Confused about IVF, professional carrer and place for IVF

Discussion in 'Fertility & Trying to Conceive' started by msms, Dec 25, 2014.

  1. msms

    msms Gold IL'ite

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    Hello Dear ladies,

    I have posted earlier many times on this forum and have always got very nice response. Again I need your suggestions and advice. We've been TTC from last 3 years with two failed IUIs. I am a working woman and my age will be 34 in next 3 months. I was consulting a doctor in Mysore who did my basic follicular studies, HSG and my husbands semen analysis. Everything came out normal. After trying for 6-7 months normally, she told me to go for IUI, which was not successful. Recently I visited to AIIMS, there doctor told me to go for so many test like uterus biopsy for TB, laproscopy histoscopy etc. etc. And then she told me, we should not waste anymore time and go for IVF. Now the questions was, my Mysore gynae should have done all these basic tests earlier to rule out the problem, this way all my time was wasted. My parents and relatives are telling me ton not to waste time and take the treatment from AIIMS.

    If I do so,I will have to leave my job and stay there at least for 6-7 months or more depending on when will I conceive. My personal life will be disturbed as my husband will have to stay here and come there whenever its required.

    Ladies please suggest me if there are any reliable infertility centers in Mysore?

    Or should I leave everything and go to AIIMS? We are really desperate, and my age is also running. I don't know what to do in this situation. Please ..Please ...Please suggest me something. And also share your ttc success story in mysore if there is any.

    Thanks
     
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  2. WiniPooh

    WiniPooh Gold IL'ite

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    Hi MsMs...It sure is a bit of a challenge if you are based at Mysore, as there are very few fertility centers there. I totally can connect with your situation as my DH and I have been quite confused on what to do with the doctor - fertility or normal gynec, age factor, work elements for both of us, etc. Finally the onus was on me to decide which in my priority is important. Thats when I decided to take a backseat in my career for a while and reduce my work stress and load a bit and focus on this. At the age of 35, its no fun to be in a situation where you need to decide on whether you want your career to take off or have a child when everyone's kids are in school!

    My suggestion to you would be this, instead of looking at options like AIIMS which is considerably far from Mysore, why don't you consider options at Bangalore instead? After my journey of 6 IUIs and 2 ICSI, I can tell you the wait is something which is well worth it if you go to the right doctor and prioritize your life accordingly. For my second ICSI, I took a decision to quit my job for 4 months and focus 110% to ensure that the procedure worked for me. Then realization hit me that I can balance both once I cross the tough part of the OR & ET. I joined my new job 3 days after my beta and I can tell you this, I know now how to balance my life, priorities and more so needs a lot better. The break from a job can help you considerably to put your life into perspective and more so ensure that you are stress free during these procedures which are mentally and physically very draining.

    Would strongly advice that you at least go through a round of consultation at Bangalore before you jump the gun and head to AIIMS which is really far from home. Also, 2 IUIs failure doesn't mean that you cannot conceive via IUI. I have had friends who have conceived in the 3th and even 6th IUI! End of the day, the decision of whether to move from IUI to IVF is subject to multiple factors like egg quality, sperm motility, sperm morphology, etc and not just age. Unless your egg reserve is bad, lost or have blocked tubes or any other major problem, no doctor recommends a jump from IUI to IVF within 2 cycles. the mandated protocol is a minimum of 4 cycles, before movement to IVF/ ICSI.

    Best wishes and hang in there. Do reach out to this group if you need references for fertility specialists at Bangalore. Keep the faith....!
     
  3. msms

    msms Gold IL'ite

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    Dear WiniPooh,

    Thank you so much for your reply. your positive talks are working like medicines for me. I really really was in need of this. Thanks again! As you suggested I should at least consult in Bangalore, have you heard of Gunasheela? How is she? One of her center is in Mysore too. Also like you said, unless there is any complication, doctor would not suggest to go for IVF. But the thing is, in AIIMS, doctors told to go for laproscopy, histoscopy, uterus biopsy and AMH etc. I had read about AMH, I told my gynec in Mysore that she should check AMH in me, she said every month you are ovulating, I don't think its required. So I don't know how relevant all those tests are. And moreover, I read about IVF procedure, which i think is really painful for patients and money making for doctors. My only worry is, if I stay in Mysore and take the treatment , suppose from Gunasheela or some good gynec here, I should not regret at the end of the year. From where did you take your treatment in Bangalore? If you know any good place there can you please suggest? At least Bangalore we will be able to manage.

    Thanks again.
     
