I'm with an NHS clinic but self funding and although they've been lovely, the pre treatment really has been quite 'casual' in terms of getting up to date tests on ovarian reserve etc to make a tailored plan. Just had 1st icsi (low sperm count) but I got bumped from 225 to 450 menopur for 5 days. Got 10 eggs. 5 fertilised. By day 2 they were top quality. Day 5 we got two blasts b's and c's (can't remember exact grade). Bfn.
Because our clinic is NHS the waiting times are massive. It will be 3 months for a follow up review and another 3 months before we could start again, but it is much much cheaper with free tests, scans, consultations.
Reading between the lines I'm wondering if my ovarian reserve has dropped given how much stimulation it took. And I'm thinking a) should we pay to get an AMH test (or would that make no difference to the end outcome of more icsi anyway). And b) should we change clinic to get next cycle underway sooner given possible low reserve? I know things decline from 37, which is my age now, if we waited with NHS I'm gonna be nearer to 38 it would be another 7 months away I guess.