Advice and tips needed! :-) — The Bump
Infertility Veterans

Advice and tips needed! :-)

First of all Happy Valentine's Day ladies! I hope you all have a relaxed day planned whether you stay in or go out!

Tomorrow I will hopefully be starting injections for IVF cycle #2. My last cycle I got 27 eggs and got OHSS. I would really like to try to avoid getting it again so I can try another go with a fresh transfer with PGD! I know there's no guarantee and OHSS can't really be avoided but what were the tips you were told to do while stimming to help with preventing OHSS? I know keep myself hydrated and drink lots of water, Gatorade, eat lots of protein and salty foods. Anything else? My nurse also said to avoid caffeine and alcohol.

Thanks in advance ladies!

Married my best friend on 9.6.11 
Me 31 DH 29 
TTC since 12/2011 
Me - all normal test results 
DH - SA #1, #2 and #3 - 0% morphology 
Straight to IVF w/ ICSI 
April 3 - start date for BC 
April 18 - tentative start date for injections 
Tentative IVF dates: ER - 4/27 and ET - 5/3!! DELAYED.
IVF #1 - May 6 - Estrace
May 17 - started injections!
ER and ET end of May!! BFFN :(
FET #1 - June 28th - BFP!!!! :)
Beta #1 - 164, Beta #2 - 381
1st u/s 7/16/13 - 2 sacs with yolks! 1 smaller than the other - Possible Twins?! 
2nd u/s 7/26/13 - 1 healthy baby with heartbeat of 123bpm! Second sac empty. Next u/s 8/5/13.
8/5/13 (7w2d) - no heartbeat. Lost our precious LO :-/
D&C on 8/12/13 - finally neg hcg 2 months later on 10/3/13.
Saline Songram on 10/10/13 - found polyp :-( post-poned again.
Hysteroscopy on 10/29/13.
FET #2 - BFP!!!! :-) 
Beta #1 - 265, Beta #2 - 692
12/24-12/28 (6w) - lost our LO (2nd miscarriage in a row)
RPL panel and Karyotyping; results all normal!
Started bcp's 1/24/14; saline sonogram 1/30/14 - All clear!!
IVF #2 02/15/14; ER 02/26/14 - freeze all due to mild OHSS. 
7 blasts; PGD on all 7 - all 7 normal!!!
FET #3 4/8/14; BFP!! :-)
Beta #1 - 235, Beta #2 - 539
1st u/s - It's TWINS!!!!
2nd u/s- both babies measuring on track! Heartbeats of 118 and 122!!
EDD: Christmas Day!!!

** ALL ARE WELCOMED **

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Re: Advice and tips needed! :-)

  •  Happy Valentine's Day! :)

     I had mild OHSS during our fresh cycle. When I started getting into the OHSS "danger zone", our RE put me on Cabergoline (I think the brand name is Dostinex). Plus what you mentioned - chugging fluids w/ electrolytes and eating extra protein. (FYI- the Special K protein shakes are pretty good!) I still felt crappy for a few days, but it seemed like that plan prevented it from getting worse.

     Wishing you lots of luck!


    It's twin girls!! Born on 11-2-14!
    image
  • At my clinic they triggered with HCG and Lupron to avoid OHSS. I had 43 retrieved and my recovery was the best it had ever been - but we were doing an FET afterwards, so I'm not sure if the Lupron messes that up.

    Maybe ask your doc about it or someone here will remember the details on that.
    BzeetyD = 38, Mr. BzeetyD = 44 together 12/02 married 9/08
    TTC #1 since 1/10
    DX: Unexplained/??? MFI issues

    Our lil' lost sparks:
    5w3d loss 7/30/10 - EDD March 2011
    8w loss 4/15/11 - EDD November 2011
    8w3d loss 8/2/12 - EDD March 2013
    4w c/p loss 10/29/12 - EDD July 2013

    Long story: trying on our own + testing testing testing with 6 rounds of Clomid, more testing, injectables + TI, laparoscopy - one tube blocked, 2 IUIs with Follistim...BFNs.
    RPL testing all normal, Karyotyping normal

    Moving on to IVF.

    IVF #1 April 2012 = BFN, IVF #2 June 2012 = BFP. U/S 7/23 = saw heartbeat but measuring behind. Follow up U/S on 7/30 - no heartbeat. D&C 8/2. Trisomy 12. IVF #3 Oct 2012 = Chemical Pregnancy

    Phone consult with CCRM on 12/12/12 - ODWU 1/4/13 - both tubes clear(!) - AFC 24, AMH 3.2, FSH 9.6, LH 5.4, E2 25. DH has high frag rate but improved!
    IVF #4 March 2013 CCRM. EP protocol w/ Menopur, Gonal-F & Dexamethasone. ER 3/29 & IMSI, PICSI. 43R 13M 10F 6blasts bio'd. CCS testing reveals 3 normals!!!
    FET 5/31/13 of 1 4AA blast - thawed and expanded. 4dp5dt BFP.
    Beta 9dp5dt = 181, 11dp5dt = 427. 1st u/s showed a healthy heartbeat! EDD 2/16/14

    After 4 years of hoping and heartbreak, our sweet little bean was born on 2/19/14
    We are so in love with her.

