When did you graduate from your RE? — The Bump
Pregnant after IF

When did you graduate from your RE?

I feel like I am being over monitored and I don't think it's necessary.  He is having me come in every week for an ultrasound and every week everything looks great.  I'm unclear how much of this my insurance will cover and I just want to be discharged already as we have no reason to think I will be a high risk pregnancy.

 I feel bad posting this as I know some of you want more from your REs but I think this is overkill!  I told them I am not coming in for a 10 week appointment but I will come at 11 weeks.  I have an appointment for a first trimester screen with a perinatologist at 11 weeks 5 days so I am really hoping to be discharged before then.

 Thanks! 

<P ALIGN=Center>
TTC Since Jan 2010 <BR>

Me: 32, PCOS H: 33, S/A Mostly normal<BR>

Started charting 4/2010, started acupuncture 6/2010
<BR>
Started Clomid with my OBGYN 10/2011 - BFN for first 4 cycles.
<BR>

Saw a RE 3/2012, HSG: Normal<BR>

5th round of Clomid + HCG trigger shot = BFN 4/2012<BR>

4/2012 6th round of Clomid, + Follistim + HCG trigger, IUI #1 on 5/8/12 and 5/9/12 = BFP via blood test in RE's office 5/21/12!!
<BR>
Beta #1 = 63.8 at 12dpIUI, Beta #2 = 329.8 at 15dpIUI, Beta #3 = 7696.4 at 5 weeks, 2 days
<BR>
EDD 1/30/13
<BR>
S/PAIF welcome
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Re: When did you graduate from your RE?

  • I still haven't graduated yet. But I suspect that I will after my 11 week u/s and appt. I think if you told them you wanted to be done after the next one, just tell them.

    It does seem a bit much though going in every week....

    Diagonsed PCOS TTC since May 2009
    First M/C December 2010 Second M/C August 2011
    Oct 2011~Second round clomid 50 mg; BFN
    Nov 2011~Third round clomid 50 mg: BFP
    Dec 11- Beta #1 91;Dec 13- Beta #2 186.2
    Dec 27- third miscarriage
    May 25th- Beta #1 369;May 27th- Beta #2 798
    Baby girl born Jan 23, 9lbs 3oz, 21 1/2" long
    May 27th-Beta #1 80; May 29th- Beta #2 304; May 31st- Beta #3 860
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  • I haven't made it that far yet, but my RE releases at 8 weeks if everything looks good.
    TTC #1
    Off BCP 2/2010
    Charting since 9/2010
    Dx: Unexplained IF, Hashimoto's
    June 2011 to August 2011: 3 IUIs = BFFN
    Treatment break until Oct/Nov 2011 then moving on to IVF.
    Scratch that. We're moving to adoption!
    11/10/11 Officially matched
    11/18/11 Our little stinker was born!
    3/7/12 Surprise BFP! 4/13/12 missed m/c and D&C at 8w
    BFP#2 6/17/12 EDD 2/25/13
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  • 10w2d. Good luck with graduating!!

    "I prayed for this child and the Lord has granted what I asked of him." ~1 Samuel 1:27
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  • At my first appt last week he told me he wouldnt release me till 12 weeks.  My history is horrible so i can see why. I love the weekly sonos though.  As long as he codes it correctly i dont see why there would be a problem.
    ~Formerly~AngnShaun~

    ~~Transferred 2 Perfect Embryos 5/28 - BFP 6/4~~ 
    HAILEY ELIZABETH ~2/16/13~ 6:39am ~ 6lbs 2oz ~ 20" long ~ 1 Year ~ 20lbs 14oz ~ 29.25"~
    ~10.10 Ectopic, 4.11 Nat m/c 9w, 8.11, 1.12, 3.12 CPs~

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  • I graduated at 8 weeks.  I had both betas done there and then a u/s at 6 weeks and one at 8 weeks.  That was it and I am having twins.  I was lucky and after the 6 week appt. I was able to get an appt with my OB's office for 8 weeks, so I went to the RE in the early afternoon and then to the OB in the late afternoon.  At that point I asked for a referral to an MFM as well since I am high risk.  I saw them for the first time at 9 weeks. 
    [IMG]http://i55.tinypic.com/2d989rq.jpg[/IMG] [IMG]http://i51.tinypic.com/pbz9d.gif[/IMG]



