Infertility

Low AMH Level

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Re: Low AMH Level

  • @hopefuljj can you not use your hashimotos and MTHFR, on top of IVF (DE) and over 35 to make you combined into a pregnancy that needs closer attention? And are you on any medications that a normal OB or midwife led pregnancy would not normally deal with? If anyone questions me I bring out my long list of issues and they soon let me have what I want ;-)
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

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  • Hey @emmasemm, Well I asked my doctor about the Hashimoto and MTHFR and he just gave me the look and said those don’t make you high risk but if you really want a high risk doctor I can recommend one of those instead.  So I dunno.  My sister then said high risk doctors are more likely to move to C section? Which I am sure is not true of all high risk doctors. But Anyway the only medication I took because this is a natural cycle was just endometrium inserts, twice a day for extra progesterone support, so still taking those but no other medications.  I take levothyroxine regularity but that is why I go to an Endo throughout pregnancy to monitor TSH.   I also secretly took low dose prednisone but we are talking super low and i weaned off it a little while back.  I’m torn on what to do! I’m also super nervous that the last two days I only felt gross and burpy and nauseous here and there instead of all day nausea as I have had the past 2 weeks but I need to just roll with it.  and long story short I guess I can pick whatever doctor I want.  I’m going to call a couple tomorrow and if I Pick one and it turns out I don’t like them I’ll just switch I guess. Lol. I’m just over here trying to play it cool and now I have to think about all this stuff.    
    Me: Hashimoto Autoimune Disease
    Homozygous MTHFR Cr677
    DOR - AMH  .27 High FSH (don't even know how high)
    2 iui's to start - BFN 
    IVF 1 -3 made it do day 5!    2 5AA 1 6BB  PGS results =  all abnormal :(
    IVF 2 - stimmed for 19 days. insanity. Had 5 follicles that looked mature but only 2 contained mature eggs the others were empty.  Nothing made it to day 5
    IVF 3 - added in HGH - 4 mature follicles (had some empties again) 3 made it to day 5/6 for PGS (held for testing with next retrieval
    IVF 4 - Upped my dosage for the first time - Canceled 11 days into sims - looked like 1 follicle and we were afraid it was empty
    IVF 5 - Canceled -  looked like 1 follicle and we were afraid it was empty
    IVF 6 - 3 mature, 2 fertalized 1 made it to day 5 and sent for PGS

    Sent in IVF round 3 and 6 (4 embryos) for PGS testing and got 2 normal embryos!!!  1Boy and 1Girl. Took a little over a year to get those two embryos so demanded all sorts of test prior to attempting transfer. Did EFT, ERA and NK Cells testing.

    FET#1 - Intralipid drips, Prednisone, and did a depot lupron shot before starting the FET protocol
    Chemical pregnancy
    FET#2 - PGS normal boy - BFN
    Natural pregnancy - cycle following the FET2????   Miscarriage at 8 weeks.  viability scan had shown an enlarged yolk sac so I had been warned that it was likely not chromosonally normal :(

    DEIVF cycle - picked a donor who is willing to be open! Her cycle resulted in in 4 PGS Normal embryos
    1st transfer - chemical pregnancy
    2nd transfer - success, May 17 2020 due date!
  • @hopefuljj maybe interview several doctors to see who  you like? Idk can’t help you with this part of it! Question about the MTHFR, I have a mild mutation of it, is there anything I should know about it? Wasn’t paying attention to that, only to the Fragile X diagnosis!
  • @lucyb1954 hey lady, 
    what mutation do you have?  I’m homozygous with the  C677T mutation.  The main thing with MTHFR mutations is to combat elevated homeocystine levels and to take L-methylfolate, or 5-MTHF instead of folic acid.   Some doctors think heparin or lovenox injections are necessary during pregnancy if you are homo for a mutation but others believe if your homeocystine levels aren’t elevated you should not.  
    People who carry two abnormal copies of this gene (homozygous 677TT) have around a 65% decrease in normal MTHFR enzyme activity. Heterozygous 677CT people have a loss of activity of around 30% So being hetero is much less of a problem.  I’d still switch to active folate over folic acid though if hetero.  
    Me: Hashimoto Autoimune Disease
    Homozygous MTHFR Cr677
    DOR - AMH  .27 High FSH (don't even know how high)
    2 iui's to start - BFN 
    IVF 1 -3 made it do day 5!    2 5AA 1 6BB  PGS results =  all abnormal :(
    IVF 2 - stimmed for 19 days. insanity. Had 5 follicles that looked mature but only 2 contained mature eggs the others were empty.  Nothing made it to day 5
    IVF 3 - added in HGH - 4 mature follicles (had some empties again) 3 made it to day 5/6 for PGS (held for testing with next retrieval
    IVF 4 - Upped my dosage for the first time - Canceled 11 days into sims - looked like 1 follicle and we were afraid it was empty
    IVF 5 - Canceled -  looked like 1 follicle and we were afraid it was empty
    IVF 6 - 3 mature, 2 fertalized 1 made it to day 5 and sent for PGS

