Trying to Get Pregnant

Benched/TTA w/o 5.31




***General TW that this thread can and will mention MC and loss.*** This is a place for those of us who have already started TTC, but have hit a roadblock and are delaying for whatever reason. You can express your thoughts, feelings, and frustrations on not TTC and connect with others who are in the same boat. TTC can be a long journey, and having to wait makes it feel even longer -- even if it is for a good reason. I invite you to resurrect this thread at any point in the week if you have something to say. Treat this like an ongoing conversation. 

Benched = involuntarily not NTNP/TTC and "out of the game," usually due to medical reasons.

TTA = avoiding pregnancy by using protection or FAM, usually for non-health-related reasons. __________________________________________________________________ 
Are you benched or TTA? 
What brings you here? 
How long do you think you'll be here? 
How have things been going? 
Any R/R/CS/Q? 
GTKY: What's your ideal temperature range?
MY CHART
TTC History
TTC#2
Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
TTC #2 ... preparing as of March 2024


TTC #1
Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
TTC #1 02/2020 - 07/2022
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
05/20/2022 | D&C; recovering... 
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


Re: Benched/TTA w/o 5.31

  • Are you benched or TTA? Benched
    What brings you here? Recent loss in May
    How long do you think you'll be here? 3 months (aka waiting for 2 full cycles once AF shows)
    How have things been going? Meh. Have my good moments, and my bad moments. Trying to fill my summer with fun activities to keep me busy in the meantime.
    Any R/R/CS/Q?  The cheapie test I took this morning looks pretty negative to me, so I'm just waiting for my FRERs to arrive to do a final check. I know by the time I'm un-benched my HCG would be 0 anyway, but it's nice to know *today* that I am closer to getting AF back, and my body is getting back to normal hormone wise. Honestly idk how I lived when I didn't track my cycles! 

    GTKY: What's your ideal temperature range? Hmmm, probably mid 50s to mid 70s, where all you need is a light jacket 😉 and maybe a long sleeved shirt/sweater too. Also, I need to move because that range exists maybe 1-2 months tops each year (and definitely not around April 25th 😂)


  • @pajamstagrams
    Honestly idk how I lived when I didn't track my cycles!
    Yeah me too! I feel like I know my body so well now that I almost don't even need to track bbt. How did i miss all those glaring symptoms before?
    Also I'm laughing at your very specific temperature range preferences. You should maybe consider the Bay Area (assuming you're independently wealthy or involved in some lucrative facet of tech, of course!), because that is basically the weather situation there for 90% of the year. For the remaining weeks that fall outside of that range (40s? 80s?), everyone complains miserably.

    Are you benched or TTA? I know @BusinessWife just schooled everyone last thread about the difference between the two, but honestly I can't tell you which one fits my situ. I was supposed to start IVF treatment last month but after they found a cyst my cycle was delayed until the cyst resolves. I'm not barred from trying on my own, but considering my history and circumstances (bfns galore and ttc while single), the chances were pretty slim.
    What brings you here? boredom and a desire for comradery?
    How long do you think you'll be here? Hoping to get out of jail this month.
    How have things been going? I feel like my ttc journey has been just an awwwwful lot of hurry up and wait situations over the years. If I were a believing kind of person, I'd feel like god was trying to teach me a lesson or something.
    Any R/R/CS/Q? probably not.
    GTKY: What's your ideal temperature range? I don't mind me some moderate 50-70 temps either, but I also kind of love the extremes. Where I live now we get lots of icy cold winter mornings and then in the summers lots of 100+ days. As a gardener I hate them but I also secretly love them.



