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can you start meds immediately after a lap? *sig warning*

brideonjuly8brideonjuly8 member
in Infertility

***Siggie Warning***

Don't know if the warning is necessary over here, on TTTC it seems so, but anyway...

I just got back from a very heartbreaking appt.  My doc is 100% sure my endo is back based on how my ovaries look on u/s and the pain I've been having, and we were told we only have a 2%-8% chance of getting pg without surgery.  Awesome.

So I'm CD11 and if it's anything like last month (which is looking to be exactly the same) I should O on CD15.  My doc only does surgery on Thurs and Fri and I want to start meds immediately after my surgery since I'll be most fertile then.  If I have my surgery on CD4 and I do Femara on CD 5-9 then I'll most likely O CD 18ish, which would give me exactly 2 weeks post-op for the "nothing in the vag for 2 weeks rule". But my question is, can you do a medicated cycle immediately after a lap? As in, start meds while you're recovering? I would need to start the femara like the very next day.

I'm going to put in a call, I'm just trying really hard to not have to sit a cycle out and not take a break from the meds.  My doc was absolutely fine with us trying the same cycle as my lap before, but I ovulated late and didn't do any meds then, so I didn't have to worry about the timing.

Sorry this is so long, it's been ahellofa day.  :(

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Re: can you start meds immediately after a lap? *sig warning*

  • zookbridezookbride member

    Hey girl. I don't know the answer to your question. I'd ask your RE and see what his/her take is on it. I know when I had my lap, my RE told us we could still TTC but to sit out the medication for a cycle.

    I hope they let you do it if you want to go ahead with it. Good luck!

    New to 3T? Check out this website first:
    TroubleTTC

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    Every new beginning comes from some other beginning's end --Semisonic

    **TTC since 04/09, C/P 02/02/10; 4 weeks, 3 days**
    **Dx: Anovulation, Hypothryroidism, Mild Endo, Pituitary Adenoma (prolactin issues), PAI-1, MFI **

    **7/10: Clomid + TI= BFN**
    **3/2/11: 1st RE appointment**
    **DH= Morph= 2%, Motility= 30%**
    **HSG= All clear!!**
    **3/11: Femara + Pregnyl + TI= BFN**
    **5/17/11: Laparoscopy / hysteroscopy = mild endo**
    **7/11: Novarel + IUI #1= BFN (7mil, 75% motility, 2% morph)**
    **8/11: Femara + Novarel + IUI #2= BFN (11mil, 35% motility, 1% morph)**
    **11/11: Femara + Novarel + IUI #3= BFN (9mil, 2% morph)**
    **Jan 2012: Follistim (75ius) + IUI #4= CANCELLED due to cyst -put on bcp**
    **Feb 2012: Follistim (75ius) + Novarel + IUI #4.2= BFFN (2.5mil, 13% motility, 1% morph)**
    **Mar 2012: Follistim (100ius) + IUI #5= CANCELLED due to 35mm & 14mm cysts**
    **On med break indefinitely...IF Sucks!**

    **Jan 2013: Follistim (100ius) + IUI #5.2= CANCELLED due to high prolactin level, MRI scheduled, pituitary adenoma found, put on Dostinex**
    **Mar 2013: Follistim (100ius) + IUI #5.3= CANCELLED due to uterine polyp, surgery scheduled for polypectomy and D&C**
    **03/22/13: Hysteroscopy, polypectomy and D&C**
    **May 2013: Finally got to start a cycle!!! Follistim (100ius) + IUI #5.4 = BFFN (6mil, 74% motility, 2% morph)** 

    **Jun 2013: Decide to start IVF**
    IVF w/ICSI #1 (Long Lupron Protocol)
    06/26/13: Start BCPs
    07/02/13: HSG #2= all clear
    07/15/13: Start Lupron 10 ius
    07/25/13: Suppression check
    07/28/13: Start stims (225IUs Follistim + 75IUs Menopur) drop to 5 IUs Lupron
    08/01/13: Monitoring: 12 follicles all about 10mm, E2- 313
    08/04/13: Monitoring: 18 follicles (15mm, 13mm, a few 11mm, rest 10mm or below) E2- 1,505
    Start Augmentin- antibiotic prep
    08/06/13: Monitoring: 13 follicles (18mm, 17mm, rest b/w 15mm-16mm!) Ready to trigger!! E2- 2,248
    08/08/13: ER-- 14R, 13M, 10F 
    08/11/13: One fertilized late, we now have 11 embryos!
    08/13/13: 5dt-- 2 blasts (Sheldon and Penny) 3AA and 3BB, none to freeze
    8/23/13: BFFN... Sheldon and Penny didn't stick**

