First, let me apologize for the length of this. Yes, it has occurred to me that if I have this much to say, a blog would be a good place for it. I'll give that some thought if I find myself writing another post this long.
Today we met with our RE to discuss the fact that our three IUI's have all failed.
The good news: I responded pretty well to the meds during my treatment cycles, so it's reasonable to try a couple of more IUI rounds if we like. Or, we can consider IVF if we are financially up to doing so. This possibility of IVF was not a given when we first began IF treatment. The RE had warned us that if I didn't respond to medication, both IUI and IVF would have been taken off the table.
The so-so news: Because of my age and low AMH, he estimates my chances of success are maybe 10% for each IUI cycle and maybe 20% for IVF. And we would most likely not end up with any extra follies to freeze if we did decide to do a round of IVF. Meaning ,if our first attempt failed, which is statistically very likely, we would then be facing multiple, expensive additional rounds of treatment with very uncertain results. Although we have some limited insurance coverage for IUI, IVF is totally OOP for us.
The perhaps surprising news: Although our loss was devastating and I very much want another chance to have a baby, I'm not someone who will stop at nothing to get my rainbow. I have to believe I can and will live a content and fulfilling life whether or not I am ever a parent. So, while we could borrow heavily or cash out retirement funds for multiple rounds of OOP IVF, as of right now we're pretty sure we don't want to do so given the odds.
Please know that I recognize that many here don't feel this way, and I cast no judgment on anyone else's different decision-making or treatment priorities on this front.
I also don't have a particular need to have a genetic/biological connection to a child. Actually, given some of my family's medical history, in some ways I would feel better if I knew I wasn't passing those genes along. For this reason, adoption could really be a possibility that we would feel great about, but I do also have huge reservations about dealing with birth parents, the potential fall-out of their previous or future decision-making, how they would be involved or not, etc. And it would mean a lot to me to be able to deliver and parent my baby from the very beginning.
Where that leaves us: The RE thinks it's reasonable to try one or two more rounds of IUI. We'll likely do that. But if that doesn't work, given our reservations about our odds of success with IVF, and our openness to children from other genetic sources, he recommends we consider donor eggs. He said that if we felt differently about the IVF odds, or if IVF was covered in our state, he'd say we should definitely try that route. But knowing how we feel, donor eggs is a path we might want to take.
I know this approach comes with its own set of questions, and we have a lot of thinking to do. But the reason this looks attractive is that the costs are comparable to IVF, but we would have a 50% chance of success rather than 20%. It's not just about the cost. This also seems to me like a reasonable way to decrease somewhat the likelihood of more heartbreaking disappointment in our TTCAL journey. We could have a reasonable hope of success with a round or two of DE treatment. And, because the eggs are purchased in a batch of 10, there's a good chance we'd have follies left to freeze after a first attempt, making a second attempt more affordable.
We may change our minds after more thought, but at present, I'm seriously leaning toward investigating the donor egg route. I'll likely begin following up on the info the RE gave us and probably lurking on the 3rd-Party Reproduction board as well.
If you have any words of wisdom or insights, I'll gladly take them. If not, and you're still reading after this very long post, thanks for listening anyway.
Not to sound like my mom but it sounds like you have a good head on your shoulders. You've thought through many outcomes. Good luck as you move forward and make decisions.
@PetraStoneGirl, I really appreciate all you shared. Thank you so much. I really have a lot of learning to do, so please expect to see my name in your PM in-box in the near future. I don't know anything about my clinic's embryology expertise. I know that they work with frozen eggs from My Egg Bank-North American and from what I gathered, I think my clinic does the thaw, fertilization and transfer themselves. That said, this is the clinic covered by our insurance, but since our coverage is for IUI only, there's nothing preventing us from going elsewhere. I will definitely and find out what I can about all my my options.
For now, I need to shift gears for a while and let my brain process all this. So, it's off to the horse barn for me.
I don't have any advice, but wanted to offer some ((hugs)). I actually admire your thought process and wish that I could think a little more like you. I have a high FSH and low AMH and my RE recommended DE off the bat, but I want to try everything possible. It is a last resort for us and my sister offered to donate if need be. ((Hugs)) and best of luck to you.
