Not happy with my RE right now.

orange682 · December 2010

So this is my 3rd clomid+trigger+IUI cycle. I stopped eating carbs, lost 15 lbs and cycle #1 was picture perfect with IUI on CD 15. Cycle #2 I was ready on CD 20. As of Sunday (CD 15) I still had no measurable follices.

I am completely baffeled why I would respond so well to treatment one cycle, eehh another cycle, and not at all on the 3rd cycle. I have another appt for b/w & u/s tomorrow (CD 19) so hopefully at least something is going on, otherwise we will cancel the cycle. On top of this I had a WTF with my Dr. on CD3 to decide if we were going to move onto injections or stick with clomid. I only have insurance coverage for 2 more IUI's and I wanted to make sure we were being agressive while maximizing my insurance benefits. He suggesed I stick with clomid since my body had responded well to it in previous cycles and it was less $ and not as time consuming. Obviously that worked out for me- I am a bit p!ssed off!

I'm trying to hold on to hope that maybe it will just be a little later this month, but this is rediculous and exaclty why I brought up moving onto injections. Anyone experience anything like this?

Oh and anyone know how long it takes to get insurance authorization for an IUI with injections? My authorization for injects expired in November. Since the clomid was working, my RE only requested authorization for clomid. Way to slow me down even more.

Thanks ladies for letting me vent and for hopefully answering my questions. This whole process really sucks!

msjcordova · December 2010

Im sorry that your frustrated with the Clomid and your RE, it sucks. I had sort of the same thing happen to me with Clomid. 1st cycle was good, 2nd was a bust and 3rd was ehh. Then we moved onto Femara. I would talk to your RE about your options and voice your concerns. After all this is your money, your life and your choice! I

zdinakwardwedding · December 2010

I had minimal response to clomid and was switched to femara to lessen the issues with lining thinning and such. My RE likes to do 4 med IUI's before talking about injects or IVF unless there is no response. Femara has really worked for me. Insurance in a PIA I hear ya on that one. Femara was more expensive but not nearly as injects. I would ask about it if I were you. Plus less side effects than clomid. My RE only like to do 2 or 3 max of clomid. Hope everything works out for you. HTH (Hugs)

theworms · December 2010

you won't always respond the same way every cycle.

my RE will only do 3 clomid cycles, i would rec you talk to RE about switching meds or moving onto injectibles

GL

orange682 · December 2010

I'm 99.9% positive that this will be my last clomid cycle, it just stinks that we're prob going to loose a month while we wait for the insurance authorization (esp since it should have already been done).

I actually asked my RE about Femera when I first started treatment, and was told that the FDA/manufacturer doesn't approve Femera for IF. A few years ago my RE actually got a letter from the manufacturer saying it is not approved for IF and they should stop using it. My Dr. ignored it when they were affiliated with the hospital (he said they had deep pockets and weren't scare of a lawsuit), but now that they became part of an IF Clinic, they have less money and need to be concerned with that kind of stuff. He said that if I wanted to use it I'd need to sign a waiver and it would be a last resort after injections.

stillwaiting12 · December 2010

I take Femara and have responded really well each cycle. It's a little more expensive than Clomid, but if you google Femara coupon you can find one for 30 pills for FREE! I used it this past cycle and it worked! Your Dr has to sign the actual coupon so you would need to take it in with you to have it signed. I personally take a higher dose than some others and take a total of 15 pills/cycle, so my free 30 day supply will last me 2 full cycles... win win!

baloneydisc · December 2010

orange682:

I'm 99.9% positive that this will be my last clomid cycle, it just stinks that we're prob going to loose a month while we wait for the insurance authorization (esp since it should have already been done).

I actually asked my RE about Femera when I first started treatment, and was told that the FDA/manufacturer doesn't approve Femera for IF. A few years ago my RE actually got a letter from the manufacturer saying it is not approved for IF and they should stop using it. My Dr. ignored it when they were affiliated with the hospital (he said they had deep pockets and weren't scare of a lawsuit), but now that they became part of an IF Clinic, they have less money and need to be concerned with that kind of stuff. He said that if I wanted to use it I'd need to sign a waiver and it would be a last resort after injections.

I wouldn't worry about this at all. I was part of a study recently where the goal was to prove Femara works for IF & get it FDA approved for this purpose. I have done a couple of cycles with Femara & will be going back to it once my break cycles are over.

whispergrrl · December 2010

I had a similar situation with injectibles. One really good cycle - responded quickly, good follies, etc. BFN. Next cycle, same meds and dosage - responded very slowly, triggered very late in cycle (like CD 23 or something), BFN. Next cycle, same meds, increased dosage - overstimulated and had to take a 4 month break!

Every cycle is different. My doctor has said you have to treat each independently...as much as that stinks, it's kind of a crap shoot!

orange682 · December 2010

elainelbuck:
orange682:

I'm 99.9% positive that this will be my last clomid cycle, it just stinks that we're prob going to loose a month while we wait for the insurance authorization (esp since it should have already been done).

I actually asked my RE about Femera when I first started treatment, and was told that the FDA/manufacturer doesn't approve Femera for IF. A few years ago my RE actually got a letter from the manufacturer saying it is not approved for IF and they should stop using it. My Dr. ignored it when they were affiliated with the hospital (he said they had deep pockets and weren't scare of a lawsuit), but now that they became part of an IF Clinic, they have less money and need to be concerned with that kind of stuff. He said that if I wanted to use it I'd need to sign a waiver and it would be a last resort after injections.

I wouldn't worry about this at all. I was part of a study recently where the goal was to prove Femara works for IF & get it FDA approved for this purpose. I have done a couple of cycles with Femara & will be going back to it once my break cycles are over.

I'm not worried about the effects, because even the Dr. said it's fine. I've actually heard great things about Femera for PCOS ladies like myself. He just won't perscribe it yet because of the "CYA" legal mentality of the center. If clomid & injections don't work for me, I do plan to take it before moving on to IVF.

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Not happy with my RE right now.

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