Infertility

Talk to me about Femara

My signature pretty much says it all (hypothyroid/PCOS) but I didn't respond to Clomid at all, so my RE has me starting Femara this month with an IUI.  I'd like to know if you liked the drug, how you tolerated it and if you had success with it.

My husband is in the Navy, so we're doing all of this thru Tricare. If this drug doesn't work for me, we'll have to go to IVF, and that will be all OOP.

 Thanks for the advice ladies!

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Dx Hypothyroid 2009 - Dx PCOS 3/2011- TTC since March 2010
DH: Perfect
April 2011 - HSG - Normal/Clear but tilted uterus
May 2011 - Start Metformin
June 2011 - SIS - Arcuate but normal uterus
July 2011 - 100mg Clomid Cycle cancelled - No response
August-September 2011 - Break for oral & eye surgery
Oct 2011 - Femara 7.5mg + Metformin 1500mg + Novarel trigger + IUI #1 = BFN
Nov-Mar 2012- Break due to DH ship schedule
April 2012 - Femara 7.5mg + Metformin 1500mg + Novarel trigger + IUI #2 = BFFN
May 2012 - Femara 7.5mg + Metformin 1500mg + Trigger + IUI #3 = BFFN
June 2012 - Femara cycle cancelled - No response
Jul-Aug 2012 - Break, getting our financials in order
September 2012 - IVF w/ ICSI and AZH
9/11/12 - ER (34 retrieved, 24 mature, 18 fertilized)
9/16/12 - ET - 5dt of 2 perfect blasts and 7 frosties!!!
Beta #1 - 10/1/12 - BFP!!! 2000+
Beta #2 - 10/3/12 - 4881
Beta #3 - 10/5/12 - 8570
First u/s - 10/9/12 - 6w0d - 2 sacs!!!
Second u/s - 10/16/12 - 7w0d - 2 babies with 2 strong hbs!!
First OB appt - 11/5/12 - "Baby A" looks great, good hb and movement, measuring 10w0d
"Baby B" stopped growing at 8 weeks :0(
12/5/12 - Baby looks great at 14w2d - 165bpm heartrate!
January 4th, 2013 - Lost our Baby Girl, Faith at 18w3d
Emergency D&C to clear infection
We love you and miss you little one
image

Re: Talk to me about Femara

  • I didn't respond to Clomid either, and I had a MUCH better response with Femara; an excellent lining and 2-3 follicles each time (with Femara they do expect slightly fewer follicles each time, plus I'm turning 40 shortly).  I didn't get pregnant--except for the last IUI, which was ectopic -- but my previous RE was pleased.  That was on 7.5 mg/day; my new RE has said that if she had had me on it, she would have used 12.5 to produce more follicles (again, because I'm older).

    I had virtually no side effects, either, except for a little bloating the first time I took it.  Clomid gave me the typical hot flashes.

    Good luck!

    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. 
  • Loading the player...
  • I also have PCOS, and didn't respond to clomid at all. So this is my third cycle on Femara (I also do FSH injections, 150 IU on CD 7 and 8), and it's going really well... 1-3 follies each time, great lining, etc.

    I've had few side effects... this cycle I've had some killer headaches, but I don't know if that's from the meds or just a coincidence. On clomid I felt like a$$ all the time, especially with the hot flashes.... I wear a lab coat at work and would get the hot flashes and have to rip my coat off before I threw up! It was awful, And everyone knew I was having some weird problem... they all probably think I'm in menopause at 33! :)

    So I am way happier with Femara in all ways! Good luck to you!

    TTC since September 2010
    March 2011: Diagnosed with PCOS
    First cycle 3/11: 50mg Clomid = No response
    Second cycle 4/11: 100mg Clomid = No response
    Third cycle 5/11: 2.5mg Femara + 150IU FSH CD7 and 8 = Follies, but BFN
    Fourth cycle 6/11: Femara + FSH again = Follies, but no ovulation and another BFN :(
    Fifth cycle 7/11: Femara + FSH again = Wait and see!
  • I never tried Clomid -- I went straight to Femara.  I was on 2.5 mg for my first 2 cycles, 1 follie each time and great lining.  I increased to 5 mg on my 3rd cycle to see if I could get more follies, but I only got 1 again that cycle and my lining was thinner.  I had no side effects.  

    Obviously no success -- if you're looking for success stories, you'll have much better luck on the Pregnant after Infertility (PAIF) board or the Success after Infertility (SAIF) board.  On this board, we're all still trying.  Good luck!  

