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12-12-2012 at 11:24 AM
efhoping20...
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Joined on 06-05-2009
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efhoping2010 is not online. Last active: 05-23-2013, 8:11 PMSilver

Need IF Vet advice on another IVF protocols, etc.

I tried to intro here awhile ago and some people were not comfortable with my joining which was fine and I understood. I am not asking to join but I feel I really need IF Vet expertise.

As you can see in my siggie not only did our FET end in a miscarriage and D & C surgery in July but our 3rd fresh IVF in November we ended up with nothing to transfer at day 3. We had 5 retrieved 3 mature and only one fertilized normally but never made it past two cells and was "dark" on day 3.

I was on a long lupron protocol, I have an AMH which is low at 0.98 although the RE called it borderline all other tests were normal for someone almost 36 which I will be in March.

At my wtf he said he would use a microdose lupron flare but still with bcp this time. He thinks he could maybe get a few more eggs but nothing dramatic, he said a few more eggs could give us a few more embryos and hopefully two or three to transfer.  He really did not have any answers for the awful result and seemed suprised. 

With my first fresh IVF in 2009 I had 11 retrieved and mature and at day 5 had two to transfer (our twins) and two to freeze (the FET miscarriage), this was also a long lupron but at a clinic in a different state.  It seems like such a different result and was only three years ago?

What would you do? Go with this clinic after the previous result? Go to the competing clinic which is newer but has lower success rates and maybe a lesser lab. Stop cycling altogether since my eggs are obviously old and crappy?  Oh we also have to use surgical sperm becaue of DH's dx but the lab said his sperm looked good and do not think it caused the failure.  Thanks for reading, I really aprreciate your advice and experiences.


DH: dx Azoospermia due to CBAVD from CF ME: DOR, low AMH PESA and IVF/ICSI #1 Beta 1 373 Beta 2 1783 TWINS!! Natural FET 5/26 2 blasts :) :) BFP 5/29 Beta 1 207 Beta 2 513 Beta 3 1377 U/S 6/28 Pregnancy not viable D & C :( IVF/ICSI #2 cycle start 10/05!!! ER 11/15 Nothing to transfer :( IVF/ICSI/AH #3 March 26 start MDLF ER 4/08 7R/6M/3F 3dt on 4/11!!! Chemical Pregnancy :'( Lilypie Third Birthday tickers Lilypie Angel and Memorial tickers 
12-12-2012 at 11:29 AM
Mrs.McIris...
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Joined on 06-15-2009
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Mrs.McIrish is not online. Last active: 05-23-2013, 9:55 PMGold

I'd be more of a fan of you trying an estrogen priming protocol than microdose lupron flare. I never got more than 3 eggs but my microdose lupron was the worst and they wanted to cancel it(they did retrieve at my insistence but the 2 eggs were junk).

Did you have a consult with the other place?  I would at least do that just to see what they would do. As for success rates, I wouldn't be all that concerned about that as low responders typically are harder to get pg and thus stats will be lower.



TTC #1 since 8/1/10; Me:39 and BRCA1+, DH:45
DOR (FSH 24.3)/ terrible egg quality
5 IUI's: 2/11 to 6/11 and 1/12= BFN
OE IVF#1-4 8/11-6/12= all BFN
DE IVF#5 11/12 bad embryos= BFFN
FINAL DE IVF #6 1/13: cancelled as second donor backed out during stims
Was added last minute as 3rd recipient to new donor on 1/18; ET1/23/13
2/1/13 BFP for the first time ever; Beta hell for several weeks: miscarriage 7 wks
CFNBC ...Me &You, Just Us Two...
GradyPhotobucket
Riley
RIP Riley 1/4/12
PAIF/SAIF Welcome  
12-12-2012 at 12:06 PM
hootie123
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Joined on 11-16-2007
Buffalo, NY
6,636 Points
hootie123 is not online. Last active: 05-23-2013, 9:09 PMSilver

I would definitely not count yourself out yet - especially since you do have 'proven' success with your own eggs.  I would go for a consult with another clinic (and don't put any weight on success rates - its not always about clinic success rates - its about your own success). 