    History
    I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.
    Began TTC in Aug '18 @ age 35
    5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN
    Mar-Jun '19 IUIs, all BFN
    Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.
    May '19 HSG shows open tube, but ultrasound suggests fibroids
    MRI in June '19 confirms two large fibroids, one growing through wall of uterus
    In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.
    Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.
    April '20 --> June '20, natural IUIs, all BFN.
    July? saline ultrasound and bubble test demonstrate open tube
    July '20 clomid cycle cancelled for thin lining
    Aug-Oct, 3 femara cycles, all BFN
    RE referral. While waiting to set up an appointment Nov-Jan,I continue with natural cycles and ICI, using a known donor, BFN...
    Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.
    Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")
    Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN
    May '21, first IVF round cancelled due to cyst.
    July '21 IVF: standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 7; 6 days of stims. 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
    Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
    Dec -21, standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 5; 11 days of stims. retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal.
    Feb '22 FET (low-level mosaic): CP.
    May '22 egg retrieval, lupron flare protocol. HGH priming for 1 month before stims; md lupron 20/20u daily; menopur 225, follistim 225, 10k trigger after 8 days of stims; AFC 10; 13 retrieved; 10 mature; 8 fertilized. All frozen at 2PN for later thaw, grow, and biopsy.
    July '22 egg retrieval same protocol: 9 days of stims; AFC 8; 10 retrieved, 8 mature, 4 fertilized and frozen.
    Sept '22 ER same protocol: AFC 10; 12 retrieved, 11 mature, 11 fertilized.
    From the 3 retrievals, 7 survived to day 5-6 blastocyst, from which I have 2 normal embryos!
    Jan 20, Fully medicated FET, baby aspirin, dexamethasone, acupuncture, and as much woo as I can stand (which isn't very much). BFN.
    July 23, Natural FET + baby aspirin. BFN.
  • Loading the player...
  • *lurking*
    @optimistgardener Aw, yeah, being on the bench totally sucks.  And if you ask me, I would say you qualify as medically benched.  First of all for the obvious reasons of the Cystine Chapel and IVF delay type stuff, but then you're definitely not TTA.  If a situation were to arise that let you become spontaneously pregnant prior to treatment, you would welcome that, yes!?  But like with us when we were benched, could by some miracle his tubes reattached and get me spontaneously KU?  Uhm... hypothetically?  We didn't exactly count on that happening.  So like, you're still trying / wanting to try, just having to wait for medical clearance. ((((hugs)))) I hope you get out of jail ASAP!

    @pajamstagrams  Sending you ((((hugs)))) Unfortunately for me anyway, depending on the cheapie, it would take like SEVERAL more days for the line to completely go away from the FRER, even once it had gone from the cheapie.  Like with Clinical Guard or Easy@Home anyway, (both 25miu).  The wondfos I had - IDK if they were fake or not, but damm!  Supposedly they went down to 10miu, an they sure were super sensitive!  I do hope you get back to baseline soon. <3
  • @optimistgardener you caught me, I'm a regular scrooge mcduck over here 😂 
    We have a friend that lives in the bay area, and it's INSANE how expensive it is!! But I would love to live so close to Napa 🍷

    Oof, I feel you on "hurry up and wait". I'm not good at patiently/passively waiting. I need to be doing something! 
  • @BusinessWife good to know. My cheapies are pregmate, so I think they're 25 miu. of course the FRERs are in the package that got delayed by Amazon, and our local pharmacy doesn't carry pink dye at all, much less FRERs, unless you want to buy the $30 combo pack with a digital and RR. 🙄 Although if it doesn't show up today, I can request a re-order, and chances are, that old package will show up as well, perhaps 2 weeks from now 🤪 can't say I'd be upset at free FRERs!
  • Thanks for being such a trustworthy guide through all the specialist message board lingo, @BusinessWife !
    History
    I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.
    Began TTC in Aug '18 @ age 35
    5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN
    Mar-Jun '19 IUIs, all BFN
    Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.
    May '19 HSG shows open tube, but ultrasound suggests fibroids
    MRI in June '19 confirms two large fibroids, one growing through wall of uterus
    In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.
    Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.
    April '20 --> June '20, natural IUIs, all BFN.
    July? saline ultrasound and bubble test demonstrate open tube
    July '20 clomid cycle cancelled for thin lining
    Aug-Oct, 3 femara cycles, all BFN
    RE referral. While waiting to set up an appointment Nov-Jan,I continue with natural cycles and ICI, using a known donor, BFN...
    Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.
    Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")
    Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN
    May '21, first IVF round cancelled due to cyst.
    July '21 IVF: standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 7; 6 days of stims. 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
    Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
    Dec -21, standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 5; 11 days of stims. retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal.
    Feb '22 FET (low-level mosaic): CP.
    May '22 egg retrieval, lupron flare protocol. HGH priming for 1 month before stims; md lupron 20/20u daily; menopur 225, follistim 225, 10k trigger after 8 days of stims; AFC 10; 13 retrieved; 10 mature; 8 fertilized. All frozen at 2PN for later thaw, grow, and biopsy.
    July '22 egg retrieval same protocol: 9 days of stims; AFC 8; 10 retrieved, 8 mature, 4 fertilized and frozen.
    Sept '22 ER same protocol: AFC 10; 12 retrieved, 11 mature, 11 fertilized.
    From the 3 retrievals, 7 survived to day 5-6 blastocyst, from which I have 2 normal embryos!
    Jan 20, Fully medicated FET, baby aspirin, dexamethasone, acupuncture, and as much woo as I can stand (which isn't very much). BFN.
    July 23, Natural FET + baby aspirin. BFN.
  • @pajamstagrams come join us 50-70's temp-loving folks! (It was like... 47... on Saturday... and I was very very sad.) 
    MY CHART
    TTC History
    TTC#2
    Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #2 ... preparing as of March 2024


