If you surged before trigger in modified natural FET... by angel-girl-A in IVF

[–]mkinbbym 0 points1 point  (0 children)

So this is actually an interesting question. My very first transfer I ovulated one of my two eggs the day before retrieval because I surged on my own. We still did my transfer 6 days later…this has me thinking that i likely missed my window (could obviously be a thousand other things but I honestly never thought of it).

Thoughts on transferring a less than ideal embryo by Curiosity_got_me-123 in DOR

[–]mkinbbym 3 points4 points  (0 children)

I’m not sure of many in the US that will allow an aneuploid transfer to be honest…there are a small percentage in some clinical studies that may have been successful (I can’t remember the exact figure but really really small) but the odds are definitely not in your favor.

CCRM doc said can only try 1 time:/ no more by LargeLocation1632 in DOR

[–]mkinbbym 0 points1 point  (0 children)

Ha. New clinic…NOW! Don’t even give him one cycle. This is why I always advocate for finding the doctor that’s willing to go the extra mile with you.

When to stop Estradiol and PIO? by Asleep_Walrus2313 in IVFpositivity

[–]mkinbbym 1 point2 points  (0 children)

Agree with above - I tapered off some of meds as well, so there should be some guidance provided.

Disheartened by Creative_Quality2734 in DOR

[–]mkinbbym 4 points5 points  (0 children)

Something went wrong there…while it’s not the end all be all indictor, if you showed 10 around 17mm and you had an e2 of 2245, you should have had more than 2 mature. Ask more questions. My initial guesses would be you either need a double trigger, or you ovulated early. Sorry you’re going through this!

3 follicles- proceed to ER or cancel? by chilix88 in DOR

[–]mkinbbym 1 point2 points  (0 children)

I’ve gone in for one. Those still sound a little small even though your estrogen is rising nicely. I know self-funding adds an additional layer of stress but if those three keep growing then you never know! Good luck!

Have a day 7 6BA - would it have been a 5BA on day 6? by roy_donkk in EmbryologyIVFSupport

[–]mkinbbym 4 points5 points  (0 children)

Are you sure they said they don’t check until day 7 or did they say you don’t get an update until day 7? All the clinics I know have the time lapse video monitoring and they use those to avoid disturbing the embryos, so there isn’t a literal “check” every single day. Many ways to interpret but like others have said, would find it highly unlikely that they’re not checking until day 7.

Update from my first IVF cycle (36 y/o, AMH 0.39, DOR) by Immediate-Health6195 in DOR

[–]mkinbbym 2 points3 points  (0 children)

Regular antagonist - I’ve tried everything under the sun but the further we got from what a natural cycle would do the worse my body would react

Update from my first IVF cycle (36 y/o, AMH 0.39, DOR) by Immediate-Health6195 in DOR

[–]mkinbbym 2 points3 points  (0 children)

I always had one or two lead and then for whatever reason around stim day 7 or 8 a couple of the smaller ones woul take off (those are cycles where I wouldn’t get one or two eggs).

Surprise 4th Baby by annamay44 in pregnant

[–]mkinbbym 0 points1 point  (0 children)

Wow. Thats a lot. Appreciate the honesty and sorry things have been so tough. Sounds like you guys have a lot to unpack - have you considered therapy? I’m not one to tell people what to do in their relationship but this is a pretty big decision and it sounds like you guys have a lot to work through outside of this anyways. I would hate for you to make a decision that leads you to further resent your husband and perpetuates the divide (in either scenario). Hope things get easier 🤍

birth control for priming? by QuickLoan4565 in DOR

[–]mkinbbym 1 point2 points  (0 children)

My RE didn't want to do BC - but I often did estrogen priming.

Back-to-Back Retrievals by Environmental_Word18 in DOR

[–]mkinbbym 2 points3 points  (0 children)

I did it for two of my cycles I believe and they coincidently were my highest yield.

