Advice needed on next steps

Advice needed on next steps

Joined: September 16th, 2011, 1:39 am

September 22nd, 2011, 11:48 pm #1

I'm quite new to this board but amazed at the collective knowledge and courage found here so I thought I'd appeal to you for some advice.

I just turned 41, I've been doing Dr. Check's estinyl protocol with timed intercourse since April, approximately 5 months. Check was very optimistic, saying that I had a 75% chance of getting pregnant within 1 year, and I didn't need IVF because of my husband's excellent sperm and no other problems. This was incredible for me after being told I was hopeless and I'll never have babies with my own eggs by the Fertility Clinic here in my town.

Acupuncture and herbs didn't do anything to my FSH- it just kept going up. But now with the estinyl, my FSH went from 34 down to normal levels, my antral follicle count on day 3 is now up to an amazing 8 or 9 per month and I'm acutally having normal cycles instead of crazy ones. So initially I was very optimistic but now I'm getting scared again that I'm running out of time because every month despite a seemingly perfect ovulation it's always negative. Maybe my eggs are bad after all.

IVF is difficult for us because we would have to fly from far away to an FSH friendly clinic because there is nowhere around here I would ever trust. If we do that, should we go with Check or someone else? I'm not aware of any other FSH friendly docs but on this Board there seems to be lots.

Also, if people have low stim IVF, why couldn't I have low stim timed intercourse? If I get 2 or 3 eggs instead of one, I'm not sure I understand what the value is in taking them out and putting them in again for thousands of dollars instead of just doing it the old fashioned way but having more eggs. Has anyone heard of this? It's gotta be better than one egg per month, right?

What would you do in my shoes? Thanks so much for any thoughts!
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Joined: August 4th, 2011, 8:18 pm

September 23rd, 2011, 12:14 am #2

I would say go with Dr. Check if you decide the IVF route. You can always monitor in town and then fly in for the retrieval. Also, you can do stims and just do TI. That would increase your chances for possible fertilization.
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Joined: December 20th, 2010, 7:38 pm

September 23rd, 2011, 12:28 am #3

I'm quite new to this board but amazed at the collective knowledge and courage found here so I thought I'd appeal to you for some advice.

I just turned 41, I've been doing Dr. Check's estinyl protocol with timed intercourse since April, approximately 5 months. Check was very optimistic, saying that I had a 75% chance of getting pregnant within 1 year, and I didn't need IVF because of my husband's excellent sperm and no other problems. This was incredible for me after being told I was hopeless and I'll never have babies with my own eggs by the Fertility Clinic here in my town.

Acupuncture and herbs didn't do anything to my FSH- it just kept going up. But now with the estinyl, my FSH went from 34 down to normal levels, my antral follicle count on day 3 is now up to an amazing 8 or 9 per month and I'm acutally having normal cycles instead of crazy ones. So initially I was very optimistic but now I'm getting scared again that I'm running out of time because every month despite a seemingly perfect ovulation it's always negative. Maybe my eggs are bad after all.

IVF is difficult for us because we would have to fly from far away to an FSH friendly clinic because there is nowhere around here I would ever trust. If we do that, should we go with Check or someone else? I'm not aware of any other FSH friendly docs but on this Board there seems to be lots.

Also, if people have low stim IVF, why couldn't I have low stim timed intercourse? If I get 2 or 3 eggs instead of one, I'm not sure I understand what the value is in taking them out and putting them in again for thousands of dollars instead of just doing it the old fashioned way but having more eggs. Has anyone heard of this? It's gotta be better than one egg per month, right?

What would you do in my shoes? Thanks so much for any thoughts!
In other words, have you had a natural pregnancy that resulted in live birth before?

If so, monitored, injectable BD is fine. If not, go straight to ivf, because you don't know if your system is all go. One glitch here and there may prevent you from getting pregnant and at 41, you don't want to waste time to find out which part is not working.
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DeeinNYC
DeeinNYC

September 23rd, 2011, 2:40 am #4

I'm quite new to this board but amazed at the collective knowledge and courage found here so I thought I'd appeal to you for some advice.

I just turned 41, I've been doing Dr. Check's estinyl protocol with timed intercourse since April, approximately 5 months. Check was very optimistic, saying that I had a 75% chance of getting pregnant within 1 year, and I didn't need IVF because of my husband's excellent sperm and no other problems. This was incredible for me after being told I was hopeless and I'll never have babies with my own eggs by the Fertility Clinic here in my town.

Acupuncture and herbs didn't do anything to my FSH- it just kept going up. But now with the estinyl, my FSH went from 34 down to normal levels, my antral follicle count on day 3 is now up to an amazing 8 or 9 per month and I'm acutally having normal cycles instead of crazy ones. So initially I was very optimistic but now I'm getting scared again that I'm running out of time because every month despite a seemingly perfect ovulation it's always negative. Maybe my eggs are bad after all.

IVF is difficult for us because we would have to fly from far away to an FSH friendly clinic because there is nowhere around here I would ever trust. If we do that, should we go with Check or someone else? I'm not aware of any other FSH friendly docs but on this Board there seems to be lots.

Also, if people have low stim IVF, why couldn't I have low stim timed intercourse? If I get 2 or 3 eggs instead of one, I'm not sure I understand what the value is in taking them out and putting them in again for thousands of dollars instead of just doing it the old fashioned way but having more eggs. Has anyone heard of this? It's gotta be better than one egg per month, right?

