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Infertility Support and Discussion
| I had DC at 35. No problems conceiving. How hard will it be at 37? For those of you who had an easy time with DC1, did the game change for number two because of age--specifically at 37? |
| I got pregnant with my first at 37. Of course, everyone is different, but the big decline is at 40. Don't stress, that'll make it more difficult. And don't wait to see an RE if it takes more than 6 mos. |
| It was easy for me the first time. However, after that I had multiple miscarriages. |
| It declined for me at 38 - you never know until you try. |
Actually, some studies say there is a big drop at 37. Mine certainly dropped off before 40. I had 3 children easily/barely even trying in my mid-30's - so apparently very fertile. We started trying again at 38 and it took me 14 cycles, with 2 chemical pregnancies during that time and a couple of failed medicated IUI cycles. My testing with the RE was excellent, low FSH, high AFC, no indicators of diminished ovarian reserve, and I respond to the stimulation drugs like someone 10 yrs younger. My DH's semen analysis excellent, too, so no male factor issues. I finally got pregnant on my own (no meds) at 39.5 & am 15wks along, but clearly the issue was getting a good egg. Despite having normal, regular cycles, good fertility history, & great labwork, I just have a higher proportion of "bad" eggs now than I did 5-10 yrs ago, which is what you'd expect. That's generally true across the board; egg quality declines with age, though it happens at a different rate for everyone. We all have a mix of healthy and unhealthy/abnormal eggs, and the proportion of unhealthy to healthy is increasing over time as you age. My "good egg" took 14 cycles to come up; yours might come up the first or second cycle, or the 20th cycle. There's now way to know ahead of time. |
| If you had no problem with the first, second will probably be fine. But, I do know a lot of people who had a couple of miscarriages between #1 and #2, the get PG quick, but it doesn't always stick. |
| Is there any way to tell how many good eggs you have? |
Not really. There are tests to assess ovarian reserve. High FSH and/or low AFC can indicate diminished ovarian reserve, but as far as anyone telling you "x% of your eggs are still good," no, that's not possible. I'm 10:29 and my test results were really good, so technically I don't have diminished ovarian reserve. But considering I got pregnant with my 1st baby on the 1st try, 2nd was a surprise, and 3rd on the 2nd try, the fact that it took me 14 cycles to get pregnant this time (and I lost 2 pregnancies very early, likely due to an abnormal egg) tells me my eggs are not what they used to be. And I know based on tests that everything else is in good working order - uterus looked great on ultrasound, healthy lining, both tubes are open, no issues with DH's swimmers, etc. So really the only possibility, for me, was age-related egg quality. I know it can take "normally-fertile" couples up to 12 months to conceive, and I'm not saying I would have expected to get pregnant immediately for a 4th time, but that 12-month statistic is for couples who are just "winging it" and having unprotected sex regularly. I was charting BBT, which increases the chances of conception b/c you can time intercourse much better, and I also did 3 IUI cycles with multiple follicles, and those have a higher chance of conception than a natural cycle since you are putting the sperm right in the cervix at precisely the right time, and there are multiple "targets" if you have more than one follicle. |
Interesting info from the PP. Thanks for sharing your experience, and I'm glad you're pregnant in the end!
I'm also 37 and TTC DC#2. It was relatively easy with DC#1 -- 5 months of trying -- but it's been a longer road this time around with nothing to show for it yet. Similar to PP, all my tests look normal, so I'm guessing it's a wait for a good egg. |
| Have there been any studies on how to get good eggs? Healthy living, I assume? |
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Well, I got pg spontaneously at 37, (had a miscarriage) but after that it was a no go. And then we jumped into about 2.5 years of heavy intervention...still to have to go through 2 IUIs and 3 IVFs to finally have our kids at the ripe old age of 42.
The thought of getting 'extra' help for your eggs, through injects/IUI or stimulated IVF, only addresses the idea of 'quantity'. Meaning, if you have more targets...then possibly you can find the good egg in the bunch. With that said...I did take CoQ10...and that is about the only supplement that has shown to POSSIBLY improve egg quality. I am only ONE anecdotal case...but the cycle that I took the CoQ10 for 3+months prior to stimulation was the cycle we conceived our twins. I have no idea if the CoQ10 did any good. I certainly believe it did no harm. |
Is that something you get from an RE or an over-the-counter thing? |
| had 1st at 35 now pg at 37 - and only took 3 months but i was nervous about it which is why i went for this year rather than a couple years which would've been my preference |
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"If you had no problem with the first, second will probably be fine."
That is absolutely not true. Secondary infertility is not uncommon, and not just because of the woman's age (although that is ofter a big factor). |
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14:22 poster here...
CoQ10 is available anywhere that you can get nutritional supplements. GNC, Trader Joe's (probably), maybe even Target or Costco. Do some 'on-line' homework and get the dosing correct... I was only taking a very low dose, so probably it is just voodoo logic that the CoQ10 did anything to help...I think the suggested dose is 400mg/day for those trying to improve egg quality. At those doses, it is not an inexpensive monetary investment. |