Egg freezing - second time trying- at loss trying to find best course of action

[Anonymous]

CNY has locations all over NY state. You can find a place cheaper than NYC

It really sounds like your RE flubbed something. Maybe s/he understimmed you because you have good ovarian reserve. What is your AFC?

I was around your age, AMH 9, AFC 10-20, I got 13 eggs, 10 mature, 8 embryos

[Anonymous]

Anonymous wrote:Worth checking out the Assure program at Shady Grove for sure. And no reason to rush into donor sperm - and definitely not donor eggs. What an odd suggestion. Try to freeze 20 eggs and then reassess in a couple years where you are on the partnering path. You’re young enough to take this one step at a time.

If she gets 4 eggs per cycle you're telling her to do 4 more cycles. Have you considered the possibility that maybe she doesn't have that much $$$?

[Anonymous]

Anonymous wrote:OP again.
I did some research, the Shady Grove Assurance program is priced at $13300. So if I do 2/3/4 cycles, it comes to $6650/4433/3325 per cycle.
This cost is not something I can pay in one payment. I can consider financing but it

The EggSafe program at Virginia Fertility is priced at $10000. For a moment I was excited as it seemed to be the best option, but sadly they don't accept outside monitoring patients, and I can't drive 2 hours to Virginia to reach there at 8am in the morning.

The cost of drugs for 4 rounds also really adds up.

I suppose my first step is to discuss the adjustments to medications that I can make on the next round. I heard that some people respond better to less meds so I might discuss mini stim with the doctor as a possibility.

I don't mean to be mean, but the average prenatal appt is often that long, if you are high risk and need ultrasound with your appt and you are seeing a MFM, you can add an hour or two. I'm not in DC, but the hospital where I had to go bad a 15 min late cancellation policy, heavy downtown traffic with parking struggles so I left with 45 min to spare (in addition to the one hour drive). In other words, welcome to assisted fertility and parenthood!!!!!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP here. My AMH was 17.2.

That’s like 2.4 ng/mL

It makes no sense that you only got 4 eggs…

Something is wrong here.

It's 0.04 when you convert.

No, it’s 2.4 ng/mL.

The reason that it is worthwhile to post in ng/mL is that it makes the situation more understandable and comparable for those on the forum.

“In Canada, AMH is reported in pmol/L. This can be converted to American units (ng/ml) by a conversion factor of 0.14”

[Anonymous]

One more thing to consider, OP, is stimming on a month when you have a high baseline follicle count (AFC) -it fluctuates cycle by cycle. I have heard that more boutique clinics or personalized doctors will do this.

I agree that you have to bend somewhere and create solutions when the timing and distance are not ideal. Also, you might consider that one higher cost cycle with a top clinic may get better results than two cycles with a cheaper facility.

I understand about money. I went to Europe. Not for everyone, but it helped me afford the process, and I had good results in terms of egg yield.

I hope you achieve your goals.

[Anonymous]

Anonymous wrote:One more thing to consider, OP, is stimming on a month when you have a high baseline follicle count (AFC) -it fluctuates cycle by cycle. I have heard that more boutique clinics or personalized doctors will do this.

I agree that you have to bend somewhere and create solutions when the timing and distance are not ideal. Also, you might consider that one higher cost cycle with a top clinic may get better results than two cycles with a cheaper facility.

I understand about money. I went to Europe. Not for everyone, but it helped me afford the process, and I had good results in terms of egg yield.

I hope you achieve your goals.

Thank you, I will speak to doctors about stimming on a month when you have a high baseline follicle count (AFC).

>You might consider that one higher cost cycle with a top clinic may get better results than two cycles with a cheaper facility.
This is true.

[Anonymous]

I did two rounds with CNY, one with monitoring with them and the second with Annandale. Check out the CNY patient facebook page, there is a DMV one too that has lots of info on Annandale. I was 36, nor fertility concerns, was only doing iVF bc I was single, and only got 7 eggs my first round and 10 my second.

