Some background - My sister is 24 and she and her DH have been trying for baby number one for over 12 months now. She had known endo and had originally thought this was making TTC difficult, she has had her first appointment with the FS and has found that she has low progesterone and a very low AMH. Her FS has said that at 24 yo she has the fertility of a woman between 38-40 and has poor egg quality. Her DH has normal fertility. She was very upset when the FS didnt have any appointments for five weeks but is coming inearly to see her next week to get things started, this has made her very anxious that she is running out of time

She has asked me to attend her next FS appointment as her DH may not be able to attend due to work commitments, though she says she would like me there either way as she understandably gets very emotional and has trouble retaining all the information she is given. Her Dh has also said he would like me there although Im not sure how normal it is for 3 people to turn up to a FS appointment

Other support my sister has is my BF has been through fertility treatment and they are in touch via email and a colleague of hers has also been through IVF. My mum is trying to be very positive about it all which is upsetting my sister, her MIL said well at least its not her DH's fault and Im trying to be practical and to offer her someone to just listen. I am feeling some guilt (which I know is irrational) as my DH and I have been blessed with normal fertility. They are also going to speak with the counsellor at the clinic

So my sister has asked me to help them come up with a number of questions to ask her FS so far we have

- what are R's chances of getting pregnant through IVF and in what time frame
- is ICSI recommended in her situation
- would they initially transfer one embryo or 2
- what are the chances of multiple pregnancy
- is there an increased risk of chromosomal abnormalaties due to poor egg quality
- how many eggs would they hope to collect in a transfer
- is R likely to go into ealry menopause given her results
- what will the process be meds, egg pick up, transfers etc
- costs
- any reccommended supplementary therapies, lifestyle changes etc (R said the clinic was advertising a trial involving acupuncture so she is keen to find out more about this)

Any other questions/suggestions would be great. Im hoping to just sit quietly in the background and take notes for her.


I have offered down the track to be an egg donor if needed but I have my FX for hard for her and her DH to fall pregnant quickly with IVF