Trouble TTC

Not a good appointment today...

Ugh...

This month I was prescribed my 3rd cycle of Femara (cd2-6 this time around) and went in today for a CD12 follie check...well, guess what they found?  NOTHING!!  Now I'm not responding to Femara either :(.  My lining was thin and there were zero follies.  The last 2 cycles on femara I responded well and O'd on CD14.  WTF!?!?

Spoke with the RE, and he handed me a "Compassionate Care Program" application to hopefully get some sort of discount for injectables (my insurance doesn't cover them).  When I called the pharmacy I was quoted over $1000, and we just can't afford it on our own :(, especially for multiple cycles.  IVF would also be completely out of pocket, which we also can't afford.

This was a big hit to my ego...and I'm feeling so discouraged.  I am scheduled to go back on Friday to see if I start progressing.  Not sure what will happen if I'm not!?!

I welcome any feedback about starting injections, or about what happens if my follies don't appear....or on anything relating to my situation at all!!!

Thanks for letting me vent...I am thankful every day for having a place to go where people understand!

ME - 31, DH - 40

Married 06/25/2011, TTC since 03/2012

BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

7/13/14 -- IVF #1 w/ ICSI

ER on 7/26/14 -- 20 R, 15 M, 11 F

ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

BFP #3 on 8/8/14 -- EDD 04/18/15

BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

** It's a BOY!!! **

image

image    image 

Re: Not a good appointment today...

  • Is it possible for your RE to call in a small RX for some kind of injectable med so that you can turn this cycle into a hybrid cycle and maybe kick-start some of those follies?  If you only need to take it for 2-3 days, it wouldn't be as expensive as a full injects cycle, and you might get better results than waiting for them to mature on their own?

    Baby Birthday Ticker Ticker

    TTC since Sept 2011, Unexplained IF
    Oct 12 - Jan 14: 3 clomid/TI cycles, 2 hysteroscopies, 2 IUIs, 1 BFP (MMC @ 12w), 2 more IUIs
    Feb 14: Gonal-f + IUI #5 = BFP! (EDD 11/4/14)
    Baby boy arrived 11/13/14!

  • Is it possible for your RE to call in a small RX for some kind of injectable med so that you can turn this cycle into a hybrid cycle and maybe kick-start some of those follies?  If you only need to take it for 2-3 days, it wouldn't be as expensive as a full injects cycle, and you might get better results than waiting for them to mature on their own?

    Baby Birthday Ticker Ticker

    TTC since Sept 2011, Unexplained IF
    Oct 12 - Jan 14: 3 clomid/TI cycles, 2 hysteroscopies, 2 IUIs, 1 BFP (MMC @ 12w), 2 more IUIs
    Feb 14: Gonal-f + IUI #5 = BFP! (EDD 11/4/14)
    Baby boy arrived 11/13/14!

  • Loading the player...
  • I'm sure that it could be?  Do you think it would be ok to wait until I see him on Friday to explore that option??  Friday would be CD15.

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • Thanks @Rumbera28 -- he didn't tell me which meds he was hoping to prescribe?  I'm not even sure if he was trying for me to get them this cycle, or for the future??  I guess that is why he has me coming back in Friday?

    I'm going to fill out this application and send it in today.  Not sure how long it will take.

    I will look into the 'donated meds' posts...although that freaks me out a little to take someone else's meds??

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • How disappointing and frustrating!!  I don't have any advice to offer, but I think others have made some good suggestions.  I hope you can turn this cycle around!
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




  • jszy10 said:
    I'm sure that it could be?  Do you think it would be ok to wait until I see him on Friday to explore that option??  Friday would be CD15.

    I would call today to ask about it, so that if he thinks it might work, you can get the ball rolling ASAP.

    Baby Birthday Ticker Ticker

    TTC since Sept 2011, Unexplained IF
    Oct 12 - Jan 14: 3 clomid/TI cycles, 2 hysteroscopies, 2 IUIs, 1 BFP (MMC @ 12w), 2 more IUIs
    Feb 14: Gonal-f + IUI #5 = BFP! (EDD 11/4/14)
    Baby boy arrived 11/13/14!

