There are a few good doctors out there (recap from consult #6) LONG...

There are a few good doctors out there (recap from consult #6) LONG...

Tanya
Tanya

May 19th, 2011, 12:47 pm #1

I am sharing this because I want to give a different perspective that there are some doctors who believe that despite high FSH we can get PG.

To provide some context, I am currently a patient of Dr. Check and LOVE HIM and his entire staff but the remote monitoring can be tiring. I am thinking of doing IVF next month again and taking a week off work is difficult. So off I went with DH in tow to consult #6.

I received excellent advice from a friend that I should clearly tell him at the beginning of the conversation why I am here and that is to discuss how he can help me have a baby using my own eggs. I am aware of DE and while it is great option, I do not want to discuss that today. I think that was a huge plus because he knew my expectations and it helped steer the conversation.

I told him how all the local REs turned me away by either saying my FSH was too high or I needed a minimum of 4 follicles to go to ER. We started talking about Dr. Check and guess what; he knows him and even uses estyinl to lower FSH (just like Check). He explained in detail how estyinl works to my DH. I cant really articulate because my brain was in overload at the time, but if anyone wants the excellent explanation I can ask DH to dictate and Ill provide the information.

He went on to say that he has patients who do out of town monitoring through him for Dr. Check. I asked what it would cost to do IVF with him so eliminate the travel to NJ and it would be close to 10k since he uses an outside facility for ER/ ET. He said he would be completely fine if I wanted to be monitored by him and then hop on a plan to NJ considering the price difference. He has a patient who recently did this. He also said if I wanted him to do IVF for me, he would try to replicate my successful cycle with Cooper.

He asked if Dr. Check had any idea why I had high FSH, what the underlying cause was and to be honest, I dont know. He also said just because I have high FSH doesnt always necessitate IVF. We have proof my tubes are open and I am ovulating so maybe I dont need IVF. I thought that was very interesting since so many doctors push IVF and/or DE. He also said he has gotten women pregnant with high FSH, higher then mine he said (mine is usually low- mid twenties).

I asked about the post-coliatel and yes he does it! He says it is controversially because you can prove that sperm live in the mucus and you can conclude that they are alive in the cervix but you dont know for certain if they make it past that point. Regardless he does the test and would be happy to do it on me. On a side note, he said that a local news station contacted him last summer about some new breakthrough for infertility. It was a study Dr. Check had done on how Robitussim can help women become pregnant. The doctor explained to the TV station this wasnt new and had been around for quite some time. His point in telling me is that Dr. Check has done a lot of research and is well respected.

I asked him about day 3 vs. day 5 transfer and he said that there is no secret formula in the lab that makes doing a day 5 transfer better. His research shows that unless there are too many embryos to put back, day 3 is preferable. He also said that some doctors are starting to do day 2 transfers if there is a small number of embryos because the best place for them isnt in a lab but their natural environment (me).

I asked him about Vitamin D and B12 levels and he said their was an article published very recently (maybe last week) that perhaps the bar for Vitamin D has been set too high which is why so many people are declared deficient. Regardless he ran my levels and B12 is 494, normal range is 271-870 and Vitamin D is 34 and normal range is 25-80 (keep in mind I take 4000 mg a day already).
I did ask him about P4 support and he said I give it like water, it can do no harm but only help. He also said that on natural cycles, he supplements with supps but on IVF cycles he uses PIO because they are really removing all the P4 from your system when they take the eggs so he like PIO better for that reason.

The one down side is that the embryologist at the lab he uses travels between Texas and Michigan so he is forced to batch patients, meaning BCP

If money were no object I would definitely without a doubt use this doctor because for the first time since talking with Dr. Check, I felt like a doctor believed in me! I may still use him for monitoring but I found out he charges $460 per month monitoring fee whereas my current local clinic does not charge me anything other then the actual costs of the tests.
I hope some of this information is helpful to others and this taught me that it really cant hurt to talk to other doctors because you may just find someone that really understands you can get pregnant with high FSH.
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Sara H
Sara H

May 19th, 2011, 1:26 pm #2

having someone actually believe in you in the office is SO important! Did you nearly fall out of chair with what he said????

I am so glad you found someone to work with! Maybe you could work with him a cycle and then see where you are and if the timing works for you to do IVF with him or jump on a plane?

Good report, thank you for sharing!
Sara H.
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Tanya
Tanya

May 19th, 2011, 1:33 pm #3

It was really great to hear the optimism but I think part of the reason it went well was because I didn't let him bully me around, I went in there with a clear agenda. I actually had the email someone had sent to me about being strong and what I wanted to accomplish while I was meeting with him. I have really let these doctors boss me around way too long. No doubt he was a very intelligent doctor and I would be fortunate to work with him.

