Ivf options

[Starshine1]

Hi all,

This is hard. Like all of us, I never thought I’d be here. I am 37, ttc for 3 years. Five miscarriages, now attributed to poor ovarian reserve. My amh is low, fsh high. I have been trying super overulation for the past six cycles with no success.

The consultant I see thinks we should now try ivf. I am not ready to give up completely yet, but I don’t know whether ivf will work because of my poor ovarian reserve- should I try donor ivf from the start? He has recommended the lister as they supposedly specialise in poor ovarian reserve cases.

I feel completely confused. Fed up of feeling like a horrible person as I get sad every time I read of someone else who is pregnant.

Any thoughts/comments much appreciated. Also do gp practices test sperm? We haven’t had this checked yet- could be the final nail in the coffin!

Hi @Starshine1

Sorry to hear about your miscarriages

How low is your AMH and how high is your FSH?

unfortunately due to POF time is not on your side and therefore going for IVF would seem sensible. You may not respond great but you won't know unless you try?

I have POF and am half way through my first cycle - off for scan which will say how I've responded in an hour or so! My AMH is 8 and FSH 12. I'll let you know how it goes! X

Good luck today hoping! Yes please let me know how the scan goes for you. How long do they want you to be on the meds for? I have heard that there are 3 or 7 week options? But could be wrong!

My fsh was 15 and amh 1.9- so pretty grim! The only hope is the low dose meds I have been taking for super ovulation have been producing 2-3 eggs per cycle, I think that’s why my consultant feels with have a chance. I really just don’t know though!

I’m so sorry you’ve had 5 miscarriages, that’s terrible.
Was there any discussion about putting you on steroids (pred) if/when you get pregnant again?
Were you seen at a recurrent miscarriage clinic?

Thanks ladies for your comments. Yes water drops down, I have been investigated for natural killer cells and for the last 6 months, with every cycle have taken some steroids. It’s now been a year since the last miscarriage. I think if we go for ivf I will push to continue this protocol. Think I am going to bite the bullet and book an appointment. The only thing we need to get checked out is my hubbys sperm first

Hi starshine,

I've surprised them all on my scan this morning and now I'm being warned about the signs of OHSS! My antral follicle count before treatment was 9 so I thought at most I'd have 9 but I have 16 follicles on one ovary and 10 on the other and then she gave up counting the smaller ones. I've got some growing to do so repeat scan on Monday - but it certainly teaches me you really don't know unless you try. Best of luck to you, I hope you surprise them all too xxx

That’s fanatastic news hoping! What a great responce- fingers crossed for you.

Thanks arianna, I know you’re right- I need to state positive.

I just cried at the bloody super market lady as I am meant to test early every month because I am using these steroids and she started congratulating me. It seems like everyone I knew who originally struggled to get pregnant or mc, now have thei baby or are pregnant.

Thanks for the advice ladies, I am going to spend the weekend researching and book into a clinic next week. I can’t carry on in this limbo

Tbh I’m a little skeptical of your 5 miscarriages being put down to poor ovarian reserve. Low amh only means you have less eggs- it doesn’t say anything about their quality. I would see if you can make sure if something else isn’t going on- immune issues for example.

For what it’s worth I did ivf in 2014 with an amh Of 2.8 and fsh of 12. Yes I responded pretty badly and only got 2 eggs and 1 embryo. However I got a bfp anyway and he’s now 3! Egg quality counts for everything.