Reply to DOR, new to IVF. Start IVF immediately or wait a cycle to get second opinion on treatment protocol.

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[quote=HH2020]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![/quote]

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