Success after IF

If you did PIO and got pg come in...

My RE has me doing PIO shot in the morning right now and 1 prometrium supp at night. Transfer is on thursday and I continue the same protocol until my beta. If I am pg, they want me to do the PIO shot in the morning  plus 3 prometrium supps (1 morning, 1 noon, 1 night).

Does that sound like a whole heck of a lot of progesterone? What was your protocal before and after your beta? Thanks!

ETA: My PIO shot is 1ml daily


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Re: If you did PIO and got pg come in...

  • I started PIO shots (1 in the morning) right after the ET and continued until I was 10 weeks pregnant.
    TTC since 10/06 - Went to RE after 6 months of TTC due to AMA -Diagnosed with MIF 5/07, only option IVF with ICSI - IVF #1 cancelled due to cyst, never got to ER - IVF #1.5 10/07, BFP - Robert Andrew born 7/30/08 Lilypie Kids Birthday tickers
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  • imagekrissybegs:
    I started PIO shots (1 in the morning) right after the ET and continued until I was 10 weeks pregnant.

    This.  But my shot was at night.

    Allison
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  • Do you have a history of low progesterone at all? That is the only thing I can think of to warrant all this progesterone. When I did PIO I just did one shot a night and then I would have continued the same shot when pregnant.

    I did prometrium for my successful cycle and just did the 3 supps. 3x a day until 7 weeks when my progesterone tested really good and they had me stop. 

    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!
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  • imagekrissybegs:
    I started PIO shots (1 in the morning) right after the ET and continued until I was 10 weeks pregnant.

    My protocol was the same except I did my PIO in the evening (personal preference, my RE didn't care what time of day I did it as long as I did it every 24 hours) and I continued until I was 12 weeks pregnant.  I think I did 1 cc daily (if I recall correctly). 

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  • I did my PIO shots at night from before transfer to 15 wks., they just had me change the dose over time.  I wonder why they are having you do PIO and supps... Confused
    TTK 9/06 / TTC 10/08 / Twins 12/11 / Life Blog
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  • imagekthappy76:
    I did my PIO shots at night from before transfer to 15 wks., they just had me change the dose over time.  I wonder why they are having you do PIO and supps... Confused

    I dunno by I think my nurse is crazy. I'm going to reconfirm.


    Baby Beau
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    TTC #1 for 5 years - Many years, many tears 3 Clomid IUIs all BFN IVF#1 w/ ICSI = BFP!!!! Beta #1 - 157 11dp3dt, Beta #2 - 340 13dp3dt


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    imagestepgirl21:

     If I am pg, they want me to do the PIO shot in the morning  plus 3 prometrium supps (1 morning, 1 noon, 1 night).

    This was my protocol from transfer until 12 weeks.  I had a history of dropping progesterone, so he wanted to be sure

  • I think thats what I was doing for my fEt. All my other fresh cycles I did pio shots in the Am and pm..
  • I did PIO once a day (at night) but took 2ml.  That was a clinic standard.  I'm unfamiliar with the supps so maybe it would even out to about 2ml?

    I did PIO until 13 weeks. 

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  • I was on PIO until about 11 weeks also, at night...my butt was a pretty color purple for quite some time, but totally worth it!
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  • imagestepgirl21:

    imagekthappy76:
    I did my PIO shots at night from before transfer to 15 wks., they just had me change the dose over time.  I wonder why they are having you do PIO and supps... Confused

    I dunno by I think my nurse is crazy. I'm going to reconfirm.

    I was on 1.5ml for most of that time (it was an FET, I have low P4, and had just had a m/c on supps alone), maybe they can just up your PIO and you can do fewer/no supps.  GL!

    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 think it's relevant whether you do an FET or fresh IVF. FETs require more progesterone supplementation than a fresh IVF because you don't have the whole ovulation process telling your body to make its own progesterone.

    I don't know what my dose will be, but I know that I have to take it until 16 weeks if I'm pregnant. 

  • imagekme930:

    I think it's relevant whether you do an FET or fresh IVF. FETs require more progesterone supplementation than a fresh IVF because you don't have the whole ovulation process telling your body to make its own progesterone.

    This.  I was on much less P4 for my fresh cycle than for my FET.

    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

    Baby Birthday Ticker Ticker

  • The only time I have ever seen a protocol like that is when there is a history of low progesterone or dropping progesterone. But maybe since you're only doing 1 ml they're doing a combo?  I started PIO before my transfer but I can't remember exactly when.  I did a 2cc shot daily at night. My arse was soooo sore but totally worth it. That was the only cycle where I didn't miscarry & as a result I now have DS :) OH & when I came off PIO I was slowly switched over to supps. & then came off them as well.
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  • That does sound like a lot to me.  For my first IVF, I did prometrium supps three times a day.  For my second and third IVFs, I just did a PIO shot at night.
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  • imagecharmcitygirl:

    imagekrissybegs:
    I started PIO shots (1 in the morning) right after the ET and continued until I was 10 weeks pregnant.

    This.  But my shot was at night.

    This also for me. 

    Dx with severe endometriosis. DS#1 conceived with Met and TI. TTC#2 for 2.5 yrs. Dx 2nd IF. 4 clomid cycles, 2 IUIs, Finally IVF#1 w/ICSI worked for us! twins born 35w3d. Unexpected total hysterectomy 6/11. Now on the HRT train.

  • imagekthappy76:
    imagekme930:

    I think it's relevant whether you do an FET or fresh IVF. FETs require more progesterone supplementation than a fresh IVF because you don't have the whole ovulation process telling your body to make its own progesterone.

    This.  I was on much less P4 for my fresh cycle than for my FET.

    Ah ha. I didn't know this. Perhaps this is the reason. thanks.


    Baby Beau
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    TTC #1 for 5 years - Many years, many tears 3 Clomid IUIs all BFN IVF#1 w/ ICSI = BFP!!!! Beta #1 - 157 11dp3dt, Beta #2 - 340 13dp3dt


    FET for #2 9/1/11 Beta #1 9dp5dt - 153!!! Beta #2 11dp5dt - 426!!! Lilypie Second Birthday tickers
    Lilypie Pregnancy tickers
    Psalm 113:9 He settles the barren woman in her home as a happy mother of children. Praise the LORD.
  • Just the PIO shot (1 ml) until 11 or 12 weeks.
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