Post # 1
Hi everyone. Just tested this morning (11dpo) and, no surprise, everything was as white as could be. I’ve been trying for a bit over a year, lost 3 months due to surgery, too many follies on clomid and then cysts, so I guess not quite a year’s worth of cycles. Did 1 IUI (letrazole and trigger) and this past month was just letrazole and TI since we were out of town. We are older, so we can’t afford to wait too long to move to the next step.
This will be my first meeting with my doctor since October (!!) so I want to make sure I get ALL of my questions in. I’m thinking we may try one more IUI in April, but start preparing for IVF simultaneously.
How long does it take to “prepare” for IVF (when in the cycle do you need to start)? We are travling for 10 days in May, so I figured it would be a good month to get ready since we won’t be able to come in to the office anyway.
What are the big things I should ask? All of the testing I’ve had done shows no issues at all. We are “unexplained” other than age (and weight, I suppose, but don’t have the time to do too much about that, though I am watching my diet, drinking less, cutting back on caffeine and hitting the gym more)
I’ve heard some people go on bcp first, but I’ve heard that’s not always necessary (I have very regular cycles, if that makes a difference).
Thanks for your help! I need to make the most of this rare in-person time!
Post # 2
islabride2016 : Join the IVF thread. The ladies on there are VERY helpful. I went and saw my IVF doctor about two months ago and did the same thing you did with this post. First off, try to breath because they will give you a TON of information and it feels very overwhelming. To me cost was a big thing and how we were going to fund it. I would ask (pending on your situation) what method is better for you fresh or frozen. Also is ICSI required? Ask them about office hours and other locations (You will have to go in frequent for bloodwork and ultrasounds). Ask them where they see you with the amount/dosage of medicine you will need (depending on what brings you to IVF will determine the amount of medicine you will need. Medicine is very expansive and typically not included in the cost of IVF alone so the more medicine you need the more expensive it is). Also if you want to have sibilings, ask about freezing your eggs (if this is something you want) and if they offer it. We had to push IVF off due to pricing but I went to two appointments and just felt so overwhelmed with everything that I had to process. Like I mentioned above, really look the the IVF thread. It will help you. Good luck 🙂 Keep us all updated.
Post # 3
islabride2016 : I would ask what protocol they recommend for you, pricing (if you don’t have insurance coverage), embryo freezing for future children, what their success rate is and how likely they think your chances are of succeeding. Also ask about how many embryos they put in per round – my clinic has strict rules about how many they will put in based on your age and the number of previous failed cycles you’ve had. Some I’ve read let anyone choose if they want to put in one or two even if you’re younger and it’s the first try.
Post # 4
Thanks for the responses. I will definitely take a look at the IVF thread. I get intimidated by those super long threads sometimes!
Luckily, we are Massachusetts, where it is mandated for insurance companied to cover fertility treatments, and we have very good insurance, so cost is not a concern. Good recommendation on asking what their protocol is and the number of embryos they will transfer (we are hoping to do 2, due to age and complete willingness to have twins).
I reacted too well to clomid (had 6-8 mature follicles on CD10 – led to a canceled cycle), so I’m hoping that means I will be successful with generating lots of eggs for retrieval! Of course, I’m more concerned about what the quality of the eggs will be.
Post # 5
islabride2016 : I had an over response to my first IVF cycle (we did 2). I would ask about how frequently they will monitor and the protocols you will use. Over stimming was awful and I didn’t realize how bad it was until I went through my second cycle and felt almost human throughout (except for being a bit emotional). Ask how they will control your response because over stimming causes decreased quality. The good news is that you have a high folicle count, the bad news is that you have a high folicle count.
Find a RE you trust. How do they interact with you? How comfortable are you asking questions? Do they take their time with you… I switched clinics between my IUIs and my IVF cycles and it was hands down the best decision I made even though my travel time increased significantly. How quickly do they get you in and out for monitoring appointments right now for IUI? (My first office I sometimes waited over an hour!)