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Is my friend infertile?


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#1 Kitty2011

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Posted 01 December 2014 - 01:43 PM

Hi there

 

 I'd like your opinions please.

 

My friend is over 35 and they have been trying on and off for 2 years. I've mentioned that I'm doing fertility treatments but she doesnt see herself as infertile. And hopefully she's not. (I wouldnt wish infertility on anyone).

 

Should I be encouraging her to go see a specialist or am I just so tainted from my own misfortune? Of course I'm no dr.

 

Thanks for your help.



#2 s00n

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Posted 01 December 2014 - 01:59 PM

For over 35, 6 months of trying without success means you should see a specialist.  You can certainly let your friend know this, it may change her perspective.  Of course, if they don't believe they'd use intervention there's no point.  :)


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#3 Tess

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Posted 01 December 2014 - 01:59 PM


"Should I be encouraging her to go see a specialist or am I just so tainted from my own misfortune? Of course I'm no dr."

 

The diagnosis of infertility usually is trying but no pregnancy for 6 months.  

 

But if they aren't trying around her ovulation time they could be missing her fertile period.  They might not be timing it.

 

Because it's such a sensitive subject -- if she doesn't bring it up herself, or want to talk about it, I'd be cautious, unless she is a close friend.  


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#4 gibasgirl

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Posted 01 December 2014 - 02:51 PM

Hello Kitty,
 
It is possible that your friend and her partner are experiencing infertility. Perhaps she realises this on some level, perhaps she does not.
 
Keep in mind that male factors have an impact on fertility as often as female factors (some statistics say about 1/3 are related to female factors, 1/3 are related to male factors, and the remaining 1/3 are related to unknown factors. The breakdown numbers vary by study, but they tend to point in the same direction.)
 
Without a firm diagnosis, we have no way of knowing whether her partner has issues (Azoospermia, Oligo, hormonal, varicocele, etc.) that are a playing a role in their possible subfertility. Or they might not be on the same page regarding family-building. 
 
For the longest time I didn't think of myself as infertile, even though my husband and I were being treated by an RE. I simply thought of myself as being part of a couple that needed some help reaching our goal, but I had a deep and abiding faith that it would eventually happen. 
 
As Tess said, it is a sensitive topic. In addition to this, there is a lot of misunderstanding around infertility and what it entails, not to mention how to navigate around the issue. 
 
Depending on how close you are, or how candid you can be with one another, you can let her know some of your experiences from early testing and diagnosis. You can let her know that your door is open if she has any questions. 
 
If you know for a fact that she has not done any testing, then you can make that recommendation, but it may be better to start with sharing your story/using yourself as a point of reference for her. Let her know that you are there for her should she have any questions, or is looking for any pointers from someone who has been there. 
 
Although, because you have been there, you can approach the topic with a level of empathy and understanding that is often lacking from our well-meaning fertile loved ones.
 
Who knows, maybe she is secretly on this site looking for answers.
 
Because it can be a sensitive matter, and the assumption trap can be dangerous, remember to let the empathy and love that motivated you to help your friend serve as your guide.
 
I know there will be others who can share their experiences.
 
All the best.
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#5 Saffy

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Posted 01 December 2014 - 05:24 PM

It's really hard to know and to a certain extent it is based on self identification as people are childless for many reasons. They may be taking a laissez faire approach to conception which may have worked had they been in their 20's but not so much in their late 30's.
As Tess and Gibasgirl suggested I would take her lead on it and use yourself as an example if she is interested she will ask questions and ultimately it doesn't matter if she self identifies as infertile.
I also think you raise a good point about tainted by your own misfortune. I had friend who was in her late 30's and was considering having a baby with her bf. I told her all about my experience including donor eggs and she actually consulted a fertility doctor prior to trying who told her ovarian reserve was low and like someone in their 40's. I felt quite panicked for her and wanted to tell her to go directly to IVF but I held my tongue. I lent her my taking charge of your fertility book which I had promised her earlier. About five months later she announced she was three months pregnant. She told me she read the book, got ovulation prediction sticks and followed the book to a tee and got pregnant the first month they tried. Anyways the point of me telling you this story is that I think perspective has a lot to with things. I obviously underestimated her fertility but so did the doctor when she really only needed a tiny bit if intervention.
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#6 newtothis#2

