TTC, failed IUI, failed IVF and low AMH. Is there hope?

zaynab · Dec 20, 2014

Hi All,

I am very new to this Forum. Found one of my colleague using this site after which i created my login.

Looking forward for your suggestions as they mean a lot to me now.

It feels nice to see a place where i can discuss my feeling else i have lost hope and feel very sad.

I am 30 ys old from Bangalore and married since May 2012.
I have been TTC almost since 6 months post marriage with no luck yet.

I was lean and with normal weight but after I got married I start to put on weight specially tummy and double chin.
I was about 41 to 43 when I got married and now I am 58-60.
It was an arrange marriage and my husband happen to be 1.3 yrs younger to me.
Initially he was not very comfortable having sex but has always been extremely loving and very very caring. Has always loved me the most and still does but for not sure why he was not comfortable with sex (IC).

Finally it happed after 4 to 5 months of marriage but was not getting pregnant so I reached a Dr and she diagnosed me with PCOS but I had regular periods (28 – 30 day cycle).
The struggle went on and I was given Clomid (Siphine, ubiphine) for almost 7 to 9 months, starting with 50 to 150mg. I was getting good eggs and good quality but still no pregnancy.
HSG was clear with both the tubs fine and with flow.

Dr suggested IUI as DH’s semen count used to be between 14-16 ml and Dr said its difficult for natural pregnancy.

Approached Dr Geeta from Clound 7, indiranagar (One of the biggest mistakes I feel I did). In May 2014 She was good the way she approached and spoke but a vy new hospital setup with no good facilities. My cycle’s then turned 35-55 days there.
She said my cervix was tight and tried dilating with some liquids and completed IUI.

IUI did not work and when I went for my next follicular study found Hyderosalpinx near left side for the first tim.
Reached Sure fertility which is now Cloud 9 by End of August and met Dr.Reeta, who informed infertility is getting very common these days.
She did a mock ET and found the cervix to be though but said that we will have to have a Hystero- Laparoscopy. Dr’s did a Laparoscopy and informed that the tubes were patient and removed the Hyderosalpinx’s. They were not able to do a Hysteroscopy due to tough cervix.
Tried again naturally but no luck.

She advised me to take Ovygen DSR every night and said that we may have to under go IVF.
But before that asked to use a tablet in my vigana for 2 days to check cervix but still the same and then asked to apply Evelon cream (Estriol cream bp) for a month but it was the same.
She said it was tough for IVF but could try naturally as I had regular periods and sperm could enter as they are microscopic.
My AMH by then was 1.75 which was low fertility.
I then had an IVF in November 2014 and after taking all injections for 10 days could get only 3 eggs out of which 2 matured and 1 fertilized but my 3[SUP]rd[/SUP] day Embryo did not multiply so my IVF cancelled.

Dr finally informed that the quality of eggs go down with decreased AMH.
She then informed that its very very difficulty to get pregnant now and asked to go for Doner Egg as my uterus was good or go with Adoption.

I have no issues with Adoption but I need a kid of my own also, I want to get pregnant with my kid. I have regular periods and I am still 30. I don’t understand how I landed in this situation. Everyday I cry and feel bad when I see other kids that I don’t have one.
My DH is a very good person and has consoled me very well and has supported and never let me cry for this as he says that its not in my hands and its all Gods will.

But Can I not get pregnant ??????

Please, Please suggest.

WiniPooh · Dec 20, 2014

Hi Zaynab.... I totally understand your pain as I have gone through the TTC journey...a really long one...across 4 years. Take heart that this journey will have a silver lining at the end of it and you will definitely have something good in your life!

With regards to your AMH ...1.7 for a person with age of 30 is borderline low and not terrible. Yes, PCOS can mess things up bad (Resulted in me gaining nealy 17 kgs in 2 years)...but with a good diet, exercise and a good doctor, this is very much an aspect which can be managed. I have moved through 4 fertililty specilists and finally settled for Madhuri Patil who more than anything else was able to exactly pin point the issue and fix it.

I never liked the doctors at Cloud nine as they come across as very commercial. The fertility specialist at Fortis also wasn't good and quite a few of my friends have had bad experiences there...so that's where I took my gynec's advice and moved to Madhuri Patil. She is a really good doctor, simple and straight to the point. Will do the necessary tests and tell you the best mode to approach this issue. I would recommend that you meet her once and be a little patient.

