Your Questions About Natural Ivf Cycle

Lizzie asks…

Could I be pregnant naturally after Failed IVF?

I’ve had one failed IVF cycle & currently on a natural cycle now. My cycle normally goes from 32-34 days, but I’m cycle day 39 now with no signs of my period coming at all. Has anyone had this happen tho them?
I’ve read that your period can be delayed after IVF treatment, but considering I didnt have any problems during my IVF round I thought maybe this might not be the case for me – any advise would be great
Thanks girls for your replys. We are doing IVF cause I have unexplained infertility, have been trying for over 3 years now. We have only completed one IVF round & i didnt respond to the drugs as well as they hoped, Guess thats why I assumed my cycle would be normal. I’ll just wait another week and if nothing arrives then I guess I should do a test

Michelle answers:

I am not an IVF expert, but the hormones used during it can mess up your cycle.
The best method is a little late for this cycle but charting your BBT will tell you when you’ve ovulated and then you’ll know if you’re ‘late’ or if you just ovulated late during that cycle. (I don’t believe BBT during IVF is helpful at all but if you’re on a natural cycle it can help you figure out what your body is doing).

Chris asks…

questions on cancelled IVF cycle?

My first IVF cycle is almost certainly going to be cancelled. At retrieval we got 8 eggs, and 4 fertilized. But as of today (Day 2), the embryos have not divided. I’m getting a call tomorrow morning, but if anyone else has gone through this, I’m wondering: When and HOW will I get my period, since I have no natural progesterone? Should I stop taking the Medrol (steroid)?

I will talk to my doctor or a nurse tomorrow, but aside from being devastated these things keep nagging at me. Anyone who has any experience with this, I’d love to hear from you. Thank you.

Michelle answers:

I am so sorry this cycle didn’t go better for you. Don’t stop taking the Medrol until your doctor or nurse says you can. It’s not over yet. I have not had a cycle canceled but know several women who have had there cycles canceled. I know it is heartbreaking after all you have gone through. You are taking progesterone injections or on suppositories right? If so, you should get your period, if this cycle is canceled, shortly after stopping the progesterone. I get my period, without fail, 4 days after stopping the progesterone.

Please feel free to contact me through my profile if you have more questions or need a little support. I’m keeping my fingers crossed for you!

Ken asks…

Question about freezing “extra” embryos/eggs after initial IVF?

We are seeing an RE and may possibly moving on to IVF if this next cycle of injections with timed intercourse doesn’t work. We were given the IVF info packet last week to read through and follow up with questions next week. Well it states that our doctor recommends freezing any unused embryos or eggs for future IVF cycles. It talks about the success and risks associated with doing this. However it doesn’t mention the cost of using these for future cycles. We pay out of pocket and our first cycle may cost up to $15,000 (put this includes every single thing -meds, u/s, blood work, retrieval, transfer, freezing/storage of eggs, sperm prep, etc). We think that is a lot but hubby said it may balance out if our future cycles using those frozen embryos were a lot less costly.

Do you know what the cost might be? There would be less procedures and meds associated so I would assume a lot less cost, right? I have even read of some women having them transferred on a natural cycle so they only paid for the transfer fee and ultrasound. Didn’t know if this was common or not.

This is something we plan on asking next week. Thanks for taking time to share your thoughts/info. Best wishes to those ttc!!!!

(TTC for 27 months)

Michelle answers:

The costs are not nearly what you pay for a fresh cycle. My clinic charges $2,900 for bloodwork, ultrasound monitoring, and transfer but this does not include medications. Out of 3 fresh IVF cycle, we do have 3 frozen embryos that we will use if our next fresh fails. I know some women who get none or few to freeze and some who (rare) get a lot. We do pay a fee each quarter ($325) to keep them frozen. If you got yourself into the Shared Risk program, frozen embryo transfer’s ( FET’s)are included in some plans.

Some may say that its success is cut in half or a good percentage lower but that is certainly not true if you are at a good clinic. If fact, my clinic’s FET cycles are higher than their fresh cycle success! They have a 95% successful thaw rate. Clinics that freeze the embryo on day 3 usually will have a lower success rate. Most clinics will freeze the best embryos on day 5 or 6. These clinics tend to have much higher success rates. I have known women who only conceive with a FET. It is believed that this is because some bodies are just not ready because of all of the stimulating medications you have been on. There are natural FET’s where your cycle is followed and your lining is measured and close to transfer you can sometimes be on progesterone support in the form of injections or suppositories. With a medicated FET you are on other medications, just not nearly the same amount and not on any stimulating medications. The FET normally takes as long as a fresh cycle. You may do 1 month of BCP’s before your cycle month. You do have to have progesterone support (Do the injections if you have a choice) and estrogen support in the form of pills or patches. These medications trick your body into thinking it is pregnant so your body will respond to the embryos transferred back to you. Your lining needs to be nice and thick so those embies have a place to snuggle in. Some clinics are even use Lupron to suppress your natural “cycle” and keep your ovaries quiet.

I have heard that natural FET success rates are higher and at the same time have heard medicated FET cycle have higher success rates. My clinic has the highest FET success rates in the country and they do a medicated cycle, without lupron.

Here is a step-by-step guide for natural and hormone supported FET cycles
http://www.uthscsa.edu/stwhc/fertility/patinfo.asp#Anchor-Natural-43793

Let’s just hope your next cycle works and you won’t need to think about totcicles!!

George asks…

Is poor response to Natural LH possible?

We’re been trying to conceive for 9 months. Two months ago I started charting my temp. I also use ClearBlue Monitors (3 times a day) and the OV Watch. My cycles are perfect–28-30 days and ovulating day 13-14 with lutual 14-16 days long. The watch and the 3 monitors all state I ovulate on the same day but last month I never had a temp rise???
It took me three years of monitoring to conceive my son. a year prior, my fsh tested at 14 and I responsed poorly to the IVF cycle we did so it was cancelled. I took an Hcg shot (left over from cancelled IVF cycle) the day after my natural LH surge during the cycle I conceived him. Could my problem be that I’m responding poorly to my own LH and fail to release an egg? I can’t find any information regarding poor LH response (just fsh)?

Michelle answers:

I know of someone that went through almost the same thing. Good Luck!

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