September IVF

DecemberDoll27 · September 2017

@cxsimo08 thanks for the kind words! I am sure my job will be fine and my family has priority right now.

AFM, I am starting to get anxious for the transfer. Especially since I don't have any info on the embabies! This is cruel! I am hoping for one to transfer and one to freeze :-) but out of only 7 eggs that is probably wishful thinking

emmasemm · September 2017

@cxsimo08 good luck with the TS tonight!
I don't take any Menopur so I haven't had to do any of the mixing
Its amazing how dehydrated the Ganirelix makes you, I normally drink 3 liters a day and at the moment I'm approaching 5 liters a day since starting the Ganirelix!

@decemberdoll27 thanks! And good luck for your transfer tomorrow! I'm nervous with you to hear how many you have and how it all goes!

@cxsimo008 @businesswife @adirat the whole "what to say to work" question is a tough one. So far I've taken all 7am appointments so it didn't interfere, but so far I haven't said anything about a day off for ER as I couldn't be sure how the stims would work - so if we go ahead I will go into work in the morning and say I need a medical procedure and day off on Wednesday. If anyone does find out the idea of saying you're planning on FET is a great one thanks @adirat!
My 2.5 years of passing on alcohol I've put down to the other meds they know I'm taking for my RA.

I have only worked with this team for a year and they are all guys, half have a bunch of kids already and the other half have said they are no way having any. So I would not expect much understanding. Also here in Germany, whilst we are very lucky with maternity leave, at the same time this means nearly everyone assumes all women will take several years off after kids and then only come back part time, so it's almost impossible to get promoted if they think you're about to be KU. It's especially so in my company which is very traditional. The team I'm in also all think everyone gets KU straight away (based on several dinner conversations). So if I need to spend another 2-3 years trying, basically telling anyone would put my career completely on hold for that time.

[Deleted User] · September 2017

@emmasemm I'm not sure I realised you were in Germany! It's the language I studied most in school I just don't often get to practice! That's a lot of the kind of thing I'm concerned with. Not that they are necessarily traditional about things - one coworker I told is very excited and supportive but doesn't understand the first thing about ivf so I've been having to explain a lot to her and talk more about it than I planned on lol - but with my managers, I would like very much to keep moving up as quickly as possible to collect a better wage during mat leave, and if they think I'm going to just turn around and take leave / come back parttime (which I would actually LOVE to do), I'm afraid they might hesitate to move me up. Idk. I will have to tell them eventually when I'm ku. For me it's more the personal nature of infertility I wish to keep some anonymity about. Plus, avoid any judgements down the road if we happen to get ku again rather quickly, like they will know we planned it! Lol

emmasemm · September 2017

@businesswife - yep I'm a Brit in Germany, having got here via China, the US and a lot of flying around the world.
How long did you study German for? I did a couple of years at school and it at least gave a good base when I arrived here 20 years later!

And I know what you mean about the side of telling people which will just trigger lots of questions and "how's it going" conversations. Someone on one of the posts suggested if the guys started asking questions to just ask if we can talk about how well their penis functions first... but I think I might end in HR if I did that lol.
In general neither DH or I are the kind of people who share all the details of our life very widely. We haven't told our families as they would be asking every day, which we feel would just add to our stress at the moment.
If we need money at some point to keep funding treatments then I guess we might need tell my parents and ask them for help. Also both my parents have health issues at the moment so we don't want to add to their worries.
Have you told family?

[Deleted User] · September 2017

@emmasemm I studied it all four years of high school, and then took German Lit in University as well! Just the one more year, plus all my singing. ;) lol about asking them how their penis/testicles were doing! :D. I am lucky at least it's mostly women I work with, but still. Just not something we need to share with the world right now. Our mothers don't even know, but I'm supposed to tell my boss??? GTFO Right? The only one in the family who knows is DHs sister, and even that he sort of teases me for telling her bc I think he wishes no one knew. Then a couple very close friends, but that's it. I think we would much rather be able to wait to tell people good news finally, if we can help it, than have them worrying about every step of the way, or making our whole pregnancy and the baby about our infertility. Because that's not really fair either, to us as parents, or to the kid. But who knows, maybe we aren't giving people enough credit? Lol but I'd still rather wait and see how it goes first...

