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Dr. Owen Davis at Cornell (most all of the Cornell doctors are amazing, but I felt Dr. Davis was truly extraordinary).
[ Reply | More ]ITA he has "the touch" i got pregnant naturally after going to see him, after being told by another re that i would NEVER get pregnant, not even thru ivf.
[ Reply | More ]I read your post concerning Davis and helping you get preg. Could you email me at ally26@aol.com so I could ask you some q's? I 've also seen him once.
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i had spandorfer and would not recommend and cannot speak for all the docs at cornell but it's like cattle going through the clinic. i felt like just a number. he doesn't explain anything to me and if i ask a question, he gets defensive and doesn't explain anything except to say "it's your age! old eggs". note: i just tried iui a few times and unsuccessfully, not ivf yet and not likely with him. there were visits when he didn't even say "hi, how r u". finally, i should have known something was not right when he gave me a breast exam at my first appt. how does that relate to infertility??? moving on...
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I've worked with RMA (Sinai), Roosevelt and Columbia. Columbia was HANDS DOWN the best.
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Group associated with Mt. Sinai. I know a number of people who've gotten pregnant with them, and as of last year, their numbers were even better than Cornell's...
[ Reply | More ]Reproductive Medical Associates. Mt. Sinai. Very good, bit of a factory feel, but all of them are. I see Alan Copperman, who I really love to the point of crush hood. We've done 4 cycles with them, one ds, one mc, one blank. I'm 40 and will be giving them one more try. Have thought about switching to Cornell, but not sure it's worth it or would make a lick of difference.
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Really? I thought Columbia was disorganized. I liked the doctors but the support staff seemed clueless. I would not have gone there except that they take my insurance. For someone who is self-funding (ie not insurance) I would recommend Cornell or NYU.
[ Reply | More ]Anyone knows the best stats of RMA,Columbia,Cornell/NYU? I met terrable staff at Columbia..(doctors seem nice,though)Or anyone knows the best Dr at columbia?I wonder if I should continue at Columbia...
[ Reply | More ]www.sart.org. This gives all stats. But beware. The better clinincs (cornell&nyu but especially cornell) success rates tend to be understated because they get and take the tougher cases- women who due to their multiple failures elsewhere have lower odds of getting pregnant. Some of the clinics with really high success rates screen out patients early on to avoid a drop in their success rates.
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Steven Spandorfer Cornell. Agree 100% with above poster. I went to him to get pg w #1 and #2. Not only is he one of the top fertility drs he has an amazing bedside manner. He is easy to talk to and you can tell he really cares. My dh and I both felt so comfortable with him. I can not speak highly enough about him.
[ Reply | More ]I went to a RSofNY in Brooklyn and they have screwed up my system. I was incredibly regular, a 28 day cycle and ovulated always on the 12th day. It has now been 40 days since my last period and I've called the office numerous time to ask what I should do, no reply. I have appointments at the following, Dr Chung at Cornell - Dr Grundfeld at RMA and Dr Park at Columbia. Can anyone tell me if they have any experience with any of these doctors? It's not just trying to get pregnant, it's also the stress of finding the right doctor and receiving the best care - ugh
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[-]Me and my husband just moved to NYC. I'm 36 and we've been TTC for two years now. Can anyone recommend a fertility clinic/doctor? TIA.
19 replies [ Reply | Watch | MoreSIRM, NYU, Cornell all highly regarded. Be prepared to sit in the waiting rooms for long periods of time. Bring books. Good luck! I have 2 DCs from Columbia, but I DO NOT recommend them (although they do take lots of insurance). Big factory.
[ Reply | More ]Cornell - best in city and arguably country. Which RE depends on what your issues are. Davis is amazing - known for high fsh/poor responders/older women. Chung or Spandorfer great bets too. I'm sure others will chime in.
