anyone over 35 going for fertility treatments this year? IUI, IVF etc

[sarahincanada]

Had my baseline scan this morning. Everything went normally.

I will go back on cd11 for scan and if mature then IUI on cd13. I did IUI on cd13 in September, and I think it was too early. I don't think I ovulated until cd14 or possibly 15th.
I'm not sure what to do. I can push and do it on the 14th, which is what my gut is telling me. 10 years ago, I had to push to have it done on the day that I thought was appropriate, and it finally worked.

But, I also only had 28 hours from trigger to ov the last time. Maybe if I trigger as they recommend (36 hours), and then go for IUI on cd13, the timing will be right?

I don't know. It's such a headache. It does seem to take at least 3 cycles just to figure out how your body responds to the meds.

I always thought the 36 hours from taking the trigger to ovulation was not accurate due to thinking I felt ov earlier, but when I did my IVF I took the trigger and went in for my EC 34ish hours later was half expecting to go in and them tell me I had ovulated all 20 eggs already but there were still there and she said the 36 hours thing this is very accurate....im not sure if theres much room for it to be earlier or much later. how do you know, from ov pain?

but if you have the IUI and ovulate a little later thats ok right, doesnt the washed sperm last 24 hours?

but I would go with your gut if thats what worked last time. Big , that timing thing realllllyyy stressed me out!!

 

[sarahincanada]

hi everyone! just an update as I met with my FS for a follow up today after having a month off it was really nice to be at the clinic and see her! so she reviewed my file and the first thing she was was 'well its good news and bad news...the good news is you responded great and bad news you didnt get pregnant'. but she said with having the 8 frozen she would be VERY surprised if I didnt get pregnant from the FETs. She said that to have 10 blasts was exceptional, even for someone much younger so she was really pleased. Even though we cant look at the quality she was saying to get that many blasts is very promising.

one thing I thought was interesting was I asked her, when it fails is it usually the egg/embryo or are implantation problems equally high. she said that when you look at fertility charts theres a drastic decrease in pregnancy rates as the person gets into their late 30s - 50. but when they look at pregnancy rates with people using younger donated eggs/embryos the pregnancy rates pretty much stay the same from 20-50...indicating that its usually the egg/embryo. I though that was very interesting, that a 48 yr old with donated embryos from young eggs have a similar pregnancy rate that a young person.

that bit of info makes me feel less like my body is a failure, as implantation is probably very possible right up until 50 so its just the matter of finding that golden egg/embryo.

I asked her about implanting 1 or 2 and I was thinking of 1, and she was shocked as she said its usually her trying to persuade people to implant less. (She said its totally up to us and I was glad that she didnt try to persuade us to do 2 to keep clinic stats up). She had the new stats from 2011 and for 39yo there was a 40% success rate, and twins is about 12-20%. I asked her the pregnancy rate for single embryo transfer and she said about 15-20%. I *think* I might do 1 to start off with as its only another month to try again and if it doesnt work I can do 2.

I asked her crystal about splitting embryos being more common, she said yes but in general population its about 1% chance and ivf gives it 2% chance, so double the chance but a lot %.

I also asked her if I had to do another fresh cycle would they consider pgd and she said yes they do sometimes offer it, so thats good as I didnt think it was available here. she also said they if Im not pregnant after a couple of FETs she might do a biopsy in my uterus, as there are some studies that show a disturbance like that can help implantation rates.

sorry you have probably all fallen asleep by now or stopped reading, but thought Id post it all for anyone interested!!

 

[LLbean]

hi everyone! just an update as I met with my FS for a follow up today after having a month off it was really nice to be at the clinic and see her! so she reviewed my file and the first thing she was was 'well its good news and bad news...the good news is you responded great and bad news you didnt get pregnant'. but she said with having the 8 frozen she would be VERY surprised if I didnt get pregnant from the FETs. She said that to have 10 blasts was exceptional, even for someone much younger so she was really pleased. Even though we cant look at the quality she was saying to get that many blasts is very promising.

one thing I thought was interesting was I asked her, when it fails is it usually the egg/embryo or are implantation problems equally high. she said that when you look at fertility charts theres a drastic decrease in pregnancy rates as the person gets into their late 30s - 50. but when they look at pregnancy rates with people using younger donated eggs/embryos the pregnancy rates pretty much stay the same from 20-50...indicating that its usually the egg/embryo. I though that was very interesting, that a 48 yr old with donated embryos from young eggs have a similar pregnancy rate that a young person.

that bit of info makes me feel less like my body is a failure, as implantation is probably very possible right up until 50 so its just the matter of finding that golden egg/embryo.

I asked her about implanting 1 or 2 and I was thinking of 1, and she was shocked as she said its usually her trying to persuade people to implant less. (She said its totally up to us and I was glad that she didnt try to persuade us to do 2 to keep clinic stats up). She had the new stats from 2011 and for 39yo there was a 40% success rate, and twins is about 12-20%. I asked her the pregnancy rate for single embryo transfer and she said about 15-20%. I *think* I might do 1 to start off with as its only another month to try again and if it doesnt work I can do 2.

I asked her crystal about splitting embryos being more common, she said yes but in general population its about 1% chance and ivf gives it 2% chance, so double the chance but a lot %.

I also asked her if I had to do another fresh cycle would they consider pgd and she said yes they do sometimes offer it, so thats good as I didnt think it was available here. she also said they if Im not pregnant after a couple of FETs she might do a biopsy in my uterus, as there are some studies that show a disturbance like that can help implantation rates.

sorry you have probably all fallen asleep by now or stopped reading, but thought Id post it all for anyone interested!!

