TTC after 35

I should not be googling today...can you answer a question?

I have been thinking about my IF appointment and wondering what will be discussed, decided and prescribed if anything...so I googled it.

What a mistake.   I know there are pregnant 40 yr olds..why does the internet make it seem like they are miraculous and rare?   Indifferent

I think I will stick to this message board for all my questions--you all make me feel much better.  Big Smile

My last FSH was 7.5 (10 mos ago).  I am 40 yrs old.  I have secondary infertility and have been TTC for <gulp> 2 yrs 9 months.  I do not drink or smoke and have no medical issues except for being overweight.  According to my charts I am ovulating.

Does anyone think I will be prescribed any meds? 

Me: 40 Dh: 41, TTC since August 2009, began Acupuncture and Herbs Sept 2011, began Temping and Charting Nov 2011. image

Re: I should not be googling today...can you answer a question?

  • MelleTXMelleTX member

    I think they are going to want to look at your husband's sperm analysis before prescribing anything. 

    If they do recommend IUIs, then I would suspect they would start with Clomid and an Ovidrel trigger. Thankfully Clomid is cheap - $9 at WalMart. 

    Single Mother by Choice. Life didn't work out the way I planned so I did it on my own. IUI #s 1-3, unmedicated = BFN, IUI #s 4-6, 50mg Clomid, Ovidrel = BFN IVF #1: 23R, 20M, 17F. 5 day transfer 2 blasts. 2 Snowbabies BFP 6dp5dt, Beta #1 7dp5dt = 58, Beta #2 9dp5dt = 114, Beta #3 10dp5dt = 187 1st Ultrasound = 5/3, not much to see yet. 2nd Ultrasound = 5/17, TWINS!!! Hospital Bed Rest at 32 weeks due to pre-ecclampsia and severe edema. Audrey Grace, 5lbs9oz, & Lydia Louise, 6lbs, born via emergency c-section on 12/6/12 at 36w1d My IVF Journey
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  • My best guess: 

    They will probably wait to see what your DH's SA reveals before treating you with any meds.  (If they find there is no sperm, all the meds in the world will not get you KU.) 

    If they find sperm, they'll probably start with "super-ovulation" and put you on Clomid with an Ovidrel trigger for a few cycles.  This will give you a stronger ovulation with more than 1 follicle for the sperm to aim at.  You can choose to do TI or IUI.

     


    image
    TTC since 10/2010
    IUIs # 1-5 = BFFN
    IVF # 1(July 2012) = BFN
    IVF # 2 (November 2012) = BFP (MIssed MC D&C @ 8w3d on 1/10/13)
    IVF # 3 (June 2013) = BFN 
    IVF # 4 (September 2013) = BFP Fraternal twin boys! (Loss at 21w6d due to IC on 1/26/14...devastated.)
    3/21/14--TAC (transabdominal cerclage) w/Dr. Davis in NJ
    IVF # 5 (May 2014) = BFN
    FET (August 2014) = BFN

    Lilypie Angel and Memorial tickers
  • The full diagnostic workup will probably include seeing how you respond to clomid.

    The RE will suggest a course of action. That's what they do. Just remember, you don't have to agree to anything you don't want to.

    RE: the 40 year old thing - Me too, WTF? 50% of couples where the woman is 40 can have children naturally and it's something like 70% where the women is in her mid to late 30s. And many more can get pregnant with a little help. Really not at all unusual.

  • imageMelleTX:

    I think they are going to want to look at your husband's sperm analysis before prescribing anything. 

    If they do recommend IUIs, then I would suspect they would start with Clomid and an Ovidrel trigger. Thankfully Clomid is cheap - $9 at WalMart. 

    Ooh thanks for the tip!

    Me: 40 Dh: 41, TTC since August 2009, began Acupuncture and Herbs Sept 2011, began Temping and Charting Nov 2011. image
  • imageMaybe Joleisa:

    My best guess: 

    They will probably wait to see what your DH's SA reveals before treating you with any meds.  (If they find there is no sperm, all the meds in the world will not get you KU.) 

