PCOS- Shady Grove Push for IVF

[Anonymous]

I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

[Anonymous]

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

Well 1/2 times you got pregnant it was with a bad egg. So that’s why I’d have IVF. To avoid going to miscarriages.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

Well 1/2 times you got pregnant it was with a bad egg. So that’s why I’d have IVF. To avoid going to miscarriages.

This.

I never really understood the appeal of IUIs. They don't have high success, you can have your cycle cancelled so easily, etc. etc. It's barely any more than trying on your own.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

Well 1/2 times you got pregnant it was with a bad egg. So that’s why I’d have IVF. To avoid going to miscarriages.

This.

I never really understood the appeal of IUIs. They don't have high success, you can have your cycle cancelled so easily, etc. etc. It's barely any more than trying on your own.

I’ve been pregnant three times. I have one three year old child and one miscarriage and currently pregnant. That’s not 1/2.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

Well 1/2 times you got pregnant it was with a bad egg. So that’s why I’d have IVF. To avoid going to miscarriages.

This.

I never really understood the appeal of IUIs. They don't have high success, you can have your cycle cancelled so easily, etc. etc. It's barely any more than trying on your own.

I’ve been pregnant three times. I have one three year old child and one miscarriage and currently pregnant. That’s not 1/2.

And IVF is not a guarantee. My best friend has had 7 miscarriages, no baby, and is $65,000 in debt. There are no guarantees either way. Yes I had a miscarriage but I still have $18,000 in the bank I wouldn’t have had I jumped to IVF. Or $32,000 had I done it for last pregnancy and this one. As it stands I’m out $75 for meds.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

Congratulations and thanks for the updates! Best of luck and please keep checking back to let us know how this goes.

[Anonymous]

PCOS is easily treatable with IVF - you need medication to correct your hormone imbalance to get good quality eggs. The good news is that women with PSOS usually do very well with IVF. I'd go for it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I know you are only 30, but I think going the IVF route makes sense if you really really want your second child. Does your insurance cover IVF? If yes - I would say it makes sense.

Op here. I just updated on previous page. Since original post I’ve gotten pregnant twice. Once naturally that needed in miscarriage and currently from clomid and timed intercourse. Having gotten pregnant three times without IUI or IVF I still don’t get the push for immediate IVF. Just sharing my experience. I’m 31 now FYI.

Well 1/2 times you got pregnant it was with a bad egg. So that’s why I’d have IVF. To avoid going to miscarriages.

This.

I never really understood the appeal of IUIs. They don't have high success, you can have your cycle cancelled so easily, etc. etc. It's barely any more than trying on your own.

Well...as someone who has two IUI babies from 4 rounds of letrozole, the appeal is that they're quick, easy, cheap, simple, less invasive, and involve a lot less heavy meds than IVF. But mostly the quick, easy, cheap part. It would have been dumb for me to go through long expensive frozen embryo harvesting IVF cycles when IUI got be pregnant easier and much cheaper

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I was diagnosed with PCOS when trying for my first at 26. We did all the testing with a RE, and ended up naturally pregnant that same cycle. We’ve been trying for two years for a second (we are now 30) and with my new insurance shady grove is in network. We had our consultation and she said I must be ovulating since I get a regular cycle and positive opk, my 9 day luteal phase is an afterthought, and I’m unexplained with a 2-3% chance of conceiving naturally. I’ll have a 10% chance with an IUI(we did two clomid/TI cycles last summer unsuccessfully) and 50% chance with IVF. She pushed for IVF. Doesn’t that seem odd for PCOS in a 30 year old? My last re (who since moved to Richmond) felt PCOS gave false positives. This lady damn near guaranteed I’m ovulating and unexplained.

Has anyone gotten pregnant naturally with PCOS (I did with dd) and what did you do or change? I’ve tried metformin er but it makes me sick as hell as in I cannot function sick.

What is your reason for wanting to try IUI first? It seems like a waste. If I told you that you had to undergo cancer treatment and could pick a treatment with a 10 percent success rate or 50 percent success rate, which would you advise me to choose? You’d be confused why I’d choose the 10 percent success rate treatment, right?

Op here. Cost and invasiveness. I wouldn’t go with higher odds just for sake of higher odds. Especially when I was able to conceive naturally once with PCOS. I too suspect an egg quality issue, and thought she would offer ways to boost that instead of immediately jumping to the most invasive procedure. Especially given my age and history. But, apparently it’s cimmon.

Agreed that IVF is costlier and more invasive. I have PCOS and conceived on my first try with IUI (at Shady Grove, where the RE suggested I start with IUI+letrazole). IVF is far more expensive-so unless you have megabucks or ultrahigh coverage insurance or very limited time, I don't know why you would jump to IVF (my insurance wouldn't have even covered IVF unless I had tried IUI first).

Because so many women do NOT get pregnant with IUI and easily conceive with IVF. It can be an emotional toll getting BFNs with IUI. It’s not like IUI isn’t a pain. If you do IUI there’s a good chance you’ll still have to do IVF. So even more money when you consider the wasted IUIs.

Totally, totally untrue if you're not old and are working with good sperm. My clinic starts talking about escalating to that after 3 failed IUIs, but most under 36 women with pcos never reach that point

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I was diagnosed with PCOS when trying for my first at 26. We did all the testing with a RE, and ended up naturally pregnant that same cycle. We’ve been trying for two years for a second (we are now 30) and with my new insurance shady grove is in network. We had our consultation and she said I must be ovulating since I get a regular cycle and positive opk, my 9 day luteal phase is an afterthought, and I’m unexplained with a 2-3% chance of conceiving naturally. I’ll have a 10% chance with an IUI(we did two clomid/TI cycles last summer unsuccessfully) and 50% chance with IVF. She pushed for IVF. Doesn’t that seem odd for PCOS in a 30 year old? My last re (who since moved to Richmond) felt PCOS gave false positives. This lady damn near guaranteed I’m ovulating and unexplained.

Has anyone gotten pregnant naturally with PCOS (I did with dd) and what did you do or change? I’ve tried metformin er but it makes me sick as hell as in I cannot function sick.

What is your reason for wanting to try IUI first? It seems like a waste. If I told you that you had to undergo cancer treatment and could pick a treatment with a 10 percent success rate or 50 percent success rate, which would you advise me to choose? You’d be confused why I’d choose the 10 percent success rate treatment, right?

Op here. Cost and invasiveness. I wouldn’t go with higher odds just for sake of higher odds. Especially when I was able to conceive naturally once with PCOS. I too suspect an egg quality issue, and thought she would offer ways to boost that instead of immediately jumping to the most invasive procedure. Especially given my age and history. But, apparently it’s cimmon.

OP I'm not in the D.C. area anymore, but I have PCOS and had my first at 27 (with the help of letrozole). I'm now TTC #2 and the RE I'm seeing has said it's very unlikely we'll (need to) resort to IVF - she'll have me try 3 rounds of letrozole IUI and then (if needed) progress to cycles of follitism injections. These drugs (both letrozole and injectables), as I understand it, DO improve egg quality and strength of ovulation. I'm obviously not saying don't jump to IVF if that's what you want, but just so you know I received totally different feedback in what seems like a similar situation

I'm this poster checking back in. IUI worked for me again! Third cycle. I'm super glad to have gone this route and avoided the cost/invasiveness/potential issues that come with IVF. Letrozole/clomid are often very effective drugs for PCOS - I would be wary of a doctor who suggested skipping immediately to ivf (unless you're AMA and running out of time, I guess?)

[Anonymous]

I have PCOS and got pregnant on my third IUI cycle.