfered solo frostie on 6-4-15, beta 1: 315, beta 2: 738, u/s showed one baby on track EDD 2-21-16
  • My AMH is undetectable at <0.16.  While I still have a chance with IVF, I just have to realize it will take more attempts, since I will not get many eggs each cycle.  I am starting my 3rd cycle.  1st was cancelled for poor response prior to ER, 2nd cycle we made it to ER, but only got 1 mature egg and it fertilized abnormally.  We think we have figured out how I respond to the different meds, so we are hopeful that this cycle will be better.  My advice if you AMH is in the very low range, is to make sure you have a doctor with experience with DOR.  Many doctors will try to push you to DE, which of course, does have a much higher success rate.  Also, make sure your doctor is willing to use the DOR protocols.  Examples are: microdose Lupron flare, estrogen priming, and testosterone priming.  At all costs, avoid doing a long Lupron protocol.  It will suppress you too much.  Antagonist cycles with priming, or MDL Flare are the best bets.  Good luck!!!

    Me - 38 (Endo, DOR) DH- 41 Married in 2003, TTC for 6+ years Dec 2012 - Lap, both tubes removed Jan 2013 - IVF #1 - MDLF, Cancelled March 2013 - IVF #2 - Antagonist - cancelled after ER May 2013 - IVF #3 - TPP Antagonist W/HGH
  • Thanks for sharing everyone! It's nice to see all the success stories :). I think what's worrying me the most is the fear that after going through all the shots and hormones that I won't get any good eggs. My RE is fabulous from a great clinic and has a high success rate and tons of experience. I feel confident that he's steering me in the right direction. He's started me on DHEA & CoQ-10 right now and when AF gets here I'll do repeat CD3 & a sonogram. Then he wants to do a saline sonogram since I didn't have one yet. After all that we'll sit down and go to IVF. I feel incredibly lucky that my insurance covers 2 IVF cycles. And I guess if those cycles don't take I'll feel comfortable knowing I did everything I could and can hopefully move on. 
    Me 38, DH 34 Missed M/C 10/08 at 10 weeks DD born 8/09, TTC#2 since Jan 2011 Baby Birthday Ticker Ticker
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