    TTC since November 2009
    Mild MFI, irregular cycles, HSG only showed left tube open
    IUIs #1-3: Femara -- BFN
    IUI #4: Follistim + HCG boosters -- BFN
    Sept./Oct. 2011 IVF#1: Long Lupron, 3dt of 2 -- BFN + 1 frostie
    Surprise BFP 11.21.2011: missed m/c at 9w2d, D&C 12.27.2011
    The Blog
  • My RE won't prescribe it...I didn't respond to Clomid, so I would have been more than willing to try it.


    04/07/11- PCOS Diagnosis w/GYN. Put on Metformin (1500 mgs)
    04/25/11- 1st consultation with RE (Confirmed PCOS & Anovulation)
    05/09/11-HSG-All clear! 05/13/11-SA-Normal. Found out on 2/14/12, low Morph (1%).
    06/17/11-10 days of Clomid (100, 150) No response.
    07/10/11-03/20/12- 5 Injectable (Follistim) IUI cycles; 4 BFN, 1 C/P. (stims ranged from 11 days to 25 days)
    05/28/12-Diagnosed with Hypothyroidism. 75 mcg Synthroid.

    IVF with ICSI in June/July 2013 = BFP!. Beta # 1 = 123. Beta # 2 = 252. Due March 25th. Baby boy arrived March 27, 2013!

    FET #1 - 10/4/14 = BFP!! Beta #1 = 179. Beta # 2 = 499. Due June 22nd.

    Daisypath Anniversary tickers
    image


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  • I never took Clomid, just Femara. I used in on all 6 of my IUI cycles (3 cycles we combined it with injectibles). I always responded really well to it so it was successful for me in that regard. The only s/e I had were headaches the first day or two of taking it.

    Cycle 1 - 2.5 mg. of Femara = 2 follies

    Cycle 2 - 2.5 mg. of Femara = 1 follie

    Cycle 3 - 5 mg. of Femara = 2 follies

    Cycle 4 - 5 mg. of Femara + Bravelle = 3 follies

    Cycle 5 - 5 mg. of Femara + Bravelle = 3 follies

    Cycle 6 - 5 mg. of Femara + Follistim = 3 follies

    GL!

    TTC 12/2009
    Me: 32 - Stage II Endo / DH: 36 - Low count and morphology (1%)
    IUIs 1-3 BFN, lap Dec. 2010, IUIs 4-6 BFN
    IVF w/ICSI #1 - ER 2/8: 24R 19M 9F ET 2/13 2-5 day blasts (no frosties) = BFP - b/g twins!
    E & C Born 10/19/2012
    Lilypie First Birthday tickers
  • jessicandavies, that is really interesting.  I would've like to hear about others' experiences in such detail.

    Here are my stats:

    cycle 1, 50 mg Clomid, no mature follies

    cycle 2, 100 mg Clomid, 3 mature follies

    cycle 3, 5 mg Femara, 1 mature follie (switched because of lining issues)

    cycle 4, 5 mg Femara, 2 mature follies

    cycle 5, 5 mg Femara + Repronex, 2 mature follies

    cycle 6, 5 mg Femara + Repronex, 3-4 mature follies

    cycle 7, 5 mg Femara + Menopur, 1 mature follie

    I loved Femara because I had barely any s/e with it.  Just a headache or two, and not horrible headaches like I had on Clomid.  Clomid also thinned my lining too much.  GL to you! 

    My feet and Miss Heidi the rescue mutt!

    image

    15 treatment cycles: four early m/c
    Moving forward with domestic infant adoption!

    Home study approved 5/13, now just waiting...

  • imageYankeeNavyWife:

    My signature pretty much says it all (hypothyroid/PCOS) but I didn't respond to Clomid at all, so my RE has me starting Femara this month with an IUI.  I'd like to know if you liked the drug, how you tolerated it and if you had success with it.

    My husband is in the Navy, so we're doing all of this thru Tricare. If this drug doesn't work for me, we'll have to go to IVF, and that will be all OOP.

     Thanks for the advice ladies!

    HI YNW,  if you EVER have any questions about Tricare and IF please feel free to PM me. I've been fighting with them for awhile now and would be happy to help you.

     I had less side effects with Femara than I did with clomid. I still got the hot flashes but I didn't get the bad headaches that I did with Clomid. 

    Good luck!

    I gave you life, then you gave me mine.

