Reply to PCOS- Shady Grove Push for IVF

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I was diagnosed with PCOS when trying for my first at 26. We did all the testing with a RE, and ended up naturally pregnant that same cycle. We’ve been trying for two years for a second (we are now 30)  and with my new insurance shady grove is in network. We had our consultation and she said I must be ovulating since I get a regular cycle and positive opk, my 9 day luteal phase is an afterthought, and I’m unexplained with a 2-3% chance of conceiving naturally. [b]I’ll have a 10% chance with an IUI(we did two clomid/TI cycles last summer unsuccessfully) and 50% chance with IVF.[/b] She pushed for IVF. Doesn’t that seem odd for PCOS in a 30 year old? My last re (who since moved to Richmond) felt PCOS gave false positives. This lady damn near guaranteed I’m ovulating and unexplained.

Has anyone gotten pregnant naturally with PCOS (I did with dd) and what did you do or change? I’ve tried metformin er but it makes me sick as hell as in I cannot function sick.[/quote]

What is your reason for wanting to try IUI first?  It seems like a waste.  If I told you that you had to undergo cancer treatment and could pick a treatment with a 10 percent success rate or 50 percent success rate, which would you advise me to choose?  You’d be confused why I’d choose the 10 percent success rate treatment, right?[/quote]

Op here. Cost and invasiveness. I wouldn’t go with higher odds just for sake of higher odds. Especially when I was able to conceive naturally once with PCOS. I too suspect an egg quality issue, and thought she would offer ways to boost that instead of immediately jumping to the most invasive procedure. Especially given my age and history. But, apparently it’s cimmon.[/quote]

OP I'm not in the D.C. area anymore, but I have PCOS and had my first at 27 (with the help of letrozole). I'm now TTC #2 and the RE I'm seeing has said it's very unlikely we'll (need to) resort to IVF - she'll have me try 3 rounds of letrozole IUI and then (if needed) progress to cycles of follitism injections. These drugs (both letrozole and injectables), as I understand it, DO improve egg quality and strength of ovulation. I'm obviously not saying don't jump to IVF if that's what you want, but just so you know I received totally different feedback in what seems like a similar situation

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