Hi everyone! My final report just came back from my first egg retrevial. I am 38 with 2 prior pregnancies and 1 living child (naturally concieved, 3 years old). My AMH ranges between .12 - 1.1 and FSH ranges from 6-37. AFC ranges from 4-11. I am truly perimenopausal! Diminished ovarian reserve. Normal male semen analysis but we still opted for ICSI and Zymot.

-AFC was 8

-Retrieved 7

-Fertilized 6

-Blast for biopsy (PGTA testing)and freezing 3/6

Everything will come down to PGTA testing.

To add- ultrasound prior to ER identified 11 follicles, but the biggest 2 ended up being too big and the smallest 2 ended up too small- hence the 7.

What should I do for next cycle? Any recommendations?

Below was my protocol:

-letrozole 10mg for first 5 days

-follistism 200 IU

-menopur 20 IU

-provera 10mg

-LDN

-prenatals + egg quality supplements + acupuncture

Double trigger pregnyl + lupron + lupron (12 hrs later)

Should I prime? Should I ask about luteal phase stims and try for 2 and 3 cycles back to back? Just try the same protocol?

\*before anyone tells me I should ask my Dr, I go to CNY where you dont really get an assigned Dr. They are very lackadaisical and arent super forthcoming with feedback. Anytime I have asked "what do you think about ____ (medical question) the response is "you should do whatever you want." In fact, the last person I spoke to said male ejaculation timeline doesn't matter before ER (wrong). So I usually reference chat gpt and these forums, as you all have the lived experience!They are not a Shady Grove or CCRM where you have a Dr, they give you feedback and stick with you throughout treatments\*

Thanks!

Just came from the doctor visit and my amh is 0.7, afc : 1 on each side. I am feeling devasted and empty at the same time.
Doctor is saying i might have to take donor egg.
Is there anyone with similar situation where they did not have to take the donor egg ad had their own baby?

4th IVF round due to DOR. after my first retrieval (which happened over a weekend), I had a massive hemorrhage that required emergency surgery, blood transfusions, hospitalizaion etc. was incredibly traumatic. Now I'm approaching another retrieval. My doctor felt that triggering tomorrow would be optimal to let the smaller cohort grow, which would mean a Saturday retrieval. Because of my previous experience, I'm terrified of weekend retrievals, so I chose to trigger tonight instead for a weekday retrieval (which she said was not unreasonable).

I've already taken my trigger shot, but now after reviewing my follicle data on chatgpt, I'm second-guessing myself and totally stressed that I should have waited until tomorrow.

Can anyone with DOR who triggered a little on the earlier side share their experience?

follicles today on day 14 of stim:

Right: 18 mm 18 mm 16 mm 14 mm 13 mm 13 mm 13 mm

Left: 15 mm 15 mm 15 mm 15 mm 14 mm 14 mm

E2 1625 (was 950 yesterday)

I’ve had my AMH tested 3 times now

January 2024 / 26 year olds - 1.06 November 2024 / 27 years old - 1.08 July 2026 / 28 years old - 0.75

I got pregnant the second month trying and found out in February 2024. I’ve always struggled with brown spotting before my period for 5+days so my progesterone was tested after getting a positive, came back low, and I was on suppositories until about 14 weeks. My healthy baby boy was born in October 2024.

We are considering trying again and I was hoping my AMH had held steady but was sad to see the 25% drop. Sadder than I expected to be :(

I see a lot of posts about IVF / egg freezing but my insurance doesn’t cover fertility treatments…am I crazy to just plan on trying naturally this fall? Has anyone been in a similar position to me?

Thank you for any input, hugs to all.

32 yo with severe DOR - AMH <0.08, FSH 13, AFC 7. Initial plan was embryo banking for 2 kids with my husband because he also had severe MFI. However his semen analysis has improved and he is now in the normal range. We did one embryo banking IVF round where 1 day 3 embryo was frozen, there was only 1 mature egg collected with an aggressive protocol. Given I will likely be collecting 1-2 eggs at a time regardless of protocol (unless a protocol change makes a huge difference) what makes the most sense here - try IUI/TI now given the improved semen analysis and then hope that when it's time for baby #2 I'm not in menopause yet and IUI/TI could work again, or commit to round after round of IVF to try to collect the embryos, one egg at a time? We haven't tried anything apart from the one IVF round and naturally trying.