What would you do in my shoes? Thanks so much for any thoughts!
Your FSH is good now and you have a good AFC. I would stay with Check and do IVF. The advantage over TI is that you know for a fact that the sperm made it past the cervix and that an egg was fertilized. THAT is a huge advantage. I think i would want to take advantage of the good numbers you are getting now.
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Antonialisa
Antonialisa

September 23rd, 2011, 10:34 pm #5

...for all your excellent advice everybody. I have never been pregnant or had a baby, just several suspected early pregnancy losses.

I could start IVF next week, but then I am supposed to travel to Australia for a work trip at the end of October and early NOvember is also very busy for work. I could bail on the trip but I just spent the last 2 years frequently declining work travel and sitting around and not being pregnant anyway and it got depressing. (Sigh) I could definitely do IVF in the November-December cycle, though. Is waiting 2 more months going to affect anything? Or maybe I should just bail on the travel and do it right away. Ugh, it's so hard to do know.

Thanks again, ladies!
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Joined: December 20th, 2010, 7:38 pm

September 23rd, 2011, 11:56 pm #6

and avoid late Nov, Dec cycle, because as you understand, all clinics are winding down for the holidays from late Nov to Dec, and you get sub-standard service as well as lack of attention. I have had that happen to me, and heard a couple of messy tales from around that time.

Prepare yourself for a fresh start in Jan.
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BabyDance
BabyDance

September 24th, 2011, 12:01 am #7

...for all your excellent advice everybody. I have never been pregnant or had a baby, just several suspected early pregnancy losses.

I could start IVF next week, but then I am supposed to travel to Australia for a work trip at the end of October and early NOvember is also very busy for work. I could bail on the trip but I just spent the last 2 years frequently declining work travel and sitting around and not being pregnant anyway and it got depressing. (Sigh) I could definitely do IVF in the November-December cycle, though. Is waiting 2 more months going to affect anything? Or maybe I should just bail on the travel and do it right away. Ugh, it's so hard to do know.

Thanks again, ladies!
No waiting where fertility is concerned. That's why most of us are here.. especially if you have yet to cycle, and don't know what to expect. If it takes a few cycles, you need to gather information and time is of the essence.
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Joined: September 6th, 2009, 7:55 am

September 24th, 2011, 6:59 am #8

...for all your excellent advice everybody. I have never been pregnant or had a baby, just several suspected early pregnancy losses.

I could start IVF next week, but then I am supposed to travel to Australia for a work trip at the end of October and early NOvember is also very busy for work. I could bail on the trip but I just spent the last 2 years frequently declining work travel and sitting around and not being pregnant anyway and it got depressing. (Sigh) I could definitely do IVF in the November-December cycle, though. Is waiting 2 more months going to affect anything? Or maybe I should just bail on the travel and do it right away. Ugh, it's so hard to do know.

Thanks again, ladies!
I totally relate to missing experiences through TTC. I missed weddings, christenings and other important events because of cycling or being just about to. I think it's healthy - and actually will decrease your stress levels - to go about getting your life back. A lot of the successes here have been women who had paused from TTC or even given up, and were lucky. That's not to say "just relax and it will happen" but I think we can get so obsessed with TTC that our background cortisol levels just stay elevated all the time and - as you say - the rest of life is going on while you do that.

If you decide to take the travel, you can productively spend that time preparing your body optimally for TTC. Eat well, rest as much as possible, maybe track down a nutritionist or Chinese medicine specialist. Research your options and ensure you're at your peak for when you do cycle. You'll still be done before Christmas so it's not like 40 days in the grand scheme of things will make or break this...... You wouldn't want to wait 6 months but a cycle ? I would get back into life......and hopefully make an extra life once you're back


Good luck

al
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Joined: December 20th, 2010, 7:38 pm

September 24th, 2011, 3:16 pm #9

No waiting where fertility is concerned. That's why most of us are here.. especially if you have yet to cycle, and don't know what to expect. If it takes a few cycles, you need to gather information and time is of the essence.
I have talked many multi-cyclers (think 10+) and the worst time to cycle at ANY clinic (including Cornell, CCRM, ORM, local etc.) is around Thanksgiving / Dec. Nobody cares at that point, nurses missing instructions, doctors sort of absent-minded. A friend of mine had a really bad cycle at CCRM because she coincided with Thanksgiving and nobody was monitoring her as closely as they should, she found success in Jan cycle and told me the level of attentiveness was like night and day, because everybody at CCRM was in a check-out mode in late Nov/Dec, understandably.

Most clinics shut down early in Dec, from mid Dec on they are gone, and they don't stay open for Thanksgiving. Purely from a time management point of view, you only have a very short window of 2 weeks in between, which is not a good idea to begin with.
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BD
BD

September 24th, 2011, 3:25 pm #10

So then you are talking waiting until January when she can cycle now. I'd do it now. On a side note - just want you to be aware that in 2009, Dr. Check had ZERO success with IVF at 41. I'm sorry to be the bearer of bad news, but check out the SART. I'm a huge Check fan and would not hesitate to do natural cycle monitoring with him, but hesitant about IVF. Now of course, he has had IVF success in the 40's in the past, but not last year at 41. That is concerning to me. I'd do it now, then January if you have to.
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