People can be extremely judgmental when it comes to pregnancy and age! Judgmental if they think someone is too young and judgmental if they think someone is too old. I see patients of ALL ages. The youngest I've seen was 19 and the oldest in her early 50's! ((For legal and health reasons our office cut off is 55.))
Advanced maternal age is the real deal. These ladies have some obstacles to overcome. Not only is AMH at a steady decline, but we also have to retrieve those eggs and hope that they are viable! Due to the low percentage of having chromosomally normal embryos with advanced maternal age, we suggest PGS just to give these patients the best odds of becoming pregnant without wasting too much time ((Time is precious, yo.))
I had a 40 something patient come in a while ago. She had a child in her mid 30s naturally, but had since had trouble getting pregnant. She knew the odds weren't in her favor, but she decided to go through her first IVF cycle.
Stimulation went well, she actually had a decent amount of follicles for being in her 40's. The next hurdles were to get viable eggs, fertilization, biopsy and freeze, followed by a good PGS report!
Eggs - Check
Fertilization - Check
Biopsy & Freeze - Check
Waiting on that PGS report to come back and she had NORMAL embryos! Boy, was I happy for her. If y'all haven't picked up on it, I get a tremendous amount of joy from my job!
Her transfer came and she BLEW my phone up. I swear she called me everyday to talk about her symptoms, maybe a few times a day. She is HILARIOUS so I actually enjoyed her constant calling!
The dreaded two week wait came (we ran her level at 10 days post transfer because she just couldn't handle it, and neither could my phone line.) She was pregnant! Whoo hoo, another success story!
Her first scan went great! Her and her husband were overjoyed to see their little gestational sac looking all sorts of beautiful on the ultrasound monitor! I said my goodbyes and told her I would see her in a week!
Monday came and I saw her slowly mope in from the waiting room with tears running down her face. She told me over the weekend she had gone to the emergency room with bleeding and clotting.
**Side note: Alway call your RE first.. we have a 24 hour nurse on call for situations like this... you should check with your office to see if they offer that as well**
She didn't call us because she said she was too frantic. The ER didn't offer her an ultrasound, they only did blood work to check her HCG level (which didn't ease her nerves much.)
Although I was slightly nervous after hearing about the clotting; I told her just to keep the faith until we confirmed how things looked on the ultrasound. Remember spotting is common with IVF/FET. Not gonna lie, I do get more anxious when its bright red bleeding/clotting!
Thank ya JESUS, everything was fine, and can happily report everything has been great since!
She is such a ray of sunshine and I couldn't be happier for her to add another little baby sunshine to the world :)