Well I had my consult with CCRM last night. I was really tired though so I didn't as as many questions as I should have. They are the top clinic in the US though. (I have no clue how they rate these clinics. Cornell is #2 and their success rates is about 30% lower then CCRM's) I have talked to a few of my FF friends who have gone there. The first thing CCRM does is have you go down there for 1 full day of testing. Literally ALL day. Apparently their equipment is top notch. Some of the testing includes:
Checking the blood flow to the uterus (they have a special machine for that)
Checking the size of your ovaries & your antral counts
HSG etc, etc.
No wonder they are the top clinic in the US. They check for every thing regardless of your age! It's GREAT! Now if only I could convince my husband to let me go there. He thinks it's ridiculous to fly out there. Yes to people who have not gone through what I have it may sound ridiculous. Their success rates are about 25-30% higher then any clinic here in new england though. Jon's problem is 'what if we go there and we don't end up pregnant?' Well if CCRM can't get me pregnant then I throw in the towel! I would rather not waste my time here with the clinic my husband wants me to go to but oh well. I agreed that I'd give this guy a chance. 1 chance and that is it. If this cycle fails I'm going to go to CCRM for my 5th (and LAST) IVF. I talked to Dr. Schoolcraft last night and he is under the impression that I have poor egg quality and I'm a poor responder. There for I need a better and more aggressive approach
of course I'm still hoping that by some miracle we will get pregnant in the mean time but I don't see if happening. "sooner then you think." the words from a recent blessing rings in my ears. "yeah right" is all I can say. I don't even think I'll believe it when I finally see two pink lines.
On another note I posted a question about repronex on the SIRM forums. They are a very good clinic (not as good as CCRM but still very highly rated on the FF forums) Here is what I posted:
"IVF #1 antagonist protocol 150 iu gonal f & ganerellix when first follie was 14mm
8 follies, 7 eggs, 1 bad quality, 6 ICSI'd, 3 fertilized 2 made it to day 3 transfer. 1 "perfect" highest grade 8 cell and 1 "ok" 5 cell embryo's transfered
IVF #2. long lupron. 225 gonal f. 10 units till AF then 5 units lupron. 3 follies, 3 eggs all ICSI'd 1 fertilized, poor quality-stopped dividing (was 10 cells by day 2 and 11 cells by day 3, still 11 cells on day 4)
IVF #3 antagonist 225 gonal f. ganerellix when follie was 14mm. 9 follicles, only 3 eggs retrieved. 3 fertilized with ICSI. 2 made it to day 2. both 5 cells and an "ok grade" (2 on a scale of 3-1)
The Re that did those IVF's thought it might be egg quality. I am switching Re's. Had a hystersocopy and all was normal. Doing CCT next cycle to check FSH (was 7.7 FSH and 44.4 e2 in march on CD3)
Ths is a long post but is there any chance that repronex will help with egg quality? I have no idea why only 3 were retrieved. I know I didn't ovulate because they got the fluid...just no egg.
If I do repronex should I get my LH/testosterone checked on day 3 to make sure I don't produce to much on my own?
Here is the response one of their RE's gave me:
"Repronex might be helpful at the end of stimulation. However, we think that adding it at the beginning of stim may make the egg quality worse. We also do not like the way they are using Ganarelix. By starting when a follicle is 14mm, they are letting your eggs be exposed to your own male hormones at the beginning of the cycle. many women like you are actually overly sensitive to male hormone. This means a small amount can still cause a lot of effect. For this reason measuring the male hormone levels won't help. I don't recommend a CCCT either. You have already shown by your previous response that you need a more aggressive approach.
Bad egg quality is the main cause of IVF failure, as well as early miscarriage. It is important to remember though, that egg quality in a given cycle is determined until you actually ovulate that egg. So even if you have done poorly in the past, you may do better in a subsequent cycle, especially if we get the stimulation right.
We have developed a specialized approach to treating women like you. We call it agonist antagonist conversion, with estrogen priming. If you contact me directly I would be happy to review this with you in more detail."
then he left his email so I could email him for further information. He does have a valid point and it makes me question Dr. Hill's (my new RE) approach. I talk to Dr. Hill again on Friday so we'll see. I do think that I need a protocol specifically for egg quality but I also need someone that will be aggressive. I'm going to email the RE from SIRM to ask him further questions. Like this "is there any way to slow down the growth of my follicles? It seems as though upping my dosage would make me stim longer rather then get more eggs.