Trouble TTC

Injects Question

Hi ladies!

Just wondering if anyone has ever started follistim without inducing AF first. RE says it's not necessary, and I'm just curious if anyone has had experience with this. I wouldn't even know what CD to consider this since I started it Wednesday after doing my baseline. Hmmm... 8->

Re: Injects Question

  • If your baseline hormone levels were OK then don't even think of normal cycle days...just think of baseline as CD2 and go from there.  

    As for what normal hormone levels are...Your E2 should be below 100, Your FSH should be below 12, your LH should be below 7, and your P4 should be below 1.  As long as you fall into those categories than your follicles are rested and ready for stims, you are not "past ovulation"/waiting for AF.  

    But personally?  No, never had that.  But I have no irregular cycles.  Those that do sometimes use something to shed lining to start fresh  - but like I said, if your hormones are at decent level and lining is under 6mm than there is no reason you can't start.

    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
    Child Free Now?
    S/PAIFW , S/PALW

    My Blog

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  • This is very helpful @katib77 thank u !
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  • Glad I can help.  :::tips hat::::

    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
    Child Free Now?
    S/PAIFW , S/PALW

    My Blog

    image



  • I have started stims without AF because I don't cycle on my own so basically a cycle can be started whenever. One warning- you may start to bleed once you start injects, don't worry. Of course, call your RE if it's off normal or you're concerned, but it's happened to me during all 3 of my cycles. 
    *****************siggy/ticker warning*****************************


    -Me: anovulatory/ hypothalamic amenorrhea / H: all good
    -IUI  Medicated TI Cycle #1 (Dec): Menopur  + Ovidrel + TI  = BFN
    -Benched for work issues Jan/Feb
    -IUI 1.2: Menopur + Ovidrel = BFN
    -IVF #1- Menopur + Follistim = 12R / 7M / 4F -- first beta-260, second 520. EDD 2/22/15

    Welcome Dane 02/09!


  • Yes I have. I had a cyst so they started me on bcp for 2 weeks and I went back for monitoring and everything was fine and so I started stimming. I actually started my period after I started injections. I'm doing IVF now and again had another cyst so I had to be on bcp a few more days and got the go ahead to start injections before a period except I did start the day before. Both of those times my period was super light. This time I knew my lining was 5 and the nurse said don't be concerned if I don't bleed much and I didn't, I'm loving it.

    Honestly I thought the Dr was crazy the first time but I guess it makes sense. Also, the first month that I started injections before my period was my best response on the injects. I'm hoping there is a pattern to this.

    Good Luck!
    Fucking bump!!!!
  • Huh.  Never heard of this before but it's interesting.  I always wait until AF but then, I always use progesterone support on my cycles so the sudden drop induces my period.

    In any case, new information is always nice :)

  • I've done this, but I also do not cycle naturally.  I had a trip planned and I wasn't going to be home for monitoring so my RE let me start stimming when I returned, around CD 9.  So, it wasn't super late - but most ladies cannot get away with this.

    Just for your reference, that was my first inject cycle and I started with a 10 mm follicle at my baseline, I stimmed for 11 days and then began surging on my own so I had to trigger and go in for IUI the next day.  My largest follicle was like a 16 and the others were around 12.  Based on my estradiol levels my RE said I had 4 eggs released.  My progesterone was low and I had to take Crinone during my TWW. 

    This cycle I started on CD 3 and stimmed for 13 days.  I ended up with 2 follicles at 18 and 1 at 16.  I also do not need Crinone support this TWW.  

    So overall, the cycle where I started on time went waaaaay better then the one where I started late.  I'm sure each and every person is different and just because that is how it worked for me doesn't mean that is how it would work for you, but it is curious how drastically different they went down when I have a pretty consistent response to meds each cycle. 

    Good luck!
    *** SIGGY WARNING ***

    Happily Married Since 10.2006  •  TTC since 07.2012
    HSG Good & SA mostly Normal  •  DX lean PCOS
    MAR - NOV 2013  •  5 Cycles Clomid + TI = 2 Late O's/BFN & 3 Big Fat FAILS
    DEC 2013 - FEB 2014  •  IUI #1-3  •  Femara 5mg + Trigger = 3 BFNs
    MAR 2014  •  IUI #4  •  Follistim + Trigger + Crinone = BFN
    APR 2014  •  Benched  •  BCPs to clear up Cysts

    MAY 2014  •  IUI #5  •  Follistim + Ganirelix + Trigger = BFP
    E.D.D. 2/18/2015
    6/11 +HPT • 6/13 BETA 447 • 6/16 BETA 1535
    6/23 U/S Adorable Little Bean • 6/30 U/S Beautiful Strong Heartbeat

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