    [url=http://www.fertilityfriend.com/home/2906dc]My Chart[/url]

    Off BCP 05/09; TTC 07/09; 4 c/p's and 1 m/c

    DOR; MFI; hetero factor v leiden mutation

    1/10 - BFP - c/p 4w4d

    3/10 ~ BFP - 4/5/10 - u/s @ 7w6d - no hb; m/c 8w3d

    Tried many interventions:

    9/10 - unmedicated IUI (1.4 million post wash) = BFN

    10/10 - unmedicated IUI (4.5 million post wash) = BFP

    11/10 - c/p 4w4d

    12/10 injects+TI cycle (3 follies) = BFN

    2/11 - IVF #1 long lupron w/ ICSI; 1 embryo = BFN!

    7/11 - IVF #2 antagonist w/ICSI - 3dt of 3 grade A embies = BFP

    7/11 - c/p 4w5d

    10/11 - unmedicated IUI (2.5 mill post wash) = BFN

    11/11 - unmedicated IUI (12 million post wash) = BFP

    12/11 - c/p 4w2d

    12/11 - IUI #5 follistim (2.5 million post wash) = BFN

    1/15/11 - IUI #6 follistim (12 million post - woot!)= BFP!!! Praise the Lord!!!

    Beta #1 (12dpiui) 164; Beta #2 (14dpiui) 514!!!

    It's TWINS!!!!

    Two BOYS!!!!


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  • It was at 8 weeks for us, as well.
    TTC Since 11/10 due to Unexplained IF 
    4 Rounds of Clomid, 2 Rounds of Femara + IUI, 2 rounds of IUI+ Injectables (Bravelle + Menopur) = First BFP! TWIN GIRLS!

    November 2, 2012 - Claire (2lbs 8.9oz) and Paige (2lbs 10oz) arrive at 29w3d due to PTL and pPROM at 28w5d 
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  • Saw my RE at 9w5d and saw my OB at 10w2d

    ~after 34 cycles we finally got our 2nd little bundle of joy~
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  • I graduated at 8 weeks. I had u/s at 5, 6, and 7 weeks, plus a bunch of betas between weeks 4 and 5.
    (Me) IF Dx: PCOS & Annovulation (Cycles 35-93 days)

    (DH) IF Dx: Mild MFI (borderline morph)

    (Me) Med Dx: Hx of Kidney Cancer

    Nov 2011 TTC #1 - TI = BFN

    Dec 2011 - TI = BFN

    Jan 2012 - Met + TI = BFN

    Feb 2012 - Met + Clomid + HCG + TI = BFN

    Mar 2012 - Met + TI = Miracle BFP!!

    High Risk Pregnancy Due To Having Only 1 Kidney

    Being Monitored for Pre-E & GD

    EDD 12/2/2012


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  • TJ1979TJ1979
    10000 Comments 250 Answers 500 Love Its Third Anniversary
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    My RE usually graduates patients at 8 weeks, but bc my previous loss occurred at 8 weeks, he kept me until 10, then I saw my OB at 11.5.  If you think it's too much, skip.  Have you asked your RE when you'll graduate?
    TTC with PCOS since November 2009
    IUI#1 Femara/Ovidrel (cd 3-7) = BFP, m/c
    IUI#2 Femara/Ovidrel (cd 5-9) = BFN
    IUI#3 Femara/Ovidrel (cd 3-7) = BFP!
    beta #1 11/23 = 270, P4 = 75
    beta #2 11/28 = 2055
    Our daughter E was born 7/29/2012!
    Surprise, our 2nd daughter P was born 5/22/14!
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  • Pnut30Pnut30
    Eighth Anniversary 500 Comments Photogenic
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    It is really interesting to see the different responses!

    For me I had 2 Beta's and then my first u/s with my RE at around 7 weeks.  At the first u/s they told me I graduated and go ahead and call my ob/gyn. I had my first appointment back there the following week. 

