Secondary IF
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Cancelled IVF Cycle

Hi Everyone-
I introduced myself last week as I started my IVF cycle.  Well, today I got the bad news that they are cancelling this cycle.  I was on the injections for 6 nights and they only saw 2 follicles so they don't think it is wise to continue on...
I actually couldn't believe how upset I got in the office.  The doctor said that he needs to do a stronger protocol to "push my ovaries to their limit."

Has anyone had this happen?  Any insight on what the change in protocol might be or how long it will take to start this all over again?  My health insurance will only cover everything one time so I really only have one shot to get this right.  I appreciate that the doctor is doing the right thing by me, but I am getting so frustrated.  I was also wondering if we should try on our own this month since we aren't completing the IVF this cycle?  I really don't know what the right move is...

Thanks for listening!
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Re: Cancelled IVF Cycle

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    Do you have a follow up with your doctor?  Or did he just say call me when you get your period and that was that?  If you don't have any more follow up scheduled with your practice I would call them and demand one.  You deserve more of an explanation and a plan, especially since they didn't tell you about trying naturally or not. 
    Me: 31     DH: 33
    Dx: Me: Recurrent Pregnancy Loss; DH: Low Morphology (2%)
    BFP#1: MC 3/1/11 at 6w1d - EDD 10/21/11
    BFP#2: 5/3/11 - EDD 1/9/12 - DD Born 1/6/12
    image
    TTC #2 since 12/13
    BFP#3: MC 2/8/14 at 4w5d - EDD 10/13/14
    BFP#4: MC 5/6/14 at 4w4d - EDD 1/9/15
    BFP#5: MMC discovered 8/4/14 at 9w1d - D&C 8/5/14 - Baby Boy with Trisomy 16 (maternal origin) - EDD 3/8/15
    BFP#6: CP 11/6/14 at 4w2d - EDD 7/14/15
    IVF #1 with ICSI & PGS: May/June 2015, ER 6/3/15, 17R/17M/15F
    IVF #2 with ICSI & PGS: July 2015, ER 7/16/15, 16R/11M/9F
    PGS results = 6 normal embryos (4 boys, 2 girls)
    FET 9/23/15 = BFFN
    Natural FET 11/4/15 = BFP!
    Beta 9dp5dt = 92

  • Options

    I am a poor responder and was put on estrogen priming with a microdose lupron flare this last cycle. 

    Perhaps you were oversuppressed?

    What was your AFC at baseline? 

