Infertility

WTF Appt, Seriously WTF?!?! Switching Docs

Ladies, today was ridiculous.  To give you background, in the last 2 IVF cycles we've done, none of our embryos made it past 6 cells.  We have nothing in cryo.  We have had no success with any retrieval yet.  The doctor that did our last retrieval (the docs switch rotation so you have a different doc for every procedure, really) asked us right away if we have any MFI, which we said not that we know of since he has really good numbers all around.  I asked on here and you ladies pointed me towards having an SCSA done.  So we walked into the Doc office, and she asks me if I've ever been on Metformin.  Um, YES!!!  You put me on it the last IVF cycle!!!  How does she not know this?  You would think she'd look at least look at our chart before our consult.  So then we ask about having an SCSA done, and she doesn't know what it is!!!!  We told her, and she says she doesn't thnk it has anything to with our issue.  She thinks PGD would be a waste, too.  She wants to test me for Natural Killer cells because she thinks there may be an autoimmune issue preventing the embryos from implanting.  I asked her what that has to do with none of our embryos making it past 6 cells?  Wouldn't that be what we want to figure out?  I mean, they can't implant if they don't develop right?  She couldn't answer us, just kept saying that she thinks it's an egg issue, not sperm.  Ok, fine, but if nothing else, wouldn't you want to officially rule out a sperm issue?  She also put me & DH on CoQ10, which is the ONE thing I agree with.  I guess there's a study that is happening/happened in Toronto with women who have poor quality eggs, and after taking CoQ10 their egg quality increased.  Plus, it's supposed to help wih sperm quality as well.

 

She said no less than 3 times how disappointed she was that we don't have anything frozen.  And she wanted to point out that she thinks that by all rights, we should be pregnant by now and she's upset that we aren't.  REALLY?!?!?!  Gee, I'm so glad your upset & disappointed because I had no idea how to feel. Ugh.  It was ridiculous.  I asked when we could move forward, and she wants us on a break for August.  She also wants to wait until my tests come back, but shouldn't that only be a few hours like normal?  Other problem is, if they don't put me on birth control, I won't have a period on my own, so they'll have to give me an RX to take for 10 days, then I have to wait another 11 days for my period to start.  Delayed for another 3 weeks, on top of the next month.  Really?

 

There was so much more to the meeting, but this was the gist of it.  So, we are making appointments for consultations with 2 other docs.  Any advice you all could provide, I'd really appreciate it.  I find it unreal that our doc was so completely unprepared for our meeting and didn't want to test DH to rule out MFI.  Am I way off base or was this as insane as I think?  Thanks ladies...

TTTC with PCOS & MTHFR since '06 : Me - 30  DH - 31

Metformin 1500mg, 600mg CoQ10, 1 PNV, 2000iu Vit D, 81mg Aspirin, 2 Folic Acid per day

2008 - 3 Failed Clomid/IUI Cycles (50, 100, 150mg)<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

Injectable IUI w/ Gonal F = BFN

Break to pursue Holistic treatment

3/2013 - Injectable IUI with Gonal F, Ganirelex, Endometrin, HCG Trigger = BFN

5/2013 - IVF #1 = Gonal F, Ganirelex, Menopur, HCG Trigger = BFN

27R, 24M/F, 20 on D3, 14 on D4, 0 on D5

Developed OHSS, RX Cabergolene, No Transfer

7/2013 - IVF #2 = Gonal F, Lupron, Menopur, Endometrin, HCG Trigger = BFN

15R, 5 Unreachable, 13M/F, 11 on D2, 11 on D3

3DT, 3Emb: 2 6 Cell grade 1, 1 6 Cell grade 2 - Remaining left to develop

D6, none left to freeze, all arrested.

SCSA Test Results Normal

2nd Opinion Consultation on 8-29 - Switching RE's

11/2013 - IVF #3 = Saizen Protocol, Gonal F, Menopur, Ganirelex, Progesterone in Oil

15R, 10M/F, 6 on D1, 2 Blasts made it to D5 Freeze.