I know because of the MFI, DH really feels like how we conceived our child is nobody's business, but maybe in time he won't feel so ashamed, I hope.
*typos

cmiller73 · September 2017

@emmasemm @BusinessWife I work in retail and told my boss right up front (letting him know it was confidential obviously) and was surprised when he was very understanding and shared that there was a peer of mine who had struggled with fertility with his wife for years (and clearly was an over sharer on details since my boss was very knowledgeable about the process!) The previous two cycles and FET I was able to use PTO and plan accordingly and have the support of my hubby. This time, not so much. Hubby has a 'cannot miss' work trip filled with high level presentations Monday thru Thursday this week. I know he feels horrible, but I feel worse because I really have no idea how I am going to get this done without him

. We are very private people and being so, do not have a friend group that can take me into my ER! my parents (closest to us) do not know and are a last resort. I have two coworkers who have offered to help, but depending on what day it is, they might not be able to drive me. This is a mess.

AFM, I had my second monitoring and we have 11 measurable with a bunch just under 10mm. The largest one is already 18x15mm (33mm diameter and only 2mm away from my RE's threshold) with 3 more only 3mm away. They generally trigger when there are 2 follies at threshold. So today, today I am freaking out.

If I trigger tomorrow I will have someone who can drive me the 2 hours to the hospital and be there to drive me home. If I trigger Tuesday, I have no idea what I can do. If I trigger Wednesday (which is probably not happening since they would need to potentially sacrifice the front 3-4 follies in the hopes the others make up for their loss) then hubby will be back to drive me to ER Friday and give a fresh sample.

Talk about putting ALL of your hopes in technology and medical expertise. We are potentially hoping that we have better results, with less follicles, with frozen sperm, with me *hopefully* having a way to get to the ER. Oh, and we are 100% OOP. Friggin' awesome.

Yay for IF.

[Deleted User] · September 2017

@cmiller73. Oof, that's a pickle. It's rarely smooth, is it? My best advice is to try and relax about the details, bc it's going to be when it's going to be. :/ if it makes you feel any better, <i>all</i> our samples are frozen! Lol. People do it every day. And I still would think frozen "fresh" samples would hold up better than frozen surgically retrieved ones. So try not to worry about that if it comes to it. If you'd rather not involve anyone, can you just call a cab or über? May be less personal, but I'm sure people have cabs take them home all the time. In fact I <i>know</i> I saw one waiting for a patient when my husband had his procedure. The details will have a way of working themselves out. You just have to make good care of yourself, eat and rest well, and show up! ;)
*typos / italics

cmiller73 · September 2017

@BusinessWife I get to go through the 'what ifs' at my monitoring tomorrow morning. I have been told that they will not release me to a cab/uber since ill have been put under so need a 'supervisor' hahah sheesh! Im sure it will all work out. Would love it if where I had the ER was closer. I get a 2+ hour drive into downtown Boston. AWESOME.

Thanks for the advice on your* samples hehe. I feel like we all sort of forced this cycle and should have waited a month, but that 44th bday is just around the corner so we went for it. Looks like I will be meditating a lot over the next few days....

sunnyrain2 · September 2017

@cmiller73 A couple of years ago, when I needed to have a surgery but I didn't have anybody in the area that could take me I found someone on care.com to drive me and stay with me for most of the day just in case I have any adverse effects to the anesthesia. That worked really Well for me

[Deleted User] · September 2017

<blockquote class="Quote">
<div><a rel="nofollow">sunnyrain2</a> said:</div>
<div>@cmiller73 A couple of years ago, when I needed to have a surgery but I didn't have anybody in the area that could take me I found someone on care.com to drive me and stay with me for most of the day just in case I have any adverse effects to the anesthesia. That worked really Well for me</div>
</blockquote>
That is a great idea! Maybe worth a shot!

@cmiller73. Ouch 2 hour drive each way is rough. :/
*I hate autocorrect

cmiller73 · September 2017

@sunnyrain2 @BusinessWife OOOH! I forgot about Care.com. Will def look into that if it comes down to it. Thanks for the recommendation!

