Trouble TTC

Made my IVF consult appointment

Finally, after much discussion, I made our consult appointment with the IVF clinic.  Its not until June 11th, so I have plenty of time to be nervous about it :)

We also ave an appointment with the financial person that day...that is what DH is mostly worried about...such the budgeter.

For those that have done this...what questions should I have ready for the appointment??  

Happy Friday and TIA! 

CafeMom Tickers
 Anniversary
TTC since July 2011
BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

BFP #2: 10/12/12-m/c at 5 wks. 
BFP #3: 8/27/13
Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
+ HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


imagehttp://oi44.tinypic.com/10dwifm.jpg

Re: Made my IVF consult appointment

  • We just had ours Tuesday! Unfortunately the Finance person wasn't able to sit down with us too so we're doing that part over the phone. 
    Questions I asked my RE:
    - Is there anything else you recommend trying prior to doing IVF?
    - Do you have any predictions about how I would respond to stims based on my labs and prior response on meds?
    - At what point do you cancel cycles?
    - What percentage of cycles get cancelled for people with my diagnosis?
    - How many embryos do you typically transfer for someone of my age and diagnosis?
    - What do you project as our success rate? What is this based on and is it by clinical pregnancy rate or live birth rate?
    - Do you routinely do ICSI?
    - Do you routinely recommend doing assisted hatching?
    - How often do you do 3 day transfers vs 5 day?


    Questions I asked my nurse:
    - What to expect in terms of frequency of monitoring appointments
    - How do weekend monitoring appointments work?
    - Lifting or activity restrictions
    - What I should expect with each med, what is abnormal that I should be concerned about
    - If my RE himself will do my ER and ET or if it will be another doctor in the practice.
    - Are ER/ET done at same office you are seen at or another office? 
    - How med ordering works

    Hope that helps and good luck!

    ETA: Also, if you are going to be signing your consents at this appointment ask your nurse if she can send them over now so you guys can read over and discuss. H and I specifically had to decide what we want done with any non-viable embryos (discarded or used for Quality Control in the lab), if we are ok with freezing embryos, and what we want done with any frozen embryos in the event that we divorce or one of us dies (discard, use in research, donate to another woman). We also had to make a decision about if we were ok with frozen embryos being transferred to a long term storage facility. 
    Lastly, ask if they have any research studies you qualify for, if thats something you'd be interested in. My nurse brought up the one I qualify for on my own and I actually hadn't thought of asking myself. 

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    The Science Babies debuted 5/6/14 @ 34 weeks
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  • Thanks!  That helps a bunch...such good questions :)
    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


    imagehttp://oi44.tinypic.com/10dwifm.jpg
  • ena724ena724 member
    No advice, but I wanted to say GL! MH would be the same way with the money! We've already talked in length about it though, so hopefully he wouldn't be too shocked.
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  • imageena724:
    No advice, but I wanted to say GL! MH would be the same way with the money! We've already talked in length about it though, so hopefully he wouldn't be too shocked.

    Thanks! 

    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


    imagehttp://oi44.tinypic.com/10dwifm.jpg
  • They just called me back and said there was a mix up with their scheduling person and I'm going on Tuesday....like...in a couple days.  At least I will be prepared with my list of questions.
    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


    imagehttp://oi44.tinypic.com/10dwifm.jpg
  • Curly listed lots of good questions! I would add a couple more...

    - ask about chances of multiples if you put 1 versus 2 back

    - ask about your chances of OHSS and how to avoid it

    - ask whether they offer financial options like Attain or ARC

    - ask about any other Rx or OTC meds you might be on (claratin, advil, etc.)

    ETA: Good luck with your appointment!! And enjoy the time between now and then relaxing and preparing yourself. I'm so glad I took a break before IVF - I feel so much more ready now. I hope you will too!

    ETA again: Just saw that you got in for Tuesday - that is great! I hope everything goes well. 