    Me: 32 DH: 36
    TTC since 3/2010
    Dx: Azoospermia in 3/2011
    All b/w, U/S, genetic testing normal, biopsy in 5/2011 confirmed production problem
    successful mTESE in 11/11!
    IVF#1 ER 3/27 5dt of 1 blast 4/1
    Beta 1 on 4/16: 1017!!!
    baby boy due 12/17/12
    He is here! December 27, 2012
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  • First U/S was right around 7 weeks, had a 2nd U/S at 8 weeks, then graduated. She wanted me to get in to see the OB by 12-13 weeks, since that is when they need to do the NT scan and first blood draw for the genetic screening. I saw the OB at 9 weeks (I think this was in part facilitated by my RE, since they are both at the university).
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    IUI#1-4 Jan.-Apr. 2011 = BFNs
    IVF#1 Aug. 2011 = c/p, FET #1 Nov. 2011 = c/p, FET #2 April 2012 = BFP!
    Beta #1 = 153, Beta #2 = 269, Beta #3 = 675
    1st U/S = TWINS!! EDD 12/29/12
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  • I would have been graduating this week (8 weeks) but since I went to my ob this week for my 8 week appt I'm going to my RE for the last time next week. I had 3 betas done between weeks 4-5 and had a weekly ultrasound starting at 6 weeks. I hope you graduate soon! 
    Lilypie Angel and Memorial tickers
    IVF #1 BFP b/g twins!; loss at 23 weeks due to I.C. and PTL. IVF #2 BFP 5/26/12; due date 2/6/13; TAC surgery 7/20/12, blessed with another girl & boy! 

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  • I was released at 8 weeks. You should make an appointment with an OB even if you are being still seen by your RE. There are tests and blood work that the OB has to do at so many weeks.
    SAIF/PAIF Welcome <BR>
    We have been TTTC since July 2008: <BR>
    Irregular cycles, high prolactin, dilated right tube, cysts, male IF<BR>
    IUI # 1 ~ 12/09/10 ~ 50 mg Clomid, 250 mg Ovidrel = BFN <BR>
    IUI #2 ~ 01/09/11, #3~ 02/11/11 & # 4.2~ 04/19/11~ 20 mg Tamoxifen, 250 mg Ovidrel = BFN<BR>
    IUI # 5 ~ 09/28/11, # 6 ~ 11/23/11, & # 7~ 12/17/12~ 112.5 iu Gonal F, 250 mg Ovidrel = BFN<BR>
    12/14/11 ~ IVF consult <BR> IVF #1 ~ 02/15/12 BCP, 02/29/12 10 units Lupron, 3/9/12 Baseline, <BR> 03/09/12 stimms 250 iu Gonal F, 5 units Lupron ~ 03/20/12 ER = 5 eggs ~ 03/23/12 ET = One-4BF transfered~ Beta # 1 04/04/12 = 134 ~ Beta # 2 04/06/12 = 283 ~ Beta # 3 04/09/12 = 906<BR>
    Due date 12/08/12 :-)<BR> Born 12/15/12 :)

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  • Mine does an 8 week u/s and then sends you on your way.
    PCOS 
    Off bcp March 2011 
    Aug 2011-Feb 2012 tried to regulate cycles w/ Metformin -- no luck 
    April 2012: Clomid (50mg) + Injects + TI = BFN
    May 2012: Clomid (100mg) + Injects + TI = BFP on 6/8/12   

    Lilypie - (74ba)
  • My RE gave me the option of going back to my old combo RE/OBGYN for the first U/S because it is covered under insurance there whereas anything at their office is totally OOP. While I would love to keep seeing them (it's like going to a spa), I am headed back to Kaiser to save money. I still have to report HCG/progesterone, and all ultrasounds to my IVF RE the day I receive them up until 12 weeks.

