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Tough PGS decision today

chucktgirlchucktgirl member
in Infertility

I knew when my phone was ringing insistantly at 8AM that it was bad news. My ER was last Friday. The phone call was my RE's nurse. They retrieved only nine eggs. Of those, only five were mature. All five fertilized. Except, today, only TWO are showing signs of growth. The emergency call was to see if we still wanted to send them out for PGS, since there are only two. Our RE recommended transfering the two tomorrow, forgoing the testing. They needed an answer in 15 minutes. My husband and I fought through tears and disappointment as we made our decision. We decided to go ahead with the PGS testing. We weighed the pros and cons. All seemed equal, as far as risk. Then, thankfully, my husband brought up something I never considered: If we go ahead and transfer the untested two, I will spend every day worrying that there is something wrong with them. In addition, I would have to keep up all the Lovenox injections, PIO injections, and Crinone on a daily basis until the likely miscarriage occurs. ...Or, I can risk the testing and hopefully transfer with confidence. Well, it was not what we had hoped for, but now that I've had a day to live with the information, my hope has flickered again, if only minimally. I can't help but feel this is just like last cycle...that we're not going to make it to transfer. IF is so ugly. The pain and devastation comes in overwhelming waves. There really is no consolation.


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My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.

PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins.
First natural PG 9/27/11; mc: 1/20/12
First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right  & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0.  Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN
IVF #4: (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...
IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
EDD 3/18/15!

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Re: Tough PGS decision today

  • KariAnnM 23KariAnnM 23 member

    I am so sorry. That would be a tough decision to make on the spot. I agree with your choice. I would much rather be confident about the decision than to wonder. 

    Best of luck! 

    image
    DS born 7/5/2001
    Married DH 2010
    TTC since 2010
    8 IUI and 2 IVF cycles
    BFP - TWINS! - Lost twin A at 17w5d 
    Still pregnant with Twin B!!!! Due 10/16/2014
    Hospital bed rest 5/10-7/20
    William born at 27 weeks and 3 days

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  • BAKERMOMHDSBAKERMOMHDS member

    For what it's worth : We made the same decision, but we had ONE. That one is our frozen beauty! I can't express to you the peace of mind knowing we have one normal blast.

    I know it's costly, I know you have a small risk with Freeze/Thaw, but in the end... for us...this decision was priceless.

    Stay strong, remain hopeful...

    Me = 39 DH = 50 TTC (since 01/2009 after a short break, I stopped counting *cycles* in 2010)
    DX 2010 : Unknown Infertility , AMA
    HSG 2005 = Normal / HSG 2010 = Normal
    SA 2005 = Normal / SA 2010 /2012 = Slightly low count : motility, morphology GREAT!
    Chromosomal analysis, MTHFR, ANA's, Lupus, Protein C, Protein S, APCR = Normal 2011

    M/C : 2005 (7wk), 2010 (6wk), 2011 (7wk)

    8 IUI's 2010-2011 all BFN

    IVF/ICSI antagonist 01/2012 #1 = BFN

    IVF/ICSI antagonist long 06/2012 #2 = BFN

    IVF/ICSI/CGH MDLF New Clinic/New RE 11/2012 #3 = One beautiful boy blasty frozen PGS normal

    IVF/ICSI/CGH MDLF 02/2013 #4 = One more beautiful boy blasty frozen PGS normal

    FET 6/20 : One 5AA PGS normal transferred Beta 1 6/28 = 53.9 / Beta 2 7/1 = 220 / Beta 3 7/3 = 550!

    1 U/S  6w3d - Heartbeat 119 /  2 U/S - 7w5d- Heartbeat 169 / 3 U/S (OB) 8w5d - Heartbeat still great!

    Baby G welcomed into the world 3/7/2014

    SAIF / PAIF always welcome ****

     

    image

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  • Maybe JoleisaMaybe Joleisa member
    I'm so sorry. ((hugs)) I hope they retrieved some golden eggs and you get good news soon. How long until you will know? 

    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
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  • Mrs.McIrishMrs.McIrish member
    Hugs. Good embryos are hard to come by. Fx'd that you have one.

    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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  • Julie21613Julie21613 member

    imageMrs.McIrish:
    Hugs. Good embryos are hard to come by. Fx'd that you have one.

     

    This 

    Me 35, DH 36
    TTC summer 2008
    Diagnose me. DOR, DH perfect
    IUI # 1 6/2010, BFN
    IUI # 2 8/2010, BFN
    IVF # 1 10/2010 Canceled poor response
    IVF 1.2 12/2010 BFP! mc 6 weeks 2 days
    Mental health break for 10 months
    IVF # 2 10/2011 BFN
    IVF # 3 5/2012 BFP! 10 eggs retrieved (best ever)
    7 fertilized transferred 3
    Beta #1 14dpo - 72, Beta #2 17dpo 145 Beta 3 20dpo 521
    First u/s June 15 saw HB 126 bpm missed m/c 7/5/12 10 weeks D&C 7/6/12
    IVF#4 ER 9/30 ET 10/3 Beta 10/16 BFFN. IVF #5 final with o/e. ER 1/21 only 1 retrieved, hoping my lonestar is the one. Beta #1 2/6/13 = 209.... please let this be it! Keep growing lonestar! Beta #2 2/8/13 - 586! , Beta #3 2/10/13 = 1898. First u/s perfect little heart beat at 116 bpm. Measure 6 weeks 1 day. EDD 10/14/13
    3/4/13 measuring right on track beautiful heartbeat 171 bpm, graduated from RE to OB... bittersweet.
    PAIF/SAIF always welcome! Its a girl! 

