Long Term TTC & Assisted Conception August 2013

[myturn]

Sitting here waiting for my scan.... There are six other ladies in here.... Does anyone else find it strange that we don't talk to each other?? I wish someone would say hello to me - I am too scared to initiate...

[nothing2lose]

I hate talking to people Myturn (generally, but especially in ivf waiting rooms )

Good luck!

Just had appt with lap surgeon. Now I am more confused than ever whether to get it done :/

[myturn]

I hate talking to people Myturn (generally, but especially in ivf waiting rooms )

Good luck!

Just had appt with lap surgeon. Now I am more confused than ever whether to get it done :/

yeah I know people feel differently, which is why I don't want to say anything, but at the same time it would be nice sometimes not to feel so isolated.

Anyhoo.... Why the confusion?..

[Mrs O'M]

Hi all, my sincere apologies for joining awhile ago and then being mia for a couple of weeks. Have had lots of tests in the mean time and a visit with the clinic this morning to get the FS consent and all of the medications needed.

While initially we thought I was the only one with issues, it now appears that DH has major morphology problems....... so we are looking at ICSI

The good news is however that af is due in a few days so we can get started. Juniper may I please be added to the list? I am CD23 at the moment.

Congrats to Glorious, great news, I hope you have a H&H 9 month ahead.

Myturn, I hope your scan went ok, no one chats in my doctors waiting rooms either, everyone buries their noses into their phones of the trashy mags to pass the time.

Hi to everyone else!

[juniper76]

N2L, sorry to hear you're more confused rather than finding clarity. You're always welcome to send me a PM if you want to talk through it. It's often a difficult decision.

Mrs O'M, did you only get the regular s/a done? The reason I ask is because DH also has morphology issues and when we had advanced testing done it showed a high rate of aneuploidy (chromosomally-abnormal) sperm, which can occur in men with low morphology (and cannot be treated and ICSI doesn't help because they can't identify the aneuploidy sperm visually). The other potential issue with low morphology is DNA fragmentation (which can be treated). If we had known about the aneuploidy when we were doing IVF (we only had the advanced testing done this year), we would have been less surprised about needing so many cycles (took 5 stim cycles to get DD). At this point, I'm not prepared to start IVF again unless we have the money for at least 10 cycles, because it could realistically take that many... (Not that I could do that many, but that pool of money could pay for about 5 IVF cycles and then the unused portion would be enough for a donor embryo cycle overseas...)

[nothing2lose]

Thanks Long story short, he said age-wise IVF only has a 5% success rate. A lap *might* bring that up to around 10%max. He said though there is no real evidence that getting rid of endo helps with implantation. (This is the head of the endo/lap team at the Royal Women's so I assume he knows what he's talking about.) Then there are the associated risks...

If I do it he will also inject dye into tubes, reposition my ovaries, and check inside my uterus (cyst...something or other)...

If I go public it will be 3-4 months (he said too long). Private will be at least $6k out of pocket.would be done in four weeks.

Of course, I might not even have endo.....he said it is 60/40.

[juniper76]

He said though there is no real evidence that getting rid of endo helps with implantation.

I don't know about implantation, but there are certainly studies showing that removing endo increases IVF success rates (with which he appears to agree since he gave you higher odds for that scenario).

It's common to do a hysteroscopy (ie camera through the cervix to look inside the uterus) along with the lap. I've always had both done at the same time. Is that what he was talking about?

The other thing to consider, is that endo is not just a fertility problem. I realise you may not have it, but if you do, it does organ damage. I was told I will need a bowel resection one day as a result of the damage my endo has done to it. I really wish I'd had mine diagnosed and treated before it had the opportunity to do so much damage... Of course, waiting 3-4 months (or even a few more) probably won't make a huge difference on the non-fertility aspects, so it's not a reason to rush into a lap... It's "waiting" (aka having Drs dismiss your concerns) for 10 years that makes a big difference... *sigh* Endo sucks... I really hope you don't have it.

[nothing2lose]

Thanks i definitely have adenomyosis. My hospital stay earlier this year diagnosed endo. Summary discharge notes from CT scan say "findings are concerning for ongoing pelvic endometriosis" and was given as the "Principal Diagnosis" along with acute pelvic abscess.

He mentioned pain management as a reason to get it done.

