Go against DR's advice? Or not? - Infertility Message Board

NavyWifeUSSGW · 05-24-2003, 10:30 AM

Today is cd 13. I went in for an u/s and blood work this morning. I have 1 foll. @17, 4 @ 16, 4 @ 15, 12 @ 12-14, and some smaller ones. The doctor who was doing the u/s left the room to get another dr to look at my ovaries; they were both very suprised at the amount of eggs. They talked to me about selective reduction and multiples. They told me to wait to talk to another dr before I left. The third dr. is said to be one of the best RE's there is. This dr told me that I have the highest risk he's ever seen at quadruplets or higher. He said that it is his medical advice to not continue this cycle.

I mentioned to him that I only have one more try before DH is out of the country and that my chances of conceiving even one were lowered by scar tissue from C sect, endo, and hostile cm due to cone biopsy. He agreed with that; but still said the chances were just that chances, and he didn't recommend going through with this cycle.

I told him that I respect his opinion and that if I were having IUI I would agree with him; but I wanted to try this cycle with timed intercourse. So he gave me a prescription of HCG to take tomorrow night. And had me sign papers saying that this is against his advice.

Now I am wondering if maybe I should listen to him or not? Am I letting my desire for another child get ahead of my own health and safety? If I were to conceive 4 or more- I would have selective reduction; not because I want to, but because I have to make sure I am not putting myself at risk; because I have a four year old to raise. With selective reduction, there is an increased risk of miscarriage with the remaining fetus(es). Also with selective reduction, I would have to consider how it would effect me to give someone permission to kill some of my children.

Please give me some opinions, I am going crazy with the what ifs. Thank you for your help.

Mommawannabe- stop with the follie dance-they're definitely growing

mommawannabee · 05-24-2003, 10:47 AM

Alisa -

I've stopped follie dance.

WOW. That is a tough call - that is so up to you though. If I were you, I would probably go for it, especially if DH is leaving the country in a few. We hear about women giving birth safely to happy and healthy babies that are not singletons ALL the time. But there is that chance and it would probably kill you if you had to make some selective decisions if you're put in that situation.

What does DH think about all of this? I think you need to sit down with him and talk to him about this.

Colleywobbles24 · 05-24-2003, 01:52 PM

Alisa

I have been in your shoes, we had 10 mature follicles our first cycle but were doing timed intercourse. My RE never advised me against doing the cycle because I have PCOS and he told me that women with PCO tend to have poor egg quality. We tried the timed intercourse and it did fail, one of the reasons being that the large amount of follicles swelled up my ovaries and therefore tilted my uterus making it almost impossible for the swimmers to get in. Our second cycle we did an IUI with around 8 mature follicles and I got pregnant with twins. I think you take a chance no matter what you do, DH and I knew the risks of possibly getting pregnant with multiples and we were mentally prepared to do what needed to be done to ensure a healthy pregnancy. I think only you and DH can make this decision as you are the ones who will have to make that choice should you get pregnant with multiples. I wish you the very best of luck, I personally would just go for it but I have a tendancy to do things out on a limb that may not always be the best decision for me.

Good Luck and let us know what you decide
Amanda
10 weeks with Twins

Boundi · 05-24-2003, 02:29 PM

I am like momma. I would go for it to. How afriad of multiples are you? What will you do if you have 4? Ask yourself those questions before you decide.

tmerone · 05-24-2003, 02:38 PM

Very hard decision there. I believe things happen for a reason and sometimes we just have to listen to our hearts. Here you have been presented with a wonderful amount of eggs (God, I wish I could have had even a third of them) and your DH is leaving soon. I would almost take it as a sign. My friend had invitro and ended up with triplets. They only wanted one. She went into NY to see a specialist and he laid all the facts on the line about reduction and its pros and cons. He made her feel very comfortable about her decision. Obviously you will make the final decision. At least you know that you WILL get preg. and it will be the end of this ttc rollercoaster. I never thought I would say this but I am jealous of your eggs!! LOL!! Just pray for the answer and know that whatever happens you will be ready. I wish you all the luck in the world. Congrats on those eggs!!!!!!!!!! Damn, I am envious of eggs.....what the heck........not your shoes, or your car but your damn eggs. (just trying to add a little humor in this difficult time)