Hopeful_mom · September 2017

cmiller73 hey lady - just saw ur name and wanted to wish you all the luck! Sorry you have so many things stressing you out!!! IVF is not fun to say the least! Are you doing the same protocol? I actually hope ur follies take time growing so your OH can be with you I just feel like you'll feel more relaxed then. Wishing u all the best!!

emmasemm · September 2017

@cmiller73 fx for your monitoring and that you are good to go (but not too fast)

@businesswife exactly my feeling - I hate "having" to tell people. And whilst these things are supposed to be confidential at work, I know in the management team how many things I hear which I am sure I shouldn't.

@decemberdoll27 good luck today for the ET and for some frosties!

Well I have two big enough follies! My lefty popped out of hiding and grew 6mm since Friday and is 16mm! So now I have that one and a 24mm on the right. This time last week I would have been disappointed, but now I am super excited to see if we can get at least one egg from between them.
Trigger late tonight, then ER is set for Wednesday morning (very very early 6am first on the list).
If we get eggs then they will call on Thursday with the fert report and if the plan for Friday late afternoon ET is still good to go.
But for today one step at a time.
Just told my boss I will be out on Wednesday, and also prepared the ground in case I want to WFH on Thursday. Friday I already have a day off booked.

loverin · September 2017

Had a monitoring appointment this morning. As he said "You're taking the long road" lol So apparently my follies and me are just taking our sweet time. But he gave me paperwork and instructions for ER and is waiting on my blood work to see if he wants to see me in the morning again or if he'll make a decision based off of that.

How many days after trigger did you do ER?

Also, a little gratification in this. My DH is very sweet and loving but I think he has been a little oblivious to how uncomfortable it has gotten at this point with the bloating and ache (and headaches and nausea...you know, ALL the fun). So he went with me this morning and as we are walking out he was talking about how there were little clusters of follies and he said "It just made me think 'no wonder she's so uncomfortable.'" THANK YOU haha

Image: https://us.v-cdn.net/5020794/uploads/editor/xj/lkyrbn7dqjkc.gif

adirat · September 2017

@loverin Haha I'm glad he gets it! And fabulous gif choice

@emmasemm That's great news about your follies! BTW I saw the idea in the low amh thread to try estrogen priming -- that's what my RE put me on because of my low AMH for my age and my known predisposition to poor IVF response. Obviously it's too soon to know if it helped me but I wanted to second that suggestion if you go to a second round of stims. (Plus, the estrace is just pills -- no additional injections! Yay!)

loverin · September 2017

@emmasemm Like you said, one step at a time! Are you doing a 3 day transfer?

@cmiller73 have they told you when you're to trigger? Hate the added stress of getting to and from your appointment on top of IVF, it never seems to be simple does it? It sounds like the ladies gave some good suggestions though, I hope you won't need them but at least you have options if you do!

@DecemberDoll27 when are due to transfer? Sorry if I missed it in one of the comments!

@adirat Menopur is a beast, I always do that one first because I dread it the most! Honestly at this point I prefer doing my own shots (we'll see how I feel once I get to the trigger and progesterone

). The first couple of times were rough mentally but once I'd done it twice I felt more comfortable with it! I agree with @Decemberdoll27 that for me, the place it hurt the least (or not at all) was an inch or two under my belly button and over just a tad. The ones that have hurt the most were further out on my stomach.

@sunnyrain2 I'm glad you fought for what you wanted and got him to do ICSI on all of them! My RE told me that once you're spending this much money to do IVF you might as well if you think that could possibly be an issue (for us MFI, it obviously is).

sunnyrain2 · September 2017

@loverin ER will be 34-36 hours after trigger. It has to be very precise so that the follicles have gone through the final maturation process but you have not ovulated yet

cxsimo08 · September 2017

@cmiller73 Do you know if you're going to trigger today or not yet? I grew up in MA (I live in NYC now) but If you get stuck I can ask my mom to come get you. Seriously, she's a sweetheart and I don't need her here with me because my husband took off work for my retrieval tomorrow. I hear you on Boston traffic- it can be a bear! Do you know what time your retrieval would typically be? I'm guessing around rush hour given the extra time.

@emmasemm I work with all men too and it's not easy- they just don't get it. I can't even imagine on top of that living in a country where the expectation is that you won't come back for several years so they hold off on promoting women who are trying- thats terrible. With that situation I would not say anything either but it's got to be such a burden on you with appointments etc. maintaining that.