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • @pajamstagrams **TW**

    I’m so sorry for your loss. I was briefly in Jan2022 with you and also experienced a loss (at 5w). I’m curious why your OB benched you? I know in the old days they would typically recommend waiting a few months (or even 6 months) before trying again. But recent evidence suggests that that isn’t necessary. There’s even evidence that says you are more fertile the first 3 months after a MC. This is actually what my OB told me too, and encouraged me to start trying again as soon as I was comfortable. Your situation might be different, but I’m wondering what reasoning your OB gave you. (also, tell me to f-off if I’m overstepping!)


    *TW* TTC history
    Me:32 DH:31
    Married: 8/2015

    TTC #1: 4/2017
    Testing: HSG, U/S, BW, and DH's SA all normal
    DX: Unexplained
    8/2018: Clomid + TI = BFN
    9/2018: Clomid + TI + Progesterone = BFN
    11/2018: Clomid + IUI + Progesterone = BFN
    12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
    1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
    10/7/2019: Healthy baby boy!

    TTC #2: 12/2020
    2/2021: Letrozole + TI = BFN
    3/2021: Letrozole + TI = BFN
    4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
    8/2021: Letrozole + IUI + Progesterone = BFN
    9/2021: Letrozole + IUI + Progesterone = BFN
    10/2021: Letrozole + IUI + Progesterone = BFN
    11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022

  • @pajamstagrams I was wondering if that was the case (your OB being more conservative). I’m so sorry for the trauma you have experienced. That definitely makes more sense about waiting a few cycles before trying again. From what you briefly described I can’t imagine going through that. Huge hugs!


    *TW* TTC history
    Me:32 DH:31
    Married: 8/2015

    TTC #1: 4/2017
    Testing: HSG, U/S, BW, and DH's SA all normal
    DX: Unexplained
    8/2018: Clomid + TI = BFN
    9/2018: Clomid + TI + Progesterone = BFN
    11/2018: Clomid + IUI + Progesterone = BFN
    12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
    1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
    10/7/2019: Healthy baby boy!

    TTC #2: 12/2020
    2/2021: Letrozole + TI = BFN
    3/2021: Letrozole + TI = BFN
    4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
    8/2021: Letrozole + IUI + Progesterone = BFN
    9/2021: Letrozole + IUI + Progesterone = BFN
    10/2021: Letrozole + IUI + Progesterone = BFN
    11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022

  • @LJMoon6 thanks ❤️❤️

    it's tough, because I simultaneously want to be PG again soon, but also know I'll be so anxious the whole time. The likelihood of going through that again is low, but still, I worry. (Sorry not sorry for "vague-booking", I'm sure everyone wants to know what happened, I know I would, lol. But creepy internet stalkers and all 👀) 

    Also I feel like my OB is conservative about some things, but not others, so it's hard to predict😂🤷‍♀️
  • @pajamstagrams Of course you know I want to know! Lol. But I totally get it! I hope the time off will help you get into the right mind set. Anxiety is so hard. And there’s no right answer about how to work through it. It might even be a good idea to mention the anxiety to your OB. There could be a pregnancy safe drug you could try.


    *TW* TTC history
    Me:32 DH:31
    Married: 8/2015

    TTC #1: 4/2017
    Testing: HSG, U/S, BW, and DH's SA all normal
    DX: Unexplained
    8/2018: Clomid + TI = BFN
    9/2018: Clomid + TI + Progesterone = BFN
    11/2018: Clomid + IUI + Progesterone = BFN
    12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
    1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
    10/7/2019: Healthy baby boy!

    TTC #2: 12/2020
    2/2021: Letrozole + TI = BFN
    3/2021: Letrozole + TI = BFN
    4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
    8/2021: Letrozole + IUI + Progesterone = BFN
    9/2021: Letrozole + IUI + Progesterone = BFN
    10/2021: Letrozole + IUI + Progesterone = BFN
    11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022

  • @bows22

    BC pills are the worst! I had the worst side effects with them back in highschool/college. 

