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Transition from RE to OB?

JessarabJessarab member
in Third-Party Reproduction
I know I am weeks away from this, but when did you transition from your RE to your OB? My RE won't release me until I'm off all my meds - which means the end of PIO shots is in sight!! 
Pregnancy Ticker

Married September 3, 2011 | TTC since May 2013
Me: Diagnosed with ovarian cancer in 2013, underwent fertility sparing surgery which left low ovarian reserve, no tubes, partial ovary | DH: perfectly normal 
BFP: 5/30/2014 via donor eggs | EDD: 2/6/2015
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Re: Transition from RE to OB?

  • Mrs.McIrishMrs.McIrish member
    I was released at 11 weeks but actually saw an OB at 10 weeks 2 days bc I needed an u/s and the local RE wouldn't do them for me anymore (I cycled out of state) .. I feel like my release was later than most. I reduced my PIO/ estrace dosages at 9 weeks and stopped totally at 11 weeks.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

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  • e74e74 member
    edited June 2014
    I was released right before I was 10 weeks and I saw the OB at 12 weeks... I stopped progesterone and estrace both at 10 weeks...
    DS#1 born 9/23/06 
    Twins DS#2 and 3 born at 31 weeks, 3 days due to a short cervix on 8/2/13.
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  • Mama-BearMama-Bear member
    I was a GS out of town, so that may have played a part, but I switched to my OB around 7/8 weeks but was on PIO until 10w.  Last time I saw the RE or spoke to anyone from his office was at the first u/s.

    GSx1 - 05/13/2013
    GSx2 for T&B - EDD 6/21/2015 - They're having a GIRL!
    babybaby
    BabyGaga
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  • chicagobride_07chicagobride_07 member
    I've seen anywhere from 8 to 12 weeks. I never transitioned, I had an old school doc who functioned both as an RE and OB. His primary focus was infertility but he also delivered IVF babies. I loved it because I got the same level of attention and care I did for IVF throughout my pregnancy. I had my docs cell and home phone number once I hit 30 weeks. Sadly he is retiring this year.

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

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  • liz4pawsliz4paws member
    I can't remember for sure but I think I started weaning off at 9w and was completely off at 11w. They would have cut me at 10w but I insisted on being on it longer. I'm a worrier. :)

    ************ Signature/Ticker Warning ************
     Me (32) DH (36) - Finding our way to baby #1
     Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
     DH: Severe MFI

     12/2/11 - IUI #1- BFN 
    8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)
    My ovaries are just for decoration

     12/6/12 - Adopted five embryos that had been frozen for over ten years!
     2/11/13 - DEmbryo FET #1 Thawed four, sadly two didn't survive. Transferred two beautiful blasts. 
     2/16/13 - First BFP of my life @ 6dp5dt! EDD 10/30/13
     3/27/13 - After beta and u/s hell, no heartbeat ever detected. D&C at 9w1d.

    6/5/13 - Adopted four new embryos that had been frozen for seven years!      
    9/12/13 - DEmbryo FET #2. Thawed and transferred two beautiful blasts
    9/17/13 - BFP @ 5dp6dt! EDD 05/31/14
     9/29/13 - m/c @ 5w1d. :(

    11/19/13 - DEmbryo FET #3. Thawed and transferred one blast from each batch. Wow!
     11/23/13 - BFP @ 4dp6dt! EDD 8/7/13
    Beta #1 @ 13dp6dt - 522  Beta #2 @ 16dp6dt - 1373 
    6w5d ultrasound showed one perfect baby with a beautiful heartbeat of 134bpm!

    Snowflake baby is a girl! 
    Our beautiful Snowflake girl arrived on July 22, 2014!   
     My embryo adoption blog: Wishing on a Snowflake
      
        image      image 
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  • brooklynesquebrooklynesque member
    My RE released me at 7 weeks, though they still supervised my meds until around 11 weeks.  (I went back for occasional blood testing.)
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  • JessarabJessarab member
    Thanks everyone! I am so looking forward to the end of these PIO shots! I called my OB today and even if my RE doesn't release me til later, he wants to start seeing me around 8 weeks in conjunction with the RE. I guess my case is a bit unique with my background and how we ended up on this path - my OB is the one who found the cancer in the first place so I know he's not only thrilled that we're pregnant but he wants to make sure everything is looking healthy. 