As far as local monitoring with him, I am keeping all options open right now. However, the local clinic I go through right now doesnt charge a monthly monitoring fee like he would and the current clinic is literally 5 minutes from work. The biggest factor is they have never (knock on wood) NOT gotten the results to Cooper and based on some of the recent horror stories, I almost feel like I shouldnt rock the boat in that regards.

How are you doing?
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Cee
Cee

May 19th, 2011, 1:49 pm #4

I am sharing this because I want to give a different perspective that there are some doctors who believe that despite high FSH we can get PG.

To provide some context, I am currently a patient of Dr. Check and LOVE HIM and his entire staff but the remote monitoring can be tiring. I am thinking of doing IVF next month again and taking a week off work is difficult. So off I went with DH in tow to consult #6.

I received excellent advice from a friend that I should clearly tell him at the beginning of the conversation why I am here and that is to discuss how he can help me have a baby using my own eggs. I am aware of DE and while it is great option, I do not want to discuss that today. I think that was a huge plus because he knew my expectations and it helped steer the conversation.

I told him how all the local REs turned me away by either saying my FSH was too high or I needed a minimum of 4 follicles to go to ER. We started talking about Dr. Check and guess what; he knows him and even uses estyinl to lower FSH (just like Check). He explained in detail how estyinl works to my DH. I cant really articulate because my brain was in overload at the time, but if anyone wants the excellent explanation I can ask DH to dictate and Ill provide the information.

He went on to say that he has patients who do out of town monitoring through him for Dr. Check. I asked what it would cost to do IVF with him so eliminate the travel to NJ and it would be close to 10k since he uses an outside facility for ER/ ET. He said he would be completely fine if I wanted to be monitored by him and then hop on a plan to NJ considering the price difference. He has a patient who recently did this. He also said if I wanted him to do IVF for me, he would try to replicate my successful cycle with Cooper.

He asked if Dr. Check had any idea why I had high FSH, what the underlying cause was and to be honest, I dont know. He also said just because I have high FSH doesnt always necessitate IVF. We have proof my tubes are open and I am ovulating so maybe I dont need IVF. I thought that was very interesting since so many doctors push IVF and/or DE. He also said he has gotten women pregnant with high FSH, higher then mine he said (mine is usually low- mid twenties).

I asked about the post-coliatel and yes he does it! He says it is controversially because you can prove that sperm live in the mucus and you can conclude that they are alive in the cervix but you dont know for certain if they make it past that point. Regardless he does the test and would be happy to do it on me. On a side note, he said that a local news station contacted him last summer about some new breakthrough for infertility. It was a study Dr. Check had done on how Robitussim can help women become pregnant. The doctor explained to the TV station this wasnt new and had been around for quite some time. His point in telling me is that Dr. Check has done a lot of research and is well respected.

I asked him about day 3 vs. day 5 transfer and he said that there is no secret formula in the lab that makes doing a day 5 transfer better. His research shows that unless there are too many embryos to put back, day 3 is preferable. He also said that some doctors are starting to do day 2 transfers if there is a small number of embryos because the best place for them isnt in a lab but their natural environment (me).

I asked him about Vitamin D and B12 levels and he said their was an article published very recently (maybe last week) that perhaps the bar for Vitamin D has been set too high which is why so many people are declared deficient. Regardless he ran my levels and B12 is 494, normal range is 271-870 and Vitamin D is 34 and normal range is 25-80 (keep in mind I take 4000 mg a day already).
I did ask him about P4 support and he said I give it like water, it can do no harm but only help. He also said that on natural cycles, he supplements with supps but on IVF cycles he uses PIO because they are really removing all the P4 from your system when they take the eggs so he like PIO better for that reason.

The one down side is that the embryologist at the lab he uses travels between Texas and Michigan so he is forced to batch patients, meaning BCP

If money were no object I would definitely without a doubt use this doctor because for the first time since talking with Dr. Check, I felt like a doctor believed in me! I may still use him for monitoring but I found out he charges $460 per month monitoring fee whereas my current local clinic does not charge me anything other then the actual costs of the tests.
I hope some of this information is helpful to others and this taught me that it really cant hurt to talk to other doctors because you may just find someone that really understands you can get pregnant with high FSH.
I hope you can get it worked out so you could give him a try. He sounds very positive!
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BabyDance
BabyDance

May 19th, 2011, 2:08 pm #5

I am sharing this because I want to give a different perspective that there are some doctors who believe that despite high FSH we can get PG.

To provide some context, I am currently a patient of Dr. Check and LOVE HIM and his entire staff but the remote monitoring can be tiring. I am thinking of doing IVF next month again and taking a week off work is difficult. So off I went with DH in tow to consult #6.