1/2014 -  FET = Intralipid Infusion, Progesterone in Oil = BFN

Both Embryos survived thaw and both transfered

2/2014 - Consultation - Final Diagnosis is Poor Egg Quality - Recommended to move to Donor Egg

 

PAIF/SAIF WELCOME!!!

 

"Nothing good comes easily, sometimes you gotta fight..." - Amber, by 311

Re: WTF Appt, Seriously WTF?!?! Switching Docs

  • Wow! I'm so sorry your WTF was so horrible. I think you're definitely in the right to be so upset. Just to compare, at our WTF, the first test our doctor mentioned doing if/when we need to do another fresh is to have DH tested first because it makes the most sense and is the most practical test for a next step. He wanted to test the DNA fragmentation among other things. I think if you have to take a break, you're definitely going to benefit from switching RE's if you even think the one your working with isn't working with you/for you. We had to switch once and it was the best decision ever! Again, I'm so sorry, but good luck finding someone you feel will look into your concerns!

    BabyFruit Ticker

     ttc #2 since 2004 Me (35): Stage 3 Endo, DH (34): High DNA Frag

    IVF/ICSI #2: April 2014: BFP!!!!!!

    ET of 2 great quality embryos. + BFP on 9dp5dt. Beta #1 (10dp5dt): 257, Beta #2 (14dp5dt): 1561,

    Beta #3 (21dp5d5): 8,172. Wow. It seems this is actually working. Shocked beyond belief.

    1st u/s @6w5d: Baby A hb 124, Baby B hb 127 (Both measuring perfectly!)

    Lost baby A. Praying that baby B stays healthy. Baby B hb 175 at 11 weeks

    It's a GIRL!!!

    imageimageimage

     

     

    My Blog

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  • I'm sorry you has such a crappy consult. Hopefully you will find a new RE that is helpful.

    I'm bumping from my phone so I don't know your history but I will say this about the DNA frag test. I asked my RE if we should do it as DH has sperm issues. He stated that he used to do the test but found it had no bearing on success. Also, if it does come back there is an issue there isn't a whole lot you can do to fix it. Per the SCSA website DH could take high doses of antioxidants to help. You could also do PICSI but there are not many clinics that offer that. So unless you can do PICSI or are willing to use donor sperm I'm not sure the test will be worthwhile. Just my 2 cents.

    TTC#1 since April 2011
    IVF#1 July 2012 5R, 3 made it to blast, sET c/p
    FET#1 Aug 2012 2 blasts transferred BFN
    IVF#2 Oct 2012
    16R/6M/6F/2-8 cell grade 1 transfer
    Beta 1-237.9, Beta 2-566, Beta 3-8657
    US 6w3d shows one baby w/ HB 115
    US 7w1d no more heartbeat/ D&C 11/30/12 normal karyotype
    IVF#3 Mar 2013
    6R/4M/4F 1 compacting and 2-8 cell transfer
    ectopic pg MTX given 3 month break from TTC

    IVF#4 Sept 2013--BFN
    IVF#5-7 Apr 2014, Jun 2014 and Aug 2014 banking embryos for CCS testing. Praying for normals! Image and video hosting by TinyPic imageimage

    http://i61.tinypic.com/34zll06
  • Thank you all for the advice!!!  I'm telling ya, it was insane!!!!  Even if there's an issue, though we don't have a lot of options if there is, it'd be good to know so we could move on to something else.  It just seems weird that she doesn't even want to try the test just to rule it out.  I feel like we're just stabbing in the dark here...

