Trying to Get Pregnant

IF/Testing Check-in wk Jan9

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Re: IF/Testing Check-in wk Jan9

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  • @kyersten Yep.  That is exactly how I have been feeling.  The waiting game right now is tough because being on bc feels so counter-productive.  I will have been on it for two weeks on Thursday so hopefully I will get the call soon.  I have been trying to use the time to mentally and physically prepare – healthy diet, adjustments to exercise, detoxing, etc. 

    @virginiaham IF sucks.

    In regards to sharing, we aren't necessarily keeping it a secret but I'm trying to keep some boundaries to avoid all the annoying conversations with people who think they are fertility experts.  I told my mom over the holidays and a few close friends who I feel comfortable sharing with.  

    History and blog link in spoiler
    2016 - dx with super low ovarian reserve; failed cycle with clomid, failed IUI, 
    2017 - egg retrieval #1 - 3 eggs, 0 embryos appropriate for transfer; ER #2 2 eggs, 0 embryos on day 3; ER #3 1 egg 0 embryos
    moved to donor egg in summer 2017; 35 eggs retrieved; 19 fertilized; 9 total embryos
    Fresh transfer Dec 2017= BFP!  baby boy born 8/22/18

    May 2019 - surprise natural pregnancy ended in MC
    Nov 2019 FET; MC at 9 weeks
    May 2020 FET; BFN
    July 2020 FET; CP treated with methotrexate
    Oct 2020 BFP! 

    Take a look at my blog


  • edited January 2017
    So I could use some advice. My REs office does two IUIs as standard procedure, one at like 18-24 hours and one at 36. It's an extra $500 to do the additional one and I wonder if it's really that much more successful? The nurse on the phone was pretty wishy washy about that. 

    If we just do one, they do it at the 36 hour mark which seems scarily long after the trigger to me- what if that misses the mark and we've been saving up DH's S so we haven't even HIO close? On the other hand, if we don't do the extra one and don't get KU, I'm worried I'm going to hate myself for not doing everything possible. 

    I don't know what to do :(

    Update- typing all this up made me realize how stupid it is to stress about an extra $500 when if this doesn't work we're spending way more than that on IVF *rolling eyes at myself* this process effing SUCKS



  • @bluejeanbabi05 most RE's only do one IUI at 36hrs post trigger (that is pretty standard timing, so I wouldn't stress it). One other girl here  had an RE do two IUIs (sorry I don't remember who it was).  I guess as long as MFI isn't your issue than it can't hurt, I'm  just not sure how much it helps.  I would think if it made a huge difference than all RE's would do it.  This process does suck, but hopefully its all worth it in the end. hugs 
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

  • @JuneRoseRuby - Whoooaaaaaa. Your doc is serious. That's awesome. My testing was spread out over several months and it was agonizing. 
    TTC #1 since September 2014
    Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
    Check out my Infertility blog 
    Check out my Infertility Instagram

    Loss History (TW):
    BFP: 3 May 2015, loss confirmed 4 June 2015
    BFP: 15 August 2015, loss confirmed 23 August 2015
    BFP: 16 November 2015, loss confirmed 22 November 2015
    BFP: 18 July 2016, loss confirmed same day
    BFP: 04 March 2018, loss confirmed 23 March 2018
    BFP: 12 June 2018, TWINS; D&C 06 July 2018
    TTC History (TW):
    3 losses in 2015
    Met with OBGYN in January 2016
    Me: all clear, H: OAT
    November 2016: HSG = All Clear!
    January 2017: H tested again,  High DNA fragmentation and stainability
    February 2017: Clomid + TI + Progesterone = BFN
    March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
    Varicocele Embolization- 5 May 17
    December 2017 SA: Zero improvement after embolization
    January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
    Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
    FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
    May 2018: SHG/SIS = all clear "beautiful uterus"
    FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. 
    BFP: 12 June 2018, EDD 20 February 2019
    Ultrasound, 25 June 2018: There are two
    Lost Baby A 02 July 2018
    Baby B not growing, D&C 06 July 2018
    Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel. 
    Next Up:
    TTC Naturally, possibly IUIs for remainder of 2018. 
    ER#2 ~Jan 2019
            

  • @JuneRoseRuby Yay to moving forward with testing and that you have a doc who has a great reputation!
  • edited January 2017
    @JuneRoseRuby that sounds maybe similar to what I had, which was not an hsg, but shg, saline hysterosalpingogram. (Sp?) Anyway, he checked out my ute and tubes and it was in the office with saline instead of in radiology with contrast. GL!  It's scary and exciting at the same time, doing all the testing, but you'll know so much more what your *dealing with once* it's through.  (((Hugs)))

    I feel the exact same way about talking to my mom.  Definitely cannot count on her to always say something that would actually help me feel better... unfortunately  :/  it is what it is.
  • @juliebeannn thanks for taking the time to post :)



  • @bluejeanbabi05 - we've had success at 24 hours with a second IUI at 36 hours.  We've also had 11 cycles in a row with no BFP, so....