     

    ttc since 2/2010 ~
    me (36): Hypothyroid (on Levothroid), low vit. d, borderline/high fsh (day 3: between 7-10) (day 10: 13 during CCCT), AFC: 14
    dh (31): awesome (minus one sample with agglutination)
    Diagnosis:possible DOR and/or unexplained + elevated NK cells + MTHFR (C677T - one copy)

    MAY 2011 - FEB 2012 - 3 injectable IUI's with numerous cancellations due to high TSH levels
    MAY 2012 - onto IVF/ICSI (Antagonist Protocol) on BCP and Folgard (3 week delay - cyst - boooo) 5/21 start stims 5/30 ER 11R 8M 3F 6/2 3DT of 3 6/12 Beta #1 83 | 6/14 Beta #2 196 | 6/21 Beta #3 3818 | 6/28 Beta #4 22,213 | 7/2 1st U/S - 2 on board! 8/24 CVS reveals that we have a boy AND a girl on board!

    Healthy baby boy and girl born in February, 2013 at 38 weeks and 2 days!


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  • I agree... this sounds like overkill, especially since you said everything looks good. I was released at 8w2d, after two perfectly normal ultrasounds (one at 6w2d, one at 8w2d).

    GL with graduating! Hope it happens soon!

    me 26 / DH 29
    TTC#1 since 5/2010 (charting, AO)
    2/2011: DX: PCOS, hypothyroid (1700 mg Metformin, 50 mcg Synthroid)
    8/10/2011: First RE appt.
    9/2011 & 10/2011: Clomid + Ovidrel + TI = BFN
    11/2011: Femara + Ovidrel + TI = BFN
    1/2012: Femara + Follistim + Ovidrel + TI = BFP! (Praise the Lord!)
    ?3/23/2012: Graduated from the RE... moving on to a regular OB!?
    ?10/29/2012: Our precious baby boy was born via emergency C-section. 5 lbs, 13 oz; 18" long ?

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  • ancp27ancp27
    Sixth Anniversary 100 Comments 25 Love Its Name Dropper
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    I graduate at 11 weeks (I believe).  My 1st appt. with my OB is at 8 weeks 5 days and I see my RE at 9 & 11 weeks. 

    I'm jealous you get weekly ultrasounds:)  I was kind of sad that they aren't doing my next one for two more weeks.

    It's wonderful things are looking great, I think if you don't want to go every week, you shouldn't have to.

    *Formerly peainthepod?* TTC since 1/1/2006. All cycles BFN! IUI's & IVF with no luck. Emergency surgery 11/07 due to hemmoraging cyst on left ovary. 3rd HSG showed complete blockage of right tube (the good side), endo/cysts/adhesion removal 11/11. New start for 2012! Surprise BFP 6/17/12, due 2/12/13. It's a boy!!! Baby Boy born on January 26, 2013. 
  • Mine moved me over as soon as we saw the heartbeats. I was 7w2d, but I don't know how standard that was. I saw a reg ob/gyn starting at 8 weeks. I think it's because most people coming to my RE were either mostly or completely OOP (which we were OOP 100%) so I think he just let us move along so we wouldn't have to keep paying for $300 a pop for u/s visits. I think you should definitely voice your financial concerns. It's great to know you're being taken care of, but they have to understand that you need a practical time frame too.
    TTC since March 2010


    Me: 26 DX anovulation and unexplained; DH: 27, perfect


    Clomid 3/10-7/10, 3/11-8/11: no ovulation


    Femara 9/11: no ovulation


    Moving on to Follistim shots 9/11


    Follistim+Ovidrel+Pregnyl+IUI 10/11

    2WW....testing on 10/29!...BFN


    11/11 Follistim+Ovidrel+Pregnyl+TI...BFN


    Moving on to IVF!...February 2012 cycle; ER: 2/17, ET: 2/22! BFP!!!! Beta #1 2/28 30, Beta #2 112 Beta #3 3/5 421, Beta #4 3/8 1515, 1st u/s 3/12...IT'S TWINS!!!!! EDD: 11/10/12!!!!


    S/PAIFW?



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  • image Pnut30:

    It is really interesting to see the different responses!

    For me I had 2 Beta's and then my first u/s with my RE at around 7 weeks.  At the first u/s they told me I graduated and go ahead and call my ob/gyn. I had my first appointment back there the following week. 

