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Twinkie0612
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Consult today
Twinkie0612
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After a few bad consultations with my last RE we decided it was time to move on. With my history of auto immune issues and now that we are moving on to treatments with a RI, I would like to be at a clinic that at least accepts the idea that auto immune issues might affect fertility which really limits the clinics in my area (especially if you are also looking for a large clinic with a good lab). We decided to stay with my clinic, but switch to the clinic's RE (medical director) instead of my RE that just uses the clinic for his IVF cycles.
We had our consultation and I really wish we would have switched sooner! I already knew I liked this RE from my interactions with her during monitoring appointments, but my husband really likes her as well. She really thinks it's too early to push us down the donor path like my original RE did (although she would support that decision if we wanted to go that route). DH even flat out asked her if we had a shot at this working with our eggs and sperm and she said yes she thinks it's worth another shot. We talked about all sorts of ideas and treatment options and she was patient and answered each question (My last RE would always dismiss any sort of genetic testing because he would just tell me that he can't change my DNA and he can't change DH's DNA). We went ahead and ordered the DQ alpha match testing (Dr. KK doesn't order that test) and we are also talking about testing Sperm DNA fragmentation and maybe doing Karyotyping on both of us. Hopefully this along with the immune testing with Dr. KK, should rule out any other issues that might be standing in our way.
Right now the plan is to do one last IVF with my eggs and DH's sperm (assuming all comes back fine with our DQ alpha testing, Karyotyping if we decide to do it, and his sperm DNA fragmentation testing) probably November or December. We are changing up the protocol though and using an EPP instead of the Agonist/Antagonist protocol I was on before. She also was willing to add lovenox (if Dr. KK doesn't add it) just because she has seen it seem to help some women get pregnant, even if she doesn't see a specific diagnosis that indicates it. We also talked about IVIG vs. intralipids. I know Dr. KK uses IVIG for high NK cells, but she is more than willing to order intralipids if we can't afford the IVIG. She said that she has even ordered double the intralipids for some patients. She also talked to the financial coordinator and they are giving us an extra 15% off of our cycle fees since this is our 4th IVF cycle with them. The financial coordinator also gave us forms for First Steps and Compassionate Care forms and recommended that we fill them out and see if we will qualify (I already have a First Steps code good until December, but she thought I might be able to qualify for a better discount).
Finally, I am feeling hopeful about treatment again. It's nice to have a doc that is willing to make sure we have tried everything before recommending that we give up on biological children.
We had our consultation and I really wish we would have switched sooner! I already knew I liked this RE from my interactions with her during monitoring appointments, but my husband really likes her as well. She really thinks it's too early to push us down the donor path like my original RE did (although she would support that decision if we wanted to go that route). DH even flat out asked her if we had a shot at this working with our eggs and sperm and she said yes she thinks it's worth another shot. We talked about all sorts of ideas and treatment options and she was patient and answered each question (My last RE would always dismiss any sort of genetic testing because he would just tell me that he can't change my DNA and he can't change DH's DNA). We went ahead and ordered the DQ alpha match testing (Dr. KK doesn't order that test) and we are also talking about testing Sperm DNA fragmentation and maybe doing Karyotyping on both of us. Hopefully this along with the immune testing with Dr. KK, should rule out any other issues that might be standing in our way.
Right now the plan is to do one last IVF with my eggs and DH's sperm (assuming all comes back fine with our DQ alpha testing, Karyotyping if we decide to do it, and his sperm DNA fragmentation testing) probably November or December. We are changing up the protocol though and using an EPP instead of the Agonist/Antagonist protocol I was on before. She also was willing to add lovenox (if Dr. KK doesn't add it) just because she has seen it seem to help some women get pregnant, even if she doesn't see a specific diagnosis that indicates it. We also talked about IVIG vs. intralipids. I know Dr. KK uses IVIG for high NK cells, but she is more than willing to order intralipids if we can't afford the IVIG. She said that she has even ordered double the intralipids for some patients. She also talked to the financial coordinator and they are giving us an extra 15% off of our cycle fees since this is our 4th IVF cycle with them. The financial coordinator also gave us forms for First Steps and Compassionate Care forms and recommended that we fill them out and see if we will qualify (I already have a First Steps code good until December, but she thought I might be able to qualify for a better discount).
Finally, I am feeling hopeful about treatment again. It's nice to have a doc that is willing to make sure we have tried everything before recommending that we give up on biological children.
TTC #1 since August 2011
September 2012: Start IF testing
DH (32): SA is ok, slightly low morph, normal SCSA Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA
October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos
November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues. Converted to freeze all due to lining issues. 2 blasts frozen on day 6!
