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  1. #1
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    Default When to get a second opinion?

    Hi,

    I am seeking some advice on when to get a second opinion.

    I am 29 years old and have been TTC for 2 1/2 years. I have PCOS and am active and healthy. My first egg pickup was May last year I had 18 eggs of which 4 were suitable to freeze (none of these embryos were tested). I couldn't do a fresh transfer because I was one of the unlucky 3% who got a mild case of OHSS which was extremely painful. All 4 were transferred all of which were unsuccessful.

    In November I had a curette and laprascopy of which my ob couldn't find anything else going on however he did mention that I may have cervical stenosis as it took him 45 mins to get through my cervix.

    Last week I had my 2nd egg collection. I was given an antagonist trigger to prevent OHSS and told that due to this all embryos will be frozen. Egg collection was successful with 10 eggs collected and no OHSS symptoms. 8 of the 10 fertilised. This time around I was having my embryos tested (PGD) however only 1 was fit to be tested. This 1 turned out to be abnormal therefore it was not fit for a transfer. I had about 5 other embryos that were a bit slow. I have been told today that these slow embryos have not made it to blastocyst stage therefore I have no embryos from my transfer.

    I am extremely upset at the thought of going through it all again. Has this happened to anyone before?

    I am not unhappy with my ob and do feel that I am in good hands, however I am seeking advice on when to get a second opinion? Are all clinics the same?

    I have also tried acupuncture and been to a naturopath but none of this has seemed to help.

    Thanks.

  2. #2
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    All clinics and FS are not the same. My friend kept the same FS for cycle after cycle, then swapped to a new one who added a steroid and she fell pregnant first go with him.

    What city are you in? Usually the best in each city has a thread on here. To answer your question: NOW is the time to get a second opinion. From one of the best, not one of the ordinary ones.

  3. #3
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    I second what @wiseenough said. They are definitely NOT all the same. My story is eerily similar to yours OP. After my 3rd failed FET I sought a second opinion. The wait was 7 months to see the new FET, and involved plane travel. My main reasoning was that my current FS kept doing the same things, and we kept getting the same result.

    New FS diagnosed two new issues, put me on steroids, blood thinners, he basically threw the kitchen sink at me. I also triggered with synarel to prevent OHSS.

    First transfer, bang. Pregnant.

    Do your homework, pick someone with proven results, even if it means waiting for an appt, or travel.

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    They are not all the same, and if you are even the slightest bit unsure of your FS/clinic, go elsewhere.

    However, I have no doubt that for people a lot of luck is involved, and that perhaps 3 failed cycles and 1 successful cycle (with someone else), may just mean that it took 4 tries.

    In saying that, if I was attending a FS that was doing the same things each cycle, with the same results, I would try elsewhere.

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    shell23  (06-04-2015),Skyler  (26-04-2015)

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    Quote Originally Posted by bluemarlin View Post
    I second what @wiseenough said. They are definitely NOT all the same. My story is eerily similar to yours OP. After my 3rd failed FET I sought a second opinion. The wait was 7 months to see the new FET, and involved plane travel. My main reasoning was that my current FS kept doing the same things, and we kept getting the same result.

    New FS diagnosed two new issues, put me on steroids, blood thinners, he basically threw the kitchen sink at me. I also triggered with synarel to prevent OHSS.

    First transfer, bang. Pregnant.

    Do your homework, pick someone with proven results, even if it means waiting for an appt, or travel.
    Wazza?

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    The one and only

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    I would be researching a top specialist to get second opinion. I just did my first round of ivf and the best advice someone on here gave me is to always have a plan B. I have heaps of issues with lining/recurrent miscarriages and low reserve so found someone who covered those areas as my plan B. I think it's always good to have a plan B.

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    Quote Originally Posted by bella25 View Post
    I would be researching a top specialist to get second opinion. I just did my first round of ivf and the best advice someone on here gave me is to always have a plan B. I have heaps of issues with lining/recurrent miscarriages and low reserve so found someone who covered those areas as my plan B. I think it's always good to have a plan B.
    This^. But make it a plan b, c, d, e, f, and etc.

    For example my sister tried ivf with her own eggs (plan A). She had none. She used my other sisters eggs (plan b). Got a baby. Tried for sibling many times using same sister. No luck. Tried 3 day transfer instead of blastie (plan c) no luck. Tried my eggs (plan d). No luck. Tried my eggs with frozen sperm from 5 years ago (plan E). Got to 14 weeks and miscarried. That was when she threw in the towel.

    The steps don't have to be as big as donor eggs, it can just be try a new FS, try a different cycle etc.

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    Quote Originally Posted by Wise Enough View Post
    This^. But make it a plan b, c, d, e, f, and etc.

    For example my sister tried ivf with her own eggs (plan A). She had none. She used my other sisters eggs (plan b). Got a baby. Tried for sibling many times using same sister. No luck. Tried 3 day transfer instead of blastie (plan c) no luck. Tried my eggs (plan d). No luck. Tried my eggs with frozen sperm from 5 years ago (plan E). Got to 14 weeks and miscarried. That was when she threw in the towel.

    The steps don't have to be as big as donor eggs, it can just be try a new FS, try a different cycle etc.
    Completely agree - I should have added, we did have a plan C - which was Wazza. So, our plan A was first cycle with existing FS, plan B was a specialist in my issues (dr tremellen) and plan C was the big gun. I think it's great when there's more steps/back ups etc because it helps to view yourself as a little counter on a big board game instead of having the "this is it" mindset. Well it helped me anyway.

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    Thanks for the advice wise enough.

    I forgot to mention above that on my last failed transfer my FS put me on the whole works - steroids, blood thinners and I also had an HCG injection just before my transfer to trick my body into thinking it was pregnant.

    I live on the gold coast. My FS is Dr Michael Flynn and I am using Queensland Fertility Group. I will definitely get a second opinion and have a look at the best in my city on this site.


 

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