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Posted 01 December 2014 - 06:49 PM

Didn't read all of the above. But think ppl don't like to be told they might be infertile, but rephrasing it as you may as well get checked out so you don't later find out you were wasting your time trying when u needed a quick fix first. Also saying they could get their name on the wait list just in case they change their mind later, might be better ways to encourage them to get checked out.
They may be resistant for many reasons: Not really sure they want kids, scared to hear something is wrong (with themselves or the other) etc.
I needed progesterone to get preg with our son and IVF to get preg this round and I still wouldn't call myself infertile. I think the term suggests no hope or damaged beyond repair to some. Its a very tough and emotional subject. Hope everything works out for your friend and everyone.
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Me: 36, DH: 39

DS born May 2012 (un-medicated cycle monitoring + progesterone)

 

June 2013 found out both tubes are blocked, IVF is our only option

 

Mar/Apr 2014 IVF#1:

Suprefact, GonalF 225IU increased to 450IU, Ovidrel 250IU trigger

11 eggs retrieved, no ICSI, 3 fertilized (2 polynucleated, 1 arrested by 48hrs), 0 transferred

 

July/Aug 2014 IVF #2:

Estrace priming protocol, GonalF 400IU + Luveris IU, Ovidrel 250IU trigger

AMH = 3.4 (Canadian scale)

12 retrieved, all immature, bathed in a hormone culture and ICSI-ed, 3 survived to day 3

Day 3 transfer = one 4-cell grade 1, one 6-cell grade 1, and one 4-cell grade 2 (1=best quality, 4=worst quality)

(they said 3 is the standard for a day 3 transfer for my age)

Beta #1 Aug 20 = 83

Beta #2 Aug 22 = 254

Everything looks good with baby. Waiting for our baby girl :)

 

Wishing everyone on this board success! You all deserve the baby(ies) you seek!


#7 Anaïs

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Posted 01 December 2014 - 07:20 PM

I second the above ladies. For over 35, it is recommended to seek RE`s help after trying for 6 months.

It is a sensitive topic but the above is the rule of thumb.

Plus time is definitely working against your friend (and all of us).


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TTC since Dec. 09
Me (35) him (30)
Unexplained infertility but have only one ovary (lost right to dermoid cyst in Nov. 07) and he has low morphology (5%)

July 10 - Consultation at OFC
All test results normal (did not do Kruger test or AMH test) and was told to try for another 6 months
FSH around 6, antral foli count 9 (on the left)

Dec 10 - Asked to be transferred to MTL (OVO) from OFC
April 11 - Saw Dr. Jamal, antral folli count 8 (on the left) and AMH test show low ovarain reserve (due to a single ovary). Given Clomid for two cycles, had bad reaction (very cranky) and BFN. Dr. Jamal suggested Natural IVF without stimulation. Hated OVO dearly (long wait time, extreme lack of organization, nurses, etc). Googled and found MFC. Consultation booked in Sept. 11

Sept. 11 - Saw Dr. Sophia at MFC. She suggests a standard IVF.
Sept. 11 - Learned that private insurance thru work have coverage up to 20K for IVF (Thank goodness!)
Decided to go for 1st trial at OFC given proximity.

