TTC after 35

IUI #2 Begins- Injectable questions

So, BFN yesterday and that *** came right on time. I'm deciding to forge ahead right into attempt 2. This month we will include the HSG tube check (on our dime).

What type of injectable stims does everyone take? Clomid didn't work for me and I had pretty rough side affects. Also, did you self-pay? Also, what other types of trigger meds are there besides Pregnyl? I couldn't walk without cramps for a week after triggering.

Thanks all! Here's to a Capricorn :)

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Re: IUI #2 Begins- Injectable questions

  • Lots of people take straight FSH (Gonal-F or Follistim) for injectables/IUI cycles.  For me there were many fewer side effects than there were with Clomid -- I'd do injectables over Clomid any day.  The downside is -- they injectables are many, many times more expensive than Clomid.  You might want to try Femara first if you're OOP; some people feel much better on that.  Good luck.
  • Well jury is still out on whether this cycle worked for me, but I used gonal-f for my cycle only because that's what my insurance would approve. My RE uses Follistim & Gonal and said they're pretty much interchangeable. By some miracle my insurance covered it and I only had to pay $150 for everything however if I did have to pay OOP it would have been about $1800k for the meds, that being said I do have quite a bit left over. I did have cramping but that's to be expected when you work your ovaries that hard, after IUI I had very minimal cramping but still bloating.
    nate and teddy
    Me 41 DH 46  Not actively ttc, surprise BFP on 1/6/11! 4/1/11 m/c our sunshine at 16wks after complications from CVS test. TTC #2 **5th cycle 12/6/11 BFP! Missed m/c at 9 weeks 1/21/12, trisomy 14. Two Chemical PG 3/12&7/12
    ** BFP 8/16/12 beta #1 148! beta#2 407 beta #3 4000 u/s 9.10 1 lovely hb 126, Baby Boy is due 04/28/13!!
    Baby Birthday Ticker Ticker

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  • I've done two cycles of IUI with femara and injectibles (gonal-f).  I have no coverage for fertility medications but my insurance did cover the femara (which is relatively inexpensive) as it has uses other than fertility.  Ditto with crinone (progesterone suppository taken after IUI).  OOP, the gonal-f is very expensive, especially if you need high doses.

    For the trigger, I've used pregnyl (and paid anywhere from $60-79 for the shot).  I've actually begged me RE's office to prescribe me Ovidrel (which I understand is a sub-q injection), but they really haven't obliged so far.  Not sure why- I need to further look into this.

    GL!

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • Thanks you guys. Looks like I will stick with clomid for this month, since we have the extra cost of the HSG. She is starting me on day 3 though. I have my AFC tomorrow morning, let's hope for lots of little follies.
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