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  1. #981
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    Hi @SnowWhite83 have you had quotes for having the lap done privately? Maybe it's not as expensive as you think?

    Understandable to be anxious about having a GA but you'll do fine. It's a bit weird, you may feel a bit odd or a bit sick, but that should be transient and worth the enhanced fertility it may bring.

    GL, wishing you all the best.

  2. #982
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    @SnowWhite83 I know a lot about endo because I just had mine excised. I also know a lot about endometriomas, even I didn't have any of those, but I did a lot of research on it. I'm out atm, but I'll come back and post a bit later.

  3. #983
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    @Pinkyd, I know you had bfp symptoms from 6dpo, but did you have any between 1dpo and 5dpo???

  4. #984
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    Default April/May TTC group chat #2

    @nightowlsurprise not really just some bloating and mild headaches but this is not uncommon for me most of the symptoms started in the second week, any reason u ask those days in particular?

  5. #985
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    5dp5dt (10dpo) and a BFN on a FRER this morning. We are well aware it's still very early. I've also tried 2 x IC OPKs today and they both have a faint second line. That's a great sign right?

  6. #986
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    Quote Originally Posted by SnowWhite83 View Post
    Good morning ladies,

    I have been reading this thread for quite some time now, in anticipation of the journey my husband (35, almost 36) and I (34) are about to embark upon. We have been trying to convince for 2 years now, with no luck.

    A bit of history - Hubby was tested about 4 or 5 years ago, and was found to have a high count of approximately 15 million, but with 92% motility. I had my first ever PAP done in March just gone, which came back normal (thank goodness!). We are relatively healthy in general.

    We had our first appointment at Primary IVF in Sydney in April, and were sent off to have some further tests done.

    Yesterday, we went to see our GP & FS at Primary IVF Sydney to get our results.

    Hubby’s results have come back disappointing, as his count has halved to 7 million, with 96% motility. He was devastated, and I think I was just a bit numb as we weren't expecting this. Our FS remained very optimistic, and said that ICSI is the way to go for us, so that was encouraging. She has instructed him to stop smoking and lose some weight.

    My tests have all come back normal, apart from a large (8cm) endometrioma cyst on my left ovary which was picked up during my internal ultrasound, and there was a note suggesting a possible heart-shaped uterus. Apparently, having an endometrioma means that I also have endometriosis, which came as quite a surprise as it has never caused me any issues (other than effecting my fertility, as it turns out). Despite the endometrioma, my left ovary had 7 follicles, and my right had 10, and my hormone levels were all normal, so that was good news!

    Now, as a result of my endometrioma diagnosis, we have been given 3 options by our FS:

    * Have surgery to remove the cyst (and the endometriosis at the same time) before we start any ICSI treatments
    * Go and have another ultrasound at a private clinic to get a more in-depth understanding of what I do and don't have present in my reproductive system (they're called Ultrasound Care, and are very expensive apparently!). And move forward based on the findings
    * Leave the endometrioma cyst as it is, do a cycle, and hope for the best. If it doesn't work, then we revisit the surgery route

    I have never been under general anaesthetic or had any type of surgery before, and I am really anxious about the whole procedure. I don't have private health insurance, and can't afford to pay thousands of dollars to have it done privately, but I have been told that the waiting time via the public system could be 12 months as it's not deemed life threatening. Obviously, we really don't want to wait this long to start ICSI, so I am at a bit of a loss and feeling a bit dejected.

    I would love to know if any of you have had a similar experience with endometriomas, and how it all went for you. Did you have it removed prior to starting IVF? If not, did the IVF work? If so, was your surgery done in the public sector? How long did you have to wait?

    I'm so sorry for the epic essay and millions of questions, and I'd really appreciate any advice you ladies can give me.

    I hope all of you are going well – congratulations to those of you who have conceived, and my best wishes to those still trying. I have been following all of your journey’s quite closely, and look forward to sharing the rest of mine with you, too.
    Hey Hun, sorry I wasn't able to respond earlier, but I'm at home and have some time so thought I would respond.

    First, im of the view that your husband's sperm count is still good and so is his high motility, which as I understand means the sperm are able to swim around. Usually a count over 15 or so is better, but 7 mil is fine and the motility percentage is excellent. But sure, ICSI will overcome sperm issues. I wouldn't worry about your husband, his count is fine and there's icsi if they find that his sperm are unable to fertilise your eggs on their own, without the use of icsi.

    The endometrioma, aka as a chocolate cyst, is problematic. I have a semi heart shaped uterus, so don't worry about that unless you experience miscarriages.

    I'm 40 and we've been trying to fall pregnant for 2 years. We've had around 8 failed IVF cycles and no one could figure out why. Finally, I went to a FS who told me he was absolutely certain I had endometriosis, even though I had NO symptoms whatsoever. None, zip, nudda. My hormone levels were perfect, but my AMH was a little on the low side and my FS thought that was weird because my follicle count on day 9 was high. I didn't want to do the laparoscopy because I thought it was going to be a waste of money, but it was the only thing I hadn't done and decided to just go ahead and do it so I could at least say I've tried everything. They found grade 3 endometriosis. It was on my abdomen wall, uterosacral ligaments, surface of ovaries and bladder. They removed it all and quite honestly, it was the best thing I ever did. The surgery immediately corrected my cycles. Prior to the surgery I had 23-24 day cycles, NO FERTILE MUCUS, a thin lining and my egg count was ok, but my embryos couldn't grow to day 5. The quality was terrible..

