Consults completed.. — The Bump
Infertility Veterans

Consults completed..

I had my 2 phone consults today. My first with Shady Grove regarding their DE shared risk plan. Dr didn't really add much to what I already know. Recommended DE vs OE. Gave me access to the fresh donor bank to have a peek. Only looked for a minute, but only baby pics are shown as most of you already know. Their shared risk plan 1:3 for 6 cycles/money back guarantee is $30,000. My second consult was with RBA for a frozen DE. I talked with Dr.Shap.iro. I really liked him. He talked to me for almost an hour about everything even though I didn't really have or ask any questions! He would love to try OE ivf first. He was very interested in why no one tried an ivf without the use of menopur (he wants bravelle or follistim only) at 600iu. He poo-poo'd the c.crm clinic a bit, which my previous RE did as well. Said they def over inflate their percentages,etc,etc. Anyway, he sees no reason why I shouldn't try another OE ivf. Cost is $20,000. He doesn't want to do any genetic testing on our embryos but does recommend a freeze all because he thinks my other transfers didn't work because my progesterone was too high and my lining was breaking down around transfer. He recommends dhea only for supplements and thinks that's why my ivf #3 got a beautiful and normal embryo. If we don't want to, he suggests the FEA plan for frozen DE. He says the donor pool should be getting a lot more people in it over the next few months. Basically, I really liked him and I LOVE LOVE the idea of using OE for another ivf, but financially after that we would not be able to then afford the FEA($28,000). I am so confused on what to do now. I know DH will NOT go for OE ivf, but my heart really wants that. Any advice would be greatly accepted.
Me: 37, DH: 38: ttc 7 years, dx: unknown
10/11: after 2 years, saw a RE, FSH 5.4
11/11: BFP! (surprise after thyroid & normal hsg),
12/11: missed m/c after 7 week u/s, 1/12: D&C
6/12 IUI#1-IUI #3: clomid = BFP!, C/P
IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
Baby Will born 8/18. He's perfect.

Re: Consults completed..

  • Oh, that's a lot of options to take in all at one time! I hate that money is such a big part of the decision making process. I hope you & your DH can take some time to digest it all and come up with a plan you feel confident with.
    **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!
  • hmz819hmz819
    Ninth Anniversary 250 Answers 1000 Comments 250 Love Its
    member
    Sounds like the consults went well. What are your DH's reasons for not wanting to try OE again? What's the FEA at RBA? Is that the refund option? I echo run...I hate money plays apart in all these decisions. It sucks so much!

    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 image image

    http://i61.tinypic.com/34zll06
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  • hmz819 said:
    Sounds like the consults went well. What are your DH's reasons for not wanting to try OE again? What's the FEA at RBA? Is that the refund option? I echo run...I hate money plays apart in all these decisions. It sucks so much!

    DH basically thinks all the hormones and injections are going to kill me eventually. And doesn't see the point on repeating the same thing over and over after we keep getting the same results. And, yes, the plan at rba is a live birth guarantee program where you are refunded if no live birth.
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
  • Warning... very lengthy post, LOL


    I was in your shoes pretty exactly last year. I did a round a Clomid (no response), 2 IUI cycles with Menopur, and 4 IVF cycles(1 cancelled and 3 completed) with my first RE at a major medical hospital in Chicago all BFN. She started telling me I needed to go the DE route but before making that decision I got lots of second opinions and doing some research online. I had a phone consult with SIRM and they were awesome!!!  That RE (Dr. Dayal) basically told me what I had read about online that if you have certain conditions like PCOS perhaps where your LH is elevated then medications such as Menopur only adds to the already elevated levels and studies have shown that elevated LH levels can harm the egg quality. She was the first one to tell me to get rid of the Menopur completely!!!  Everything she told me made sense but she was in St. Louis and that would be a bit much for DH and I to make those trips. CCRM , I was underwhelmed with. They seemed more to favor DE than OE. Then I met an RE locally with top 5 stats ratings and had personal IRL reviews about how great he was. He was 2 hours late, didn't read my chart, then told me I only had 1 cycle left for my insurance and he didn't want to waste it on my OE and recommended DE. When I told him that I didn't have a cap (we have a rockin' insurance plan) he changed his tune and suddenly my OE were just fine. I felt like a cash cow and ended up crying on my way home. My 2nd local RE is my current one....he had the same plan basically as SIRM and got rid of the Menopur. You can see from my cycles that I've posted below that it made the world of difference. Not only was it my first cycle to freeze anything but it was from that first FET that I got my Jack :)   Its worth looking into....hope this helps, PM me if you have questions :)


