[quote=gayparent]Thank you, yes this is exactly the dilemma we are facing. It was comforting to hear you rewrite it so nicely!
I had an ultrasound about 2 weeks prior to our first visit and start with this doctor. It was done with another fertility clinic as part of the consultation visit. Our current dr said that he did not need to do an ultrasound b/c it was so recent. I never had an ultrasound performed until 7 days after starting the stimulation medication (follistim), which was last week. No, when I asked what could have gone wrong, he insisted that it was me, and it could not have been the medication. In fact, he said that he started me off with a higher dose of follistim because he was concerned, but when I asked why he said he was concerned, he could not answer me. He had no idea. All of my labs are fine, I’m totally healthy, and I had an average number of follicles when tested a few months prior. However, I have a history of some irregular periods, but when tested there was no explanation. He didn’t say anything about that, but I just thought of it. When the first ultrasound measured 5 on day 6 of follistim, he increased the dose, then on day 9 the number was the same so he increased further.
I don’t think I had a AMH/MIS. I’m guessing I would have known, and considering that I haven’t had ultrasounds along the way, probably not.
I don’t know what FSH and E2 are? Would that be listed on the ultrasound printout?
Thank you so much classy![/quote]
Honestly…I’ve never heard of allowing a cylce to start without doing what is called a suppression check to see if your hormones are appropriately suppressed at or near CD1. They look at your estrogen levels (E2) to see if it is low enough to start a cycle. An estrogen level that is too high can be indicative of other issues such as a cyst and also that the cycle should be canceled in many instances. There could have been an issue from the start.
Your FSH # is not likely on your u/s. Ask for a copy of the work-up you did originally on CD 3 a few months back. It should have your FSH level, E2 level- important because an elevated level could mask a high FSH level, LH, etc.
If yoiu do not ovulate, they need to look into this…an LH higher than an your FSH could possibly indicate PCOS…in which case…there may be other meds that you need for a successful IVF.
I would request a copy of your original blood-work from a few months ago unless you have more recent CD 3 bloodwork…in which case…request that too. You can take a look at your CD 2or 3 FSH, AFC and E2 level to get at least some idea of your ovarian reserve. I would also ask to have an AMH/MIS test taken…it can be taken at any time in your cycle.
Here are a few web pages to get you started:
Day 3 FSH Fertility Test of Ovarian Reserve
AMH Fertility Test, Anti-Mullerian Hormone