The doctor on call was great about prescribing an alternative w that I could do within the hour. On trigger day I screwed up a medication pickup and did not have the prescribed trigger med at home. Started at 400iu Follistim, but as my estrogen levels climbed sky high they switched me to daily monitoring & bloodwork, and tweaked dosage every day. Study was closed to my age bracket by then but we decided to go ahead anyway.Ĥ. This sort of kick-started our commitment, but I got busy for 2 months and put off the diagnostic tests. Gutmann informed us of a research opportunity that would pay for the entire IVF cycle except medication. 1 ultrasound monitoring appt showed 5 eggs. We weren't ready to fully dive into IVF yet so our first step was a Clomid + timed intercourse cycle. Gutmann said test results had rebounded so well that she thought one of the tests was inaccurate, and the answer was most likely somewhere in between.Ģ. My husband also decided to cut from ~3-6 beers a week to 1. First semen analysis showed slightly low sperm count and motility. I appreciated that she called me late at night after the first loss to check on me (nurse had delivered the news earlier in the day).ġ. Many people say she's not 'warm' and she's not exactly, but she's very empathetic. I did return to her two do an egg retrieval and two embryo transfers after the two failed IUIs at the other clinic. I ended up going to another clinic to do my first two IUIs only because they were a bit cheaper than RMA and logistically simpler (they scheduled all of their procedures in the city where I live, whereas RMA does procedures out in the suburbs, about 30 minutes from where I live in the city with no car).

She didn't know how I was feeling, but I'd emailed asking her for more info and she called me late on a Friday night and spent 30 mins on the phone with me explaining what it all meant and helping me decide how to proceed. I was devastated, thinking that I wouldn't even be able to conceive. I did some diagnostic testing with her after that first visit, which led to a diagnosis of very low AMH. I felt like she respected that decision and took great care to review all of my options and answer my constant flow of questions. I knew that I had no insurance coverage for this so would be paying for all of this out of pocket. I went to see her alone, hoping to conceive as a single woman, using donor sperm. Our next IUI baseline is scheduled for this week and will likely follow the same protocol.ĭr Gutmann was actually the first doctor I had consulted with before starting on my fertility journey. The second IUI resulted in a positive HCG test, but the level was 34 and quickly dropped to 6. This time, she started me at 75IU, but shortly bumped me back up to 150iu, as my estogren dropped after the first three injections. Our second IUI followed the same protocol, with 16 days of stims before trigger. I received my period prior to the pregnancy test. I triggered with Ovidrel after day 14 of Menopur and my IUI was performed 32 hours later. I had bloods and ultrasound every 3 days throughout the entire process. I was then bumped up to 150 iu after my estrogen was still <100. I began 75iu of Menopur for three days, then after my blood and ultrasound, continued for three more days. Each IUI showed at least 3 mature follicles.Īfter our initial consult, she scheduled me for an MRI of the pituitary, which showed a small tumor, meaning that I would very likely not respond to oral medications and advised we go straight to injectables. The first IUI resulted in a chemical pregnancy. We have done 4 IUI's with follistim and follistim/clomid. We haven't done another IVF cycle since then. However, retrieval yielded only 7 follicles, and none fertilized. We stimmed another twelve nights and all monitoring appointments showed more follicles than the first round. We then did the same agonist protocol with the same dosages. This time instead of BC, we primed with estrogen ( we thought the BC may have suppressed me too much). We took a month off, and then started another round of stims. 8 follicles were retrieved, 6 were mature, 4 fertilized and made it to day 5, however only 1 was able to transferred. The word 'cancel' was tossed around once or twice, however we went through with the retrieval. About a week into stims, we realized I wasn't responding to the meds as we would expect for someone my age. We did 300 follistim iu and 75iu menopur for twelve nights. We then followed the agonist protocol with an aggressive med list. The first cycle we used BC for a week prior to starting stims. I have been through 2 IVF cycles with Dr.

Ivi rma king of prussia