AFM, I did my trigger last night for retrieval tomorrow. I'm super nervous because of last IVF with no Blasts on D5 so my doctor is willing to do a D3 transfer - I think i'm going to do 2 eggs, ICSI on all. HCG is hitting me hard this time and just praying for no hyper-stimulation like last time.

latvaughanash · September 2017

Still reading through everyone's updates from the last few days, so much is happening!

Had my first official appointment this morning to get all my meds, as well as my first shot of Menopur, then will do Gonal-F at night. Feels good to finally be on the same page. Now just hoping and praying everything works as needed!

emmasemm · September 2017

@loverin nothing wrong with slow and steady! I feel like an express train - and I'm not sure where to find the breaks yet!
I will trigger tonight and then to ER Weds morning. He has timed me for 34 hours after trigger, though normally he allows 36-38 but said he doesn't want to risk I O before. so similar to what @sunnyrain2 said.
And yes, OMG the nausea and headaches. Today at work when I was retching twice in one meeting someone asked if I was KU, and I thought OMG if only you knew how much I wish that were true!

And yes it's what my RE is calling day 3, it will be about 2.5 days post fertilization (if we get eggs and they fertilize and last that long...). He's being really cautious and wants any embies back in asap.

@adirat I discussed with the RE today, and he said yes we will definitely look at priming next time, but wants to see how ER goes before he makes a specific recommendation for what and how long
How are your stims going? When is first monitoring?

@decemberdoll27 hope everything is ok with you?

@cmiller73 all set to be my trigger buddy tonight??? Or are you hanging in there for DH to be back?

@cxsimo08 how have you been feeling since trigger? Fx for tomorrow for you!!! Let's get this week off to a strong start!
And so lovely of you to offer your Mum's services to @cmiller73

@latvaughanash welcome to the stim party!!! Hope your first Menopur goes smoothly too!

@businesswife how is stimming second time around?

Oh what a busy little board we are this week :-)

adirat · September 2017

@emmasemm That makes sense. I hope the priming helps you. My first monitoring ultrasound is tomorrow! Eek!

DecemberDoll27 · September 2017

We did the transfer today! YEY! One perfect blast is happily chilling in my uterus right now! This is still surreal to me! And we also got one to freeze. Two more are still growing and will be frozen if they get to blast tomorrow! I am so excited! Beta is next Friday and I promised my DH not to test at home. Gave in my secret stash of HPT's. ( I totally should have kept one hidden but it is too late now) My RE seemed very pleased with the cycle. Now the wait begins... But I get to cheer for you guys so it should go fast!

@latvaughanash Yey for the first shot! Hopefully Menopur will go smoothly for you!
@cxsimo08 Take care of your self today, get some rest! Try not to stress too much! It is a good thing that your RE agreed for a 3 day transfer. My RE said that some embryos tend to do better in the uterus than in the lab so I hope it totally work for you.
@sunnyrain2, how is it going? It is really hard not to know how the embryos are doing, so hang in there
@emmasemm I still keep everything crossed for you! Remember it only takes one! Hopefully everything will work out for the best
@loverin I bet it is the best feeling ever to hear something like that from DH!

I am sorry if I missed anybody, they made me take Valium before the transfer so I am still a little woozy.

emmasemm · September 2017

@adirat eek! Indeed! Very exciting fx for you!

emmasemm · September 2017

@decemberdoll27 woohoo! Congrats on being PUPO!!!
And fx your other two join the one already in the freezer tomorrow!

And oh I did laugh at your secret stash... you know, you could always get one from a shop between now and then ;-)

I don't have any in the house as I can't trust myself on any day in my cycle... though I am thinking I should get some to test if the trigger has taken in the morning and then to test it out, but only for trigger testing you understand ;-)

DecemberDoll27 · September 2017

Yea, I understand ;-) I am the same way, I comoletely lose control when there are hpt's present.

adirat · September 2017

Fingers crossed @DecemberDoll27 !

loverin · September 2017

I can't decide if I'm going to test at home! I want to badly so I can go in knowing the likely answer but I don't know if I have the heart to chance a negative before I've prepared myself. I've gone back and forth on that so many times, what to do, what to do!