    This.  We had one u/s and were released at 6 weeks 4 days.   

    TTC since June 2011
    DH diagnosed with Testicular Cancer 8/2010
    Low sperm count. Only option IVF with ICSI
    Starting First cycle Jan/Feb 2012- Canceled due to not responding to BCP and/or Lupron
    IVF 1.2- stims March 14, ER March 24, 16 R 10F 6 made it to blast
    ET March 29- transferred two blasts, 4A and 4BA, froze 4
    Positive HPT 9dp5dt Beta 1- 385 11dp5dt
    u/s April 25- one healthy heartbeat
    EDD 12/12/12>


    image
  • I had three rounds of blood work and two ultrasounds before discharge (6w3d and 8w3d). I was, however, told that a third ultrasound is not uncommon. I had my first OB appointment at 9w.
    TTC in 2009, Dx: Unexplained IF
    Three TI cycles (BFP...miscarriage), five IUI attempts and 2.5 IVF cycles later...BFP!!
    12dp5dt: 765; 15dp5dt: 1979; 17dp5dt: 3379...TWINS!!!!!
    Our perfect baby boys were born at 36w1d!! 








  • I had only 1 u/s - at 7w2d - and graduated then.  Set up my OB appt for 8w1d.  I'm in MA so IF is covered, not sure if that has something to do with the # of u/s allowed and when graduation is decided.
    TTC since 10/2008  RE consult 6/2010 Dx:Unexplaied IF

    Failed multiple cycles of Clomid+TI and Clomid+IUI

    3/2011 inj+IUI #1 BFP. 4/2011 missed m/c. 

    Fall 2011 inj+IUI #2&3 BFN

    Jan/Feb 2012 IVF#1 BFP 2/23  EDD 10/31/2012 ~~~ Halloween ~~~

    Our IVF miracle, Baby Boy M, arrived on 11/8/2012!
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  • I graduated about 7 weeks.  I had an ultrasound a week 6, then one at week 7 - since there was a heartbeat I was told I can schedule an appointment w/ my OB.
    DS 1-31-13 DD 9-3-14
  • My RE graduates his patients later than most of the others. I had weekly ultrasounds until I was 12 weeks. My insurance did cover everything though. I didn't even pay a co-pay for them. It was nice, since I was 100% OOP for all treatments. They told me they coded it under a regular pregnancy.

    I also saw my OB for a regular appointment around 9 or 10 weeks and then for the NT scan at 12w4d.

    Dx: Unexplained Infertility

    TTC #1 
    IUI's #1 - #3 Clomid = BFN's, IUI #4 Follistim = BFP
    Grayson arrived via emergency c-section on 7/28/12!

    TTC #2 
    IUI's #1 - #4 Follistim = BFN's
    IVF #1 w/ ICSI + PGS: Lupron/Follistim/Menopur
    ER 4/13 - 19R, 13F, 4 PGS tested embryos, 1 normal
    5/14 FET: BFP. Beta #1: 123, Beta #2: 327, Beta #3: 854
    Cora arrived 1/23/15 via RCS!
  • My RE released me at 8 weeks, but mostly because that is the point that my insurance would start covering my u/s and appts at an OB.  I am totally OOP for IF and it cost me $800 at the RE for monitoring during my first month on pregnancy.  

    Honestly, I think it is great that you are being monitored so closely and if your insurance will pay for it and it's not too far from your house then why not keep it up?  Since switching to the OB I feel like just a number and I actually miss my RE's office already (it's only been a week).

