TTC After a Loss

Questions for those doing medicated cycles?

I had my RE follow up yesterday.  Everything looks ok with the exception of my lining being thin and I had a 19.5 mm follie so my RE recommended a trigger shot to increase my natural progesterone, vaginal estrace and vaginal endometrium.  If this doesn't work he recommends injectables+trigger+TI.

My questions are: where do you get your meds? I am all OOP for the endometrium and will be for the injectables as well if we do that next cycle.  I have heard the fertility pharmacies are less expensive than ordering though the local chains.

If you tested out your trigger, when did you start testing?

When do you start the stims?  Can I wait until CD 1 to decide and order the meds or will that be too late to get everything?

Should I intro on to 3T to ask these question?
Thanks for your help
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                                   
                          

Re: Questions for those doing medicated cycles?

  • Hey, I am on 3T as well. They will certainly be able to give you an extra level of support. They are awesome!

    With regards to meds, my RE calls them in. I get them from some pharmacy in FL b/c that is what my insurance uses. However, it's cheaper for me to go through Walgreens special order pharmacy thingy and pay OOP. There are a lot of programs out there that will help with the cost of meds. They can provide up to 75% off the cost of injects. Which will be super helpful. After we finish with our break, we will be starting up injects. 

    I know it's not super helpful, but I hope that at least helped out some. I will have to get back with you on some of the helpful things, but in the meantime, check out Resolve's website. They have a lot of helpful info on there. 
    Multiple TTCAL 1IF 3
    imageimage
    DX: stage 2 Endo 2012, PCOS 7/2/14,  HSG 6/11/14, Lefty open!!
    BFP#1, EDD: 4/27/14, Missed EP confirmed: 9/23/13, R tube removal: 9/25/13 
    Clomid/TI #1=BFN, 
    Clomid/TI#2=BFN, Clomid/TI #3=CP
    BFP #2 CP, EDD 7/12/15
    On a treatment break: 2 natural cycles. Saving money, sigh*

    Goodbye my sweet babies. We miss you so much
    All Welcome


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  • I use Walgreens Specialty Pharmacy as well.  My insurance covers a few things but I am mostly OOP.  I found there prices to be pretty low compared to others for most things.  They also have a few discount programs for people who are OOP.  There is one I use the you pay $25 for a card and then you get $100 off every $1000 you spend. 

    I never started injects before CD3 so CD1 isn't too late to order unless its a weekend because they don't deliver Sunday or Monday.  I usually can get things next day from them.

    I tested out the trigger before but it usually lingers around between 8-10 days for me.

     image

    BFP #1: 1/4/13, EDD 9/8/13, Missed M/C confirmed 2/8/13, Misoprostol

    2013: Three CPs w/ EDDs: EDD 2/10/14, EDD 3/24/14, EDD 6/24/14

    IVF/ICSI #1 (Antagonist) - Jan 2014- 19R, 14M, 11F, 3 penguins (6BB, 4BB, 6BC)  PGD tested- All Normal!

    IVF/ICSI #2 (Antagonist) - Feb 2014 - 23R, 11M, 10F, 1 penguin (3BB) - Another Normal!

    FET #1 - March 26, BFN

    FET #2- Beta #1 (9dp5dt) -332, Beta #2 (11dp5dt) -1027, EDD 1/30/2015, Missed M/C, D&C 6/19/14

    IVF/ICSI #3 (Lupron Down Reg) - Oct 2014 - 38R, 28M, 27F, 20 frozen on day 5, 16 normal penguins!!

    FET#3 - February 1, 2015, Prep begins 1/13

    All Welcome!

  • tlc35 said:
    I had my RE follow up yesterday.  Everything looks ok with the exception of my lining being thin and I had a 19.5 mm follie so my RE recommended a trigger shot to increase my natural progesterone, vaginal estrace and vaginal endometrium.  If this doesn't work he recommends injectables+trigger+TI.

    My questions are: where do you get your meds? I am all OOP for the endometrium and will be for the injectables as well if we do that next cycle.  I have heard the fertility pharmacies are less expensive than ordering though the local chains.

    If you tested out your trigger, when did you start testing?

    When do you start the stims?  Can I wait until CD 1 to decide and order the meds or will that be too late to get everything?