    Post surgery, my FS asked if I would try naturally as he honestly thought I would have success this way. We are on month 2 TTC naturally, but if nothing happens this month and next month, we will return to IVF again.

    Chocolate cysts or endometriomas are a bit more severe than straight endometriosis. My FS said it was the "last chance saloon" and you have to go to a VERY experienced surgeon to have it removed, because it can damage your ovaries. It's a very delicate procedure that requires precision.

    I found this website to be incredibly helpful on the endometriosis front. An excellent website with lots of information. http://www.preventmiscarriage.com/No...metriosis.aspx

    As to what to do from here on in, please read this case study of another young lady who is similar to your age who tried and failed IVF with an endometrioma: http://haveababy.com/fertility-infor...eggsembryos-in

    The problem is that endo causes a very toxic environment and releases cytokines that damage egg quality. Your ovaries are effectively being washed by the toxins being released from the endometriosis. It's amazing the difference when the endo is removed.

    I honestly don't think it's a good idea for you to go down the path of IVF until the endometriosis is completely removed. You can go and get a deep infiltration ultrasound, but what for? It's not the same as a laparoscopy and it is not accurate and there's no point getting a scan when you have an endometrioma. An endometrioma means you have endo so there's no point getting a scan.

    Having said that, some women do fall pregnant with endo and go on to deliver healthy babies, so if you want to do one round of IVF to see how you go, this may be a good idea. I know a lot of the time I wanted to see for myself, because we are all different and respond differently, but you should know that IVF meds (which increase estrogen tenfold) will aggravate endo and make it worse. You're better off doing a long down reg IVF cycle because this protocol suppresses your hormones do it doesn't wreck havoc on endo. Having said that, endometriomas damage eggs so don't be surprised if your embryos don't make it to day 5. Mine didn't, although I was 38 at the time, so much older than you are, and I didn't have an endometrioma.

    Have you had your AMH tested??

    I personally wouldn't try and get rid of endo in a public hospital as you're lovely to get a gyno doing it and my FS told me that he's seen many women where they've had their ovaries damaged by the sheer butcherism...

    Unfortunately, getting endo removed by a private FS in a private hospital is not cheap. I went to one of the leading endo specialist and I had to pay $4,075 for the surgeon and $1,600 for the anesthetist. I think I only get back $1000-$1200. I'm privately insured though, so that covered the hospital.

    I was told to allow for pain and recovery after the laparoscopy, but I felt no pain after my procedure and went back to work the same day....

    Happy to answer any questions you have, but my advice is to get rid of the endo and endometrioma by an experienced FS. If this is not possible, do a round or two of IVF with Primary (try and book in to see Dr McDonald) and see how you go. If no success, try and get that endo removed. At the end of the day, you never know, you may have success on your first IVF go.. Honestly, I've seen stranger things happen and everything in this life is just so random!! Comes down to luck I think!

    But stay away from any deep infiltration scans. They're a waste of money and are not going to tell you exactly where the endo is. You gave endo, so no point getting a scan to tell you they can see an endometrioma which you already know you have.

    All the best hun and feel free to ask me any additional questions you have, but please go and read those excellent webpages, they were absolutely wonderful and gave me SO MUCH hope!!

  7. #987
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    Quote Originally Posted by Pinkyd View Post
    @nightowlsurprise not really just some bloating and mild headaches but this is not uncommon for me most of the symptoms started in the second week, any reason u ask those days in particular?
    Oh I was just wondering if you noticed anything between 1dpo and 5dpo. I just wanted to know from a bfp'er if they had symptoms much earlier than 6po How are you doing??

  8. #988
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    Quote Originally Posted by Kaldeo View Post
    5dp5dt (10dpo) and a BFN on a FRER this morning. We are well aware it's still very early. I've also tried 2 x IC OPKs today and they both have a faint second line. That's a great sign right?
    I learned a very big lesson from a friend of mine who was my age and who did a FRER on 12dpo and got a BFN, not even a squinter! Anyway, she tries again on 14dpo and she couldn't believe her eyes.. The second line was stronger than the control line!!! She's having twins!!!!

    So 10dpo can be early for some women.

    I'm still not sure I know much about OPKs registering positive and BFPs.. Maybe @Pinkyd can weigh in?

    But, I just did a Ovuplan opk. Today for me is 4dpo and this is what my opk looks like. I actually don't know if an opk should be positive or negative at 4po.....

    ImageUploadedByThe Bub Hub1495868953.921214.jpg
    @Pinkyd, what brand opk did you use??

  9. #989
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    That's a strong second line!

  10. #990
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    Quote Originally Posted by Kaldeo View Post
    That's a strong second line!
    I am now thinking there's nothing in it.. Just spent some time googling and a lot of women who got a positive opk on 4dpo went on to get a bfn on a HPT........ I should probably save my opks!


 

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