Secondary IF

1st IVF Monitoring appointment today!

I've done 3 days of stims and just got the call with the results from my first monitoring appointment this morning.  I have 9 follicles (up one from the 8 they saw at baseline!) with the largest being 12.1mm.  There are 2 others that are above 10mm with the rest being between 9.6-5.2.  E2 was 128.

The nurse said to up the follistim to 375 from 300 (that seems like a lot!) and leave the menopur at 150.  I go back in on Thursday for monitoring. 

I'm glad the follies are growing and that I'm not totally screwing this up, but was surprised by the increase in meds.  Does it sound like I'm responding too slowly?  I'm seriously going to worry about something different after each appointment.  Tongue Tied

TTC #1 since 6/08. Cycle #6 - BFP 12/22/08, EDD 9/3/09, DD 8/14/09 at 37w1d
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TTC #2 since 6/11
me=36 - low AMH, DH=38
BFP #2 - 8/31/11, EDD 5/10/12, M/C 9/23/11
BFP #3 - 3/4/12, EDD 11/14/12, CP 3/11/12
BFP #4 - 5/9/12, EDD 1/19/13, CP 5/11/12
BFP #5 - 8/22/12, EDD 5/5/13, CP 8/24/12
IVF#1 - January 2013 - EPP/Antagonist - 7R, 3M, 2F, 3dt of 2 8-cell embies
BFP #6 - 2/3/13, EDD 10/15/13, DS 9/18/13 at 36w1d
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Re: 1st IVF Monitoring appointment today!

  • Hi!  The link to my IF blog is in my siggy if you want to see every medication by day.  I can't remember details, but I started at 75 IU of follistim and then was bumped up to 112 and then a couple days later to 225 IU.  So it is normal to adjust your medication.  

    GL! 

    TTC#1: 14 months on our own (did HSG, b/w, SA);
    BFP on Cycle 14--TWINS! Identical twin boys stillborn at 19wks(1/9/10)
    3 break cycles; took clomid 50mg, BFP #2 Beta #1 35, Beta #2 338!!! Owen was born 2/11/11! 
    TTC#2: 4 cycles on clomid: BFNs
    BFP #3: Cycle #5 100mg clomid; beta #1 21; beta #2 6=CP 
    Cycle #6 break cycle TTC no meds=BFN
    Cycle #7: 150 clomid+ovidril+IUI=BFN (switched to RE)
    Cycle #8: follistem+ovidril+TI=BFN
    Cycle #9 Forced break due to cyst
    Cycle #10 follistem+ovidril+TI=BFN
    Cycle #11 follistem+ovidril+TI=BFN
    Cycle#12 Forced break due to cyst, went on BCP; did repeat HSG, Saline U/S
    Cycle #13 IVF: Follistim/Menapur ER 11-30 11 eggs, 5 mature, 4 fertilized and 3dt on 12-3; BFN
    Cycle #14: IVF#2 lupron/follistim/menopur ER 1-22, 19 eggs, 14 fertilized, 5dt on 1-27, BFP!! beta 1: 63, beta 2: 119; EDD 10-15-13; 1 frozen embie
    Miracle Surprise BFP, EDD 10-1-15; saw HB great Betas, 11weeks lost baby MC at home
    Moved forward with FET transfered solo frostie on 6-4-15, beta 1: 315, beta 2: 738, u/s showed one baby on track EDD 2-21-16
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  • Is this your first IVF cycle?  If so, it's especially common to have your meds bumped up as you go along.  The RE would rather raise it then start too high and overstimulate.

    My first cycle, I started at 150 Follistim, then was bumped up to 200 and 300, before she coasted me down off it.  I started at 2 vials menopur, then went to 3 and then 4.  

    For my second IVF, she started me higher (225 and 3 vials) and that dose worked well for the entire cycle.  But it took the experimentation with the first cycle to determine my optimal dose.

    10/10: Married; 5/11: Dx: Blocked Fallopian Tube; 7/11: D&C/Hysteroscopy to remove polyp
    IVF #1: 9/11: ER: 12R, 11M, 10F, No Frosties; 5dt: 2 blasts, 1 morula; DD born 6/3/12
    IVF #2: 11/12-12/12: ER: 20R, 20M, 16F, 4 Frosties; 5dt: 3 blasts, DS born 8/9/13
    Baby Birthday Ticker Ticker  Baby Birthday Ticker Ticker
  • Thanks ladies!  Glad to hear this is normal.  And yes, this is my first IVF cycle, and I feel like a crazy lady.

     

    TTC #1 since 6/08. Cycle #6 - BFP 12/22/08, EDD 9/3/09, DD 8/14/09 at 37w1d
    Baby Birthday Ticker Ticker
    TTC #2 since 6/11
    me=36 - low AMH, DH=38
    BFP #2 - 8/31/11, EDD 5/10/12, M/C 9/23/11
    BFP #3 - 3/4/12, EDD 11/14/12, CP 3/11/12
    BFP #4 - 5/9/12, EDD 1/19/13, CP 5/11/12
    BFP #5 - 8/22/12, EDD 5/5/13, CP 8/24/12
    IVF#1 - January 2013 - EPP/Antagonist - 7R, 3M, 2F, 3dt of 2 8-cell embies
    BFP #6 - 2/3/13, EDD 10/15/13, DS 9/18/13 at 36w1d
    Lilypie First Birthday tickers
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