    Also, agree with your temp ranges, having seasons would be nice. I do like the heat in the summer, provided I'm at the beach or pool 😂 
    Hugs to you as well, it's so tough to go through anything with your littles ❤️ 

    No plastic surgeon for us, but plenty of doctors, medical bills, and mom guilt otherwise 😕 I feel so fortunate that our insurance covered most of the expenses, plus we had hit our OOP max with her birth and got lucky with when our insurance resets each year. I was aghast at what was being billed to insurance 🤯  

    In the grand scheme of things, I know there are worse things that could have happened, and if I had to go through it all again, I could, but I definitely don't want to. 
  • edited June 2021
    Are you benched or TTA? Benched!

    What brings you here? Waiting for genetic cancer screening to come back to see if we need to do PGT-M. 

    How long do you think you'll be here? 1-2 weeks? I'm supposed to have a call with the nurse tomorrow as she's proposing to extend my course of Aygestin (which I start tonight) to make sure we get results back.

    How have things been going? Fertility wise, it's been alright. I know I'm "benched" for the right reasons, and well, unfortunately how long it takes for results to come back out outside of my control.

    Any R/R/CS/Q? Fertility wise, thing are good. Everything else in life is blergh. My sister decided to get ragey with me. 
    ***TW family drama, LCs, mental health, etc.***
    My entire life, it's been my sis and I against the world. I've always been there for her, and vice versa. I helped her A LOT when she had her kids because I was mostly single, without many commitments of my own. Even though we lived 2 hrs (by car) apart, I would regularly hop into the car and come visit her on weekends to help out: take care of the kiddos, help with sleep training, being there for her when she had a post partum psychosis episode after my niece was born. I also went on several vacations with her and my BIL and kids because... hey, it's easier to have 3 adults helping with 2 toddlers (her kids are 20 months apart). I was also in the birthing room with both of my nibblings. 

    Then I moved to the US and, well, initially it was supposed to be very temporary. In fact, I really had a hard time here for the first year, both because I was having trouble making friends (it's hard to leave friends behind, and start fresh in mid-30's; the Bay area is also very transient so hard to make friends here. Ppl will actively avoid making connections with you if they think you're only here for a short period of time) and because I was doing international long-distance with my now H. But since he moved here in late 2019, and since getting married, things have started to change and we're actually considering sticking around for longer than initially planned. Like, before it was "Canada 2025" and now it's "we might come back, we might not... it all depends."

    Well apparently that's not good enough for my sister. She really laid it into me yesterday about how she wants to help me raise my kids, but she wants the same arrangements as we had previously. I.e. that I live <2 hrs away from her, or even closer. And unless I am coming over for dinner every week, then she doesn't see how we can continue to have as close a relationship as we used to. She actually compared my relationship to that of her bestie from college "we speak every 6 months because we don't live near each other." She ended the conversation yesterday by telling me to have a nice life, and to enjoy my convertible and my dog. 

    And I'm just giving you some of the details. There were also things mentioned about how my H is the reason I moved away (couldn't be farthest from the truth considering I had another opp to work in CA in 2011 which didn't work out b/c of visa issues), and that I'm too motivated by money. 

    It's a lot to work through; I did receive an apology text from my sister this morning and have had to tell her that "I need some time." 

    GTKY: What's your ideal temperature range? 
    So, my ideal is about 65-80 degrees. I don't get that usually in SF, but it's literally a 20 min drive to temperatures that are 5-10 degrees warmer, so I put up with it. I used to think I'd miss seasons, but I have adapted to no seasons very well. I'm currently on a mission to find a place that has the flattest temperature curve. SF is pretty close, but I think HI beats it. So, I might be moving to join @keikilove at some point in the future (especially if my family keeps up with their shenanigans). 
    SF temperatures: 
    Kihei tempertures:



    MY CHART
    TTC History
    TTC#2
    Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #2 ... preparing as of March 2024


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • Now for the tags: 

    @pajamstagrams I'm really sorry about the awful experience you've alluded too; I can imagine that your CP was triggering of those memories. Are you planning on seeing a therapist to help you resolve those issues while benched? 

    @optimistgardener I'd been meaning to suggest you ask your clinic about Aygestin priming. The way my RE explained it is that it's similar to EPP (in that the goal is to suppress FSH production in the brain), but estrogen and progesterone work via different pathways. BCP is the most suppressive; progesterone is the next; and estrogen is the least suppressive. Considering I've had poor experience with an EPP protocol previously (i.e. multiple cohorts of eggs), I'm eager to try this new priming protocol. Also, CC @bumblebee0210 in case that's also something you want to discuss with your clinic. 

