| 1st time conceived at 37 pregnant 1st try. 2nd time took 5 months but only because cycle irregular after exclusively pumping for 11 months. Did not get period until about yr after dc1 was born. I was 40 when I conceived dc. |
OP here. My RE told me it is cumulative. He said I have a 20% chance of getting pregnant with one IVF, or a 30% chance of getting pregnant in 3 years TTC with no treatments. With those poor odds, I decided not to do IVF because I would only be willing to do it one time. |
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No, it's not cumulative. It's not like you magically get a baby after trying for 4 years because you reach 100% odds of having a baby.
If you're infertile or subfertile at 38 you easily end up in the percentage of women who never conceives. |
| I had no trouble getting pregnant at 42, but lost 3 pregnancies before having my son. Was almost 43 when I had him. |
with a .4 AMH you need to go to the RE. I had at .4 at 34 years old and it took 3 years and 2 ivf's to get pregnant (with timed intercourse EVERY month). It's called DOR and normal stats mean nothing when your AMH gets below 1. get on supplements and find a doctor that specializes in DOR. If they try to put a protocol with birth control pills on you - run, don't walk - to another doctor. |
What about doing a shared risk program? I just ask because it's offered by Shady Grove where I did IVF. The single payment is higher than doing a solo IVF, but you get up to six cycles. Also 20% odds of pregnancy with an IVF cycle is fairly low - is that due to your AMH results? I guess moving forwards depends on how much you want another child...it definitely is not inexpensive. Also just putting it out there that the year I did an IVF cycle our medical costs were high enough (> 8% of our income) that I was able to claim a deduction on our tax returns that got us thousands back in a refund. Just something helpful to keep in mind if you are struggling with costs. |
Also keep in mind that once your fertility starts declining, it declines rapidly. If you have a 5% chance this month, it could easily be 1% in a year if you are showing signs of diminished ovarian reserve. |
I can't imagine basing my decision entirely on those odds. There are plenty of women who get pregnant at 40 through IVF. Also one time? What if you had frozen embryos? I feel like you're the same poster who posted in the past about your AMH? |
I was the poster with the .4 Amh - i happily did 2 ivfs and would have done more but i have a 10 week old! DOR is a different set of rules and needs to be approached aggressively - i would never tell anyone not to try ivf because your odds are low - that's the whole reason to do ivf! |
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OP here. I am already seeing an RE (I have gone to see 3 for a second opinion) including the DOR expert at Cornell who told me he does not think I have DOR despite my .4 AMH because my AFC is so high and my FSH is normal. Another RE agreed with him and both diagnosed me as "unexplained." Shady Grove believes I am DOR however.
I am not willing to do more than one IVF because I already have a child and I'm not willing to put myself though all the side effects. I've already done IUIs with Follistim and they were very challenging for me due to the side effects (i.e. for example I grew huge uterine polyps after each one and had to have these removed). I also only produced 2 eggs on the max doses of Follistim which is not good. I have made dietary changes and am on supplements. We have now done 26 cycles of timed intercourse that have all resulted in no pregnancy. |
You've posted on here before and said the same things. About the side effects and only trying once. |
It seems that your best chance of getting pregnant, then, is IVF with a donor egg. If you do natural cycle IVF with a donor egg FET you can minimize your exposure to meds. If you aren't comfortable with that idea, then just toss your birth control and if it happens, it happens. If it doesn't, then you have your answer. Have you spoken with any REs about natural cycle IVF? |
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I'd go straight to IVF with that level of AMH. I'm 41, but my numbers are very good -- and I still only got 1 viable blast my first round, despite getting 12 mature eggs.
Good luck. |
| I don't think it could be true that "the average 40 year old takes 20 months to get pregnant." I think the "average" 40 year old without fertility treatment does NOT get pregnant. Keep in mind that your hypothetical 40 year old will be almost 42 at the end of that 20 months. Most 40-42 year olds can't get pregnant, especially without assistance. |
OP here. I have not used birth control at all since I got pregnant with my son (he's not even 3 years old). We have been TTC #2 for 26 cycles of timed intercourse, never got pregnant even once. The only time I was ever pregnant was with my son. I did speak to Dr. Gordon at Dominion about natural cycle IVF and he said he wouldn't recommend it for me due to my low AMH. I am not keen on the idea of donor egg but what would a donor egg FET with minimal meds be like? |