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  1. STJ
  2. Infertility Discussion
  3. Saturday, 31 August 2013
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Hello,
I am 39, I have 4 children naturally conceived (all 4 times we got pregnant the first month of trying). I had my tubes tied after 4th thinking we were done, but we've changed our minds and would like one more son. We have gone through 3 cycles of IVF. First cycle (LA6 protocol) we retrieved 3 eggs, 2 mature, none fertilized. 2nd cycle (LA8 protocol), no eggs retrieved. 3rd cycle (LA10E2V protocol), 3 eggs retrieved, 2 fertilize, 1 made it to blast, CGH tested - normal. FET last month, 5 days prior to ET ultrasound looked great, lining 14mm. Day of ET there was fluid in my uterus. Since embryo was already thawed, they aspirated the fluid (mucus/blood) and transferred the embryo. Negative betaHCGs. My RE has no idea why the fluid was there. No polyps, fibroids, cysts, lining looks great. He's recommended an ultrasound a week after ovulation this month to see if there's fluid when not on any meds.

Prior to IVF I thought we were two extremely fertile people and that if IVF worked for anyone it would work for us. This experience has been disappointing and an education. My amh was 0.3 ng/ml last year. I responded very poorly to all levels of stimulation. So between my DOR, poor response, and this fluid in my uterus, we're not sure of our next steps. Do you think minimal stimulation IVF would be a good option for us or do you think a different protocol is the way to go? I looked at your IVF packages on your site but didn't see one specifically for mini-ivf, do you have a different pricing package available?

Many thanks for your time.
Responses (1)
DrDourron Accepted Answer Pending Moderation
Minimal stim. IVF will not increase your success. The best approach is to avoid BCPs and long Lupron. I recommend using microdose lupron flare or doing an antagonist cycle without bcp programing. Since you have DOR you need as many eggs as possible. Acupuncture may also help. An embryo transfer with fluid in the uterus certainly lowers implantation. If fluid continues to accumulate in the endometrial cavity you may consider the remaining portions of the tubes as a possible source. This could be remedied with a Laparoscopic salpingectomy.
I hope this Helps...
Dr. Dourron
  1. more than a month ago
  2. Infertility Discussion
  3. # 1
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