Surgery then IVF?

[Endowarrior36]

Following 0 embryos fertilised from 7 eggs a few weeks ago, we are drawing up pros and cons to having surgery and then doing another round of stims.

Our consultant thinks that we had 0 fertilised due to my endometriosis impacting egg quality. I need to get my fallopian tubes removed due to hydrosalpinx in both tubes. Has anyone ever had their tubes removed and then went on to do IVF stims? My fear is that after surgery my already low AMH will be lower but I'm hoping they manage to remove some endometriosis during surgery too so that could be a good thing?

[HelzBelzUK]

I would say you possibly had none fertilised because of their poor protocol and not necessarily poor egg quality. It’s just easier for clinics to blame egg quality!

I have endo and my first cycle (before surgery) I got 19 eggs. My friend has stage 4 endo and mild pcos. She has had no surgery and ended up with 11 blasts from 26 eggs and she’s due in 6 weeks x

My first clinic thought I had a hydrosalpinx but when I had the lap they found endo.. tubes were fine. I speak to a girl from clinic.. she’s had both her tubes out and still got a euploid on her last stim cycle x Maybe just start taking some egg boosting supplements.. can’t hurt just incase your egg quality has been impacted xx Good luck xx

[Endowarrior36 in reply to HelzBelzUK]

Thank you so much for your reply HelzBelzUK. The only thing different with this protocol compared to my last was the Meriofert was 150 instead of 75. It's just so difficult to know. I want another round before surgery but if my egg quality is so poor because of the endo then maybe I should wait until after surgery. Then I worry about the risks with surgery - it's just difficult to know.

The hydrosalpinx was seen on an MRI and they've seen it in pretty much every ultra sound.

Those are great results from you and thats great news about your friend. Did you take anything for egg quality?

[Rubes2025 in reply to Endowarrior36]

Meriofert was terrible for my eggs, poor fertilisation even with icsi - I’d try another protocol

[Endowarrior36 in reply to Rubes2025]

Oh really Rubes2025? Do you have endometriosis? What did you use instead of Meriofert? I was on Gonal F 150 and Meriofert 150 in this round.

[Rubes2025 in reply to Endowarrior36]

I don’t have any diagnosed endo but something is affecting my egg quality (could be my age) but Meriofert fried my eggs, I’m due to try pergoveris this has a 2:1 ratio, sometimes you need to try different protocols & see what works for you and see a ivf endo specialist

[Endowarrior36 in reply to Rubes2025]

That's really interesting. What do you mean by pergoveris having a 2:1 ratio? I wish you the best of luck with it all xx

[Rubes2025 in reply to Endowarrior36]

Meriofert is a 1:1 so equal amounts of LH and FSH but if you had gonal too this is an FSH so you may have been on a different ratio…pergoveris isn’t a 1:1 ratio, apparently the old you are the less LH you need (so I’ve read)…best of luck to you too xx

[Endowarrior36 in reply to Rubes2025]

Thank you very much for explaining that Rubes2025 xx

[HelzBelzUK in reply to Endowarrior36]

Yeah I understand you’re worrying about surgery but they’ll do it laparoscopically i’m assuming which is much better than open surgery. You’ll be home the same day.

What does your IVF Dr want you to do re: surgery vs another cycle??

Yeah I take ovum time to conceive, extra vitamin e and c, I take a total of 600mg ubiquinol, tru niagen, pro biotic. I started taking acai berry tablets but they bloated me too much so now I just mix the powder in with a yoghurt and have that once a week xx

[Endowarrior36 in reply to HelzBelzUK]

Our IVF doctor wants us to PGTA test our 3 frozen embryos that we got from our cycle in October. I am really scared but I see the logic in it too.

I just worry about my amh decreasing from the laparoscopy too.

I haven't heard of Ovum time to conceive but I will look it up. What brand of coq10 are you taking? What probiotic are you taking? I must look up tru niagen too. Sorry for all the questions!xx

[HelzBelzUK in reply to Endowarrior36]

Thawing embryos that have already been frozen, taking a biopsy, re thawing them and then possibly defrosting them for transfer puts the embryo under an extreme amount of stress. I’m really suprised he/she has suggested that x

My AMH dropped a little but I had a few cysts so that’s why.

I take invivo bio.me femme v. Ovum has 200mg coq10 so I take an extra 400mg ubiquinol from natures best. They only come in 100mg capsules so I just split them.. 2 tablets in the morning.. one at lunch and one at bed.

[Endowarrior36 in reply to HelzBelzUK]

Did you have your fallopian tubes removed?

Yes I have asked so many times about this but he feels quite strongly that by pgta testing them it gives us more information on the embryos and we know what we are dealing with. It is so difficult to know whether to go with my heart or my head.

Thank you for the info on your supplements. It's really useful to know xxx

[HelzBelzUK in reply to Endowarrior36]

You’re welcome xx

No my tubes were fine which was good. The Dr suspected hydrosalpinx but it was cysts x Good luck moving forward

[Endowarrior36 in reply to HelzBelzUK]

Thank you so much for your advice xxx

[Endofitall]

my understanding is that surgery will not reverse these changes to ovaries/eggs sadly. I wish I’d waited until I’d done embryo banking to do surgery before transfers. But I was so symptomatic and missing work I couldn’t hold off. Now though, my endo is starting to flare after exposure to two more IVF cycles. I was essentially symptom free post op. And now after the two lots of stims symptoms are creeping back. Dread what 2-3 more banking cycles will do to me. So now the worry if endo will be very active again when come to transfers later.

As I’ve said before I agree LH was bad for my eggs and fried them. High FSH been much better.

I take ovum time to conceive too (has all the it starts with the egg recommended in there), added fish oil and vit D (bare biology) and added q10/ubiquinol and vitamin E.