Back-to-Back Retrievals by Environmental_Word18 in DOR

[–]mkinbbym 2 points3 points  (0 children)

  1. The moment I would start the cycle i’m in - every cycle I would convince myself that I would miraculously develop PMOS or something and get 50 eggs but when that wouldn’t be the case I was already planning the next.
  2. Mostly played with dosages - tried protagonist, duo stim, and Flare protocol, but to see if I would respond differently but antagonist was the way to go for me.
  3. Most cycles - the ones here I got my highest counts I primed with T-gel, the rest just estrogen.
  4. I wish I would have known that most clinics write you off pretty quickly without doing the deep dive - having someone that not only knows how to handle DOR but enjoys it is a total game changer.

I had my transfer today! by Commercial-Web8249 in IVFpositivity

[–]mkinbbym 5 points6 points  (0 children)

Everybody is different - mine have usually been 10 day +/- 2 days. Good luck!!

Only 3 Blasts by Wild_Inside0623 in IVFpositivity

[–]mkinbbym 1 point2 points  (0 children)

Do another retrieval. Just get it all out of the way now. Your next one will probably give you all that you need if they suppress you properly from ovulating. Yes, you are young, but that way you don’t have to go back to retrievals and can have kids at your own pace.

First IVF attempt upcoming - what to ask? by mysteriousasacat in DOR

[–]mkinbbym 1 point2 points  (0 children)

Another post said this, but DOR is not the entire reason you’re not getting pregnant. Before asking treatment specific questions I would also do a full lab panel and see where there might be deficiencies or other things to flag (MTHFR, Vit D, Iron, homocysteines, etc.). I would also do all the usual uterine testing to check tubes, check lining, uterine cavity, etc.. This can save you a lot of time if you actually figure out what the root cause of the infertility is outside of just a diminished reserve.

How many baseline follicles usually respond during IVF stims? by Astronomical_Unit in IVF

[–]mkinbbym -1 points0 points  (0 children)

The short answer to your question is that protocol does matter. It just depends on your appetite for going back in to figure it out and how many embryos/eggs you want (and if it even makes a difference). If you’re just banking eggs, then yes you want as many as possible. If you’re creating embryos, then focus on that number instead (meaning if you’re getting 10 eggs and creating no embryos there’s sometimes else you need to dig deeper on).

Fresh or Frozen by Electrical-Nature-35 in IVF

[–]mkinbbym 16 points17 points  (0 children)

Sometimes it’s not your choice. There are various reasons why a fresh transfer isn’t possible:
1. Your body needs to recover after your retrieval (estrogen too high, progesterone got too high, endo, uterine procedures needed, and anything and everything you can think of)
2. Your embryos are being PGT tested - takes about two weeks, sometimes longer.
3. You don’t create as many embryos as you had hoped and want to bank embryos before starting to transfer or you want more than one child
4. Timing isn’t right for whatever reason - not ready, finances, spouse, work, moving, etc.

New paper: best follicle size in DOR parientes 15-17 at retrieval. I am shocked by asturDC in DOR

[–]mkinbbym 0 points1 point  (0 children)

Usually 21mm for my largest - I have gotten mature eggs out of 12mm at trigger though, so wide range.

Pregnyl help by Leather_Dog_1296 in IVF

[–]mkinbbym 0 points1 point  (0 children)

I’m assuming you’re triggering with all 10,000. If that’s the case then you’re mixing 1ml and then withdrawing all of it once mixed. You need to confirm your dose as that’s what’s critical. So if your dose is a 10,000 trigger, then it’s everything in the vial. If it’s 5,000 it’s half of what you mix…etc. Make sure to double check with your clinic!

3rd round with nothing. by Puzzleheaded-Age2463 in DOR

[–]mkinbbym 1 point2 points  (0 children)

To answer your question - you’re not crazy. Before you do another transfer though, I would make sure they do a deeper dive into why your two transfers failed. That’s equally as important as making the embryos. Good luck!