BFP #1 1/1/11 EDD 9/10/11 dx:no hb DNC on 2/2/11
BFP #2 12/28/11 natural m/c on 2/6/12 BFP#3 2/16/13 dx:ectopic on 2/27 (given methotrexate) HSG 6/13-all clear BFP#4 11/18/13 natural m/c on 11/23 IVF #1 (Natural IVF Cycle) May 2014- Cycle failed (embryo did not make it to blast)BFP#5-7/26/14 GROW BABY GROWIT'S A BOY DUE 4/5/15!
I have no advice, but I am sending (((hugs))) and wish you the best in making your decision. It sounds like you have/are really putting a lot of thought into this and making the best possible decision for your family without letting emotion cloud your judgement.
I have no advice but just wanted to offer (((hugs))). It sounds like you have a good plan and I hope that you find peace in whichever decision you make.
TTC #1 since January 2013
BFP #1: April 5, 2013; EDD December 11, 2013; Missed M/C May 15, 2013
BFP #2: February 17, 2014; EDD October 30, 2014; M/C March 15, 2014
BFP #3: August 1, 2014; EDD April 14, 2015 - Praying for ourRAINBOW!
Sounds like you had a very productive appointment! I know it's a lot to think about and I wish you all the luck! Big (((hugs)))
Me 34 DH 31, Together since 2003, Married August 20, 2011, TTC since May 2013 BFP #1 August 24, 2013! MMC discovered Oct. 3, 2013, D&C Oct. 4, 2013 BFP #2 December 17, 2013! MMC discovered Jan. 28, 2014, D&C Jan. 30, 2014 Testing done: male with complete Trisomy 16, not hereditary. Tested me for clotting disorders, all normal. Feb. 2014 all clear again to TTC! Will start progesterone supplementation with the next BFP just in case. Oct. 2014 more testing just because, thyroid and autoimmune panels = normal. Diagnostic U/S = no abnormalities. Will keep trying for 3-6 more months, doctor still optimistic!
BFP #3 December 11, 2014! Beta #1 14DPO = 122.4 Beta #2 17DPO = 296.8 Please stick little one and be our Rainbow!
Perfect little heartbeat of 156 seen 1/7/15
***Everybody Welcomed***
EDD 8/21/2015Team Green!
August 2015 Siggy Challenge: Favorite mean girl from a movie or show: Kathy Bates in "Misery"
Sounds like a roller coaster of emotions and information to process. Your post was very well reasoned and I think you're on your way to making decisions you will feel good about in the long term. (((Hugs)))
PG#1 - 3rd cycle BFP. Team Green. HELLP syndrome @ 34 weeks. Later diagnosed with Hashimoto's Thyroiditis, possible link to HELLP.
PG#2 M/C 3/14 - Surprise BFP 2/13. Beta's doubled every 52 hours from 3w5d-5w5d Viable pregnancy scan at 5w5d; 2nd u/s showed 2 days of growth in 7 but a HB of 120 3rd u/s on 3/10/14 had no HB and baby had only grown 7 days over 14 D&C 3/17/14 - complications - DX Retroflexed uterus, multiple tears to cervix
I have no advice either but want you to know I'm thinking of you and YH as make this decision. I hate that this is something you have to even consider and am sending you so much support and ((hugs)).
I don't have any advice to offer, but your story is so close to my heart and you are someone on this board who I've felt so close to. I just wanted to reply and say I'm glad you have some clear information to sort through as you make your decisions going forward. I know it's not easy. I just want to send you a ton of hugs and good wishes as you go through this.
I don't have any advice to offer, but your story is so close to my heart and you are someone on this board who I've felt so close to. I just wanted to reply and say I'm glad you have some clear information to sort through as you make your decisions going forward. I know it's not easy. I just want to send you a ton of hugs and good wishes as you go through this.
Thank you, Anita. I am fortunate to call you my friend. :x
And thank you everyone for your supportive replies. You can be sure I'll update when more is happening. And I promise I'll try to be more concise next time.