     

    Weekly-

    OMG...  Yep!  I turn 30 next month, lol, and everything else is pretty much the same!  At least we have someone we can compare notes with right?  ;-) She put me on 600mg & DH on 400mg of CoQ10.  We're going to the store to pick them up tonight & crossing my fingers this helps.  Yep, I'm calling 2 others docs today to set up consultations after my bloodwork, lol.  I'll make sure to let you know what we find out. ;-)

    TTTC with PCOS & MTHFR since '06 : Me - 30  DH - 31

    Metformin 1500mg, 600mg CoQ10, 1 PNV, 2000iu Vit D, 81mg Aspirin, 2 Folic Acid per day

    2008 - 3 Failed Clomid/IUI Cycles (50, 100, 150mg)<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

    Injectable IUI w/ Gonal F = BFN

    Break to pursue Holistic treatment

    3/2013 - Injectable IUI with Gonal F, Ganirelex, Endometrin, HCG Trigger = BFN

    5/2013 - IVF #1 = Gonal F, Ganirelex, Menopur, HCG Trigger = BFN

    27R, 24M/F, 20 on D3, 14 on D4, 0 on D5

    Developed OHSS, RX Cabergolene, No Transfer

    7/2013 - IVF #2 = Gonal F, Lupron, Menopur, Endometrin, HCG Trigger = BFN

    15R, 5 Unreachable, 13M/F, 11 on D2, 11 on D3

    3DT, 3Emb: 2 6 Cell grade 1, 1 6 Cell grade 2 - Remaining left to develop

    D6, none left to freeze, all arrested.

    SCSA Test Results Normal

    2nd Opinion Consultation on 8-29 - Switching RE's

    11/2013 - IVF #3 = Saizen Protocol, Gonal F, Menopur, Ganirelex, Progesterone in Oil

    15R, 10M/F, 6 on D1, 2 Blasts made it to D5 Freeze.

    1/2014 -  FET = Intralipid Infusion, Progesterone in Oil = BFN

    Both Embryos survived thaw and both transfered

    2/2014 - Consultation - Final Diagnosis is Poor Egg Quality - Recommended to move to Donor Egg

     

    PAIF/SAIF WELCOME!!!

     

    "Nothing good comes easily, sometimes you gotta fight..." - Amber, by 311

  • So sorry! That is so frustrating. I hope you find a new RE soon.
    ***WARNING***

    TTC Since 12/2008;  DH: 32, Azoospermia     me: 33, DX during IVF #4: Low AMH (Normal FSH) / SER due 
    to IVF Meds (causing failure to fertilize) Recent DX: Hashimoto's, Lupus Anticoagulant, White Blood Cell Disorder 
    High ANA, ATA, & APA, PAI-1 Heterozygous= blood clotting disorder; connective tissue disorder 
    IVF w/ ICSI #1 2/2011     IVF w/ ICSI #2 5/2011    IVF w/ ICSI #3 12/2012   *New RE* IVF w/ ICSI #4  5/2013
    IVF w/ ICSI #5 8/2013 (Natural Cycle- No drugs)- One follicle->one blast. CCS normal. FET 9/10- 6BB blast. m/c @ 5w
    IUI #1 12/23- BFN  IUI #2 Cancelled (ovulated during AF)  Prep:CoQ10 (300 mg); DHEA (25 mg); Melatonin (3 mg), Folgard 2.2, Metformin 500 2x, Levothyroxine 50mcg, Aspirin 81mg w/ calcium, B12,  Vit. D 4000 & Prenate Elite Daily; Cabergoline 1/2 pill 2x week-  Cycling: Estrace Priming; Prednisone 10mg, Lovenox 40mg 2x,  Femera & Menopur   
    IUI #2.1 6/30 & 7/1. 1st Beta: 90 (7/15); 2nd Beta: 226 (7/17); 3rd Beta: 766   EDD: 3/23/2015