    If they find sperm, they'll probably start with "super-ovulation" and put you on Clomid with an Ovidrel trigger for a few cycles.  This will give you a stronger ovulation with more than 1 follicle for the sperm to aim at.  You can choose to do TI or IUI.

     

    Thanks for your answer!  I was kind of hoping for that kind of scenario..just something to give my TI a little boost.  :)

    Me: 40 Dh: 41, TTC since August 2009, began Acupuncture and Herbs Sept 2011, began Temping and Charting Nov 2011. image
  • imageannalisel:

    The full diagnostic workup will probably include seeing how you respond to clomid.

    The RE will suggest a course of action. That's what they do. Just remember, you don't have to agree to anything you don't want to.

    RE: the 40 year old thing - Me too, WTF? 50% of couples where the woman is 40 can have children naturally and it's something like 70% where the women is in her mid to late 30s. And many more can get pregnant with a little help. Really not at all unusual.

    This is exactly what I was thinking..

    And thanks for your post.  Good info!

    Me: 40 Dh: 41, TTC since August 2009, began Acupuncture and Herbs Sept 2011, began Temping and Charting Nov 2011. image
  • Step away from the Google.

    Go directly to TTC > 35. Do not pass Google. Do not collect 200 bytes of internet information.

    (And keep us informed about what happens!)

    *********************************************************************************************

    "You have to do your own growing no matter how tall your grandfather was." 
            -- Abraham Lincoln
     

                               Me:39  MH:39 
    DD born 6/1/2013 after 15 months of TTC with one loss.    
    TTC #2: BFP 4/22 but stalled growth and no HB at 9w3d on 5/30        

    <a href="http://www.fertilityfriend.com/home/3a2798" style="font-size:smaller;" >
    <br /> My Ovulation Chart</a>

  • imagedanieleandwayne:

    Step away from the Google.

    Go directly to TTC > 35. Do not pass Google. Do not collect 200 bytes of internet information.

    (And keep us informed about what happens!)

    This.  I have a friend that often has to be reminded that she does not have a brain tumor no matter what Google may say.

    OP: I agree with everyone else, they will not do anything until you get the SA results.  I skiped Clomid and went straight to IUI.  One of my friends skiped both and went straight to IVF.  It will depend on your unique situation.

    BFP on IVF #2 6/29/2012. Beta #1 7/3 = 522; Beta #2 = 1180; Beta #3 = 6491 image BabyFruit Ticker
  • imagedanieleandwayne:

    Step away from the Google.

    Go directly to TTC > 35. Do not pass Google. Do not collect 200 bytes of internet information.

    (And keep us informed about what happens!)

    Ha Ha yes I need to listen to this..

    I called my RE office today to see if there were any cancellations for 5/25 which is the day I wanted originally and there was!  WOO HOO!  So now I just need to have AF arrive** on 5/23 so I can get my 3 day blood tests (which I am assuming I will need to get) at the same time as my appt.  Come on Universe--throw me a bone!

    **Of course I am totally open to AF NOT arriving--I would love one of those miraculous and rare 40 yr old pregnancies to just happen this month because my body and mind are so stress free since I have set up an RE appt...just sayin'. Wink

    Me: 40 Dh: 41, TTC since August 2009, began Acupuncture and Herbs Sept 2011, began Temping and Charting Nov 2011. image
  • Llama: being a 40+ woman, and like you overweight, non-smoker, non- drinker the statistics are SO discouraging. You think the stats are bad at 40 try looking at the stats for IVF over 40......that is where I am at right now.......as others have said walk away from the google.

    Like others have said B/W and analysis', then probably clomid TI, clomidIUI, then injectable IUI and then IVF. All the RE's are so different in the apporaches they take, your RE may suggest CoQ10, dhea, or other "vitamin" type supplements.

    I wish you luck with the next step in your journey.

