INFERTILITY POAS – covid edition

posted 8 months ago in TTC
Post # 76
Member
1790 posts
Buzzing bee
  • Wedding: September 2017 - California

Well, the new ASRM guidance is up but it doesn’t change anything. The only thing new is that they are thinking about looking at ways in which clinics can proceed with “time-sensitive” cases. They don’t specify what that means, but presumably they will provide more guidance with their next update in two weeks and presumably that includes cases of diminished ovarian reserve or advanced maternal age (though I have a feeling that it’s not automatically going to include everyone over 35 for purposes of these guidelines, but who knows). It’s disappointing that they are only now starting to think about ways for clinics to reopen given that we’ve know for a while now that COVID-19 isn’t going away until there is a vaccine, so it was never realistic to just shutter clinics until there is a vaccine and there was always going to be a need to reopen while the novel coronavirus is still circulating. For some reason, I can’t figure out how to post the link since I accessed it directly from Twitter, but it’s linked on the ASRM homepage if anyone is interested in reading it. 

Post # 78
Member
1790 posts
Buzzing bee
  • Wedding: September 2017 - California

View original reply
anev :  I think freezing eggs prior to cancer-related treatments has always been exempted from the ASRM recommendations to stop new procedures (though I’ve read that in some countries, and I know ASRM guidelines don’t apply outside of the U.S, but apparently some women who were looking at fertility preservation prior to cancer treatment are even being turned away, which is absolutely horrible). Agreed that it would make sense that they would consider women over 40 (or younger with DOR) as time-sensitive, and although I get why and I hope those women are able to get back into treatment ASAP, I also hope that we can too. Last I was checked with an ultrasound and bloodwork, I do not (knock on wood) have an issue with egg reserves but I am definitely worried that if things continue on as they are with no plan for how to safely move forward with a retrieval cycle, that could eventually change. I also unfortunately have fibroids which, according to my RE, didn’t contribute to my second miscarriage, but are apparently likely to grow and could become more problematic as I age.  Anyway, I hope everyone is holding up OK. Hang in there! 

Post # 79
Member
756 posts
Busy bee
  • Wedding: June 2015 - Backyard

View original reply
anev :  I 100% agree with all of your opinions. It is so enraging to listen to pregnant women complaining about not getting showers, or missing all these “happy milestones” and it’s like…I’m over here grieving the loss of the person I thought I was gonna create last month when I took that birth control. I don’t GAF about some stupid party, or how I thought things would be. 

So. I took care of my first known Covid + patients yesterday in the ICU. I’m in an area where we still have adequate PPE and not too many cases. We are less densely populated and took social distancing measures relatively early on in the situation so we are projected to have enough ICU beds etc. Literally during my shift yesterday, I started spotting. (For those who don’t know, I’m the one who had endometriosis surgery 5-6 weeks ago, finally had a shot at pregnancy, then doctor put me on the pill to prevent because I have volunteered to return as a frontline ICU nurse, to prevent pregnancy and keep the endometriosis from growing back). Now today, I’m having a period with the same painful cramps I had before the surgery (Aleve isn’t cutting it and I’m in immense pain, and having a migraine to top it off). I’ve been taking the pill continuosly for 4ish weeks now. I know it can take awhile of taking it continuously for the “spotting” to stop, and it doesn’t help that I started the pill mid-cycle, but honestly my body is telling me that this pill is not going to keep it from growing back. I am bleeding and in pain and I feel like this whole putting it off thing is not working. So I talked to my husband and I’m going to go off the pill and try to get pregnant. I really believe this is my only chance without having to have surgery again, which comes with its own risks as well as the possibility of adding more scar tissue and causing more fertility problems. 

