Different recommendations from clinics
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Anonymous
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I am 42 and have a history of cysts and fibroids and have seems doctors ar Columbia and Dominion Fertility. There recommendations were vastly different ana I’m trying to figure out what’s best. The clock is ticking so I want to get moving on this soon. Here’s the breakdown:
Columbia: remove fibroids, cysts and Fallopian tubes then come in one month after surgery (non laparoscopic) to begin in vitro process Dominion: remove eggs, then have laparoscopic surgery to clean out fibroids and cysts Most of the doctors said I had too much going on for lapro and regular surgery would be best. Dominions suggestion on removing the eggs first is new for me and I feel so confused on next steps. |
Anonymous
| Dominion |
Anonymous
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I have no idea if what I’m going to say is helpful, but here goes!
Are they saying do a freeze-all EMBRYO cycle? Eggs don’t store as well as embryos, plus egg quality can be negatively impacted by high estrogen levels (which fibroids can impact as well). I had surgery that they first tried to do laproscopically but ended up opening me up. My RE (SGF), surgeon (an oncological gynecological surgeon- no they weren’t cancerous) and OB said I needed to wait six months post surgery before trying to get pregnant. When I had my ectopic pregnancy, which removed my tubes and part of one of my ovaries, I had to wait three months to then start IVF. I would be really hesitant to move forward quickly after a major surgery (the incidence of uterine rupture is much higher the more quickly you get pregnant following surgery), and even just waiting one month after laparoscopic seems...rushed. BUT, I was in my late 20s at the time of my ectopic removal so maybe that’s why I got slightly different advice. |
Anonymous
| Get as many eggs and thus embryos then get necessary surgery. |
Anonymous
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Sounds like the only difference is whether you do the surgery first or the IVF cycle first.
Are you planning to PGS test? |
Anonymous
| Definitely do IVF first and freeze the embryos before surgery. At 42, why waste time, you know? |