Two years ago, at age 33, I consulted with an RE and found I had an FSH of 13.7. At the time, the doctor said that this was reflective of the number of eggs I had, but that their quality was related to my age. Since I was relatively young, the eggs I did have had a decent chance of being good ones. Still, he gave me a 20% chance of success with IVF. We did the IVF, as you know, and we got the sweetest, happiest baby you ever did meet. A perfect happy ending.
A few months after she was born, I emailed the RE with a question that had been nagging. I understood why my high FSH made me a poor responder to IVF, but since I was ovulating regularly, why, exactly, was I unable to get pregnant on my own?
His response:
quality is best reflected by your age, but usually some element of egg quality impairment will accompany early egg quantity depletion. Normal ovarian quality age 33: one egg out of 4 is normal. Diminished quality age 33 (your scenario): one egg out of 10 is normal. If you make more eggs per month with IVF your chance for that month is higher.
I was bothered by that response, because it so clearly contradicted what he had told me the year before. But I let it go because what was the point in trying to pin him down on that. I got my baby, and it’s not like he was going to admit to the contradiction.
Fast forward to last Friday, when I went to see my mom’s OB/GYN at a prestigious hospital. I figured I was heading for early menopause and wanted to understand the implications. He was, shall we say, skeptical of REs. He felt that it was very likely that if I had kept trying the old-fashioned way, I would eventually have gotten pregnant. I couldn’t disagree with that. I thought as I left that I bet he was right. I was ovulating, after all. It might have taken years, but I figured eventually one might have worked.
He ran some blood tests and I got the results back today. Are you ready? My FSH was 9.4 and my Estradiol was 160. I am nowhere near menopause. My hormones are exactly where they should be for this age. The physician’s assistant concluded by saying, “So Dr. B prescribed some birth control pills. I suggest you start taking them.”
I just… I don’t know. I don’t know what to think. Is there any chance I was scammed by the RE? Or that there was a mistake with my lab work? But I *saw* the ultrasound with the low antral follicle count. I *took* the highest dosage of the stims drugs and got only the five eggs.
Or is it just one of those things? Hormones fluctuate. Everyone was acting in good faith.
Does it matter? I only did IVF one time, invested very little of my own money, went through relatively little emotional angst, and got the absolute cutest baby out of it. And now there is not even any evidence that I am headed for early menopause, family history aside.
I know, really, it doesn’t matter. But it’s somehow jarring nonetheless.