DecemberDoll27 · September 2017

@loverin I think that every situation is different! I used to test every month and tourture myself with bfn's . Now I think I will not test unless I have symptoms. TW *Last time I started gagging at toothpaste, burping all the time and my sense of smell went through the roof, sadly it was EP* TW One thing I mastered through 2 years of IF is patience.

cmiller73 · September 2017

@emmasemm I triggered TONIGHT TOO at 10p! (I guess its kinda not the same day since you are in Germany but heheh) YAY! I gotta say, after doing my own IM shot, I am feeling kinda like a superhero (albeit a superhero with a Chewbacca bandaid on her ass)

Microdose of hCg (1000mg or 1/2cc AND 40units of lupron)

@cxsimo08 thank you so much! I actually broke down and asked my mom (and ended up bringing her up to speed on what DH and I have been spending all our money on this year!) She is sworn to secrecy, and admitted that she is thrilled to do this for us since we are so self sufficient and never ask for anything. She also shared that her mom gave birth to her at 38 and her brother at 41! Thats something - even back in the day, naturally! I guess my mom's side rocks it with that later age high AMH.

@Hopeful_mom thanks lady! Hope all is well with you. I had hoped my RE would push me out a few days and sacrifice the few larger ones, but he was adamant about not losing ANYTHING. DH is so bummed out he is out of town. So am I, but it will be nice to have mom pampering me for a bit

AFM, ER is 10am Wednesday morning. Fert report the following day and then no updates until Monday/Tuesday of the following week. Then we biopsy the day 5/6 blasts and send for PGS. FX for a normal or two and a late October transfer!

But like @emmasemm said - for today, just one day at a time...

Thanks for everyone's support. This cycle was just so weird and different. I had thought I wasn't stressed until a few days ago when I realized I was clenching my jaw while driving and running through my scenario list while hurtling down the highway at 80. YAH. NOT CHILL at all.

Also, ladies, don't be afraid of doing IM shots yourself (I think after today I could do my own PIO) It was easy and I felt nothing - NOTHING. Only frustrating part was my boobs were in the way when I twisted to stab my cheek hehehe

cmiller73 · September 2017

@emmasemm Just read your post about POAS to check for LH, your RE doesn't bring you in the next morning for LH and progesterone labs? I have a 7:30 blood draw to check that the trigger worked... just wondering as it seems things are very different depending on what country you are going through IVF!

emmasemm · September 2017

@cmiller73 Go trigger buddy!!!
Nope, he doesn't bring me in for more blood tests today. They will take labs during ER tomorrow, but he said he has had enough of my blood lol. My lining looks great on US (he called it "text book"!!!) and said with only 2 follies he is not concerned about OHSS and without Ganirelix for 2 days and really being close to O on Friday if the trigger doesn't work then he thinks my body will anyhow.
He did say he can't stop me from POAS to check it myself though lol.

Really pleased it's worked out with your own mom :-)

I could see signs of stress creeping in since the first baselining, but DH had seemed super relaxed - until yesterday I realized he was not relaxed at all and was checking in with me every hour. Bless him. He's in even less control of this whole process than me, and he is just as much a control freak as me.

loverin · September 2017

@emmasemm and @cmiller73 I'm right behind you triggering tonight!

RE finally said what I'd been worried about, I don't have as many eggs showing as what they expect for someone my age (28). He sees 10-12 but we'll have to see. Retrieval set for 8 am Thursday, triggering at 8 pm tonight! Ive done pretty well so far throughout the process of not being too emotional but the lady set to do my blood work at the hospital lab got fed up with me (apparently my veins are really hard and awkward to get blood from) when she couldn't get blood. She stormed off and made someone else do it. Between that and the somewhat disappointing news from my RE I had a little bit of a cry on the way home but glad to at least be doing ER and just crossing my fingers for the best outcome.

Yay for PUPO @DecemberDoll27 , what a cool feeling

adirat · September 2017

I'm sorry to hear it @loverin

Did you ever have your AMH or AFC done? I'm in the same place as you (bottom 10% AMH for my age, also 28) and it stinks.

I had an u/s this morning and no noticeable response yet. I may have to increase my meds to get a response. I was pretty disappointed.

loverin · September 2017

@adirat I know they did a blood test this time last year to look at my hormone levels before we were referred to the RE, would they have looked at my AMH then? They said all my hormone levels looked good. I don't believe they did anything to determine AFC but honestly, they might have and I wasn't aware. My doctor is great at what he does and I trust him very much, but it is frustrating how little he communicates. It isn't done intentionally but it's very likely that one of the tests they did before IVF they looked at this and I wasn't aware that's what they were doing. They did an HSG, a SHG and a day 9 mock transfer to make sure all looked well but it doesn't sound like the right tests to determine either of those so maybe not.