  • What medication is typically used for a 'hybrid' ??  Before starting Femara, he wanted me to do Follistim.  I'm not really familiar with injects.

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • I've heard of people doing combo cycles with follistim, so maybe that?

    Baby Birthday Ticker Ticker

    TTC since Sept 2011, Unexplained IF
    Oct 12 - Jan 14: 3 clomid/TI cycles, 2 hysteroscopies, 2 IUIs, 1 BFP (MMC @ 12w), 2 more IUIs
    Feb 14: Gonal-f + IUI #5 = BFP! (EDD 11/4/14)
    Baby boy arrived 11/13/14!

  • The OOP meds program is amazing... there is nothing wrong with the meds.  The ones I received were unopened, not expired and had the labels of the same pharmacy I use.  I even took them to my clinic so they could check them and they said they were perfect.  The women who donated to me will forever be my heroes.
    ***siggy/ticker warning***

    Me:36 DH:38 TTC#1 since 4/2012
    Me DX: Hashimotos,Hypothyroid, DOR, MTHFR,  DH: normal

     IUI #1-#4 BFNs and a few cancelled cycles in the mix.
    - poor responder
    ***Suprise BFP on 6/13/13. Natural MC @6wks 3days
    IVF#1 and 2- Cancelled due to no response on max stimms
    FET 5/20- BFP
    1st Beta- 641
    2nd beta- 2166
    Sono- TWINS!!!!
    Two Boys! Born January 2015 @36 weeks.  Healthy and no NICU!  So blessed!



    image 

  • Thanks @ksgsmu -- good to know!


    I sent my applications in for the two financial programs that are recommended by my RE's office.  I think I may wait until Friday to see if I am moving in the right direction.  It is only 3 days...I think I can be a little patient.  Maybe after I see him I can do injects over the weekend and prepare to hopefully get somewhere next week!?!

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • Ok...just called the office, just to see what they say.

    At this point they would not want to move forward with an inject hybrid.  They want to see where I stand on Friday before they make any other decisions.

    They would want me on Gonal-F next cycle and moving forward.

    agghh!!!  Hoping I have better news on Friday.  Even when I didn't respond to clomid in my first medicated cycle, I still had follies to measure by this point!! 

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • tippytoes06tippytoes06 member
    edited January 2014
    I'm so sorry @jszy10....hopefully your Friday apt will bring good news!

    DH (29) & Me (26) - Married 9/22/2012
    TTC since 9/2012
    Dx - Annovulatory; PCOS-IR

    8/2013 - First consult with RE
    9/2013 - HSG, SHG both clear; SA normal
    Oct 2013 - Jan 2014 - Clomid + Trigger + IUI #1-3 = BFN's
    Feb 2014 - Femara + Trigger + IUI #4 = BFP!!!!!
    Beta #1 - 3/2/14 (15dpo) - 123
    Beta #2 - 3/4/14 (17dpo) - 378
    1st ultrasound - 3/21/14 - 1 little ninja, heartbeat - 120bpm
    Due November 7, 2014

    **ALL** Welcome

    image

  • Thanks @tippytoes06 -- I am baffled with how different each cycle can be!!!  

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • Sorry, hon.  I would definitely price check different pharmacies.  Gonal-F is probably going to be the cheapest at Freedom Fertility Pharmacy.  But, I would definitely check around.  Also, they should be willing to use Follistim if you are able to find a better price for it.  I know these meds are definitely expensive.  But, I was able to save a little by shopping around on prices and I also used the OOP meds program (even though it was a few years ago).  Good luck!

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • Thanks @STL34 -- do you remember what you paid for Gonal-F and/or Follistim??

    They initially wanted me to do Follistim when I didn't respond to Clomid, but it wasn't covered, so they went with Femara.  Now that I am no longer responding to Femara, I don't really have much of an option.

