Pregnant after IF

Beta #4=Not Good

9005 on 5w4d up from 4261 at 5w1d. Doubling time of 67 hours. The nurse left me this really doomsday message b/c it didn't meet their 66% increase every 2 days rule. We just got to FL for a 5 day vacation. How am I supposed to enjoy? I won't know anything else until my scan next Thurs. What do you think??

TTC in 2008. Stage II/III endo, Hashimotos hypothyroid, low morph (3%).
2 cycles Clomid/Ovidrel/TI/Crinone=BFN.
IUI #1 - 4 Follistim/Ovidrel/IUI/Crinone = BFN.
IVF #1 - Antagonist w/ ICSI 4/10. 17 retrieved, 5DT of 2, BFN :(
IVF #2 - Long Lupron w/ ICSI 6/10. 15 retrieved, 3DT of 2, BFFN!!
Lap 7/21/10
IVF #3 - Clomid/Antagonist w/ ICSI 10/10. 14 retreived, 3DT of 3, BFP 10/20 but m/c. No HB 11/15/10 - D&C 11/17/10.
FET - 2 blasts, 1 survived the thaw. Transfer 2/19. Beta #1 3/1 375, Beta #2 3/3 885, Beta #3 3/8 4261, Beta #4 3/11 9005. U/S 3/8 1 sac 1 yolk, U/S 3/16 1 heartbeat 114bpm!

 

James born Oct. 24th 2011 via c-section at 38 weeks!

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Surprise BFP - Jack born April 28, 2013 via VBAC after PTL at 33 1/2 weeks!

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Re: Beta #4=Not Good

  • Oh hun, I am so sorry!  It is definitely not over by any means.  They have continued to go up-and she is probably thinking worst case scenario.  Lots of Thought and Prayers coming your way.  Great way to start a vacation!!!  Sad
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  • 72 hours for less is what most drs say. Maybe you are just worried so you misinterpreted her as being super downer about it. Number sounds fine to me, my dr didnt do betas that long for this exact reason.

    Just relax.... You are going to do more hurt than good by obsessing and over-worrying like this. 

     

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  • I'm sorry sweetie... hopefully all is still OK!  My RE still told me that they're going to draw labs, but that once we start u/s , the u/s tells more than betas b/c doubling times change for everyone and start to slow down after 1200 and 4000..I may ask them to stop giving me the numbers so I have less to obsess about. 

    Try and enjoy your time away (I know easier said than done)

     

     

    TTC since April 2009 dx = PCOS; TTC History for DS - A FET miracle after 7 IUIs; 2 fresh transfers, and 1 other FET resulted in BFNs. Hoping and Praying for baby #2: Cycle 1 - FET; November 2012 BFN Next Steps - who knows? Lilypie Second Birthday tickers
  • Your number will start to slow down after a while. You're still increasing, which is a good sign.((hugs))
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  • not to mention that we all just reassured you that they slow at some point and that is normal.
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  • MY doubling time eas longer at 3 or 4 weeks
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  • Huge hugs Patchen!

    My old clinc told me once betas reach 5000, they slow in doubling.  Even 96 hrs was an acceptable double time when HCG gets that high.

    I was also in FLA when i was in beta hell, and it's hard.  But nothing u can do will change the outcome of ur pregnancy.  So try to enjoy some time with ur DH.  I know, it;s so hard.

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  • imageams8099:
    Your number will start to slow down after a while. You're still increasing, which is a good sign.((hugs))

    This.


    After 2 rounds of IVF & 2 rounds of FET, we were blessed with identical twin girls!
    image

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  • JenCWJenCW member

    Hopefully the nurse was just being matter of fact which may have come off as doomsday.  My RE's office would have considered that a perfectly acceptable rise especially at the stage that you are.  That with your u/s this morning seems as if things are still OK.

    Though it doesn't make it easier to have yet another wait until the next u/s, your progress will not be affected by allowing yourself to have a great time on your vacation.  Try to enjoy the days with your DH, and hold the next round of worry until next week.

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  • My RE only did 2 betas and that drove me bonkers, but she also told me that beta doubling starts to slow after a certain period. Your numbers are still high, so please try to enjoy your vacay (easier said than done I know). Sending you lots of T&Ps for a great u/s next week.
  • I do think the nurse was a little overly doomsday and before she made that phone call I wish she had talked to the Dr. She actually said "I'm not sure how this is going to go" and "with these levels it's questionable".

