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AFC and PCOS


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#1 s00n

s00n
  • 1000+
  • 1247 posts
  • Gender:Female
  • Location:Canada
  • Interests:Him- Potential SA issues Me- PCOS like crazy/anovulation/long cycles. Started TTC before 30.TTC/Secondary Infertility(2008-2015) - Adopted from public system in Ontario 2012.Freeze-All IVF after OHSS, and successful FET 2015 @ 36Yrs Old.
  • Dx:PCOS
  • My Clinic:OFC

Posted 23 October 2014 - 11:30 AM

I had my US yesterday (CD3) to check my ovaries, and the AFC listed on both sides was 25.  I imagine that is something to do with being PCOS but it's been a while, and of course the tech didn't say much.

 

Anyone have any input?  This is a baseline non-medicated CD3 scan.

 

Cheers!


See my about me page for details on our IF journey including adoption and other avenues.

#2 Frannie2012

Frannie2012
  • Global 100+
  • 269 posts
  • Dx:PCOS

Posted 23 October 2014 - 06:13 PM

Pcos means lots of follicles and a higher chance of OHSS. If you are monitored closely the risk can be minimized. I had lots of follicles so I was on a lower dose of stims and never had OHSS.

Good luck!!

Me: 33

DH: 35

 

TTC since Sept. 2011

 

Aug. 2012 - DX with PCOS (started metformin)

Aug. 2012 - Oct 2012 - clomid + trigger , timed X2 - BFN

Oct 2012-Jan 2013 - clomid + trigger IUI X3 - BFN

 

Took a break until the spring to begin IVF -

 

June 1 - Started BCPs

June 24 - Start stimming....75iu meopur, 75iu puregon

June 27- (moved up to 100iu of puregon)

June 29 (moved up to 150 iu of puregon)

July 1 - scan...6-10 follicles expected on ER day

July 3 - last day of stimming, HCG trigger

July 5 - ER.....8 Retrived, 5 mature, 5 fertilized

July 7 - 5 embryos

July 8 - ET (2, grade 1 embryos transferred), 3 embryos to be frozen (1 - grade 1, 2 - grade 2)

 

July 22 - BFP!!! 

July 24 - Beta repeated - numbers doubling....fingers crossed for a healthy pregnancy!!


#3 TryingForOur2ndChild

TryingForOur2ndChild
  • Global 100+
  • 791 posts
  • Gender:Female
  • Location:London, ON
  • Dx:Male Factor

Posted 24 October 2014 - 10:15 AM

Frannie is right... you will be more inclined to have elivated estrogen levels during stims, but if they are monitoring you properly you shouldn't get OHSS. I have PCOS-like ovaries but have regular cycles and you will see from my signature all that went on. The trouble is getting enough mature eggs as many tent to be immature... sigh. You will probably be a freeze all as well.


See full journey details on my profile:

 

About Us:

​Trying to conceive since 2013 (male factor); Me: 39 yrs old; DH: 37 yrs old; low testosterone; very low sperm count; on Clomid for testosterone

 

~ 2014 ~ IVF Cycle #1:

 

Cycle Info:

- Antagonist protocol

- Retrieval: 22 eggs retrieved; 8 injected (ICSI); 6 fertilized; 4 embryos divided - 2 embryos are 4 cell grade 1, 1 embryo is 5 cell grade 2, and 1 embryo is 8 cell grade 2

 

FET #1 - medicated cycle (2014)

- transferred two day-3s: one 10 cell grade 1 and one 12 cell grade 2; Beta: BFN; approved to do a natural FET next time

 

FET #2 - Non-medicated cycle (2014)

- added Teva-Doxycycline 100mg (antibiotic) started one day before procedure: 1 tab 2xdaily until finished) 

- transferred two day-3 embies (1 is 10 cell grade 2 and 1 is 12 cell grade 2); took 1 tab of Apo-Diazepam (valium) 5mg 45mins before FET        

​- HPT = th_abfp.gifbanana.gifbanana.gifth_abfp.gif  Welcomed our little babygirl.gif in summer of 2015

 

~ 2016/17IVF Cycle #2: Project Sibling

 

Cycle Info:

Oct. 29: Retrieval - 23 eggs retrieved; will be a freeze all cycle

Nov. 2: Dostinex 0.5mg every other day for a total of 8 days has started to alleviate OHSS 

Nov. 4: Day 6 report: 5 embryos on ice... yay! 4 day-5s (4AA and 3 are 4BC quality) and 1 day-6 (5BC quality)

 

FET #1 - Non-medicated cycle (2017)

Feb. 6: start Teva-Doxycycline antibiotic100mg one day before procedure
Feb. 7: scheduled transfer at 11:45am; 1 tab of Apo-Diazepam (valium) 5mg taken 45mins before transfer; transfer of one 4AA blast

Feb.20: BETA - BFN; approved to go right into another natural FET with no cycle in between

 

FET #2 - Non-medicated cycle (2017)

Feb.24: CD3 - u/s and b/w= nothing said about lining; E2 19, LH 4.4 IU/L, FSH 6.6 IU/L, Prolactin 8.1 Ng/mL, TSH 2.22 IU/L, Progesterone 1.6 nmol/L, Glucose 4.1 - I requested (norm is 3.6-7.7); back on CD15; acupuncture 2x weekly until fet to try and bring on LH surge sooner than CD17.

Mar.6: OPK positive in the evening so looks like I will be going into the clinic tomorrow

Mar.7: CD14 - u/s and b/w= 11mm triple lining; E2 712, LH 32 IU/L

Mar.8: CD15 - b/w= confirmed LH surge was yesterday; E2 343, LH 8.12 IU/L; start Endometrin 3x/daily

Mar.11: start Doxycycline antibiotic 100mg (8 pills total) one day before procedure: 1 tab 2xdaily until finished

Mar.12: scheduled transfer at 10am of one 4BA blast; 1 tab of Apo-Diazepam (valium) 5mg taken 45mins before transfer

Mar.23: HPT = th_abfp.gifbanana.gifbanana.gifth_abfp.gif

​Mar.25: Beta #1= 788 hcg, Progesterone 107 nmol/L; RE happy with results so skipping beta #2 and going right to u/s

​Apr.4: had light bleeding last night so went to clinic where they did an u/s; too early to really see much but did see a gestational sac; u/s moved from Apr.8th to 15th

Apr.18: First u/s scheduled (at 8 wks).... omg there are twins!!! One had a heartbeat of 140 and the other only 80 so being referred to the head OB of internal fetal medicine as it looks like I may have a vanishing twin which RE said 50% of twins go down to one before the 2nd trimester.