I don't have any insights or advice to offer, but just want to offer hugs. It sounds like you've already jumped over your first hurdle- that you and YH are on the same page. I'm sorry that you've reached this point in your journey. ((hugs))
TTC #1 since March 2011
BFP #1: EDD 4/16/13~~blighted ovum w/ 2 gestational sacs~~Loss on 9/18/12 BFP #2: EDD 9/3/13~~Slow HB at 1st U/S~~MMC -Loss on 2/13/13
9/13, 10/13, 1/14: letrozole + trigger + TI = All BFNs
I don't have any advice, but don't believe that you have to have a biological/genetic connection to your child. Some of my cousins were adopted and we feel no differently about them. It sounds like you have thought this through and have a good plan/ideas moving forward. Best of luck and (((hugs)))
TTC: Since July 2013 BFP #1: EDD 05/27/2014 (D&C 10/17/2014)
I have no advice love, just ((HUGS)). It's a lot to process and I'm sorry that you are faced with this. Sounds like you have an excellent RE who gave you some good information and options. My thoughts are with you honey!
TTC #3 since 8/2012 DX Endometriosis 2/2002 (lost left tube due to a cyst), PCOS 6/2010 BFP - 10/18/2012, EDD - 6/26/2013, Baby Girl lost at 22 weeks (T21), D&E 2/15/2013 BFP - 4/23/2014, EDD - 1/2/2015 Twin Boys lost at 12 weeks, M/C 6/25/2014 My charthereAll ALers welcome!
many ((hugs)) I am so sorry you are having to go through this and make these decisions. It sounds like you and your DH have really thought this through and have a good plan in mind. I'd like to say that I read your posts and have to say your really are an inspiration to me and I am sure many others with the strength and compassion you always show.
Me: 34, DH: 32 TTC Since September 2012 Dx-PCOS, Anovulation, highly irregular cycles March 2013 Comid 50 mg+ TI #1: BFN April 2013 Clomid mg + TI #2: BFN IVM#1 Aug 2012: BFN 20 FEB 2014: CP IUI #1 Clomid 100mg 24 FEB 2014: BFN
All of you concerns are valid and decisions are so very personal. Sounds like you are informed and will make the very best decision. Thinking of you! HUGS
***BFP 1-22-13, baby boy dx with Trisomy 13 at 15 weeks.
We let him go to Heaven on 4-27-13 at 17 weeks 1 day***
(((HUGS))) It is a lot to take in, but it sounds like you have some good options and you and YH are on the same page. I am sending lots of T&Ps your way. >:D<
No advice, just (((hugs)))! It sounds like you have a good plan and you & YH are on the same page. Good luck with all of the research! I hope your IUI's work out so you don't have to go down that route if you don't have to!
Married the love of my life June 18, 2011 -- Me (28) DH (29)
((hugs)). It sounds like you have a lot of options that you are open to. You're such a strong person to be looking realistically at all your odds and keeping an open mind about not necessarily having biological children. I am sorry that you have to make this decision, though. It can't be easy. I wish I had advice, but it sounds like you will make the right decision for you and your family. Good luck.
There is a Facebook group for egg/embryo adoption that you may be interested in. It's private so you have to request to join. PM Liz4paws if you are interested.
Re: AW: RE consult today -- Donor eggs may be the route for us? (long)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TTC #1 since June 2012
Current Status: IVF with ICSI and PGS
Genetic, RPL, SA and Fertility testing = Normal/Good HSG = All Clear
BFP #1 12.30.2012 || Blighted Ovum 02.05.2013 || D&C 02.11.2013
BFP #2 09.10.2013 || c/p 09.12.2013
BFP #3 12.1.2013 || mm/c 01.15.14 || D&C 01.21.14 chromosome abnormality
May 2014: Residual HCG and retained tissue found
05.13.2014: Hysteroscopy D&C to find and remove retained tissue
June 2014: Tissue sample results indicate a partial molar pregnancy
May - Aug 2014: TTA for monitoring and testing
08.21.2014: Hysteroscopy to remove minor scar tissue - the result of 3 D&Cs
Sept/Oct: IUI #1 Femara + Bravelle + Ovidrel = BFN
Oct/Nov: IUI #2 Femara + Ovidrel = BFN
Nov/Dec: IUI #3 Femara + Bravelle + Ovidrel = BFN
My Ovulation Chart || *~*~All AL Welcome~*~* || DIY Blog
TTC since April 2012
BFP #1, 10/03/2012 - EDD 6/15/2013 - MMC 11/15/2012 - D&C 01/04/2013
BFP #2, 04/06/2013 - EDD 12/17/2013 - MC 04/19/2013
6/12/2013 Diagnosed with Balanced Translocation (12 & 16)
IVF #1 with PGS: 10/2013: Canceled 9/27/2013 for issues with genetic lab
IVF #1.5 with PGS: 11/16/2013: Canceled. 11 eggs retrieved, 9 mature & 9 fertilized, all unhealthy embryos
IVF #2: 1/22/14: Canceled. 16 eggs retrieved, 14 mature, 7 fertilized, all unhealthy embryos
IVF #3 with PGS: 5/10/2014: Switched to FET in July. 10 eggs retrieved, 9 mature, 8 fertilized, 2 healthy embryos!
