Infertility

Double question post - WTF appt question and back-to-back vs waiting a cycle

Is a WTF appt a requirement?  I'm pretty certain this cycle is a bust, but don't know that we need to rehash it - we kind of know what happened (I stimmed way too hard and fast - e2 was sky high so I had to coast and ended up with a billion follies but only 9 eggs). 

And, pros and cons to back to back vs waiting a cycle before IVF cycling again?

 

Natural m/c Oct. 2005

Dx: balanced translocation and LPD

TTC since Oct 2011

BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)

IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
Our rainbows were born 07/19/13 (36w, 5d)

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Re: Double question post - WTF appt question and back-to-back vs waiting a cycle

  • Depends on your RE's office. Mine will just call me a few days after my beta and talk to me somewhere between 15-30min, depending on the cycle. Sometimes its helpful to get their take on the cycle and see what idea they have for proceeding.

    As for cycles...my RE requires at least a month between failed cycles. IMO, I like this because I not only need to let my body recooperate but the mental break is nice as well. I just finished being crazy, its nice to be "normal" for a little while. But, then again, there's merit to back to back cycles too. If you think you're ready for it and your RE said yes, then might as well go for it!! 

    Me: 33, Endocrine issues & FVL       DH: 32, Nothing 
    NTNP 2009-2012         TTC since 2012:
    • Clomid, 2 IUI cycles, and 5 IVF cycles = BFN
    • FET #1   August 2013 = BFP!     EDD 5/11/14
    • Jack dx at 19w1d with Dandy Walker on 12/16/13
    • Severe Pre-e /HELLP set in Jack born sleeping at 20w1d on 12/23/13
    • FET #2 --July 2014  BFP!  ---  EDD  4/5/15

    Jack has handpicked his sibling up there :)

    My blog about IF and loss ... Kate's IF Blog

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  • I asked this question at my wtf appt tonight and my RE says that recent research says there is no difference between waiting a cycle out vs going ahead right away. So I'm charging forward. GL to you.
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
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  • imageJ&D2007:
    I asked this question at my wtf appt tonight and my RE says that recent research says there is no difference between waiting a cycle out vs going ahead right away. So I'm charging forward. GL to you.

    We may have to wait a cycle b/c we are going to AZ for a week mid-Jan, so unless she makes it a shorter protocol, we'll wait to cycle after we get back.  But I will definitely ask.  I'm putting the cart before the horse - my beta is Monday.  I just don't have a good feeling at all.  Did your RE change your protocol?  GL to you!  

    Natural m/c Oct. 2005

    Dx: balanced translocation and LPD

    TTC since Oct 2011

    BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)

    IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
    BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
    Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
    Our rainbows were born 07/19/13 (36w, 5d)

    Baby Birthday Ticker Ticker
  • I've still got everything crossed for you! I hate that you're feeling discouraged! I'm praying you're wrong!

    [spoiler] My Blog: Grow Baby Grow

    BFP #1: 12/2009 m/c 1/2010 BFP #2: 6/2010 m/c 8/2010

    BFP #3: 10/2011 ectopic 11/2011 (right tube removed, learned left tube was probably nonfunctional due to scar tissue from infection after m/c)

    3 failed IUIs, IVF #1: 18R, 12M, 10F, 3 poor quality 5d embryos transferred= BFP #4!!!!!

    Betas: 9dp5dt: 64 ~14dp5dt: 91 (expecting miscarriage, doubling time of 236 hours) ~16dp5dt: 200~18dp5dt: 500

    First Ultrasound at 6w2d revealed two sacs, only one with a heartbeat

    LK arrived after 42 weeks on August 14, 2013! Beautiful, healthy, and happy!

    TTC#2: IVF booked for April 2015

    Surprise BFP#5 February 19, 2015 EDD: November 2, 2015

    Betas: 10dpo: 10, 14dpo: 77, 17dpo: 270

    First Ultrasound at 5w1d showed a miracle UTE baby! And right ovary ovulation to left fallopian tube.

    JD arrived at 38 weeks on October 20, 2015.

    TTC #3: Since October 2017. BFP #6 July 2, 2018 EDD: March 16, 2019 [/spoiler]


  • I hope you don't mind me posting. We had a long wait between IVF #1 and #2 even though I wanted to cycle again right away. My RE doesn't require a break, but she does require that my ovaries are back to baseline. After being on BCPs for 3 weeks, my ovaries weren't there yet. There is no reason to wait 3+ months like some REs make you, but my ovaries needed ~6 weeks on BCPs to shrink.

    I asked the same thing when my WTF was scheduled for 3 weeks away and my IVF nurse said there was no way I'd be ready to cycle anytime sooner than that. It was a bummer, but my body needed the rest.

    Good luck! 

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  • Thank you all :-)  We're hoping for good news on Monday, but prepared for bad news as well (well, as prepared as you can be).  We'll talk to the RE to see what she thinks about moving forward given our travel plans for Jan.  I think I'm OK with taking a cycle to let my body rest a bit and then trying again next cycle, but we'll see - it's like a see-saw ;-)
    Natural m/c Oct. 2005

    Dx: balanced translocation and LPD

    TTC since Oct 2011

    BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)

    IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
    BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
    Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
    Our rainbows were born 07/19/13 (36w, 5d)

    Baby Birthday Ticker Ticker
  • imageCNYBride05:
    Thank you all :-)  We're hoping for good news on Monday, but prepared for bad news as well (well, as prepared as you can be).  We'll talk to the RE to see what she thinks about moving forward given our travel plans for Jan.  I think I'm OK with taking a cycle to let my body rest a bit and then trying again next cycle, but we'll see - it's like a see-saw ;-)
    I am sorry you feel like you are out, that is the worse feeling, I still have my fx that you will end up with good news. I cycled immediately after my 1st IVF. In my particular case I cycled much much better. I ended up suppressing better than the 1st time, and ended up with more mature eggs, all but 1 fertilizing. I have a friend cycle back to back she is now pregnant, cycle went better for her back to back. I guess it depends on how you feel physically, and more so emotionally. Best of luck to ya!!! <3
    Married BF 6/29/2002/
    TTC Since Aug 2011/
    ME:34 all clear/DH:41 DX Severe MFI/
    IVF w/ICSI OCT 2012 Stims started 10/8/ER 10/19/12/ET 10/24/Beta#1 11/2=BFN (beta was 1.2)

    IVF 2.0-Baseline 11/7/12 beta 0/All Clear
    Stim start 11/7/12//ER 11/19 11M//10F
    ET 2 embies 11/24//Beta#1 28 Beta #2 23 Beta#3 29
    stop meds Beta#4 37/C/P 5W5D EDD:8/12/13/IVF#3 in Jan

    Ivf 3-frozen 3 poor 3day/fet=bfn

    Ivf#4 New dr. New protocol=beta1 197 beta#2 677 beta#3 1557
     u/s 8/13 =TWINS 2 strong hb
    Due Date 4/4/14

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    My Chart//>
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