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  1. #1
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    Default OvInduction, or IVF better for us (Recent Ectopic with 1 tube removal) Advice pls...

    Newbie here... Sorry if I have the abbrev all wrong and waffle on too much!Me 34 DH 37 DS 2.5
    1st child conceived with 1st go of OvInduction and Timed IC 3yrs ago. (wasnt having period/ovulating on own etc). Was on Metformin then - lean PCOS mild only.
    Since then regular periods 32 days, and ovulating.
    Natural pregnancy 6m ago , then Miscarriage at 5w.
    After miscarriage didnt want to waste time so Went back to FS so he could monitor everything etc. Last month on 3rd round Ov.Induction, BFP, low prog found at 4w, pessaries prescribed, then 5w abdo pain, 7w conf Ectopic - with Right Tube removed laparoscopically. Other tube is apparently OK. (Also mild Endo found on/near Bowel - FS says this shouldt affect things for now).
    FS has recommended that we just go onto IVF and not waste time, however that Ov Induction is still option if we want to try??
    Obviously now I have increased chance of another Ectopic. - Dont want to go down that road again!!!
    However apparently IVF doesnt rule out Ectopic, as Egg can float back up remaining tube. (If IVF ruled out Ectopic all together I would have chosen that option straight away.)
    So my main aim is to try and get BFP asap, without Ectopic. Just not sure which way to go.
    So please anyone with advise/expriences with same scenario etc they can share would be appreciated.
    Also anyone have the % on chances of another Ectopic going via IVF Vs Ovul Induction???

    THank you in advance for your advice.

  2. #2
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    Well an ectopic alone wouldn't make me go via IVF, so has anything else changed since last time? Only one tube doesnt reduce your fertility that much.

    I'm 37 with only one tube, I don't have PCOS but have had multiple MC and short luteal. My dr only said IVF after trying with tracking and meds for some time or if I had another ectopic. I sure hate the wait or the thought of another ectopic but would rather avoid IVF if I can.

    Just my thoughts...sorry I don't know chance of IVF ectopic.

  3. #3
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    Hi

    I've just been looking around trying to find out where I fit in and stumbled across this thread, which is exactly the same dilemma I'm having, so not sure how much help I will be but at least you know your not the only one!
    My story is in my signature below, but to summarise in the last 3 years I've;
    Found out I've got PCOS
    Had 3 months of Clomid and conceievd
    Miscarried at 11 weeks
    Went again on the Clomid after a short break and conceived after 4 months
    Miscarried at 9 weeks
    Had a break, conceived naturally, found out at same time it was ectopic
    had laprascopy had left tube removed
    had another break, conceived naturally, found out at the same time it was ectopic
    as caught early on was able to have methotrexte injection and had to use protection for 3 months
    tried for 1 month didn't work so have gone on the pill, as going on overseas trip in June and don't want to be in first trimester for trip.

    Now not sure what to do, we have started to look into IVF to start in July/august after our trip, but I'm having second thoughts about it. I know it will help as the egg doesn't have to travel down the tube and might get stuck, but doesn't help with having miscarriages or it can still be ectopic as it can move once implanted.
    I guess my question to anyone that might have some advice is what would you do if you were me? Start IVF pay all the money and go through all the complexity of it and hope to get a result that works? Or give the natural thing another go, with most likely using Clomid as cycles to irregular without, and just hope it gets through the tube, and if that doesn't work after a couple of months start IVF? Only thing is I feel like I've been waiting forever for this (although I know there will be many out there that have a longer story than mine) and I just want it to happen already. But on the other hand IVF kind of feels like giving up, like admitting my body isn't adequate to do it itself. I'm just not sure I'm ready for IVF. Lately when talking to IVF specialist and meeting with nurse I just feel like IVF is more for people that can't get pregnant (don't want to offend anyone or anything) and I've been pregnant 4 times now and the reasons it hasn't worked for me, aren't thing IVF can't fix really. Ectopics are still possible for both ways and so are miscarriages, so whats the difference? Plus I know I have age on my side.

    My FS has said to me before that I was very unlucky to have 2 ectopicas in a row, which makes me think maybe my luck will turn next time? Also when I talked to IVF specialist he said we still have options and could try naturally for a bit if we wanted.

    Anyway sorry I'm not more help

    Thanks

  4. #4
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    Hi all, I'm 34, and I had an mc, then 3 months later a RHS ectopic with tube removed in 2010. A laparascopy in 2011 confirmed mild/ moderate endo and that my left tube was blocked. Too much risk of another ectopic to continue trying naturally ( I also had a low-ish AMH of 10). We commenced IVF in November 2011 and now, on my third round (2nd fully stimulated, the other being s frozen embryo transfer) and am now 10 1/2 weeks pregnant ( and over the moon about it!). My understanding is that the risk of an ectopic from IVF is quite low indeed, given the tube is being bypassed. There is a slight risk of embryo moving back down the tube, but almost negligible. In my opinion, depending on your circumstances of course, it is a risk worth taking. Not that IVF is easy ... (It's F*ing horrible!!).
    I never think of IVF as 'giving up'- for me it was the next logical step given my ongoing challenges to keep a pregnancy.

  5. #5
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    ... Just wanted to add something in response to the previous poster... IVF is most definitely not just for those who can't get pregnant! Also, I was wondering if you have had tests to check the patency of your tubes, Sunshine? After 2 ectopics ( and I can't imagine how awful that must have been), that's something I would get checked.

  6. #6
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    Hi there, I just wanted to let you know that apparently there is quite a high chance of ectopic with ivf also, my fs said they didn't know why but it was higher than natural conception even though they put the embryo in the right place to start off with. If that is the only reason for choosing ivf then have a chat with your fs first to make sure you have all your facts before deciding. Ivf isn't fun at the best of times! Good luck!

  7. #7
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    Hang on a second, this needs to be into perspective. There is not 'quite a high chance of ectopic with IVF'. I think that is misleading. (Mrs OC, I apologise if that comes across as rude- I'm not having a go at you ). We need to look at the chances of ectopic pregnancy with IVF compared to chances of ectopic in the general population. The chances are higher, but they are still small. For example, when I was told by my Gynaecologist that, after my ectopic, my chances of another ectopic was now twice as high (or thereabouts) as it was in the general population, I naturally freaked out. However, what that meant in a practical sense was that, instead of the general population chance of ectopic of about 1 in 150, my chances were now 2 in 150. So while, yes, those going through IVF might have a higher chance of ectopic, it is still not a 'high chance'. Also, we should remember that there is no concluded science (as far as I know!) about WHY there is that slightly higher chance. It might be that those women doing IVF have a generally higher chance of ectopic to start with. On the other hand, it might be the processes of IVF itself that contribute to the higher ectopic levels.

  8. #8
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    Op tree girl is right, my words didn't come out how I intended them to be read, slightly higher chance with ivf compared but not high overall. Sorry for the confusion.

  9. #9
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    I had no success with 3 attempts at ivf but two first tries at ovulation induction. If you can make embryos 'naturally' do ovulation induction. Ivf very invasive and expensive and at times ineffectual.


 

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