    H: 34 dx Azoospermia due to CBAVD from CF  
    ME: 39 IS FINE!!!  DOR and poor AMH/FSH/LH
    IVF/ICSI/PESA #1 Beta 1 373 Beta 2 1783 BOY/GIRL TWINS!! Born April 2010!!
    Natural FET 5/26/12 2 blasts Beta 1 207 Beta 2 513 Beta 3 1377 U/S 6/28 Pregnancy not viable d & c scheduled :( 
    IVF/ICSI/PESA #2 ER 11/15/12 Nothing to transfer :( 
    IVF/ICSI #3 April 2013 MDLF 3dt of 3 embryos, chemical :(  
    IVF #4/ICSI/MESA/CCS/FET EPP April 2015
    ODWU CCRM with Dr. Sch COMPLETE!!!! Put on acai supplement they are studying for DOR and embryo quality.
    DAY 3 Labs Drawn 2/26 put on vitamin D and calcium supplements
    Regroup and Protocol Reveal 3/04 "Bazooka Protocol" EPP with MDLF "Protocol 6 with patches"
    ER/MESA 4/10 ER 9 eggs retrieved MESA success found live swimmers :)
    Fertilization Report 6 eggs mature and ICSI'd 4 eggs fertilized normally
    Day 6 Report to Blast for CCS 4/16: 2 DAY 5 BLASTS BIOPSIED FOR CCS a 4AB and a 3AB!!!!
    CCS Results BOTH BLASTS CCS NORMAL!!!!!!  call on 4/24
    Regroup call to discuss CCS results and FET call on 5/20
    FET prep: CD 1 6/08 CD 3 Start BCP 6/10, HSG 6/12 Lupron Start 10 iu 6/17 End BCP 6/21 CD 1 6/23!!!
    Start vivelle patches 6/25 change e/o/d reduce Lupron to 5iu 6/25 Blood Draw 7/01, 7/08, 7/15, 7/19
    Increase vivelle patches 7/03 2 change e/o/d and 7/05 change e/o/d 3 and 7/07 4 change e/o/d add vaginal estrace 2x a day
    Lining Check/Blood Draw 7/08 and 7/15 End Lupron 7/18  Start PIO 1ml daily 7/18  Blood  Draw 7/19
    Flight to clinic 7/22
    FET 2 CCS BLASTS :):)  7/23 :):) YES YES both thawed and both fully expanded :):)
    7/26 :):) 3dp5dt PM very very faint positive FRER
    7/27: 4dp5dt Neg Digi AM but very very faint positive FRER PM POSITIVE DIGI CLEARBLUE PREGNANT 1-2 :):) 
    7/31:8dp5dt AM POSITIVE DIGI CLEARBLUE PREGNANT 2-3!!!! :):) 
    Beta 1 8/01= 408!!!!!!!!!! at 9dp5dt FET
    Beta 2 8/03 = 1014!!!!!!!!!! at 11dp5dt FET
    8/05/2015 AM POSITIVE DIGI CLEARBLUE PREGNANT 3+!!!! :):) 
    First Ultrasound: 8/20!!!!!! TWINS!!!!!!!!!!!!!!!!!  Genetics says BOTH BOYS!!!!!!!!!
    Second Ultrasound: 9/03!!!!!!!!!!










     










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    GK2009GK2009 member
    The doctor was nice, but pretty quick with me.  I was shocked and upset so I wasn't ready with any questions and he didn't give me much information.  He said that my estrogen level was 200 and my lining was looking good, but the eggs just weren't responding.  I had my ovarian reserve tested in February and the numbers were "great"-- when it was last tested they said I had a DOR.  So, that was a strange discrepancy for me.  For now, they said that they would call me later to discuss next steps.  He said he may use the trigger shot or progesterone to help me get my period in about 2 weeks... but "we'll see."  So, the whole thing is confusing.  He also said that at best the most eggs he thinks he can get from me would be 5 or 6.  I don't know how he knows that...

    Have you all tried on your own after a cancellation?  I have one blocked tube so my chances are always cut in half anyway.  I also have a history of MC so I am always so frightened to try on my own. 
    image
  • Options

    Can you schedule a consult with your RE to discuss your next protocol/plan?

    We are unable to try on our own because of Dh's dx. 