In my case, I went through 2 IUIs and then moved to ICSI since my husband's DFI was too high. I had conceived through my first ICSI but unfortunately didn't work then beyond 8 weeks. For second ICSI, a lot of extra precautions were taken on the procedure and more than anything with the analysis of the issue, the doctor was able to fix the DFI issue and the reason for miscarriage with heparin.

I strongly believe that before a doctor tells you that you need to head down the donor route, all possible aspects need to be looked into. Madhuri that way will never suggest that method unless there was absolutely no other option after she has done every possible test to analyse your husband's sperm and your fertility.

Keep the faith..I am very sure that there will be light at the end of the tunnel for you and your husband! Its very important that you and your husband support each other completely through this process as its very taxing physically and mentally! Best wishes to you and do feel free to contact me if you require any further information on Dr Madhuri.

vidyashankari · Dec 20, 2014

dear winipooh

could you please delete some mails from your inbox.
i want to sent a PM,but as your inbox is full i am not able to.

thankyou

zaynab · Dec 21, 2014

Hi WiniPooh,

Thank you so much for replying to my post. I have almost lost hope and feel very sad about what is happening with me.
Atleast u understood the pain that i am going through, thanks for that.

Can you please give me the details of Dr.Madhuri so i can approach for a consultation to find out if i can be a mother too.

Please keep me in your prayers and In-Shaa-Allah i get a little one soon.

zaynab · Dec 21, 2014

its said that time heals all wounds but it feels hell when we are facing difficulties.
Specially something that is not in my scope.
I am not very well off but somehow managed to arrange money for my IVF since there were only 2 eggs they performed ICSI with additional cost and you wont believe all my money just went for waste when the cycle was cancelled.

I wonder how easily grls get pregnant withing 1 year of marriage or with few attempts and i am facing so many difficulties.
Life is strange.

zaynab · Dec 22, 2014

Hi,

can i have the Dr.'s details please.

jaden · Dec 22, 2014

Hi Zanab,
You arent alone dear,there are many of us sailing in the same boat.Trust me your amh isnt bad for a 30 year old.I am surprised when your doctor stated that low amh cause bad quality eggs.Its total bullSh**.Age is the only predictor of egg quality.And you being 30 i am sure have low no but good quality eggs remaining.Yes pcos can effect the quality of eggs,but trust me i have friends with bad cases of pcos falling pregnant within a month of two of getting married.
Another thing you need to understand is ,fertility is a bigg business for doctors,esply donor eggs.Dont fall into the trap unless you have given it a few trys.You need a doctor who can help you to find the real issue and fix it.
The first thing you need to do is fix the pcos(you can control the pcos symptoms,but remember its a lifelong issue and can come back anytime)I would advise you to lose weight(if overweight),take up yoga or something more relaxing.Even normal couple might take at least up to a year to conceive.Like winnipoo even i have been consulting Dr Madhuri ,and few of my collegues have recommended her.Also remember ,you need to have patience,lots of it to travel on this road.Dont be in a hurry to fix the problem.Sometimes things just fall in place with time.
Good luck ahead!!!

WiniPooh · Dec 22, 2014

Hi Vidya and zaynab...
Below are the contact details for Dr Madhuri....Dr. Patil's Fertility & Endoscopy Clinic - Assisted Reproductive Tech, Endoscopic Surgery and Andrology. Services for Infertility.
Contact # - Ph: 080 - 41201357, 41462419 Mobile: 9945221622

Apologies on my inbox..jsut noticed that it was jammed. Cleared now

Like Jaden said...its all about not giving up hope...this journey is a crazy one mentally and physically so its very important that you are focused on your goal and God will definatelly ensure that your prayers are heard.

Don't get worried by people getting married and expecting within year one...some people get lucky at the start...some a little later and some a lot later. Thats life and which is why I strongly believe in that God knows what time is best for all and he will ensure that you get your bundle of joy at the right time...dont panic..jsut have faith in him and your dreams will come true!

zaynab · Dec 25, 2014

Hi Jaden,

Ur words give hope but I am feeling very sad about what's going on with me.
I sometimes feel sad to be a woman.
I don't know why All mighty has created me like this.
Feel like crying coz i am not able to become a mother.
I control my emotions when I see kid's around me