Infertility

Intro and a question on IVF

Hi ladies :-)

 my DH and I (both 30) are waiting on results from his second SA (first one showed low motility).  I've proactively made an appt to consult with a RE on March 7th.  I've already had CD3 b/w and a TV u/s performed with normal results.  I'm seeing my ob-gyn today to discuss having a HSG performed just to rule out blocked tubes. 

My question is, will a RE make me repeat all of these tests?  I honestly want to get all diagnosis procedures done now before meeting with him so we can walk away with a plan.  From my Dr. Google research, low motility usually requires IVF and DH and I don't mind going that route if that will ensure the highest success rate (rather than do cycle after cycle of Clomid and IUI).  Another factor for time is my insurance with IF coverage (including IVF and IUI) expires end of March so if it's inevitable we will need to go that route, I'd rather just jump into it while I have that coverage.

Second question: March 7th is looking like CD1 for me...not sure if it matters where I am in my cycle to begin any treatment or treatment can start right away.  I may try to see if I can get an earlier date for a consult if the timing may be blown for March.

Thanks you all so much in advance.  I usually post on GP board but wanted to jump in here to ask some of my IVF-related questions.  Good luck to everyone!

Anniversary Unexplained IF || TTC #1 since July 2011 || IUI#1 = BFN || IUI#2 = BFN || IUI#3 = Cx, overstimulated || IUI#3.1 = Converted to IVF || IVF#1 = BFN || IVF#2 = Cancelled due to low E2 || Changed RE, IVF#2.1 March 2013

Re: Intro and a question on IVF

  • As long as the tests happened within the last year the RE shouldn't make you repeat any of them.  And as for treatment cycles, it usually does start with CD1 (although I guess you don't usually go in for baseline until CD2 or CD3, so there might be a little wiggle room).  But even if you have a consult right before AF starts, if you end up doing IVF it's highly unlikely that you'd get to start that cycle.  I don't know about IUI because we didn't qualify for it, but for IVF there's also a whole panel of required STD testing and pre-natal testing they want done too (varicella, rubella, CF screening, Vitamin D).

    Best of luck.  I think you'll find this board to be an invaluable resource if you do go down the IVF road...  FX that you don't have to!

    Severe MFI. Me: supposedly all clear but eggs showed vacuoles.

    IVF #1 January 2012, ER Jan 14th: 34R, 27M, 23F. Day 3: 18 embies still strong. Day 5: zero "good," one "fair," the rest "poor." Transferred 3. None made it to blast or to freeze. Jan 28: BFN.

    Lucky IVF #2: Transferred two beautiful day three embies on St. Patrick's Day. BFP on HPT 7dp3dt. Beta 1 (14dpER)=106; Beta 2 (16dpER)=140; Beta 3 (19dpER)=264! First u/s 4.17.

    imageimageimageBabyFruit Ticker

    Hope is the thing with feathers - that perches in the soul - and sings the tune without the words - and never stops - at all - (Emily Dickinson)

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  • Thanks for the helpful reply :)

    We're hoping for the best from this second SA but have discussed what options we are comfortable with if it comes down to it :)

    Anniversary Unexplained IF || TTC #1 since July 2011 || IUI#1 = BFN || IUI#2 = BFN || IUI#3 = Cx, overstimulated || IUI#3.1 = Converted to IVF || IVF#1 = BFN || IVF#2 = Cancelled due to low E2 || Changed RE, IVF#2.1 March 2013
  • Lynda said it perfectly!  Just wanted to add a warm "welcome!"
  • Ditto Lynda and welcome!!!

    image
    After 6 long years of TTC and a traumatic birth... I finally got to hold my baby in my arms!

    'Delight yourself in the LORD and he will give you the desires of your heart.'Psalm 37:4

    2006 start TTC

    2007 Start w/ RE (Endo and MFI previous marriage)/ 2008 Vericocele surgery/3 clomid cycles
    2009 Lap removed stage III endo/ 2 failed IUI/ Divorce

    2011 Remarried
    October 2011 Dx: Endo & DOR/ November 2011- clomid & TI cycle
    January 2012 IVF~  Flare protocol 10 ER/ 9 mature fertilized with ICSI/ ET- 2 Grade A Blasts/ 4 frozen= BFN
    Febuary 2012- -Endo Biopsy/  MTHFR diagnosis
    March 8- FET 2 grade A blasts= BFP!!!!

