Long Term TTC & Assisted Conception - Sept 2007

[sushee]

Nat, I was with Concept too and I do know of Hollywood's policy. I believe they were given their license on the priviso that they did not transfer more than 1 blast at a time. Concept, Pivet and Fertility North all transfer two given the right circumstances.

[slyder]

Sonya, the wisdom teeth pain and swelling passes after a few days. Keep the liquids up and get stuck into soup if you like it. Good news about the doberman too. A 12 month wait is a long time. We found our border collie via a sign on the side of the road at the neighbouring town. DW went in and spoke to the wife, and it turns out I happened to be playing soccer with her husband right at that moment. Small world. The car (our mini-panther) came from the RSPCA. It's funny how just about all of us are so into animals.

[Mumof8]

THANKS SO MUCH EVERYONE.....Hi Rols i should know next wednesday or thursday. The clinic told me to be very careful cause i am in the very early stages. So in a word they were saying the chances of having a m/c are very very high. That is why they told me to wait and test next week because coming off the drugs can make you lose what you have. So i guess they want you to think you will just think its your normal period. Dont know but they werent happy that i had done it. Now i will be stressing out out having a M/C.

[~BecD~]

Nat, Im at FertWA (Bethesda) and they do two only if you have had 3 failed IVF attempts or are older 39+ however I know one girl who didnt fit into either of those categories who had two put back through them so who knows!

No news from me, just playing the waiting game as usual. Am completely over temping, 14 months is waaaaayyyyy too long but have decided to ride it out for a bit longer, I feel like Ive got some idea of what my body is doing that way at least.

[Mon]

Hello everyone,

Firstly sorry Nat and Ellie re. your BFN's. Rols, hope you and DW are feeling OK and agree with BG it wouldnt be normal if you didnt feel something! I feel for you and hope your waiting blasties will stick and grow next cycle!
MO5 - WOW Congrats! Hun, please don't stress! Now more than ever you need to relax, so your little embie sticks. So sending you plenty of sticky vibes!
Smithy hows the Synarel treating you!
Son ... what does 510 for bloods mean?

I went for my BT yesterday. Nurse rang me in arvo and said that my levels are on the low side (she didnt say what the number was) ... and my dose has been increased to 300IU. Has that happened to anyone?
I am going in on Fri for more drugs, BT and US, so will be exciting. Nurse said depending on how it goes, it could be Wed, Fri or the following Monday! Gees the uncertainty of it all! Anyway just need to be patient.

To everyone else 'hi' and hope all is proceeding well!

Mon

[NAT025]

Morning Everyone

I just wanted to clarify some stats. I was told when having a Day 5 Blast transferred there is a 35-40% chance of conceiving. And when having a Day 6 Blast transferred there is only 30-35% chance of conceiving. They say Day 6 transfers are less likely not to implant. When trying to conceive they say its a 20% chance.
Is this right?
Does ICSI also give you a more chance of conceiving?
Sorry for the thousand and one questions I am still learning something new everyday on IVF/ICSI

[sonya1]

mon - 510 is my oestregen levels. oestregen rises and thats how they monitor if or when you will ovulate. usually above 1000 and LH level of 20 means you will ovulate within 48 hours.

my levels last time got to 750 then dropped, so this time when they reach 600 i go in for an ultrasound. i guess they will see if there is a follicle and check the thickness of my endometrium.

hope this has helped explain things.

[slyder]

Nat, I wasn't aware of the difference between a Day 5 and Day 6 blast regarding implantation rates. Although I did wonder if transferring a hatching blast was leaving things slightly too late - but this is only conjecture and not based on facts.

Our clinic quoted 40%-50% chance of pregnancy per transfer for people in our age group (DW and I), and with a good quality embryo. But there are bound to be differences in the figure quoted depending on your age, the embryo and the clinic.

Yes, percentage figure for conceiving naturally, with no fertility issues with either partner, is usually suggested to be 20%-25% per month. Therefore, in theory, a normally fertile couple can conceive within 4 months.

As for ICSI, it doesn't give you a greater chance of implantation over IVF, but it does give you far greater prospects of fertilisation than IVF, where the sperm are defective to the point that they can't, or probably can't, penetrate the egg without assistance. ICSI is commonly used for samples provided whereby most or all of the sperm are abnormally shaped (morphology) or have poor to nil movement (motility). They say that embryos created using ICSI are just as likely to lead to a live birth as those created with IVF. There has been some suggestion that ICSI can lead to a higher birth defect rate owing to the quality of the sperm, but from my reading of various articles and research, this has yet to be proven and in any event, the risk is marginal.

[butterfly_warrior]

Mon, it happened to me. I'll drop back with more info later... but I will say be careful, make sure you keep your water intake up. I went from 150IU to 300IU, then spent the next week rapidly cutting back the dose as the clinic was trying to avoid hyperstimulation with me. Didn't happen in the end and I couldn't transfer after EPU. Do you have PCOS? That's apparently what contributed to the lack of response and then over response with me.