    Maggie Grace is here!  10/5/13... 8lbs 6 ounces of pure joy!

    TTC#2  No birth control since DD was born.  Getting ready to jump back in the saddle.  Weaning this month. RE
    appt scheduled 5/8.   Here we go again!

    IFV# 6.  10/27  6 retrieved 4 mature 3 fertilized.  2 made it to 3dt 10/30. 1"very pretty 8 cell" and 1 6 cell.  Beta
    11/13.   Please stick embies!!!!  We love you so much already! 11/12/14  POAS, BFP... beta tomorrow!
    11/13 beta #1  924!!!  2nd bet 11/15 1906, one more on 11/17 3rd & final beta 3430.  First u/s 12/5, 7w4d, 2 heartbeats,
    both measuring right on track....2nd u/s... all is well... both beans measuring right on track... released from RE... first
    appointment with MFM 1/5.  Looks like this is really happening!

    image




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  • Ecarabeo217Ecarabeo217 member
    So sorry! Big hugs and FX that these are your take homes!
    Married 2007
    3 Clomid IUIs -- BFNs
    IVF #1 never made it to transfer
    On "egg health" cocktail DHEA/CoQ10/FRC/Pregnitude/Melatonin
    Starting IVF #2 for Feb 2013
    Follistim/Menopur/Ganirelix
    Cancelled mid-cycle due to high P4 levels early on.
    OCPs again for IVF 2.5 mid-March. IVF 2.5 transferred two "gorgeous" 5-day blasts and BFFN. Even REI is baffled
    On indefinite hold until a huge stroke of serendipity led me to IVF 3 May 2014
    Testing found positive cardiolipins/APS, now on lovenox and intralipid infusions
    Transfer of 2 5-day blasts and (FINALLY) BFFP!! 1st ultrasound shows two sacs and two HB, but one is sluggish, almost expecting vanishing twin Subsequent ultrasound confirmed vanishing twin, but my other Little critter looks fantastic!
    "You may have to fight a battle more than once to win it."
    -- Margaret Thatcher


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  • RosyGlowRosyGlow member
    imageBAKERMOMHDS:

    For what it's worth : We made the same decision, but we had ONE. That one is our frozen beauty! I can't express to you the peace of mind knowing we have one normal blast.

    I know it's costly, I know you have a small risk with Freeze/Thaw, but in the end... for us...this decision was priceless.

    Stay strong, remain hopeful...

    ^This! Hang in there!  

    | Married since 2008 | DH and I: Both 30 | Me: Endometriosis and Carrier of an X-Linked Dominant Genetic Disorder | DH: Low Morph | Planning IVF with PGD and PGS in 2013 | Freeze-All IVF #1: March 2013 ER 3/26. 29R, 12M, 11F. 4 5AA frozen blasts. Freeze-All IVF#2: May 2013 ER 5/15. 31R, 21M, 20F. 6 5AA frozen blasts. Our PGD probe was completed in late June (total of 20 weeks to develop). PGD and PGS Results came on 6/19: 3 healthy embryos (normal chromosomes and unaffected by my family's genetic disorder). FET #1: July 2013 Natural Cycle - Cancelled due to insufficient lining (only got to 7.5mm). FET #1.2: August 2013 - Medicated Cycle with Lupron & Estrogen Patches to build up lining. Single embryo transfer was 8/23. Beta #1: 240! Beta #2: 578! U/S on 9/19 at 6w4d: We saw the heart beating at 131bpm. Second U/S on 10/4 at 8w5d: We saw the heart beating at 178bpm. EDD 5/11/2014
    image
    PAIF/SAIF/Everyone Welcome! 


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  • jadweddjadwedd member
    It does sound like you made the right descision.  I will keep everything crossed for you!
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  • RachH517RachH517 member
    I'm so sorry you have to deal with this. IF is so unfair. I would have made the same choice. I think erring on the side of more information never hurts. I'll have my FX for you! Good luck!!
    Me: 33, Hypothalamic Amenorrhea, DOR (AMH .35), DH: 38, Borderline low morph
    5/09- Off BCP, 5/09-9/09- No period, 9/09-9/10- Lots of Tests & accupuncture
    10/10 and 11/10- 2 rounds of Menopur + TI= BFNS
    12/10-IUI #1 Menopur = BFN
    1/11- IUI #2 Menopur = BFP, 2/11 missed mc at 9 weeks, D&C
    5/11- Operative Hysteroscopy to remove uterine septum
    6/11- IUI #3 Menopur = BFP, 8/11 missed mc at 11 weeks, D&C
    1/12- Lap and Operative Hysteroscopy to remove uterine septum (again) & scar tissue
    2/12- Stint Removal, 3/12 repeat SHG and HSG- showed scar tissue blocking right tube
    4/12- Operative hysteroscopy (again), RE said he can now see right tube (yay!)
    5/12- Stint removal, 6/12 repeat SHG and HSG-both tubes are open!
    8/12- IUI #4 Bravelle = BFN
    9/12-IUI #5 Bravelle = BFN
    1/13- IVF #1, micro-flare protocol, 7R, 6F, 5dt of 2 AA embryos, 1 to freeze = BFP
    Beta #1: 176, Beta #2: 422, EDD 10/8/13- it's TWINS!
    *PAIF/SAIF always welcome*
    Lilypie Angel and Memorial tickersLilypie Angel and Memorial tickers
    Pregnancy Ticker
    image
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