DOR, new to IVF. Start IVF immediately or wait a cycle to get second opinion on treatment protocol.
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HH2020
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Hi all, in January, my Ob recommended getting my AMH rested. It came back .571, so my OB referred me to a fertility specialist. Ultrasound showed low AFC (2 on right side, could not see left side), and re-tested AMH was .31. The specialist recommended starting IVF immediately. For the first cycle, he would do the most aggressive version of the standard treatment protocol. (I haven’t gotten the details yet). I would start birth control on my next cycle (mid-March). He said that there’s a strong likelihood the first cycle won’t work out, and how I respond to treatment will give a baseline for future cycles.
I have heard about different protocols for DOR patients, like mini iVF and micro-Lipton flare. I would like to get a second opinion, but the earliest appointment I can get would be right before my cycle is supposed to start. Would it make sense to wait a cycle and get the second opinion, or to go ahead and get started? I am 37 y.o. We lost a pregnancy last November (baby had multiple serious birth defects but microarray test did not show any diagnosed genetic disorder). B/c of that, my husband strongly wants to do IVF for the PGS testing and prefers not to try for natural conception. Thanks for any and all feedback and advice! |
Anonymous
| I would go straight to IVF, personally. Because honestly, it's a numbers game. The more cycles you do, the more likely you are to have success, and the younger you start, the better, especially with a DOR diagnosis. You can certainly try different protocols in subsequent cycles and keep researching while you're in the process of your first cycle. It's a tough decision, I know, and I wish you a lot of luck whatever you decide to do. Also, so sorry for your loss last fall - sending you virtual hugs. |
Anonymous
| What clinic? |
Anonymous
| I would straight to IVF but make sure you feel good about your doctor. |
Anonymous
| Don’t wait, pick a protocol and start your cycle. Seconding the what clinic question? I’d stay away from shady grove if I were you, they’ll give you a cycle or two then push donor eggs |
Anonymous
| Don’t wait if you have good insurance coverage. Otherwise, it’s worth considering the available alternatives. |
Anonymous
| I’d start right away but see if you can do a natural start because bcp can over suppress people with dor. |
Anonymous
| Don't listen to a RE who prescribes birth control in their protocol if you are DOR!!! |
Anonymous
| Start immediately. |
Anonymous
| Go directly to IVF. It is such a long process in itself, might as well get going as soon as you can. |
Anonymous
| My AMH was <.01 when I was 37. I did natural cycle at dominion. I personally wouldn’t do a medicated cycle with DOR. |
Anonymous
| I did NCIVF at Dominion and it worked better than my stimulated cycles at SG. |
Anonymous
| Go directly to IVF and also start to think about a plan b if local clinic doesn't work. DOR is a tough diagnosis. if you can afford it, you may want to make an appointment at Cornell with Dr Davis. |
Anonymous
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Start now and still get a second opinion. It is likely to take more than 1 cycle. U do sometimes see a bump in number of eggs if u do back to back cycles. IVF is more like art than science, so there r lots of opinions but not a ton of studies to back things up.
Don’t believe the “us a numbers game” mantra. Lots of crap eggs is still crap. For some people the really high doses of meds work. For others they screw up quality. I did better with lower doses. U can do phone consults with docs, too. Highly recommend Dr Davis at Cornell. |