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  1. #141
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    I keep going back and forth @Dani25I think I'll do the FET then change FS if this doesn't work. Mine is more focused on cricket/wine/retirement and I can't help but thinking I paid for his last luxurious trip to Tuscany (true story!) Too much talk about him and not enough about what he can do to help make this transfer a success. So decision made... I think... for now! And that rant really helped. I guess what I want from a specialist is someone who is looking into the future of fertility, and willing to help get us there. I value his experience but feel he has been a bit dismissive of implantation issues, NKC cells, and any testing whatsoever! We jumped straight into IVF due to my age/AMH and I'm so scared this last embryo will be wasted as it's all so unknown. Maybe my hormones, lining was okay for the fresh transfer but I'd like some luteal support at least to say I gave this little guy a fighting chance. I asked even about pessaries (I read about them on every other comment on BH) and he didn't add anything to the conversation. He mentioned Pregnyl to use a trigger if don't ovulate... and perhaps this is some progesterone support but I'm just not very confident in his lack of intervention. I mean hit me with everything! Even if half of it's unnecessary and not scientific proven... I'm willing to try. What medicated support did you receive? Again, sorry for getting of course, a lot of my angst has to do with our FS- with just a couple questions I had, our nurse suggested we change Drs too... I'm sure I'm not his only patient that is feeling the same... but she said it would be difficult to get an appointment so I kept my follow up after our chemical pregnancy this April. Let's hope this frozen embryo takes... and take it from there. Come on AF, I'm ready for you!

  2. #142
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    Quote Originally Posted by augieandaddie View Post
    I keep going back and forth @Dani25I think I'll do the FET then change FS if this doesn't work. Mine is more focused on cricket/wine/retirement and I can't help but thinking I paid for his last luxurious trip to Tuscany (true story!) Too much talk about him and not enough about what he can do to help make this transfer a success. So decision made... I think... for now! And that rant really helped. I guess what I want from a specialist is someone who is looking into the future of fertility, and willing to help get us there. I value his experience but feel he has been a bit dismissive of implantation issues, NKC cells, and any testing whatsoever! We jumped straight into IVF due to my age/AMH and I'm so scared this last embryo will be wasted as it's all so unknown. Maybe my hormones, lining was okay for the fresh transfer but I'd like some luteal support at least to say I gave this little guy a fighting chance. I asked even about pessaries (I read about them on every other comment on BH) and he didn't add anything to the conversation. He mentioned Pregnyl to use a trigger if don't ovulate... and perhaps this is some progesterone support but I'm just not very confident in his lack of intervention. I mean hit me with everything! Even if half of it's unnecessary and not scientific proven... I'm willing to try. What medicated support did you receive? Again, sorry for getting of course, a lot of my angst has to do with our FS- with just a couple questions I had, our nurse suggested we change Drs too... I'm sure I'm not his only patient that is feeling the same... but she said it would be difficult to get an appointment so I kept my follow up after our chemical pregnancy this April. Let's hope this frozen embryo takes... and take it from there. Come on AF, I'm ready for you!
    The fs does sound a bit laid back.. i would be insisting on progesterone pessaries in the first instance. Something like 50per cent of fertility clients will need that support to maintain the pregnancy in the first trimester, but they don't know which 50 per cent and it does no harm, so...
    The short answer for nkc and the like / autoimmune issues really is taking heparin daily for at least the first trimester. I took heparin for 20 weeks for my autoimmune issues. There's a lot of research out there and I took only a very small dose, but it's worth speaking to your doctor(or another doctor!)
    Good luck!

  3. #143
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    @dani251 thanks, I will insist on pessaries, no harm, no trouble. I have an appointment with a private OBGYN who also consults as a FS at our fertility clinic. I'm going to "interview" him of sorts... I just want a second opinion and hoping he is a bit more progressive/holistic in his overall treatment and will swap over if seems as good in person as he does on paper. I have my BT for ovulation Monday for a FET planned very soon... and my appointment with the OBGYN is Wednesday... it's all happening! But knowledge is power, and being informed is for my benefit... I shouldn't need to justify wanting best practice! Best case scenario the FET takes... and all of this worry is for nothing. Worst case is it doesn't and we do the same thing and expect different results... and that's not something I'm willing to let happen. Appreciate the reply! Talk soon!