    If your MFI is good, your RE offers it and you can afford it - I don't think it hurts.  There's very little out there saying it does anything, but mentally, it seems important. 

    But in turn, a friend has had success with just one IUI at 24 hours, so that works also.
  • Saw this linked on a different site and thought maybe someone here would like to see. 

    TW- references loss, obviously.

    https://www.nytimes.com/2017/01/06/well/family/the-japanese-art-of-grieving-a-miscarriage.html?_r=0 
    TTC #1 since September 2014
    Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
    Check out my Infertility blog 
    Check out my Infertility Instagram

    Loss History (TW):
    BFP: 3 May 2015, loss confirmed 4 June 2015
    BFP: 15 August 2015, loss confirmed 23 August 2015
    BFP: 16 November 2015, loss confirmed 22 November 2015
    BFP: 18 July 2016, loss confirmed same day
    BFP: 04 March 2018, loss confirmed 23 March 2018
    BFP: 12 June 2018, TWINS; D&C 06 July 2018
    TTC History (TW):
    3 losses in 2015
    Met with OBGYN in January 2016
    Me: all clear, H: OAT
    November 2016: HSG = All Clear!
    January 2017: H tested again,  High DNA fragmentation and stainability
    February 2017: Clomid + TI + Progesterone = BFN
    March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
    Varicocele Embolization- 5 May 17
    December 2017 SA: Zero improvement after embolization
    January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
    Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
    FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
    May 2018: SHG/SIS = all clear "beautiful uterus"
    FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. 
    BFP: 12 June 2018, EDD 20 February 2019
    Ultrasound, 25 June 2018: There are two
    Lost Baby A 02 July 2018
    Baby B not growing, D&C 06 July 2018
    Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel. 
    Next Up:
    TTC Naturally, possibly IUIs for remainder of 2018. 
    ER#2 ~Jan 2019
            

  • @laurad75 that is amazing news!! I am so happy you have a schedule going forward!!!!


    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

  • Also this, if anyone is research REs:
    www.fertilityIQ.com
    TTC #1 since September 2014
    Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
    Check out my Infertility blog 
    Check out my Infertility Instagram

    Loss History (TW):
    BFP: 3 May 2015, loss confirmed 4 June 2015
    BFP: 15 August 2015, loss confirmed 23 August 2015
    BFP: 16 November 2015, loss confirmed 22 November 2015
    BFP: 18 July 2016, loss confirmed same day
    BFP: 04 March 2018, loss confirmed 23 March 2018
    BFP: 12 June 2018, TWINS; D&C 06 July 2018
    TTC History (TW):
    3 losses in 2015
    Met with OBGYN in January 2016
    Me: all clear, H: OAT
    November 2016: HSG = All Clear!
    January 2017: H tested again,  High DNA fragmentation and stainability
    February 2017: Clomid + TI + Progesterone = BFN
    March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
    Varicocele Embolization- 5 May 17
    December 2017 SA: Zero improvement after embolization
    January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
    Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
    FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
    May 2018: SHG/SIS = all clear "beautiful uterus"
    FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. 
    BFP: 12 June 2018, EDD 20 February 2019
    Ultrasound, 25 June 2018: There are two
    Lost Baby A 02 July 2018
    Baby B not growing, D&C 06 July 2018
    Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel. 
    Next Up:
    TTC Naturally, possibly IUIs for remainder of 2018. 
    ER#2 ~Jan 2019
            

  • @laurad75 Hooray for a plan! 
    32 years old (both H and I)
    Dating 7/2008
    Married 7/2014
    H Type I Diabetic
    TTC 1/2016
    12/2016 mental break from TTC-NTNP
    1/10/2017 initial appt with RE (all BW results WNL)
    1/17/2017 SA DX Virtual Azoo (3 sperm 0%morph 0%motility)
    1/18/2017 STP tubes clear
    2/1/2017 initial appt with Urologist
    2/15/2017 DX H Robertsonian Translocation
    H is on clomid and Theralogix Supplements
    6/26/17 repeat SA: 47 sperm 0% morph 13% motility
    7/26/17 IVF Consult, repeat SA (4 sperm)
    8/21/17 Starting IVF cycle with Donor Sperm backup
    9/1/17 ER ICSI PGS: only 2 donor embryos made it to freeze
    9/13/17 Started cycle for IUI with donor and clomid
    9/27/17 IUI canceled for overstim
    October Plan IUI with donor and low dose clomid

  • edited January 2017
    I posted this in the daily WTO thread but thought you ladies might also have an answer..