Nat, I've only seen stats that compare day 5 blast transfers with day 2 transfers. But the 20% chance for natural conception is correct for couples with no fertility problems, and I'm told it's a 42% chance of a blast transfer taking in a woman under 35.

More from me later when I'm not working.

BW

[barney]

yay MUMOF5 congratulations to you hun well done sending you a heap of
MON.. im doing ok on the spray i just feel like i have something in the back of my throat is this normal??i spose i just have to get use to it sometimes i dont feel like im doing it right..but i wish you all the best with your upcoming BT,US, and meds good luk hun

[Mon]

Hi BW, thanks for the advice. I dont have PCOS, but have Polycistic ovaries, however FS seemed to think this wasnt a problem. To be honest I didnt really find any info on PO vs PCOS. Does anyone know?
Will make sure to ask when go in on Friday. Been drinking heaps of H20 so will def keep that up!

General Q ... does it cost more to do blast transfer over 2-3 day transfer? My clinic only transfers 2-3 day embryo's. I wonder why clinics differ from one to the other?

Mon

[Mon]

hey smithy ... the thing at the back of your throat is normal ... its the chemicals going down the back of your throat. sometimes I think i havent sprayed properly or whatever, but when i feel those chemicals trickling down the back of throat then that validates for me that its working. hope you are feeling ok and arent having any unpleasant feelings! thanks for your well wishes hun

[slyder]

As far as I'm aware PCOS (polycystic ovarian syndrome) and polycystic ovaries are the same thing.

I assume it does cost more to transfer at blast stage, but we only have one provider where I live so I haven't shopped around. I don't really know why some clinics do Day 2 transfers given that the more advanced embryos become apparent at Day 5 stage. I've never figured that out. That said, heaps of people get pregnant from Day 2 transfers. There is a thread on this topic under the LTTTC/AC section thread summary.

[barney]

oh thank you MON that really helps me

[briggsy's girl]

hiya Mon

with reference to the PCO/PCO query, there are a few differences - your ovaries can have a polycystic appearance without have the syndrome - syndrome includes hormonal imbalances and extra things like insulin resistance. BW was thought to have only PCO i believe as she didn't have many of the other parts of the syndrome, but a glucose test showed high insulin resistance, so she has PCOS...

[Shellyd]

Hi All,

Been a while since I've been in this thread and so much seems to be happening.

Rols & Nat, I'm so sorry things did not work out, and Rols - you have every right to feel the way you do.

Mon - not long to go now and hopefully you will be in the tww.

Em - Yay....Is your mom still going to come and babysit 7 munchkins for you hehehe. I know you told me to go and put myself out of misery and get an early BT - but as we have the same nurses I'm guessing they'll get ****ed at me as well. Stress of people being mad at me is not something I can deal with right now. I seem to be very fragile emotionally.

I think I am gearing up for a BFN on Monday so that anything else will be a really big suprise..but who am I kidding I will be still be upset if it is a "-".

Smithy, sounds like you are having a fun time with the Syneral heheh disgsuting stuff.

I am having a day at home today..started down the freeway to Sydney and lets just say that halfway there a bucket and change of clothes might have been handy (sorry TMI) On the upside my boss was more than happy for me to turn around and go home....there is so little on day time tv, let me tell you.

Hi everyone else I hope things are going okay for you all

Stickyvibes and babydust!

Cheers

Shelly

[butterfly_warrior]

BG is right - you can have PCO but not PCOS, and you can also have PCOS without PCO. It's all a bit complicated, and it's actually the hormone profile and insulin resistance that is used more in diagnosis than the appearance of the ovaries. The no response/over response situation with FSH injections is something very common with PCOS (not necessarily PCO). Confused yet?
BG is also correct in that for a very long time I wondered if I really had PCOS as my initial hormone tests weren't that bad, and I have none of the normal externally obvious symptoms of PCOS. But later hormone tests were shocking, and my insulin resistance levels are approaching the worst my FS has ever seen.

As for blast/day 2 transfer - it does cost a bit extra ($500) at my clinic. Some say that an embryo that won't make it to blast won't result in a pregnancy anyway. Some clinics stick with day 2 transfers, however. It is cheaper, and there's no absolute guarantee that if your embryo won't make it to blast in the clinic that it can't result in a viable pregnancy - there just isn't enough known about it all yet. I've read a paper that argues that the reason some clinics stick with day 2 transfers is because of inferior lab techniques and not wanting patients to blame the lab for having no embryos to transfer. So they stick them back in early, so the patient then feels that it's a problem with them rather than a problem with the lab... I thought it went a bit far, personally, but I can dig up that information once I get home.

Must run to the psychologist now... back in a couple of hours.

BW

[barney]

SHELLY... best of luk with your BT hun