Yes, I am. I just began my first cycle. I'll be 43 in a couple of months.
I am starting the the pretesting now and scheduled for egg retrieval the week of 9/11.
I haven't posted in a while since trying to sort out what I was going to do. I will be 42 in early October and have been trying to conceive my second child for nearly three years. (my first was conceived first try at age 31). I did conceive about 5 months after starting to try for number 2 but lost it due to miscarriage (blighted ovum, common in older women). Several months after the miscarriage, I started going to an RE that was supposed to be tops in his field but I found out from my own experience that he was not that good. I ran the range from Clomid to injectibles with IUI. He and his office screwed up a quite a few times(all of which I was paying for out of pocket) and never listen to what input I had about the knowledge of my body. Then when it came down to it he said I would only be a candidate for IVF with a donor egg even though I had a Day 3 FSH range of 4-8, passed the clomid challenge and all my other tests came out great, my only negative was that I had ovulated earlier than I should have while on injectibles (a sign of poor ovarian reserve). Well I started going to a new RE a couple of months ago and she has a different outlook especially since my numbers are good. She feels my body may just respond differently and the other RE was just using the wrong protocols. I have since done one timed intercourse with injectibles ( a suggestion by the doctor as she seemed to see little difference in results between that and IUI and another plus is my insurance will cover that (I also have new insurance)). I produced more follicles although she reminded me that it is no guarantee there are eggs in those follicles, but all the same it was more positive. She is convinced I am a candidate for IVF and I am willing to take that chance. If not only to get to the point where I can truly see what the quality of my eggs are and answer some qustions. And if it's not meant to be, at least I know I did all I could under a more positive atmosphere.
Good luck to you all.
I know what you mean about the overwhelming aspects. I'm doing this with my DH, and it's still overwhelming. We've gone through a vasectomy reversal, but have limited motility and poor morphology. With such severe male factor, IUI has almost no chance of working for us so we went straight to IVF. At my age, there's no time to mess around.
So, here we are, me almost 43 and DH 50, trying to conceive my first and his third. With no insurance coverage for IVF, we've committed to two cycles out of pocket, at about $12,000 per cycle. If we used donor eggs, it would be about $15,000 per cycle. We'd save on meds with a donor who doesn't need high doses, as I do.
My RE told me at my age
I understand about the feeling of waiting too long. That seems to be the way of my life. I too waited too long to have my second. I wanted things to be perfect. Perfect doesn't ever come though and many times we don't learn that until too late.
As far as the IVF determining egg quality, it's not the definitive answer but it can give a better indication. First yes, they are trying to retrieve the eggs from the follicles so indeed they will find if the eggs are truly there. Then when they try to fertilized them it will be a better indication too if they fertilize easily or have a harder time or not at all. Then once they fertilize them, they let them grow for about 3 days(that is at my RE, some can do longer) and when the cells start multiplying they can see if they are following the normal development process. However, I am sure if they make them to implantation they still may stop. The miscarriage that I had 2 years ago stopped developing at 7 weeks and I miscarried at 10. It was explained to me like a computer program that it kept performing the function it was supposed to until it got to the point that one link was missing (hence it developed no further). The genetic material was no good. I am hoping through IVF to get an answer so that I can move on one way or another. I can only afford to do the process once.
The cost for me is about 10,000.00 and fortunately my meds are covered by my insurance. I too have been using follistim and my insurance gave me 5-600iu cartridges for 30.00. I know from my previous RE when I had a different insurance I had to pay out of pocket and for the same amount I would have had to pay 2400.00 I understand the steep cost of all this.
I feel for you trying to achieve what you want but yet is so tough because it is such a high financial price. It's hard to come to a decision as what is best for the long run, especially when you want something so badly. I know that I am thinking about if this fails, can I move on like I should?
lisa et al. hi and thanks for your kind words and thoughts and for sharing what you are going through too. I feel for all of us. I just went to a new RE who I am going to stay with. She is nearby and seems to want to communicate with me and is sympathetic towrads me without freaking me out. She has not had any success with IVFs in woman over 44. She does not think going to an IVF will increase my chances of having a successful PG - it might take but it might not follow through and stay. Anyone know of successful IVFs over 44?
I am going to an accupuncurist who specializes in increasing fertility rates of all ages. So LOL to all of us - we can do it!
I'd love to hear how you do as you begin stims for your IVF cycle, as well as what protocol you're on.
At nearly 43, my FSH is 8 and I ovulate every month like clockwork, according to my fertility monitor. My CCCT came out well, but my antral follicle count was very low. After 6 days of high dose stims on my first IVF cycle I produced only one small follicle and my E2 was just 59. The cycle was cancelled and I'm left trying to figure out how someone whose numbers weren't all that bad going into this
I will keep you posted on how it goes. I can say about my previous experiences with Follistim. Under my old RE I did 2 IUI's with Follistim. Well actually the second one never came to pass because I took an OPT(which is not affected by the drugs) and found out I had ovulated too soon. A suspicion I had the previous cycle and mentioned to the RE that I thought it might have happened according to the way I felt. He assured me it didn't, however I didn't trust him and sure enough the next cycle I used the test and told him and he confirmed that indeed I did ovulate early. I produced many follicles but as soon as the largest hit about 18-19 I would ovulate, without the help of the drug Ovidrel. So I only had 1 good one at the time. Under my new RE I did follistim once with timed intercourse (so insurance would pay) I started the Follistim on day 3 ( I do have a shortened cycle since about age 37, 25 days and Ovulated regularly according to OPK's.) I do respond quickly. I took it for 5 days and the last 2 days I gave myself a shot of Ganirelix (an atagonist)along with the Follistim. That was to keep me from Ovulating. By day 7 of my cycle I had 4 follicles between 18-23 and 5 between 12-17 and 2 that were 8. They feel if they held me off longer I might have had more but didn't want to do that at that time. I am not sure what they will do with the IVF yet, the only thing I know for sure is I will be using Follistim. A Lupron Flare was suggested. All my pretesting came out great so next week I go and sit down with the doctor, sign the papers and hand over the money. I should be getting more info then although thoughts of how much money I am spending are starting to haunt me.
I am not sure why you responded poorly, some of these things make no sense.... I guess that is what nature is. I can say that my old RE said I responded poorly due to ovulating on my own with out the trigger shot of Ovidrel (a sign of poor ovarian reserve). He too gave me the donor egg speech. I didn't want to hear it, later I started to consider it, then I shut it out of my mind and found myself a new RE. This RE appears to have a different way of doing things and a different outlook. IS she only really looking to make money from me? Maybe... That is on my mind. I am a bit skeptical. Do I think I will be walking away from this with a baby? Most likely not but nature is quirky and you never know what may happen and I am willing to take the chance. I need to put this 3 year obsession to rest somehow.
I hope your visit with your RE gives you some answers. Maybe suggest if there might be another way to approach this. IF you get the donor egg speech listen to it, after long thought it might be for you. If not, you never know what may happen on your own. I have heard of quite a few of us "older" women conceiving after all avenues have been tried. Nature is quirky!