Thanks for the info!!! Not asleep at all

 

[crystal443]

Sarah- Def did not fall asleep If I were a "normal" woman with a large amount of eggs I would def only have 1 put back. I don't want to have twins even though I joke about it At the end of the day I only want 1 baby but my FS thinks because my immune system works against me, low AMH etc there's no point in prolonging things so I'd have a better chance for a singleton pregnancy if I put 2 back. And I probably won't have near a number to even go to 5 day transfer so it will be a 3day no doubt. You know what's best for you and your family and if its 1 baby at a time then that's the way to go

Very exciting to think of your 8 frosties there's a fantastic chance you will be pregnant with one of them Does the clinic monitor your lining and then as soon as O happens they transfer?

 

[constancev18]

@Sarahincanada, that's a lot of valuable info especially about the implantation rates older vs younger eggs. Thanks for posting!

 

[dachsundmom]

Sarah, this sounds fab!

In your position, I would probably lean towards one as well...

 

[GreenFingers]

Sarah - that is wonderfully news and great that she is so positive for your chances. I agree with your thoughts about leaning towards one, you responded fantastically and if you have the money go for it. I went for 2 because of my DOR, low number of embryo's and lack of funds for doing it again.

What day is the FET scheduled for?

 

[sarahincanada]

thanks everyone!

I think we will do 1 for the first try, as really I get to try again 2 weeks later so its not that bad if it fails! some days I want to be pregnant now and others I think take your time! I feel most people do 2 and more as they dont have as good of a response like you ladies mention, or they are on fresh cycles with no frosties and want the best chances or dont want to just freeze a lone embryo so put them all back. My situation is a little different so Im going to try and be patient and it will hopefully be worth it this will be a lesson in patience for me, but its good to start now as I will have to have it for 9 months!!

good luck today LL, cant wait to hear how you are doing!

greenfingers I go for an ultrasound on friday and monday and if lining is good its probably going to be next thursday, the 19th

 

[sarahincanada]

Sarah, if you have already answered this, I am sorry....but, during a FET, do your suppress your OV or can you try naturally and transfer? I am confused, lol.

dmom I found out the answer....they are not bothered at all by my natural ovulation this cycle. she said that the dose of estrogen will probably stop me ovulating for now, so I assume when I lower it and go on progesterone it might happen but I dont need to use condoms like in the fresh cycle. I guess they are not worried about the chances of natural pregnancy at this stage, they were only concerned when doing a fresh cycle and having 20 follicles!
so that would mean I wont be taking the trigger either so at least any testing will be 100% accurate for my FETS.

 

[dachsundmom]

 

[sarahincanada]

how are YOU doing??!! done a beta?? keeping everything crossed for you

 

[dachsundmom]

how are YOU doing??!! done a beta?? keeping everything crossed for you

Went to the doc today...urine test positive and beta back in a day or two...I may or may not call about the results, as he is scanning me next Wed to try and see the location of the sac. He offered to do it today, to show me the thickened uterine lining, but I declined.

I am going to start taking oral prometrium tonight, until ~ the 12 week mark.

 

[sarahincanada]

how are YOU doing??!! done a beta?? keeping everything crossed for you

Went to the doc today...urine test positive and beta back in a day or two...I may or may not call about the results, as he is scanning me next Wed to try and see the location of the sac. He offered to do it today, to show me the thickened uterine lining, but I declined.

I am going to start taking oral prometrium tonight, until ~ the 12 week mark.

will they do 2 betas to show the rising? how are you feeling, I can imagine when I finally get my bfp thats all I will think of and no work or chores will get done. the wait for scans, 12 weeks etc is probably worse than the 2ww

 

[dachsundmom]

He asked if I wanted a second and I said no...the scans will tell us what we need to know, and I really don't want to play the 'guess the # game.'

 

[LLbean]

Dmom thrilled for the doctor visit for you. I would do the beta check not for the Guess the number because honestly that does not hint to twins or anything at all (ask JB) but I understand you want to wait...the ultrasound would give you a better answer either way

Mine went well too as far as I can tell. Still have to hear back on the blood work but we have 10 follicles so far (5 on each side)

 

[dachsundmom]

Liz, I am so glad to hear it!

My only fear is the prometrium...this stupid cream I was using is only 40mg and the caps are 200mg. The doc said he didn't think I needed it, but since I messed with the cream, better do it just to put my mind at ease, bc it can't hurt.

 

[LLbean]

Liz, I am so glad to hear it!

My only fear is the prometrium...this stupid cream I was using is only 40mg and the caps are 200mg. The doc said he didn't think I needed it, but since I messed with the cream, better do it just to put my mind at ease, bc it can't hurt.

I got put on Prometrium too...along with the oil!!!!

I think you will do fine

 

[sarahincanada]

dmom I understand, but wouldnt they want to check the numbers to make sure doubling etc, or do you mean they are going to be checking but you dont want to know? and they think next week there should be something on the ultrasound then, oooh I can hardly wait for next week.

LL thats great news, I hope you have some real good quality ones cooking. So when is your next scan? I can barely wait to see how this cycle goes with the pgd etc. I guess your transfer will be next week as well, will be an exciting week

 

[sarahincanada]

i know people hate the progesterone that goes up the vajayjay but I never minded it, and it seemed mine got all sucked up and I didnt leak much but the estrace are little blue pills and so I am wiping a lovely aqua green colour when I go to the loo!!

 

[dachsundmom]

Sarah, if I go for a second beta...it would be Thursday and I most likely wouldn't get results until Monday. I have a scan next Wed and my doc thinks he can pic up the sac location on it...so, I figured instead of stressing over a number, just to wait it out for the scan.

Do you think it's a bad idea?