I am tired (already) of putting my life on hold for other people. We have another pregnant ICU nurse (5 months) who they are keeping away from Covid + patients. Honestly as long as I have the PPE I need I feel safe, even if I was pregnant. I’m less afraid for my safety after working yesterday in a very high risk situation (both patients on hi-flow O2) because I had a PAPR helmet. All day my patients told me about their beautiful families and how much they missed them. How isolated and afraid they were. I was able to give them hope for a recovery, and have FaceTime convos with them and their families. It really shows you what is important in life. Then there are people out there making dumb decisions and not social distancing and I’m finally like – you know what? I’m freaking tired of sacrificing my fertility, my potential child for people who don’t even care and who can’t even follow basic rules. So I’m going to try to get pregnant. I don’t know if I can or not, because some of my labs weren’t great from before (slightly low AMH and low P) and I don’t know if freeing my ovary fixed that but I’m going to try for 3 months like my RE said, and if not successful by then would probably go on the pill again because he really only wanted me to try that long before moving to IUI. 

Anyways, sorry for the novel. I just have to go with my gut on this, it felt SO WRONG to take that pill and I honestly thought that could have been my month and I’m still a bit upset that a human was supposed to be created and now they’re not going to be here. Fingers crossed my few weeks on the pill didn’t screw anything up for me. For now, my body is telling me the pill is not going to work. 

Post # 80
Member
656 posts
Busy bee

View original reply
redroses76 :  So sorry for your heartbreaking situation. From what I read about endo, the pill will not stop it from growing back, and I would definitely take the shot to get pregnant. Hopefully your month will come very soon! And 100% for your thoughts on the pregnancy complains as well. My coworker is pregnant atm, and I can’t take her complains about how her husband is not present at the ultrasounds.

 

I went down the rabbit hole of online research on healthy eating to get pregnant again and I start feeling guilty. How do you guys keep up with eating habits during the lockdown? I actually stopped it after the MC in december after months of clean eating.

Post # 81
Member
513 posts
Busy bee
  • Wedding: December 2017 - City, State

DogsAndWine :  Ugh, I’m so sorry that you’re stuck waiting on O, in addition to waiting on treatment. I hope things move forward for you soon.

anev :  I’ve been trying to stay away from those “am I crazy to get pregnant during covid” threads. Most people seem to have the best of intentions, and I get the considerations about difficulty accessing necessary medical care. But, it still stings watching some take for granted the ability to get pregnant. It simply isn’t fair that for some with infertility, this months-year+ without treatment may make the difference between ever having that child, or not.

mrsnitti17 :  Wow, I am so sorry that your cousin put you in that impossible position. I have maternity clothes from before I miscarried, and I don’t know how I would manage to see someone else in them. 

View original reply
zstbee84 :  Thanks for the ASRM update.. it’s good to hear that they are finally starting to draw out a path forward.  Here the European reprodutive society seems to be just pausing things indefinitely, save for oncology patients.

View original reply
redroses76 :  That is all so hard, I can only imagine what you are going through. I hope your pain subsides. And it’s okay to not be a martyr… you deserve a chance to grow your family, too.

View original reply
annili :  We’ve been cooking 100% of our meals at home for the last month, which is a major change for us.  I learned that I really do hate cooking, but have been forcing myself to make more foods from scratch, now that we have the time. To limit boredom/stress snacking, instead of buying cookies to just have around, I’ll find a recipe and make them. I find myself snacking a lot less when it’s inconvenient.  Also, you’re only human; try not to beat yourself up for not sticking to a diet amidst some serious personal and collective stressors.

Post # 82
Member
1790 posts
Buzzing bee
  • Wedding: September 2017 - California

I am expecting my AF this weekend, so I called my clinic to confirm they are still not doing new cycles, and they confirmed they are still closed to new cycles. I know that there is at least one clinic in the tri-state area (RMA) that seems to be operating, and I believe they are doing only time-sensitive cases. I saw a FB post from another clinic (CNY) which seems like they will be starting to open up in the next week or so, but not sure if that is also going to be limited to time-sensitive cases. It seems like things are slowly starting to open up but in my case I’m trying not to get my hopes up because it doesn’t seem like my clinic is likely to start taking on new cycles any time soon.  

