What do you think?

[miky72]

I need your help ladies!
As you know we went through an IVF in January 2007 that ended in ectopic and a natural frozen cycle in October that was BFN.
Now I find myself in fron of a decision ...we want to go ahead and try a new IVF cycle but I'm not sure I want to stay at the clinic I am now.
I live in NYC and the clinic where I go has a really good name and very good statistics BUT no doctor /patient realtion..they have soooo many cycle every year (more than 1500) that basically we only talk to nurses and this is bothering me a lot lately.Even when we called asking to talk to my doctor I got a call back from a nurse...very nice but this is not completely right (I think).
Also I think they did not pay too much attention to this natural cycle...I ovulated late and they did nothing (they could have give mehte HCG shot) so I finally get to the transfer da on da 26 of the cycle and I think this is why this cycle was a failure..
On the other side I met a great Doctor a woman who is so caring and so attentive.She gave me a second opinion when I had the persisten ectopic and she called me personally every week to see how I was doing..BUT her clinic statistics are not so good (even though she told me that hers personally are as good as the other clinic...).
I do not know what to do?what would you do ?????
Help!!!!!
Thank you and sorry for the long post ;)
Miky

[ms320]

Good luck to you too. I'll keep my fingers crossed

Mary

[miky72]

RMA and Cornell are the biggest programs in town with Cornell even bigger.
I read that they do more than 2200 cycles a year..but they both have very good success rates..
I thought about switching to Cornell and Dr Rosenwaks but I guess I will have exactly the same problems that at RMA since they are so big...
I guess if we want a baby we have to put up with this...
I wish you best of luck and keep me posted!
Miky

[ms320]

Hi Miky
I am going for IVF#1 at CRMI - Cornell.  My friend actually switched from CRMI-Cornell to RMA.  My experience, as I said, has been mostly positive, but they are very busy.  Both my own RE and the RE covering for her while she has been out on maternity leave have returned phone calls when I left a message.  My REs secretary is a little annoying, but ther is no choice other than to put up with her.  I am trying the old kill her with kindness thing, we'll see where that gets me.  

Mary

[miky72]

Hello Mary!
I go to RMA they have very good success rates but they work as a factory..Imagine that yesterday morning they saw 150 patient for monitoring....
So its difficult to get a personal touch..Where are you going?is this you IVF #1?
Let me know,
Miky

[miky72]

Hannah,
this is sooo exciting.I guess to feel the baby inside you has to be the most wonderful experience!!!(I've never be pregnant so everything is going to be new for me too..I hope!)
Jacob is a beautiful name (my favorite are Eli,Jacob and Benjamin..pretty traditional!)

For what regards myself yes I'm starting a new IVF cycle..The nurse told me that usually they want you to take a break and at that point I snapped and I told her that I think I took a long enough break and since the FET cycle was natura with no meds I wanted to start again ASAP.
The thing is all my tests were expired since the last fresh cycle was almost a year ago so I went yesterday and they took tons of blood and did a pap and if everything is ok I will be able to buy the meds and start at the end of this month.Soooo as usual a lot can still go wrong but I'm hoping for the best.
Big hugs to you and little Jacob,
Miky

[ms320]

I also live in NYC and have been seeing a RE. I would be interested in knowing which place you are going to.  I am actaully fairly happy with my experience thus far (with the exception that my RE is now out on maternity leave -  which stings a little)  A friend of mine went to the same clinic as I do for her first 2 IVF cycles - which were not successful.  She then switched over to another place and the third time worked.  Maybe just a coincidence.  My insurance covers my current clinic at 100%, so I feel obligated to give them a try, but if it doesn't work, I may just pay out of pocket.

Mary

[Tanker Chic]

hey miky..

No problem.. I'm really glad that I can help.  I wish bfp for all the ladies on here, but there are a few of you who I especially wish/hope/pray for success. And you are one of them.  

I'm doing really good.  I go to bed really early these days and just within the last couple of weeks I have started to get really grouchy and emotional.  But other than that.. things couldn't be better.  I really can't complain. It has been a pretty easy pg. Really smooth.  All the prenatal screenings have come back really good.  I got another u/s a couple of weeks ago. He is beautiful!! I feel him moving around all the time now.  That is by far, my favorite part. We many change our minds, but right now his name is Jacob Nolan.  Do you have any children already?  This is a first for me, so there are so many unknowns.  I'm going to take the birthing class and I'm hoping that will clear a lot of mystery.  I'm gonna try and go natural but you never know how it is going to turn out.  We'll see :o)

I think you are making a good decision sticking with the clinic for another round.  You know what to expect with this place and you've had some success with them.  So since you are already on bc pills does that mean you are going right into another ivf cycle?  If so, that is really great.  You've waited so long.. why wait any longer than you have too!!  

[miky72]

Hannah,
thank you for always be here when I need it.
I really appreciate it.
I think what I'm going to do is to stick with him this cycle.I already started the birth control pill and I had a nice talk with him today (even though he told me that he would blame the embryos..hmmm but the RE who performed the transfer said they were high quality..)anyhow he basically told me that for him FET are not even real cycles (can you belive it???????) and they are only a "bonus " you get from a fresh cycle....
I'll see how it goes,he told me he will give me less meds this time since last time I produced way too much eggs (35).
I really believe this cycle will work but if for any reason it will not I think I will switch doctor.
Give me news of your little boy!
Miky

[Tanker Chic]

I don't know.. that is a tough one.  On one hand you did get bfp the first time even tho it was ectopic, so it would be temping to stick with it.. on the other hand, if you feel like they messed up your last cycle, it kinda cancels out whatever credit they got for the first bfp.

Personally... I hated my RE but I knew he was the best in town and according to his bio he was the first in my area to do IVF and other advanced fertility treatments.  He was extremely difficult to talk to and if I asked questions or pointed something out to him, he got very defensive and argumentative. But when I called he usually called me back and all of my appoiontments were with him (few exceptions maybe).

Is the success rate much different?  If it is much different you might wanna stay with the place you are at.. Even if you are dealing with the nurses mostly.  If the nurses are getting great success numbers does it really matter??  

I think you have to go with your gut feeling on this one and not look back.  Good luck Miky!!