FET #1: 7/31/2014: Transferred 2 nearly perfect (6AA, 6BA) healthy embryos- BFFN
Laproscopy: 10/2014: Healthy uterus
IVF #4: 12/8/2014: Canceled. 17 eggs retrieved, 15 mature, 10 fertilized, all unhealthy embryos
Everyone welcome on my posts
IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
IUI#5 BFN (April 2013)
S/PAIFW , S/PALW
My Blog
TTC Since 04/01/13
BFP #1 04/28/13 Its twins! EDD 01/08/2014 MMC confirmed 06/27/13 D&C 07/17/13
BFP#2 05/19/14 EDD 01/30/2015 Please be our rainbow!
My Ovulation Chart
*~*~* All AL Welcome*~*~*
TTC #1 since January 2013
BFP #1: April 5, 2013; EDD December 11, 2013; Missed M/C May 15, 2013
BFP #2: February 17, 2014; EDD October 30, 2014; M/C March 15, 2014
BFP #3: August 1, 2014; EDD April 14, 2015 - Praying for our RAINBOW!
Me 34 DH 31, Together since 2003, Married August 20, 2011, TTC since May 2013
BFP #1 August 24, 2013! MMC discovered Oct. 3, 2013, D&C Oct. 4, 2013
BFP #2 December 17, 2013! MMC discovered Jan. 28, 2014, D&C Jan. 30, 2014
Testing done: male with complete Trisomy 16, not hereditary. Tested me for clotting disorders, all normal.
Feb. 2014 all clear again to TTC! Will start progesterone supplementation with the next BFP just in case. Oct. 2014 more testing just because, thyroid and autoimmune panels = normal. Diagnostic U/S = no abnormalities. Will keep trying for 3-6 more months, doctor still optimistic!
BFP #3 December 11, 2014! Beta #1 14DPO = 122.4 Beta #2 17DPO = 296.8 Please stick little one and be our Rainbow!
Perfect little heartbeat of 156 seen 1/7/15
***Everybody Welcomed***
EDD 8/21/2015 Team Green!
PG#1 - 3rd cycle BFP. Team Green. HELLP syndrome @ 34 weeks.
Later diagnosed with Hashimoto's Thyroiditis, possible link to HELLP.
PG#2 M/C 3/14 - Surprise BFP 2/13. Beta's doubled every 52 hours from 3w5d-5w5d
Viable pregnancy scan at 5w5d; 2nd u/s showed 2 days of growth in 7 but a HB of 120
3rd u/s on 3/10/14 had no HB and baby had only grown 7 days over 14
D&C 3/17/14 - complications - DX Retroflexed uterus, multiple tears to cervix
All Welcome
Chart
EDD 5/2/14, NMC 9/11/13
EDD 10/15/14, CP 2/8/14
IF Diagnosis: PCOS, MFI
Current Cycle: 5 mg Femara/1000mg Metformin + TI = BFP, EDD 4/23/15 Please be our RAINBOW
**ALL AL/IF Welcome**
My Chart
dream 1 CAME TRUE 2.13.2010
<dream 2> 12.2011
2.10.12 : 4 weeks
6.17.12 : 10 weeks
10.10.12 : 4 weeks, 6 days
12.13.12 : 9 weeks, 1 day
4.6.13 : 4 weeks, 4 days
10.27.13 : 5 weeks, 6 days
4.2.14 (IVF #1) : 4 weeks, 1 day
6.19.14 : IVF #2 Negative
</dream 2>
resolve.org
lyrics
***All always welcome!!***
BFP #2 6/12/14, DD born 2/21/15
BFP #2: EDD 9/3/13~~Slow HB at 1st U/S~~MMC -Loss on 2/13/13
BFP #1: EDD 05/27/2014 (D&C 10/17/2014)
TTC #1 since Sept 2011
BFP#1 1/31/12. Empty sac discovered 3/5/12. MTX due to location in uterine horn.
