Trouble TTC

XP: RE beat me to it... I wanted to give him a piece of my mind

So I knew I would be having my WTF convo soon, but was expecting it on Monday. Well I just got off the phone with RE who seemed to be more upset about the fail than me. 

In 3 yrs and 4 transfers I dont think Ive ever heard him sound so aggressive in tone. He was very sympathetic and apologetic for the first half of the conversation. And I think he was disappointed with himself, since for the first time HE actually preformed my transfer this past time. (as if he may have thought the other doctors where doing it wrong before, lol) 

After all the apologies and I really thought this would work this time part... he starts with the list. 
1) Recurrent Loss Panel
2) A second HSG (I had my tubes removed, but he thinks maybe there could be something residual thats causing problems)
3) Put me in a Endometrial study, where part of my endometrium will be biopsied and tested?? (I really dont know all the details of what this is or why), but based on the results apparently their could be additional things to improve the process.
4) A repeat saline sono
5) A special diet, which we will discuss in detail later. Nothing too drastic but he wants to make sure Im at least eating "these" certain things, and staying away from "these" things
6) Proceed with another 2 embryo transfer, that HE wants to perform himself.

I really feel good about this. My doctor for what its worth is a lot like Ben Stein... very nice, mild mannered, very detailed, but a little dry and monotone. And to hear expression in his voice over the phone was like "who the hell is this and where is my doctor"

He did say that we should be able to have a transfer in a couple months, which was a little disappointing, since I was just getting excited about doing a transfer next month. But hey, this sounds good to me overall. I had myself all prepared to go all "boss chick" on him during our talk, but he beat me to it. The only things I was going to ask about was the RLP and a endometrial scrape... 
 
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Waited a long time, tried a lot of stuff, science made me a mom.
 Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS

Re: XP: RE beat me to it... I wanted to give him a piece of my mind

  • I'm sorry that you even had to have this conversation. It sounds like he has a detailed plan. I don't know anything about what he is suggesting, so I can't offer anything there. I hope that his new plan is ultimately successful for you. I'm sorry that it means more waiting though. It is great that he seems invested in your success. Hopefully that will make all the difference.

    Me: 30  DW (aka C): 29

    Together since 2/15/11 ~ Legally married in NY on 9/29/12

    ***CP mentioned***

    We've been working on baby #1 since July 2013 using Open ID donor sperm.  8 IUI attempts with 5 actual IUIs and one chemical pregnancy.  We have one fresh IVF cycle under our belts as well as a FET.  I have endometriosis and a uterine septum that was corrected via surgery in November 2013. 

    11/14/14 -  Second HSG shows that tubes are still clear and ute is looking good. 

    12/6/14 - Started BCPs in prep for IVF #2

    12/22/14 - Saline u/s and endometrial scratch (All was clear and OUCH!)

    1/2/15 - Began stimming for IVF #2

     ****All Welcome!****

    We are Mommas to four fur babies - 3 dogs and 1 cat.

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  • Glad your doctor is taking an aggressive approach - it helps you feel a lot more in control when you have a plan and take steps towards achieving your goals.  Good luck to you!!  Sorry you're going to go through all that testing but it's better to find out now, huh?
  • @StacyLH24 all I know is I couldnt write fast enough to keep up with him. and while I dont know what all this means, the fact that he just doesnt want to "try again" is very encouraging. It really makes me hopeful. 
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    Waited a long time, tried a lot of stuff, science made me a mom.
     Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS
  • Well it's great that he at least has a plan of action...that is the good part. Sorry about all the failed transfers...I do have a question @jaztaz1‌ so when they transfer with IVF they don't implant the embryo right? So there is still a chance of failure....I apologize in advance for my ignorance. DH and I were just discussing IUI vs IVF. Good luck! I remember your the one with insurance that I would sell one of my nieces or nephews for...;)
    Me: +35 DH: +35
    TTC: Since January 2013 
    DX: PCOS. Severe Endometriosis, Unicornuate Uterus w/only left tube and left ovary, Pedunculated fibroid (on the outside of uterus) and Anovulation. All conditions diagnosed 8/13
    TX: Metformin
    DH DX: MFI - low morphology, low motility
    Ultrasound shows both kidneys in spite of UU. 
    HSG showed clear tube on the left side. 
    Lap Surgery performed 1/9/14 to remove fibroid and endo (Stage 3)
    • IUI# 1 June 2014 started 100 mg of Clomid - 7dpiui Progesterone: 13: BFN
    • IUI#2  July 2014 started 100 mg of Clomid - 7dpiui Progesterone: 5.75: BFN
    • Natural Cycle - so shocked to be in 2WW - 7dpo Progesterone: 15.5: BFN
    • Working with new RE starting injectables in late August.
    • IUI #3 August 2014  w/ Menopur: BFN
    • Finally ovulating on my own!!
    Waiting to start IVF hopefully
    **********All Are Welcome**************
    3T January Siggy Challenge: New Year's Resolution
    image

