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If you need to contact me , please write to me to this email ID : manjupadmasekar@yahoo.com. I will be happy to help.
Showing posts with label Advanced maternal Age. Show all posts
Showing posts with label Advanced maternal Age. Show all posts

Sunday, June 5, 2016

Success with diminished ovarian reserve !






 " I am very happy to see Anisha kutty's photos/videos in FB and in your blog. 
To reintroduce myself:
- I follow your blog very closely
- I have talked to you when i visited Zurich over phone
- I tried to reach you when you were in India
- I have had conversations with you through mail, (i have written it over my old mail so that you get the context)
Good news from my side: We are blessed with a girl baby - Shreya. She is 6 months old today.
I am so happy that we as new mothers are going to travel together bringing up our daughters
My IVFs were a failure. My AMH was so low. In my IVF cycle, there were only 3 follicles, out of that only two eggs were retrieved, out of that only one fertilized, that too was only 3-celled. It did not implant. I did not conceive. Doctors gave me up. I was devastated.
I wanted a baby. I was not ready to go for donor egg option. I was given an option of modified natural IVF cycle and egg-pooling. I was told that it is experimental. I still went ahead, since i had no other choice to have my own baby.
I underwent four cycles of egg-retrieval. Those 4 cycles resulted in 1 or 2 eggs. One of the cycles was a total failure. I came back empty handed. All those eggs retrieved were frozen.
After undergoing egg-retrieval cycles for an year, at the end of it there were 6 eggs for the embryologist to work upon.
With God's grace, out of that 6 eggs, 5 got fertilized, 3(eight celled) were transferred, and our Shreya was conceived from one of them. Two of the embryos(seven celled) are frozen.
It was Dr. X who was of great moral support and technical support during these tough times. She is my friend, doctor, God sent Angel all in one ".

Success stories like these are amazing. These stories teach why you shouldn't give up too soon. Not every women with poor ovarian reserve takes home a baby which is genetically related to them. This emailer is relatively young ( 28 years ! ). She had a doctor who is willing to support her and tailor an individual protocol which suited her need. Many doctors will be reluctant to do so because they don't have the time or interest to invest their energy on a single patient. They treat poor ovarian reserve patients like other patients and send them back with a suggestion of donor eggs when they couldn't retrieve good amount of eggs from their ovaries. 
The message from this story is :
If you are young , poor ovarian reserve will not be a major deterrent for having a baby which is genetically related to you. You can overcome your problem with these ingredients -  lots of patience , perseverance , a good doctor , and of course , money !
But , if you are of advanced maternal age , and produce only a couple of eggs , the chance of having success with IVF is greatly reduced. So , if you are a woman who is above 35 years of age , and who is fighting infertility with diminished ovarian reserve ,  you must have a realistic expectation of your chance of success . This helps to chose your battles wisely !

I haven't published the doctor's name who was mentioned in this email. I do not want that my blog becomes a source of advertisement. But if you are interested , please write to me : manjupadmasekar@yahoo.com. I will redirect your emails to the person who sent the above email  so that she can give you the necessary information.


Monday, March 31, 2014

I am 42, what can I do to grow my follicles !


Question:
Need your advice - IVF . I have been on menopur 75 iu and gonal f multi dose 450 iu from 3/7/14 to date taking 225/0 in the morning and at night. I am 42 years old. Yesterday my scan and blood test showed estrogen level of 69 with 4 follicles. I have one ovary and the size of the follicles are 7.6, 6.4, 6.1 and 6.0 the nurse said they are not growing fast enough and we should cancel on Saturday I.e tomorrow if the estrogen level does not increase and if the follicles don't grow.  I need your advice.. I decided to give it my all and continue to take the meds ...I am also taking royal jelly,  maca powder, flax seed in order to improve my levels by tomorrow.  Any other suggestion.  I want to have a baby. I hope you will reply before my visit tomorrow.  I am off from work,  I am unable to focus had to leave work as I was crying too much. I don't want to loose hope this is my only chance. 
Answer:
I understand your pain. Please calm down ! Getting tensed and crying will not help a bit. I understand it hurts, but you have to have realistic expectations about your situation. You are 42 years old. You want a baby badly and decided to try IVF. When they stimulated your ovaries they found that your ovaries are not growing any follicles even after giving lots of gonal F ( this is the highest dose anyone would use ). Now you are heartbroken that your dream is slipping out of your hand and you are desperate to find out whether you can do something to grow your follicles, isolate few eggs, get some embryos so that you can become pregnant. Your wish is very much justified BUT your body is not cooperating. Your heart yearns for something but the reality is different. You adamantly hoped that everything will go on well but now it is not so. Why not accept the reality A ? Then the pain gets lesser and you can think clearly of your next move.

A woman's ovary runs out of eggs as they age and that is what has happened in your case.Since your ovaries are not growing follicles even after using maximum dosage of gonal F, it is clear that your ovaries have no more eggs in them. A, I am really sorry to say this - there is nothing you can do to grow the follicles or to coax your ovaries to produce eggs; the present scientific development is not intelligent enough to help your ovaries to produce eggs. Just because you can't produce eggs it doesn't mean you can't enjoy a pregnancy or have a baby. You just have to embrace other treatment options that are available. Using eggs of a young woman will give you a very good opportunity to conceive and enjoy a pregnancy. If you ask me whether you would be able to love a baby which doesn't carry your genes - yes you will  ! Actually our genes are not that important as we might think. Just close your eyes and imagine what will happen 100 years from now -  none of us will be alive, NONE. Is it then worth worrying about your genes ? :) Any baby you love will be yours. So please do not lose heart. Do not get afraid and upset tomorrow if the doctor says that your estrogen did not rise as it should. Ask him whatelse you can do to have ababy?

I am sure you will not like my answer but this is the bitter truth. I wish you lots of good luck in your endeavor! May all your wish come true!

Be strong and happy!
Reply:
I appreciate your reply. I will ask about donor eggs.  I am trying to stop crying but it's hard. 
Reply:
Manju: Thank you for setting me straight.  I just left the doctors office... the result was that we cancelled.  But I came to my senses and accepted it all and decided to continue with donor egg. I guess even though I don't know you....your email helped me a lot. Thanks again!!
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