    TTC February 2008 to October 2008 One year forced break due to OIF deployment #2
    Resumed TTC in October 2009 HSG, Hysteroscopy, S/A all clear
    Five total medicated cycles and IUI #1-3 = BFN and all while we were still "unexplained IF"
    25 August Lap revealed Endo, adhesions and blocked left tube
    September 2011: Femara + IUI #4 (IUI #1 post endo removal) =BFFN
    November: IVF #1: Stims started 11/16 ER 11/25 (7R, 5F) ET 11/30 Transferred 2 beautiful expanding blastocysts +HPT 12/6/11
    Beta #1 at 9dp5dt=153! Beta #2 at 16dp5dt= 4009!

    Ultrasound 12/30 showed one beautiful heartbeat! EDD 17 August, 2012

    Hazel Evelyn arrived 10 August, 2012!

    Surprise natural BFP March 2015. M/C at 5 weeks
    Another surprise natural BFP April 2015


  • I did respond pretty well to Clomid, but obviously it did not result in a PG.  I switched to Femara two months ago (just started my third Femara today) and I have had no s/e.  So far, for both Femara cycles, I have had just one mature follie, but I have heard really good things about making the switch from Clomid to Femara.

    GL!!

    imageimageimage

    TTC since March 2009 // Me and DH - 28
    Testing Summer/Fall 2010 - Unexplained IF
    IUIs #1-4 ~ Clomid/Ovidrel/TI/IUI ~ all BFNs
    IUI #5 ~ Femara/Ovidrel/TI/IUI ~ BFN
    IUIs #6-9 ~ Research Study Meds/Pregnyl/TI/IUI ~ all BFNs
    IVF Consultation, More Testing
    Diagnostic Cycle ~ Mucinex/Progesterone/TI ~ BFN
    IVF #1 ~ Menopur/Bravelle/Ganirelix/Novarel/Progesterone/Lupron
    7R, 6F // 2 transferred // 3 frosties ~ BFN
    FET #1 ~ Estrace/PIO/Lupron
    3 thawed // 2 transferred // 1 lost // no more frosties ~ BFP!!
    Beta #1 - 456 // Beta #2 - 1176 // Beta #3 - 2933 // Beta #4 - 6753
    EDD: May 16, 2013
    Threatened MC at 6w2d
    Bedrest for SCH // 6w2d through 10w1d
    Elevated TSH and Lazy Thyroid DX @ 10w - Started Synthroid
    Finally released from RE at 13w
    Charles Everett ~ Born 5/20/2013

    Baby Birthday Ticker Ticker


    ~~ My IF Blog ~~ 

  • Thanks for all of the replies ladies!

    Your knowledge has made me feel better about this whole switching drugs thing.

    Thanks for dealling with my "Newbieness" as well! I'll get the hang of this soon!

     Not wanting to get too comfortable on this board, hope we can all move on to the next step ASAP!!!!     Big Smile

    image
    Dx Hypothyroid 2009 - Dx PCOS 3/2011- TTC since March 2010
    DH: Perfect
    April 2011 - HSG - Normal/Clear but tilted uterus
    May 2011 - Start Metformin
    June 2011 - SIS - Arcuate but normal uterus
    July 2011 - 100mg Clomid Cycle cancelled - No response
    August-September 2011 - Break for oral & eye surgery
    Oct 2011 - Femara 7.5mg + Metformin 1500mg + Novarel trigger + IUI #1 = BFN
    Nov-Mar 2012- Break due to DH ship schedule
    April 2012 - Femara 7.5mg + Metformin 1500mg + Novarel trigger + IUI #2 = BFFN
    May 2012 - Femara 7.5mg + Metformin 1500mg + Trigger + IUI #3 = BFFN
    June 2012 - Femara cycle cancelled - No response
    Jul-Aug 2012 - Break, getting our financials in order
    September 2012 - IVF w/ ICSI and AZH
    9/11/12 - ER (34 retrieved, 24 mature, 18 fertilized)
    9/16/12 - ET - 5dt of 2 perfect blasts and 7 frosties!!!
    Beta #1 - 10/1/12 - BFP!!! 2000+
    Beta #2 - 10/3/12 - 4881
    Beta #3 - 10/5/12 - 8570
    First u/s - 10/9/12 - 6w0d - 2 sacs!!!
    Second u/s - 10/16/12 - 7w0d - 2 babies with 2 strong hbs!!
    First OB appt - 11/5/12 - "Baby A" looks great, good hb and movement, measuring 10w0d
    "Baby B" stopped growing at 8 weeks :0(
    12/5/12 - Baby looks great at 14w2d - 165bpm heartrate!
    January 4th, 2013 - Lost our Baby Girl, Faith at 18w3d
    Emergency D&C to clear infection
    We love you and miss you little one
    image
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