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ICSI risks

PostPosted: Mon Aug 29, 2011 6:26 am
by BandLady
Hi ladies-

DH and I did a successful IVF w/ ICSI cycle in July and my RE just released me to my regular OB. I went for my first appointment with her on Friday and she scared the pants off of me when she talked about our risks for chromosomal defects b/c of ICSI. Our RE had discussed it with us, but the benefits far outweighed the risks, or so it seemed, but she made it seem like we were in a much scarier place than I thought. I think she told me we had a 1/600 chance of having a chromosomal defect.

So now I'm wondering, did my RE (whom I adore and plan to return to for our next child) sugarcoat everything? Or is my OB just trying to cover her butt and sell me on the NT scan? (which we are going to do)

Anyone have any insight? Experience? Because of MFI, I know we would likely not have had a successful cycle without ICSI, but I'm freaking out a little bit. Our NT scan isn't until Sept 15... Seems so far away!!

PostPosted: Mon Aug 29, 2011 7:40 am
by twinklebug
Of course there are risks, but for the most part I think youre OB is trying to cover her butt lol. I did assisted hatching which has pretty much the same risks, of course the risks are present but they are minimal. If it were me, I wouldnt go for the scan...doctors are always trying to push us to tests we dont need. Just my opinion. Congrats on your pregnancy :D

PostPosted: Mon Aug 29, 2011 8:49 am
by BandLady
We're definitely doing the NT scan... it's no big deal, just a little more blood for the sequential screening and some more measurements taken of the babe at 12 weeks. Our insurance covers it and I'm so "Type A" that if there is a chance that something is wrong, I would embrace the chance to research and be prepared. I actually have a close friend who had a lot of important information come to light as a result of her NT scan, so I'm a believer in having it done. To the OB's credit though, she did tell me she could offer me an amnio, but based on my age and the invasive nature of the procedure, she wouldn't recommend it... so I don't *think* she was trying to scare me into having another test done.

I'm more concerned with knowing if my RE was sugarcoating or if the OB was being overly concerned. From the research I've done, everything I've read sides with my RE. I'm wondering if this particular OB in the practice is a little more old school and not quite in tune with the newer research on it.

PostPosted: Mon Aug 29, 2011 3:55 pm
by Buggie
At my NT scan a few weeks ago they also mentioned that IVF babies, not just icsi are at a higher risk for heart defects too. The perinatologist said she hadn't seen a diference herself but new research was suggesting it, so they added an echo to the 18 week scans.

But just remember that 1 in 600 is still a very low risk of anything. If someone told you you had a disease and had a 99+% chance of survival, you wouldn't worry. Way way less than 1% (if I were better at math I'd figure out the real percentage) that anything is wrong based on icsi alone, if that figure is true.

I try not to worry about risks based on IVF/ISCI since without IVF I wouldn't have any babies to worry about!! So the slightly higher risk factor is worth it to me, since the overwhelming odds are everyone is fine :)

PostPosted: Mon Aug 29, 2011 4:08 pm
by BandLady
Buggie wrote:I try not to worry about risks based on IVF/ISCI since without IVF I wouldn't have any babies to worry about!! So the slightly higher risk factor is worth it to me, since the overwhelming odds are everyone is fine :)

You are so wise. :) Makes me feel so much better!

PostPosted: Mon Aug 29, 2011 9:58 pm
by New_Mommy_Oct_05
Our RE does ICSI for every patient (though we would have needed it anyways due to MFI as well).

I don't even remember going over risks and my OB wasn't familiar with IVF (small town docs :roll: ). We didn't have a NT or anything and our baby is perfect! :)

PostPosted: Tue Aug 30, 2011 6:35 am
by Quinn
I don't remember if this was ever even mentioned by any of my docs.. I think it's a little odd for your OB to mention it. A lot of ppl use ICSI and really have no choice based on their circumstances, it's not like we chose to do it this way and assumed unnecessary risk! I wouldn't worry at all. My OB actually advised against prenatal testing b/c he felt I had been through enough stress with my treatments. That was good advice (for me).

PostPosted: Tue Aug 30, 2011 12:57 pm
by twinklebug
Band-Sometimes it is amazing how different perspectives can be between OBs and REs. My OB was amazing, but after I delivered the twins he told me "just try natural this time, dont worry about all those fertility will get pregnant". Yeah right buddy, I am not going through that IF nightmare for another 3 years when I have my frozen embies! lol Some OBs feel like too many people look to fertility treatments to get pregnant, but they didnt have to go through everything we did when TTC (espec. my OB because he is a guy! ) kwim? :roll:
Im just venting I guess!!

Anyway, my point is we just have to take all the dif. doc's advice, mesh it together with our own thoughts, and the final decision is ours to make. Only we can make the best/most informed decisions for ourselves.

PostPosted: Tue Aug 30, 2011 9:16 pm
by ritzy
We had ICSI, assisted hatching, and PGD testing(where they pull a cell off the embies on day 3). All of them have risks but, like you said the pros outweigh the OB never mentioned a thing and we have 2 perfectly healthy, beautiful babies! The did add an echo at 24 weeks, but that was mostly because I was PG with twins. I had ultrasounds every month anyway....honestly, I think your OB is covering her butt, some doctors are alarmists to begin with....I am also more inclined to listen to my RE on this one...its his specialty, KWIM? I mean, I'm a teacher, I know how to teach and have been doing so for 16 years, but I teach kindergarten. I may know theory, or curriculum for say 6th grade, but if you have a question about 6th grade math, who are you gonna listen to, me or the math teacher? My votes on the math teacher! Don't stress...take care of that PERFECT little bean in your belly!