Background to my WTF:
For IVF #1 I went to a place I'll call Clinic W because they didn’t have BMI restrictions for IVF. Did long Lupron & it was a shit cycle
(5R, 2M, 1F with ICSI). I asked that RE
about changing protocols & she was not receptive so I bailed. In the meantime my original RE’s practice
finally relaxed their BMI restrictions so I went back to her @ Clinic X for IVF #2 &
we did a “kitchen sink” antagonist protocol (Clomid for 5 days, then low &
slow with Follistim, Cetrotide & Menopur).
Ironically, I had a cyst this cycle but it was a much better stim (10R,
8M, 4F with ICSI). For IVF #3 (followed
my RE to her new practice @ Clinic Y but she left; still not sure what happened) & did
straight antagonist with similar results to IVF #1 (6R, 4M, 2F with ICSI but 1
arrested the morning of transfer). I have
1 frosty (Nemo) from IVF #2.
WTF (Cliffs Notes version):
RE suggested micro Lupron. I told him I was not interested given how
horrible it make me feel. I asked about
repeating the protocol for IVF #2 & he said he didn’t think the Clomid made
much difference. I asked about estrogen
priming since I wonder if the estrogen from the cyst actually helped things for
IVF #2 by giving me more follies & a good maturity rate. He was “meh” about it. I asked about adding aspirin or steroids
& was given the “there’s evidence both for & against” line. I asked about immune testing & even
though he was neutral on it he told me what I already knew: insurance in MA
doesn’t cover (we’re @ a satellite office of a well known MA clinic) & in our state it’s rare. I asked about a sperm frag test & he said
DH’s #s appeared fine. I told him I had
been told by the 2 other REs before him the overall #s were fine but the morph
was borderline & his motility was low.
Inconsistent much?
After we went through everything,
he said “it might take a few tries to get it” & suggested losing weight
would magically cure my infertility. I
told him I already tried IVF 3 times & have been TTC for 5 years now. I also showed him the article on weight loss
& how it does not improve egg quality or pregnancy rates. I also pointed out how despite being a size
22/24 I have a 28 day cycle & all my latest hormonal b/w is within normal
limits. Also, having never made it to a day 5 transfer, I wonder if any of the day 3 embryos we transferred even had a shot? He did say it's about 50/50 from his experience. Interesting, as I have an infertile friend whose only success was her lone frosty which was a day 5 embryo who is now a perfect 3 month old baby boy.
My thoughts:
I left feeling like I clearly
need to not do another fresh cycle there.
We will do an FET with Nemo sometime this year; he was ok with not using
Lupron & using estrogen instead, which was good. But if that doesn’t work, I’m going to have
to look into if my insurance covers working with Braverman in NY (3 hrs away). First, I need to get copies of my
records. It says on his website that he
takes Blue Cross (which we have) but I don’t know about out of network
deductibles, etc. DH keeps saying “we’ll
make it work/find the $ somehow” but I have no idea how. I’m kind of ok with CFNBC in a strange way; I
mean, we’ve been living it for 5 years now anyways, so how does it really
change anything? I’m just so sick of my
life being dictated by cycling.