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  5. #144
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    So not sure if this is the right spot to ask this... but interested in everyone's thoughts. We're looking into donor eggs after two failed IVF rounds due to poor egg quality. Our FS told me that the egg quality was surprising due to my AMH reserve being good.
    Today I collected a copy of all my test results to help with egg donor planning and my AMH results were in there. It was the first time I had seen the results as he had to me he was happy with my egg reserve previously.
    I have an AMH of 9 at 34. Now I know that's not dire, but it is still low for my age so now I am questioning why the doctor didn't think it was a problem.
    Are there other tests I could be asking for? Should I be questioning why he thought it was a good AMH level?

  6. #145
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    9 sounds reasonable for your age and AMH is known to not be very reliable. Have you tried DHEA to improve egg quality? It takes a few months to kick in but with an AMH of 9 it might be worth a shot as it's not super low

  7. #146
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    Quote Originally Posted by Imasugarjunkie View Post
    So not sure if this is the right spot to ask this... but interested in everyone's thoughts. We're looking into donor eggs after two failed IVF rounds due to poor egg quality. Our FS told me that the egg quality was surprising due to my AMH reserve being good.
    Today I collected a copy of all my test results to help with egg donor planning and my AMH results were in there. It was the first time I had seen the results as he had to me he was happy with my egg reserve previously.
    I have an AMH of 9 at 34. Now I know that's not dire, but it is still low for my age so now I am questioning why the doctor didn't think it was a problem.
    Are there other tests I could be asking for? Should I be questioning why he thought it was a good AMH level?
    9 is low, but not terrible, however it's worth bearing in mind that AMH is only an indicator of quantity, not quality. If you're getting eggs but they're not making it, that's potentially a quality issue. I'd still talk to the doctor..

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  9. #147
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    Quote Originally Posted by Imasugarjunkie View Post
    So not sure if this is the right spot to ask this... but interested in everyone's thoughts. We're looking into donor eggs after two failed IVF rounds due to poor egg quality. Our FS told me that the egg quality was surprising due to my AMH reserve being good.
    Today I collected a copy of all my test results to help with egg donor planning and my AMH results were in there. It was the first time I had seen the results as he had to me he was happy with my egg reserve previously.
    I have an AMH of 9 at 34. Now I know that's not dire, but it is still low for my age so now I am questioning why the doctor didn't think it was a problem.
    Are there other tests I could be asking for? Should I be questioning why he thought it was a good AMH level?
    Maybe if you could clarify what you mean by 2 failed IVF cycles? How many eggs collected, if any? How many fertilised? Any embryos? Any transfers?

    An AMH of 9 at 34 i wouldn't call terrible at all. Mine was 3 or 4 i think at 35 - i have a 2.5 yr old and pregnant with number 2 ☺

  10. #148
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    Quote Originally Posted by JustJaq View Post
    Maybe if you could clarify what you mean by 2 failed IVF cycles? How many eggs collected, if any? How many fertilised? Any embryos? Any transfers?

    An AMH of 9 at 34 i wouldn't call terrible at all. Mine was 3 or 4 i think at 35 - i have a 2.5 yr old and pregnant with number 2 ☺
    I had 10 eggs collected first time and none fertilised. I had 11 eggs collected the second time, only one was of a quality to even try to fertilise but it didn't even last the day.

    We're currently looking at egg donors, but was just surprised by the lower AMH because the doctor had said the quantity of eggs wasn't an issue.

  11. #149
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    Quote Originally Posted by Imasugarjunkie View Post
    I had 10 eggs collected first time and none fertilised. I had 11 eggs collected the second time, only one was of a quality to even try to fertilise but it didn't even last the day.

    We're currently looking at egg donors, but was just surprised by the lower AMH because the doctor had said the quantity of eggs wasn't an issue.
    Was attempted fertilisation via ICSI? How's the sperm quality?

    I'd agree with your Dr that quantity isn't an issue - 10 and 11 are good numbers. Has your Dr discussed DHEA with you? Are you on any supplements, etc? There are some things you can do which *may* improve egg quality, which does sound like the issue for you if the sperm is high quality.

  12. #150
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    Quote Originally Posted by JustJaq View Post
    Was attempted fertilisation via ICSI? How's the sperm quality?

    I'd agree with your Dr that quantity isn't an issue - 10 and 11 are good numbers. Has your Dr discussed DHEA with you? Are you on any supplements, etc? There are some things you can do which *may* improve egg quality, which does sound like the issue for you if the sperm is high quality.
    Yep they did ICSI the second time around. No issue on sperm quality.

    The doctor didn't feel that there was much value in attempting ways of improving the egg quality due their genetic structure. He said the eggs were "brittle" and crumbled upon fertilisation. He didn't feel that it was treatable, or that even if we did we are still looking at such low odds of finding the good egg.

    I'm debating going for a second opinion or heading straight to egg donation.


 

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