It is a huge disappointment, I am in the exact same boat when I got a BFP first attempt I was thrilled. But like you hcG didn't double and I miscarried. Very heartbreaking.
I think if you don't have full confidence in your FS then wait. I understand this comment is a touchy one but: because you are younger you really do have the luxury of a little more time. That time is well spent to be more confident and happy with your FS.
Another option might be to change clinics if that is available in your area.
One thing I am thinking about after reading your egg numbers is first attempt was 5 right? Did the new FS bump up your drugs to get the 12 eggs? Reason being, my FS says less eggs of good quality are better than lots of eggs that are poorer quality. Perhaps the frozen embryos are not of the optimum quality? Some clinics will freeze embyros that other clinics consider unviable. It might be worth making sure your clinic is using best practice in that way- cause nobody wants to waste time and money with a clinic who are a bit dodgy.
Also, did you have pre testing done eg of the sperm quality? Because you have POCS it might be worth linking in with a thread on that for ideas too. One thing I remember suggesting to a friend is Clexane- it can help implantation as it thins your blood- she is now pregnant after 3 years if IVF. Maybe a different drug regime might work better? The other thing to look into is suppliments- low zinc can cause failed implantation too.
I am only quite new to IVF and I am sure others with more experience will weigh in with some great ideas for you.
I know it must be hard not to let it get you down.
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17-07-2012 15:07 #181
17-07-2012 17:25 #182
With my first cycle I was on 150 Gonal F (5 eggs, 4 fertilised) and my FS at the time actually commented twice that day how good the eggs were.
My new FS upped my Gonal F to 175 for my second IVF and I got 12 eggs, but she didn't make any comment on their quality.
I thought the same as you about the quality of eggs, but if my first lot were 'that good', then my first FET 'should' have worked aswell because they were from the same cycle.
As for the sperm quality, I'm not sure if they tested it as they never said anything to me about it? My DH has had 3 sperm analysis tests done over the past 2.5yrs and he always comes back fine...it's just me who is the problem
17-07-2012 19:40 #183
Hi Disney baby. You are very similar to me. Are you with Concept and moved from Dr Jequier to Dr Ambekar? I saw my embryo when they did the transfer but didn't realise I could get a copy. I loved my little 3 cell and it was so pretty and perfect looking. Although it was not dividing as quickly as it should it was a Grade A. I would certainly look into your zinc levels. I have taken SO MUCH zinc but when i got my blood tested I was still on the low end of the normal range. I didn't have any symptoms of low zinc either.
I am in the single mothers forum (SMC) and a few of us have had gripes about Dr Ambekar at Concept. I can tell you from personal experience that unless you can prove clotting issues or NK Cells, Dr Ambekar will not give you Clexane or Prednisolone to help implantation.
If you can afford the time to find another specialist, Dr Turner at Hollywood is highly regarded. The clinic itself in Perth is highly regarded and price effective too. If I wasn't single, I'd have gone there. At Concept Dr Wong, Lucy Williams and Graham Thompson are all popular with good reason. Dr Thompson only takes patients with top private cover but then only charges what the cover is. He tends to specialise in older women but that probably means he's got lots of experience with all kinds of issues. He is very highly thought of. I know PerthS on here went with Dr Williams, she also has PCOS and is now 33 weeks or so. I hope the info is helpful for you. Good luck with your next attempt!
Last edited by Net3811; 17-07-2012 at 19:43.
18-07-2012 09:21 #184
sorry to see you back again Disney. January must have been jinxed because i have seen many ladies from our thread back trying again. like you i had early mc. no heartbeat right up until 10 weeks before dr did d&c. wow at how quickly you got to try again! im only just back here from the 1st try! had to wait for 2 cycles which for me take forever and a day as it is before trying again. i hope your turn is coming, and soon!
best of luck
kiwi, (((((HUGS))))) to you girl
Last edited by Amysan; 18-07-2012 at 09:23.
18-07-2012 16:13 #185
Net - I just commented in the NK Cell thread, but now after reading what you just wrote about Dr Ambekar, I'm pretty upset. It is not my fault that Perth does not have many options regarding NK Cell Testing. It is not my fault that the only place that seems to be able to do the testing we can't afford!
