Infertility

Pills pills pills (Latest Consult Update)

We covered everything that came back from the RPL which wasn't much. The doctor's opinion is that nothing in the RPL had good odds to have caused our loss... but he'd like to be as aggressive with treatment as he was with testing since the "treatments" for my two questionable results are simple and have minimal side effects apart from the annoyance of taking pills.

So I'm taking a prescription folic acid supplement twice daily, a baby aspirin once daily.... and a prozac. Because I had a panic attack pretty much the instant I walked back into the clinic. And it wasn't the first.

So I asked if he had anything in his bag of tricks for keeping me from crawling up the walls in panic every time I walked into the clinic. So a month of something to keep me calmer while on the BCP lead up to FET with the understanding that if the panic persists- I should take some time off and make sure I'm really ready to get back to this. Which seemed like a reasonable compromise.

On the plus side, I did a check of my medicine cabinet and I've got enough meds to make it through the entire FET to beta without buying more (we did a huge order of everything a couple of days before the miscarriage) so I'm set once we have a calendar.

I think I'm going to need a bigger pill box though.

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Friends for 15 years. Married 8. TTC since January 2009
2010 Diagnosis: Anovulation and Severe MFI
2011 Treatment:
IVF w/ICSI #1 Antagonist: 2 blasts - c/p - BFN 04.22
FET #1: 1 blast/1 early blast - BFP 06.22 - m/c 06.30 @6w0d
07-11 RPL: MTHFR C677T Heterozygous & Slightly elevated ACLA IgM
FET #2: 1 morula - BFN: 9.02

January '12: IVF #2
Started BCP and Metformin (New!) 12-14 for stimming in January

Dum spiro, spero.
?SAIF/PAIF/PgAL/PAL always welcome?

Re: Pills pills pills (Latest Consult Update)

  • Glad that you have a plan for the next cycle.  Sometimes just making even a small change makes the difference!  Good luck hun!
    ***SAIF & PAIF Welcome***

    TTC since November 2008; me - poor egg quality,hypothyroidism,missing beta 3 integrin;
    DH - some MFI;

    1 month clomid plus timing - BFN;
    3 months clomid + IUI - BFN BFN BFN

    IVF #1 Nov/Dec 2009 - BFP - c/p;
    IVF #2.1 Jan 2011 - Converted to IUI - BFN;
    IVF #2.2 March/April 2011 - ER 3/23/11: 12 retrieved, 8 mature, 3 fert-ET 3dt 3/26/11: 3 embies - BFN;
    IVF #3 May 2011 - ER 5/19/11: 20 retrieved, 10 mature, 9 fert-ET 5dt 5/24/11 3 embies - BFN;
    Switched RE's for IVF #4 (CCRM) Oct 2011 - Surprise BFP before starting IVF #4!
  • I'm sorry you didn't get more of an explanation and I'm glad your RE is so supportive, even if he didn't have many answers.  The only comment I have about the prozac (and I'm someone who took Zoloft for seven years straight, and I'm generally a fan of psychotropics for those who need them, so this isn't a criticism of the drug per se) is that, as you may already know (I don't mean to lecture you) it can take 6-8 weeks, generally, to have much of an effect.  That's why often xanax gets prescribed short-term for anxiety while a drug like prozac or zoloft etc. is building up in the bloodstream, though of course one doesn't want to be taking xanax while TTC because it's a class D drug.  And then you have to wean off prozac/zoloft etc. slowly too, if you decide to, though you don't absolutely have to while pregnant (they tend to want it reduced in the 3rd trimester if at all possible, though it isn't for many women who do just fine).

    I guess I'm just wondering if, given your timeline of a month to the FET, your doctor couldn't give you something like a beta-blocker for the anxiety rather than a psychotropic.  Or acupuncture? Just a thought.

