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  1. #1
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    Unhappy Back to back cycles or a break recommended?

    Long story short got diagnosed with unexplained infertility and DOR with an AMH of 0.20

    Am 31yo (just turned today!) and husband is the same age.

    We were just doing checkups to prepare for TTC starting in December 2019 when shock results returned and the low AMH figure came up. The specialist at the time (Monash) then fast tracked us straight to IVF - so we didn’t get the chance to TTC and thus our lives in 2020 got turned upside down.

    Since December we’ve done IVF every period that has come by

    IVF #1 (Jan) - Flare protocol - non responder - cancelled

    IVF #2 (Feb/Mar) - Antagonist protocol - 2 follicles - egg collection - no eggs

    IVF #3 (Apr) - Altered Antagonist protocol - 1 follicle - didn’t ovulate - cancelled

    IVF #4 (May/today) - HGH stims - 1 follicle at 20mm by d9 - egg collection - no eggs


    My question is - as expensive as it has been as well, is it time to take a break or keep pushing forward? We’ve been lucky enough to be able to afford ongoing IVF cycles to a point, however, if too much stims is a bad thing, will taking a break help?

    Fertility specialist all have been giving me different opinions, so hopefully reddit IVF crew can help clear things up!

    What saddens us the most as a couple is the fact we’ve never done the 12 months of TTC or even 1 month for the matter! However if time is against us and IVF is the best approach, then no regrets

    We will most likely switch to Lynn Burmeister for the next cycle as we are losing hope with Monash unfortunately.

  2. #2
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    Hi @IVFbaby1. I saw you haven't got any responses as yet so just thought I would chip in. I too have DOR, it was about 1.1 in 2015 when I first had a test (29yo) and is now down to less than 1 (33yo).

    I was miraculously lucky to have a cycle work for me in 2015 with 300 Gonal F, I managed to get 5 eggs which even surprised my FS! The eggs were also picked up earlier then normal (biggest was only 18mm) which looking back was a huge reason it worked as I have since found if I wait to 20mm I get my LH surge early. Anyway out of the 5 there was one very special egg that turned into my son, who I thank God for every day.

    We have been trying for a second child for a few years, with poor success. I tried 450 Gonal F and got 4 terrible eggs last year. I tried 300 pergoveris in February but ended up with one follicle and early LH surge. They still decided to try egg pick up but couldn't find anything inside, I have a feeling I ovulated early.

    I'm doing another cycle in June on 300 menupur but don't have high hopes. We've come to terms with using a doner egg and were supposed to be leaving for Greece soon, but that will be on hold for a while now due to travel restrictions.

    In my opinion if you can handle it mentally, make the most of trying with your own eggs now while you have age on your side. See a fertility naturopath so you know you did everything you could do get your eggs in good shape. Some people do get pregnant naturally with DOR.

    If this doesn't work, have a read through some of the doner egg threads and you will see that there are still many options for you to start your family.

  3. #3
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    Default Back to back cycles or a break recommended?

    Hello. I’m sorry that you’re going through this, IVF is hard

    What I will say is two things tho. Yes you have a low AMH but you’re also young enough to take a mental health break. These are really important, as is having some fun and remembering who you are outside of TTC. That’s the stuff that will keep you going. Back to back is physically and mentally exhausting.

    The other thing is please don’t discount a natural pregnancy. A very good friend of mine did the same, a random check of her AMH which was very low. I’ve watched her struggle with the IVF journey but she never responded and it was totally pointless for her to keep trying as she never got any eggs retrieved ( ever! ) at all. Some months she had a period and didn’t even ovulate. What did work was ovulation tracking instead with Genea. It’s cheaper and after a few months she conceived naturally and her daughter is now 2. It also allowed to her start to understand her body each month so she could start to tell which months she does ovulate.
    Fast forward and she’s done the same for #2: She sadly had an ectopic but has also naturally conceived her little boy whose 17 weeks in utero. All Genea tracking as they said IVF was a waste of money due to poor response. She’s 37 and her DH has no sperm issues.

    What I guess I’m saying here is don’t discount natural conception if you’ve never tried. You may have more time than you think to try this a different way. Until you try you won’t know.

    Best of luck. Xx
    Last edited by amiracle4me; 26-05-2020 at 09:30.

  4. #4
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    Thanks for the responses! Really appreciate the info and support!

  5. The Following 2 Users Say Thank You to IVFbaby1 For This Useful Post:

    amiracle4me (02-06-2020),gypsychild (03-06-2020)

  6. #5
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    Quote Originally Posted by IVFbaby1 View Post
    Long story short got diagnosed with unexplained infertility and DOR with an AMH of 0.20

    Am 31yo (just turned today!) and husband is the same age.

    We were just doing checkups to prepare for TTC starting in December 2019 when shock results returned and the low AMH figure came up. The specialist at the time (Monash) then fast tracked us straight to IVF - so we didn’t get the chance to TTC and thus our lives in 2020 got turned upside down.

    Since December we’ve done IVF every period that has come by

    IVF #1 (Jan) - Flare protocol - non responder - cancelled

    IVF #2 (Feb/Mar) - Antagonist protocol - 2 follicles - egg collection - no eggs

    IVF #3 (Apr) - Altered Antagonist protocol - 1 follicle - didn’t ovulate - cancelled

    IVF #4 (May/today) - HGH stims - 1 follicle at 20mm by d9 - egg collection - no eggs


    My question is - as expensive as it has been as well, is it time to take a break or keep pushing forward? We’ve been lucky enough to be able to afford ongoing IVF cycles to a point, however, if too much stims is a bad thing, will taking a break help?

    Fertility specialist all have been giving me different opinions, so hopefully reddit IVF crew can help clear things up!

    What saddens us the most as a couple is the fact we’ve never done the 12 months of TTC or even 1 month for the matter! However if time is against us and IVF is the best approach, then no regrets

    We will most likely switch to Lynn Burmeister for the next cycle as we are losing hope with Monash unfortunately.
    Hey @ivfbaby
    I did 9 own egg cycles in one year, so pretty much all back-to-back. The only breaks I took that year were when my baseline bloods weren't good enough to start stimming.
    I was much older than you when I did own egg IVF, 40, but also had low AMH (0.4) - age and low AMH are not a good combo. Age is definitely on your side, but obviously it's a question of what your egg quality is like too, not just numbers.
    I found that back-to-back IVF messed with my cycles, my body definitely didn't like it. My FSH shot up, but came back down after I stopped IVF and just tracked through bloods for a few months. In 18 months I had two chemicals through IVF and two naturally, so I came to the conclusion that IVF wasn't actually improving my strike rate.
    Like many things it's very individual. There's no way of knowing if a break will help unless you try.


 

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