       **ALL WELCOME**                                    My Blog 
    image
    image


  • Drake/weekly- sounds like me as well. I made a second opinion appt as well. We are MFI, but found out during first cycle that I don't respond well and my egg quality was poor most likely from the stims. We didn't even have any fertilize this last cycle. I'd be interested what you both have for plans next cycleeor supplements. We won't be cycling again until next year when we can switch insurance.
    ****************SIGGY WARNING****************

    image
    TTC since 2011
    DH: 29, Severe MFI; grade III varicocele; surgery postponed till KU
    Me: 30, POF/DOR, factor II hetero, MTHFR homo
    5 IVF's, LLP, EEP, MDLF all BFN
    IVF 6 using DEB USA frozen eggs
    developed bilateral PE's from BCP, cancelled/delayed 6 mths, taking lovenox
    Feb'15 SURPRISE 1st BFP ever! EDD: 10/10/15, FX
    Still have frozen donor eggs on ice
    All are welcome!
  • Wow. What a nightmare. So sorry you're having to deal with this.
    Anniversary
  • I feel your pain. After two IUI and 4 IVF cycles (1 cancelled 3 failed) and nothing to freeze ever, when my RE continued to repeat the same protocol and not listening to me.... we decided to change RE. I did my 5th IVF cycle with my new RE and had a MUCH better response AND 7 frosties!!!! Didn't get pregnant but at least an FET is an option now. I highly recommend 2nd opinions....or three or four :)
    Me: 33, Endocrine issues & FVL       DH: 32, Nothing 
    NTNP 2009-2012         TTC since 2012:
    • Clomid, 2 IUI cycles, and 5 IVF cycles = BFN
    • FET #1   August 2013 = BFP!     EDD 5/11/14
    • Jack dx at 19w1d with Dandy Walker on 12/16/13
    • Severe Pre-e /HELLP set in Jack born sleeping at 20w1d on 12/23/13
    • FET #2 --July 2014  BFP!  ---  EDD  4/5/15

    Jack has handpicked his sibling up there :)

    My blog about IF and loss ... Kate's IF Blog

            Lilypie Angel and Memorial tickers 

                                                      

                                                                              Lilypie Pregnancy tickers


                  Anniversary





  • Leggy & Weekly-  I'd love to hear what your docs say for next plans, and I'll fill you in on our consults too!  Hopefully we can get all this figured out ;)

     

    kflynn-  Best of luck with your FET's!!!  FX for you!!!

    TTTC with PCOS & MTHFR since '06 : Me - 30  DH - 31

    Metformin 1500mg, 600mg CoQ10, 1 PNV, 2000iu Vit D, 81mg Aspirin, 2 Folic Acid per day

    2008 - 3 Failed Clomid/IUI Cycles (50, 100, 150mg)<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

    Injectable IUI w/ Gonal F = BFN

    Break to pursue Holistic treatment

    3/2013 - Injectable IUI with Gonal F, Ganirelex, Endometrin, HCG Trigger = BFN

    5/2013 - IVF #1 = Gonal F, Ganirelex, Menopur, HCG Trigger = BFN

    27R, 24M/F, 20 on D3, 14 on D4, 0 on D5

    Developed OHSS, RX Cabergolene, No Transfer

    7/2013 - IVF #2 = Gonal F, Lupron, Menopur, Endometrin, HCG Trigger = BFN

    15R, 5 Unreachable, 13M/F, 11 on D2, 11 on D3

    3DT, 3Emb: 2 6 Cell grade 1, 1 6 Cell grade 2 - Remaining left to develop

    D6, none left to freeze, all arrested.

    SCSA Test Results Normal

    2nd Opinion Consultation on 8-29 - Switching RE's

    11/2013 - IVF #3 = Saizen Protocol, Gonal F, Menopur, Ganirelex, Progesterone in Oil

    15R, 10M/F, 6 on D1, 2 Blasts made it to D5 Freeze.

    1/2014 -  FET = Intralipid Infusion, Progesterone in Oil = BFN

    Both Embryos survived thaw and both transfered

    2/2014 - Consultation - Final Diagnosis is Poor Egg Quality - Recommended to move to Donor Egg

     

    PAIF/SAIF WELCOME!!!

     

    "Nothing good comes easily, sometimes you gotta fight..." - Amber, by 311

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