    I so hope for you that the FET is it!

    me - 41 (dx: DOR); DH - 53 (no problems); 7/18/09 - married!; 8/4/09 - BFP on first (real)try; 9/14/09 - missed m/c; 9/15/09 - d&c; 11/09 - 3/10 - 4 natural cycles = BFN; 4/10 - dx hyperthyroidism caused by Graves' disease; 6/10 - thyroidectomy; 7/10 - 12/10 - 1 natural and 5 medicated IUI cycles = BFN; 1/11 - new RE; dx low ovarian reserve (AMH .42; 1/26/11 -- BFP (ectopic) from IUI #6; methotrexate 2/10/11; 6/2/11 - IVF #1 = BFN; 9/12/11 - prescreening for DE; 9/15/11 - IUI #7 (unmedicated)= BFN; 11/8 - begin DE cycle (shared risk program); 12/5 - ER (5 eggs/4 mature/3 fertilized/2 left by day 5) 12/10 - ET of one 1BB blast (expanded, "fair" quality), none to freeze; 12/22 - totally shocked by +hpt; beta #1 = 413; #2 = 3952 2/14 - CVS reveals a healthy baby girl! EDD: 8/27/12 DD born 8/31/12, 10 lbs 10 oz and perfect in every way. 
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  • The suitability for early pregnancy is exactly why he wanted to try this one first. If it genuinely helps (and I've always been an anxious patient- this last cycle flipped me from healthy amounts of anxiety to unhealthy)- he'll extend the prescription to get me through the FET and I can talk about doses or weaning off with my OB. If I'm still having panic attacks though- he won't try to adjust my dosage and will advise that I wean off or talk to a psych about adjusting the dosage while I take a break. It's not long- but he's not the doc for long term management of psych meds. (Which, as someone who's done the psychiatrist thing before, I totally agree with)

    He specifically said no to valium/xanax (I asked since I'd rather not be on something I have to take every day)- too much risk of being habit forming. Which I can understand. I was surprised that he was willing to give me anything actually. Hopeful that it will help- but a little surprised.

    image
    Friends for 15 years. Married 8. TTC since January 2009
    2010 Diagnosis: Anovulation and Severe MFI
    2011 Treatment:
    IVF w/ICSI #1 Antagonist: 2 blasts - c/p - BFN 04.22
    FET #1: 1 blast/1 early blast - BFP 06.22 - m/c 06.30 @6w0d
    07-11 RPL: MTHFR C677T Heterozygous & Slightly elevated ACLA IgM
    FET #2: 1 morula - BFN: 9.02

    January '12: IVF #2
    Started BCP and Metformin (New!) 12-14 for stimming in January

    Dum spiro, spero.
    ?SAIF/PAIF/PgAL/PAL always welcome?
  • It sounds like you're in great hands!  And I do hope it helps.  In my experience, sometimes even just knowing you're doing something to help the issue can make things calm down even before, clinically speaking, the chemical is really in your system.
    me - 41 (dx: DOR); DH - 53 (no problems); 7/18/09 - married!; 8/4/09 - BFP on first (real)try; 9/14/09 - missed m/c; 9/15/09 - d&c; 11/09 - 3/10 - 4 natural cycles = BFN; 4/10 - dx hyperthyroidism caused by Graves' disease; 6/10 - thyroidectomy; 7/10 - 12/10 - 1 natural and 5 medicated IUI cycles = BFN; 1/11 - new RE; dx low ovarian reserve (AMH .42; 1/26/11 -- BFP (ectopic) from IUI #6; methotrexate 2/10/11; 6/2/11 - IVF #1 = BFN; 9/12/11 - prescreening for DE; 9/15/11 - IUI #7 (unmedicated)= BFN; 11/8 - begin DE cycle (shared risk program); 12/5 - ER (5 eggs/4 mature/3 fertilized/2 left by day 5) 12/10 - ET of one 1BB blast (expanded, "fair" quality), none to freeze; 12/22 - totally shocked by +hpt; beta #1 = 413; #2 = 3952 2/14 - CVS reveals a healthy baby girl! EDD: 8/27/12 DD born 8/31/12, 10 lbs 10 oz and perfect in every way. 
  • Good luck to you!! I hope this all works out for you!

    I hated Prozac.  I hope it treats you better!!!