[ Reply | More ]I definitely recommend Dr. Davis. He is a world-class physician. I am a physician myself plus have been to another RE before, have researched this subject like crazy as well. But the bottom line is CHOOSE CORNELL. In this process, you don't just need the best doctor, but also the BEST EMBRYOLOGY LAB, BEST TECHNOLOGY. There might be good docs in the suburbs, but their facilities (which are key in the process of IVF) are not up to par. I did not find the wait time at Cornell to ne long. They are very organized.
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i have 2 dcs - one from cornell and one from rma (spandorfer and copperman respectively) lab is probably a bit better at cornell. both places are really crowded and you should be prepared for long waits, but obviously well worth it!
[ Reply | More ]I used Dr. Rosenwaks at Cornell. He's amazing, and the center is really great. After our first DC was born, we moved to Brooklyn. For 2nd DC, we used Dr. Grazi in Bay Ridge -- AMAZING! Highly recommended! He's the nicest guy, in addition to being very very competent.
[ Reply | More ]I am doing to RMA on Madison Ave and 60th st. I am seeing Dr Ruman, about to start IVF meds so not sure how great outcome will be, two failed IUIs..
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Go to DR Jane Ruman at RMA. They take oxford and not sure what else.. Out of pocket I am paying $2000, including Meds.
[ Reply | More ]What does the $2k get you? Are you out of network or is that your deductible? I'm also at RMA, trying to work out all the costs...
[ Reply | More ]My insurance covers the procedure and ISCI.( $10,000 is max they cover) I have Oxford. $2000 is only some drugs and anesthesia($750) .. A friend gave me one gonal pen and menapure so that saved me 1,000.
[ Reply | More ]RMA also accepts United Health Care (which is not surprising because UHC owns Oxford)-and possibly others. Interestingly, they also accept some of the NYC "blue collar" union insurance plans, so there is sometimes an interesting mix in the waiting room (particularly because RMA is affiliated with Mt Sinai). Regardless of which clinic you use, one way to cut down on costs is to ensure your pharmacy is "in-network." Many of the clinics recommend various special mail-order pharmacies, etc., but most "name-brand" pharmacies carry much/all of the needed drugs (CVS, etc.), which also means you have a live person to talk to at your local pharmacy.
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I see Dr. Flisser at RMA and have been extremely happy with him, and all the staff there, from the nurses to the staff at reception. I've did a bunch of IUIs and now am doing IVF. After my IVF retrieval I got very sick (hyperstimulated) and they all took excellent care of me. Wishing you the best of luck.
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[-]How many rounds would you do at an IVF clinic before switching? My first IVF at RMA failed, and now I'm doing a frozen IVF cycle. (Does that count as 1 round or 2?). All the major clinics are closed over Christmas/New Years. I got a consult with Cornell for early January. Should I stay with RMA for a second fresh cycle and whatever frozen come from that, or go straight to cycling at Cornell. I really don't want to repeat tests and delay the process at all as I'm old. And I did send all my medical records over to Cornell. Thanks for any advice. I'm totally stressed about all of this.
9 replies [ Reply | Watch | MoreTry not to get frustrated after just one try. Couple things: 1) frozen is very low success rate. So you can't necessarily blame RMA if it doesn't work. 2)Most people who try both RMA and Cornell don't think they are *so* different. 3) At any clinic, it can take a while for them to get the right combo that works and you already started with RMA so they are 'in' the case already. 4) finally, I met someone with major issues who had tried three places and felt the only reason to switch was good to mix things up after a while if not getting results. Bottom line though, give each place 4ish tries before switching. Good Luck!!
[ Reply | More ]OP: Thanks for the advice. I'll keep my consult at Cornell, but keep cycling at RMA. I have a sneaking suspicion that Cornell is going to want me to redo some of the preliminary tests as they were done months ago, and I don't want to lose time. I figure by the time I'm up and running at Cornell, I'll have completed at least 2 fresh and a frozen.
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Would you consider ccrm, in colorado? On rec of an ivf vet and the connections web site I set up a phone consult. They don't need all official records, I just filled out a questionnaire, sent it in and had a 15min call. I ended up going out there (from Chicago). They have very good success rate.