    H: 34 dx Azoospermia due to CBAVD from CF  
    ME: 39 IS FINE!!!  DOR and poor AMH/FSH/LH
    IVF/ICSI/PESA #1 Beta 1 373 Beta 2 1783 BOY/GIRL TWINS!! Born April 2010!!
    Natural FET 5/26/12 2 blasts Beta 1 207 Beta 2 513 Beta 3 1377 U/S 6/28 Pregnancy not viable d & c scheduled :( 
    IVF/ICSI/PESA #2 ER 11/15/12 Nothing to transfer :( 
    IVF/ICSI #3 April 2013 MDLF 3dt of 3 embryos, chemical :(  
    IVF #4/ICSI/MESA/CCS/FET EPP April 2015
    ODWU CCRM with Dr. Sch COMPLETE!!!! Put on acai supplement they are studying for DOR and embryo quality.
    DAY 3 Labs Drawn 2/26 put on vitamin D and calcium supplements
    Regroup and Protocol Reveal 3/04 "Bazooka Protocol" EPP with MDLF "Protocol 6 with patches"
    ER/MESA 4/10 ER 9 eggs retrieved MESA success found live swimmers :)
    Fertilization Report 6 eggs mature and ICSI'd 4 eggs fertilized normally
    Day 6 Report to Blast for CCS 4/16: 2 DAY 5 BLASTS BIOPSIED FOR CCS a 4AB and a 3AB!!!!
    CCS Results BOTH BLASTS CCS NORMAL!!!!!!  call on 4/24
    Regroup call to discuss CCS results and FET call on 5/20
    FET prep: CD 1 6/08 CD 3 Start BCP 6/10, HSG 6/12 Lupron Start 10 iu 6/17 End BCP 6/21 CD 1 6/23!!!
    Start vivelle patches 6/25 change e/o/d reduce Lupron to 5iu 6/25 Blood Draw 7/01, 7/08, 7/15, 7/19
    Increase vivelle patches 7/03 2 change e/o/d and 7/05 change e/o/d 3 and 7/07 4 change e/o/d add vaginal estrace 2x a day
    Lining Check/Blood Draw 7/08 and 7/15 End Lupron 7/18  Start PIO 1ml daily 7/18  Blood  Draw 7/19
    Flight to clinic 7/22
    FET 2 CCS BLASTS :):)  7/23 :):) YES YES both thawed and both fully expanded :):)
    7/26 :):) 3dp5dt PM very very faint positive FRER
    7/27: 4dp5dt Neg Digi AM but very very faint positive FRER PM POSITIVE DIGI CLEARBLUE PREGNANT 1-2 :):) 
    7/31:8dp5dt AM POSITIVE DIGI CLEARBLUE PREGNANT 2-3!!!! :):) 
    Beta 1 8/01= 408!!!!!!!!!! at 9dp5dt FET
    Beta 2 8/03 = 1014!!!!!!!!!! at 11dp5dt FET
    8/05/2015 AM POSITIVE DIGI CLEARBLUE PREGNANT 3+!!!! :):) 
    First Ultrasound: 8/20!!!!!! TWINS!!!!!!!!!!!!!!!!!  Genetics says BOTH BOYS!!!!!!!!!
    Second Ultrasound: 9/03!!!!!!!!!!










     










  • Options
    NB817NB817 member
    Ugh I'm so sorry! This all sucks that it got cancelled and that you are left with more questions than answers. I'm don't know enough about this to help but wanted to send you HUGS.

    ME: 35 DH: 39

    Married July 2011

    DD Born 8/12

    TTC #2 since 11/13

    ME: Submucosal Fibroid Surgery Date APRIL 14th 2015 -Left Tube is blocked by Fibroid~Surgeon removed 26 Fibroids from my Ute and Unblocked my Tube

    DH:Azoospermia...Thank God we have 12 vials of frozen swimmers

    July 15-Check to see if Ute is all healed

    IUI #1 8/3/15...BFN

    IUI #2 9/5/15...BFP on 9/17/15

    Beta #1-344

    Beta #2-809

    Beta #3 8,390

    1st u/s 8/8/15 1 bean HB 135 @ 6w5d



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    CTinNVCTinNV member
    edited July 2015
    I'm reading all this and very disappointed they did not communicate better with you.

    Just like @efhoping2010, I am a poor responder. Changing to what is often known as the "microdose Lupron flare" protocol and getting on HGH improved my mature egg quality. I have only ever had about 6 to 9 eggs taken from me for all three cycles though.

    I agree with all the girls that you assert your (very reasonable) needs with the doctor and at least schedule a phone consult for more information in the next couple days. You are right to get answers on this, especially if your insurance only pays for one cycle.

    GL and keep us updated! (((hugs)))

    Me: 35 DOR - AMH 1.1 FSH 5.6

    DH: 39

    09/01/10 - First pregnancy - my sweet son was born 

    04/25/14 - Miscarriage at 9 weeks - Turner Syndrome 

    08/01/14 - Miscarriage at 8 weeks - Trisomy 9 

    October 2014 - Unsuccessful IUI 

    November 2014 - IUI month skipped due to cyst 

    December 2014 - Unsuccessful IUI 

    January/February 2015 - Failed IVF (standard long protocol) - 7 eggs, 6 mature, 4 fertilized (ICSI), 0 made it to blast, 0 for testing 

    March/April 2015 - Microflare IVF protocol with HGH - 6 eggs, 6 mature, 5 fertilized (ICSI), 2 blasts for biopsy! 