    November 2012-  Charles was born by emergency C-Section

    Dealing with:
    Stage III Endo/ DOR/ MTHFR two mutations C677T & A1298C

    Currently TTC #2  FET planned January 2014

  • Nothing more to add to Lynda's excellent, thorough comments!  Welcome and best of luck to you -- hope your stay here is brief!!!
    TTC since honeymoon in 9/2010
    Me: 39, Dx DOR (FSH = 10.5, AMH = 0.43, best AFC = 10), AMA
    MH: 37, Dx Obstructive Azoospermia, multiple successful sperm retrieval procedures

    1/2012: IVF/ICSI #1 Antagonist = cancelled d/t poor response to max stims
    2/2012: IVF/ICSI #2 MDLF (4R, 4M, 1F) = BFP, saw heartbeat, missed m/c 9w0d, D&E
    8/2012: IVF/ICSI #3 EPP/MDLF (7R, 2M, 1F) = BFN

    12/2012: (New RE) Operative hysteroscopy to remove scar tissue

    1/2013: IVF/ICSI #4 Low-dose stim/Antagonist (AFC=6); ER=1/26 (5R-couldn't access rt ovary, 5M, 4F), ET=1/29 (trans 3) = BFP!; 2/11 beta#1(13dp3dt)=2127, 2/13=3367; twin girls due 10/19/13

    PAIF/SAIF very welcome!

    <a href="http://www.thebump.com/?utm_source=ticker&utm_medium=HTML&utm_campaign=tickers" title="Pregnancy"><img src="http://global.thebump.com/tickers/tt16bf7d.aspx" alt=" BabyFruit Ticker" border="0"  /></a>
  • Looks like you got all of the info you would need. I just wanted to pop in and say welcome and good luck!
    imageimage

    TTC#1 since October 2010

    "The jump is so frightening between where I am and where I want to be...because of all I may become I will close my eyes and leap." Mary Anne Radmacher

    Me:35, 5 major abdominal surgeries for Ulcerative colitis, failed j pouch, perm. Ileostomy DX-DOR & Tubal abnormalities/Extensive Adhesions from earlier surgeries.latest fsh -26 :(

    IVF 1- March 2012 Antagonist Protocol; BCP until March 3; AFC this cycle is 10 (Hooray); Start stims on March 9; ER on March 19- 2R; 2T (1 perfect 8 cell, 1 scrappy 3 cell); tubal infection from ER-hospitalized. Doomed! BFN

    Essure Procedure to treat bilateral hydrosalpinx; June 2012, wait 3 months for confirmation test.

    IVF2 (Egg Banking)-letrozole/antagonist cycle; June/July 2012 225iu merional + cetrotide; slow responder, Ovulated before ER. Unbelievable. Canceled remaining cycles with my eggs

    DE IVF in Brno, Czech. Approx. ET on Oct 6 CANCELLED-Essure didn't close both tubes-test again in 3 months

    IVF3-DE IVF ET on Dec 9, 2012 (decided to roll the dice no matter what!)

    2 perfect HB transferred; 8dp5dt beta:36; 10dp5dt beta 15; chemical pregnancy.

    Turning our hearts toward adoption

    DH:36, SA-perfect

    Married since July 11, 2009

    Fur baby Cairn Terrier

    SAIF/PAIF Welcome

  • Thanks all for the welcome...I may lurk for now (as I don't have much to contribute at this time) before finding out if I do belong on this board or not!

     

    Anniversary Unexplained IF || TTC #1 since July 2011 || IUI#1 = BFN || IUI#2 = BFN || IUI#3 = Cx, overstimulated || IUI#3.1 = Converted to IVF || IVF#1 = BFN || IVF#2 = Cancelled due to low E2 || Changed RE, IVF#2.1 March 2013
  • Welcome to the board!  My RE had my DH repeat a SA at his clinic even though he already had one done previously.  I had to have a HSG.  Our clinic also recommended genetic testing.

    As far as timing for IVF, it would depend on what protocol your RE chooses and how it is billed to insurance.  My protocol began on cycle day 22 and then the whole process took about another 30 days to complete through ER and ET. 

    Good luck!

     

     

    imageimage
    Me: 35 DH: 30 TTC since 1/2010 DX: 6/15/2011: MFI IVF with ICSI

    IVF #1: Sept 2011: Beta 10/10- BFP!! 1st u/s 10/31/11 1 blighted ovum, 1 embryo 2nd u/s 11/14/11 stopped growing, no h/b D/C 11/17/11

    IVF #2: FET 5/4/12 : Beta 5/16/12 BFN

    IVF #3: ET 7/6/12 : 7/18 Beta #1 BFP at 246, 7/20 Beta #2 at 713, 7/27 Beta #3 at 9068. 1st u/s 8/7 with one lovely hb.
    Mabel is here! 2/17/13!
    Lilypie Premature Baby tickers
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