    Yesterday I finally remembered to call our RE to get the results of DH morphology from his SA. For whatever reason it wasn't listed in the original report and we'd forgotten to ask about it. The nurse said his result was '2.' She said they like to see 4 or higher.. Is this a percentage or what? She wasn't very helpful. I'm waiting for the RE to call me back. She said that with a number like that, it would change how they do IVF if we end up in that route. She couldn't tell me if it would affect IUI. But what exactly does this mean? Does this affect conceiving without help? 
  • edited January 2017
    @TravelingCouple we've gotten very mixed answers on this question. DH has had two SAs, one at 0% and one at 3-4% (yes to percentage question). Our RE is pretty dismissive of the impact. The thing that will most likely change with IVF is they will for sure do ICSI. I'm doing an IUI now and it hasn't affected that at all. The criteria for morphology is super strict, a lot of doctors think too strict 

    ETA: my understanding is morphology is the shape of the sperm. The strict criteria means that to be counted, the sperm has to be absolutely perfect. Not too long or short and no extra heads or tails. Now, it should also say on your SA the reason for the low morphology; or at least it will say if it's because of the extra tails or heads. Ours had none of that so the RE said it was just little imperfections and none of those little imperfections should be a big deal. The extra heads or tails can mean the sperm can't break into the egg, though, and that's where the problem is more serious. Maybe call back and ask that question?



  • @bluejeanbabi05 OK great, thank you. I guess they didn't even deem it necessary enough to list it on the original report. Everything else was normal/not concerning. It makes sense it would impact TTC in the sense that the sperm has to be able to fertilize the egg. I'll follow up and speak with the RE
  • @TravelingCouple I would guess she means %, and I think ideally they want >5% normal but abnormal morphology is not a deal breaker and morphology can change overtime. @rainbowturtles (hey girl!) just got. KTFU without intervention and her DH's SA had100% abnormal morphology. I would talk to your RE but would not stress about it too much
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

  • @laurad75 Thats so exciting!!! The IVF process is made so much nicer when you finally have a plan! Good luck with everything! 

    @BertieMeetsGertie Again, I'm so glad your biopsy went well!
  • @BertieMeetsGertie Glad that it wasn't too bad! That's about how mine went - that minute was painful, but it subsided afterwards.  After the biopsy, I spotted the remainder of the day, nothing the next, and then had very light red bleeding and/or spotting for probably 3 days after.  I haven't had a period yet since the biopsy, so I can't help there, but I would think it should be relatively normal. 
    Me: 35     DH: 37
    BFP: 1.6.16 | MC: 2.17.16
    BFP: 10.3.16 | CP: 10.11.16
    BFP: 12.14.16 | CP: 12.14.16
    BFP:  1.23.17 | EDD 10.6.17 -- DS born 10.7.17 <3
    BFP:  9.9.18 | EDD 5.23.19 -- DD born 5.24.19 <3
    BFP: 9.1.21 | MC 10.1.21
    BFP: 11.11.21 | EDD 7.24.22 

     

  • @laeberge3 thanks!! I did bleed more than I thought I would have this morning. I would say it was more like medium flow (for me), but it was only for the first couple of hours. This afternoon is more spotting. 
    Me: 31 DH: 32
    Dating since: 11/17/2001
    Married: 9/26/2009
    TTC: June 2016
    BFP: 9/01/2017
    EDD: 5/14/2018


  • What a week it's been! Work has been crazy and I haven't had time to get back on here until now...

    @bluejeanbabi05 Thanks for sharing. All your reasons sound like really good ones. FX you get your BFP soon so you can deliver this year! And I'm sure you won't regret the money spent for the 2 IUIs. I'm really rooting for you this cycle. I'm grappling with the fact that there's a possibility I might go straight from femara/clomid to IVF myself. I had big plans (why do I always try to make big plans?) for how my treatment would progress, and - per usual - it's not going that way.

    @hartmich Sorry to hear you're feeling helpless. I love what @wabash15 says - you're getting empowered. Hang in there.

    @JuneRoseRuby Welcome to the board and GL on your testing! Laughed out loud at the imagined conversation with your mom. I've had to give a science lesson before to stop someone from telling me not to worry and it would just happen.
  • @madspunk ((hugs)) to you, that was really sweet message to wake up to. I've tried to stop making big plans since I discovered that it's not, in fact, practical to time delivery for a certain month (sorry to my teacher mom)

    I'm sorry for your failed cycle :( fx clomid works better, when do you start that? 

    My cd12 ultrasound is Tuesday and I'm already a wreck. I swing wildly between being worried I'm not responding (I feel better about that after my HSG yesterday, doc saw some activity already happening in left ovary) and being worried I'll make too many follicles and have to abandon cycle.

    No injectables/IUI for me. My RE isn't a fan because he views them as a waste of money for the low chances IUI provides and they have a higher risk for scary number of multiples. I'm not looking to get my own reality show. Lolz

    And amen to the science lessons to people. 



  • @bluejeanbabi05 I should be starting Clomid on Tuesday; glad to be moving onto the next cycle! That's great you are already showing some response to the letrozole. Hopefully all goes well and your response is just right. I find monitoring appointments super exciting. Lol. The night before I'm always really excited to find out what is happening (even though thus far it's always been a letdown).
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