    @bows22 Sorry to hear about BCP making you ragey; that sux. Hopefully it is just the work shenanigans and that you'll start to feel better ASAP. I had to LOL about your very specific temperature ranger by season. I hope Mother Nature hears you and delivers. 
    MY CHART
    TTC History
    TTC#2
    Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #2 ... preparing as of March 2024


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • @acleverusername re: therapy, I've thought about it on and off over the last couple of years. Probably should give it more serious thought though. 

    I'm so sorry about all the drama with your sister, that's tough, especially when hurtful statements are thrown around. It sounds like you have been so close in the past, especially since you physically lived close, but you absolutely have a right to live your life the way (and where) you want. Hopefully she comes around and sees that you can still be close, despite the distance. (If that's what you want).
  • @acleverusername interesting! I just spent a while reading up on it and eventually realized it is basically the mini-pill/norethindrone, which i took for a while back when the aim was not to get pregnant. I actually quite liked the minipill as it didn't seem to mess with my body so much, but if i recall my doctor told me I might still ovulate while taking it (although my lining would be too thin for implantation). I'll ask my clinic about it, and am curious what your experience will be!

    History
    I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.
    Began TTC in Aug '18 @ age 35
    5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN
    Mar-Jun '19 IUIs, all BFN
    Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.
    May '19 HSG shows open tube, but ultrasound suggests fibroids
    MRI in June '19 confirms two large fibroids, one growing through wall of uterus
    In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.
    Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.
    April '20 --> June '20, natural IUIs, all BFN.
    July? saline ultrasound and bubble test demonstrate open tube
    July '20 clomid cycle cancelled for thin lining
    Aug-Oct, 3 femara cycles, all BFN
    RE referral. While waiting to set up an appointment Nov-Jan,I continue with natural cycles and ICI, using a known donor, BFN...
    Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.
    Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")
    Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN
    May '21, first IVF round cancelled due to cyst.
    July '21 IVF: standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 7; 6 days of stims. 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
    Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
    Dec -21, standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 5; 11 days of stims. retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal.
    Feb '22 FET (low-level mosaic): CP.
    May '22 egg retrieval, lupron flare protocol. HGH priming for 1 month before stims; md lupron 20/20u daily; menopur 225, follistim 225, 10k trigger after 8 days of stims; AFC 10; 13 retrieved; 10 mature; 8 fertilized. All frozen at 2PN for later thaw, grow, and biopsy.
    July '22 egg retrieval same protocol: 9 days of stims; AFC 8; 10 retrieved, 8 mature, 4 fertilized and frozen.
    Sept '22 ER same protocol: AFC 10; 12 retrieved, 11 mature, 11 fertilized.
    From the 3 retrievals, 7 survived to day 5-6 blastocyst, from which I have 2 normal embryos!
    Jan 20, Fully medicated FET, baby aspirin, dexamethasone, acupuncture, and as much woo as I can stand (which isn't very much). BFN.
    July 23, Natural FET + baby aspirin. BFN.
  • *lurking* @pajamstagrams I can't advocate for therapy for everyone hard enough. Even if you don't have serious depression/anxiety/etc., therapy can be a fantastic tool for life in general and it doesn't have to be forever. Most of therapy for me ends up being me thinking out loud at another impartial person, with occasional nudging toward one thing or another to help clarify thoughts and such.
  • @acleverusername. That's interesting about the aygestin priming. I'm honestly not even sure I "need" EPP, since I had pretty good, even growth on cycle 2 (though low egg quality), and on cycle 1 I had that huge cyst pop up between baseline and stim day 5, but they "sacrificed the lead" and just let it grow, and that cycle had the best results for us! (1 normal and 1 mosaic blast with good grading). And obviously this last one was terrible, but not really because of uneven growth (I think). So who knows. I'm willing to try EPP because I just think my ovaries needed a break, and maybe the clomid, etc will mx things up.