    Sent in IVF round 3 and 6 (4 embryos) for PGS testing and got 2 normal embryos!!!  1Boy and 1Girl. Took a little over a year to get those two embryos so demanded all sorts of test prior to attempting transfer. Did EFT, ERA and NK Cells testing.

    FET#1 - Intralipid drips, Prednisone, and did a depot lupron shot before starting the FET protocol
    Chemical pregnancy
    FET#2 - PGS normal boy - BFN
    Natural pregnancy - cycle following the FET2????   Miscarriage at 8 weeks.  viability scan had shown an enlarged yolk sac so I had been warned that it was likely not chromosonally normal :(

    DEIVF cycle - picked a donor who is willing to be open! Her cycle resulted in in 4 PGS Normal embryos
    1st transfer - chemical pregnancy
    2nd transfer - success, May 17 2020 due date!
  • @hopefuljj I know the “play it cool, don’t do anything too early, wouldn’t want to jinx it” desire very well - but then the practicalities mean you can’t do that if you want the best doctors, hospital, options assessed etc... so I’ve typically rationalized it by doing all the investigative work early, so then I can be quick to make a decision when I need to or feel ok to (or when the offer is too good to miss...).
    I also know the “omg I didn’t have the same symptoms today” feeling. It starts around 3-5 days after a scan and peaks the day before the next one!

    @lucyb1954 I take L-methylfolate as was advised by my RE too as then just in case I have any issue with homocystine levels, since I have so many other issues - my levels were a tiny bit elevated on the three times tested but no MTHFR mutation.

    @31magnolia I always tested - testing for and out triggers and testing after transfer. I need data. 
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

  • Okay thanks! That’s helpful. I’m actually already on L methylfolate as it’s been really helpful for my depression/anxiety. I looked at my test results and I am heterozygote with a mysterious result I can’t decipher. It says NM_005957.4:c.665c>t(a222v). I was already on the methyl folate at the time of this test btw, I don’t know if that influences anything. When’s your next scan @hopefuljj
  • I’m still deciding on the HPT, but I did get the beta moved to Thursday. 
  • @lucyb1954 believe it or not that mysterious MTHFR mutation is more commonly called 677CT. That’s it’s fancy scientific name. Ok so that’s very common to be hetero for that, so taking the folate puts you in a great positon. Being on the folate won’t affect the test, you either have the gene mutation or you don’t. And luckily you only have one mutation which is way more common and less problematic than 2! My next scan is Friday! Can’t get here soon enough, lol. @emmasemm thanks so much for understanding lady:) I made a bunch of calls today, unfortunately my top 2 picks are both out of network but I did make 2 appointments with 2 other great options so we shall see! @31magnolia only 3 more sleeps till beta!!!
    Me: Hashimoto Autoimune Disease
    Homozygous MTHFR Cr677
    DOR - AMH  .27 High FSH (don't even know how high)
    2 iui's to start - BFN 
    IVF 1 -3 made it do day 5!    2 5AA 1 6BB  PGS results =  all abnormal :(
    IVF 2 - stimmed for 19 days. insanity. Had 5 follicles that looked mature but only 2 contained mature eggs the others were empty.  Nothing made it to day 5
    IVF 3 - added in HGH - 4 mature follicles (had some empties again) 3 made it to day 5/6 for PGS (held for testing with next retrieval
    IVF 4 - Upped my dosage for the first time - Canceled 11 days into sims - looked like 1 follicle and we were afraid it was empty
    IVF 5 - Canceled -  looked like 1 follicle and we were afraid it was empty
    IVF 6 - 3 mature, 2 fertalized 1 made it to day 5 and sent for PGS

    Sent in IVF round 3 and 6 (4 embryos) for PGS testing and got 2 normal embryos!!!  1Boy and 1Girl. Took a little over a year to get those two embryos so demanded all sorts of test prior to attempting transfer. Did EFT, ERA and NK Cells testing.