January 2015: FET #2 Cancelled due to lining issues
April 2015: FET #2.1
PAIF/SAIF Welcome!
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Re: Consult today
TTC #1 since August 2011
My Blog
September 2012: Start IF testing
DH (32): SA is ok, slightly low morph, normal SCSA Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA
October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos
November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues. Converted to freeze all due to lining issues. 2 blasts frozen on day 6!
January 2015: FET #2 Cancelled due to lining issues
April 2015: FET #2.1
PAIF/SAIF Welcome!
*******siggy/ticker warning*****
Me(31). DH (31)
DH SA normal count and motility, 1% morphology
Me .72 AMH, Fragile X premutation carrier
IVF #1 (6/12/13) BFN
IVF #2 (8/16/13) BFN
FET 10/4/13 Chemical
IVF #3 MC 5 weeks 5 days
IVF #4 DE 11/7 BFP, edd 7/28/15
All Welcome
Glad you had a great consult!! I also wanted to chime in on the karotype. Definitely get that done!!! Like IFinTN said, it annoys me when that isn't done earlier. We never had it done until after our second DE failure and I was convinced there was a translocation. Turns out DH was "normal" but I would have pissed to have gone through so many cycles where they must said it was my eggs and then find out it was a genetic issue. Also mm29 found out about a balanced translocation for her DH during her work up,at CCRM but this was after many IVF cycles. Don't skip it!!! It's more important than the DNA frag test IMO.
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
SAIF/PAIF Welcome
http://waitingforraintostop.wordpress.com
TTC #1 since August 2011
My Blog
September 2012: Start IF testing
DH (32): SA is ok, slightly low morph, normal SCSA Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA
October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos
November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues. Converted to freeze all due to lining issues. 2 blasts frozen on day 6!
January 2015: FET #2 Cancelled due to lining issues
April 2015: FET #2.1
PAIF/SAIF Welcome!
::: Married June 2003:::
TTC #1 since: Aug. 2008
Me: 34, DOR, MTHFR-A1298C (heterozygous), decreased blood flow to uterus, Mild Endo
DH: 38, Balanced translocation 5&10, unexplained MFI, normal SA and SCSA
Tx History: IUI 1&2= BFN
IVF# 1 W/ICSI= BFN
IVF# 2: cancelled d/t no response
IVF# 3= 1 egg retrieved=immature/not viable
IVF# 4= c/p
***CCRM ODWU***
Found DHs BT and Me-decreased blood flow to uterus
Recommended DE IVF w/PGD, incorporate electro-acupuncture. Decided to cycle locally
***New RE***
DE IVF# 1(cycle #6) w/pgd, (freeze all): 30R, 23M, 15F, slow/poor embryo development, 4 biopsied, 1 Normal "Norm"; DE IVF w/PGD, incorporate electro-acupuncture.
IVF# 6: (OE/DS) cancelled
IVF# 7: (OE/DS) 1R, 1M, 1F, arrested day 5
Plan-DE IVF# 2 (cycle #8): DE/DS in May 2015
http://icanhazbabyz.blogspot.com/
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!
Me (32) DOR, elevated NK Cells/ 2 copies of MTHFR mutation/ MH (35) azoo/high DFI (TTC#1 since 2009)
IVFs#1-4: (4/10-2/12) all BFN
Surprise Bfp (9/11) - c/p
DS IUI#1-2 (9/12, 10/12) - BFN
DS IVF: (11/12) - BFN
DE/DS IVF#1: (10/13) - 2 day 3 embies transferred-BFFN
FET of 2 day 6 blasts: (12/13) - c/p
DE/DS IVF #2: (4/14) - 1 day 5 blast transferred...BFFN...again.
FET 5/14: 1 day 5 hatching blast transferred...another BFFN
Repeat SHG 6/14-normal / Endometrial Receptivity Array biopsy 7/14-Receptive Uterus
New RE, additional testing reveals elevated NK Cells
FET of 1 day 5 blast (RE recommends transferring 1 due to elevated NK cells) with lovenox, steroids & intralipids in October
ET 9/10 - transferred 1 perfect 5AA blast
7dp5dt BFP ~~ Beta on 9/19 - 77.4 Beta #2 on 9/21 - 357
Low heartbeat on 10/7 86, lower heartbeat on 10/11 76, no heartbeat 10/14/13. D&C 10/15/13
Tests revealed MTHFR c677t mutation, put on Folgard.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FET #1 1/6/14 - 4BB blast - BFN