Success after IF

Now I'm on a ledge...a little SAIF juju please? UPDATED

CD 8 monitoring was this morning and after an extensive probing with mr. wandcam the RE's nurse identified 3 "small" follicles. I caught measurements between 7-11 mm.  I have done three days of 125 iu of follistim and 2 of 100.  I don't have my notes from my last (succesful) cycle but IIRC I had a few small follicles and then my E2 fell and I triggered as a hail mary and then viola much to everyone's surprise ended up pregnant.  But rather than a hail mary I want a clinically successful cycle, one with measurable follies, and with the RE's staff thinking it will work.  Does this sound right?  Or am I still not responding well?  I honestly wouldn't have thought anything of it but for then nurse's saying they were "small." Don't those nurses know we overanalyze everything???

** My E2 "hardly went up at all" so RE is increasing me to 225 iu tonight and tomorrow.  I'm going to double check my notes tonight but I'm almost positive this is the same thing that happened last time...  It's hard to be upset at that considering the result but I'm overly anxious. 

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Re: Now I'm on a ledge...a little SAIF juju please? UPDATED

  • If I remember correctly, my follies were around the same size (maybe even smaller - all under 10) after 4 or 5 days of stims.  I ended up stimming for 10 days (300 Gonal-F and 75 Menopur) and it wasn't until the last few that I got any real growth.  Hang in there!  There is still plenty of time.  Are they adjusting your dosage at all?
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  • Well I am not a good responder, so take what I say with a grain of salt but after 5 days of stims I never saw much. Usually be next appointment I would have more (more meaning 5-6) What protocol are you on?
    A lot of years and a million tears finally led me to you.
    After 7 years trying to concieve, 3 failed IUIs and 2 failed IVFs, my third IVF was a success!
    My Christmas baby turned into a turkey bird! Dillon Richard was born at 34 weeks, 5 days on November 28, 2009 after 10 weeks on bedrest for preeclampsia.
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  • Thanks ladies -- if all works well we're doing an IUI cycle so we're aiming for 3-4 good size follies (18mm is what the RE said).  I'm only using follistim for follicle growth which is what I used last time. 

    My guess is my dosage will be adjusted back up.  The decrease from 125 to 100 over the weekend was based on my E2 levels only and I'm thinking maybe there's something where my E2 levels are reflecting lots of little unmeasurables and we're going to need to work to get the measurable ones to grow?  Ugh, I don't know.  Sometimes I hate my body.

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  • I just did 6 days of injectables...still under 10. I was on 35 for 3 days, 75 for 3 days, we will see what they up me to today. I have 32 follicles so they are doing it slow and steady to just get one. She said that it is best to do it this way and with my ovaries I'm not at risk of cancelling due to poor response. GL!
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  • I think you are in good shape for CD 8.  Slow and steady wins the race.  If they only grow 1mm a day you are still looking at the big one being 17 by day 14....and this is about the time things start to get going so my bet would be you would have more growth than that. 

    Get off that ledge.  Only good news on SAIF today!

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  • I think boosting your dosage back up will get you where you need to be.  In my non-scientific experience - follies always get a little lethargic when follistim or gonal-f dose is adjusted down. 

    Something to consider -- asking your RE's office to prescribe ganirelix to suppress ovulation in case ONE of your follies all of a sudden starts taking off ahead of the rest and is in danger of ovulating on its own.  This happened to me during my successful IUI cycle with Jack - and I too was on sort of a low dose of follistim.  Because of what I had learned here - I called my RE's office frantic after a report that one follie was suddenly charging ahead and my LH was starting to surge on its own - asking "CAN I HAVE GANIRELIX????"  and they were like "oh.  sure.  yeah that might be a good idea."  Um,  yeah, nothing like running your own cycle basically!  But it worked really well for us - we had 3 great follies and one giant follie (the one that had charged ahead) that was probably over-stimmed/no good by the time of IUI - but again that was fine because we had 3 great ones.  And we got one great little boy.  Smile

    Wheee!
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    "When it comes to sleeping, whatever your baby does is normal. If one thing has damaged parents enjoyment of their babies, it's rigid expectations about how and when the baby should sleep." ~ James McKenna, Ph.D., Mother Baby Behavioral Sleep Center, University of Notre Dame

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  • Oh thank you ladies -- I'm just a nervous nellie this time.  You'd think I'd never done this before.  I'm afraid that this won't work and also a little afraid  that it will! 

    Thank you LucyP!  Great idea.


    And thank you Desa -- yes, only good news on SAIF...for a long time please :)

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