I'm almost 45

Plumber43

0 Posts
Reply I'm almost 45 Posted on: Apr 3, 2011 at 1:13pm
Dear Dr Braverman,
I'm 44, I had a TL 15 years ago, at 43 did ivf, made 18 eggs, 11 fertilized, 3 transferred, bfn. 7 frozen, I had my FET, 1 survived, bfn...I had a tubal reversal in September, 3 iui's bfn, had hsg, all opened. Someone mentioned that I should contact you, but maybe it's just because I'm 44!? My fsh is 7.0 and my AMH is 5.6. I have at least 7 follies with iui. My husbands sperm was 2 million with 1st iui, by 3rd it was 33 mil. He's taking good care of himself. Is it just a matter of keep trying until I get that "good" egg? Or something else?
Thank you.
Melanie

Dr. Braverman

2026 Posts
Re: I'm almost 45 Posted on: Apr 3, 2011 at 6:55pm
High AMH and many eggs with stim at least PCOS must be ruled out as can also affect egg quality and success with IVF or IUI.. Tubal reversals sometimes work many times do not. I think at this stage you need to continue with IVF as the time you have is limited. But nice FSH and AMH certianly means you have a chance. I would be happy to guide you in the workup and treatment of the other issues.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Plumber43

0 Posts
Reply Re: I'm almost 45 Posted on: Apr 3, 2011 at 10:02pm
Thank you for answering my question, I'm not sure I understand the "pcos". I was told that I do not have it and that I am fertile except for egg quality due to my age. Can I have pcos? I weigh 140 lbs, ovulate regularly, make many eggs. I had my TR due to the fact that we can't afford ivf anymore, one of my friends said that maybe it's something else, but what else could it be but just my age?
Thanks again
Melanie

Dr. Braverman

2026 Posts
Re: I'm almost 45 Posted on: Apr 4, 2011 at 1:25am
Most cases of PCO are not of the "classic" variety . We see all variations including those women who ovulate regularly and are not heavy. you should still do the routine testing for PCOS to be sure it is not an added reason for you egg quality issues, although I agree age is still the most likely.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.