[ Reply | More ]But how long did you stay there-- two weeks, a full month. Do they have arrangement options of places to stay while in treatment?
[ Reply | More ]This is absurd, NYC has fertility clinics on-par with anyplace in the US, no need to add the stress of traveling to an IVF cycle. OP, I had a failed cycle at RMA (my insurance covered 1 try and RMA took my plan). After that we had to pay out-of-pocket anyway and mentally I needed a fresh start (I had done many IUI cycles plus the IVF, plus one FET at RMA). I went to NYU and had success with my first fresh cycle (twins born in 2003) and my first FET cycle (singleton born 2005). Highly recommend NYU. Good Luck with your FET!
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[-]Hi, just had my first ivf bfp! First beta on 13dpo was 225. Anyone have experience with betas? Does that sound like multiples? We implanted 3. Thanks!
4 replies [ Reply | Watch | MoreCongrats! That's a strong number, but too early to say whether it's multiples. Are you hoping for twins?
[ Reply | More ]My beta was 140 8dp5dt and I'm pregnant with one. You never know! Check betabase.com. Congratulations !
[ Reply | More ]np: The site you want is http://www.betabase.info/
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[-]Someone tell me what's going on...I had a BFP on Sunday a.m., but started (very light) spotting on Sunday night. Every test since then has been neg. No period yet, though. Is this probably a chemical pregnancy? I have an appt. to get a blood test at gyn on Fri. TIA
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[-]I'm hoping to start IVF in January and wanted to try to improve my egg quality. Has anyone tried and had success with any of the following: Royal Jelly, DHEA, COQ10, L-Arginine, acupuncture, yoga? Thanks in advance!
4 replies [ Reply | Watch | Moreno experience with this. My best advice is to take things in your life down a notch-- fewer late nights, less exercise, less over thinking diet, less arguing with DF (or anyone for that matter!)
[ Reply | More ]Well, I don't think it will help egg quality, per se, but acupuncture is helpful throughout the process in terms of having a successful outcome. I also recommend wheatgrass shots while in the stim part of things, and during 2ww. Good luck!
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[-]Doctor/OBGYN moms or older TTCs please help! Doctor will not discuss test results with me and is away for the next few days. I am mid cycle, day 16 and my estrogen level is 9. NINE! It it supposed to be at 150. I am v. late 30s and panicked I am in menopause and will never conceive, can anyone help or BTDT? TIA.
11 replies [ Reply | Watch | MoreI thought I was in a similar boat, and did acupuncture and a no sugar diet, along with western med. I wound up conceiving just days before I was supposed to start shots. It might not work for everyone, but worth a shot?
[ Reply | More ]Really? So you had an innsanely low estrogen level mid cycle but acupuncture changed tha? I think maybe I am also drinking way too much - the stress is killing me
[ Reply | More ]For me, it was my FSH. It was insanely high. It was the diet and acupuncture that helped, I think. The doctor thought it was either early menopause or PCOS, (he never could pin it down, which was why I decided to try eastern medicine). The diet was the hardest, very little sugar or things that become sugar, (ie: booze). I looked awesome, though!
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[-]I have been tracking temps for over two months now, and I have reached the conclusion that I do not ovulate. If this is true, that is obviously a problem. During my last appointment, I told my primary care doctor that we were planning to start trying, and she said to come see her if we don't have anything after 6 months. It has only been two+ months so far. This is too soon, right? I am having a hard time not being anxious about this. If I think l am not ovulating, I hate to skip the chance to start dealing with it now. Any advice?
9 replies [ Reply | Watch | MoreIf you are sure you were tracking the temps correctly, then I'd go in now. Wouldn't hurt to get a basic workup.
[ Reply | More ]Try the ovulation predictor tests too just for backup - the cheap dip strip kind you can get on Amazon may be good enough for your purposes, though they only test LH (the pricey smiley ones/Clearblue monitor also picks up estrogen surge). If you never get a clear positive on the dip strips and your temps don't show the spike and dip pattern, then you are probably not ovulating.
