Step One of TTTC/ A Sort of Introduction?

LO95

Hey Everyone,

A little (fertility) history and a few questions.

I was diagnosed with Endo in the fall.  The Endo that was found was primarily in the form of erosion on my pelvic walls.  There was a small spot of Endo he was able to laser deep in my pelvis but otherwise there really wasn't much to be done during the lap because of the type of Endo damage found. 

As of the lap in October my ovaries looked healthy and my uterus was free of Endo.  However, he suspects I have Adenomyosis due to the pinkness of my uterus.  My tubes were declared good to go after the blue dye procedure.

DH is due to have a SA in the next week or two.  He is a twin and his twin's wife is also having trouble getting pregnant.  When twin was tested two times his SA has come out good to go so we are keeping our fingers crossed.

As of my WTF appointment on Monday the OB wants to try a cycle or two of Clomid before sending me on to the specialist.  I asked if this was a good idea given the fact that (as far as I know) I am ovulating. (Or at least my period is regular and I have always gotten positive OPKs...) I was also concerned about uterine lining thinning or the Clomid fueling estrogen issues.  He said it's "just not usually" an issue.  He said I would start the Clomid on Day 3 and do an ultrasound to monitor on Day 11.

I am skeptical about the Clomid but since we have NO insurance coverage, I don't know if this is something we should give a shot before moving on.  (Assuming DH's test is normal of course...)

Any feedback about Endo/Adeno treatment would be sooo appreciated. 

pcrumley

Usually clomid is covered under insurance, for the most part, they have generic for 10$ if you don't have insurance at all? TTC could get quite costly for you, clomids increase your chances of twins, and since twins carry maternally not paternally your husband could father twins, that's kind of cool are you seeing an RE or an ob, and with the blue dye test are you referring to an hsg? Doing a cycle can't necessarily hurt, if you and your husband have been trying and nothing's worked, clomid will thin your lining and make you produce more eggs, also make your body ovulate if you aren't regular. . They can also give you something to thicken your lining more if this is your concern. With the clomid monitoring are you getting an ultrasound done or just bloodwork ? - @LO95‌

Sha259

I believe that the blue dye test OP refers to is the one they do for tubal patency during laparoscopic procedures.

I am also not an expert in pelvic erosion, but from what you've described, it sounds like your endo was effecting mostly your abdominal cavity and not specifically any of your reproductive organs (not on ovaries, tubes, or uterus). For that reason, I do not know if Clomid would have a further weakening effect on your abdominal cavity.

 If you are seeing an OB, I would ask at least to be referred to an RE for a consult about your condition. They would be able to go over the pros and cons of different options and how your current condition effects your chances for each option. Good Luck.

pcrumley

That's what I meant, @NariaDreaming‌ lol I just wrote wrong that's why I mentioned options to thicken at the end lol, my bad

sundaybrunch

Clomid's pretty cheap.  I have absolutely zero coverage for anything infertility related and I paid $27 for 7 days of Clomid.  All of the monitoring appointments add up very quickly though at around $150 a pop.  I do pay at the time of my visits and get 20% off.  You should ask your OB if they offer something like that.

I also second going to an RE for a consult on your condition.

Milagros315

Hey! I'm sorry that you have to be here but welcome to the group.

I have read that Clomid may not be the best choice for people with endometriosis, but I can't remember where I read it so I can't say for sure whether it was a valid source or not. I do know that my RE does not like to use Clomid. If we had started with oral medication, he would have prescribed Femara for me instead. It sounds like your OB is going to do the proper monitoring, but my concern would be whether or not an OB knows if Clomid is the best option for you. I feel like an RE would be better equipped to make that call. Do some research and see if you can back up what I said and if so, just ask your doctor if you could try Femara. 

Good luck moving forward!