One thin about CNY and Annandale- if you can get a diagnosis of something besides infertility, your insurance might cover your monitoring visits. I got a pcos diagnosis and they coded it that way and mine were then mainly covered.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP again.
I did some research, the Shady Grove Assurance program is priced at $13300. So if I do 2/3/4 cycles, it comes to $6650/4433/3325 per cycle.
This cost is not something I can pay in one payment. I can consider financing but it

The EggSafe program at Virginia Fertility is priced at $10000. For a moment I was excited as it seemed to be the best option, but sadly they don't accept outside monitoring patients, and I can't drive 2 hours to Virginia to reach there at 8am in the morning.

The cost of drugs for 4 rounds also really adds up.

I suppose my first step is to discuss the adjustments to medications that I can make on the next round. I heard that some people respond better to less meds so I might discuss mini stim with the doctor as a possibility.

I don't mean to be mean, but the average prenatal appt is often that long, if you are high risk and need ultrasound with your appt and you are seeing a MFM, you can add an hour or two. I'm not in DC, but the hospital where I had to go bad a 15 min late cancellation policy, heavy downtown traffic with parking struggles so I left with 45 min to spare (in addition to the one hour drive). In other words, welcome to assisted fertility and parenthood!!!!!

To me this is totally different. When you are pregnant you aren't typically going in 2-3 times a week and you often have shared information that you are pregnant with your job so its easier to take time off.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP again.
I did some research, the Shady Grove Assurance program is priced at $13300. So if I do 2/3/4 cycles, it comes to $6650/4433/3325 per cycle.
This cost is not something I can pay in one payment. I can consider financing but it

The EggSafe program at Virginia Fertility is priced at $10000. For a moment I was excited as it seemed to be the best option, but sadly they don't accept outside monitoring patients, and I can't drive 2 hours to Virginia to reach there at 8am in the morning.

The cost of drugs for 4 rounds also really adds up.

I suppose my first step is to discuss the adjustments to medications that I can make on the next round. I heard that some people respond better to less meds so I might discuss mini stim with the doctor as a possibility.

I don't mean to be mean, but the average prenatal appt is often that long, if you are high risk and need ultrasound with your appt and you are seeing a MFM, you can add an hour or two. I'm not in DC, but the hospital where I had to go bad a 15 min late cancellation policy, heavy downtown traffic with parking struggles so I left with 45 min to spare (in addition to the one hour drive). In other words, welcome to assisted fertility and parenthood!!!!!

And childcare costs well more than 13k a year

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP again.
I did some research, the Shady Grove Assurance program is priced at $13300. So if I do 2/3/4 cycles, it comes to $6650/4433/3325 per cycle.
This cost is not something I can pay in one payment. I can consider financing but it

The EggSafe program at Virginia Fertility is priced at $10000. For a moment I was excited as it seemed to be the best option, but sadly they don't accept outside monitoring patients, and I can't drive 2 hours to Virginia to reach there at 8am in the morning.

The cost of drugs for 4 rounds also really adds up.

I suppose my first step is to discuss the adjustments to medications that I can make on the next round. I heard that some people respond better to less meds so I might discuss mini stim with the doctor as a possibility.

I don't mean to be mean, but the average prenatal appt is often that long, if you are high risk and need ultrasound with your appt and you are seeing a MFM, you can add an hour or two. I'm not in DC, but the hospital where I had to go bad a 15 min late cancellation policy, heavy downtown traffic with parking struggles so I left with 45 min to spare (in addition to the one hour drive). In other words, welcome to assisted fertility and parenthood!!!!!

To me this is totally different. When you are pregnant you aren't typically going in 2-3 times a week and you often have shared information that you are pregnant with your job so its easier to take time off.

3rd trimester I was often in 2-3 x a week for long appointments

[Anonymous]

Anonymous wrote:How old are you and why are you freezing your eggs?

I have been through the infertility wringer and I ended up using donor eggs. If I could give my younger self some advice it would be to save my money and go right to donor eggs.

I have three amazing kids. One round of donor egg retrieval. Second and third kid from frozen embryos. Donor was 21 and her eggs were fantastic. I am so thankful for her.

