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Thursday, September 18, 2014
Hi - I am 35 years old and have been told that I have poor egg quality. I just had a failed fresh DE cycle with great quality 3-day embryos. I will probably be pursuing a frozen cycle in the future. I have the following questions: 1. How many cycles should one have before they get more tests performed? 2. What type of tests should be performed - blood tests (immunological issues), endometrium tests, etc.? 3. I have had an HSG and SHG done recently.
We will probably do 1 more fresh cycle, but I hate to waste money if we can identify an issue.
If you have had a dye test (HSG) or an SIS (test where saline is injected into the uterus at the time of ultrasound to look at the uterine cavity) recently that came back as normal, you do not need further evaluation of the uterine cavity. In all likelihood, your failure to become pregnant after just one cycle with good quality embryos transferred is probably due to chance alone. I would certainly proceed with the frozen embryo transfer cycle, and even 1-2 additional donor egg cycles.
Daniel B Williams, MD
College of Medicine
University of Cincinnati