I don't think they anticipated this being an issue since my age and all my tests have come back normal. I'm wondering if it has to do with such a delay in getting my ovaries stimulated? Last night was night 12 of stims and the first 5 days we were in a hurricane evacuation so I couldn't be seen. I went from taking 125 iu of follistim to taking 375 once he had seen me and realized I wasn't responding to a lower dose.

What day of stims are you on and what dose of meds? Sorry for the disappointing response, it's so frustrating to be doing all this stuff and to see your body just chillin, taking it sweet time or refusing to respond.

tinjp78 · September 2017

*lurking*

Aw @loverin doing IVF is already too tough and you don't deserve that treatement you got from your nurse today who couldn't do her job well. Her attitude is the problem and not your veins. Please feel better and relax. I'm cheering for you and your embabies!

DecemberDoll27 · September 2017

@loverin please don't stress out too much, be kind to your self, screw the nasty nurse! 10-12 follies is a good number and it does not mean that anything is wrong with you at all. Everybody is just different. I only got 7 and was crushed by that number, but now we have one in and one frozen! My AMH is actually over normal at 3.65( PCOS) and I still did not respond super well to the meds. Just try to relax and go through the process one day at a time! You are almost there. Ice cream and chocolate helps too. I know IF sucks but we all will beat it!

@adirat almost everybody gets their dosage increased after the first monitoring, I guess doctors just tend to start with a smaller dose for some reason. Hang in there. How long does your doctor plan to stim you?

@emmasemm ER tomorrow, that is awesome!!!!

@cmiller73 You are a rock star for doing IM shot yourself! I don't think I would ever be able to! And good luck with your ER tomorrow.

@cxsimo08 How did the ER go?

AFM, I don't feel any different being PUPO. Woke up in the middle of the night to a lower belly cramp and panicking now. I hope my contracting uterus did not squish the embryo.... I think crazy lady in me is making a comeback. I am over analyzing everything. Trying to stay positive though and talk to the embryo.

loverin · September 2017

@tinjp78 Aw thank you so much! You're right, her attitude had to do with her, it just boiled my blood! I'm cheering you on as well!

@DecemberDoll27 You're right, one day (and lots of ice cream) at a time! I'm not stressed so much as just concerned but I agree, it doesn't mean anything for the quality and we could still be in a good place! As for the nasty nurse, this is all I got for ya.

Image: https://us.v-cdn.net/5020794/uploads/editor/lu/eyknr3hj8354.jpeg

I'm sure your little emby is just fine and having a grand ol' time on it's new water bed

At this point, couldn't it also be implantation? Don't stress, you got this! I know the waiting is hard (and for me has been the hardest part so I can imagine the 2ww is not going to be fun) but keep busy and my fingers and toes and extremities are crossed for you!

adirat · September 2017

@loverin So frustrating

But I agree with @DecemberDoll27, be kind to yourself. Your response wasn't what you expected but it definitely could be the delay or just random variation, and you're still growing eggs! I started out on 150 IU Follistim but just got the call to increase to 225 IU Follistim starting tonight. I hope that helps kick things into gear!

@Decemberdoll27 I have no idea how long stims will be...he estimated 10-14 days but I have a genetic condition known to cause poor response to stims so it's hard to predict. I hope things pick up now. Too funny about your cramp story -- we have all been there! Remind me when your beta is scheduled?

DecemberDoll27 · September 2017

@adirat My beta is next Friday ( Sept 29th) and DH is already asking if I feel anything. Good thing is that with my promotion work will be pretty crazy for the next couple of weeks. So at least I will be occupied! And DH is commuted to make me nice and fat, he woke up before me and made me breakfast ( I normally just have coffee and a banana before work). His reasoning is that if I am hungry baby might not like it and would not implant. Well, since I am not allowed wine, coffee or sushi I will just enjoy lots and lots of other foods.

DecemberDoll27 · September 2017

UPDATE! My other two embabies made it to blast and we have 3 total that are frozen! I am so happy it hurts! Crying at work in my cube. Craze lady here!

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September IVF

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