    @brooklynesque - I hope I'm that lucky!
    @liz4paws - too funny - the first chance I get to be done, I'm done :) 
    @chicagobride_07 - that's so cool! and very convenient!
    @Mrs.McIrish - why wouldn't they do a u/s for you?? 
    Pregnancy Ticker

    Married September 3, 2011 | TTC since May 2013
    Me: Diagnosed with ovarian cancer in 2013, underwent fertility sparing surgery which left low ovarian reserve, no tubes, partial ovary | DH: perfectly normal 
    BFP: 5/30/2014 via donor eggs | EDD: 2/6/2015
    Report Reply
  • Mrs.McIrishMrs.McIrish member
    Jessarab said:
    Thanks everyone! I am so looking forward to the end of these PIO shots! I called my OB today and even if my RE doesn't release me til later, he wants to start seeing me around 8 weeks in conjunction with the RE. I guess my case is a bit unique with my background and how we ended up on this path - my OB is the one who found the cancer in the first place so I know he's not only thrilled that we're pregnant but he wants to make sure everything is looking healthy. 

    @brooklynesque - I hope I'm that lucky!
    @liz4paws - too funny - the first chance I get to be done, I'm done :) 
    @chicagobride_07 - that's so cool! and very convenient!
    @Mrs.McIrish - why wouldn't they do a u/s for you?? 

    I cycled out of state so I needed to get u/s done locally. I went to a former RE of mine for monitoring. She releases her own patients at 7 weeks so she wasn't comfortable doing u/s for me at 10 weeks bc she doesn't normally see babies at that size...So I needed to see an OB for a final u/s before my RE out of state would stop my meds and release me...Just a weird thing when cycling remotely...

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

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  • DoulaRaVenMaDoulaRaVenMa member
    Mine won't release me tell 12 weeks & I am a out of town Surro too.
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  • JessarabJessarab member
    Oh interesting, @Mrs.McIrish! It makes total sense tho - better to see someone who sees 10 weeks all the time :)

    I'm hoping I'm released prior to 12 - DH is taking a trip Week 10 to Week 11 so I'll have to head to my parents every night for the shot. Completely doable, just inconvenient :) 
    Pregnancy Ticker

    Married September 3, 2011 | TTC since May 2013
    Me: Diagnosed with ovarian cancer in 2013, underwent fertility sparing surgery which left low ovarian reserve, no tubes, partial ovary | DH: perfectly normal 
    BFP: 5/30/2014 via donor eggs | EDD: 2/6/2015
    Report Reply
  • lincoln79lincoln79 member
    You may want to ask your RE if you can switch from PIO to prometrium earlier. Our GC did at 7w and it alleviated a lot of the pain for her.
    TTC #1 since 12/2010 DH: MFI, cancer survivor Me: Resected septate uterus, lap treated mild endo, tubes open, ovulate on own, autoimmune disease 3 Failed IUI's (2/2012, 4/2012, 6/2012) 
    IVF #1 August 2012. BFP! Beta #1 56.7 Beta #2 150 One baby, one heartbeat on 9/20/12! no h/b @7w6d. dandc @8w0d, 
    FET #1 December 2012, BFN
    FET #2 February 2013, no embies survived thaw
    IVF #2, BFP #2, Loss #2 March 2013, Scar tissue discovered, RPL testing,
    IVF #3, BFP #3, Loss #3 (twins) September 2013
    Hostile ute, moving onto Gestational Carrier!

    GC/FET #1 of 1 5AA blast and 1 compacted blast, February 2014, BFP #4 on 3/1/2014!
    6w u/s 1 bean with h/b of 145 bpm, 8w u/s 187 bpm
    EDD 11/7/14. Please, please, please stick little one!

    Praying unceasingly for a miracle. ALL welcome!

    image










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  • kushie77kushie77 member
    I don't have any first hand experience, but I know my OB will not take over until 10 weeks on patient's who are coming from an RE. 

    ****SIGGY WARNING****


     Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

    TTC since May 2012

    HSG- all clear

    March 2014 - RE appt. 
    April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
    May 2014- Fert Urology- Bilateral varicoceles, recommend Donor Sperm
    12/2014-  Surprise natural BFP  EDD 7/31/15 Plan:  Starting foster to adoption, natural cycles




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