I met with my RE yesterday after all of our tests. He's very short and to the point. He doesn't offer a whole lot of information which can be a good thing, I guess.
The results of my tests HSG - Normal Ovarian Reserve by Bloodwork - normal Ovarian Reserve by Ultrasound - Low
He said I had 6.9 antral follices - he said they like to see 10. He said that my right ovary was smaller than my left. Right (2.9) and left (4.6 - I think that was the number).
My husband has a great sperm tests - 152 concentration 47% moving (he said they like to see 50%) 9% normal (he said 14% was the best) 26 million can make the swim.
I'm going to be 35 at the beginning of June.
My doctor said due to my age and my low reserves, he wouldn't mess with IUI but go directly to IVF. I just wanted to know what your thoughts were.
For my practice, you are a bit on the young side. I would not do IUI without using an FSH product to stimulate your ovaries. As far as follicle count, there is disagreement in the literature as to the cut off for adequate ovarian reserve being 4 or 5 visible follicles per ovary. From what you relate, I do not know what your problem is, but I am hard pressed to tell you that you need IVF. If you are looking for information, I invite you to see our web page at <www.texasfertility.com>. Good luck.
We did our first IVF retrieval on 5/12 on 5/9 my stats were e2 1602, lining 9mm, on my right 1@18, 2@16, 1@15, 2@14, 1@11, 4-5 <10 on my left 1@13, 1@11, 3-4<10. on 5/10 my b/w came back with e2 of 2282 and they told me to trigger - I didn't have another u/s but they said they were growing at 2 per day. So I triggered and they only got 3 eggs on 5/12. 1 was no good - the other 2 they did ICSI on - one didn't make it and the other today is at 3 cells with some fragmentation - they want to transfer it tomorrow. 3 cells with no letter grades doesn't sound good to me especially since there is some fragmentation.
my protocol up until trigger was 225 iu twice a day of follistim and then they added antagon to it. do you think that some other protocol would have helped with getting more eggs and possibly better eggs?
I am not in a position to second guess the RE who has evaluated you. From the data I read in the literature, there is a small disagreement as to the number of follicles to determine adequate ovarian reserve. Take your choice as to 4 follicles per ovary, or 5, as indicating adequate reserve. Good luck.
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