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1st RE appt, a Dx & a plan! (kinda long)

megs3084megs3084 member
in Trouble TTC

Well, our first RE appt was today.  Im not sure he was ready for us to be so prepared (we've done everything we could have with my obgyn), but based on labs, the hsg & my charting, we are officially MFI.  It bums DH a bit, but I told him Id rather have a name than just wondering. 

The RE recommended we start with IUI next cycle using clomid & ovidrel.  He also wants DH to start taking Co Q10 & to see a reproductive urologist but said we can still continue with IUI for next cycle.  He also said that our plan can change if the uro seeing a red flag or if the count drops below 5 (it was 6 on the last SA). 

 Im sad that we have to be going this route, but so happy to finally have a gameplan.  

"Everything will be alright in the end. So if it's not alright, it is not yet the end."
Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 
ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  
DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow
7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle
(plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
ER 7/19 14R, 11M, 9F(4 natural fert, 5 with ICSI)
ET 5dt 7/24 2 fully expanded blasts.  SURPRISE 3 FROSTIES!!!
Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!
11/11: TEAM PURPLE!!!!!
3/21/14-L&W born at 37w via csection
Here Comes the Sun Blog
PAIF/SAIF welcome!
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Re: 1st RE appt, a Dx & a plan! (kinda long)

  • alb245alb245 member
    Glad you have a plan!! Our first RE appt is Friday. Hopefully it will go as well as yours!
    image

    ~~PgAL March Siggy Challenge - Pet Shaming~~
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    TTC #1 since Feb 2011 Dx: MTHFR C677T Homozygous, Antiphospholipid Syndrome, LPD
    BFP #1: 8/4/11 c/p 4w5d
    BFP #2: 9/4/11 c/p 5w0d
    BFP #3: 1/16/12 c/p 4w0d
    BFP #4 8/9/12 m/c 7w3d
    BFP #5 11/2/12 ?EDD 7/16/13? PLEASE grow sweet baby!!
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  • megs3084megs3084 member
    Thanks!  good luck friday!!
    "Everything will be alright in the end. So if it's not alright, it is not yet the end."
    Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
    Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
    8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 
    ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
    IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
    ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
    3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  
    DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow
    7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle
    (plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
    ER 7/19 14R, 11M, 9F(4 natural fert, 5 with ICSI)
    ET 5dt 7/24 2 fully expanded blasts.  SURPRISE 3 FROSTIES!!!
    Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!
    11/11: TEAM PURPLE!!!!!
    3/21/14-L&W born at 37w via csection
    Here Comes the Sun Blog
    PAIF/SAIF welcome!
    Report Reply
  • maggie2324maggie2324 member

    I would request a trial run sperm washing to see how they will hold up before you decide to do IUI. If you have insurance coverage for the IUIs, it may not matter to do some with low odds. If you don't, I'd see if you get over 5 million motile post wash. If not, I'd postpone the IUIs until after urologist treatments.

    Good luck! 

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  • Durham1008Durham1008 member
    Good luck!
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  • Temp423319000008365Temp423319000008365 member
    It's such a good feeling to have a plan in place! Good luck moving forward! =)
    Report Reply
  • tmsetzer83tmsetzer83

    Good luck moving forward with your plan! 

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  • Jezebell26Jezebell26 member
    Good luck moving forward!
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  • JBDamonMJBDamonM member

    I am glad the appointment went well.

    We are also MFI. I know what a relief it is to get some type of plan in place.

    Good luck moving forward.

    Also - I agree with Maggie - if your insurance doesn't cover IUI - you may want to do a little more homework and make sure the numbers would give you a good chance...

    Good luck.


    "I won't give up on us, even if the skies get rough, I'm giving you all my love, I"m still looking up."
    TTC #1 since August 2011 MFI Diagnosis - April 2012
    IVF #1 - July 2012 - Stims start 7/2, ER 7/12, 20 retrieved, 16 mature, 13 fertilized!
    ET - 7/17 - 1 blast transferred. Beta - 7/26 273, Beta 2 7/30 - 1143. Beta 3 8/6 - 11,597
    12/25 - Santa tells us "IT'S A GIRL!" EDD - April 4th

    Our Little Easter Bunny has arrived!

    Molly Mildred born 03/31/13


    TTC A Sibling....... FET #1 11/14/14, Transferred one beautiful blast

    Remaining four frosties arrested due to "embryologist error"

    Plllllleasssee stick little icicle.....Beta 11/23...BFN

    Starting ALL over with a fresh IVF cycle

    Stims start 11/28/14, ER December 10th, 13 eggs retrieved, 11 mature, only 4 fertilized 

    1 Blast Transferred on December 15th..... Beta Christmas Eve... Please Santa, bring me a baby!

    Beta #1 345.....Beta #2....750/ First U/S 1/13/15/HB 131....EDD 9/2/2015

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  • megs3084megs3084 member
    Thanks everyone!  Our insurance does cover IUI, so we're okay doing one while we work on the uro.  If something comes up with the uro, then we would reevaluate our plan w the RE. 
    "Everything will be alright in the end. So if it's not alright, it is not yet the end."
    Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
    Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
    8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 
    ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
    IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
    ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
    3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  
    DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow
    7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle
    (plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
    ER 7/19 14R, 11M, 9F(4 natural fert, 5 with ICSI)
    ET 5dt 7/24 2 fully expanded blasts.  SURPRISE 3 FROSTIES!!!
    Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!
    11/11: TEAM PURPLE!!!!!
    3/21/14-L&W born at 37w via csection
    Here Comes the Sun Blog
    PAIF/SAIF welcome!
    Report Reply
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