[Freed]

Folks, I could really use some advice.

I had a miscarriage in Feb 2011 and have not been able to get pregnant since then. We tried Clomid for three months, and then we tried Clomid alternative with shots, and now we are in our first month of solely shots.

Everything was going fine, but then I went to the doctor today and I have four potential eggs that could all release at the same time. The doctor wants to cancel this cycle, and prescribed me Provera. I was not going to do IUI this cycle anyway because our insurance will not cover anything afterwards so we were just going to time intercourse.

I don't know why, but there's a part of me that wants to just ignore the doctor's advice and try. She's concerned that there is a 5% risk of all four getting fertilized and implanted. Of course, I'm thinking that the risks are low (in my mind) that we should just go for it. I mean, 5% seems so low! And I have had no luck in the past year of getting pregnant.

Or, should I just go with the doctor's advice? Take Provera, then I have to take BC for 2 weeks, then wait for my period....that will be the end of February.

We have to decide immediately as I will be ovulating very soon.

Please don't R&R. I've already asked the doctor a million questions, and would love some advice from out there.

[KMH]

I know this isn't what you want to hear, but this is a really personal decision that only you and DH can make, and you both need to be 100% behind whatever you decide.

Personally, my DH and I chose to skip injectable meds because we didn't want to be put in this situation. If you end up with triplets or more, there are no good choices. Carrying all of the babies is enormously risky, but the other option is selective reduction...we absolutely did not want to face those decisions, so we went to IVF where we had more control of the situation. Had we been in your shoes, we would have taken the dr.'s advice...just too risky to try.

That is just my 2 cents, though, and the answer isn't the same for everyone. GOod luck.

[mojo-risin]

I agree with KMH. Ultimately, the decision is 100% up to you and DH. You have to ask yourself if you are comfortable with ALL possible outcomes. I would put your chances of high order multiples at much less than 5% though. Twins? Very probable.

[nina9809]

I would not take the doctor's advice. I would just keep trying. It is very unlikely that all four will fertilize. If you don't try you have no chance at all this cycle!

[kayakr]

That is a hard decision make sure you and DH both agree. You are a team.

However, we would proceed. I just had 4 eggs too from a medicated cycle and two IUI in a row and still a BFN this after ttc for a year. So I understand where you are coming from.

Now with that said. Are you sure it's cause you have 4 eggs or because your ovaries are too swollen? If it's just the eggs I would proceed. If you are at risk though for over stimulation than maybe that is why your dr. wants you to stop and get on the other meds and BCP to calm your ovaries. To me it sounds like you need claification.

It does stink to spend money on a cycle to have it cancelled.

Good luck making your decision.

[*JenJen*]

This ultimately can only be decided between you and your husband.

Personally, 4 follicles is the maximum number my RE will allow a patient to do an IUI or TI cycle with, and I've cycled with that number before. However, I do have PCOS and have never had a successful pregnancy, even on a cycle when my old RE allowed my to cycle with 8 follicles(I could kick myself now, I knew nothing about the risks back then).
We're not comfortable with cycling with more than 3 follicles, and will not do injects because of this. If oral meds do not work, eventually we'll move on to IVF because quads is not an option for us.

Good luck making this decision.

[LilHerndon]

Just make sure you have all the facts and you and your DH are both on the same page before you decide anything. I personally would probably cycle with 4 in your shoes (in my shoes I'd cycle with up to 6 seeing as only one side can get fertilized and I doubt they'd all be over there). Good luck, and whatever decision you make is the right one.

[joanna26]

Hmm it is tough to give much input without knowing all of your history. Are you dealing with MIF? I went through with a medicated IUI cycle with 5 possibles before we triggered and 4 eggs actually released. BUT in our circumstances I knew the odds were low that all 4 reached where they needed to be (I have a potentially blocked tube) and that we got even one viable pg out of the batch (and we actually got none). We are dealing with severe MIF.

[KMH]

any updates?