I should switch clinic/doctor, yes?
I have been reading this group and community like a creep for almost a year since I started IVF. Had a loss last year at 17 weeks due to random developmental anomaly. Very mild MFI, so doctors suggested IUI and then IVF, I did one IUI, it failed and then I moved on to IVF. Here is my journey:
ER 1: 10 eggs, 5 mature, 2 fertilised, 2 blasts, 1 euploid. protocol, pergoveris 150, orgalturan day 6 onwards, hcg trigger on day 10
ER 2: 10 eggs, 9 mature, 9 fertilised, 5 blasts, 1 euploid and 1 low level mosaic. protocol, BC priming for 10 days, then got period after 5 days and then started with pergoveris 137.5, orgalturan day 6 onwards, dual trigger on day 12
ER 3: Stimmed for 5 days, on day 6 only 4 follicles out of 12 were growing, estrogen dropping, so abandoned. protocol, pergoveris 137.5 Luveris 75, abandoned cycle
ER 4: Stimmed for 15 days, 11 eggs, 3 mature, 2 fertilised, 1 blast, 0 euploid. Protocol: pergoveris 137.5 for 6 days, 150 from day 7, luveris added on day 7, orgalutran on day 10 onwards and then dual trigger on day 15
ER 5: Stimmed for 7 days, estrogen was 235 on day 4, 335 on day 6 and plummeted to 62 on day 6, follicles were growing, 9 follicles were in range of 8mm to 15mm, lining was good too, protocol, pergoveris 137.5 Luveris 75
Here is what my doctor said for each cycle,
ER 1 - "may be I should have waited for one more day for trigger as only one follicle touched 18 and rest were all smaller".
ER 2 - "may be I should not have done BC priming, it hurt the quality of eggs and hence low number of euploids"
ER 3 - "I have no idea why follicles are not growing, it's a setback, not failure, let's try again"
ER 4 - This cycle he wanted to do egg retrieval and then transfer one of the frozen euploids from previous cycle in this cycle. My estrogen was 33 even on day 6 and then he upped the dose, not even on day 3 when it still was 20. on day 10, my LH shot up to 10.6 and then he had to start orgalutran. On day of trigger I told him, I think my estrogen is still low, only one follicle is 19.5, rest are still behind, may be we shall wait one more day, he said no, we don't want to overcook the eggs. We did retreival and only 3 eggs mature and he said - "I am shocked, I dont have an answer, let's start you on PIO as we need to prep for transfer".
I started PIO, but I checked my progesterone, it was 1.8, I called him next day and said, my progestreone is high and chatgpt tells me, transfer is risky and he said, "no we are fine, we can transfer even if it is 4", I said, are you sure? and then he said - "oh wait I got confused with UK and UAE values, you are right, we cannot transfer"... I could not get up from my bed thinking we could have lost a euploid this cycle if I didn't check my results.
ER 5 - I told him I want to do only transfer, he said protocol for transfer and collection is still same, when estrogen declined on day 6, he said, we can still go ahead with transfer since lining is good and other hormones are good and he has no clue why estrogen dropped even though everything on scan is good, but if I want to be on safe side, we shall abandon, so we abandoned. He said may be the pergoveris pen went bad, send it back to us, we will get it tested. This was 2 days ago.
Since, last two days, I cannot eat, I cannot sleep, I am waking up at 3 am with nightmares of blood and ghosts and what not.
Today, I got a call from OBGYN who handled my pregnancy and termination and who actually sent me to this fertility doctor that if I am doing okay and I was like, how do they know? They called me in. I met them and they told me two other cases from the same doctor came back to them who had complications with egg retrievals and they had to fix it, so they wanted to check on me if I am also okay or not. I burst into tears in their clinic, told them the whole story and they were like - okay we are sending you to another clinic, this doctor is the best and you need to cut loose the current doctor and have second opinion. Btw this new doctor they are sending me to is the best doctor here, earlier I was not able to get his appointment as the wait was 3 months. But now I did, will meet him next week.
Coming to the point of this rant and mess, I was thinking some thing is wrong with me or my body up untill now but now I think was it the doctor? There are enough red flags, right and I was an idiot to ignore those? Please help if you have similar experience of dropping estrogen or changing doctors or whatever can help because I feel cheated, helpless and I am left with no answers as to what is happening to me, is it my body or the meds or bad doctor or just pure bad luck so far. (Btw, I do know that I was pregnant before and I have embryos to transfer so it's not all bad luck, I might be sounding like a snob but I am not, it's just I am tired of this and transfers getting cancelled 3 times)