Problem is he wouldn't say one way or another whether I should go ahead. He said I had to make the decision....

[myturn]

Sucks




imho..... I'd always worry/wonder if I should have done it..... So guess that means I would do anything, but I can see the dilemma, and it sounds like he didn't really even give you a recommendation one way or another.... How annoying. Feeling for you xox

[Mrs O'M]

As far as I know only a regular test was done, hmmm may be worth investigating, thanks for the heads up juniper.

N2L, sorry you didn't get a definitive answer or direction to follow. Good luck with deciding your next steps.

[juniper76]

N2L, unfortunately, it's one of those things for which no-one can tell you what's right for you. You need to spend the time considering the pros/cons for your specific situation and work out what is best for you.

If you think you may want some time to decide, I'd consider going on the waiting list for the public procedure. That way, you have time to think about it and you can easily remove yourself from the list if you decide against it (or if you decide to do it privately).

[Miss.B]

N2L, sorry you have to make some tough decisions, I agree with Juniper to put yourself on the public list and in the meantime think about what you want to do. Hugs hun, sometimes it's so much easier when they tell you what you need to do....

Myturn, I often wondered myself why no body talks in those waiting rooms! But then again, look at us, we are both big chatterboxes lol. I often wonder if one day I introduced myself and then the other person said 'hey, aren't you on belly belly' hahahahaha. How did your scan go?

Mrs O'M, sorry to hear about your DH's swimmers We had to do ISCI but that was because my FS thought we don't have time to waste and also because my OH had a snip and when reversed it didn't work, and after a long time the sperm start to produce antibodies and attack itself???? Dunno. In any case it worked for us, I hope it works for you too

Hi to everyone else!

Did I tell you girls that I hate those progynova tablets? Well, they are still driving me batty. I wonder if they can give me something else....I have had such a bad migrane all day long, and the queasiness, let's not go there!

[Williever]

Myturn- I always wonder if anyone is on BB in the waiting room. Maybe we should wear a little ribbon or badge so we know we can approach ;-) I hate sitting there alone.

[myturn]

Myturn- I always wonder if anyone is on BB in the waiting room. Maybe we should wear a little ribbon or badge so we know we can approach ;-) I hate sitting there alone.

Something purple perhaps?!?


Miss B - scan said there's nothing happening, as expected. Crossing my fingers transfer is NOT next Friday - got three clients booked I for my private practice yay !!

[juniper76]

I remember a few years back, I was in recovery after EPU and someone from this LTTTC group had an IUI done on one of the beds across from me (with the curtains closed). I didn't say anything at the time (because I was just out of EPU), but it was kind of weird to know that it was her based on what she said about the IUI here...

[glorious]

We found out about DHs poor morphology with the initial testing but as he provided a huge sample the 4% normal was still in the millions so while they suggested icsi we declined and had natural fertilization. All fertilized beautifully and only one was not suitable for freezing.
Look at the whole results not just the main "bad points" that the FS like to point out.

[Mrs O'M]

Thanks Glorious, that helps a lot

[Jasmine00]

N2L- I'm sorry but I can't offer much advice in regards to the lap.. Except that if the FS thinks it might increase your chance of success maybe pop your name on the public wait list while you decide what to do x

MyTurn- My clinic must be a little more 'chatty' than yours cause I have had lots of people start conversations at mine. Also the nurses come and sit on the couches and have a chat if their not busy... But the clinic I attend is a smaller 'boutique' type clinic with only one FS. Fx you will be tx your little embryo soon x

MissB- Boo to the Progynova tablets hun! My clinic says you have to have progesterone for the number of days prior to transfer to match the stage of your embryo (3 days for 3dt or 5 days for 5dt). Sooo all going to plan you can probably have your tx on Thursdayish which would put us in the same week

MrsOM- GL with your first cycle.. I hope you follow in Glorious footsteps and first times a charm!

AFM- Had my Pregnyl booster this morning.. One more on Monday and then fingers crossed I am done with jabbing! Not feeling great at the moment. I have spent the last couple of days feeling really, really nauseous. I'm not sure if it's all the progesterone or prednisone or a mix of both. Not too mention that I am bloating and putting on loads of weight again (all in the tummy of course). Is anyone else in here on prednisone? What side effects did you get?
Anyway 2 more sleeps till transfer.. I'm getting so nervous / excited now