TTC after 35

You guys have me wondering...

I can't begin to tell you how much I've been educated through this site, and the community forums.
But to make a long story short,
-- I finally got AF....today is day 8 and it is still a medium to light flow
-- My doctor told me to take Letrozole days 3 - 7...and that's done

But my wondering comes in because my doctor didn't schedule for me to come back in for follow ups to check follicles, sizes, etc.
She is my ob/gyn.  It makes me wonder if she knows what she is doing.  She told me to continue this every cycle until I get pregnant.
If I don't get pregnant then she would send me to an RE.

As I  have read in so many other posts, doctors who seem much more engaged with their patients regarding taking this medication.
Just needed to get that off of my chest.
40 yr old.
1 daughter - 14 yrs old
2 miscarriages

Re: You guys have me wondering...

  • REs specialize in this, OBs don't. I would seek out the RE sooner rather than later.
    TTCAL January Siggy Challenge: Animals in the Snow

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    About Me: 

    AMA 35 :  DH 33
    BFP#1 1/26/14 (EDD: 10/7/14).  MMC 3/10/14 D&C 3/14/14
    RE Consult 11/3/14 - AMH 2.25 "great" . FSH 7.10 . Low Vitamin D
    Myomectomy 12/17/14.  Benched until March.

    image

    My Ovulation Chart
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  • I was taking Clomid unmonitored by my OBGYN for 2 cycles a couple of years ago (I was ignorant, and definitely didn't do my research) The first cycle I was on 50mg and he said it worked because I got my period on CD14. The 2nd cycle I took another 50mg and I think I got my period a little later in that cycle and he said I "probably" didn't ovulate (because of the late period) and upped my dose to 100mg for the next cycle. I stopped taking Clomid after that because my husband and I got engaged and started to focus on the wedding instead. But after seeing an RE for the first time in November and reading up on infertility treatments and going on boards like these, I DEFINITELY realized my OBGYN didn't know what the hell he was doing! When I went in for my annual PAP last October he asked me "So when are you going to get pregnant?" I was in utter disbelief. He must not have read in my chart I was having infertility issues and that he had prescribed me Clomid that year. I've been seeing this OBGYN for the last 15 years and really liked him, but after that apt I told myself I needed to find a new OBGYN after that insensitive comment! 
    Me: 37 DH: 37, married since Sept. 2013. "actively" TTC for a total of 13 months (after 7 months of TTC, took a 1 1/2 year hiatus due to work scheduling and wedding planning. Started up again after our wedding in Sept.) First evaluation by an RE November 2013

    HSG-normal
    OH-tiny polyp found, but RE assured me she doesn't think it's contributing to infertility and doesn't recommend me to remove it because it's so small.
    DH's SA-normal
    Hormones all within normal levels
    Ovarian Reserve-RE says "is great" she's not concerned about my egg quantity (which I was until I saw her and results came back good!) 

    04/2012 50mg Clomid=BFN (prescribed by OBGYN, not monitored)
    06/2012 50mg Clomid=BFN (prescribed by OBGYN, not monitored)
    11/2013 100mg Clomid, with HCG trigger=BFN (prescribed by RE, monitored with US (2 dominant follicles) and baseline bloodwork done)
    01/2014 100mg Clomid, with HCG trigger-(prescribed by RE, monitored with US-1 dominant follicle)=BFN
    06/2014 7.5mg Letrozole, HCG trigger (prescribed by RE, monitored with US-2 dominant follicles), IUI #1 on 7/3/14=BFN
    07/2014 7.5mg Letrozole, benched for IUI#2 this cycle, because I ovulated on my own before my follicular US. Progesterone suppositories=BFN Diagnosed with PCOS this month too. Testosterone levels high at 76. =( 
    08/2014 7.5mg Letrozole, HCG trigger with 19mm follicle. IUI#2 on 8/31 cancelled last minute due to family emergency. 
    09/2014 Taking a 3 month break starting this month. If not pregnant in 3 months, will start up again with medicated cycles and IUIs. Had all my labs and AFC re-evaluated this month also. RE says nothing much has changed since my eval last November, okay for me to take a little break. =) 




  • Yes, find a RE asap.  Have you had CD3 bloodwork or an HSG to make sure your tubes are clear?  Has your partner had a sperm analysis?
    As AMA ladies we don't have time to waste with unmonitored cycles.  Good luck.
    Me: 37                                               
    DH: 45
    BFP #1 3/19/14  EDD 11/29/14 MMC D&C 4/24/14
    BFP #2  12/4/14 Beta #1 218 at 12dpo Beta #2 1055 at 16dpo
    Saw heartbeat 12/29.  Please be a rainbow.
    imagerainbows
              
    All welcome                                   
                              
  • My OB put me on clomid for three months, no monitoring, no diagnosis of what was wrong.  From charting I had suspected that I wasn't ovulating so I sought out an RE on my own vs. waiting for a recommendation - especially because I knew that the RE my OB would recommend wasn't who i wanted to see.  The RE diagnosed the PCOS and confirmed that I was not ovulating and we went right to injectables with the trigger.

    During our last time of ttc the RE and I decided to try the letrozole with timed intercourse - but he was sure to monitor it. 

    Another factor is that the RE monitored the progesterone levels and prescribed supplements, which I needed for both pregnancies. 

    I agree, find an RE that you like.

    *Siggy Warning*

    About me  2007: Started TTC. 2008: OB prescribed clomid, went to RE and was Dx with PCOS. 2009: IUI #1 w/follitsim and trigger = BFP. B/G Twins born at 33 weeks. 2012: TTC #3, Round 2 of Letrozole w/TI = BFP, missed m/c at 8 1/2 wks. Currently on the bench as we make plans for a new home. Anxious to start TTC #3 within the next year!

    image

     

  • Thanks all!
    My husband and I are looking into an RE.

    40 yr old.
    1 daughter - 14 yrs old
    2 miscarriages

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