    DX: Anovulation
    TX: IUI #1-4 = BFN + 1 c/p
    IUI #5: Clomid 100mg + Bravelle + Trigger + B2B IUIs + 800mg Progesterone = BFP!
    Beta #1 (14dpiui): 460 Beta #2 (16dpiui): 998 Beta #3 (23dpiui): 21,832 Beta #4 (29dpiui): 129,771

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  • I was released at 7wk4days after my 1st US...
    Married 8/7/10 I have two wonderful children 9 & 10 from previous TTC since 8/10 DX: Unexplained DH: Super Sperm 9/11 Labs Normal 9/11HSG Normal 10/11 Starting 1st round of Clomid 50mg 10/11 1st round of Clomid BFN Stated with New RE 10/11 10-11/11 All test redone except for HSG all normal DH still superman...lol 12/11 Lap surgery for poss Endo...Endo stage 2 1/12 rest month 2/12 US for 1st round of meds w/ IUI showed cyst...cancelled cycle 3/12 US for 1st round of meds w/IUI showed go! 3/19/12 1st IUI...now in the 2ww...ugh 4/2/12 AF...1st failed IUI... 5/3/12 Started Meds for IUI #2...Cancelled 5/12 due to low E2 levels... 5/20/12 Ovulated and BD...2ww... 5/31/12 BFP Beta #1 14.9... 6/2/12 Beta #2 40... Beta #3 240... US June 25th
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  • I was given the boot after my 8w u/s. I think that was about the right amount of time. 
    TTC Since 3/2010
    Me-36, Unexplained Infertility, DH-35, all clear
    Clomid 50mg 12/2011 = BFN
    Clomid 100mg 1/2012 = BFN, with Cyst
    IVF #1 Lupron/Menopur/Gonal-f/HCG Trigger
    ER 4/19/12 = 11 retrieved, 6 fertilized,
    ET 4/22/12 = 2 transfered (day 3), remaining 3 weren't good enough to freeze
    Beta 5/3 = BFP, 87 Beta #2 5/7 560.9 Beta #3 5/9 1376.5 First u/s One Baby, 125bpm!
    Second u/s, 176bmp! Kicked over to the OB by the RE at 8w. Team Green!! 
    Baby girl J arrived two weeks early! Born into water, med-free. Hooray for Team Pink!

    TTC #2 - back to the RE, treatment started 12/2014. 

    image
  • 11 weeks with DS and 10 weeks with this LO.
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  • I graduated after my 2nd u/s at 8w...the twins were measuring 8w2d.
    After 5 TI Clomid cycles, 5 IUIs, and 2 IVFs we finally got our BFP!
    Beta#1 (12dp3dt)= 353, Beta#2 (15dp3dt)= 1466, Beta#3 (22dp3dt)= 14,139, First u/s: TWINS!!
    After 10 weeks of bedrest, our two little ladies joined us at 28w6d
    Lilypie Premature Baby tickers
  • I had 3 betas and 3 u/s before I was released to th OB at 10w.
    TTC #1 since March 2009

    DX: Tubal factor (due to ectopic), Stage II Endo, Prot.ein S deficiency, and elevated NK cells.

    6 cycles of Clomid, including 3 IUIs --> BFN

    IVF #1 (Antagonist): 26ER; 22M; 20F;

    3/16/11 ET of 2 blasts. 9 frosties! --> 1st BFP, but ectopic at 7w. Lap to remove right tube.

    FET#1: 8/9/11 ET of 2 blasts --> Chemical Pg.

    FET#2: 11/17/11 ET of 2 blasts --> BFP!
    Please stick and keep growing baby!!!!



    My miracle baby arrived on July 26, 2012 at 38w5d!!!!
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  • After learning I was pregnant...my RE drew 3 betas...which were pretty low to start with (23, then 58, and then 1,010). I was so scared the pregnancy wasn't viable.

    After my 3rd beta, they wanted to confirm uterine pregnancy, so I had an ultrasound at 5w3d. At that appointment we only saw the gestational sac.

    They had me come back about 10 days later. At 6w6d, we heard and saw the heartbeat :) They released me to my OB that day :)


    image

    08.2008 | Diagnosed with PCOS
    11.2011 | First appointment with RE
    12.2011 | HSG reveals 100% blockages in both tubes
    02.2012 | Laparoscopy & Hysteroscopy to unblock tubes...success!

    { BFP # 1 | April 1, 2012 }
    Jonah Alexander is here! Born 12.07.12 @ 39w3d

    { BFP # 2 | May 22, 2013 }
    Chemical Pregnancy :(

    { BFP # 3 | February 12, 2014 }
    So far, so good! We love you, little peanut!


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