    **8/29/13: Follow up... bad fragmentation issues. Changing protocol to Antagonist for round #2 coming soon! Also started on 81mg Aspirin after getting blood panel done and found out I have PAI-1**

    **Oct 2013: After large cysts, finally starting IVF #2**
    IVF w/ICSI #2 (Antagonist Protocol)
    BCPs started back in Sept due to cysts
    10/27/13: Start stims (225 IUs Gonal-F + 75 IUs Menopur)
    11/03/13 - 11/05/13: Add Ganirelix to the mix
    11/06/13: 3 follicles at 18mm-- Ready to trigger!
    11/08/13: ER-- 17R, 13M, 8F
    11/13/13: 5dt-- 2 blasts (Luke and Leia) 5AB and 4AB, 1 frostie
    11/20/13- 11/23/13: light positives on FRERs and Wondofos
    11/22/13: BFN per RE office (under HCG of 10)
    11/27/13: CP ::sigh::

    *12/03/13: Follow up...great response and quality this time, was given 50% chance of it working, just didn't stick. Great plan for 2014! 

    **Jan 2014: Last IVF of our SRP**
    IVF w/ICSI, freeze all, then FET
    12/27/13: Start BCPs
    01/19/14: Stims (375 IUs Gonal-F + 75 IUs Menopur)

    Congratulations Cutebride!! --TWINS!! Congratulations, Luvie, on your sweet boy! Congrats, Jess! So happy for you ladies! <3<3  
    ~~Also best of luck to Kati, illinigal, and youngin!~~

    *S/PAIFW*

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  • TripplebTrippleb member

    based on your history/siggy, (ovarian tumor)  I would guess they will make you sit out a cycle.  I'm pretty sure if they have to touch the ovary in any way, they aren't going to want to superovulate you the same cycle. 

    I just had a lap on Mar 6th and was given the go ahead to start Letrozole with the start of my next cycle which is about a week away.  My ovary had an endometromia and was glued to my uterus by adhesions.   With that said, I'm on a pretty low dose and they are only looking to enhance one mature follicle by O with TI.

    I was also told 4 weeks pelvic rest, but he assured me that was only for my comfort.

    TTC #1 since 9/07
    Dx MFI, AMA, Endo, AMH .16
    Lap 10/09 Removed endometrioma, stage IV endo and adhesions
    Lap 2/10 Endometrioma cysts & adhesions returned.
    Ivf #1 4/10 Antagonist, ET Cancelled.
    IVF #2 2/11 A/ACP+E2V C/P
    IVF #3 6/11 Letrozole/Antagonist BFN
    IVF #4 11/11 Low stim Antagonist BFN
    Lap 3/12 Lap & Selective HSG
    Many cycles of Letrozole and LP HCG w/TI and LDN
    IVF #5 8/12 Low stim BFN
    IUI #1 10/12 BFN br> S&PAIFW
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  • kellygksukellygksu
    I'm sorry about your endo being back.  My RE didn't do a medicated cycle the cycle that I had my lap.  I had an endometrioma removed from an ovary, so I'd guess it wouldn't have been good to stimulate them with meds anyway.  I also wasn't up for much for a couple of weeks after my lap--I was super bloated and just kind of miserable.  I wouldn't have wanted to stress about TI when I felt that way on a medicated cycle.  Good luck with your surgery!
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  • ycristina84ycristina84

    imagekellygksu:
    I'm sorry about your endo being back.  My RE didn't do a medicated cycle the cycle that I had my lap.  I had an endometrioma removed from an ovary, so I'd guess it wouldn't have been good to stimulate them with meds anyway.  I also wasn't up for much for a couple of weeks after my lap--I was super bloated and just kind of miserable.  I wouldn't have wanted to stress about TI when I felt that way on a medicated cycle.  Good luck with your surgery!

     

    This is my experience too. I was told that as soon as you felt you could have sex, you could start trying naturally, but for a medicated cycle you needed to wait for one normal period. I started my IUI cycle as soon as I could, since they told me that I would have the best chance that way, and it was a month after a very complicated Laparoscopy/hysteroscopy. But that may not be the norm and just what was recommended for me. I will say, I did not want anything in or around my vagina for way longer than 2 weeks.

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