    TTC in 2008. Stage II/III endo, Hashimotos hypothyroid, low morph (3%).
    2 cycles Clomid/Ovidrel/TI/Crinone=BFN.
    IUI #1 - 4 Follistim/Ovidrel/IUI/Crinone = BFN.
    IVF #1 - Antagonist w/ ICSI 4/10. 17 retrieved, 5DT of 2, BFN :(
    IVF #2 - Long Lupron w/ ICSI 6/10. 15 retrieved, 3DT of 2, BFFN!!
    Lap 7/21/10
    IVF #3 - Clomid/Antagonist w/ ICSI 10/10. 14 retreived, 3DT of 3, BFP 10/20 but m/c. No HB 11/15/10 - D&C 11/17/10.
    FET - 2 blasts, 1 survived the thaw. Transfer 2/19. Beta #1 3/1 375, Beta #2 3/3 885, Beta #3 3/8 4261, Beta #4 3/11 9005. U/S 3/8 1 sac 1 yolk, U/S 3/16 1 heartbeat 114bpm!

     

    James born Oct. 24th 2011 via c-section at 38 weeks!

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    Surprise BFP - Jack born April 28, 2013 via VBAC after PTL at 33 1/2 weeks!

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  • I think your ultrasound said more than your beta. Try not to worry. Really important to relax right now. And BTW I don't think your Beta is bad!
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  • Patchen I just had to look - I had a beta yesterday at 5w 2days because I was spotting and it's only 7,000 - My RE's office was very happy with that number. So there you go...You're fine!!!!
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  • I think your numbers sound good.  Beta's slow down when they get higher and yours are still doing fine.  Also I agree with other pps that your u/s is more important at this point.  Try to enjoy your vacation though I know that is easier said than done. 
    Dx with PCOS and IR June 2009
    After two losses, third time was a charm.
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  • Hugs!  Hope you can enjoy your vacation and come back to good news next week.
    TTC with DOR, low morphology, fertilization issues
    IVF#1 Oct 2009 (CCRM) - BFN
    IVF#2 March 2010 - Poor response/cancelled
    DE IVF#1 Aug 2010 - BFN
    DE IVF#2 Dec 2010 - Transferred 1, 2 frozen - BFP!
    TTC#2 FET Jan 2013 - Transferred 1 - BFP!

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  • Lurking from SAIF...

    Remember this?

    imagepatchen30:
    I also asked about my betas and he said he doesn't think I can analyze those into anything meaningful, and that they are supposed to slow down.  They took more bloods today to check HCG/P4/E2.

    Listen to your RE and not the nurse. Plus, you're still doubling within 72 hours, which is great! I really, truly think your numbers sound fine. Hang in there! Try to enjoy your time in Florida.

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  • Hang in there. Your little one showed up on the ultrasound. Try to keep that image in your head to help you not worry.
    Beautiful Miracle Baby lost at 21 weeks due to pre-term labor and incompetent cervix. FET#1 BFN, FET#2 BFP, early loss. FET#3 BFN. IVF#2 BFFN. FET #4 BFP after removing bilateral hydrosalpinx and 3 months of lupron depot. Sticky Bun is here!! Image and video hosting by TinyPic Baby Birthday Ticker Ticker
  • I hear a lot of nurses being all doomsday for people....that sucks! Most of the cases I've heard like that (where the nurse is a jerk), everything ends up fine. I agree with previous posters...I don't think you have anything to worry about with your betas. I think you had a fine rise, and your betas are just slowing down (like they are supposed to). 

    Here is how my betas went (doubling times listed):

    182  - 697 =   37.17 hours

    697  - 3075 =  44.83

    3075 - 8680 =  48.09

    8680 - 20710 = 76.52

     Try to enjoy your vacation. *hugs* 

     Edited to add - This is when my betas were done, also.

     1 - 4w

    2 - 4w3d

    3 - 5w

    4 - 5w3d

    5 - 6w

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  • Sweetie, your nurse is nuts. 

    That is a GREAT beta.  That is a PERFECT rise.  When you get to the 6w mark they are supposed to double every 3-4 days, it slows down.

    Honestly, at the stage of pregnancy that you are at, betas are not as reliable as ultrasound.  You've had a great ultrasound that showed a sac and fetal pole exactly as it should be. 

    I know it's scary but you really need to focus on that.  You are pregnant!!!!