    TTC since 2009 very frustrated 42yr and DH 40

    5 cycles of Clomid with satisfactory response=BFN's
    Fibroid removal Nov2010
    IUI Clomid #1 Feb 2011...BFN..damn it!
    IUI Inject's #2 Apr 2011...CANCELLED...low estradiol
    IUI Inject's #3 June 2011...BFN
    IUI Inject's #4 Sept2011...BFFN
    Lap Dec 2011...severe endo..cyst removed..some remains...
    IVF#1 Apr 2012 ....cancelled due to over suppression
    IVF#2 July 2012....6 follies...only 1 retrieved....BFFN
    surgery suggested to move ovary to an better placement but....we moved two time zones away and are financially and emotionally empty

  • I don't have a great answer to your question, but I just wanted to "AMEN" your comment about the internet.  Women have actually been having babies in their 40s for a long time (my grandmother had my uncle at 43 and it wasn't considered crazy), but you'd think it was impossible based on the stupid internet.
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  • imageLlamamama:

    **Of course I am totally open to AF NOT arriving--I would love one of those miraculous and rare 40 yr old pregnancies to just happen this month because my body and mind are so stress free since I have set up an RE appt...just sayin'. Wink

    Haha, My OB believed in blind luck and told me to make an appt with an RE "because then I'll get knocked up before the appointment".  Sadly that didn't happen.  But you never know Llama!

    Me:40 AMA, DH:36 0% morph, TTC#1;
    BFP#1 4/2011, MMC 6/2011 11wks Trisomy 13;
    BFP#2 11/2011, CP
    FSH: 17.9, AMH: 2.2
    IVF#1 w/ICSI: ER 4/3: 5R,4M,4F
    ET 4/6 All 4 (1-8A+, 2-8A-, 1-3A) BFP#3
    Two weeks of beta hell = Blighted Ovum
    IVF#2 Aug/Sept: ER 8/27: 4R,3M,3F
    ET 8/30 (1-8A+, 1-6A+)
    Beta#1 9/10: 350; Beta#2 9/12: 796; Beta#3 9/20: 9155
    Expecting Boy/Girl Twins! My babies were born 4/23/13 at 36w1d!

     
     

  • imageLlamamama:
    imagedanieleandwayne:

    Step away from the Google.

    Go directly to TTC > 35. Do not pass Google. Do not collect 200 bytes of internet information.

    (And keep us informed about what happens!)

    Ha Ha yes I need to listen to this..

    I called my RE office today to see if there were any cancellations for 5/25 which is the day I wanted originally and there was!  WOO HOO!  So now I just need to have AF arrive** on 5/23 so I can get my 3 day blood tests (which I am assuming I will need to get) at the same time as my appt.  Come on Universe--throw me a bone!

    **Of course I am totally open to AF NOT arriving--I would love one of those miraculous and rare 40 yr old pregnancies to just happen this month because my body and mind are so stress free since I have set up an RE appt...just sayin'. Wink

    Might be miraculous and rare, but it happened to me.  Got my BFP with DS at 40 on the exact same day I was going to order my meds for my IVF cycle.

     
    Lilypie Third Birthday tickers
     
     
    Lilypie Pregnancy tickers
  • imageReeceFamily:
    I don't have a great answer to your question, but I just wanted to "AMEN" your comment about the internet.  Women have actually been having babies in their 40s for a long time (my grandmother had my uncle at 43 and it wasn't considered crazy), but you'd think it was impossible based on the stupid internet.

     Totally important to keep this is mind. I have many friends & aquintances that have gotten KU 40 and over w/out fertility treatments or an RE or anything. And I would have to imagine some of them have high fsh, low amh ect and just don't know it! I'm being proactive about ttc because it's a priority for me and this is the right path for me to follow at this time and that's why I'm on this board! I think theres more info about the difficulties on the internet because women that are having trouble ttc are more likely to be on the internet looking for info! 

