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  1. #21
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    I mean the fertility specialist not GP. Yep, doing the cycles I just deal with the nurses and they talk to the doctors and convey any messages. If you want to talk to the FS face to face you have to book it in, you might be able to speak to them on the phone, I'll give that a shot if I can't get a cancelled appointment. They told me that they get you to do 3 cycles and then review the case/change the protocol.

  2. #22
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    That's so strange.. Thank you for letting me know. So they keep putting you through cycles without anyone reviewing the treatment in between?
    Does a FS do the egg collection and transfer?
    So from the day I see the nurse and get AF I start taking drugs and never see an FS again for three cycles? All seems so odd.. Is this normal?



    Me 33 PCOS
    DH 38 Low Morphology 😔
    TTC#1 since Oct 2012
    Clomid #1- 50mg 11/11/13 - No ovulation 😔
    Clomid #2- 100mg 26/12/13 - Ovulated yay!! - BFN
    TTC Break over
    Nurses appt 28th June
    ICSI #1 - July sometime

  3. #23
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    Well at Genea, from what I can remember, I would do a cycle, get a BFN, talk to the FS over the phone and then do the next cycle. Mainly I would be talking to the nurses about meds etc. I think that's pretty normal. I was in contact with my FS after every cycle. I think I saw her face to face a couple of times but it was pretty expensive as it was private.

    At RPA I've gone 3 cycles without speaking to to my FS. I'm sure you could book yourself in to talk to someone after each round. Just book in advance, or maybe you can talk over the phone. I was just keen to get a few cycles done (using the same protocol as my successful cycle) before switching things around.

    I'm at the tail end of all this, we want to give it the last couple of shots and then call it quits. If you have issues you want checked out (rather than just cycling through a few rounds of IVF) then I would say you need to book in to see your FS and/or chase them down by phone. It sounds like you still really need to talk it out with someone.

    It seems to me that they try you out with a few rounds of IVF first, tweaking meds and seeing how you respond and then they've got a better idea of what the issue might be and how to tackle it. Although your issues may already be known. With me it was all a little unclear what the problem was.

    I wish you all the luck! Sorry if it all seems confusing!

  4. #24
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    Oh and to answer your question I've had various doctors do my egg pick up and embryo transfer, it's not always been my FS. The embryologists talk to you about the embryos and call to give you updates so that's usually different people too. The nurses do everything else.

  5. #25
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    Hi @Bongley
    Thank you for all your advice.
    It still seems odd that a nurse does everything but I guess ( hope! ) they know they're doing?!

    I'm a little worries now about having three cycles before anyone says 'hang on a minute, we should change this'.

    I think as soon as I start I'll make a FS appt so in case I get 3 x BFN I won't have to wait ages for a follow up appt.
    I'm sorry your % of success per cycle is so small.

    I appreciate all your advice. It's like anything in life .Only become an expert one you have done it lol.

    So are you changing much for next cycle?

    I don't suppose your English are you? Some of the words you use sound like home! ( I'm a Brit


    Me 33 PCOS
    DH 38 Low Morphology 😔
    TTC#1 since Oct 2012
    Clomid #1- 50mg 11/11/13 - No ovulation 😔
    Clomid #2- 100mg 26/12/13 - Ovulated yay!! - BFN
    TTC Break over
    Nurses appt 28th June
    ICSI #1 - July sometime

  6. #26
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    Ha, yes I am english, well spotted! Where are you from? I've been here 12 yrs.

    Hey, you know if you are on the ball and book in appointments I imagine you can see the FS as much as you want to (I don't see why not?). I just think at RPA you have to be really proactive about it. As I said I spoke to my FS at Genea at the end of every cycle, the nurses would book me in a time to call my FS....you just won't get that kind of follow up at RPA. You have to chase your FS.......that's where you are saving that $3,500 per cycle I guess!

    My FS (at RPA) said that after 3 cycles they "dot the i's and cross the t's" . That's when I had my lap, flushed tubes, D&C and endo removal. A pain at the time but well worth it in the end. Speak to your FS at RPA as much as you can, if you want to change things up. I was happy to go with the flow as that is what has worked before, so it didn't seem to make much sense to change things for the first few cycles. Now they are changing my protocol (to a shorter cycle) which I think is good. Sometimes (especially with older women like me) it's a numbers game. It's different for everyone however. You are younger and have male issues as well....... so it's not just to do with having old crappy eggs like me, (which unfortunately, it's pretty limited what you can do to improve that). You may have just have been unlucky so far.

    If RPA give you the run around and you aren't consistently seeing a reliable doctor then maybe you might consider going back to Genea. At Genea it was faster and I had a lot more contact with my (more senior) FS but in the end I just couldn't afford to keep doing it. The money was a big stress factor. I'm sorry you had such a crappy start

    Anyway, sounds like you have a good plan.

  7. #27
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    Morning @Bongley
    I'm from near Ruislip in Greater West London. You?
    Been out here nearly 9 years. Not sure how that happened!
    Thanks for all the advice. I guess I'll just have to take each day as it comes and a lot will be clearer once I've met the nurse.
    I've read that a down reg cycle gets better results but do you know what makes them decide to do that or a short cycle off the bat?
    When are you due to start?


    Me 33 PCOS
    DH 38 Low Morphology 😔
    TTC#1 since Oct 2012
    Clomid #1- 50mg 11/11/13 - No ovulation 😔
    Clomid #2- 100mg 26/12/13 - Ovulated yay!! - BFN
    TTC Break over
    Nurses appt 28th June
    ICSI #1 - July sometime

  8. #28
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    I lived in SE London, Eltham, Greenwich and the midlands too for a while but I was born here, my folks are british tho. Have you got citizenship?

    At Genea I did 3 quick antagonist cycles (get your period, inject for 2 weeks, collect eggs). RPA put me on the slower cycles. I usually had a follicle or two that would get large ahead of the others. They want all the follicles to grow at a similar rate ideally so that there are many mature eggs to harvest, that's why the down regulation is used to 'reset' the follicles so they grow more evenly together. That regulation worked for me the first time I did it.

    Anyway, the nurse will explain to you what regulation you'll be doing. I don't want to confuse you further there are a few different meds and regulations/protocols that they might put you on that take various different lengths of time.

    Now I was led to believe that RPA only did long down regulations so that they could time the egg collections and embryo transfers (they don't do them on the weekends)....... BUT they are putting me on a short reg next time so *throws hands in air* I'll find out how it will work in a couple of weeks once I get my period.

    Complicated business! I see you're doing ICSI ? We did ICSI once but it didn't help our fertilisation rates so we went back to not using it after that.

  9. #29
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    Ah. Your a South East Londoner ( sort of lol )
    Yeah, we have do do ICSI because my DF has really low morphology.
    Does your DH have any issues?



    Me 33 PCOS
    DH 38 Low Morphology 😔
    TTC#1 since Oct 2012
    Clomid #1- 50mg 11/11/13 - No ovulation 😔
    Clomid #2- 100mg 26/12/13 - Ovulated yay!! - BFN
    TTC Break over
    Nurses appt 28th June
    ICSI #1 - July sometime

  10. #30
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    Nope no issues, even though he only has one ball (lost one to testicular cancer) I think its all my end.

    I have noticed a really positive jump in fertilisation rates since I was trying 2 years ago, from about 60% to around 80%. Which I am assuming is Genea's new solution that they use to grow the embryos. I can't imagine my eggs have somehow miraculously improved since I was in my 30's. So fingers crossed you have a good fert rate too.


 

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