First ivf cycle - concerned
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Anonymous
| Hi everyone - has anyone has success on a longer than expected stimulation cycle? I’m 35, they see about 26 follicles but the issue is my dosage is low, only 100 iu of Follistim and first 5 days of menopur was 37.5 now bumped up to 112 iu. My concern here is that I’m on day 10 of stimulation, with a few large follicles but many are around 12 mm or so and they want to continue meds through the weekend. The clinic wants to see 18 mm follicles before my retrieval and I was concerned a longer stim cycle would affect my chances of a successful fresh transfer (which is the current plan). |
Anonymous
| Is your dr concerned about the effect on a fresh transfer? |
Anonymous
I haven’t spoken to him as of yet - I’m using Shady Grove and I think they have the nurse call as long as everything looks ok. I had a dr do my second ultrasound but since then it’s been ultrasound techs/nurses. |
Anonymous
| SGF is still doing fresh transfers? |
Anonymous
Op here - yes that’s what they have me scheduled for right now. Is frozen better? |
Anonymous
Yes it’s better, esp if you test the embryos. |
Anonymous
If you don't have OHSS, I don't see a problem with a fresh transfer if you're not doing testing. I know the likely hood of freeze/thaw damage is minimal these days, but I personally wouldn't want to risk it if I didn't have to. |
Anonymous
| I had a really long stim period for my first IVF cycle—maybe 13 days? I got 6 eggs at retrieval and had a 3 day fresh transfer and it worked. Nothing made it to freeze, though. I wasn’t officially DOR then—just a “poor responder”—but I was considered DOR a couple years later. |
Anonymous
| PP here—good luck! |
Anonymous
| Same here -- I had a 16 day stimulation period with SGF - classified also as a "poor responder." I had only 5 eggs on retrieval, 1 left at 5 day fresh transfer and luckily now have a 6 year old son. Nothing made it to freeze, though, out of 2 cycles. I recommend getting a second opinion at Cornell - I did that between cycles 1 and 2 at SGF and I think it helped bring a different perspective. |
Anonymous
|
OP here, thank you everyone for sharing success stories and the kind words. This is much more draining that I had originally thought. I really needed them!
Today’s scan looked promising - averaging 15mm follicles now so I’m probably going to trigger soon. |
Anonymous
| OP checking in - on the positive we had 36 eggs retrieved but sadly due to my high estrogen level and large ovaries size the dr recommended a frozen transfer. I’m a little disappointed but happy that we at least had a good number of eggs. Praying that we have some good embryos from this. |
Anonymous
That's a huge number of eggs. Hope most are mature and fertilize. |
Anonymous
It feels like a long time to wait but I’ve had more success with frozen personally. Hopefully you will too! |
Anonymous
| Some REs won't do fresh anymore. Frozen outcomes are often better, although I do like that SGF is still somewhat flexible. Definitely a good call if you got 36 eggs. I'd suggest genetic testing if you end up with a lot of blasts. I don't think it's worth doing if you only have a few, but it can be $ well spent if you have lots. Even in people who are in their 20s, you typically see around 50% abnormal. At 35 you may have a higher % abnormal, but you're still likely to have multiple normal blasts and success. Knowing which blasts are normal will save you time and $ of potentially having multiple transfers and/or miscarriages/chemicals. |