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  • That stupid nurse! I think you're fine! Really! Try to relax and enjoy your vacay, hon.
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  • I agree with the others - your beta is still within a great range. Try to hang in there and enjoy the few days you have on vacation! GL hon!
  • Your beta doubling time is 66.7%.  The new minimum standard that my RE office is now using is 53%.  I am not exactly sure what the name of the article is, but it was published in the New England Journal of Medicine recently.  66% is an old standard, but your doubling time is still higher than that.

    My first beta's doubling time was 70%.  It then went up to 80%, and then back down to 77% before we were able to see a heart beat.  At that point, the RE said that the beta's don't matter anymore, and I was released to an Ob.   

    I know that beta hell can be a horrible time, but honestly your first beta doubling time isn't that far off from mine, and you are beating the new minimum standard by a decent amount.  Please try to relax and have a good vacation.  When I was going through beta hell, I just kept telling myself that "Today I am pregnant, and I love my baby."  I am keeping my fingers crossed for you.  Please keep us posted.

    TTC Child #1 Sept '08, Dx: Unexplained, DOR 2 IUI's = BFN, m/c, IVF 1 = 0 embies to put back, IVF 2 = BFN, IVF 3 = cancelled, IVF 4 = BFP with 1 embie. Our son came into our life on 9/28/11. We are in love! Baby Birthday Ticker Ticker
  • It's less that 72 hours and as other pps have said, it's fine! I wouldn't worry about it too much or classify it as "not good." It's good! I had a similar slowdown that you can see in my blog.
    After 2 losses, IVF #2 brought us our little boys.
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    Now we're waiting on our miracle baby ... a little GIRL!!!

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  • My RE didnt even take any after 16dpiui and it was 584...  I am a week ahead of you and didnt have it drawn at my u/s either.

    We are all trying to tell you to have a good time, it is out of your hands either way at this point, so there is no sense in fretting.  Enjoy this moment. You will never have it back and you need happy vibes for you cutie little fetus growing in there!!

    TTC#2: septum removed, 2 losses, Stage 2 Endo, thin lining, slight MFI
    iui #5 2/7 + 2/8 = BFP!! 11 dpiui
    Beta #1 2/18 11dpiui= 46, Beta #2 13dpiui 150, Beta #3 16dpiui 584!!
    u/s revealed triplets! Baby B 3rd loss 8w2d. Twins! EDD 10/31/11 * c/s scheduled 10/12/11 My NEW BLOG Baby Birthday Ticker Ticker
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  • Oh dear, you are understandably nervous based on your past experience, but all four of your betas (and rises) for this pregnancy have been awesome. At some point you are going to have to realize that worrying isn't going to improve any outcome, but will just make you miserable. Can you call and talk to the RE or another nurse to help put your mind at ease? I assume you put everything into beta base, you are way above average. I don't think you have anything to worry about based on those #'s. Try to have fun and I hope you have a great u/s on St. Pattie's Day.
    TTK 9/06 / TTC 10/08 / Twins 12/11 / Life Blog
    5 REs + 3 surgical hysteroscopies for septum/lap + 3 failed IUIs
    IVF w/ICSI/AH & acu = BFP!, unexplained spontaneous m/c @ 8w2d (our little girl),
    FET w/acu = BFP!, B/G twins!, lost MP @19w, dx w/funneling cervix @20w,
    twins nearly lost to IC @21w, saved by rescue cerclage, 17P & 16w of bedrest
    Our twins born @36w4d via CS when A came foot first

    Thankful for every day

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  • I'm so sorry:( Here you are trying to enjoy a vacation and this happens. As everyone said, they are still getting higher and that is the most important thing. It seems some nurses have a tendency to be matter of fact and less emapthetic than others. My RE's office only did 2 Betas, I am so glad because that alone made me crazy!

    I hope everything works out and you can enjoy your week. 

    Emily(34) proud Army wife to Adam(34) mom to furbabies Newman and Drizzle Pregnancy Ticker
  • Please dont get too upset from that doubling time. I actually had a doubling time of 72 hours between beta 3 and 4 and then from 4 to 5 it shot up from 1500 to 10,000(and my progresterone was dropping while on supplements)...and now we are pregnant with TWINS! At the time the nurse told me they didn't know why my numbers were so weird and that we werent out of the woods until our first ultrasound...and now everything is okay....keep your head up!
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  • sending you lots of T&P.

    TTC #2 since June '08

    ~*DD 10.21.07*~

    dx unexplained

    IUI #1-4 BFN

    IVF#1 June 2011 BFN

    IVF#2 Dec 2011

    Beta#1 12/21 : 812 Beta#2 12/23 : 1634

    EDD 8/25

    *PAIFW/SAIFW*

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