    Also to answer your question from a different thread-- the other change to my protocol will be to start menopur on stim day 1. My previous protocol was follistim (300-400 IU) starting on day 1 and then add ganirelix and 75 menopur on stim day 5/6.  For this one they will start me on like 200 follistim + 200 menopur starting on stim day 1, and then add ganirelix as ususal. 
    TTC History
    TTC #1 Sep 2017-Sep 2018 
    BFP 11/30/2017 | MMC 12/31/2017
    BFP 6/22/2018 | CP 6/27/2018
    BFP 10/5/2018 | EDD 6/14/2019
    Baby girl born 6/19/19

    TTC #2 May 2020-November 2021
    BFP 7/18/2020 | MonoDi Twins | MMC 9/10/2020
    BFP 11/7/2020 | CP 11/9/2020
    RE Consult January 2021 | Dx "borderline DOR"/RPL
    IVF with PGT:
    Standard Antagonist:
    ER #1 3/27/2021 7R | 5M | 3F | 2B | 1 PGT-A Normal, 1 low-level mosaic
    ER #2 4/22/2021 10R | 7M | 3F | 2B | 0 normal, 2 aneuploid
    ER #3 5/19/2021 2R | 1M | 0F
    Estrogen Priming Antagonist:
    ER #4 7/10/2021 5R | 4M | 3F | 1B | 1 PGT-A Normal
    Duostim  (Standard Antagonist):
    ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
    ER #6 10/9/2021  9R | 6M | 4 F | 1B | 1 aneuploid
    FET #1  11/5/2021 | EDD 7/24/2022
    Baby boy born 7/19/22

    TTC #3 since May 2023 (ntnp)
    IVF Started Fall 2023 (Standard Antagonist)
    ER #7 10/6/2023 | 9R | 6M | 5F | 3B | 2 aneuploid, 1 high-level mosaic
    ER #8 10/31/2023 | 5R | 4M | 3F | 1B | 1 PGT-A Normal
    FET #2 11/27/23 | CP (bHCG = 8)
    FET #3 planned Jan 2024



  • bows22bows22 member
    @boymama2018 I’ve been thinking about you and checked recently to see if you had been posting anywhere. I’m so sorry to see you back here and that you had such a hard experience. So I do think that an HSG is usually part of the infertility work up at an RE, however my RE does an SHG instead which is typically used for other purposes but they can also tell if the tubes are clear by pushing saline through and seeing if there are bubbles (something like that). How long have you been trying? The one thing I am not sure about is how the tests will differ if you are at the RE more for a repeat loss perspective versus infertility. But I still think they will do at least one of those tests. Sending hugs your way, we are here for you ❤️

    @acleverusername I’m sorry you’re benched, and I’m sorry your sister is being ridiculous. Have you talked to her yet? Something I like to say to my mom when discussing my SILs opinions is that there is “more than one right way to live your life” meaning - if you would decide to move back to Canada that would be right and if you stay in the US that would be right too. But you get to decide what’s right for you, and your sister just kind of has to deal. Hopefully she comes to that realization soon. 
  • boymama2018boymama2018 member
    edited June 2021
    @bows22 Thank you for thinking of me. I am such a newbie when it comes to everything RE related. I am trying to throw myself into the process to become familiar. If I were to guess, I would be going for a repeat loss perspective (I will mention this to my acupuncturist as well because she treats for this) BUT I honestly could very well be there for a fertility issues as well. I definitely need tests done on myself and my husband. I am 36 and do wonder if this is just a location issue or an egg/sperm quality issue. There is so much that needs to be investigated - is it safe to say that? We started TTC in January and then were benched for 3 months due to the treatment and we tried again in April and now we are benched again for 3 months. That is all we have tried for #2 but it just seems to leave me with losing babies every single time. I would be scared to try a third time without some help - I don't trust my body right now. Everyone tells me 'at least you can get pregnant' which hits me hard. :(  It seems like a good thing, but I am not sure if we are making weak embryos that lose their way or if my body is preventing healthy embryos from finding my uterus. I am so sad I am starting to cry thinking about it. The whole EP/PUL process is so anxiety filled and such a drawn out miscarriage process where you gamble trying to make the right decision. I appreciate any insight you have, thank you for your kindness - it really means a lot. May I ask you if you think I should allow my OB to run whatever tests she's willing to prior to my RE visit, or if I should just wait until my appointment?

    edit- my RE's website mentions HSG as one of the fertility tests for women, but I will clarify with her when I go in August. 
  • edited June 2021
    @bumblebee0210 I think estrogen + Clomid will be the differentiators; basically, I hope you'll have the same results with that protocol as my friend did. 🤞🏻

    @boymama2018 good gosh, I am so so sorry you're going through all of this. First of all, have that bottle of wine. Second of all, I have a few things to mention:
    In the meanwhile, enjoy the summer and hopefully there is a cancellation at the RE; I should expect that there will be, given that it's summer, and with improving Covid situation, I suspect ppl will start to make travel plans which will results in changes in schedules. 