    Renee- 37 DH - Chad - 39
    2/06 - surprise pregnancy - twins
    3/06 - m/c 1st baby at 6 weeks 
    5/06 -2nd baby had no heartbeat at 14 wks.
    D&E - Bled out. Blood transfusions. Week in ICU - Cheated Death!
    Diagnosis: Blood clotting and bleeding disorder, immune issues, & cervical stenosis
    5/10 - 1st IVF cycle - BFN
    FET - 10/12/10 - BFN
    1/11 - IVF with PGD - BFN
    IVF - May - BFN
    6/11 New RE - fingers crossed!
    9/11 - IVF - 4 transferred
    10/13 - BFP!!
    It's a boy! Clint Michael, Due in June!!!

    image
    Baby Birthday Ticker Ticker





  • I'm sorry that you've been suffering from anxiety, and hope the prozac can help.  Wishing you the best of luck in the next cycle!

    Me: 35 DH: 37 TTC since 4/2010
    DX: 6/9/2011: Azoo ICSI/IVF only option for biological child
    IVF #1: ER - 9/26 * ET - 10/1 * beta#1 10/13 - 140 * beta#2 10/17 - 477 * beta#3 10/20 - 1101
    1st u/s at 6w6d - one hb * 2nd u/s at 8w3d - no hb detected 11/10/11 * natural m/c 11/13/11
    FET #1 Jan/Feb 2012 - 3 delays - cancelled 2/13
    FET #1.2 - May/June 2012 - ET 6/6/* beta#1 6/15 - 95 * beta #2 6/19 - 322 * beta #3 6/22 - 940
    7/6 1st u/s @ 7 weeks - one beautiful hb - released from RE
    EDD 2/22/2013
    PAIF/SAIF/PGAL welcome
    imageimageimageimage
    BabyFruit Ticker
  • Glad you have a plan forward. Good luck doll! 
    imageimage

    Dx: DH - Azoo, Me - Mild PCOS
    DH - sperm found! Seems to produce only for a few days every 70 days!
    Over 1 million in cryo in 15 vials over 6 samples
    IVF #1 - 1 beautiful expanded blast transferred, 4 snowbabies - beta #1 11/30/11 = BFFN
    FET #1, transfered 2 embies 2/16/12 = BFFN; 1 snowbaby left in cryo
    IVF #2 + CGH = 4 genetically normal embies on ice. FET September 26th
    SAIF/PAIF always welcome

    a special GL and prayers to my IF sister Gregermis

    image
    check out my blog!


  • Good luck this cycle - I really, really hope this FET is what brings you your sticky take-home baby!!
    IUIs #1-3 (1x unmedicated, 2x Clomid) = 2 BFNs, 1 m/c at 7w3d
    IUIs #4-6 (injects) = 3 BFNs
    IVF #1 = BFN
    FET #1 = BFN
    FET #2 = BFN
    IVF #2 = BFP, b/g twins lost at 20w due to partial abruption/PPROM
    IVF #3 = c/p 5w2d
    Long-shot Clomid/Prednisone cycle before next IVF = BFP, our beautiful, healthy girl born 6/26/13!
    ~~
    TTC again March 2014
    FET #3 - May/June 2014
    -
    all embryos arrested before xfer - back to the drawing board...
    IVF #4 - July/August 2014 
    beta 1 (11dp3dt) 220, beta 2 (13dp3dt) 671, beta 3 (19dp3dt) 10762
  • I am glad you have a plan to move forward and I really help the prozac helps with the panic attacks.

    Good lucks sweets!

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  • I am hoping and praying that the FET means the very end of your time in the clinic for the best of reasons.  You know I feel your pain...I hope the prozac takes the edge off and that all of other pills get you that sticky BFP you so deserve!
    TTC since 11/09
    Two C/P and Lots of Tests
    Me = LPD + cancer survivor, DH = low count and morphology
    IUIs #1-5, January 2011 - June 2011 = BFN
    IVF #1 in July/August 2011 = BFP!!!!!
    image

    BabyFetus Ticker
    "Courage is not the absence of fear, but rather the judgment that something else is more important than fear."
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