Good luck!





TTC #1 since 6/09
Dx: PCOS and MFI
3 IUIs, 4 IVFs = BFFN
IVF #5/FET = ??
P/SAIFW 
 
12-12-2012 at 1:34 PM
PrettyAcco...
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Joined on 02-16-2011
22,790 Points
PrettyAccountant is not online. Last active: 05-23-2013, 6:33 PMSilver

I would definitely get a second opinion. Unfortunatley - three years ago all our bodies were different (as you know - even month to month they change) so comparing yourself to waht you produced three years ago is not that helpful. I know I am in the minority but the micro dose always produced the best results for me. As a PP said - SART results are not always that clear cut. A number of clinics here in NYC do not take the tough cases because they want to protect their scores.

I wish you the best of luck in whatever your next step is but I wouldn't throw in the towel just yet.

Good luck


TTC 1/2010 DH Dx - Azoospermia 2/2011
Hysteroscopy 3/2011 2 Polyps removed 4/2011
DH on Clomid / Arimidex to address hormonal issues - Sperm found July 2011!
IVF #1 September 2011 - ER 9/8/2011- 8R, 5M - icsi - 1 made it to transfer - BFFN :-(
IVF #2 Lucky November 2011 - ER 11/25/2011 - 15 eggs!, 13 mature, 10 fertilized with isci - 7 made it to transfer! Transferred 1 - 8 cell and 2 - 7 cell. BFP!!!!
1st U/S - Twins! 2nd U/S - 3 heartbeats!!! - HOLY COW!!!
Prayers for our take home babies!
2 babies born on 3/27/12 and lost. Last baby born on 3/29/12 and lost at 20 weeks.
My angels grew wings shortly after birth.
Ahava Raisel, Matisyahu Nissim & Zev Chaim - Mommy and Daddy will always love you.
IVF #3 July 2012 - ER 7/17/2012 - 10 R. 5 F. 4 made it to ET
Transferred 2 on 7/20/2012 no snow babies :-(
Beta on 7/31/2012 = BFMFN
A miracle gift expected to come to us through adoption around 9/2012
Baby girl adopted - Birth Mother changed her mind and took the baby back
IVF #4 October 2012 - New RE. Doing PGD Testing. 8 R, 7F, 2 made it to 5 day blast for PDG testing. Both Normal (Thank you G-d!!!) 1 boy and 1 girl
transferred one beautiful 5day blast (girl)
Please G-d the almighty one - let this be our take home baby!
Beta #1 158, Beta #2 318, 1 Absolutely magnificent HB at 175! Thank you G-d!!!
AMA. PAIF & SAIF always welcome - I need all the prayers I can get!
Lilypie Angel and Memorial tickers 
12-12-2012 at 7:09 PM
efhoping20...
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Joined on 06-05-2009
9,697 Points
efhoping2010 is not online. Last active: 05-23-2013, 8:11 PMSilver
Thank you for the responses, that was very helpful!  Wishing you all well!!!

DH: dx Azoospermia due to CBAVD from CF ME: DOR, low AMH PESA and IVF/ICSI #1 Beta 1 373 Beta 2 1783 TWINS!! Natural FET 5/26 2 blasts :) :) BFP 5/29 Beta 1 207 Beta 2 513 Beta 3 1377 U/S 6/28 Pregnancy not viable D & C :( IVF/ICSI #2 cycle start 10/05!!! ER 11/15 Nothing to transfer :( IVF/ICSI/AH #3 March 26 start MDLF ER 4/08 7R/6M/3F 3dt on 4/11!!! Chemical Pregnancy :'( Lilypie Third Birthday tickers Lilypie Angel and Memorial tickers 
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