So Confused.....

DoingItRight · April 2011

I had another follie check today. It looks like there might be 4 mature eggs. I have 3 at 17 and 1 at 15.6 and then a couple smaller ones. I am just not sure if I should continue with this IVF or look into switching to an IUI. We are all OOP so this is costing us an arm and leg. I am just so torn. I know with my blood work results that we probably never will get a better response.

suntoto · April 2011

What was your E2 level at last check. Hugs, I know how hard these choices.

GuppyAmy · April 2011

What does the RE think? Is there MFI at all?

I can't give you an answer, it's a difficult decision. You went through a lot to get to the point of doing IVF and then to have to switch, would be a lot to wrap your mind around. I would talk to the RE, is there another plan that could give you a better response? I there are two different protocols that are popular with IVF, my RE initially said that during the initial suppression, my ovaries may have been over suppressed.

While you've spent a lot of money already, my understanding is, the ER is the most expensive part. But after all, all it takes is one. You could have a rock star!

Many hugs, I'm so sorry you have to worry about this at this point.

lunatwo · April 2011

I'm sorry its not as many as you hoped. I went through that twice and both times I did not get nearly what I expected (2 eggs for IVF #1 and 5 eggs for IVF #2). It really did wipe us out financially too, so as much as it pains me to say this, converting to IUI and then trying again later if that doesn't work is a very good option.
Then again...
All four of them might be putting out stellar eggs and that is more than enough to make a beautiful baby. I am probably a lot older than you (I am 43 and did IVF last year) so my experience doesn't predict what will happen to you. But there are also things you can do to improve your response for next time if you do decide to convert: DHEA treatments, acupuncture, chinese herbs, etc. I did these between attempt #1 and attempt #2 and it did seem to improve.
Sorry, not trying to confuse you. I just feel for what you're going through and helping you weigh your options. GL and I hope whichever way you go, it does the trick! Keep us posted.

DoingItRight · April 2011

I am not sure what my E2 was today, but yesterday it was 430.

DH really wants to continue with the cycle, but I guess I have always been more of a realist and worried about all the money that is going out. I know that no matter what there is no guarantee, but if there was more eggs I would feel better about it.

I did the long lupron this cycle so I guess if we did it again we could do the Antagonist or Estrogen priming. During my consult with CNY they suggested Estrogen priming.

ColindaP · April 2011

DoingItRight:
I am not sure what my E2 was today, but yesterday it was 430.
DH really wants to continue with the cycle, but I guess I have always been more of a realist and worried about all the money that is going out. I know that no matter what there is no guarantee, but if there was more eggs I would feel better about it.
I did the long lupron this cycle so I guess if we did it again we could do the Antagonist or Estrogen priming. During my consult with CNY they suggested Estrogen priming.

Not that it matters at all at this point, but did your RE explain why he put you on a long lupron protocol with DOR/POF? That's usually basically the protocol they don't do with POF patients because it's too much suppression.

I really don't know what to suggest. If you cancel and go IUI, if it doesn't work you could always use the credit for a future antagonist or estrogen priming cycle. But then again, it hasn't been unheard of around these parts for people with only 4 or 5 eggs to wind up pregnant.

Which way is your doc leaning?

cutebride73 · April 2011

I did the long lupron and only ended up with 5 eggs and only 1 fertilized properly and it didn't take. I am almost 38 and I think I have DOR and egg quality issues. Also, some MFI. So next time my RE plans to do the falir protocol. For whatever reason, she does not like doing antagonist. I don't know a lot about estrogen priming.

I guess I would be pretty tempted to convert to IUI, especially if there is no MFI. And then try another protocol and see if you get a better response. If they are rockstar eggs, maybe one or two will still fertilize with IUI and you won't have to worry about future cycles.

Good luck hun, I know this is just so, so hard. ((hugs))

DoingItRight · April 2011

ColindaP:
DoingItRight:
I am not sure what my E2 was today, but yesterday it was 430.
DH really wants to continue with the cycle, but I guess I have always been more of a realist and worried about all the money that is going out. I know that no matter what there is no guarantee, but if there was more eggs I would feel better about it.
I did the long lupron this cycle so I guess if we did it again we could do the Antagonist or Estrogen priming. During my consult with CNY they suggested Estrogen priming.

Not that it matters at all at this point, but did your RE explain why he put you on a long lupron protocol with DOR/POF? That's usually basically the protocol they don't do with POF patients because it's too much suppression.
I really don't know what to suggest. If you cancel and go IUI, if it doesn't work you could always use the credit for a future antagonist or estrogen priming cycle. But then again, it hasn't been unheard of around these parts for people with only 4 or 5 eggs to wind up pregnant.
Which way is your doc leaning?

RE was torn between which protocol to use. He wasn't interested in starting out with the Estrogen priming, but wasn't sure between the lupron and the antagonist. He said that I did so well on my injectable IUI cycle that he wanted to try the lupron because they had better success rates than with the antagonist. If this does not work, then I think that we will definitely be doing a different protocol next time.

jolieandscott · April 2011

I don't have any advice, as my journey with my RE is just beginning, and I just don't know enough about what's good for IVF. I do want to give you lots and lots of (((hugs))) however. Good luck.

mdm2137 · April 2011

I don't know much about IVF yet, so I don't have any advice. I hope you can make the best decision. ((hugs))

KristysRedBarn · April 2011

I'm sorry. I have no idea what the right answer is here.

butterfly843 · April 2011

Sending hugs

EntropicEpona · April 2011

If you're reasonably sure that you won't get a better response on future cycles, I'd still go ahead with the IVF. Those 4 might house your future child, you never know!

IF is such a mind f*ck. I'm sorry. :-(

Carolee · April 2011

I don't have any advice, but (((HUGS)))

So Confused.....

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