I received excellent advice from a friend that I should clearly tell him at the beginning of the conversation why I am here and that is to discuss how he can help me have a baby using my own eggs. I am aware of DE and while it is great option, I do not want to discuss that today. I think that was a huge plus because he knew my expectations and it helped steer the conversation.

I told him how all the local REs turned me away by either saying my FSH was too high or I needed a minimum of 4 follicles to go to ER. We started talking about Dr. Check and guess what; he knows him and even uses estyinl to lower FSH (just like Check). He explained in detail how estyinl works to my DH. I cant really articulate because my brain was in overload at the time, but if anyone wants the excellent explanation I can ask DH to dictate and Ill provide the information.

He went on to say that he has patients who do out of town monitoring through him for Dr. Check. I asked what it would cost to do IVF with him so eliminate the travel to NJ and it would be close to 10k since he uses an outside facility for ER/ ET. He said he would be completely fine if I wanted to be monitored by him and then hop on a plan to NJ considering the price difference. He has a patient who recently did this. He also said if I wanted him to do IVF for me, he would try to replicate my successful cycle with Cooper.

He asked if Dr. Check had any idea why I had high FSH, what the underlying cause was and to be honest, I dont know. He also said just because I have high FSH doesnt always necessitate IVF. We have proof my tubes are open and I am ovulating so maybe I dont need IVF. I thought that was very interesting since so many doctors push IVF and/or DE. He also said he has gotten women pregnant with high FSH, higher then mine he said (mine is usually low- mid twenties).

I asked about the post-coliatel and yes he does it! He says it is controversially because you can prove that sperm live in the mucus and you can conclude that they are alive in the cervix but you dont know for certain if they make it past that point. Regardless he does the test and would be happy to do it on me. On a side note, he said that a local news station contacted him last summer about some new breakthrough for infertility. It was a study Dr. Check had done on how Robitussim can help women become pregnant. The doctor explained to the TV station this wasnt new and had been around for quite some time. His point in telling me is that Dr. Check has done a lot of research and is well respected.

I asked him about day 3 vs. day 5 transfer and he said that there is no secret formula in the lab that makes doing a day 5 transfer better. His research shows that unless there are too many embryos to put back, day 3 is preferable. He also said that some doctors are starting to do day 2 transfers if there is a small number of embryos because the best place for them isnt in a lab but their natural environment (me).

I asked him about Vitamin D and B12 levels and he said their was an article published very recently (maybe last week) that perhaps the bar for Vitamin D has been set too high which is why so many people are declared deficient. Regardless he ran my levels and B12 is 494, normal range is 271-870 and Vitamin D is 34 and normal range is 25-80 (keep in mind I take 4000 mg a day already).
I did ask him about P4 support and he said I give it like water, it can do no harm but only help. He also said that on natural cycles, he supplements with supps but on IVF cycles he uses PIO because they are really removing all the P4 from your system when they take the eggs so he like PIO better for that reason.

The one down side is that the embryologist at the lab he uses travels between Texas and Michigan so he is forced to batch patients, meaning BCP

If money were no object I would definitely without a doubt use this doctor because for the first time since talking with Dr. Check, I felt like a doctor believed in me! I may still use him for monitoring but I found out he charges $460 per month monitoring fee whereas my current local clinic does not charge me anything other then the actual costs of the tests.
I hope some of this information is helpful to others and this taught me that it really cant hurt to talk to other doctors because you may just find someone that really understands you can get pregnant with high FSH.
Who is this masked man???? Good on you, Tanya! You go girl!! Xoxo BD
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Tanya
Tanya

May 19th, 2011, 2:47 pm #6

Advanced Reproductive Medicine in Bloomfield Hills.

Thanks! Hope you are doing well. I keep forgetting to look up that steriod but just wrote it down so hopefully I will have the information for you tomorrow.
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Bethpky
Bethpky

May 19th, 2011, 3:35 pm #7

It was really great to hear the optimism but I think part of the reason it went well was because I didn't let him bully me around, I went in there with a clear agenda. I actually had the email someone had sent to me about being strong and what I wanted to accomplish while I was meeting with him. I have really let these doctors boss me around way too long. No doubt he was a very intelligent doctor and I would be fortunate to work with him.

As far as local monitoring with him, I am keeping all options open right now. However, the local clinic I go through right now doesnt charge a monthly monitoring fee like he would and the current clinic is literally 5 minutes from work. The biggest factor is they have never (knock on wood) NOT gotten the results to Cooper and based on some of the recent horror stories, I almost feel like I shouldnt rock the boat in that regards.

How are you doing?
I've been out of town in an office evaluation all week, so I'm just now catching up on the board.

Good job taking charge of the situation! This doctor sounds like a breath of fresh air. And I agree that FSH alone is not the death knell that some doctors portray it to be. The trick seems to be figuring out the other issues that may be impeding the ability the achieve and sustain a healthy pregnancy. For me, my hormones where obviously out of whack, so getting them straightened out (including down regulating my FSH) and finding a healthy egg was all I needed. Other cases involve more complicated or difficult to pinpoint issues, so I never take for granted how lucky I was.

