Treatments Questions - Page 2 of 24

IVF using egg donor

Good evening

As a same sex female couple is IVF using both sperm and egg donors available to us? We had originally hoped that my wife could donate her eggs to me to then carry the baby, however, having researched the subject we have discovered that my wife is over the age threshold for egg donation so therefore this isn’t an option. Having discussed it further we have decided it would be the best option to use both donor eggs and sperm. Only having viewed your pages when I try to access this it will not give me the option for egg donor treatment as part of a same sex female couple. I am 37 years old and my wife is 49 years old.

Many thanks in advance
Sarah

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Fresh IVF fail

Hi, im a 29 year old female with pcos which leads to irregular periods. My husband has azoospermia so we are using a donor. We have just completed our first Ivf fresh cycle which ended in a negative result despite having a good day 5 blast and the doctor saying everything looked great on transfer day, there was a little fluid in the utures but I had no ohss symptoms. We have 5 frozen embryos from the same cycle but I am afraid that I have more implantation issues because the previous transfer didn't work am I best to try the fet cycle or will they all end in a negative result since they transferred one of the best ones already?

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Immunologic recurrent pregnancy loss

Hello Doctor,
My husband and I have suffered three first trimester losses in a year. The first two ended at week 5, and the third one ended at week 7 after noting a heart beat of 119. Our karyotypes are normal, and the baby was 46xx normal by chromosome microarray analysis without maternal contamination. I have hashimoto's thyroiditis with positive TPO antibodies (500+). My TSH was being managed but at the time of the third pregnancy spiked to 7.1. Using progesterone vaginal suppository 200mg twice daily. Thrombophilia panel was negative. Rh+. No infectious diseases. No uterine issues voiced by our RE. My husband and I are 37 years old with no prior live births. My most recent day 3 FSH was 10.9, AMH was 1.2, Estradiol was 40, and AFC was 7 (trans abdominal day 8.) Semen analysis is normal. Ethnically, I am Caucasian, and my husband is Asian Indian. My RE at Mayo Clinic recommended IVF/PGS. He said he is not concerned about the immunological or endometrial receptivity aspect. I was wondering if you may be able to shed some light on it, and give us your opinion if we need an immunological work up, and if IVF is a sound choice to make given the diminished ovarian reserve?
Thank you.

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Endometrial lining

I'm in a FET cycle, and on day 10 of estrogen stimulation my endometrial lining was 7.6. I’m scheduled to start progesterone treatment in 2 days - how much can I expect my endometrial lining to grow until then (with same dose of estrogen, 200 mg Vivelle Dot)?
Thanks in advance for your help.

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Clomid

Can you advise if I am able to be prescribed Clomid following a consultation without my partner or would we both be required to attend?

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Embryo transfer whilst breastfeeding

I have some embryos stored with you. I am currently breastfeeding my 9 month old baby but am very keen to try and have an embryo replaced in the new year. Is it possible to go through treatment and continue breastfeeding?
Thank you

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Can number of eggs extracted be improved?

Im 38 and we underwent ICSI earlier this year which lead to 5 eggs, 4 mature, 1 embryo and a pregnancy that ended at 17wks, which was devastating. We are now considering another round of ICSI, but with FSH 9, AMH 18.7 and AFC 12 I think the total number of eggs retrieved seems low. I was given Suprcur 1mg, Meopur 75x3 amps and Pregnyl 10,000iu. Do you think the number of eggs retrieved in a future round of ICSI could be improved?

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Possible Hydrosalpinx

I have currently had one failed FET and my last scan showed fluid in my uterus. The nurse who scanned me said it didn't look like hydrosalpinx but the doc said it is and wants to take my tube out with laparoscopy. Would a hsg be recommended before undergoing this op?
Thanks, helen (30 yrs)

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