- 9 months ago
- Wedding: January 2019
Hi Bees, I had an account and was active when I was planning my wedding and got some helpful advice. Now that I’m trying to conceive I’m back with a new account for extra anonymity.
My husband and I just finished our first IVF cycle. I am 38, about to be 39, and he just turned 36. We have both male factor and female factor infertility… sperm count was 5 million with low motility, and I don’t remember my exact numbers except that they were really bad, I think my follicle stimulating hormone was 17ish and my antimullerian hormone was off the charts low. Basically, it was In Vitro or bust. We are doing ICSI and frozen embryo transfer, with genetic screening. Our insurance does not cover anything related to IVF, so right now we have spent roughly 20k.
My follicle count before stims was 12, not great but could have been worse. My cycle started with birth control for about 6 weeks because of the timing of my period and when their stim cycles started. I was instructed to keep taking active pills so that I would skip my period that month. I started my stims on Christmas Eve. I started very slow, day 3 my estrogen level was less than 1. As my stims continued the estrogen very slowly started to rise, but my ultrasounds only showed 4 follicles getting bigger, 2 in each ovary. At certain points the nurses talked to me about stopping the cycle or changing it to an IUI cycle, or going ahead with the IVF but instead of doing genetic testing now, to start another cycle and send whatever fertilizes from both cycles for testing before a transfer (she called this doing a batch). I kept stimming through January 7th, and January 8th I triggered, with 4 follicles sizes 18mm to 22mm and slightly less than 800 estrogen. January 10th was my egg retrieval, and of the 4 follicles, only one mature egg was retrieved. I was pretty depressed the rest of the day, as I knew it was a longshot to get all 4, but I was really hoping for at least 2. The next day the clinic called me and told me that it had divided, and yesterday they called to tell me it had divided again. Tomorrow (Monday) they will call me to tell me if it has continued to divide, and if it has, I have to decide if I am going to go forward and transfer this one embryo (after genetic testing, FET would be in early March), or freeze it and do another batch to send, hopefully, multiple embryos for genetic testing before transfer. My first inclination is to do the batch, because my husband and I ideally would like more than one child (although at this point I would be thrilled with one), and even if this embryo does continue to divide, pass genetic testing, and “stick”, that would mean at least a year before my eggs would be available for retrieval again, and at that point I’ll be almost 40 with even worse numbers more than likely. My husband, on the other hand, is so excited that our one egg is doing so well so far that he was all geared up for us to do the transfer of just this one. He said he is sure it’s a girl because it’s so tough (which I thought was cute, especially since I know he wants a boy). I think he also is not looking forward to going through the stims again and starting the whole thing over and wants to get on with it. The money is more of a concern for me than it is for him, but it would be probably at least another 18k, again no insurance coverage… possibly more since they would probably start my stims at a higher rate this time. For our first cycle, I received an advance on an inheritance from an elderly relative, but my husband and I will have to pay for this second cycle… which is doable but not easily so.
So all that background to get to the ultimate question, if our one embryo has continued to divide, should we go ahead with the genetic testing and FET of this one, or freeze it and try for more now? If anyone has had similar experience I’d appreciate your input!