TTC after 35

2 Questions - Genetic Testing and Size of Ovaries

DH and I are going to consult with a RE Dr. Serena Chen at IRMS St. Barnabas in Livingston, NJ on June 28.  We went to RMA 2 days ago in West Orange and were turned off by the coldness with which they treated us.

I had a general physical, ultrasound of my ovaries and uterus and the standard bloodwork/urine analysis done at RMA.  DH hasn't done a semen sample yet.  But we decided to waive the genetic testing. I'm 44 and DH is 47.  I'm having second thoughts about the genetic testing and think we should get it done at IRMS at our June 28th appointment. What do you think?

Also, the RMA Dr. told me that one of my ovaries is larger than the other.  Does this mean anything?

TIA!

Re: 2 Questions - Genetic Testing and Size of Ovaries

  • Genetic testing is a personal decision. We opted to do it. It costs about $744 total as they sent it out to a special genetics lab. I dont think that different ovaries means anything but I really dont know for sure. I hope your appt with the new RE goes better!
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  • Regarding ovary size-- I think it somewhat correlates with ovarian reserve. When my Dr. did an antral follicle count by ultrasound, he also measured my ovaries and commented, that they were a good size or something. Maybe one of yours has more eggs in it than the other one?

    IVF #1 ET 1 d3 embryo 10/30/11 BFP
    3 Embryos frozen (1 d5, 2 d6)

    DS born 07/29/12

    FET #1 ET 1 d5 embryo 02/10/15 BFN

    FET #2 1 d6 embryo didn't survive thaw, transferred last d6. CP :(

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  • Thanks for the feedback, ladies. 

    What is the benefit the genetic testing?

  • Genetic testing: I think depending on your ethnic background, they test for certain mutations that may be prevalent in your population. For example, they would want to test both me and my husband for cystic fibrosis mutations (which I have not done). If both people have 1 copy (it is usually recessive, so you would not know it), the means half of your eggs will carry it as well as half the sperm, so that works out to a 1 in 4 chance that offspring will have the disease (carry two copies). If only one of you is a mutant for a given disease, then there is nothing to worry about for the next generation with regard to those specific genetic conditions.

    The only way around the situation where you are both known carriers for the same mutation/disease, then you can do IVF with PGD and/or just be aware of the odds.


    IVF #1 ET 1 d3 embryo 10/30/11 BFP
    3 Embryos frozen (1 d5, 2 d6)

    DS born 07/29/12

    FET #1 ET 1 d5 embryo 02/10/15 BFN

    FET #2 1 d6 embryo didn't survive thaw, transferred last d6. CP :(

    image
  • Hi Melissa, sorry I was offline yesterday and didn't see the post you put up on IRMS until now. Dr. Chen is the doctor I see there and she is very nice, so hopefully you'll like her too. I was referred to her by someone who is very in the know of the who's-who in the field of infertility. If your first appointment is like mine was, you may also be meeting with a financial counselor and procedure coordinator the first day, just FYI.

    As far as genetic testing, IRMS included some genetic testing as part of my testing checklist, although I don't know if it's at the same level that you're talking about. DH and I both had testing was for things like cystic fibrosis, Tay-Sachs (since we're Jewish), etc.  I'm not sure it was even optional to get this testing done there, but I would have wanted it done anyway. We have a couple we're friends with who found out this way that they are both carriers for CF... thank goodness that found that out. They ended up adopting.

    Good luck with the appointment, and let us know how it goes. I'm curious to hear how it compares to your experience at RMA since that's one of the places I was considering going.

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