    FET#1 - Intralipid drips, Prednisone, and did a depot lupron shot before starting the FET protocol
    Chemical pregnancy
    FET#2 - PGS normal boy - BFN
    Natural pregnancy - cycle following the FET2????   Miscarriage at 8 weeks.  viability scan had shown an enlarged yolk sac so I had been warned that it was likely not chromosonally normal :(

    DEIVF cycle - picked a donor who is willing to be open! Her cycle resulted in in 4 PGS Normal embryos
    1st transfer - chemical pregnancy
    2nd transfer - success, May 17 2020 due date!
  • @hopefuljj haha. I’m trying to hold out! 2 days left!
  • Had an US today at 18+3 - supposed to be a quick one but ended up over an hour as my OB had med students in and I was happy for her to use me for teaching!

    Ferrari looks as wonderful as ever - over 18cm and 230g. With long legs and big feet! 
    Today she was head down, feet up in my ribs, her back to my front. We got good shots of spine and long bones and head and heart - but made some other shots pretty tricky. No amount of poking or pushing her or me wriggling could get her to move. Every time my OB gave her a shake she punched my bladder with her tiny little fists! And my stomach was her football! 
    Heartbeat was perfect, and even though only 18 weeks the heart seemed totally controlled by her brain already and all chambers of the heart worked perfectly.
    Umbilical chord was difficult to get a clear shot of due to her position but blood flow looked ok. And too early and wrong angle to check her face for a cleft lip - but should hopefully be possible next week at our anatomy scan.

    Plus - my placenta is now only partially covering my uterus! Keeping fingers crossed it moves far enough away before the next appointment!

    Update from me in spoiler 

    @hopefuljj hope one of them feels like a good fit!
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

  • @emmasemm hooray for the placenta only partially covering now! And sure sounds like you had quite the scan today!!!  So glad your little bean is doing so great:)
    Me: Hashimoto Autoimune Disease
    Homozygous MTHFR Cr677
    DOR - AMH  .27 High FSH (don't even know how high)
    2 iui's to start - BFN 
    IVF 1 -3 made it do day 5!    2 5AA 1 6BB  PGS results =  all abnormal :(
    IVF 2 - stimmed for 19 days. insanity. Had 5 follicles that looked mature but only 2 contained mature eggs the others were empty.  Nothing made it to day 5
    IVF 3 - added in HGH - 4 mature follicles (had some empties again) 3 made it to day 5/6 for PGS (held for testing with next retrieval
    IVF 4 - Upped my dosage for the first time - Canceled 11 days into sims - looked like 1 follicle and we were afraid it was empty
    IVF 5 - Canceled -  looked like 1 follicle and we were afraid it was empty
    IVF 6 - 3 mature, 2 fertalized 1 made it to day 5 and sent for PGS

    Sent in IVF round 3 and 6 (4 embryos) for PGS testing and got 2 normal embryos!!!  1Boy and 1Girl. Took a little over a year to get those two embryos so demanded all sorts of test prior to attempting transfer. Did EFT, ERA and NK Cells testing.

    FET#1 - Intralipid drips, Prednisone, and did a depot lupron shot before starting the FET protocol
    Chemical pregnancy
    FET#2 - PGS normal boy - BFN
    Natural pregnancy - cycle following the FET2????   Miscarriage at 8 weeks.  viability scan had shown an enlarged yolk sac so I had been warned that it was likely not chromosonally normal :(

    DEIVF cycle - picked a donor who is willing to be open! Her cycle resulted in in 4 PGS Normal embryos
    1st transfer - chemical pregnancy
    2nd transfer - success, May 17 2020 due date!
  • c-town18 Thank-you, will definitely message you for some DE info.  Happy to have so many ladies that have gone down the DE path and have had success.

    @emmasemm Sounds like a wonderful scan, the bean is growing so fast! It doesn't seem that long ago that you were running around with the back to back retrievals.

    lucyb1954 How is the cycle coming along? When is the next scan?