     

    nate and teddy
    Me 41 DH 46  Not actively ttc, surprise BFP on 1/6/11! 4/1/11 m/c our sunshine at 16wks after complications from CVS test. TTC #2 **5th cycle 12/6/11 BFP! Missed m/c at 9 weeks 1/21/12, trisomy 14. Two Chemical PG 3/12&7/12
    ** BFP 8/16/12 beta #1 148! beta#2 407 beta #3 4000 u/s 9.10 1 lovely hb 126, Baby Boy is due 04/28/13!!
    Baby Birthday Ticker Ticker

  • imageStrunella:
    imageLlamamama:
    imagedanieleandwayne:

    Step away from the Google.

    Go directly to TTC > 35. Do not pass Google. Do not collect 200 bytes of internet information.

    (And keep us informed about what happens!)

    Ha Ha yes I need to listen to this..

    I called my RE office today to see if there were any cancellations for 5/25 which is the day I wanted originally and there was!  WOO HOO!  So now I just need to have AF arrive** on 5/23 so I can get my 3 day blood tests (which I am assuming I will need to get) at the same time as my appt.  Come on Universe--throw me a bone!

    **Of course I am totally open to AF NOT arriving--I would love one of those miraculous and rare 40 yr old pregnancies to just happen this month because my body and mind are so stress free since I have set up an RE appt...just sayin'. Wink

    Might be miraculous and rare, but it happened to me.  Got my BFP with DS at 40 on the exact same day I was going to order my meds for my IVF cycle.

    Suddenly I feel a huge desire to order some meds... :)  Thanks for adding a little bit of hope.  :)

    Me: 40 Dh: 41, TTC since August 2009, began Acupuncture and Herbs Sept 2011, began Temping and Charting Nov 2011. image
  • imageLlamamama:
    imageStrunella:
    imageLlamamama:
    imagedanieleandwayne:

    Step away from the Google.

    Go directly to TTC > 35. Do not pass Google. Do not collect 200 bytes of internet information.

    (And keep us informed about what happens!)

    Ha Ha yes I need to listen to this..

    I called my RE office today to see if there were any cancellations for 5/25 which is the day I wanted originally and there was!  WOO HOO!  So now I just need to have AF arrive** on 5/23 so I can get my 3 day blood tests (which I am assuming I will need to get) at the same time as my appt.  Come on Universe--throw me a bone!

    **Of course I am totally open to AF NOT arriving--I would love one of those miraculous and rare 40 yr old pregnancies to just happen this month because my body and mind are so stress free since I have set up an RE appt...just sayin'. Wink

    Might be miraculous and rare, but it happened to me.  Got my BFP with DS at 40 on the exact same day I was going to order my meds for my IVF cycle.

    Suddenly I feel a huge desire to order some meds... :)  Thanks for adding a little bit of hope.  :)

    I bought meds that I can't use for months. Hmm...

  • Glad you got int earlier, and hope that if AF is going to show, she shows with good timing this month.

    I think the RE will want your H's SA, and to run a whole lot of blood tests on you before he even discusses prescribing things. Good luck!

    TTC #1 since June 2010
    Me: 36, DH: 42
    Dx: DOR and MFI

    DH: low count + very low motility; hormones all normal; Sperm DNA Frag. test = poor to fair; male karyotyping normal
    Me: FSH 13.4 + AMH 0.26 + hypothyroidism; Scratch the hypothyrodism (?); Blood clotting and immune panel all negative; endometrial biopsy normal

    IVF #1 (MDLF - Jul/Aug 2011): BFN (9R, 5M, 3F with ICSI, 3dt of 1 10-cell grade 2, no frosties)
    IVF #2 (EP-antagonist - Sep/Oct 2011): BFN (6R, 4M, 3F w/ ICSI, 3dt of 1 6-cell, 1 7-cell, grade 4s, no frosties)
    DE IVF #1 (shared cycle - June 2012): c/p (6R, 6F w/ICSI, 3dt 1 8-cell grade A- and 1 7-cell grade A-; no frosties)
    DE IVF #2 (shared cycle with new donor - Nov/Dec/ 2012): - BFP!!!!! 12/14/12. U/S on 12/27 shows twins!!!!!

    SAIFW/PAIFW
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