     
  • Go doctor, go! If you had any doubts before about how he felt they should be gone now. He sounds like a man on a mission. A great mission to get you pregnant.
    Warning No formatter is installed for the format bbhtml
  • @TTCBabyJ‌ lol, yea I'm eternally grateful for our coverage. But yes, even with IVF it could still fail. But I usually don't have an issue with initial implantation. It's what my body is doing or reacting after that point that seems to be the problem. I heard endo scrapes can help with that.
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    Waited a long time, tried a lot of stuff, science made me a mom.
     Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS
  • It's great that your RE cares and is so personally invested in your success! Good luck with your testing and new diet, whatever it is. :)
    January 3T Siggy Challenge - New Year's Resolutions
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    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • Sounds like you have an awesome Dr. I hate that you are in this situation but at least he sounds like he's got a plan. Good luck!
    Fucking bump!!!!
  • It seems great that he called you personally and kind of made it his personal mission to get and keep you pregnant. I'm sorry you have to do all of those things though! I hope they pay off for you. Best wishes.
    **siggy warning**  **everyone welcome**

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    DS- 11.07.02
    DSS- 6.26.04
    Married- 6.29.13
    TTC Again- Sept. 2013
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Test Results/Diagnosis- HSG & SA totally normal
    DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
    5/2014 Possible mild PCOS in addition to hyperprolactinemia??
    7/2014 Adding probable tubal factor to the diagnosis list
    9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
    Methotrexate on 8/12/14 -HCG negative on 9/2/14
    IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
    Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
    u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
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  • I'm sorry you have to go through all that. However, it is great you have a detailed plan and a doctor that cares! Good luck!!

    DH: 34  
    Aug 2013 - SA: Counts & Motility = great, Morph = 1%; RE didn't seem too concerned

    Me: 26
    Jan. 2014 - Blood work ordered by obgyn:  Prolactin = high & AMH = low (0.73)
    Feb. 6, 2014 - Repeat blood work ordered by obgyn:  Prolactin = normal & AMH = low (0.9)
    Feb.  20, 2014 - First appointment with RE
    Feb. 24, 2014 - HSG scheduled;  DX:  one tube definitely open & one tube could be blocked
    Mar. 7, 2014 - CD 21 Blood work for Progesterone; DX:  Progesterone level at 5.2; shows I ovulated but was low
    Mar. 28, 2014 - Laparoscopy; DX:  Tubes open.  Found some endometriosis and had that removed.
     
    History:
    Started TTC:  June 2012
    June 2012 - March 2013:  When it Happens/it happens method = BFN
    March 2013:  Started using Fertility Friend
    Cycles 1 - 15 with Fertility Friend = BFN
    Cycle 16 - Benched due to Laparoscopy
    Cycle 17 - Natural Cycle = BFN
    Cycle 18 - Natural Cycle = BFN
    Cycle 19 - Natural Cycle = BFN
     

    Current Cycle:
    Cycle 20 = Natural Cycle


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