    *** Trigger Warnings ***

    TTC #1 since March 2011
    Dx = Unexplained IF
    1 medicated TI cycle & 4 clomid IUIs = all BFNs
    June 2013 IVF #1 = 6 frosties + BFP!
    DS1 born 2/14

    TTC #2 since December 2014
    May 2015 unassisted BFP ended in m/c at 7wks
    April 2016 FET #1 = BFN
    June 2016 FET #2 = c/p
    August 2016 FET #3 = BFP!
    DS2 born 4/17
  • Thanks everyone!
    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


    imagehttp://oi44.tinypic.com/10dwifm.jpg
  • Good luck next week!!
                        imageimage

                    image  imageimage
                      imageimage
      

    TTC #1 since November 2011
    Dx: Unexplained Infertility, probable endometriosis
    Feb-April 2013: Femara + TI: BFN
    May - September 2013:  Follistim + Ovidrel + IUI#1-4 = BFN
    IVF # 1 November 2013: transferred 1 perfect blast = BFN
    IVF # 2 April 2014: Endo scrape, transferred 2 blasts = BFP!! (first ever!), CP
    FET #1 June 2014: transferred 2 blasts = BFFN
    New Dx: Repeat Implantation Failure
     IVF # 3 November 2014 = BFP!!  Beta #1 9dp5t 272  Beta # 2 11dp5dt 626
    It's Twins! 
    *everyone welcome*
  • I don't have any advice, just wanted to say good luck at your appt next week!  Let us know how it goes.  FX for you!

    **************SIGGY WARNING**************

    BLOG

    Me 32 :: DH 41

     TTC since November, 2011

    DH's SA : Excellent

    Lap and Hysteroscopy June 2012

    DX: PCOS, Stage III Endo, slight Adenomyosis, blocked tube, and probable LPD

    Treatments:  6 Months Lupron Depot injections; 1500 mg metformin; 3 cycles of Clomid + TI = BFN

    3 endometrial biopsies all were "out of phase" 

    September - December, 2013:  Break to lose weight and get healthy

    40 lb weight loss but still not ovulating "in phase"  

    February - March 2014: bcps + follistim + trigger + TI = BFP

     Beta #1 (12dpo): 30; Beta #2 (18dpo): 500; Beta #3 (25dpo): 7,000!!! 

    1st u/s 4/16: One beautiful hb at 144 bmp 

    2nd u/s 4/29: hb at 166 bmp.  Graduated from RE!!

    TEAM PINK! 

    Baby girl arrived on Thanksgiving day weighing 7lbs 6oz and measuring 20 inches

    image 

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  • RunCC37RunCC37 member
    imageIntuitiveBlue:
    No advice, but just wanted to wish you good luck! nbsp;Glad the appointment got moved up so you can get your answers sooner and have less anticipation and nerves about it!.


    Score!! Good luck!!
    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

    imageimageimage

    My Blog: Running and Dreaming for Two ~ All are Welcome!
  • I don't have any advice but PPs gave you some good ones! good luck with your consult!
    TTC #1 since April 2012 Image and video hosting by TinyPic Image and video hosting by TinyPic
  • lin681lin681 member
    Just had my appt as well. Looks like the previous pp's covered all quest. I can think of.
    GL!
    TTC since June 2011
    SA - Normal CD3 Bloodwork - Normal HSG- All clear!
    July 2012 50mg Clomid CD3-7 Trigger+TI = BFN
    August 2012 50mg Clomid CD3-7 Trigger+IUI = BFN
    September 2012 50mg Clomid CD3-7 Trigger+IUI = BFN
    October 4th LAP - Mild Endo - All Removed
    Treatment Break 3 cycles = BFN
    1st Treatment Cycle Post Lap --
    February 2013 50mg Clomid CD3-7 Trigger+IUI = BFN
    March 2013 50mg Clomid CD3-7 Trigger+IUI = BFN
    April 2013 Break Cycle ~~~ May 2013 Meet with RE discuss next steps
    July 2013 IVF ~ Stims start 6/28
    
