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  1. #551
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    I havent tried DHEA or estrogen priming @LillyM- My estrogen levels the opposite, its high-ish .. but I have heard of using soy isoflavones or royal jelly to promote e2 if you are on the low end. But I'm no naturopath so you might need to double check that with an actual naturopath..( @StephyG- something to consider?)

    Primary unfortunately does not offer assisted hatching or PGD, you'll have to go to one of the bigger clinics like Genea or IVFA to have that done. As a requirement for AH or PGD- the embryos must reach a certain stage ( usually day 5) to do it. If you're a low responder in those clinics, they get you to do embryo banking first, which means multiple stim cycles to have enough embryos ( higher chance of blast) and works out to be cheaper, as you get all the embryos PGD at once.
    Theres also embryo 'glue' which other clinics offer but Primary doesnt.
    The downside to a bulk-billed clinic I guess.

    I hope you get to strangle out more answers from DrG than I did hun...haha
    I'm like @Billie2- I'd lilke to know about guided transfers. @Billie2- hubby isnt on anything tbh. He does a week long intense session at the gym to boost testosterone but thats about it..haha.. but then again we dont have MFI. Selenium is apparently suppose to be very good for sperm- something to look into?
    If you need the crew ( us ladies)to come and cheer you on as part of your marketing to your hubby to come back- let us know us .. I'll have my pom poms ready..haha

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    LillyM  (30-05-2016)

  3. #552
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    Quote Originally Posted by OneOfTheseDays View Post
    A happy update from me Just called Primary in Melbourne and by chance Dr Nick was there and able to call me back straight away. He was happy to arrange the prescription I was waiting on and confirmed that what we had agreed on wasn't written in my treatment protocol for some reason but he's fixed it now.
    For those that have also questioned the 1x crinone a day vs 2 - he said the TGA has recommended that the dose only needs to be one, but when I said I was more comfortable with twice daily (as I was on a lot more with my previous specialist) he said 'you can't overdose on it, so if you have enough, I'm fine with that'. @LillyM - I wouldn't be classified as a poor responder, but my first cycle i had a lot of eggs that were terrible quality (17 collected with only 2 fertilized which were frozen at day 3 - a long story for another day!). That cycle I was on Gonal F/Orgalutran and Pregnyl Trigger - and not much else to support. The next 2 stim cycles I down regulated with the Pill (first one also included Syneral), then stimmed with Menopur (one triggered with Pregnyl, the other Ovedril). Both these cycles were supported with Melatonin, CoQ10, Vit E and the usual prenatal/multi's. I got less eggs, but way better quality and higher fert rate.

    Oh awesome @OneOfTheseDays!! good to hear everything worked out
    I'm also on CoQ10 ( I believe that it helps with egg quality), Elevit and Vitex. Is the melatonin to encourage sleep or something else? Oh I'll have to do some googlng when I get the chance

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    OneOfTheseDays  (30-05-2016)

  5. #553
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    Quote Originally Posted by tjuls View Post
    . Is the melatonin to encourage sleep or something else? Oh I'll have to do some googlng when I get the chance
    Gotta love Dr Google! Melatonin helps with egg quality, but you do have to be on it for about 3 months before it starts taking effect apparently. My previous FS prescribed it, but Dr Nick was supportive of me staying on it. I really think that has helped with the egg quality along with changing to Menopur over Gonal F (first cycle most of the eggs broke with ICSI, and as mentioned previously, I've had great fert rates with ICSI the 2 subsequent stims)

  6. #554
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    Quote Originally Posted by LillyM View Post
    I've been on: Prenatal/multi's, Maca, CoQ10, Royal Jelly to name a few.
    Does it help? No idea. Does it make me feel better because I'm kinda "doing something"? Yep. So I keep going.
    DF has been taking: Multi's, acid folic, zinc, CoQ10, fish oil and now starting maca so at least we're horny together bahahaha.

    DHEA and Melatonin (the proper one), are not sold over the counter though, need a prescription for those. So I'm planning on asking as I'm pretty sure it can't hurt. Need to take those for 3 to 4 months for getting the effects so I might as well start asap. :P
    I totally get the "who knows if it's doing anything, but at least I'm doing something"! All we can do is try our best right and feel like we are doing everything we can. I do think the melatonin has helped though, so if you can get a prescription I think it's worthwhile (I still had repeats from my previous FS so I've stayed on it)

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    LillyM  (30-05-2016),tjuls  (30-05-2016)

  8. #555
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    Default Any experiences with Primary Ivf? #3

    Hello ladies! There's too much to catch up so I'll try my best 🙂
    Congrats on those BFPs! @MissTilly already 20 weeks and expecting a baby girl! Whoohoo! Note to myself: miracles can happen! ❤️

    Sorry about your bfn @tjuls (or I should call you Dr now?😆) @Billie2 nice to hear your levels are back to normal!