[ Reply | More ]I just literally got back from obgyn. I have been charting for 2 months and there was not temp spike there fore no ovulation. She did a progesterone test and as it turns out I dont ovulate...I just got prescription for clomid. go now. 2 months was enough for my doc to step in.
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[-]I'm 34. DH and I both freelance creatives, both having a bad year that wrecked our savings, both have UMC parents. Do we try for a baby now/soon? Is it better to TTC when you're broke but rich in free time, or wait until age 36-37 but more financially stable?
8 replies [ Reply | Watch | Morefind out if either of you has any potential problems in that area. This is easily done by you both having certain blood tests, him a sperm analysis and you have your fsh and AMH checked. If you find any issues I would not delay...signed Mother that hates her self for waiting.
[ Reply | More ]There's never a perfect time. If you want to have a child, go for it, and you'll figure out how to make everything come together (assuming you're not living in actual poverty). When it comes to children, time is more valuable than money so your career flexibility is a great asset. GL!
[ Reply | More ]I was in a similar situation (we were both early 30s and grad students). I ran it past my Dad and he told me to go ahead and ttc and he'll cover baby's expenses until we got sorted because HE'D prefer us to have kids sooner rather than later so he can get more time being a grandparent. Win win situation. We went ahead and our dd and I'm really glad we did it when we did!
[ Reply | More ]The biggest thing I would worry about is health insurance -- delivering a baby is not cheap, even without complications, nevermind the first year, when you will be seeing your pediatrician a lot. Otherwise, we figured out our baby costs us an extra $300 a month after daycare. I breastfeed, so diapers are our biggest expense.
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[-]Does anyone know any IVF labs that are open over the Christmas/New Year timeframe? I just came from RMA, and they told me their lab closes from 12/22 to 1/9 so I can't do IVF in December. I thought I'd transfer to Cornell, and they just told me their clinic closes 12/22 to 1/4. Ugh! The labs close exactly when it is best for me to take off work and do IVF!!! Any ideas on a NY/NJ lab that is open during that time? Thanks.
7 replies [ Reply | Watch | MoreColumbia will be open. They don't get a lot of love on UB or IF boards, but they are open every day of the year.
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OP: Yeah, I was worried about that. I used up all my insurance coverage doing a cycle at RMA which ended in a chemical, so I'm cash paying from here on out. Time is of essence as I'm 40, but I don't want to flush $15K down the toilet just to get an extra cycle in at a crap clinic. Anyone know if NYU is open over the holidays?
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[-]I am 37 and we've been TTC for about 10 months. Our son just turned 3 and was conceived on our first "try". I have been using Target's ovulation kit (matching strip of color--not the smiley face) for 3 months now and it shows me when I will ovulate, but then if I keep using it for the following 4-5 days it still says I will ovulate....then I stop using it until the next month, so not sure if it's like that until my period or not. anyone know if this is normal? should I call my OB? thanks!
1 reply [ Reply | Watch | MoreFor reals??? Anyway, these kits measure the level of luteinizing hormone. It is always present in your urine and increases 24-48 hours prior to ovulation. The LH surge triggers ovulation, which is the release of an egg from one of your ovaries. The increased LH will still be present during and shortly after ovulation but you are wasting your time and money on using sticks after you first detect the surge. There is plenty of info on this on the internet
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[-]FSH 16 and TTC at 39 yo. Only doing limited hormones, clomid for 5 days and then another blood test and sonogram. I know my age and the FSH are not great but wondering if there is anyone out there who had similar stats and was able to conceive? TIA
3 replies [ Reply | Watch | MoreUm 39 here too and you need to de stress and have some faith. It can totally happen for you!
[ Reply | More ]This is a great message board for women in your position. Good luck. http://www.network54.com/Forum/53068/
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[-]Am i crazy? Have my first ivf embryo transfer tomorriw morning and husband is out drinking. I am furious and upset. This has been a total rollercoaster and it all comes to fruition tomorrow, ugh. Tell me if i am the crazy one.