    May/June 2015 - Microflare IVF protocol with HGH - 9 eggs, 6 mature, 5 fertilized (ICSI), 3 blasts for biopsy!

    06/18/15 -  Two healthy embies based on PGS testing by Natera!

    June/July 2015 - FET cycle with estradiol & PIO shots, a Neupogen treatment, and accupuncture

    07/08/2015 - Transferred one lovely embie 

    07/17/2015 - Beta #1 136

    07/20/2015 - Beta #2 529 -- BFP!!!

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    GK2009GK2009 member
    Thanks everyone!  I appreciate your advice and support.  You motivated to get my doctor on the phone and get some answers.  They told me not to try on my own because of my tubal issues.  Instead, they are starting me on Provera tonight for the next 10 days which will bring on my period.  Then they are going to do Lupron injections combined with the Lo Dose HCG and Gonal F.  The Lupron will be twice a day so it will be 4 injections off the bat.  They told me to remain optimistic and that the first cycle is really about establishing a good idea of which medicines work for me.  So, there it is for now...
    I am sorry we are all in this boat together, but it is nice having your support.  Wishing you all well!
    image
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    I am so sorry! I would be very upset too. We also only can afford one shot at IVF and it's stressful having all your eggs in one basket, literally! Is it an option to convert to IUI this cycle? That would probably be my choice if I were in your situation. I am glad you have a plan for moving forward. Hang in there!
    ~~ All Welcome~~
    ME: 32, SER aggregates on eggs, anovulatory
    DH:  33, 2% morphology
    TTC #1 
    2 clomid cycles, 3 hybrid clomid/bravelle IUI's = 4 BFN/1 CP@ 5.5 weeks
    IUI #6 -Follitism IUI cycle converted to IVF and back to IUI-4 mature, 3 maybe mature = BFP!!   DS Born 9/2014
    TTC#2 
    IVF #1 9/15 Antagonist- 19 R 1F (Frozen day 1 @ 2PN stage) Diagnosed with SER aggregates in 13/19 eggs after failed fertilization
    IVF #2 11/15 Antagonist w/ICSI  (Higher stims & Letrosole added last minute on stim day 7)- 39R, 24M (20/24 SER free), 15F (14/15 SER free & all frozen @ 2PN stage) 
    FET#1 Cultured all 16- 2pn embryos to day 5- transferred 1 good hatching blast and 1 early blast on 1/28- None to freeze - beta 2/5

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    GK2009GK2009 member
    Thanks! I am trying to stay hopeful for next time. I certainly have all my eggs in one basket... I just wish there were more. Haha! Unfortunately, I can't do IUI because of issues with my blocked tube. So, I have to try my one cycle and pray for the best!
    image
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    I am so so sorry that your cycle was canceled!  ((HUGS))



    imageimageimage
    image
    My FF Chart:
    http://www.fertilityfriend.com/home/490dd7
    TTC #3 since June 2013
    BFP #1 7/21/2013--EDD 3/30/14--D&C 9/24/13
    BFP #2 1/28/14--MC 2/7/14

    IUI #1 5mg Femara + trigger = BFN
    IUI #2 5mg Femara + trigger = BFN
    IUI #3 5mg Femara + trigger = BFN
    IVF #1, Stimmed for 12 days, ER 8/22/14, 9 retrieved, 7M, 7F!!  Freeze all due to fluid in uterus.
    FET end of October 2014 cancelled due to fluid in uterus due to possible c-scar defect
    Surgery scheduled 12/12/14 to fix possible isthmocele
    3/26/15 transferred one 8 cell grade 4 embryo and one 6 cell grade 3 embryo = slow rising betas for 2+ weeks = ectopic MTX shot 4/29/15
    Repeat c-scar surgery June 2015
    2nd and last IVF cycle August 2015, stimmed for 12 days, 2 egg retrieved, both mature and both fertilized.  Transferred both 8-cell embryos on Day 3, beta 9/5/15 = BFFN
    MOVING TO ADOPTION!  


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