    @hopefuljj Any luck finding an OBGYN? 

    31magnolia How your holding up during the 2 ww? Did you end up testing at home yet?

  • 31magnolia - Beta tomorrow? We've all got everything crossed for you sister!  SO hoping you get some good news. 
  • @Imajin99 👋🏼 how are you doing? Hanging in there okay? 

    @emmasemm what a wonderful update!!! So great the placenta is starting to move into a better place. Excited for you, how are you feeling?

    @hopefuljj I’m thinking about you, keep us updated tomorrow ❤️❤️❤️

    @31magnolia Sending hugs and thoughts your way  ❤️ 

    I’m on day 4 of stims, E2 level was 62 today. Last cycle at this time my E2 was 16, so I’m happy with that result! First scan is Saturday. Just trying to go step by step, if I focus on the big picture my anxiety takes over and I feel like a crazy person. 
  • Hey everyone, the test came back negative. Had a mini break down but just trying to figure out what to do next. I meet with the doctor on Monday. 
    Thanks for all the well wishes and positive thoughts. Good luck to everyone else in their TWW. 
  • Sorry hit send to soon. Good luck to everyone else in their TWW and respective journeys!!
  • 31magnolia - Oh I'm so sorry friend.  Sending you a big hug.  I'm glad you can meet with your RE so quickly to talk about how to move forward.  Sorry this process is such a rollercoaster, it just sucks, no two ways about it.  
  • @31magnolia I’m so sorry.  No words for how much this sucks. My heart is with you ❤️
  • @31magnolia so sorry to hear that. Take time. And if you want any input or support to prepare for or after your appointment Monday just let us know. 
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

  • @31magnolia so sorry sending big hugs to you! 

    @emmasemm. Sounds like your girl was keeping everyone busy that’s great! Love that the placenta already moved just give it some more time.  Almost half way there, so exciting!!! 


    **tw
    @hopefuljj hope ur resting easy and u have a great appt later today.  So basically You can have a regular OB and then another high risk dr that your OB could actually refer u too.  I had to find a new OB at the time as my old one was no longer delivering babies so I totally get how real that search is.  I was pleasantly surprised and truly love my new OB, I will day I didn’t love the high risk dr BUT she was smart and usually had answers to all my questions.  She went through all the pros and cons of csection and was not pushing for me to go that way at all.  I do think once u find an OB they will automatically refer to a high risk dr. 38 and just the immune things ur mentioning should be warranted enough.  I wanted to be monitored closely just for my sanity.  I did have bleeding in the beginning with this pregnancy and with my previous loss my OB really tried to always put me at ease and made me feel like everything was on track and I was progressing exactly as I was suppose to be.  Hope that helps, I pm u as well! 
    History of TTC in spoiler box
    TTC since 2014
    Unexplained Infertility - but I am 40...Low AMH .30
    7 - IUI (50mg-150mg Clomid) Feb - August 2016 all BFN 
    IVF#1 August 2016 (Antagonist protocol 4/5 eggs) Cancelled cycle :( RE thought I would get at least 10.
    IVF#2 Sept 2016 (microdose luporn pro - disappearing follies, ONLY ONE, convert to IUI) BFN
    IVF#3 November 2016 (4 ER, 3 F,  3DT)-BFP  with TWINS // MC both at almost 10wks  :'( 
    IVF#4 March 2017 //EPP  (10 ER (1 wonky so 9 ER) 7F, 3B (5AB, (2)5BB) PGS tested- ALL abnormal  :'( 
    IVF#5 April 2017 // EPP (7 ER, 7F yes! 6B) 2/5 day 4/6 day - 2 PGS normal! yes!! :)
    IVF#6 May 2017 // Antagonist didn't have time for Estrogen Priming...(4 ER, 3 F, 3B) (5AB, (2) 5BB) 2 PGS normal, yes!! :)
    IVF#7 June 2017 // EPP praying this is it and then on to an FET!

  • Thanks everyone. I want my meeting on Monday with the doctor to productive so I definitely would love you thoughts on the questions below I want to ask and if there's something else I need to ask (or remove) please let me know. 

