Trouble TTC

DOR, low AMH and POF (slight vent and question)

I've been feeling like I have a huge cloud hanging over my head since we started TTC.  Drs have always told me I would go into menopause early and now I feel like that's the only thing I can think about.  Each cycle I'm torn because I am disappointed that AF has arrived but I'm excited because I feel like ok I'm not in menopause yet, i still might have a chance.

Does anyone else ever feel like this or have a similar situation?  How do you deal with it and have the drs given you any insight as to how long you have left?  Or ANYTHING????

I'm going nuts over here, I'm so anxious lately.  I haven't been sleeping and it's all I can think about.  My f/u is Monday after all the testing and such but until then, does anyone have any words of advice???

TTC #1 Since May 2011 ~ Everyone Welcome
Me (34): DOR d/t chemo/radiation, Immature Endometrial Lining, Hypothyroidism
DH (35): MFI d/t testicular torsion and removal, Low T, Oligospermia, Anti-Sperm Antibodies, Currently on T supplements
Sept '11-April '13 ~  Testing, failed multiple MFI treatments, saving & TONS of praying
January 2014 ~ IVF/ICSI & PGS ~ no response to stims ~ converted to IUI ~ BFN
February 2014 ~ On to donor embyros ~ 5 blasts!!! 
March 2014 ~ FET #1 ~ Transferred 2 blasts ~ BFN
July 2014 ~ Kliman's mock cycle with endometrial function test
Sample too small for EFT, HE slide showed immature cells
New protocol planned, saving for another biopsy for EFT
January 2015 ~ Considering adoption options
April 2015 ~ Privately arranged adoption of planned pregnancy
DD#1 ~ Lillyana Violet Marie born 6/15/16, Finalized adoption 12/20/16
July 13, 2018 ~ BFP....WTF?!?!
7/16 Beta #1 ~ 466...7/18 Beta #2 ~ 1,077...7/23 Beta #3 ~ 5,291
7/23 US #1 ~ 1 gestational sac seen and yolk sac
7/30 US #2 and 1st OB appt ~ 1 perfectly round gestational sac, 1 perfect yolk sac and 1 teeny tiny heart beat seen!!!
Lilypie Maternity tickers


Re: DOR, low AMH and POF (slight vent and question)

  • Because of all that you are dealing with I would move ahead to an IUI right away with an RE.  I'm sorry I can't give you much insight on your Dx, but we have a few women dealing with DOR and for them - treatment with doing an IUI seems to be the step they take.  Since I don't recognize you, I don't know if you have not lurked here on our board much - but please - stick around!  You will find a lot of support & advice.  But since it's quitting time at work for our east coast girls...you might get more responce later tonight.  Good luck with your follow up!

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

    My Blog

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  • I'm sorry you are going through this.  I know DOR is a scary Dx.  That was my Dx when I started seeing an RE.  If you aren't already seeing an RE, you definitely should. 

    Have you had an AFC (antral follicle count) performed?  On day 3 of your cycle they count how many tiny follicles there are.  This count is an indication of how you might respond to stims during that cycle. 

    No one will be able to give you a precise answer with respect to how long you have before menopause.  They can only say that your reserve will decline in the near future or will continue to decline, etc.

    I learned about my diminished reserve when I was almost 32.  After discussing out options (I am completely OOP for fertility treatments) and the low likelihood of success with each, it was determined that IVF would be our best option.  We had two full fresh IVF/ICSI cycles without success and got our first BFP on IVF #3. 

    It can be a long, hard road.  But, I hope you are able to find success.  I spend most of my time on PAIF right now.  But, feel free to ask me any questions you might have.  Good luck!

     

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • I'm also DOR.  I don't know what your treatment plan is, but if you're not seeing an RE, I recommend it as soon as possible.  I know that the chances of me getting PG on my own are very small, and even with IUI they aren't great.  I have one more IUI (I have to do a mid-cycle test before IVF), then I'm planning for IVF in Jan/Feb. 

    As for how to deal with it--I just take it one day at a time.  The toughest times are when I am not actively receiving treatment and on a cycle (I have a cyst right now, so am just waiting for AF).  The hardest thing for me is knowing there's about a 30-40% chance I won't have genetic children.  I know that I can (and will) use Donor Eggs if I need to, but I've always seen children as a sort of immortality, of knowing that part of me is living on.  However, if knowing donor eggs is a highly viable option helps for you, then think on that.

    TTC #1 Since 8/2010
    Me: 34, DH: 35 DX: DOR (FSH 14.9, AMH 0.67, AFC ~10) and Egg Quality

    IVF #1 Feb 2012. MDFL protocol w/ Met. 7 ER, 0F.
    May Donor Egg IVF cycle:3 EF, 1 blast ET 5/12, 2 frosties
    BFP 5/21! beta #1 5/22 306 beta #2 5/24 818 beta #3 5/31 15,038.

    image"">
    Baby Birthday Ticker Ticker
    "Expecting the world to treat you fairly because you are a good person is a little like expecting the bull not to attack you because you are a vegetarian." --Dennis Wholey

  • I am DOR as well but not from chemo. Snoangel on PAIF used DE as she had chemo when she was younger. Maybe you can page her on Paif??

    Since your ovaries have been exposed to radiation and chemo, it is very possible that your eggs are already damaged. I would think IVF would be the way to go so that they can see the eggs and see if they fertilize and what the embryos look like. Then at least you know the quality of the eggs has been compromised.  As for when you will go in to menopause: If you are still getting regular AF, you aren't there.  For what it is worth, I will be in early surgical menopause because I have to remove my ovaries soon as I have the BRCA gene and am high risk for ovarian cancer. I will go on HRT once I remove the ovaries since I will be around 40 when I take them out. 

    Hugs.

    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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