Hellobee Boards

@CatchAFallingStar: they didn’t test for them or she just doesn’t know if they tested/what the results were? My first go round I didn’t even know what AMH or FSH were so I couldn’t have told you if it was tested or what the results were.

And when you say only 1/16 is good, what does that mean? Only one was mature? Only 1 fertilized? Only 1 embryo made it to day 5? Or do you mean she only had one good embryo and she had them PGD tested?

Just trying to get a better picture.

One thing I’ve learned is that reproductive endocrinology is not as cut and dry as some of the other disciplines of medicine. My Clinic is one of the best in the country and my case the 2nd time still threw them for many loops. It’s a lot of trial and error and test scores don’t always mean exactly what we would interpret them to mean (think of how many women just here on HB have been told that their AMH was too low to conceive and then they went on to get pregnant naturally).

Unless they flat out did not test for those things (which I have a hard time believing unless it’s a really low rated clinic) I wouldn’t jump to the conclusion that they did something wrong.
If they didn’t test for those though, I’d be finding a new clinic immediately. That would be unacceptable.

If indeed they never did the day 3 tests I think that would be highly unusual and I would find a different clinic.

Wow, I can't believe they didn't do any AMH testing. It typically goes hand in hand with the FSH test. Unfortunately, those tests only really tell her what her egg reserve might be and not really egg quality. From what I know, I don't even think there is such a test (egg quality). They can only really tell that through trial and error and how fertilization rates are, how they mature, etc.

I guess I would recommend a few things. If she hasn't already, I'd tell her to start on Ubiquonol to improve egg quality for the off chance that she decides to do another cycle. It doesn't hurt to have her hubby start it as well to improve their chances. She also might want to have her DHEA tested, if she hasn't already, as if that is off, it can effect egg quality. It's an easy vitamin to take, but only if you really need it.

Have her look into some podcast episodes on Beat Infertility. I know that there are some on egg quality and it might give her ideas of questions to ask.

This totally sucks for her. I wonder if she stimmed too fast and/or has PCOS. That is a high egg retrieval number with low quality results and I've heard of that being common with those with PCOS. If she stimmed too quickly, the eggs wouldn't have been mature enough to form to their best possible and could lead to lower results. Just a few ideas.

Do you know what her FSH number is (you said that she does have that)?

I’ll echo the others and say that I don’t believe that there is a test for egg “quality” - quantity/ ovarian reserves, yes. I’m sorry for your friend - I know it’s overwhelming.