Re: pcos and egg quality

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Posted by on March 31, 19100 at 18:01:06:

In Reply to: pcos and egg quality posted by Kelly on March 30, 19100 at 19:02:28:

: I was just curious if it was a given that those of us with pcos will have poor egg quality. If that is the case am I wasting my time with iui's. I have done 3 iuis, 1 ivf that was the result of overstimulating for an iui cycle and 2 fets. The last 2 iuis were with an new re who seems to better able to manage my cycle and more knowledgeable about pcos. (ie I have been on met for 3 months). I just had a lap (HSG indicated maybe some scarring). Lap indicated nothing in tubes or uterus so RE's reccommendations are to do 2 more iuis (feels met really only effect for last iui) and then if still not pg ivf again. We really are going to have to pull together financially for ivf and then if it fails I don't know what we would do. I guess I am just fishing for answers as to why nothing has worked. I am totally annovulatory w/o injectables. Thanks
: Kelly

Assessing embryo quality is always a difficult task. In general, PCO patients can be difficult to stimulate and sometimes overstimulation can result in poor quality eggs and embryos. However, because of the age of most PCO patients (relatively ytoung) they tend to do well in IVF with controlled stimulations. We (at Cornell) have been using a dual suppresion technique of birth control pills and lupron with low dose gonadotropins and have found excellent results. I would not be too discouraged. good luck and hang in there.

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