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  • Can you help?

    Hello Dr. Fisch and Dr. Sher:
    I am 39 years old and have been trying to concieve for 3+ years.

    My journey began in 2006 when an ovarian cyst was identified as a possible obstacle to getting pregnant and I agreed to have it removed. During the surgery, my fallopian tube was cut and burned like a "perfect tubal ligation". The specialist recommended we try to get pregnant on our own and come see him after 6-8 months. We did and he then recommended IVF so we were not relying on my good tube to get pregnant.

    I have tried IVf twice but have never made it past the "stimulation" phase.

    The first time we tried was in October of 2008. I was on 225 units of Gonal F and 75 units of Luveris. I produced 4 follicles and was told I had just as much of a chance of concieving doing IUI, so we converted from IVF to IUI.

    My second attempt was last month. My protocal was 325 units of Gonal F and 75 units of Luveris. I produced 3 follicles and was told that I did not have enough to proceed and that I should cancel my cycle. The specialist said I am a "poor responder" to fertility drugs and recommended we stop trying IVF and look at adopting.

    I am very frustrated because all along I have been told everything is "normal". All of my tests and my husbands' tests have come back within the normal range. We are both healthy, hard-working, loving people who would be wonderful parents if given the chance. I feel we should get a second opinion and we are willing to travel. Please advise what you would recommend. I feel like time is NOT on our side since we will both be turning 40 this summer.

    Any information we can obtain is appreciated.

    Thanks, Family4uandme

  • #2
    First of all, I disagree that your chance of IUI is the same as IVF. Even with few follicles, the delivery rate would be 2-3x higher with IVF. We do not routinely cancel cycles for low numbers because we know it only takes one normla embryo to make a baby. We have developed specialized protocols that may help you to produce better quality eggs. We would not have used the medications they chose they way they did.

    If you contact me directly, I would be happy to review your case and our approach to treatment with you in more detail.

    Jeffrey Fisch
    jfisch@sherinstitute.com

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