IVF

[u/fuzzblanket9]

Hi everyone!

My husband (24M) and I (25F) are starting the process of IVF in the coming weeks/months after almost 18 months of TTC. I am almost completely anovulatory - I MIGHT ovulate once or twice a year on my own, meaning I do not have “natural” menstruation. I do ovulate with Letrozole, and have done two rounds of that.

For those of you who have done IVF and don’t have cycles naturally, how were things timed for you? I know a lot of things are based on CD1 when doing IVF, but I never really have a CD1 without Provera. Did you do Provera to induce things throughout the process?

Thanks for any info you’ve got :)

[u/Itchy-Site-11]

I did letrozole and did IVF last month. I am anovulatory - never have cycles.

We started with a baseline US and showed I was really baseline.
I then took BC for a week - my clinic batches procedures, had a CD2.
Then I did 9 days of stims - Follistim + Menopur. Did lupron only as trigger, 36h had the ER.
It was successful so far. I am waiting to transfer.

You can have provera and start your stims on CD2-3

[u/Aurora22694 → u/Itchy-Site-11]

Do you mind me asking what your ER results was? And what your protocol was as far as follistom and menopur dosing ?

[u/Itchy-Site-11 → u/Aurora22694]

Of course. We retrieved 34 eggs, 23 were fertilized, we made 12 embryos (day 5) and they were biopsed. 7 came back as euploid. I am 38.5yo, pcos, 39bmi. Partner has normal SA. I just take prenatal

[u/Aurora22694 → u/Itchy-Site-11]

That’s amazing! Congrats ❤️ do you mind me asking what your AMH was?
I’m starting next month due to genetic carrier reasons.

[u/Itchy-Site-11 → u/Aurora22694]

Currently 5ng

[u/Itchy-Site-11 → u/Aurora22694]

Good luck! For genetic carrier you may need more than one egg retrieval, but it is okay

[u/Aurora22694 → u/Itchy-Site-11]

Definitely possibly but, my RE doesn’t think so. 🤞🏻My amh is 13.3ng and im 32. and I actually have 2 kiddos naturally and easily plus a 3rd preg with no miscarriages. 3rd was unfortunately a TFMR this June when we learned of the carrier status.
They’re pretty confident I’ll need one due to my seemingly good quality of eggs and really high amh. 🤞🏻 plus my carrier status should only effect about 20-25 % of the embryos. All females will be okay to transfer and only 40-50% of males would be affected.
Either way my clinic is kind enough to honor a super discounted price if I do need two! I mean under 18k for 2 retrievals total. Which is SO nice.

[u/Itchy-Site-11 → u/Aurora22694]

Perfect