Thursday, November 12, 2009

11 DPO

I had a question regarding progesterone use during pregnancy. I will not be using any assistance at all from now until February. Our problem was determined to be likely egg maturity issues. I say likely because all hormonal tests came back as normal. There is no indicator that I have any egg issues at all.

However, when we went through the IVF cycle, I had 23 follicles retrieved and only 13 were mature. This is a low maturity rate, especially for someone who has had no other markers for egg quality issues and was 28 years old at the time of the cycle. Dr. M theorized that my eggs are probably almost aways immature (since so many were immature on a medicated cycle) and immature eggs do not have all of the genetic material needed for a healthy embryo. This would be why most of my losses are of the very early nature. However, she also said that it would not be impossible for a mature egg to make it down the chute and, if that happened, we would be good to go.

So, why try it our own at all, when there is such a low chance for success?

Well, to be honest,we can't really afford to do a FET until after the first of the year. We have no fertility coverage through my husband's health insurance. Even with a cash discount, it will still be close to $4000 for the FET and subsequent monitoring. Although we could take this money from our savings, we prefer not to, so we are saving separately for it and also plan to add some of my husband's annual bonus.

And call me romantic, but I still haven't given up on the romantic notion of having a glass of wine and having S-E-X with my husband. I know, I know. I've always been an optimist!

We figure there isn't much harm in giving it a try for the next few months. We have an appointment with our RE in January, so we probably won't try that month, since that would be the cycle we would want to start everything.

So, that's where we are right now. If we end up going the FET route, we will have all of the normal supportive measures that any other FET would have. I am not sure if my RE would prescribe the Lovenox this time around. That was more for peace of mind than it was for any indicated use last time.


Tracy said...

I hope you don't have to go the RE route. Wouldn't it be nice to be one of *those* women? You know, the ones we hear about who tried and tried and finally after one round of IVF and a subsequent pregnancy ended up pregnant on their own right after? I would like that for you. Not for me, so much, but for you, yes. :)

HereWeGoAJen said...

I'm hoping you get a nice freebie this time. ;)

Geohde said...

I have to say, I do wonder a bit about the egg maturity thing- mainly because a lot of that has to do with the length of the stim, and timing of things, possibly the type of trigger, and the size of the follicles at trigger.

You certainly got less mature eggs than expected, but if they came from smaller follicles that might not be so surprising.

I guess it's hard to be sure without another IVF, but wither way I hope you succeed without revisiting the RE. I wouldn't mind that either, but hey, 15 months on and I doubt it for me.