    1. On the day of trigger, my E2 level show 1931, and my follicle sizes 24, 22, 19, 18, 17, and 16, but only 3 follicles had eggs and out of the three follicles that had eggs only 1 was mature  

         a. Is it possible the other follicles had eggs too, but they were too immature to aspirate?

         b. Why were there two immature eggs, with a follicle size of 22 and 19?

         c. What can be done to improve the number of mature eggs (i.e. lower stim dosage, double trigger dosage, etc.)?

    2. I’m assuming that was the 24 size one. If that’s the case:

         a. Does this mean that my eggs take much longer to mature, and actually need to get to a size 24 and above?

         b. Do I ovulate too early, since my normal cycles using a OPK showed ovulation anywhere from day 10 – 12.

         c. Could this be why the IUI process didn’t work, since my largest follicle size from all three IUI cycles was 21.

    3. What can we do to ensure that my large follicles with eggs are actually mature?

    4. I know my AFC prior to starting this cycle was only 1, down from 7 a year ago. But once I started stimming, the count jumped to 12. What is the reason for this?

    5. Where do we go from here? Do you recommend a low dosage embryo banking protocol to focus quality, mature eggs?

         a. What would be the medicine protocol?


  • @31magnolia I’m so sorry lady:( I’m gutted for you. Your questions all look great, you are going in very prepared, and I’m sure @emmasemm will likely have a few that you can add as well! @hopeful_mom I DM’d you 🥰. @lucyb1954 I’m glad your estrogen is looking up this round! That is promising! Thank you for the well wishes:) AFM - I got discharged today. This feels insane. Just gonna take it all one day at a time. I asked my doctor last week about gender and it’s a girl which I’m thrilled about. They are having me stop the endometrium inserts which feels crazy but this was a natural cycle, so I guess it’s fine. I of course wrote a crazy email after they called and told me to stop and my doctor explained why it’s ok and promised I’ll be fine. So much to trust at all stages of this journey... I’m living on gluten free crackers and trying not to panic all the time. I go to a new place with an OBGYN next week but it’s just a meeting with the nurse practitioner which is apparently done before you see the doctor. If I don’t like this OBGYN I have another booked at the end of November as that was their earliest availability so I guess I have set myself up with some options.
    Me: Hashimoto Autoimune Disease
    Homozygous MTHFR Cr677
    DOR - AMH  .27 High FSH (don't even know how high)
    2 iui's to start - BFN 
    IVF 1 -3 made it do day 5!    2 5AA 1 6BB  PGS results =  all abnormal :(
    IVF 2 - stimmed for 19 days. insanity. Had 5 follicles that looked mature but only 2 contained mature eggs the others were empty.  Nothing made it to day 5
    IVF 3 - added in HGH - 4 mature follicles (had some empties again) 3 made it to day 5/6 for PGS (held for testing with next retrieval
    IVF 4 - Upped my dosage for the first time - Canceled 11 days into sims - looked like 1 follicle and we were afraid it was empty
    IVF 5 - Canceled -  looked like 1 follicle and we were afraid it was empty
    IVF 6 - 3 mature, 2 fertalized 1 made it to day 5 and sent for PGS

    Sent in IVF round 3 and 6 (4 embryos) for PGS testing and got 2 normal embryos!!!  1Boy and 1Girl. Took a little over a year to get those two embryos so demanded all sorts of test prior to attempting transfer. Did EFT, ERA and NK Cells testing.

    FET#1 - Intralipid drips, Prednisone, and did a depot lupron shot before starting the FET protocol
    Chemical pregnancy
    FET#2 - PGS normal boy - BFN
    Natural pregnancy - cycle following the FET2????   Miscarriage at 8 weeks.  viability scan had shown an enlarged yolk sac so I had been warned that it was likely not chromosonally normal :(

    DEIVF cycle - picked a donor who is willing to be open! Her cycle resulted in in 4 PGS Normal embryos
    1st transfer - chemical pregnancy
    2nd transfer - success, May 17 2020 due date!
  • @hopefuljj thanks! And Congrats on your graduation!  :) wishing you nothing but the best!

  • This content has been removed.
  • @hopefuljj woot!!!! Congratulations! Girls all around! What are you at now? 8w?

