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    Default Would IVF be good for us?

    Hi Dr Jessup,

    My husband & I have been trying to concieve our first for about 10 months (me 29 and him 30). We finally got pregnant recently but I miscarried at 6 weeks (I think it was technically a chemical pregnancy as my hcg didn't get any higher than 580). I have endometriosis and had a lap in April with about 3 patches of endo removed. My husband has had one semen test done and the count was very low (10million) but there were some "mitigating factors" in his words - he didn't exactly wait the 3 days before providing a sample and missed the first little bit when he did it. He doesn't want to do another SA because he thinks his swimmers are fine given that we did concieve. However, I'm concerned it was just a fluke.

    Finally, I tend to ovulate late in my cycle at around CD20/21. I have heard ovulating late can mean poor quality eggs. Is this true?

    In our case would you think IVF is worth pursuing? Would we qualify?

    Thanks for any advice!
    Last edited by Cue; 09-09-2010 at 22:08.

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    Default ? Ivf

    Hi Cue,

    I certainly feel there are enough factors present to warrant seeing a fertility specialist and talking through the options. IVF and ICSI is very likely to help you conceive more quickly, but generally I would like to see another "in house collected" semen analysis first to see if the first test result was representative. I don't feel your eggs should be too compromised by the fact that you ovulate slightly later than usual, but it does mean you get less than 12 chances each year to conceive. IVF also seems to help in women with endometriosis. Many women have have one miscarriage and your chance of the next pregnancy being an ongoing one is pretty much as high as if you had not had a miscarriage. Maybe give it a few more months, but if you are not pregnant again by then, see a specialist.
    Good luck . Dr Jessup

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    Hi Dr Sterling,

    I posted here about a month ago and have since had my first period after my miscarriage. Something I didn't mention last time was that there is a family history of early menopause with both my mum and her sister starting menopause at 32 years old. I am 30 in a couple of months and am terrified it will happen to me too. Since the miscarriage this has been really playing on my mind, especially since it took about 10 months to fall pregnant that time. Do you think early menopause is hereditary in your experience? Should we try to speed things up with fertility treatment now? I'm embarrassed to ask my Gyno as I feel like he might think I'm being unreasonable.

    Thanks in advance.

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    With your strong family history I would be charging forward with help. It would be great to freeze some embryos for later if you do become menopausal. Give your gynaecologist the opportunity to be supportive....you might be surprised Cheers Glenn Sterling

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    Thanks Dr Sterling, I will mention it to him when I go back to see him in a few weeks. I think a more proactive approach will help me feel more positive. I would ideally like to have fallen pregnant naturally but it's the end result we really want. Thanks again, I feel much more justified in my concerns, not like a crazy woman!

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    Cool

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    Hi Dr Sterling,

    I just wanted to post an update, I saw my gynecologist yesterday and my husbands second semen test also came back low. So we're off to our first appointment with a fertility specialist at Next Generation Fertility next week. My gynecologist was very supportive and agreed with our decision to move on to the next steps.

    Just wanted to say thanks for your advice, it helped a lot. I will also ask about freezing as you suggested.

    Thanks again for giving up your time to help us all out!


 

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