Infertility
lrauch01
member
Anyone change practice after second opinion? (Child mentioned & loss mentioned)
lrauch01
member
in Infertility
Wondering if anyone changed fertility practices after a second opinion and their feelings about that decision? Little background my DH and I had our DS 2.5 years ago after our second natural cycle IUI. I have low ovarian reserve and my husband has decreased sperm count. We were in the city at that time and have since moved to the suburbs and started with a different doctor. We’ve been with our current practice the past 18 months and have had 6 IUI, 1 miscarriage, 1 FET (BFN) and 1 IVF with no viable eggs. We met with a second practice yesterday and the doctor had some really interesting ideas how to make my next few rounds of IVF successful, but I feel like I’m somehow “cheating” on my current doctor. Anyone else been in the same position?
Re: Anyone change practice after second opinion? (Child mentioned & loss mentioned)
Diagnosis: Mild Endo, DOR (AMH of 1.5), Poor Quality Eggs/embryos, Displaced Window of Implantation (ERA Post Receptive)
March-May 2016: 1 TI and 2 IUIs- BFN
June 2016- Laproscopy- found/removed mild endo and confirmed only 1 normal healthy ovary.
August 2016- IVF #1 with Antagonist Protocol- Cancelled (2 lead follies), converted to IUI- BFN
Oct-Nov 2016- IVF #2 with Estrogen Priming Micro Lupron Protocol, 2 eggs retrieved, day 3 transfer of 1- BFN
January 2017- New RE, IVF#3 with Estrogen Priming Antagonist Protocol, 12 eggs, 8 mature, 6 fertilized, 2 day 5 early blasts transferred (none to freeze
May 2017- Sept 2017- Starting Donor Egg process! Waiting for donor to be available... and then she is pregnant at baseline
Oct 2017- Donor #2: 25R, 22M,18F, 12 blasts frozen! Fresh transfer cancelled due to thin lining with fluid
Nov 2017- Hysterscopy to remove polyp
Dec 2017- DE FET #1 on 12/8 on 2 perfect blasts- BFN and devastated
Jan-Mar 2018- ERA #1- Post receptive by 24 hours, ERA #2 RECEPTIVE with 4 days of Progesterone
Apr 2018- DE FET cancelled for lining issues
Jun 2018- DE FET #2 of two 1AA blasts- first BFP ever! Beta 10dp5dt- 378, Beta 14dp5dt- 2840, Beta 16dp5dt- 4035, beta 18dp5dt- 10916. Due on 2/20 with one baby after a vanishing twin
Baby Born born early @ 33.5 weeks due to Pre-e
Back for # 2!
Multiple months of Clomid/Femara
End of March 2015: BFP with Femara! Saw heartbeat at 5.5 weeks. M/C at 11 weeks
Multiple more months of Femara
IUI #1 with Femara and Follistem 75 units: BFN
IUI #2 with Follistem 150 units: BFN
Dec 2015: 1st IVF. 10 eggs retrieved with 8 eggs fertilized. 5 day transfer of two embryos with 2 frozen embies. BFN
January 2016: FET #1 2 embryos: BFN
March 2016: 2nd IVF cycle. 4 eggs retrieved with 2 fertilized. Quick two day transfer of both embryos: BFN
April/May 2016 IVF #3. 11 eggs retrieved. 10 mature. 7 fertilized. 2 5AA blasts transferred 5/11/2016 BFN
September 2016 IVF #4: 17 follicles growing, premature ovulation through Cetrotide. Retrieval cancelled.
April 2017 IVF #5: 9 follicles growing, 6 eggs retrieved with 5 fertilized. Transfer of three blasts. BFN
June 2017: IVF #6: 2 follicles growing, 5 eggs retrieved with 5 fertilized. Transfer of 5 3-day embryos. Chemical pregnancy. BFN
Nov/Dec 2017: Donor egg cycle. 33 eggs retrieved, 26 mature. 26 fertilized.
MFI (High DNA Fragmentation) & Mild endometriosis
Aug 2016 - May 2017 6 IUI's with letrozole - BFN
April 2017 - laparoscopy to remove mild endo
June 2017 - Mini IVF letrozole 12.5mg, Gonal-F 75IU - Cancelled early ovulation, no eggs retrieved.
Aug/Sept 2017 - Mini IVF letrozole 12.5mg, Gonal-F 75IU, cetrotide - 13 eggs retrieved, 11 mature
5 eggs ICSI'd 6 eggs frozen - 1 day 5 blast transfered, 2 expanded blast frozen - BFP!
May 2018 - Baby girl born - Our Joy
TTC #2 since July 2019
July 2019 - FET - BFN
Jan 2020 - FET - canceled due to family health issues
Mar 2020 - FET - low beta - chemical pregnancy
July 2020 - ICSI'd remaining 6 eggs - 3 fertilized - 2 survived to early blast stage, transfered both - Chemical Pregnancy
It was much easier than I thought it would be to switch - I had all of my records from my previous clinics, and the timing (natural start, no priming) was such that our initial consultation with the new RE was on 8/31 and my egg retrieval was not quite a month later on 9/28. I agree with previous posters that you have to look out for yourself and do what’s best for you.
Incidentally, my old RE is joining my new RE’s practice next month. One of the nurses suggested that that might be awkward for me, but honestly it didn’t even cross my mind. I think I had even talked to her (my first RE this year) before about looking into other doctors/clinics/labs since it wasn’t going so well for me. I think it’s very reasonable.
Married 6/18/16 (Me 42, DH 44), TTC #2
***TW***
As of 12/2016: AMH 1.42, FSH 6.1, AFC ~10
Self-benched Nov-Dec 2016 for
IVF #1 Jan-Feb 2017 (OCP, testosterone primed antagonist w/HGH - ER 2/2/17 - 12R, 7M ICSI'd, 3F, 0B)
IVF #2 Mar-Apr 2017 (testosterone primed agonist/luteal lupron w/HGH - ER 4/8/17 - 10R, 8M, 8F, 5B, 1 PGS normal)
IVF #3 May-Jun 2017 (testosterone primed agonist/luteal lupron w/HGH - ER 6/4/17 - 14R, 5F, 3B, 0 normal)
**New RE**
IVF #4 Sept 2017 (natural start microdose lupron flare w/HGH - ER 9/28/17 - 33R, 18F, 10B, 4 PGS normals!)
FET #1 (medicated) of one PGS normal 4AA XX 11/2/17 - Beta #1 11/11/17 (153), Beta #2 11/13/17 (324), mc at 5w1d on 11/19/17
IVF #5 Dec 2017 - Insemination of 9 frozen eggs from 2012 (8F, 1B, 0 normal)
Jan 2018 - Natural cycle ERA (normal/receptive) & stimming for
IVF #6 Jan-Feb 2018 (natural start microdose lupron flare w/HGH - ER 2/3/18 - 17R, 6M, 4F, 0 blasts)
IVF #7 Feb 2018 (natural start microdose lupron flare w/HGH - ER 2/26/18 - 19R, 9M, 9F, 4B, 2 PGS normals)
FET #2 Apr 2018 (natural cycle w/o trigger, w/P4 support) of one PGS normal 4AA- XX 4/5/18 - Beta #1 4/14/18 (67), Beta #2 4/16/18 (231)
Rainbow baby girl born 12/16/2018 (via c-section, induced at 39 weeks)
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TFAS!
FET #3 Dec 2019 (natural cycle w/o trigger, w/P4 support) of one PGS normal 3BB XY 12/16/19 - Beta #1 12/24/19 (139), Beta #2 12/27/19 (482)