    Afm, got tested and my NKC in blood are high. Dr M said chances are high that's why my embies are not implanting/miscarrying. I'll have a biopsy next week to check NKC in my uterus. He recommended to wait one more cycle, put DH on L-arginine and Carnitine to help his swimmers, and I on DHEA and melatonin to improve egg quality (plus the army of supplements we are already on: zinc, ubiquinol, etc). Once we are about to start a new cycle, I'll need Clexane/prednisone injections and intrallipids as well. Fun times ahead!
    @OneOfTheseDays sorry about your stressful cycle, that fert rate is awesome though! I'm curious about your protocol. Primary is quite "conservative", they don't believe in NKC treatment (they even told me about not taking fish oil, and it's one of the supps most of FS recommend for egg quality). I'm surprise you were supposed to be on Clexane, or that was with a different clinic?

    We've decided to transfer two embies when the time comes. Have any of you tried to do it with Primary? I know they advise on not doing it, but I think I check all the boxes (not 40 yet, but almost there!)

    Sorry for the long post! Haven't been here for a while 😁

  9. #556
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    @Kookii, glad to see you're back on track, or at least very very soon!

    I had a double transfer in my previous cycle, even though I'm 38yo. They're def not big fans of it, but if you have had several failures before, they might agree on it.

    When you say Dr M, is it Dr Mc Donald? Just curious whether it is a Primary Dr who prescribed DHEA/Melatonin since I'm planning to ask for it...?

  10. #557
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    Quote Originally Posted by Kookii View Post
    @OneOfTheseDays sorry about your stressful cycle, that fert rate is awesome though! I'm curious about your protocol. Primary is quite "conservative", they don't believe in NKC treatment (they even told me about not taking fish oil, and it's one of the supps most of FS recommend for egg quality). I'm surprise you were supposed to be on Clexane, or that was with a different clinic?

    @Kookii - We've decided to transfer two embies when the time comes. Have any of you tried to do it with Primary? I know they advise on not doing it, but I think I check all the boxes (not 40 yet, but almost there!)
    Yep - Primary have made it clear that they don't believe in NK, but thankfully the Dr has also supported our wishes and respected our knowledge gained through previous experiences. My last scratch showed high NK (30+) so my last cycle (with Monash) I took the Bondi protocol of clexane and prednisolone from transfer onwards (along with the crinone and pessaries). Although the embie didn't stick, I felt it stuck around longer than the others and feel confident that we were finally on the right track with luteal support.
    In regards to the 1 vs 2 embie transfer, we had also discussed this with the Primary Dr in relation to 2 frosties we still have with Monash. He said he'd be happy to 'pop them both in' if we wished. We ended up just going for the full stim cycle this time and leaving the frosties at Monash for now, but I don't see why that should change their stance on transferring 1 or 2. I'm not sure what their rationale is in supporting this though - might be because hubby have been trying for 4+ years, have gone through 5 rounds of IVF and are 38.

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  12. #558
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    @tjuls in reply to the questions, yes Monash did a cd2 BT before stims and yeh a full bleed, as I'd just come off 2 or 3 months of the bcp it was different to My usual cycle though.


    Welcome new ladies:-)

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    tjuls  (30-05-2016)

  14. #559
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    @Kookii hello! Sounds like you may have an answer. Good news. I know a friend who had the NK cell issue and once on a protocol she did succeed. If I get my way and DH is up for another go, we'd definitely transfer 2 (if I got 2 embryos that is!) Im 39 and 2 miserable efforts and never a frosty would surely qualify us.
    @LillyM I felt as though DrG was like a delayed telecast. She would pause so much and take her time looking at your results that I felt she wanted you to forget the question you asked. In my last appt she asked if Id like to see the nurses and I had no idea what for!? For a hug? But in saying that she looked after me long after my cycle in Feb. So follow up care was pretty good with Primary. I failed in feb and still in May they are dealing with me.

    Thanks @LillyM for the info and @OneOfTheseDays and @tjuls I really appreciate it. They should put these vitamins in Shiraz so at least its enjoyable. Thats it, fertility support wine!

    xx

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    Kookii  (30-05-2016),LillyM  (30-05-2016),tjuls  (30-05-2016)

  16. #560
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    Quote Originally Posted by Billie2 View Post
    Thanks @LillyM for the info and @OneOfTheseDays and @tjuls I really appreciate it. They should put these vitamins in Shiraz so at least its enjoyable. Thats it, fertility support wine!
    xx
    @Billie2 - Oh, did I not mention that regular doses of Shiraz between cycles was also part of my protocol? Self medicated on that one of course......

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    Billie2  (30-05-2016),LillyM  (30-05-2016),tjuls  (30-05-2016)


 

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