I would like to give further perspective on this. I did donor egg (after almost seven years of infertility) and ended up with three (now almost adult) fabulous kids from a donor cycle (where she produced 6 ova) Yes, if I were close to 30 now and wanting to "preserve" (possibly) my own genetics, I would definitely do egg freezing (which was not available when I was first trying to get pregnant years 1994-2000). However, I also had a diagnosis of endometriosis and it is still not clear whether my own eggs were EVER viable. Each of us has to pursue her own road to a baby, of course, and I would encourage my own daughter to freeze eggs while she is relatively young. But it is also possible that I "preserved" that daughter's fertility by not passing on my "infertile" genetics.
I am happy to discuss any other experience with infertility etc. In my day, I chose the clinic mostly for the skill/statistics of the embryologist/IVF lab. And thus even tho I lived in DC area, I went to Los Angeles for (California Fertility Partners) and fro Dr. Richard Marrs who was a pioneer and a leader in the field at the time.

[Anonymous]

Anonymous wrote:Worth checking out the Assure program at Shady Grove for sure. And no reason to rush into donor sperm - and definitely not donor eggs. What an odd suggestion. Try to freeze 20 eggs and then reassess in a couple years where you are on the partnering path. You’re young enough to take this one step at a time.

Are you serious? Half her follicles are empty . . . You clearly know nothing about this process.

[Anonymous]

Anonymous wrote:She said her stats were fine so doesn’t sound like dor to me but I’m no expert - why not see if you qualify for Assure at Shady Grove, try for better outcomes. If it’s not happening, then you reassess. Talk of donor eggs at this stage is just premature.

There is talk of donor sperm as she has no partner. You probably shouldn't weigh in unless you can follow the conversation.

[Anonymous]

Anonymous wrote:

Anonymous wrote:How old are you and why are you freezing your eggs?

I have been through the infertility wringer and I ended up using donor eggs. If I could give my younger self some advice it would be to save my money and go right to donor eggs.

I have three amazing kids. One round of donor egg retrieval. Second and third kid from frozen embryos. Donor was 21 and her eggs were fantastic. I am so thankful for her.

I would like to give further perspective on this. I did donor egg (after almost seven years of infertility) and ended up with three (now almost adult) fabulous kids from a donor cycle (where she produced 6 ova) Yes, if I were close to 30 now and wanting to "preserve" (possibly) my own genetics, I would definitely do egg freezing (which was not available when I was first trying to get pregnant years 1994-2000). However, I also had a diagnosis of endometriosis and it is still not clear whether my own eggs were EVER viable. Each of us has to pursue her own road to a baby, of course, and I would encourage my own daughter to freeze eggs while she is relatively young. But it is also possible that I "preserved" that daughter's fertility by not passing on my "infertile" genetics.
I am happy to discuss any other experience with infertility etc. In my day, I chose the clinic mostly for the skill/statistics of the embryologist/IVF lab. And thus even tho I lived in DC area, I went to Los Angeles for (California Fertility Partners) and fro Dr. Richard Marrs who was a pioneer and a leader in the field at the time.

Why wouldn't she use donor sperm first??? She is getting eggs . . .

[Anonymous]

Anonymous wrote:OP again.
I did some research, the Shady Grove Assurance program is priced at $13300. So if I do 2/3/4 cycles, it comes to $6650/4433/3325 per cycle.
This cost is not something I can pay in one payment. I can consider financing but it

The EggSafe program at Virginia Fertility is priced at $10000. For a moment I was excited as it seemed to be the best option, but sadly they don't accept outside monitoring patients, and I can't drive 2 hours to Virginia to reach there at 8am in the morning.

The cost of drugs for 4 rounds also really adds up.

I suppose my first step is to discuss the adjustments to medications that I can make on the next round. I heard that some people respond better to less meds so I might discuss mini stim with the doctor as a possibility.

Agree that you should explore mini stim, although it sounds like you may have done this already given you have half your meds remaining. My other thought is that each appointment for outside monitoring was $800 - so not sure that the that price difference is really there and that it may be easier just to do at your own clininc.