    Here's what my IVF cycles looked like with RE#1 vs. RE #2:

    IVF #1  (Menopur 150iu/Follistim 75iu/& Ganirelix starting day 5) cancelled due to adverse reaction to Ganirelix


     IVF #1.2 (Menopur 150iu/Follistim 300iu/ 10units Microdose Lupron twice a day) - 19removed, 11 mature, 5 fertilized- Only one made it to an 8cell


    IVF #2 (Same protocol as IVF #1.2)- 11removed, 7 mature, 5 fertilized- two became 5 cells and three were only 3 cells- Transferred both 5 cells w/severe fragmentation

    IVF #3 (Same protocol as IVF 1.2 & 2) adding Tev Tropin, a HGH in addition to the supplements that began in December. -- 19 Retrieved, 11Mature 8 Fertilized-- Transferred (2) 8cell A- , AH embryos with minimal frag. Other 6 left to culture. One grew to blast but poor quality not able to freeze and other 5 stopped completely

    New RE....

    IVF #4 ----525iu Follistim and 5units low dose hcg.  but also adding baby aspirin in too. ER--45 retrieved, 31 mature, and 26 fertilized!!!! ET-- 2 perfect expanded blasts and froze 7 pretty blasts.

    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





  • Kflynn, thank you so very much for taking the time to tell me all of that! That is extremely impressive and it gives me hope. I am extremely confused about what to do next, but you are definitely helping me. I will think on this awhile and I may have more questions..
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
  • How exciting! I love the new input! It is tough to make any choices, but it seems your heart is so set on OE. It's hard to betray yourself. I've gone that route and been miserable. Maybe a third party (counselor, doctor) could help you convince your DH to try OE again. I totally understand his feeling about the meds (I'm also certain that I've irrevocably affected my body in some way) but a baby is the trade off. My advice is to just look at the next step, not the whole future. I thought for certain that my baby quest was over. Since then, I had a natural pg (for a while) and am now PUPO. Don't say this is your last attempt or option. Say it is your next one. It really helped my outlook, and I realized I really don't know my future as much as I thought I did! Good luck, J&D, you're in my thoughts!

    imageimageimageimageimageimageimageimage
    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!

  • Mrs.McIrishMrs.McIrish
    5000 Comments Sixth Anniversary 500 Love Its Photogenic
    member
    edited July 2014
    I don't know that what I'm about to write will help you but it's a different perspective. First off, glad you liked Dr. S. Obviously I have affection for him since he's the only one out of 6 REs who a managed to get me to be 18 weeks along. But that's immaterial.

    I do agree with no menopur should not be used if you have higher LH. I definitely have a high starting LH along with my high FSH and Dr Check said no menopur. IVF 4 with straight follistim was my best cycle --meaning we had 3 eggs and 3 to transfer (but they were still crappy 4-5 cells/highly fragmented). Of course one of my twins was also a crappy 4 cells "C" on day 3 so you never know. Anyway, it was exactly 2 years ago that I did my last OE cycle. The RE said we could keep trying or not... Up to me. Like Kflynn, we still had ridiculous insurance with no preapproval needed and no one cared about my high FSH. It "only" cost us about $2K per IVF with travel to NJ. But I couldn't do it anymore. I was done. Getting 1-3 eggs at almost 39 seemed like a needle in a haystack. I became more afraid that if someone did stick, what was the chance they'd be healthy? I wondered if I was being "protected" from a worst fate than not getting pregnant. I can tell that you aren't ready to give up on OEs. Maybe I wouldn't have been either if I was 35. I hate that it comes down to $ for you because I "know" you would try again with OEs. Not even a question. All I want to say is that I don't view DE as a consolation prize. I hate that some view it that way. I simply don't care about the bio aspect of it. But I know it's not that simple for others.