I'll be thinking about you, Tanya. Keep us posted on what you decide to do.

I agree with everyone - Cooper is a challenge and requires a certain tenacity to keep the balls in the air. I only did one monitoring cycle with them, but it was almost like having a second job...and fertility problems zap all of us of patience and mental fortitude, so we don't need additional stress. Luckily, my local RE was willing to adopt my modified Cooper protocol and it worked.
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AJ
AJ

May 19th, 2011, 5:39 pm #8

I am sharing this because I want to give a different perspective that there are some doctors who believe that despite high FSH we can get PG.

To provide some context, I am currently a patient of Dr. Check and LOVE HIM and his entire staff but the remote monitoring can be tiring. I am thinking of doing IVF next month again and taking a week off work is difficult. So off I went with DH in tow to consult #6.

I received excellent advice from a friend that I should clearly tell him at the beginning of the conversation why I am here and that is to discuss how he can help me have a baby using my own eggs. I am aware of DE and while it is great option, I do not want to discuss that today. I think that was a huge plus because he knew my expectations and it helped steer the conversation.

I told him how all the local REs turned me away by either saying my FSH was too high or I needed a minimum of 4 follicles to go to ER. We started talking about Dr. Check and guess what; he knows him and even uses estyinl to lower FSH (just like Check). He explained in detail how estyinl works to my DH. I cant really articulate because my brain was in overload at the time, but if anyone wants the excellent explanation I can ask DH to dictate and Ill provide the information.

He went on to say that he has patients who do out of town monitoring through him for Dr. Check. I asked what it would cost to do IVF with him so eliminate the travel to NJ and it would be close to 10k since he uses an outside facility for ER/ ET. He said he would be completely fine if I wanted to be monitored by him and then hop on a plan to NJ considering the price difference. He has a patient who recently did this. He also said if I wanted him to do IVF for me, he would try to replicate my successful cycle with Cooper.

He asked if Dr. Check had any idea why I had high FSH, what the underlying cause was and to be honest, I dont know. He also said just because I have high FSH doesnt always necessitate IVF. We have proof my tubes are open and I am ovulating so maybe I dont need IVF. I thought that was very interesting since so many doctors push IVF and/or DE. He also said he has gotten women pregnant with high FSH, higher then mine he said (mine is usually low- mid twenties).

I asked about the post-coliatel and yes he does it! He says it is controversially because you can prove that sperm live in the mucus and you can conclude that they are alive in the cervix but you dont know for certain if they make it past that point. Regardless he does the test and would be happy to do it on me. On a side note, he said that a local news station contacted him last summer about some new breakthrough for infertility. It was a study Dr. Check had done on how Robitussim can help women become pregnant. The doctor explained to the TV station this wasnt new and had been around for quite some time. His point in telling me is that Dr. Check has done a lot of research and is well respected.

I asked him about day 3 vs. day 5 transfer and he said that there is no secret formula in the lab that makes doing a day 5 transfer better. His research shows that unless there are too many embryos to put back, day 3 is preferable. He also said that some doctors are starting to do day 2 transfers if there is a small number of embryos because the best place for them isnt in a lab but their natural environment (me).

I asked him about Vitamin D and B12 levels and he said their was an article published very recently (maybe last week) that perhaps the bar for Vitamin D has been set too high which is why so many people are declared deficient. Regardless he ran my levels and B12 is 494, normal range is 271-870 and Vitamin D is 34 and normal range is 25-80 (keep in mind I take 4000 mg a day already).
I did ask him about P4 support and he said I give it like water, it can do no harm but only help. He also said that on natural cycles, he supplements with supps but on IVF cycles he uses PIO because they are really removing all the P4 from your system when they take the eggs so he like PIO better for that reason.

The one down side is that the embryologist at the lab he uses travels between Texas and Michigan so he is forced to batch patients, meaning BCP

If money were no object I would definitely without a doubt use this doctor because for the first time since talking with Dr. Check, I felt like a doctor believed in me! I may still use him for monitoring but I found out he charges $460 per month monitoring fee whereas my current local clinic does not charge me anything other then the actual costs of the tests.
I hope some of this information is helpful to others and this taught me that it really cant hurt to talk to other doctors because you may just find someone that really understands you can get pregnant with high FSH.
his explanation of Estinyl Estrogen!! I'm glad you had such a positive consult:)
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Tanya
Tanya

May 19th, 2011, 6:01 pm #9

I need to have DH explain to me again and I'll let you know tomorrow
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AJ
AJ

May 19th, 2011, 7:13 pm #10

Thank you!!
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