Any other T1Ds do IVF?. Losing hope & need encouragement
Hi everyone 🩷Just finished retrieval #2 and it’s looking a lot like our very disappointing first cycle.
We are waiting on our final Day 7 results today. So far we have one Day 6 4BC frozen. My doctor said she’s hoping we may get at least one more today.
I’m very grateful to have one, but this is our second retrieval with extremely low blast rates despite great maturity/fertilization, so it’s becoming clear the first cycle probably wasn’t just a fluke.
About us:
Me: newly 34 (started this last retrieval on my bday, what a joke lol) Type 1 diabetic for 22 years; A1C is \~6.0, hypothyroidism, TSH <1
Husband: 36, great sperm parameters/no DNA fragmentation
We live in SF CA and I’m at RMA in SF and have had a good experience there.
We only tried naturally for 4 months before IVF. Our first retrieval was originally intended to bank embryos because I’m incredibly fortunate to have coverage for up to 6 retrievals. After the disappointing results of #1, we went for #2 and I’m starting to feel like we may really need to keep doing this.
Retrieval #1 — May/June
17 eggs → 17 mature → 15 fertilized → **2 blasts (Day 6 4AB + Day 7 4BB) → 1 euploid
Protocol: 300 Gonal-F, 2 vials Menopur, Cetrotide, dual trigger, ICSI.
Most of the embryos arrested very early around the 3–6 cell stage. My doctors noted that some of my eggs appeared unusually “fragile”/structurally abnormal and suspect egg quality. One possibility they’ve raised is my long history of T1D despite it being very well controlled.
**Retrieval #2 — July/August**
29 eggs → 29 mature → 23 fertilized → 1 Day 6 4BC so far, waiting on Day 7
We made a lot of changes: estrogen priming, Omnitrope, Gonal-F reduced to 150, Menopur 2 vials, Cetrotide, dual trigger, ICSI + Zymot.
I was cautiously optimistic that we’d see improvement this time, especially with 23 fertilized eggs, so potentially ending up with only 1–2 blasts again is pretty devastating.
Where I’m at
I think I need a break from IVF after this. My husband and I are considering trying naturally for a while. The complication is that I have recurring uterine polyps — I’ve already had two hysteroscopies and they saw another polyp during this retrieval — so I’m wondering if I should just get it removed before we try. But feels like they keep coming back.
My RE keeps reminding me that you can’t necessarily extrapolate IVF outcomes to natural conception. She describes my eggs as “fragile” and has pointed out that IVF itself isn’t exactly a gentle process. She said there are people who have terrible IVF outcomes and conceive naturally and people who make beautiful embryos through IVF but can’t get pregnant.
I’m trying to hold onto that, but it’s hard not to feel like my body keeps failing me. Between T1D, hypothyroidism and now egg-quality issues, I’ve started spiraling into worrying that even the embryos we do make won’t implant — even though I know our retrieval results don’t actually tell us that. I just feel so sad and I can’t help but feeling bad for my husband. Even though he tells me that’s ridiculous.
My husband keeps telling me we’re just at the start, but it feels like even IVF might not work for us. I’m having a hard time seeing the light and I don’t know how people continue to deal with this heartbreak. I lost my mom to a glioblastoma when I was 22 and took care of her for the whole year she was sick. It was the hardest thing I’ve ever been through. Not having her to go through this with, has been so incredibly brutal.
I think I just need some hope today.
Has anyone here had really poor IVF outcomes and then conceived naturally?
Any T1Ds with egg quality issues had success?
And if you’ve dealt with recurring polyps, would you remove the polyp before spending a few months trying naturally? I know we’d need to remove before a FET, but we’re not there yet.
Any other words of wisdom?
Feeling pretty damn defeated today and would really love to hear from people who’ve been in a similar place. 🩷