we are fairly new to the PCOS thing and have been told that we shouldn't wait too long because not only do I have PCOS they are concerned about a low egg reserve. We don't know what step to take next and the cost is a huge factor our doc has suggested we just go to IVF. I have some reservations about taking all the hormones and what the egg harvesting is like, I was looking for some input as to how it has gone for others.
Hi sporty. I don't have IVF experience, so I can't help you there. But I was wondering why your doctor is concerned about your ovarian reserve. Do you have high FSH?
My FSH was a little high I don't remember the exact number but the biggest concern they had was that the R ovary was very small compared to the L. It only had one or two follicles for both ultrasounds, they did two because they weren't sure of the first result. I also did a clomid challenge test my numbers were very borderline, and since I had a different lab do them my Dr. thought it would be out of their "normal" range if it had been done at the overlake lab.
One more question is your Dr. requiring that you get an ultrasound at the start of the clomid and at the end to see how many eggs matured? It sounds like it could get expensive quick and we were wondering if this is normal or overkill.
Last edited by sportychik; 03-26-2009 at 03:12 AM.
how old are you? that is the most important factor..high fsh in younger women is much less of a concern...the number of follicles on your ovary is the most important thing....
now if you have low follicles on your ovaries, and are above the age of 35, i would try to do injectables for a couple of cycles then move on to IVF..that will have the highest success for you...
I am 27 will be 28 in july, our Dr didn't talk about the injectables he suggested clomid or another type of drug similar to it, if that didn't work we could try clomid with AI. Or we could just go to IVF, he was more confident that that would have very good results since we aren't very old.
I get an ultrasound on day 13 of every cycle and then again during my period to make sure there isn't anything left before starting a new round. I felt like it was just their way of trying to make more money at first, but now I think it's actually just good follow-up. It does get expensive quick though!!!
Hi
I am older but i thought i would share my journey that had led to attempting IVF.
When i was 15 i had a ruptured cyst on the right ovary and they removed half the ovary. So i am left with my left one and half the other. When i started on Clomid, the left was slowly responding, nothing showed on the right. i called it the deado. then after my failed 6 rounds of clomid we proceeded to start Femara. To my biggest surprise and the docs, my right responsed and produced two large follicles. I chose to go into IVF because it was evident that while i was responding, somewhere something did not connect. That said, my right ovary has bounced back to life and is showing a small reserve of follicles.
I would give Femara (not Clomid) a shot for 1 or 2 cycles and see if you are responding. In my case, me RE did not recommend the injections because she thinks that it's something else happening and not the follicle production. So she did not think that the injections would work except pumping money of my wallet.
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you are definitly really young so it's good you are starting so soon..
i definitely think you should try to do clomid/femara for a few cycles...and see what happens,, if you are producing follicles but not getting pregnant...then maybe move on to IVF...like the prior person said no point ind oing injects which will give u follicles like the other meds...
i would say that femara is a much better drug..i notice obn clomid i am more dry and that can make a difference too...a lot of ppl on clomid ovulate but dont get pregnant as it dries up CM and thins the lining whereas femara doesnt do that...so if clomid doesnt work then try femara and then u can make the decision of IVF or not...because with IVF u will know if your eggs are being fertilized and their quality..even with high FSH, at such a young age your chances of IVF should be pretty good cause the eggs you have wil most likely be good quality!
Hi-- so your original question as about the IVF process but I think the posts above mine make some really good points... You're going to use the same injectables, just at a higher dose if you're doing IVF so if you really want to give up on orals, it wouldn't hurt to try a lower dose of injectables before committing to an expensive IVF process. I just posted a long response on my cautions with using injectables since PCOS women seem to over respond to them (my IUI cycle had to be converted to IVF with 39 eggs in the end) but it would make sense to see how you respond to the injectables alone before going through the more extensive IVF process.
On the flip side, I got 1 immature follie with Clomid and one great follie & a very healthy lining with Femara (I also got a mysterious 5 day fever on the 5 days I was taking the meds.... but that's a different story). Might be worth trying Femara + IUI before moving on to injectables.
If you do try injectables, I'll promise you now that the shots in the stomach don't hurt-- it's freaky to watch but it hurts way less than a blood draw & I've been known to pass out with blood draws!
Hi, I am 28 and have PCOS. I am not ready at the moment to have children but was wondering if having my eggs harvested, premtively would be a good idea. I think we would like to TTC within the next 4 years and I would rather have my eggs ready in case my condition does not get better. Has anyone ever done this? Any advice is welcome.
If you are still on BCP there shouldn't be a reason to unless u are worried about the quality of your eggs diminishing with time. I have some other issues, that is why our Dr. is concerned about waiting to long.
Bella, I am also 28 and we have been TTC for almost a year now. I don't think my RE would suggest egg harvesting since we're having trouble getting any good follicles now, plus my condition might be so much worse in a couple of years that implantation wouldn't take. I'm definitely glad I'm already TTC. But if you make great eggs now, it might be something worth considering. Good luck!!!
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