ER 7/10 20R/14M/14F
    Day 3 - 10 Embryos
    ET 7/15 Transferred 1 Blast on day 5 - Froze 6
    7/24 Beta 1 150 7/26 Beta 2 313 7/30 Beta 3 1,084 Beta 4 3,000 Beta 5 8,120 1st U/S 8/8 image
  • GL!!!
    Anniversary Image and video hosting by TinyPic
    Image and video hosting by TinyPicImage and video hosting by TinyPic
    3TC March Siggy Challenge: Funny Internet Meme Image and video hosting by TinyPic
    Age: Me 26, DH 27, Married Oct. 10, 2009 ,TTC since March 2012
    Problem: Irregular menstruation, unexplained
    Nov&Dec-Provera because of no period after 35+ days
    First RE appt 1/10/2013
    Tests: TSH (normal), Prolactin (normal), SA (abnormal)
    Hysteroscopy (normal) and PCOS labs (negative/normal) 1/15/2013
    2/1/13- HPT BFP but Beta Hcg was negative
    Plan: Femara + Trigger + IUI in April if no real BFP before then Bloggy Blog!
  • Glad they moved your appt. up. Good luck next week!
    imageimage
    Me(32) + DH(32) TTC #1 since Dec 2011
    RE consult Dec 2012, diagnosed with lean PCOS (didn't see that coming!)  medicated cycles 1 - 4 = BFN
    cycle 5 - metformin, femara 7.5mg, IUI #1, progesterone = BFP!!!
    beta #1 (13dpiui) 37, beta #2 (15dpiui) 104, u/s at 6w5d hb of 115
    image
  • EIK2013EIK2013 member
    No advice, but wanted to wish you luck on your appointment and taking the next step to IVF!
    Me: 27, DH: 29*** TTC since November 2011 *** Dx with PCOS in September 2012 
    ***September 2012: IUI #1 = BFN*** 
     ***October 2012: IUI #2 = cancelled due to not responding to meds ***
     ***February 2013: IUI #3 - BFN ***
     *** April 2013: Gonal-f, HCG Trigger and TI = BFN*** 
     ***May/June 2013: TAKING A BREAK.***
    ***July 2013: Gonal-f, Trigger and TI = BFN***
    ***August 2013: Gonal-f, Trigger and TI = Cancelled due to over-stimulating***
    ***September/October 2013: Fermara, Gonal-f, Trigger and TI = BFP!!!!!!!!!!!!!!! Beta #1: 65, Beta #2: 210!!!!!!***




    BabyFruit Ticker
  • Wow, you got some awesome question advice above! Wish I saw thus before mine, haha!

    So excited for you! And very cool it got moved up to this Tues. Try not to be too nervous, it's really not that bad. An IRL friend told me that all together, IVF can seem overwhelming and scary. But if you take it one day at a time and look at it that way, it's really not that bad. And she was so right! Just hopefully you don't have to deal with OHSS, that was the sucky part for me. But all worth it in the end.

    GL hun!
    TTC #1 since Sept 2011
    Me: 33, DH: 35, DX: PCOS & MFI (low everything)
    IUI #1-3 - Low Post-Wash Counts - All BFNs
    IVF #1 w/ ICSI: Long Lupron Protocol - Freeze-All Cycle due to Severe OHSS
    ER 4/27, 33 Eggs Retrieved, 13 Frosties
    FET #1 6/5, Transferred One Perfect 4AA Blast, HPT BFP @ 6dp5dt
    Beta #1 - 209, Beta #2 - 508, Beta #3 - 1,059
    EDD 2/20/14
    imageimage
    Pregnancy Ticker
  • Lots of good questions were posted already.  To prep for my consult I re-read a chapter on IVF in one of my infertility books and made DH read it too. I think it was a little out of date, but it helped me to ask better questions at the appointment b/c I already understood the basics.  Lurking on IF helped too!  One additional question I asked was what my RE's position was on bed rest so I would know how much time to expect out of work.

    Good luck, glad that your appointment got moved up! 

     

    IF, 5 losses, 1 son, 1 on the way.
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    Lilypie Pregnancy tickers
  • Thanks everyone!  It seems a little overwhelming to me...someone who works in the medical field.  This is going to be a much harder/longer conversation with DH, he hates Drs, hospitals, and anything medical related (except me I guess :)
    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


    imagehttp://oi44.tinypic.com/10dwifm.jpg
  • I don't have any advice, but good luck!

    Anniversary

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    Married 8/21/2010, Off BCP April 2011, Started TTC 10/2011

  • Tuesday is so close! That is so exciting. The girls gave you really good questions to ask. It is really overwhelming at first, but they will talk you through everything. I really loved my nurse and she was so helpful. Let us know how things go!

     

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