Post # 84
Member
662 posts
Busy bee
  • Wedding: September 2017

View original reply
redroses76 :  First off, thank you for doing the hard work you do, People dont often see what Front line workers are really sacrificing. That being said, good for you to putting your needs first. I really hope these next few months of trying work out for you.

Post # 85
Member
520 posts
Busy bee

 I’m back!! I took a step away from the bee after our loss in December. I was not in a good place but excited to be back! Here’s my roll call:

 

Your age/partner’s age: 28/35

Baby #: 1

Cycles TTC: ?? 2 years at this point

Usual cycle length: 27 days

Known fertility issues: Unexplained, although now I’ve lost my tube from my ectopic so I only have 1 tube.

Trying anything new this month?: We got our first IVF cycle cancelled a week before starting stims. I spoke with my RE yesterday and she’s hoping that we’ll be able to start birth control again for our egg retrieval during my next cycle–woohoo! At the very least, they’re letting us do an IUI. This month I got my gyno to prescribe me Clomid so I took that and our timing was pretty good. Not optimistic, but it is what it is at this point.

Post # 86
Member
602 posts
Busy bee

View original reply
redroses76 :  hey girl, shout out to you from an ER nurse. I feel what you are saying. I have been very worried during these times about trying to get pregnant while working on the front line, but my management has been accomodating me even throughout fertility treatments to keep me out of possible covid rooms. They have automatically placed me in the “pregnant” category. We also have adequate PPE and are mandated to wear an N95 throughout our whole shift. It feels crazy to move forward with fertility treatments, but I did not choose to work a job that would prevent me from growing my own family. If I had to choose between my fertility treatments and my job I would choose fertility treatments and find a job with lower risk, which I won’t lie I have been looking into other positions. Our hospital system is saying pregnant women can work with covid 19 patients, which is ridiculous to me. Luckily my manager said “there are enough of us here that we can protect you”. I just wanted to say you aren’t alone in making that difficult decision. Stay safe!! <3 I hope things stay manageable in your area. Good luck!!!

Post # 88
Member
1203 posts
Bumble bee

View original reply
sunsetsnmargaritas :  
View original reply
redroses76 :  off topic but I gather that you’re both nurses. I’m considering nursing as a second career.  I’m currently a lawyer and am dissatisfied with feeling like my work makes zero difference in the world. Would love to hear your thoughts on nursing, the good and the bad! 

Post # 89
Member
1790 posts
Buzzing bee
  • Wedding: September 2017 - California

View original reply
anev :  That’s great news — I hope that ends up being the case and that you get to do your transfer next cycle. Definitely understand not wanting to get too excited now, but at least its sounds like your province handled the outbreak really well which should be a good predictor of when things can start to open up again. I’ve been poking around Reddit a bit lately and women there are saying that their clinics in various countries where the outbreak was kept under control are starting to open up. 

As for the U.S., overall the outbreak has been handled pretty poorly here, but some states seem to have gotten lucky and escaped the worst of it (so far). I’ve been checking the social media accounts of various clinics here in NY and elsewhere in the U.S. and some are now open for time-sensitive IVF cycles in various locations around the country (including a couple even in NYC, which surprised me). They aren’t saying what “time-sensitive” means on social media, as I would imagine they want to be careful about communicating directly to their patients rather than making blanket statements, which totally makes sense of course, but my guess is it would mainly for women with diminished ovarian reserve or over a certain age (maybe 40) to at least do their retrievals and then perhaps freeze if the clinics are not willing to do transfers yet at this point. My clinic is still closed to new cycles, and I am about to start a new cycle so my retrieval definitely isn’t happening this coming cycle, but hopefully I will have better luck with the next one. 

Post # 90
Member
662 posts
Busy bee
  • Wedding: September 2017

View original reply
anev :  That is wonderful news! My fingers are crossed for you that you aren’t delayed any further.

Leave a comment


Find Amazing Vendors