    Just an FYI, you don't have to do the FEA. You could do one more OE and then the $18K RBA 2 high quality embryo program.. We spent more than we needed to with the FEA. I don't think you are ready to move on to DE just yet. I know you want a baby "now" but you have time for DE if you need to do OE again and then save more $. I'm sorry this is a tough decision.

    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

    sorrellam30Km672brooklynesque
  • "I "know" you would try again with OEs. Not even a question. All I want to say is that I don't view DE as a consolation prize. I hate that some view it that way. I simply don't care about the bio aspect of it. But I know it's not that simple for others. " @mrsmcirish, I really hope I didn't offend you or anyone else who chose DE. I guess I do sort of view it as a consolation prize in a way though if I'm being honest with myself. It's always a 'second best option'. I can't say I'm excited about it, I wish I could be more like you and not care about the bio aspect of it, but I'm not there yet. Once I make the decision, I think I may be able to get to that. If I had insurance coverage, there wouldn't be any thought at all. I'd do OE. I just don't want to be dumb about all of this and put us in the poor house doing 10 Ivfs without hope of any success. I want to be logical and do the 'right' thing for us. I don't WANT to follow my heart, I want to follow the next logical steps. If we were only getting a few eggs or had an actual 'problem' that we knew of, it would make the next step easier. I cannot spend another $50,000 and feel good about my decision to do so. I cannot go to DE and feel good about my decision either. Ugh.
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
  • How exciting! I love the new input! It is tough to make any choices, but it seems your heart is so set on OE. It's hard to betray yourself. I've gone that route and been miserable. Maybe a third party (counselor, doctor) could help you convince your DH to try OE again. I totally understand his feeling about the meds (I'm also certain that I've irrevocably affected my body in some way) but a baby is the trade off. My advice is to just look at the next step, not the whole future. I thought for certain that my baby quest was over. Since then, I had a natural pg (for a while) and am now PUPO. Don't say this is your last attempt or option. Say it is your next one. It really helped my outlook, and I realized I really don't know my future as much as I thought I did! Good luck, J&D, you're in my thoughts!

    Congrats on being pupo:-). And thanks for the advice. I am such a planner that it's tough to look at this one step at a time. I feel like I've made soooo many bad decisions where this IF is concerned. I didn't research any RE clinics before I started, I didnt look into any shared risk programs that would have saved us a ton of money, I followed protocols blindly without question, I went to c.crm which I highly regret.. I could go on and on about my poor decisions and I feel so guilty wasting so much money and I feel very selfish about wanting to do OE again. I feel like I'm quitting or I failed and I cannot stand that feeling. I am so at a loss right now.. Your advice certainly helps and I thank you.
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
    chucktgirl
  • J&D2007 said:

    "I "know" you would try again with OEs. Not even a question. All I want to say is that I don't view DE as a consolation prize. I hate that some view it that way. I simply don't care about the bio aspect of it. But I know it's not that simple for others. "
    @mrsmcirish, I really hope I didn't offend you or anyone else who chose DE. I guess I do sort of view it as a consolation prize in a way though if I'm being honest with myself. It's always a 'second best option'. I can't say I'm excited about it, I wish I could be more like you and not care about the bio aspect of it, but I'm not there yet. Once I make the decision, I think I may be able to get to that. If I had insurance coverage, there wouldn't be any thought at all. I'd do OE. I just don't want to be dumb about all of this and put us in the poor house doing 10 Ivfs without hope of any success. I want to be logical and do the 'right' thing for us. I don't WANT to follow my heart, I want to follow the next logical steps. If we were only getting a few eggs or had an actual 'problem' that we knew of, it would make the next step easier. I cannot spend another $50,000 and feel good about my decision to do so. I cannot go to DE and feel good about my decision either. Ugh.