    @bows22 @pajamstagrams thanks for your support re: my sister's ridiculousness. I've had a number of conversations with some self-aware friends, friends who are in the same complex geographical positions, as well as my therapist (this morning), which have really helped me clear my mind and understand what's happening. And basically, the real underlying issue is that I'm actually starting my own life, with my own family, and that was conflated / coincided with my move. So, even if I had remained put, things would have been different. And considering that's happening later in my life, my family is just used to my being their crutch (i.e. Clever is here to help when we need her help.) For me, it's been easier to start my own life with my new family given the distance. For them, they're blaming the distance for everything. And of course, spouses are easy scapegoats when it comes dealing with changes. Anyway, I've told as much to my sister "I'm not going to feel guilty because I'm no longer putting my birth family first, because I have my H, my dog, and our future kids." She told me that I'm completely right. Regardless it was an emotional rollercoaster of a week. 

    MY CHART
    TTC History
    TTC#2
    Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #2 ... preparing as of March 2024


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • boymama2018boymama2018 member
    edited June 2021
    @acleverusername Thank you  <3 oh wow thank you for all of this information! Not going to lie it was a relief to see that there is a way to repair the c-section defect. Very informative. I will also take a look at the article to prepare for an RE visit, this will be very useful for me! I want wine so bad....but they are monitoring my hcg so it declines appropriately due to the shot and said I should hold off until it hits 0. I will try for as long as I can lol - but I can't promise once I get down there closer to 0 that I can withhold the power of wine. 
  • @boymama2018 oh man, I'm so sorry you're going through all that. Hugs ❤️❤️ 
  • bows22bows22 member
    @boymama2018 my OB doesn’t do any testing so I’m not sure if they would be able to do anything but order the bloodwork? It doesn’t seem like that’s going to be what gives you answers if that makes sense. But I guess if you knew now that you had low vitamin D or something you could start supplementing now? So I guess my feeling is that it wouldn’t hurt but is probably not necessary?
  • boymama2018boymama2018 member
    edited June 2021
    @pajamstagrams <3

    @bows22 Thats what I am thinking. She had mentioned she would run a blood test for me when we weren't sure if this was a regular mc or not. If she is willing, I wouldn't mind having it run just so I can get an idea of where I stand and if I need anything so I can at least work on that between now and August 23rd - especially after this poison that was given to me. So I can at least make sure my vitamin levels are all good with the time I have. She was going to test for immune disorder and blood clotting etc- I guess it would be good to know about that either way for next time. But, I will probably stop there with her. She said we can discuss our options (she said I have a few, I assume an RE is one) when she called to give me the news that I had to go get the shot. I will hear her out (curious as to what she is going to say) but at least I already made my RE appointment. She had mentioned to me at my annual that she had a patient who had 2 EP's and now is 20 something weeks along. Curious about that story and how she guided that patient. I plan to ask if she would share that info. I really want to learn about as much as I can. She is one of 5 OB's in my practice who I have seen for the last 2 losses.

    She is great when you are already pregnant and with delivering. But with OB/GYN issues she doesn't like to give me answers, I found she dances around decisions and doesn't guide me. She was super quick to offer me the shot before we actually knew what was going on. This is a big reason as to why I want to go to an RE for most of the tests and investigating to find a solution. Not to mention, I need more attention. I need a place that will track my numbers after 3 draws due to my history. It is super hard to get in touch with her or her nurse. They take very long time to get back to you. I have left messages that were never returned!!
  • @boymama2018 unfortunately I've had the same experiences with OBGYNs; they're good for your regular check-ups from puberty to whenever you decide you want to start trying, and after you've gotten KU'ed. But the in-between part they're not very experienced in unless they've done additional training in reproductive issues. There ARE some OB's who have, but that's definitely the exception, not the rule. 
    MY CHART
    TTC History
    TTC#2
    Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #2 ... preparing as of March 2024