    "I'm not telling you it's going to be easy, I'm telling you it's going to be worth it."

    Everybody is welcome!!!
  • Gatorade and protein. I hate Gatorade. It was horrible. And, I took the Dostinex, also. It seemed to keep the worst away. I only got mild OHSS.

    BabyFruit Ticker

     ttc #2 since 2004 Me (35): Stage 3 Endo, DH (34): High DNA Frag

    IVF/ICSI #2: April 2014: BFP!!!!!!

    ET of 2 great quality embryos. + BFP on 9dp5dt. Beta #1 (10dp5dt): 257, Beta #2 (14dp5dt): 1561,

    Beta #3 (21dp5d5): 8,172. Wow. It seems this is actually working. Shocked beyond belief.

    1st u/s @6w5d: Baby A hb 124, Baby B hb 127 (Both measuring perfectly!)

    Lost baby A. Praying that baby B stays healthy. Baby B hb 175 at 11 weeks

    It's a GIRL!!!

    imageimageimage

     

     

    My Blog

  • I think adjusting stim doses and type or amount of trigger makes more of a difference than what you eat or drink.

    I had really high E2 levels but coasted on stims and did a half dose of hcg trigger, and I was able to avoid OHSS.

    Married 8/2008. IVF with PGD March 2013.
    3/22 ER: 25R, 20M, 15F. 9 genetically normal, and 3 survived to Day 5
    3/27 ET: transferred 1 embryo, beta 9dp5dt=163, 12dp5dt=639
    4/25 1st ultrasound at 7 weeks = identical twins with heartbeats?!!!
    PPROM at 31w, delivery at 32 weeks of two beautiful girls
    image
  • The only time I had OHSS my. RE's office told me to stay away from water and Gatorade!!!! They said I needed protein and sugary drinks like apple juice and cranberry juice. Once I put down the Gatorade 64oz bottles and switched to apple juice it was fine!!! Beats me!!
    Me: 33, Endocrine issues & FVL       DH: 32, Nothing 
    NTNP 2009-2012         TTC since 2012:
    • Clomid, 2 IUI cycles, and 5 IVF cycles = BFN
    • FET #1   August 2013 = BFP!     EDD 5/11/14
    • Jack dx at 19w1d with Dandy Walker on 12/16/13
    • Severe Pre-e /HELLP set in Jack born sleeping at 20w1d on 12/23/13
    • FET #2 --July 2014  BFP!  ---  EDD  4/5/15

    Jack has handpicked his sibling up there :)

    My blog about IF and loss ... Kate's IF Blog

            Lilypie Angel and Memorial tickers 

                                                      

                                                                              Lilypie Pregnancy tickers


                  Anniversary





  • Thanks everyone for your tips! I am doing a different trigger too! I did ovidrel last time and this time to try to avoid OHSS they gave me novadral (sp?) and Lupron trigger. I hope that helps!

    Married my best friend on 9.6.11 
    Me 31 DH 29 
    TTC since 12/2011 
    Me - all normal test results 
    DH - SA #1, #2 and #3 - 0% morphology 
    Straight to IVF w/ ICSI 
    April 3 - start date for BC 
    April 18 - tentative start date for injections 
    Tentative IVF dates: ER - 4/27 and ET - 5/3!! DELAYED.
    IVF #1 - May 6 - Estrace
    May 17 - started injections!
    ER and ET end of May!! BFFN :(
    FET #1 - June 28th - BFP!!!! :)
    Beta #1 - 164, Beta #2 - 381
    1st u/s 7/16/13 - 2 sacs with yolks! 1 smaller than the other - Possible Twins?! 
    2nd u/s 7/26/13 - 1 healthy baby with heartbeat of 123bpm! Second sac empty. Next u/s 8/5/13.
    8/5/13 (7w2d) - no heartbeat. Lost our precious LO :-/
    D&C on 8/12/13 - finally neg hcg 2 months later on 10/3/13.
    Saline Songram on 10/10/13 - found polyp :-( post-poned again.
    Hysteroscopy on 10/29/13.
    FET #2 - BFP!!!! :-) 
    Beta #1 - 265, Beta #2 - 692
    12/24-12/28 (6w) - lost our LO (2nd miscarriage in a row)
    RPL panel and Karyotyping; results all normal!
    Started bcp's 1/24/14; saline sonogram 1/30/14 - All clear!!
    IVF #2 02/15/14; ER 02/26/14 - freeze all due to mild OHSS. 
    7 blasts; PGD on all 7 - all 7 normal!!!
    FET #3 4/8/14; BFP!! :-)
    Beta #1 - 235, Beta #2 - 539
    1st u/s - It's TWINS!!!!
    2nd u/s- both babies measuring on track! Heartbeats of 118 and 122!!
    EDD: Christmas Day!!!

    ** ALL ARE WELCOMED **

    image 
     image
    image  photo 866da40f5178fed79efe23fc8a4e8a_zps4498a9cc.jpgimage 
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