I've put my referral in to see Dr Williams, but I may not be able to see her until Nov/Dec
Amysan - My HCG never got very high, so AF arrived pretty quickly for me. I had to only wait 1 cycle before my FET. Congrats on your BFP!
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18-07-2012 17:38 #186
Sorry been off the radar!!
Net did you get tested for NK cells? I read about their being a blood test in US, as well as a biopsy.
I was wondering if a gp could ask for this blood test and then Disney you could get your confirmation. However with that said, if blood test could be easily done why won't this FS in Perth do the test? That's crazy!!
My FS doesn't totally believe in NK cells but is still willing to put me on a small dose of prednisone for a week after transfer.
I have to read back girls to do more personals.
Afm: I had food poisoning early in the week, it was from some food I defrosted not sure how it happened as we have eaten the same thing frozen a week before hand. Well AF finally finished after 15 days- definitely had a clean out with all the herbs and a bonus I lost 3 kgs lol. Have my knee op on Friday and looks like our next FET will be in sept- its just the way my cycle has turned out.
18-07-2012 19:47 #187
Don't despair Disneybaby. It is a bump in the road. I didn't post what I did to upset you, more because I've been through the frustration myself and wanted to save you some of it. You are right, there aren't many options for testing in Perth. Even when they take the test, I believe it is sent interstate for processing so it is fairly uncommon everywhere. Dr Ambekar is just one specialist. Others will have a different view. Dr Williams may be perfectly happy to prescribe clexane and prednisolone, without you having to do the test, other specialists have been as it is a fairly invasive test. One of my frustrations is that it is oftenn done when having an hysterosalpingam and i've had one of those. If only SJOG could have taken a little nip at the same time!. I didn't find out the full cost of the test myself, I spoke with a nurse and got the Dr's consult fees which seemed OK but when I heard it was done under General, I realised that was going to cost a bit and after a bit of thought decided against it. Dr Ambekar had also told me I might be refused the test because of my age. Imagine how that felt!
I would make sure before you see Dr Williams that you are clear on your view as to why you think you might have NK cells. It will help persuade an argument if you need to have it. I'm taking baby aspirin without telling Dr Ambekar as I believe I need help with implantation and it is also a blood thinner as is Clexane. you do what you can with what you have.
Be aware that the test is only part of the picture. The treatment for NK cells can be pretty expensive itself. It isn't just clexane and prednisolone (both of which can have scary side effects), there is also another treatment which some use which tends to cost a couple of thousand that is not covered by Medicare.
Dr Natalwala at Fertility North told me he would have treated me with Clexane but I can't afford to waste time with their 6 month cooling off period. They also charge to join waiting lists for sperm and embryos which I felt overall was a waste in my situation. That may be an avenue you want to explore, even just to get a second opinion. I have their price list if you want, I can mail you a copy and you can see if it might be worth your while to check them out.
Zacmick -it isn't a bloodtest, they need to biopsy the uterine lining. The clinic we are at (I think disney and I are the same) doesn't have the facilities. The FS I think we are both with, thinks if she is referring you for the test, you might as well do the cycle there as well (well that's what she told me) without really considering if you can afford that particular clinic. I don't know what she's thinking of as I need donor sperm which that clinic don't have and Concept would never transfer their donors. Anyway this Dr Hart seems to be the only one in Perth that does the test and he will only do it under a general so it is pretty expensive.
I did ask Dr Ambekar what she would use if she suspected implantation issues and she told me just aspirin.
Last edited by Net3811; 18-07-2012 at 20:05.
18-07-2012 21:59 #188
It's really interesting as in the USA they do both, a blood test firstly and then a biopsy for NK cells. I even have the item number that they use in the states. I wonder when Aus FS will start doing this too, we seem to follow in their footsteps..
19-07-2012 04:41 #189Senior Member
- Join Date
- Oct 2009
D&c for me yesterday at 8.5 weeks pregnant, so I guess I am now in the trying to move forward category. I have to start the contraceptive pill next week, to bring on a period (I don't have them naturally), and then can do an FET in about 6 weeks.
Sorry for the 'me' post. On my phone, which makes it hard to scroll back and see whilst replying. Will come in with more personals later.
Sent from my HTC Sensation Z710a using BubHub
19-07-2012 07:53 #190
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