6 replies [ Reply | Watch | MoreYou're not crazy. I'd be pissed too. I don't mind if my husband hangs with friends for a couple of after work drinks, but he better know to use some damn common sense, like I dunno, hanging with your wife the night before an IVF transfer. ART isn't as simple for a woman as jerking off into a cup.
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[-]Does anyone know if the SART IVF success rate statistics are based on age when starting the cycle or "maternal age" which is the age you would be if you carried to term? Totally stressing out as the stats drop off the cliff as you go from 40 to 41, and it appears that after 42 there is almost no chance of success.
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[-] IVF#1, TTC DC#1 at 40. I'm 11dp3dt; 4 embryos were transferred on 10/29. Just got the call from my RE. I'm testing positive, but my hcg is only 9.8. RE said to come in 2 days to retest, but expect pregnancy to fail. I thought I was going to be ok, but I'm crushed. Feeling stupid I was worried I'd have quadruplets.
9 replies [ Reply | Watch | MoreI'm really sorry. I really hope that you get a suprise and there is a pregnancy. I'll say a little prayer for what it is worth.
[ Reply | More ]oh man, so sorry, i was you a couple of years ago. unfortunately anything under 50 is very low so at least your RE is managing your expectations. did you have any embryos left over to freeze? often the first cycle is just a trial run as the RE figures out what will work for your body. don't underestimate how stressful this neg is, especially as you're amped up on progesterone etc. be gentle on yourself and try to get some R&R if possible. it seems so long ago but we had DD on IVF 4, right as we were about to give up, and DS after txing a frozen emby from the fourth cycle. hang in there, it's darkest before dawn. are you familiar with fertility friends and ivfconnections? both offer a lot of support from women who can relate to what you're g...
[ Reply | More ]This happened to me too. 2 miscarriages, 1 ectopic, turned to IVF and miscarried with a very low beta. Threw in the towel. Got pg on my own and now have a 2 year old ds. I am so sorry that this is happening to you. I know the pain. I have been there. If it gets overwhelming go and see a therapist. Helped me a ton.
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[-]Just wanted to post something because I promised myself when we were staring down the diagnosis of the AML count of a 42 year old at 32 years old when we were trying to conceive #2 and was told that getting pregnant on our own would be impossible, that when I got pregnant I would come back on here and just encourage everyone trying or going through treatment to keep their head up. I'm not going to say "relax" or "it will happen eventually" or "don't worry about it" because its impossible to do and ridiculous to even suggest. Feel bad, cry about it, read about it, drink some wine, go for a walk or run, yell at your husband - whatever you have to do to get through it, do it and screw everybody else. I was on this board and a gazillion others ...
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[-]I'm 36 yo and have been TTC for about 8 months. No success. I have one child, who is almost 2 and got pregnant with her at 34 yo within four months of trying. I'm wondering what my next step might be--I am due for an annual physical with my doc, and wondering if I can request that she run some hormone tests and whatnot then (forgive my cluelessness) or if I'd be better off seeing my regular ob/gyn for those sorts of tests or should I just go straight to an RE? I don't want to go nuts or freak out (just yet! ha) or anything, but it seems wise to maybe do some basic blood work and get checked out? Any advice on how others who have been there handled this would be appreciated. Thanks so much to everyone and good luck!
3 replies [ Reply | Watch | MoreFirst off -- I agree 36 is not a bad age and you should not freak (I got pregnant with 1st child at 40, delivered at 41...no issues in pregnancy)...but I would meet with an RE and get your FSH tested and AMH...then take it from there...also would mention to your husband/partner that they next step is to get a sperm analysis...things can change in almost 3 yrs since you guys last tried. Good luck.
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[-]So disappointed. First IVF. Was expecting a great response - my FSH is low and I produced 3-5 eggs on clomid. At my first sono they saw 12 measurable follies. 5 days later I am down to 5. What gives? Is 5 a horrible number? It sounds so low, considering I did as well with clomid!!
