Confusing appt. w/RE after failed cycle

iVillage Member
Registered: 04-29-2008
Confusing appt. w/RE after failed cycle
6
Sat, 06-25-2011 - 1:15pm

Hi ladies,

Had an appt. with my RE yesterday to go over what happened exactly with this last cycle. I did get PG, but my betas didn't double correctly and it's officially a chemical preg. although I haven't started bleeding yet (should soon).

My RE went over everything from this last cycle and the one that resulted in DD (at a different clinic) and basically the embryologists wrote notes saying that my eggs do not look good. They said they are misshapen, dark, and poor. Trying not to take this personally ;). It's frustrating because all of my labs look really good, my resting count is good, and they get a good number retrieved each time (I stim well), but after the eggs are out they don't look good.

My RE spent a lot of time talking about how crappy my eggs were. But then went on to say, I did have my beautiful DD on the first try, and did have a good, hatching blast this last time. So, yes, he thinks we should try again. We are open to trying again, but are formulating a plan B also.

So my questions are...any thoughts/experience on improving my egg quality? He will start me on DHEA, but otherwise isn't recommending anything else. Also, those of you who have used donors...how did you choose between donor egg and donor embryo? My DH doesn't have any issues, but we are feeling more comfortable with donor embryo as an option. I'd love to hear from you all about your experiences. But maybe I am getting ahead of myself and should just focus on another fresh cycle for now....he didn't indicate any "number" as far as what he thought our chances might be if we try again. What do you ladies think?

Thanks for listening...I'm feeling confused and worried. Before when I thought I was just dealing with tubal factor, I was more confident. Now I just don't know what to think!

 

&nb
iVillage Member
Registered: 09-23-2008
Sat, 06-25-2011 - 2:26pm

Hi there,

So sorry to hear about your latest cycle.


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iVillage Member
Registered: 09-09-2003
Sun, 06-26-2011 - 2:22am

Hi there. So sorry for your loss.

If you don't mind sharing, which meds did you use for your cycle? With my first 2 cycles the RE used the standard protocol but

Me (37), DH (39) - TTC #1 Our Angels (twins): '01; Our Angel (singleton): '02 - All conceived naturally. HSG - 7/08; Hysteroscopy - 8/08; Laparoscopy '01 1st IVF w ICSI - Mar '09; BFN - Protocol: Lupron, Menopur, Follistim, hcg Novarel, PIO sesame o
iVillage Member
Registered: 08-27-2008
Mon, 06-27-2011 - 1:05pm

It's confusing to me that they would concentrate on the "crappy egg" message when you had a hatching blast and you DD was 1st time success story.

iVillage Member
Registered: 06-11-2007
Tue, 06-28-2011 - 1:54pm

I'm so sorry about your appointment. It does sound confusing.

I was diagnosed with Diminished Ovarian Reserve at age 31 after one high FSH reading by my old clinic. They wanted me to do donor eggs, as a result of the test, but I fought it and threatened to leave, and as such, they did my IVF with Madeline. I became pregnant on the first try. The rest of my embryos fragmented (I think 6) except for 1, by day 5. We froze that one, but unfortunately it didn't make it through the most recent thaw. The old clinic had warned me about trying again because of my egg quality and said I was at higher risk for birth defects because of it.

Due to some other reasons, we left that clinic and went to a larger and more well know clinic, which was about an hour away. Everyone looked at my file and seemed confused by my diagnosis. One asked me "so why did you do IVF again?". They agreed my chances are lower due to the one higher FSH reading, but they said it was only borderline and not high as my other doctor had suggested. They did my antral follicle count and AMH reading and both were good.

After the recent cycle, where my embryo didn't thaw (they attributed it to poor preservation practices by my other clinic, NOT the quality of my embryo), I spoke briefly to the doctor who told me that they would not recommend donor eggs, that I stimulated well, and I got PG on my first IVF. Since we can't afford IVF again, he said there is no evidence to support the fact that we couldn't try again on our own and even IUI would be an option. I am meeting with him Thursday to discuss further.

My point is, I had two doctors saying completely different things. While it is confusing, you do have some good things on yoru side: you got PG with DD, you did get PG from this cycle, and you stim well. If your tests are OK, I would assume that maybe this "batch" didn't have the best eggs, but there ARE some in there. Even a DOR diagnosis means that there are just fewer good eggs in there, but they ARE in there. That with your age, should give you some hope.

As far as improving the quality of your eggs, honestly, I haven't found much research that says anything helps. I did acupuncture prior to my IVF which I believed helped me, but I am not sure it actually improved my eggs, just the hormonal processes surrounding them.

Anyway, I will be around here for a few more days--if you have any questions, feel free to PM me. Good luck in your decision!

iVillage Member
Registered: 01-18-2007
Fri, 07-01-2011 - 8:38am

Are you will to try acupuncture?