  4. WiniPooh

    WiniPooh Gold IL'ite

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    Hi MsMs....Yes, I have heard of Gunaseela....quite a few of my friends have been there..but heard quite mixed reviews of the doctors from them. The problem with most centers is that while they have the same brand name, the main doctor with whom you have the most success, isn't based at the branch :( Most doctors, especially fertility doctors will recommend checking the AMH, thyroid levels, LH, FSH, proactin, etc to ensure that all the baseline parameters are fine. In addition to the AMH, typically the # of astral follicles is checked to ensure that there is a correlation. This provides strong data in terms of the ovarian reserve which is one of the markers to decide if you need to continue with IUI or move to IVF or anything else. Before one moves from the IUI to IVF stage, a hysteroscopy is done towards ensuring that all the parameters which are not visible in the scan, that is the insides of the uterus, tubes, endometrium, etc are in the right condition to support a pregnancy. This is done one to ensure that all the internal parameters are right, check for TB and other issues like endometrium issues and finally more than anything else be sure that the physical, financial and mental investment doesn't go to waste. Don't worry about this aspect, just ensure that you go to the right gynec/ fertility expert so that you feel comfortable.

    The IVF procedure is physically, mentally and financial taxing yes. But then, if the body isn't responsive, there are some sacrifices one needs to make for the greater good. Thats the reason I was saying that it is best that you consult with a doctor in Bangalore before you decide on your next steps.

    I consult with Dr Madhuri Patil and based on feedback I have heard from others on these forums, would recommend 2 more - Dr. Kini (Cloud 9 jayanagar) or Dr Jaya Bhat (Manipal). I have visited many fertility specialists at Bangalore and totally swear & recommend Dr Madhuri Patil for her clear protocol and approach. best wishes and do let me know if you need any additional information....we are all here on this forum to support each other!
     
  5. msms

    msms Gold IL'ite

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    Thanks WiniPooh! I will try to consult the doctors, you suggested in Bangalore. But Like you said, before moving from IUI to IVF, all those tests are done, Could this justify that my earlier gynec was on right track? Because all those baseline parameters she had tested except AMH. Are you aware of any doctors in Mysore also?
     
  6. aarth0203

    aarth0203 Silver IL'ite

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    Dear msms,

    I second Winipooh, its better you take medical treatment in the same city where you are. Bangalore is a metro and I am sure there are good clinics there. Travelling every month for treatment with a full time job is definitely very cumbersome. Stress due to treatment and tiredness will make you crazy.

    I wish you conceive in next few months, you may want to explore going to another city only when you take the IVF route. That too when you feel confident that the doctor outside your city will give you success. My TTC history is very long, we did not have success in IVF 3 times in our city. Due to professional reasons we relocated to Pune and had IVF there. But my embryo transfer was done when we relocated back to Hyderabad (yes we were in Pune only for 10 months or so). Having said that my doctor was prompt enough to respond to my email and whatsapp messages. We went to Pune 5 days during my embryo transfer. once my pregnancy was confirmed I am continuing with doctors in Hyderabad. So it depends how well your doctor responds to you msgs or phone calls if he is in a different city.


    When it comes to my own profession, I work full time and used work from home option when I had to go to Pune. I am now in my 38th week and still working. So its doable but depends how flexble your doctor is and how flexible your job is.


    I will still recommend you try with doctors in Bangalore before opting for other city. All the best
     
  7. msms

    msms Gold IL'ite

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    Thanks aarth0203! Congratulations and all the best..:). I agree with you that if I have to opt for IVF then only I should move to another city. But That is the tough decision, I don't know if I still have time to go for IUI as I will be 34 in next 3 months. I am little scared also of this procedure, as I read that egg retrieval is the most painful and big task in this where general anesthesia is given. Is that true? How did you decide, that now is the time to go for IVF?
     
  8. radhaparth2000

    radhaparth2000 Platinum IL'ite

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    Wrong posting
     
    Last edited: Dec 26, 2014
  9. aarth0203

    aarth0203 Silver IL'ite

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    Hi msms,

    I don't want to scare you by telling my history. I started my treatment when I was 29 and conceived when I got 33. You can read my treatment history in my thread Multiple IVF failure support group. The biggest mistake I did was choosing a wrong clinic for my treatment. Things were breeze when we found the right clinic in Pune.

    My first clinic told me that my eggs are not good and kept pushing me for donor eggs. They could never produce more than 7 eggs in my IVF. My AMH was very good. But my doctor in Pune rejected all claims of my first clinic, produced 14 eggs (all my own) and i had 12 embryos all top grade. So don't get carried away by egg quality just because one doctor said so.Also it is not mandatory that u also take IVF route may be u will succeed even before that. Also egg retrieval is not painful, slight discomfort may be there

    Keep faith and start your treatments
     
  10. nikitaram

    nikitaram Silver IL'ite

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    Hi msms,
    Age alone does not determine if you need to go thru IVF. I conceived on my 3rd iui and I was 34 yrs. Your doctor needs to clearly explain why she is suggesting IVF to you apart from your age. All the best!

     

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