    @31magnolia you sound super prepared for your appointment. I wish I could help, I don’t know enough to assist but sending ❤️

    AFM went in for a scan and bloodwork today. Follies at 9,8,7 and a bunch at 4. E2 still kinda low at 88, hoping that starts to kick in. Don’t know if I could hope against hope for 3 mature but maybe! Next scan is Tuesday 
  • hopefuljjhopefuljj member
    edited October 2019
    @31magnolia Thanks so much lady!! @lucyb1954 until the follies  are over 10 the estrogen doesn’t kick in too hard so you still have time for it to go up!
    Thanks for the positive words:). I’ll be 9 weeks tomorrow. 
    Me: Hashimoto Autoimune Disease
    Homozygous MTHFR Cr677
    DOR - AMH  .27 High FSH (don't even know how high)
    2 iui's to start - BFN 
    IVF 1 -3 made it do day 5!    2 5AA 1 6BB  PGS results =  all abnormal :(
    IVF 2 - stimmed for 19 days. insanity. Had 5 follicles that looked mature but only 2 contained mature eggs the others were empty.  Nothing made it to day 5
    IVF 3 - added in HGH - 4 mature follicles (had some empties again) 3 made it to day 5/6 for PGS (held for testing with next retrieval
    IVF 4 - Upped my dosage for the first time - Canceled 11 days into sims - looked like 1 follicle and we were afraid it was empty
    IVF 5 - Canceled -  looked like 1 follicle and we were afraid it was empty
    IVF 6 - 3 mature, 2 fertalized 1 made it to day 5 and sent for PGS

    Sent in IVF round 3 and 6 (4 embryos) for PGS testing and got 2 normal embryos!!!  1Boy and 1Girl. Took a little over a year to get those two embryos so demanded all sorts of test prior to attempting transfer. Did EFT, ERA and NK Cells testing.

    FET#1 - Intralipid drips, Prednisone, and did a depot lupron shot before starting the FET protocol
    Chemical pregnancy
    FET#2 - PGS normal boy - BFN
    Natural pregnancy - cycle following the FET2????   Miscarriage at 8 weeks.  viability scan had shown an enlarged yolk sac so I had been warned that it was likely not chromosonally normal :(

    DEIVF cycle - picked a donor who is willing to be open! Her cycle resulted in in 4 PGS Normal embryos
    1st transfer - chemical pregnancy
    2nd transfer - success, May 17 2020 due date!
  • 31magnolia  - Sounds like you're asking the right questions to me.  I'll be interested to see what your RE thinks. Do you feel good about your doc's understanding of and experience with low AMH and/or DOR patients?  

    lucyb1954 - Good luck with your stims!  Fingers crossed that those follies continue to grow and your E2 takes off.  Keep us posted!  

    hopefuljj - congrats on your graduation!  I was not considered high risk either despite having a history of M/C, elevated TSH that required monitoring, a blood clotting issue that required Lovenox throughout pregnancy, and being in my late 30's.  I loved my OB though and it all worked out just fine, wouldn't change a thing, but it was def hard getting used to not have scans so often in the beginning.  
  • @31magnolia

    Its good you have your follow up so fast whilst it is fresh in everyone’s minds.

    You already have some great questions. But as @hopefuljj said I’m the queen of the list of questions! 