IVF #1 (Oct 11) at OFC (Dr. Haebe) - Puregon 400 IU for 9 days. 9 leading follicles (and 8 smaller ones), which resulted in 5 eggs (but one degenerated). Only 2 fertilized thru ICSI (embryo quality second best and average). Day 3 transfer of 2 embryos, which resulted in BFN

IVF #2 (Nov 11) at MFC - Puregon 300 IU and Menopure 75 IU for 10 days. 8 leading follicles (and some smaller ones). egg collection Nov. 16/11. 7 eggs collected out of 8 follies. 6 are mature and ALL SIX FERTILIZED!!! 5 day transfer of 1 blast Nov. 21/11. Beta scheduled Dec. 2nd 1st Beta 10dp5dt 287. 2nd beta scheduled Dec. 5th 2nd Beta 14dp5dt 1,524

1st U/S Dec. 19th (6wks & 6 days): heartbeat measured at 137bpm, baby measuring 7.2mm, cervix measured at 32.9mm

 

August 12, 2012: A beautiful baby girl born at 11:21 pm measuring 8 lbs 3 ounces/53 cm long

 

Trying for Number 2

October 7, 2013 - CD1

October 9, 2013 - First consultation

Start stimulation Friday October 11 (Puregon 300 & Menopur 75) for 10 days

Last us on October 21, 2013 7 leading follicles - Trigger shot tonight (Ovidral)

Retrieval October 23, 2013 - 6 eggs retrieved

Ferti report October 24, 2013 - 4 mature eggs and only 2 fertilized

At this point, I am losing hope.

Oct 25, 2013 - Surprisingly Dr. M. wants us in for 5 day transfer

ET October 28, 2013: one young blastocyst to transfer

2WW

8dp5dt HPT Positive yahoo.gif

Some spotting on 9dp5dt and 10dp5dt huh.png

Beta scheduled November 8,2013

1st beta 11dp5dt 106

2nd beta 14dp5dt 525.6

Viability scan scheduled Nov. 21, 2013

Viability scan shows fetus behind schedule by a couple of days

Repeat U/S

Discovered on Dec 10/2013 that fetus stopped growing at 7wk4days (Missed miscarriage)

 

2.2.

CD1 March 29. First consult on March 31. Same protocol.

Stimulated for 8 days trigger April 8. ER April 10. Out of 8 follicles, 6 eggs retrieved. Only 1 egg was mature & fertilized. Clinic recommends Day 2 transfer. We declined Day 2 transfer given this may be a complete waste.

Dr.M. understood our concern & agreed. Booked for a Day 5 transfer (but will be a miracle if this one embryo makes it to Day 5). Dr. M. advised that the embryo on Day 2 is 4 cell grade 1. So there is little hope.

Ok no call until Tuesday, which means we are going in for a transfer on Day 5. ET on April 15. Transferred an excellent quality blastocyst. Now 2WW. Blood test April 28. BFN

 

2.3.

CD1 August 18. First consult on August 19. Spoke with Dr. M about two wishes - minimum 10 day stimulation & 5 day transfer. Stimulated for 11 days. ER September 4. Out of 9 follicles, 6 eggs, 4 mature and all fertilized. Dr. M called and suggest double Day 3 transfer. However, DH veto a double transfer. Sticking to Day 5 transfer. ET September 9. Suprisingly out of 4 embryos on Day 3, 3 made to blastocysts. Transfer 1 Day 5 blastocyst. Shocking call the next day saying two left over embryos were good enough for freezing. 2ww Turned out to be a chemical pregnancy

 

2.3.1.

FET CD1 Sept 27 First consultation Sept 30 Oct 16 Transferred two blastocysts 2ww

Started nausea 3dp5dt it can`t be this early POAS 5dp5dt readable BFP! Wow

7dp5dt POAS show dark test line (never had such a strong positive)

Worried about risk of multiples

11dp5dt 1st beta at 382.8 13dp5dt 2nd beta at 850

Viability scan booked Nov 11th (6wk 4days)

Viability scan at 6w and 8w are both fine. Now graduated to OB.

NT scan in December 2015: all is good

Anotomy scan in Feb. 2015

 

 

 

 


#8 14525

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Posted 02 December 2014 - 12:37 PM

I'd leave her alone, no doubt she doesn't tell you exactly what's going on.  most of us don't


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