Pregnant after IF

RE just confirmed pregnancy.....have a question

Hello. I had my second D-IUI about two and a half weeks ago. This afternoon my RE confirmed that I am pregnant. The nurse who called told me that my doctor wanted to place me on estrogen supplementation. She gave no reason. Obviously, my estrogen has to be low. She called in the prescription. I picked it up and found that I have been prescribed 60 estradiol tablets to be taken twice daily. When the pharmacist gave them to be she indicated the they were not to be taken while one is pregnant. I am totally confused.

The nurse who called in this prescription gave me no further instructions. Will they be monitoring me while I take this and the progesterone they gave me two weeks ago. Some of the side effects look nasty. Do I call my regular OBGYN? When she first called me I didn't have the number for the pharmacy to I said I would call her back. I just assumed she would be telling what I need to do from here.

Any help or advice would be much appreciated. I'm kinda lost right now.

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Husband and I are both carriers of Delta F508, one of the many mutations that cause Cystic Fibrosis. We pray for a cure.
D-IUI #1 September 2011 ~ BFN D-IUI #2 October 2011 ~ BFP!
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"Maybe you don't need the whole world to love you, ya know. Maybe you only need one person." Kermit the Frog

Re: RE just confirmed pregnancy.....have a question

  • Hello,

      I am a pharmacist, it is a standard warning not to give estrogen in pregnancy.  However, with fertility treatments estrogen is usually needed.  I am currently on delestrogen injections.  We need to make sure that the lining is kept lush so that the embryo can grow.  The pharmacist was correct that in unassisted pregnancies it is not recommended.

    *****PAIFW/ SAIFW***** Me 28 DH 28 MFI- told IVF only choice Me-Anovulatory, HSG-clear 3/11 IVF-1 converted to IUI due to 3 dominant follicles-BFN IVF 1.1 ER:6/28 27 eggs 17 fertilized ICSI ET:7/1 2: 8 cell embryos 15 frosties Beta: 7/12-BFN FET:3 day transfer 3 embryos BFP! Beta 10dp3=87 Beta 13dp3=301 Beta 17dp3=1776 Ultrasound 6weeks 3 days 1 hearbeat of 125bpm and a gestational sacBravado Bras at Nurtured Family
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  • They always have to give you that warning for any extra hormone supplements during pregnancy. Your RE knows what they're doing and it's common to supplement either estrogen, progesterone, or both early in pregnancy.  I would recommend following their advice. 

    ETA:  Totally forgot to tell you -- congratulations!


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  • That's what I figured. My pharmacist just said it with such conviction. I was totally confused for a minute.
    Photobucket
    Husband and I are both carriers of Delta F508, one of the many mutations that cause Cystic Fibrosis. We pray for a cure.
    D-IUI #1 September 2011 ~ BFN D-IUI #2 October 2011 ~ BFP!
    Lilypie Third Birthday tickers Lilypie First Birthday tickers
    "Maybe you don't need the whole world to love you, ya know. Maybe you only need one person." Kermit the Frog
  • I wouldn't worry. It is protocol to give hormone supplementation to pg women who have undergone IF treatments.
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  • First off, congrats and welcome to the board!!

    My RE has me on estridol twice a day too. She said it was important for supporting pregnancy after fertility treatments.

    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!!!

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  • Congrats on your BFP and welcome to the board. I was also on estradiol twice a day for a while after our BFP at my RE's recommendation.  Good luck!
    ***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!
  • Thanks everyone. Now for a follow up question, the nurse who called me didn't tell me what I am supposed to be doing now. This is my first experience with an RE. Am I done seeing her now? Do I call my regular obgyn? How long do I take these supplements for, both the estrogen and the progesterone. My doctor is not very good at explaining stuff. I've only actually seen her in person once. Nobody advised making another appointment after this one blood test to confirm.

    Mine and DH's situation is a little different. We have the genes for cystic fibrosis and cannot conceive without aid because of the risk of having a child with the disease. We did natural cycles with no fertility medications. So, I was thinking this is the reason I was not told to make follow up appointments because we don't have an infertility diagnosis?

    I guess I should call tomorrow. She has the rudest receptionist. I have to make sure I ask my question in the most concise way possible or the receptionist yells at me...lol.

    Photobucket
    Husband and I are both carriers of Delta F508, one of the many mutations that cause Cystic Fibrosis. We pray for a cure.
    D-IUI #1 September 2011 ~ BFN D-IUI #2 October 2011 ~ BFP!
    Lilypie Third Birthday tickers Lilypie First Birthday tickers
    "Maybe you don't need the whole world to love you, ya know. Maybe you only need one person." Kermit the Frog
  • My RE will see me at 7 weeks and 9 weeks, and then release me to my OB/GYN.  I would call tomorrow and see where you go from here.  Welcome and congrats!
    Me: 30, Dx Unexplained/hypothalamic amenorrhea
    DH: 31, normal!
    April/May 2011: Menopur + Ovidrel +TI = BFN
    Oct 2011: Menopur + Hcg +IUI = BFP!
    Beta #1 (13dpiui)= 129.7, Beta #2 (15 dpiui)= 305
    PAIF/SAIF always welcome!
    My Blog



    Lilypie Premature Baby tickers
  • Yay! I am excited for you!
    ttc since 10-09 first visit with RE 09-10 ME-everything ok DH- AZOOSPERMIA...biopsy confirmed Sertoli Only Cell syndrome Donor IUI#4 was the charm (8-27-11) with 125iuFollistim/Ovidrel/Endometrin/PIO/vit D beta #1 9/8/11....BFP!!! : ) @ 47.7 beta...#2 9/15/11... 1,998 beta#3 9/22/2011- 27,900 Baby's hb seen @6w2d ! 1-3-2012 20 wk u/s everything lookin' good! Baby Birthday Ticker Ticker
  • Thanks everyone. I called my RE's office this morning. I got the friendly receptionist so it wasn't so bad. I asked her what I had to do next and she said, "Oh! We have to see you tomorrow for a follow up blood test." Good thing I called. I have an appointment for tomorrow morning. Hopefully, everything goes well. I am so nervous.
    Photobucket
    Husband and I are both carriers of Delta F508, one of the many mutations that cause Cystic Fibrosis. We pray for a cure.
    D-IUI #1 September 2011 ~ BFN D-IUI #2 October 2011 ~ BFP!
    Lilypie Third Birthday tickers Lilypie First Birthday tickers
    "Maybe you don't need the whole world to love you, ya know. Maybe you only need one person." Kermit the Frog
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