    I did send in two applications for two different discount programs, but I'm not sure if I'll get approved based on my income?? They don't list income limits, they just say it is dependent on your income.  The programs claim that I can save 25-75% off OOP costs.

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • Ok...I just looked in freedom fertility and it would be $444.  That is much cheaper than what I was quoted for Follistim back when I asked my pharmacy!!!

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • FX for some good news on Friday.  I had a slow response to my meds, but a follie eventually grew.  It can be a frustrating waiting game.
    ________
    ME: 34, Atypical PCOS (lean, no O without meds) + unexplained; DH: 33, mildly low motility
    09/2012: Start TTC after stopping NuvaRing.  No cycles seemed to occur.
    01/2013 - 05/2013: Tried Provera to "jumpstart" cycles. No luck.
    12/2013-
    01/2014: Clomid 50mg - no big follies, stepped to 100mg; One mature follie, Ovidrel (HCG trigger), IUI #1 completed - BFN
    02/2014: Clomid 100mg;
    One mature follie, Ovidrel trigger, IUI #2 completed, Crinone - BFN
    03/2014: Clomid 100mg -
    no big follies on 1st round, 2nd round prescribed; One mature follie, Ovidrel, IUI #3 completed, Crinone - BFN
    04/2014-05/2014: Letrozole 5mg + Ovidrel HG to prep for IUI #4 switched to TI, Crinone - BFN
    05/2014-06/2014: Letrozole 5mg; one mature follie,
    Ovidrel, IUI #4.1 completed, Crinone - BFN
    07/2014-08/2014: Letrozole 5mg; one mature follie,
    Ovidrel, IUI #5 completed, Crinone - BFN
    09/2014-10/2014: IVF Prep - Insurance requires IUI #6;
    Letrozole 5mg - no big follies 1st round, 2nd round prescribed; IUI #6, Crinone - BFN
    11/2014: "Break" - Letrozole 5mg to cycle before prepping for IVF - successfully O'ed, but BFN
    12/2014: Extending 'break' one more Letrozole-only TI cycle for mental health break - BFN
    01/2015-
    02/2015: Prep for IVF - BCP then Gonal-F, Ganirelex, Novarel trigger;  ER scheduled 2/11!
    http://www.fertilityfriend.com/home/4cf919
    PAIF/SAIF Welcome.
    December 3T Siggy Challenge: Favorite Holiday Movie
    image
  • Thanks @DharmaChick -- I really am hoping that I can still salvage the cycle.  My 'natural', no-med cycles (before seeing an RE) I usually O'd anywhere between CD18-24.  I took a break last cycle with no meds and didn't O until CD24, and when I didn't respond to Clomid I didn't O until CD20.  So it could definitely be that I will O a week or so later than normal because my body didn't respond.

    The waiting IS the most frustrating part!!  That was one reason why I was so excited when I finally got a 28 day cycle on femara!!  I had NEVER had that short of a cycle before, and it felt good to only have 4 weeks instead of 5 or 6.  

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • jszy10, I haven't ordered it yet for my upcoming IVF cycle.  The last time I purchased it was in 2011.  That said, I still see a difference in prices when I look at different places.  I used Freedom Fertility for one cycle.  Then I used Walgreens Specialty Pharmacy and The Aphothecary Shoppe (which I think is now Avella) as well as some donated meds (I was 100% OOP) for the others.  For me, I have a local Walgreens that stocks fertility meds as well as a Vella location and both have free courier services.  This made it easier to only get as much as we thought I needed and get more meds quickly if needed.  Also, at the time, their prices were pretty much the same for Follistim as Freedom Fertility's prices for Gonal-F.  But, again, this was a couple of years ago.  Sometimes you also got discounts if you purchased a cycle's worth of meds at one location. 

    Good luck!!

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

This discussion has been closed.
Choose Another Board
Search Boards
"
"