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Archive for February, 2011

Today’s post is just a short request. A blogger friend, Amy Rauch Neilson, is a writer, a mom, and is currently undergoing chemo to fight a recurrence of breast cancer. She needs our help – and it won’t cost you a penny, only a minute or two of your time.

Since breast cancer has touched our family and so many people that I know, I am asking a personal favor.

Amy is trying to get her book “It’s In the Genes” published, and to do that, the publishers want to see that she has a following – 5000 subscribers is what they want to see, and she is trying to do that by March 3rd. She is well on her way there, but every subscriber counts.

Please just go to her blog and subscribe via email using the link at the top of her page. I know, I know, we all read blogs in our Google Reader – but just this time, make an exception and sign up for emails – that is the only way she can show the publishers how big of a following she has. Then, later, when you have some time, I highly recommend that you go back and read from her archives. She is a talented writer, with a great sense of humor. I couldn’t help but become part of her cheering section, and I hope you will feel that way too.

In case you want to cut and paste it rather than link, here is the url: http://itsinthegenes.wordpress.com/

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I recently read this really terrific blog post about if and when to POAS (pee on a stick – or take a home pregnancy test)  after an IVF treatment.  The author, Lisa Rouff, Ph.D., is a psychologist specializing in infertility and adoption.   You can read the full post here.

Dr. Rouff  offers some great insight about deciding IF you should consider POAS, and if so, when to start trying – based on your own expectations and tolerance. In other words, she tells you how to be “smart” about POAS based on your own personality. 

One consideration that she doesn’t cover, is that sometimes home pregnancy tests can give you a sense of whether the embryo is implanting or not.  If your clinic tells you to test at day 12 – 14 post transfer, you may have a negative test – but not know that the embryo had implanted but your hCG has already fallen to the “not pregnant” level.  The one benefit of POAS rather early (say around 6 – 8 days post transfer for a donor IVF cycle, or 10 – 12 days post trigger shot for an own egg IVF cycle) is that if the embryo implanted and hCG started rising, you will likely get a positive test result early – even though it may turn into a negative if the pregnancy is not viable.   

While that seems like it would get hopes up unnecessarily (which is why some clinics prefer to test around day 14 post transfer), I have seen patients with more than one failed IVF use this information to help determine whether there is simply a failure of the embryo to implant, or whether it may be immune or embryo quality issues that are happening after implantation.  

I don’t necessarily recommend this option for everyone, but it is something to consider as an additional information tool in figuring out the infertility puzzle.

PS- In my experience, the most sensitive test on the market right now is the Target brand (called “UP” I think) two line test.   Stay away from the digital tests – they generally are not as sensitive as the two line tests, which seem to be even more sensitive than the + or – tests.

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