Posted by on May 31, 19100 at 06:26:25:
In Reply to: Thanks Dr. Barad- please read posted by Stinky'smom4now on May 30, 19100 at 08:20:41:
You were "pregnant" two out of five times. For patients like you I would try IUI a few more times and consider luteal phase progesterone supplementation. It is not true that your chances go down each time. After a number of tries without success you kind of prove that it isn't working for you. But you said that you had two cycles with a chemical pregnancy. That's a "near miss". It may be that it just takes a few more tries to be more on target. Keep trying...
: : Thanks for your interesting question. Increased weight and failure of ovulation often go hand in hand. You didn't mention if you have regular cycles. Your FSH/estradiol were normal. You have had two chemical pregnancies out of five IUI cycles. You are only thirty five. In short IVF may work but it may be unecessary. I would advise most couples with your history to continue with IUI.
: I do have regular cycles, they are between 25-30 days. My husband does not have male factor. My RE advised IVF because he feels after 5 iui attempts, your chances go down after each one, what is your opinion? I do see someone for the weight issue, I have been able to eat more balanced meals by adding fruits and veggies and less sugar. I was able to loose 36 pds. last year, but still was not enough to make me ovulate on my own, unfortuntely those pds. have come back on. I dont give up hope and keep trying. Thanks for your concern.
: : You didn't mention if there were any other factors. I would only do ICSI if your husband had male factor, there is no evidence that ICSI will increase pregnancy rates for couples unaffected by low sperm counts.
: : Blatocycst culture would be appropriate if your lab has the experience with it and you are producing enough eggs to insure that at least two embryos will survive to day five so that you could have a transfer.
: : Speak to your RE to gain the information you need about the labs experience.
: : By the way, a serious effort at the most difficult task of weight loss may improve your chance of conception and help you to experience a safer pregnancy. You may want to speak to your doctor about a referral to a nutritionist to help you.
: : Good Luck,
: : Dr. Barad
: : : I am a 35 y/o female who is atleast 100lbs. overweight, with no signs of pco. When I was about 25 and 100lbs. less I became pregnant from the man now my husband, but chose to abort. We have been ttc for atleast 4 yrs. now. I have done 5 iui cycles with injectables. Two were chemical pregnancies. My re told me my progesterone is very low. My fsh is 4.8 and E2 is 32, I know these levels are fine. I am moving on to IVF. What is your opinion that it will work? What are your opinions for blastocycst? Should icsi be performed just to increase chances?
: : : I would like to thank each of you for your time and knowledge. I hope you know how much you help those of us who post here. Thank you again:-)
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