My RE just keeps saying "more aggressive means" after injectables + TI..but what the heck does that mean? Is there an intermediate step between this and IUI...or do you think IUI is next? I thought maybe there was a drug out there that increased my # of follies first with TI...then moving onto IUI. Help! I can't get answers outta the nurse either unless I call back a million and one times.
Re: what do YOU think my "next steps" should be?
The injects you are using are HCG (ovidrel, trigger), correct? If that is the case, it is possible that your RE would try adding in clomid or femara to increase the number of follicles and continue with the HCG protocol and TI or adding IUI. Or, your RE could just add IUIs to your current protocol.
If you don't have issues with reserve or some other Dx that would indicate their use, I would think they would try one of the oral meds before doing FSH injections.
I hope you get some answers from your nurse/re.
~SAIF/PAIF/Everyone Welcome~
Me= 37 and DH = 41
Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)
IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN
IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.
IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132. Lil is here!
TTC#2: Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.
IVF #4: BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN
IVF #5: MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN
IVF #6: (New RE): Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN
FET#1: BFN
my b/w at 7dpo was good...progesterone was above 20 and I had confirmed O. My LP was lengthened to 17dpo (although think it was more like 14dpo and 3 days added on due to my 1 day of progesterone usage).
It took 5 failed IUIs and a failed IVF, but our FET worked!
My pregnancy after Infertility Blog
Our baby girl was born on April 27, 2011!
Oh okay, I think I misunderstood. I agree with STL.
Echo STL, except do I remember correctly that your RE said you weren't a candidate for Clomid? Or did he just mean that it wouldn't be the first step because you are already ovulating?