Trouble TTC

Yearly GYN Appointments

So I have been working with a RE since January.  I realized its time to get my yearly exam and pap from my GYN.  I am doing IUI cycles.  Do you usually go during the beginning of your cycle to your GYN while in an IUI cycle?  Just trying to figure out how this works.  Or does it not matter?  I was hoping to be pregnant by now and not have to schedule a yearly appointment but clearly we have no luck.  Just wanna make sure the PAP doesn't effect the IUI.  Thanks.  
***SIGGY WARNING***

DX: Unexplained
6 Failed IUIs (Clomid and Gonal F).  
IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


All Welcome

Re: Yearly GYN Appointments

  • I don't know the answer. But the WTO time should be fine. Call your doctors and ask them if no one else has any advice.



    Me: 32 DH: 31.
    B/W: good. SA: good.
    November 2012: Paratubal cyst found during U/S.
    January 10, 2013: Lap removed paratubal cyst and Stage 2 Endometriosis. 
    3 cycles of Femara + TI = BFNs

    June 2013: Femara 2.5 mg, Gonal F Injects 37.5 IU, Menopur, trigger + IUI = BFN

    July 2013: Femara 2.5 mg, Gonal F Injects 75 IU, Menopur, trigger + IUI = BFP!!!!

    Beta 1 @ 11 DPIUI = 76. Progesterone = 27.3

    BFP 8/16/2013 // EDD 4/28/2014

    Jordan Samuel born April 19, 2014. 6 lb, 12 oz and 18 inches long.

     

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  • lin681lin681 member

    I just had my IVF consult and I hadn't had a pap in almost 2 years.  Anything under 2 yrs is what they like to see for IVF. 

    I am not sure if a pap would effect your IUI. I would personally not chance it. 

    Ask your RE what they would recommend.

    TTC since June 2011
    SA - Normal CD3 Bloodwork - Normal HSG- All clear!
    July 2012 50mg Clomid CD3-7 Trigger+TI = BFN
    August 2012 50mg Clomid CD3-7 Trigger+IUI = BFN
    September 2012 50mg Clomid CD3-7 Trigger+IUI = BFN
    October 4th LAP - Mild Endo - All Removed
    Treatment Break 3 cycles = BFN
    1st Treatment Cycle Post Lap --
    February 2013 50mg Clomid CD3-7 Trigger+IUI = BFN
    March 2013 50mg Clomid CD3-7 Trigger+IUI = BFN
    April 2013 Break Cycle ~~~ May 2013 Meet with RE discuss next steps
    July 2013 IVF ~ Stims start 6/28
    
ER 7/10 20R/14M/14F
    Day 3 - 10 Embryos
    ET 7/15 Transferred 1 Blast on day 5 - Froze 6
    7/24 Beta 1 150 7/26 Beta 2 313 7/30 Beta 3 1,084 Beta 4 3,000 Beta 5 8,120 1st U/S 8/8 image
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  • I would call and ask, but you should be fine to do a pap during an IUI cycle. If you are worried at all, can you just schedule it before you trigger?
    Me: 37, DH: 35 :: TCC since 2/11 SA: Perfect! CD3  HSG = Blocked Right Tube
    April- Femara 2.5mg + Trigger + IUI = BFN   May- Femara 5mg = CX - No Response on Left = BFN
    June- Femara 7.5mg + Trigger + IUI = BFN  August- Lap & Hysteroscopy = Blocked & Partially Blocked Tubes
    September- Femara 5mg = CX - No Response on Left = BFN  October- 100mg Clomid + Trigger + TI = BFN
    IVF # 1: Stims 11/30 ER 12/12/12! (10R, 10M, 8F, 2T, 6 F) :: Beta #1- 176  c/p @ 4w4d
    FET #1 February 26th :: Lost 4 to Thaw, Transferred 2 = BFFN
    IVF # 2 Stims 5/10 ER 5/21 (15R, 13M, 13F, 2T, 7F- 6d3 & 1d5) :: Beta # 1- 15 c/p @ 4w
    FET #2 Cancelled, Right Tube Developed a Hydro  8/28 Hydro & Scar Tissue Removed  Cleared for FET
    FET #2.2 Scheduled for September 20th
    2 Thawed, 2 Transferred! Beta #1- 96, Beta #2 906! :: EDD June 10th
    2015- 2 failed FET. We are done
    SURPRISE! BFP 8/8/16   EDD 4/1/17

     
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  • Yeah, like pp said, I would call your RE. I have actually heard of RE's doing the pap while you are in there being monitored so you don't have to go to the GYN too. Worth a call!
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    Age: Me 26, DH 27, Married Oct. 10, 2009 ,TTC since March 2012
    Problem: Irregular menstruation, unexplained
    Nov&Dec-Provera because of no period after 35+ days
    First RE appt 1/10/2013
    Tests: TSH (normal), Prolactin (normal), SA (abnormal)
    Hysteroscopy (normal) and PCOS labs (negative/normal) 1/15/2013
    2/1/13- HPT BFP but Beta Hcg was negative
    Plan: Femara + Trigger + IUI in April if no real BFP before then Bloggy Blog!
  • katib77katib77 member

    I was told that since PG women can have paps, that it doesn't matter when you get it done.  But personally I'd try to do it during the first half (before IUI) part of a cycle.  I personally went 18 months or so without getting it done because we'd been in treatment and people were all up in my business then.  But like PP, you have to have a pap on file that is current (ie less than 18 months) in order to do an IUI with my RE so he informed me I'd need to do one again before cycling this past January.  

    After going to an RE and having so many treatments, you forget how quick and easy a pap is in comparison. 


    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
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  • imageSay1009:
    Yeah, like pp said, I would call your RE. I have actually heard of RE's doing the pap while you are in there being monitored so you don't have to go to the GYN too. Worth a call!

    i agree with PPs. Might be worth a call to your RE to see what they say.  

    **************SIGGY WARNING**************

    BLOG

    Me 32 :: DH 41

     TTC since November, 2011

    DH's SA : Excellent

    Lap and Hysteroscopy June 2012

    DX: PCOS, Stage III Endo, slight Adenomyosis, blocked tube, and probable LPD

    Treatments:  6 Months Lupron Depot injections; 1500 mg metformin; 3 cycles of Clomid + TI = BFN

    3 endometrial biopsies all were "out of phase" 

    September - December, 2013:  Break to lose weight and get healthy

    40 lb weight loss but still not ovulating "in phase"  

    February - March 2014: bcps + follistim + trigger + TI = BFP

     Beta #1 (12dpo): 30; Beta #2 (18dpo): 500; Beta #3 (25dpo): 7,000!!! 

    1st u/s 4/16: One beautiful hb at 144 bmp 

    2nd u/s 4/29: hb at 166 bmp.  Graduated from RE!!

    TEAM PINK! 

    Baby girl arrived on Thanksgiving day weighing 7lbs 6oz and measuring 20 inches

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  • Thanks everyone.  I'm going in to my RE on CD 3 on Tuesday so I'll ask him then.  I got a PAP last May so its only been a year and I never had any issues.  I'll probably try to make my next appointment for the beginning of next cycle.  Thanks again.  
    ***SIGGY WARNING***

    DX: Unexplained
    6 Failed IUIs (Clomid and Gonal F).  
    IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
    Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
    12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
    After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
    2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
    BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


    All Welcome
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