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • boymama2018boymama2018 member
    edited June 2021
    @acleverusername I had no idea until I started having problems how much they don't have time for me depending on what I need them for. lol. I am like listen lady I'm 36 and my babies are getting lost in my own body please help me! There is no time to waste - extra help here I come. I am just relieved my husband is along for this ride and is supportive and OK with possibly having to get his you know what tested if need me. 
  • @boymama2018. I am so sorry for your losses.  I would be really wary of the "bad luck" diagnoses from OBs and general practitioners. I think they are somewhat skewed by the fact that they see so many pregnant women, they tend to think "it will work out" because they treat the women for whom it does work out. I had a similar history as you (not in the specific details but the same general idea), and I was given a lot of "bad luck" dx until I saw an RE, who was like "no you might need intervention". The issue for me was DOR (so egg quality, basically). For you it might be something structural. But I would expect a full workup with an HSG, labs for fertility, genetics, blood disorders, and auto-immune issues, and a sperm workup as well. The only thing that is invasive is the HSG-- the rest is just blood tests, basically, but it rules out a lot. 
    TTC History
    TTC #1 Sep 2017-Sep 2018 
    BFP 11/30/2017 | MMC 12/31/2017
    BFP 6/22/2018 | CP 6/27/2018
    BFP 10/5/2018 | EDD 6/14/2019
    Baby girl born 6/19/19

    TTC #2 May 2020-November 2021
    BFP 7/18/2020 | MonoDi Twins | MMC 9/10/2020
    BFP 11/7/2020 | CP 11/9/2020
    RE Consult January 2021 | Dx "borderline DOR"/RPL
    IVF with PGT:
    Standard Antagonist:
    ER #1 3/27/2021 7R | 5M | 3F | 2B | 1 PGT-A Normal, 1 low-level mosaic
    ER #2 4/22/2021 10R | 7M | 3F | 2B | 0 normal, 2 aneuploid
    ER #3 5/19/2021 2R | 1M | 0F
    Estrogen Priming Antagonist:
    ER #4 7/10/2021 5R | 4M | 3F | 1B | 1 PGT-A Normal
    Duostim  (Standard Antagonist):
    ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
    ER #6 10/9/2021  9R | 6M | 4 F | 1B | 1 aneuploid
    FET #1  11/5/2021 | EDD 7/24/2022
    Baby boy born 7/19/22

    TTC #3 since May 2023 (ntnp)
    IVF Started Fall 2023 (Standard Antagonist)
    ER #7 10/6/2023 | 9R | 6M | 5F | 3B | 2 aneuploid, 1 high-level mosaic
    ER #8 10/31/2023 | 5R | 4M | 3F | 1B | 1 PGT-A Normal
    FET #2 11/27/23 | CP (bHCG = 8)
    FET #3 planned Jan 2024



  • edited June 2021
    Just dropping by to enthusiastically back up what @bumblebee0210 said. I spent way too many months in my earlier TTC days wasting $$$ on donor sperm on the basis of my GP's reassurance that I was "probably fine" before discovering that things were in fact, not fine. Hopefully, a full workup will help put your mind at ease, or find something that lends itself to a treatment solution.
    History
    I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.
    Began TTC in Aug '18 @ age 35
    5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN
    Mar-Jun '19 IUIs, all BFN
    Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.
    May '19 HSG shows open tube, but ultrasound suggests fibroids
    MRI in June '19 confirms two large fibroids, one growing through wall of uterus
    In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.
    Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.
    April '20 --> June '20, natural IUIs, all BFN.
    July? saline ultrasound and bubble test demonstrate open tube
    July '20 clomid cycle cancelled for thin lining
    Aug-Oct, 3 femara cycles, all BFN
    RE referral. While waiting to set up an appointment Nov-Jan,I continue with natural cycles and ICI, using a known donor, BFN...
    Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.
    Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")
    Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN
    May '21, first IVF round cancelled due to cyst.
    July '21 IVF: standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 7; 6 days of stims. 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
    Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
    Dec -21, standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 5; 11 days of stims. retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal.
    Feb '22 FET (low-level mosaic): CP.
    May '22 egg retrieval, lupron flare protocol. HGH priming for 1 month before stims; md lupron 20/20u daily; menopur 225, follistim 225, 10k trigger after 8 days of stims; AFC 10; 13 retrieved; 10 mature; 8 fertilized. All frozen at 2PN for later thaw, grow, and biopsy.
    July '22 egg retrieval same protocol: 9 days of stims; AFC 8; 10 retrieved, 8 mature, 4 fertilized and frozen.
    Sept '22 ER same protocol: AFC 10; 12 retrieved, 11 mature, 11 fertilized.
    From the 3 retrievals, 7 survived to day 5-6 blastocyst, from which I have 2 normal embryos!
    Jan 20, Fully medicated FET, baby aspirin, dexamethasone, acupuncture, and as much woo as I can stand (which isn't very much). BFN.
    July 23, Natural FET + baby aspirin. BFN.
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