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Natural Cycle IVF
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Anonymous
| I have been through many failed IUI's at SG and according to my RE I'm not a good candidate for stimulated IVF. I asked him about Natural cycle IVF and he said it was a waste of time and really got defensive about the option which has made me suspicious. I have read lots of pros and cons on this board and many others, and I have to ask, why are some RE's so against it? Is it their stats they are worried about or what? |
Anonymous
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i am curious to know why your RE things you're not a good candidate for IVF?
as far as i understand, my RE at SG thinks that ncivf just doesn't offer a great chance compared to ivf. my sense is that the practice just doesn't think very much if ncivf. it could be related to their stats. |
Anonymous
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Let me guess - your RE is Wirdra?
If you aren't a good candidate for stimulated cycles, then why not NCIVF? It bypasess certain uncertainties - that the sperm meets the egg, that an embryo is formed, that it makes its way to the uterus, and that it hatches. I think the national states are around 15%, but, again, if you can't do stimulated IVF and you're up for it, then why not? |
Anonymous
| OP, wierd how did you know my RE is Widra?? |
Anonymous
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Thisis Shady Grove's reasoning for not doing natural cycle IVF: http://www.shadygrovefertility.com/natural-cycle-ivf
I heard similar arguments against natural cycle from Dr Frankfurter at GW. But obviously it does work for some people and if you can afford it and you want to try it, there's probably no harm. Or you might want to try going to Cornell and trying a medicated IVF with them, since they work with a lot of poor responders. |
Anonymous
Anonymous
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"OP, wierd how did you know my RE is Widra??'
He was my RE. When it became clear that I was a lousy responder, I began looking at options such as NCIVF and mini-IVF. I tried to have a discussion with him about those options as we were deciding what our next approach would be, and he was really negative about them. I've also heard that he and Dominion get into heated arguments about it at professional meetings. I didn't go back - I needed to work with someone who was more open minded. I mean, it may have been fine for him to pump me full of $4K worth of drugs just to get a few follies, but it wasn't for me. |
Anonymous
| PP, thanks for you post about SG, I'm going to have a consult with Dr. DiMattina at Dominion Fertility, I may end up sticking with IUI but Nat cyc IVF is worth considering. |
Anonymous
| Sure. You may think about meeting with Dr. Gordon rather than DiMattina - they both do NCIVF, but someone recommended that I consult with Dr. Gordon because of his better bedside manner. |
Anonymous
| PP, I met with Dr DiMattina on Friday and it went well, he seemed optimistic about my chances with NCIVF vs Stim IVF so we are going to to go for it. |
Anonymous
| I'm a dominion Fertility graduate and I recently got put on bedrest so I have lots of time to post. I liked Dr. DiMattina although I can understand how some people were put off by him, but I was lucky to find DF after being told by physicians in my area (Phila) that there was no chance. |
Anonymous
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FWIW, I have a consult scheduled with SG, so I did a little research (to prepare). I am a poor responder (2 IVFs under my belt). I looked at SG's reasoning on natural cycle IVF, and saw why they thought it was a bad option. However, I then did some research, and found that there are more recent studies showing that natural cycle IVF is actually a decent option for poor responders, especially since it doesn't mess with implantation. Go to PubMed, and put in the Id # 1873777 (Fertil Steril 2009 Oct; 92(4) 1297-301).
Also, another article looked at implantation rates for different treatments, and natural cycle had the highest, at 20%. The other rates were: Gonadotrophin Only (5.6%); long GnRH (3.8%); co-flare (1.9%); microdose flare-up (15.4%); GnRH antagonist (14.4%). See Reprod Biomed Onlin 2008 Aug 17(2) 207-12. The thought is that some protocols cause problems with lining, and other things in the "natural environment" that impede implantation. I'm going to ask my RE about these articles when I meet with him in December... |
Anonymous
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11:38...Why bother asking a SG RE about NCIVF?? I think it is very clear that they aren't offering that option...and it really isn't negotiable. I understand that there have been pretty heated discussions in the RE professional circles, about the NC-IVF option. I don't think your research is going to change SGF's mind...
If you are really interested in NC-IVF...the clear place to start your exploration is Dominion... |
Anonymous
| If you are a poor responder and can afford the time/money, I'd consider going to Cornell. They use techniques that improve success rates for poor responders and are very experienced dealing with tough cases. |
Anonymous
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11:54 - 11:38 here. I'm meeting with SG because I have a history with them. I genuinely like my doctor, and I think that they are one of the best clinics in the area. I agree that my research probably won't change his mind, but he usually is current on research, and I'd like his opinion. I do value his opinion, and I might find his rationale convincing. If it's not convincing, then I'll go elsewhere... maybe to Cornell.
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