    Should I intro on to 3T to ask these question?
    Thanks for your help
    My trigger has been ordered from Ionia pharmacy in California. I usually pay $90ish for it. That's with fed-ex shipping.  As for testing out the trigger, I have only done it once, and I hated it. I'll never do it again. 
    image
    Hubs & I -29 • Met 5/18/04 • Married 5/8/10
    BFP #1 DS 2/7/11 (Born @ 34 wks via ECS due to Pre-e) TTC #2 since Aug '13
    DX Low AMH (.58) March '14 • FSH-7.5 • E2-35.5 (Nov '14)
    SA- Great numbers • SIS- Clear (Nov '14)
     Cycle 1- Clomid CD3-7 & Trigger-BFP • EDD 1/12/15 
    Ectopic @ 5w6d • Methotrexate Shot 5/18/14
    Cycle 2,3,4- Clomid CD3-7 & Trigger-- BFN
    Cycle 5- Letrozole CD3-7 & Trigger BFFN
    image
    • Everyone Welcom
    TTCAL January Siggy Challenge • Animal Snow Interactions
    image


  • Alexander Twin Pharmacy in NJ was by far the cheapest for follistim (the most expensive of my IVF meds) but they were NOT the cheapest for my progesterone (my hospital's speciality pharmacy was).  All this is to say - you may want to call around.  Some well known fertility med pharmacies are: Alexander Twin, Freedom Fertility Pharmacy and Walgreens.  All of the meds you list are not very expensive (the estrace was super cheap I think because you only need a few tablets).

    You might want to ask on the IF boards too.  

    Good luck!
    ----
    *I am no longer regularly posting on TB because of the fucked up debacle of Jan 2015 when administrators banned long-term members and mods with no notice and completely dismantled a community full of women who cared about each other.  If you see me posting it's only to give support to a poster who needs it or to post something important enough that I need to say.  I am no longer responding to  anything other than issues that affect people who I care about*
    37 years old, MH is 42
    TTC since 2010; Dx Unexplained Infertility; possible male factor 
    August 2012 through June 2013:  6 IUIs with clomid and trigger shot, all BFNs
    7/2013, Pregnant! Unmedicated--we were on a treatment break
    8/20/13 no heart beat; 8/23/13 d&c
    3/15/14 IVF #1:  Lupron/Follistim/Menopur; ER 3/10 resulting in four transfer grade blastocysts, transferred one pretty blast and froze the remaining three. BFN. 
    Natural FET in May cancelled because the universe hates me my hormones were not cooperating.
    6/24/14 FET #1: transferred two pretty embryos; BFN   
    8/28/14 FET #2: BFP, ended in Chemical pregnancy

    Done with medical intervention and getting used to the idea of CFNBC.  




    All welcome
  • Thanks ladies.  I probably should intro into 3T and ask there but I have been putting it off, both because I already am active on this board and TTC >35 and don't know if I can be active on another board and because we haven't hit the year mark yet.  I know that since I am 37 it was/is appropriate to see a RE but I still feel a bit weird about it.
    I did get the estrace at my local walgreens and ended up getting the endometrium at Freedom fertility where it was saved me about $45.

    @megrae if this supported cycle doesn't work we may be on injects together!
    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                                   
                              
  • I do occasionally participate on 3T. They're very kind and welcoming

    I use Walgreens specialty pharmacy and I would start stims on cd3. The pharmacy usually offered next day delivery, so ordering on cd1 was always fine. Ask about samples from your RE. My office always gave me follistim

    I start on 7dpo testing out trigger, bc I know that a positive would definitely be too early for a bfp

    4 Losses (2003, 2008, Apr 2012, & Oct 2012)
    All RPL and IF testing with multiple REs = normal

    5 IUIs = BFN

    All AL are welcome
    Image and video hosting by TinyPic

  • I get my meds from the fertility pharmacy that my RE's office uses and they ship it to me. This month I needed to get next day delivery and it cost an extra $15, but I got it the next afternoon.

    Last cycle I started to test at 7 days past trigger.  It only took 2-3 days to test it out, so I figure I'll start testing at the same time this cycle.


     

    TTC since July 2012 
    BFP 5/22/13. Lap. to remove ectopic and dx with endo. 6/16/13

    RE consult: June 2014

    DX: FVL, endo, hypothyroidism, blocked left tube

    Oct. 2014: First treatment cycle: Clomid+trigger+IUI=BFN

    November 2014: Clomid+trigger+IUI again=BFP!

    BFP 11/28/14 MC discovered 1/14/15

    Blogging to stay sane

  • Hi!
       I did 3 injectibles with IUI cycles.   My RE always called in the injections on CD1 and I didn't start them until CD9 I believe.  I took Clomid CD3-7 and started injections CD9. 
       I usually start testing my trigger out at 6DPO.  Normally it's negative by 8DPO.
       I get my meds at a fertility pharmacy.   They overnight everything for no shipping cost.  They also send a sharps container and alcohol swabs for free.
       Also the videos on Freedom Pharmacy for the injectables were so helpful to us.
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