7 replies [ Reply | Watch | MoreIt's not always about the amount - it's the size that matters. What size did your eggs reach on clomid?
[ Reply | More ]Thanks - they were between 20-24 on clomid. After one full week of stims my 5 are ranging from 10-15. They switched me from Bravelle to Gonal F and are now adding Repronex? Or something like that...for another week. I'll take 5 days of clomid for 4 fat eggs over 2 weeks of injectibles for 5 small ones. Ugh.
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[-]So, I had my transfer today. IVF#1, TTC DC#1 at 40. Totally freaked out they transfered four embryos back in. Terrified I'm going to end up with quadruplets. No embryos left to freeze. If you did IVF, what was your age and how many did the put back in? Please tell me it is going to be ok.
10 replies [ Reply | Watch | More4 is a good idea for a first time 40 yo mom. no worries. it's actually smart because fresh is better! MUCH. so better to take advantage of any that might implant. it's unlikely they will all implant or split. I had 4 transferred- 1 divided and implanted as twins! Lost one twin, ended up with one.
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I did 2 IVF's, both at age 37. IVF #1: transferred 3 good looking embryos, none took. IVF #2: transferred 4 good looking embryos, one took and is now my DS. I'm very glad I transferred 4 the 2nd time. Don't worry and good luck.
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[-]It never ends. Today my Mom told me that the reason my husband and I are dealing with infertility is that I used to be on the pill. My sister thinks it is because I need to "just relax". So regardless, everyone thinks it is my fault. That is exactly what a woman wants to hear in the middle of IVF.
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Ditto. Go elsewhere for support. Continuing to discuss with them will only upset you, and hurt your relationship. I wish I had told my we just used drugs or did iui. Because they'll get all nosy about your embryos. They mean well, don't know better. But you can't take on deprogramming them.
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Poor love, have you added 'just adopt' to that list yet? Try to join a local fertility group, even an online support group like fertility friends or ivfconnections. Unless someone has struggled with IF they will never understand and youll only feel more isolated. Btw, once you get pg they and you will forget all of the hard feelings so try to surround yourself with people who can really support you now. Hang in there.
[ Reply | More ]Tell your mom that a girl's fertility is actually very influenced by what her mother was doing when she was pregnant. As in, girl fetus's can grow up to have fertility problems if their mothers ingested certain chemicals while she was pregnant. So actually, it might be your mother's fault.
[ Reply | More ]The "just relax" thing is silly, but isn't the pill thing legitimate, assuming you came off the pill fairly recently?
[ Reply | More ]Np: may be true, but, if you've had a full work up, and any ivf patient would, this is IRRELEVANT. Her mother and sister aren't comfortable with the idea OP is struggling with IF. It's typical to mimimize what's going on with someone in your fam--one of my sisters, and my mom didn't let their ignorance prevent them from weighing in, condradicting the tests. But by all means, stick up for OP's family. Share your own speculation about the pill, anxiety, eating habits or any other factors. Don't let OP's medical diagnosis slow you down.
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I NEVER took the pill and I'm not getting pregnant...don't think they are related. The thing I hate the most is when people say, "It will happen when the time is right" (wrong--the time was *right* a year ago when we decided to have a baby). Or when people say, "maybe it's not meant to be". Like, Casey Anthony got pregnant because the time was "right"? NO. People get pregnant all the time by having sex. It's not like some destiny you're fulfilling
[ Reply | More ]I actually think that we are very demanding of our bodies. Many of us (okay, me) spend the first 15 years of our reproductive years not wanting to get PG, being terrified of getting PG, etc. Then we turn on a dime and all of a sudden want to get PG. This might sound hokey (and I admit it ins't scientific), but I do think that there's a mind-body relationship and that sometimes you can't just switch from praying for your period to come to praying for your period not to come. Yes, I know there are unwanted PG. I said this hunch wasn't scientifically based.
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