    Personally I would add/think about the following - it’s not exhaustive but should give you more than enough for the RE to think about.
    - What was your FSH and E2 when you went in for your baseline scan where your AFC was 12? This is so so important to know and if either of them is high then you skip that cycle.
    - When your Saline soon was done what day were you on? I guess it was not day 2-3. Mid/end of cycle almost only sees follicle (the one that matured) - I think someone totally misinformed you here what one follicle on that day meant.
    - What cycle day to start stims on? (Which day did you do your baseline last time, which day this time? I was recommended and had best results with day 2)
    - What do they  mean by mini IVF? For some it’s really low doses of stims eg 75. For others it’s clomid or letrozole plus whatever stims are needed to get you to respond - also in the 300 range. If you are really true DOR you will not want to wait to finish the pills before stims start as your fsh will already be too high. If yours it’s actually normal age related reserve issues, and you don’t have a high fsh or E2 at baseline you might be a candidate for a proper mini stim approach. Remember clomid can thin your lining if you still plan for a fresh transfer.
    - could you try micro dose Lupron instead of cetrotide? My body did not like the cetrotide for some reasons. But MDL either works or is a disaster, no middle ground.
    - How about less foliistim and more Menopur throughout the cycle? I and many other older women need the FSH/LH mix to be more evenly balanced than younger women who often get great eggs with just follistim.
    - Follicle size at trigger. Current thoughts are your “best” follicles in any cycle mature first, so unless you have a LOT close behind and only a few up front sacrificing the first ones typically isn’t worth it. Especially at our age the first ones might be the only ones capable of making a baby... If you were 20 they would almost all be capable so it isn’t an issue
    - Follicle size again - does she feel you ovulated early from the big ones? Were there any signs of rupture? If not they should have collected an egg which was not possible to fertilize. Or does she think you triggered too early and some of the eggs were not matured with the trigger so they were still stuck to the side of the follicle? 
    - Trigger - What dose of which trigger did you do? I used 15000 of a natural HCG. What most people would call a triple trigger as a single dose is normally 5000. I also tried double synthetic but it didn’t yield the same quality of embryos - they came in 7500 doses.
    - How many hours after trigger was your ER? We tried a risky strategy of waiting an extra 1.5 hours to what my RE normally does and this also helped me. I didn’t ovulate before ER any time.
    - HGH - will your RE support this? It is pricey and unproven and off label. But I got much better quality with it.
    - Banking - personally I would do this if you have the finances for multiple rounds. Get a package deal. Try to do them back to back if your baseline each month is good as I definitely saw cumulative effects. If your RE is worried about embryos not getting to day 5 for freeze, then freeze them on day 3. Yes we all want blasts, but embryos from older eggs often handle the day 3-5 transition better in the body it seems. Then you get the best of all worlds - banked embryos but not risking them too long out of your body. The big thing is you don’t lose any months as you will never have as many eggs left capable of making a baby as you do today. It also allows you to first focus on getting best and most possible eggs, including pushing your body. Then you can take time to properly prepare your body for transfer. As I needed to get my TSH  under control and do ERA and have polyps removed it was 9 months before we did the transfer. I also lost weight, improved all my blood work numbers and generally made my body a temple ready to receive the embryo! 
    - Have you had a Hysteroscopy? Might be worth it - sometimes you can have it done same time as your ER if they put you on the end of the list. I did not want to risk to waste a hard fought for embryo on a less than perfect uterine environment.

    Hope it goes well!
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

  • @emmasemm as per usual, you’re the Yoda of DOR! can I ask you a question? My trigger was 5000 of Novarel. Is that considered a triple trigger? I don’t know if Novarel is natural HCG or not 

    @31magnolia in my experience, Clomid can be a difficult medication. When I did a min stim I took 150 Clomid to start and ended up with 3 3cm cysts that put me out of the game for several months before I could try again. It seems like if you get too little of it, nothing happens and if you get too much you get cysts. I have a couple of friends with the same experience. The mini protocol can be great for some people but my body didn’t respond at all. 

    My current protocol is 375 Gonal F, 150 menopur, MDL, and HGH. pretty high dose but my body really didn’t respond until I got to a certain level with the Gonal F. 

    Good luck tomorrow! Thinking of you ❤️

    @hopefuljj Happy 9 weeks today!!!
  • @emmasemm thanks!! The doctor’s office left me a message this morning saying they need to reschedule my appointment tomorrow because of her surgery scheduled. I’m not sure if she had to switch with someone or what. But I’m actually glad, as this gives me time to go over your comments in detail. Do you mind if I direct message you? I want to pick your brain, if that’s ok. I’m sure there’s a way to do it through the board. I just need to figure it out. Lol. 
    To answer some of your questions. When I went in for the baseline my E2 50.28 and  my FSH was 9.99. That up from a year ago when it was 67.40 and 5.19, respectively.  My AMH was basically the same .24 to .26. I was also diagnosed with hypothyroidism this year and I’ve always been deficient in vitamin D (levels between 18-23). The doctor put me on thyroid meds and that has helped. They actually thought the D levels weren’t that low. 
    I did the saline on day 8. Ok so then that explains the one follicle. 
    Thanks for all this info! If you don’t want to direct message because it’s a hassle I understand just let me know and I’ll just post everything here. Thanks!
  • @31magnolia yes of course feel free to dm me. If you click on my profile name, then there is an option to send a private messsge. I’ll shoot one to your quickly now, then you just need to reply. If you’re on the web version you see it in the notifications in the top right hand corner. If you’re on the app you have to go in and check manually.
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return