BFP#2 2/27/13. Empty sac confirmed 3/20/13. Mifepristone + Cytotec.
Operative hysteroscopy to remove septum 9/18/13.
BFP #3 12/24/13. Natural m/c 1/17/14.
BFP #4 3/20/14. Natural m/c 4/3/14.
Blog Chart
Formerly known as MrsE07
PgAL/PAL Welcome
DX Endometriosis 2/2002 (lost left tube due to a cyst), PCOS 6/2010
BFP - 10/18/2012, EDD - 6/26/2013, Baby Girl lost at 22 weeks (T21), D&E 2/15/2013
BFP - 4/23/2014, EDD - 1/2/2015 Twin Boys lost at 12 weeks, M/C 6/25/2014
My chart here All ALers welcome!
Me: 34, DH: 32
TTC Since September 2012
Dx-PCOS, Anovulation, highly irregular cycles
March 2013 Comid 50 mg+ TI #1: BFN
April 2013 Clomid mg + TI #2: BFN
IVM#1 Aug 2012: BFN
20 FEB 2014: CP
IUI #1 Clomid 100mg 24 FEB 2014: BFN
IUI #2 Clomid 100mg 21 MAR 2014: BFN
IUI#3 Follistim & trigger 21 May 2014: BFN
IVF #1 Follistim & Menopur: 14R, 9M, 7F, transfered 2 day 3 8 cell embies
Beta #1: 7/30: 41 Beta #2 8/1: 96 Beta #3 8/4: 796 EDD:4/9/15
All Welcome
***BFP 1-22-13, baby boy dx with Trisomy 13 at 15 weeks.
We let him go to Heaven on 4-27-13 at 17 weeks 1 day***
TTC since March 2012
BFP #1 1/29/13, EDD 10/9/13
BFP #3 8/11/14 EDD 4/22/14
8/12-Suprise BFP- Sweet Bunny Born Sleeping 11/21/12 (19 weeks)
-5/7/13- MMC (8 Weeks)
11/6/13- BO discovered at 7 weeks- natural MC 11/25/13
8/14- Surpise IF dx...low AMH (.24)- moving on to IVF
IVF #1- 11/14- 6R5M4F=2 perfect frosties
12/19/14- FET of 2 embabies = BFP!!! One Little Bean EDD: 9/3/15
Everyone Welcome.
The day the Bump died - Jasper is wise
TTC since April 2012
BFP #1, 10/03/2012 - EDD 6/15/2013 - MMC 11/15/2012 - D&C 01/04/2013
BFP #2, 04/06/2013 - EDD 12/17/2013 - MC 04/19/2013
6/12/2013 Diagnosed with Balanced Translocation (12 & 16)
IVF #1 with PGS: 10/2013: Canceled 9/27/2013 for issues with genetic lab
IVF #1.5 with PGS: 11/16/2013: Canceled. 11 eggs retrieved, 9 mature & 9 fertilized, all unhealthy embryos
IVF #2: 1/22/14: Canceled. 16 eggs retrieved, 14 mature, 7 fertilized, all unhealthy embryos
IVF #3 with PGS: 5/10/2014: Switched to FET in July. 10 eggs retrieved, 9 mature, 8 fertilized, 2 healthy embryos!
FET #1: 7/31/2014: Transferred 2 nearly perfect (6AA, 6BA) healthy embryos- BFFN
Laproscopy: 10/2014: Healthy uterus
IVF #4: 12/8/2014: Canceled. 17 eggs retrieved, 15 mature, 10 fertilized, all unhealthy embryos
Everyone welcome on my posts