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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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41 Yrs. TTC. History Of Having A Child When 24 Followed By Miscarriage, Failed IUI, IVF. Suggested Donor Egg Due To Poor Egg Quality. Guide

Hi - i am 41, i had my child at the age of 24, and no children thereafter. we are planning for a child desparately now, but my gyna says my egg quality is poor, one miscarriage happened, one IUI failed, one IVF failed. doctors are saying i should go for donor egg, i am not in favor of this. my DH is health, he is 42, his sperm is perfectly fine. what should we do?



SS
Sat, 9 Nov 2013
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OBGYN,  's  Response
Hello SS
Thanks for writing to us with your health query.
You should have testing of ovarian reserve.
This is tested by measurement of a hormone called AMH ( anti Mullerian Hormone ).
It is also measured by AFC ( antral follicular count ) - counting number of antral follicles on ultrasound on day 2 of your cycle.
Also, your capacity to produce good quality eggs can be judged easily by your response to the stimulation injections given for IUI and IVF.
If your doctors have opined that your ovarian reserve is poor, you have to accept that.
Supplements like DHEA might slightly improve this, but it is not proven conclusively.
Yes, the answer for you is egg donation / adoption.
Of course, the alternative is following your heart and going for more costly attempts at IVF knowing fully well that the odds are in favour of failure, not success.
Hard as it is to arrive to terms with this, the earlier you do, the better.
Take care.
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41 Yrs. TTC. History Of Having A Child When 24 Followed By Miscarriage, Failed IUI, IVF. Suggested Donor Egg Due To Poor Egg Quality. Guide

Hello SS Thanks for writing to us with your health query. You should have testing of ovarian reserve. This is tested by measurement of a hormone called AMH ( anti Mullerian Hormone ). It is also measured by AFC ( antral follicular count ) - counting number of antral follicles on ultrasound on day 2 of your cycle. Also, your capacity to produce good quality eggs can be judged easily by your response to the stimulation injections given for IUI and IVF. If your doctors have opined that your ovarian reserve is poor, you have to accept that. Supplements like DHEA might slightly improve this, but it is not proven conclusively. Yes, the answer for you is egg donation / adoption. Of course, the alternative is following your heart and going for more costly attempts at IVF knowing fully well that the odds are in favour of failure, not success. Hard as it is to arrive to terms with this, the earlier you do, the better. Take care.