    Big, huge hugs for you. We are just getting started with the DEgg process, and I want to tell you that what you are going through right now is incredibly hard. Like you, I once felt like DEgg was all wrong for me. Not that it isn't a wonderful opportunity, but I had to go through a grieving process before I felt ready. Eventually, the idea didn't make me feel overwhelmed and I learned to tolerate it. Then somehow I found myself feeling genuinely excited and hopeful about the possibility. But like you said, it IS a second choice. I can't imagine that there is anyone out there who would choose to go this route if their eggs weren't called into question. But I do feel it is important to hash out all of your emotions before pursuing the path. When I think that there is a possibility of a real, live child at the end... I feel such a huge responsibility to do what is best for the hopeful child. I want to go into this with an open heart so that I can honestly tell my hopeful child someday the beautiful story of how he/she came to be. But let me tell you.... It was a painful process to get to this point. Time needed to pass. Unfortunately, there's no express lane. I'm sending more hugs your way <3

    **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!
    Km672poohniki
  • ***PAIF warning****

    I'm happy to hear your consults went well. It's definitely refreshing to hear what other medical professionals have to say. 

    I have no advice. I know it's an incredibly hard decision. I just wanted to touch on the menopur issue a bit. My first clinic told me I would never grow any follicles without menopur. They said it was absolutely needed in my protocol. At that clinic, I cycled with 150 menopur(then upped to 225 menopur) & 300 menopur on cycle 2. My first cycle I had nothing to transfer. On the cycle with the 300 menopur, I produced the most mature eggs but my embryo quality was horrible. I did get pregnant but m/c'd. I had a SCH, but my RE felt that was my body's way of rejecting an embryo that was probably chromosomally abnormal. They would not budge on protocol. I went to S.I.R.M. What a difference! After trying their "famous" agonist/antag conversion protocol, I got one really good looking embryo. It gave me hope but I still felt like the protocol could be tweaked. Now here's where the difference comes in: they actually listened to me & took my concerns into consideration. They worked with me & they were open to trying different meds. From the get-go they would not go above 1 vial or 1/2 vial of menopur, they were pretty firm about that but they did let me get rid of the ganirellix & try LLP.  With that 1st cycle with them, I saw that the prior huge amounts of menopur did nothing for me. I also have a maturation issue so I knew I was never going to get a lot of eggs. I cycled with them a few more times and ended up doing long lupron which most DOR girls don't do well with. I never went above 1/2 a vial of menopur & got pretty good results (considering my issues). I continued on a high dose of gonal (between 525 & 600). So I say all this to say; drastically reducing the menopur helped my egg quality. I wish you the best of luck!

    Me & DH (33), 3 Furbabies, TTC since October 2011
    Day 3 #’s (Dec 2012) FSH 9, AMH .77, LH 2.4, E2 31, AFC 9 

    DX: Me-DOR + No Tubes, DH-Fine

    Ectopic 2007; lost tube/2nd tube removed Dec 2011 (hydro)

    April 2012=IVF#1- EPP Antag+ICSI, 2R,0F (BFN), Now dx’d with DOR.

    June-July 2012=IVF#2- MDL+ICSI&AH, 8R,4M,3F (BFP 9dp3dt) Beta#1 at 11dp3dt=36, Beta#2 at 15dp3dt=156, Beta#3 at 19dp3dt=671, dx'd with SCH, no growth-m/c at 7wks/Lap Dec 2012 to remove small fibroid.

    Feb 2013=IVF#3-MDL, 2/1=baseline, started 10 units mdl, AFC-7, 2/3 start gonal f, self cxld cycle b/c of low e2.

    April 2013=IVF#3.5-(with new RE)AG/ANT Conv + ICSI. 4/10-4/23 bcp's, 4/20-4/27 lupron, 4/28-ganirelix until end of stimming, 5/2-600 gonal f, 5/4-add 1/2 vial menopur, 5/13-ER (9R,1M,1F), 5/17-ET, 1 beautiful 8 cell (please be my sticky baby!!!!) 5/28-BFFN.

    Oct 2013=IVF#4-LLP+ICSI &AH, 10/14 (6R, 2M, 2F), 10/17-ET, 1 seven cell & a six cell, BFP at 9dp3dt, 1st beta=56, 2nd beta=52, CP.

