Reply to PCOS- Shady Grove Push for IVF

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[quote=Anonymous][quote=Anonymous][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]

Agreed that IVF is costlier and more invasive.  I have PCOS and conceived on my first try with IUI (at Shady Grove, where the RE suggested I start with IUI+letrazole).  IVF is far more expensive-so unless you have megabucks or ultrahigh coverage insurance or very limited tim[b]e, I don't know why you would jump to IVF [/b](my insurance wouldn't have even covered IVF unless I had tried IUI first). [/quote]

Because so many women do NOT get pregnant with IUI and easily conceive with IVF.  It can be an emotional toll getting BFNs with IUI.  It’s not like IUI isn’t a pain.  [b]If you do IUI there’s a good chance you’ll still have to do IVF.[/b] So even more money when you consider the wasted IUIs. [/quote]

Totally, totally untrue if you're not old and are working with good sperm. My clinic starts talking about escalating to that after 3 failed IUIs, but most under 36 women with pcos never reach that point [/quote]

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