  • @lucyb1954 5000 novarel is definitely just a single trigger 
    And lol to Yoda 
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

  • @lucyb1954 thanks! I prefer to letrozole since that's what I did during my IUI. My doctor was thinking of chlomid because that's what she saw other people doing, so I"ll have to talk to her about that. My body responded to the Letrozole just fine, so I would rather stick with it. Your protocol sounds very similar to mine with the exception of the lupron. I did 375 follistim and 150 menopur and the last 3 days they increased the menopur to 225. I stimmed for 12 days.
    I've never heard of HGH in a protocol so that's news to me. What was the dosage for that and when did you add it in?
  • 31magnolia - It's human growth hormone.  The REs I consulted with here in Chicago were all of the opinion that it was en vogue a few years back but they didn't feel there was solid evidence to back up that it actually works, but it wouldn't hurt to try it if I didn't mind paying for it.  I'm not saying that's right or wrong, that just seemed to be the consensus among every doc I met with here 2 years ago.  It's wasn't FDA approved for fertility treatment so most insurances wouldn't cover it as of a 2 years ago, don't know if that's changed.  I tried it on my last cycle and think I paid like $1200 out of pocket for it; I knew it was going to be my final OE attempt so I didn't want to leave any "what ifs" hanging out there. Unfortunately it made no difference for me, I still had a poor response and crappy egg quality (ugh).  But we're all different and maybe it works for others (like emmasemm for one) and would be worth a shot for you, see what your doc thinks. I can't recall when in the protocol I took it.  
  • @c-town18 thanks! Also, one important note you mentioned above was does my doctor have experience with DOR/Low AMH patients. I not sure if she does. I mean I know she works with patients that have DOR/Low AMH but working to create custom protocols to produce successful results...that i'm not sure of. And that's important to know. Or at least know that there willing to dig deeper and come up with something. 
  • @31magnolia what did you prime with and for how long? You might want to think about a different primer but idk. 

    I’ve done HGH for both my cycles so I don’t know if it’s affecting things or not but as I’m getting to the bottom of my own eggs, I’m just throwing everything in! My insurance covers absolutely nothing and I’ve paid $1400 out of pocket for the HGH. 

    Are you taking a PNV with plenty of vitamin D in it? 

    Srsly @emmasemm waiting for the book to come out! 

    Thinking of you @Imajin99 hope you’re doing well ❤️
  • @lucyb1954 I took estrace for 12 days.
    I am taking  a PNV with Vitamin D now. I'd stopped taking one that had Vitamin D because for some reason on one of my test my level was really high and my RE told me to stop. But the next test (several months later) showed deficiency again, so I"m thinking that was a fluke test. I'm asking for a new test to check my levels. 
    I've also been paying for everything out of pocket, which adds another layer of stress to this process!
  • @31magnolia when did they schedule your appointment for? @emmasemm how you feeling? Any placenta updates? Lol a question I never thought I’d ask anyone in this life!

    i went in for a scan today. Follies at 12.4, 9.4, 7, 6 and several 3mm or below. Hoping against hope that the 7 and the 6 will get into the action! E2 results not back yet. 

    Also saw a genetic counselor yesterday. I made my appointment with the expert and was told I would see her. When we arrived they tried to pawn me off on a counselor in training at which I firmly said no as the counselor I scheduled with was the one specifically recommended by my RE. in conversation with her it became quickly apparent that I knew much more than she did about Fragile X and it’s effects on carriers as I have that one embryo that is not full mutation but a carrier. She is going to refer me to a neurologist who might be able to tell me more. What a waste of 2 hours and $30. 
  • @lucyb1954 oh no! So sorry about the crappy appointment. Unfortunately along this journey we too often find we have more detailed knowledge on our diagnoses than most medical professionals... 
    And I’m feeling good - just super nervous about the anatomy scan later this week! We should also find out more about the placenta then too.
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

  • @emmasemm oh that’s exciting! Nerve wracking too but exciting 😄 hope the placenta decides to be cooperative. 

    My E2 was in the 200s today, 224 I think. Another long stimming process! I also feel a cold coming on. My boyfriend is sick too. Will this affect retrieval and fertilization?
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