    Jan 2014=IVF #5-LLP, Cxld after 6 days of stims due to fast response and lead follicle. 

    March 2014=IVF 5.5-LLP, Lupron 3/10, BL 3/18, 11 days of stims, Trigger 3/29, ER 3/31. 7R, 2M, 2F. ET 4/3. Txfd one 5 cell & one 9 cell. BFP on hpt from 7dp3dt & on. Praise be to God. Beta #1 at 11dp3dt=106, #2 at 13dp3dt=239. First u/s 4/28, measuring on track & heartbeat seen. 5/5-2nd u/s, measuring on track with strong heartbeat. 5/12- 3rd u/s & released from RE. Grow baby grow, we love you! Baby G&T is a BOY! Born 12/2014 via c/s! 8lbs, 8oz & 21 inches.


     *******Ticker Warning**********

     


    Lilypie First Birthday tickers

     


    "God's Delay is not God's Denial"
  • hmz819hmz819
    Ninth Anniversary 250 Answers 1000 Comments 250 Love Its
    member
    J&D2007 said:

    Congrats on being pupo:-). And thanks for the advice. I am such a planner that it's tough to look at this one step at a time. I feel like I've made soooo many bad decisions where this IF is concerned. I didn't research any RE clinics before I started, I didnt look into any shared risk programs that would have saved us a ton of money, I followed protocols blindly without question, I went to c.crm which I highly regret.. I could go on and on about my poor decisions and I feel so guilty wasting so much money and I feel very selfish about wanting to do OE again. I feel like I'm quitting or I failed and I cannot stand that feeling. I am so at a loss right now.. Your advice certainly helps and I thank you.
    I could have wrote this same thing. I feel like I have made all the wrong decisions in my journey as well. I hate that money dictates our choices. It is not fair.

    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 image image

    http://i61.tinypic.com/34zll06
  • That's good that your consults went well, but I'm sorry they've made things more complicated.  All I know is that with myself with my last cycle, I wasn't thinking it was my last OE cycle.  I thought I would have at least one more, especially since I hate that protocol (EPP) and now know for sure after 2 cycles that I do terrible with it.  I couldn't have that be my last cycle.  Had it been a MDLF again, then I would be fine moving on to DE.  But it wasn't, so I tried to accept that and tried to start the DE process.   However, I too have excellent insurance and now here we are about to start our next cycle with my OE for one final time.  I'm nervous as all heck.  My anxiety last week started up again due to this and stress at work.  It now kinda feels worse knowing this is my last OE cycle.  But personally, I felt like if I don't try once more then I would regret it forever.  If we didn't have this insurance though, then we would be doing DE and I'd be pursuing therapy a lot harder.  Like McIrish said, with DE, you can always wait longer and save up money if needed.  I hope you and your H are able to make a decision you can be happy with together.  ((hugs))
    ****************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!
  • That's good that your consults went well, but I'm sorry they've made things more complicated.  All I know is that with myself with my last cycle, I wasn't thinking it was my last OE cycle.  I thought I would have at least one more, especially since I hate that protocol (EPP) and now know for sure after 2 cycles that I do terrible with it.  I couldn't have that be my last cycle.  Had it been a MDLF again, then I would be fine moving on to DE.  But it wasn't, so I tried to accept that and tried to start the DE process.   However, I too have excellent insurance and now here we are about to start our next cycle with my OE for one final time.  I'm nervous as all heck.  My anxiety last week started up again due to this and stress at work.  It now kinda feels worse knowing this is my last OE cycle.  But personally, I felt like if I don't try once more then I would regret it forever.  If we didn't have this insurance though, then we would be doing DE and I'd be pursuing therapy a lot harder.  Like McIrish said, with DE, you can always wait longer and save up money if needed.  I hope you and your H are able to make a decision you can be happy with together.  ((hugs))

    Thank you a for your help and input. I am very jealous of you insurance ladies! I couldn't imagine having that as a covered option for me. You are truly blessed for having that option. Good luck on your upcoming cycle!!
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
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