We did our first clomid cycle after my PCOS dx, and I'm not preg. Not sure why she wanted us to wait to do the SA, but at least it's getting done (Friday). I have my HSG Monday and have done my online research - not so much looking forward to that. Start my second round of Clomid today. Only been down the 3T road for a month and it's already getting old!
Just venting I guess. Already sick of the bloodwork and poking and meds and all the detailed planning. And of course my husband is supposed to travel for work right around O-time - I'm stressing, but he has assured me he'll make it work and postpone if need be.
Not to mention, the a/c went out in my car this weekend and is costing $1500 to fix, and the HSG is costing another $750 due to our huge-ass deductible. It's a rough week.
Blergh!
Me: 35, DH: 34, Started TTC #1 since November '11
Several Clomid/Femara rounds, then fresh IVF September '12
Fresh IVF #1: chemical pregnancy, FET #1: ectopic, methotrexate
FET #2 resulted in our amazing baby boy Levi, born on 11/3/13 at 8 lbs, 5 oz. He is our everything!
Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.
The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube. I guess I'm glad she's proactive, but it does seem concerning.
Me: 35, DH: 34, Started TTC #1 since November '11
Several Clomid/Femara rounds, then fresh IVF September '12
Fresh IVF #1: chemical pregnancy, FET #1: ectopic, methotrexate
FET #2 resulted in our amazing baby boy Levi, born on 11/3/13 at 8 lbs, 5 oz. He is our everything!
Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.
The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube. I guess I'm glad she's proactive, but it does seem concerning.
Can I ask if by "doc" you mean an RE? or an OB/GYN? What treatment would you do for "a sperm problem" if one is found?
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Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.
The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube. I guess I'm glad she's proactive, but it does seem concerning.
Can I ask if by "doc" you mean an RE? or an OB/GYN? What treatment would you do for "a sperm problem" if one is found?
EDIT: No idea what she would do for a "sperm problem," as I'm not the doctor. But when I asked her about not doing the Clomid this cycle and waiting for test results, she said she'd rather not waste time. Shrug.
Me: 35, DH: 34, Started TTC #1 since November '11
Several Clomid/Femara rounds, then fresh IVF September '12
Fresh IVF #1: chemical pregnancy, FET #1: ectopic, methotrexate
FET #2 resulted in our amazing baby boy Levi, born on 11/3/13 at 8 lbs, 5 oz. He is our everything!
I wasn't aware we were touchy? I told you to be thankful you had any coverage for IF and KDG asked you an honest, seriously important question.
You're starting Clomid before you have any idea if you have blocked tubes or your husband has no sperm. How is she planning to "fix" those things suddenly in time for the clomid you're taking now to work?
EDIT: No idea what she would do for a "sperm problem," as I'm not the doctor. But when I asked her about not doing the Clomid this cycle and waiting for test results, she said she'd rather not waste time. Shrug.
I'm not being touchy. I was asking questions...that's what happens around here. I was asking those questions because, truthfully, I find it laughable that any DR would be able to "fix a problem" like a sperm issue or a blocked tube when a patient has already started a medicated cycle in time to actually have a chance to ya know...work.
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I agree with everyone. I made the mistake of taking one unmonitored cycle of Clomid before my husband had his SA done and I will not do it again after reading about everything to be concerned about. I don't think your doctor is doing the right thing by waiting until after you start a second cycle of Clomid before your HSG and an SA. You cannot take a medicated cycle back, and they recommend only a max of 6 Clomid cycles. I think you should find a second opinion, even if it means waiting.
Dx: PCOS/Unexplained July '13 - Mar '14 - Letrozole and TI - BFN April '14 - HSG - All clear - Letrozole, Trigger and IUI - BFP May '14 - Miscarriage 5w 3d July '14 - Letrozole, Trigger and IUI - BFN
Aug '14 - Letrozole, Trigger and IUI - BFN
Sept '14 - Letrozole, Trigger and IUI - BFP
Beta 1 - 87 Beta 2 - 193 Beta 3 - 441 SA - All good ALL Welcome
Kdg is right. How are you supposed to fix anything after you've already taken the Clomid? It's too late then. You don't know at this point if your only issue is PCOS.
I wasn't aware we were touchy? I told you to be thankful you had any coverage for IF and KDG asked you an honest, seriously important question.
You're starting Clomid before you have any idea if you have blocked tubes or your husband has no sperm. How is she planning to "fix" those things suddenly in time for the clomid you're taking now to work?
Listen to these ladies! They are seriously such a wealth of information and knowledge. It is fine to come on here and vent (Lord knows I've done it before). Everyone is trying to be helpful and offer you advice based on their multitude of experiences.
Also, it's helpful if you are able to put some information about yourself in your siggy (diagnosis, tests, treatment, etc) even though you mentioned some of it in your post. That way people know what you have already had done and can offer better suggestions or advice...even if you just came here to vent.
It sounds like you were already questioning your RE about doing another medicated cycle prior to all of the testing. And if you are OOP for treatment, wouldn't you want to wait until after the HSG and SA to make sure you weren't spending money for no reason?
Why are you starting and possibly wasting another round of meds before getting these tests done?
This. :::headdesk:::
This: my OB wanted to start me on Clomid without even asking what CD I was on, thanks to these ladies I know to wait for our RE appt on 6/26. Listen to them..they know.
OP, everybody is just trying to help you. I know it's hard to be patient, but you need to take PPs advice and get your testing done before more Clomid.
I am currently learning the hard way. I knew I had a problem and didn't push the SA, and come to find DH might have MFI. I wasted 2 medicated cycles, and you don't just "fix a sperm problem".
I hope you don't have any additional issues, good luck.
This. Like everyone else has already said, which we aren't trying to jump down your throat, we want to make sure you are educated and make the right choices the first time around. Many pp have learned the hard way.
For example, what are you going to do if there are no sperm or tons of sperm but no motility. This cycle and meds will be a complete waste. You only get a max of 6 Clomid cycles a lifetime and I would make sure you have all your T's crossed before moving forward. Trust us when we tell you, there isn't a quick fix for anything when it comes to IF.
TTC #1 Since May 2011 ~ Everyone Welcome
Me (34): DOR d/t chemo/radiation, Immature Endometrial Lining, Hypothyroidism
DH (35): MFI d/t testicular torsion and removal, Low T, Oligospermia, Anti-Sperm Antibodies, Currently on T supplements Sept '11-April '13 ~ Testing, failed multiple MFI treatments, saving & TONS of praying January 2014 ~ IVF/ICSI & PGS ~ no response to stims ~ converted to IUI ~ BFN February 2014 ~ On to donor embyros ~ 5 blasts!!! March 2014 ~ FET #1 ~ Transferred 2 blasts ~ BFN July 2014 ~ Kliman's mock cycle with endometrial function test Sample too small for EFT, HE slide showed immature cells New protocol planned, saving for another biopsy for EFT January 2015 ~ Considering adoption options April 2015 ~ Privately arranged adoption of planned pregnancy DD#1 ~ Lillyana Violet Marie born 6/15/16, Finalized adoption 12/20/16 July 13, 2018 ~ BFP....WTF?!?! 7/16 Beta #1 ~ 466...7/18 Beta #2 ~ 1,077...7/23 Beta #3 ~ 5,291 7/23 US #1 ~ 1 gestational sac seen and yolk sac 7/30 US #2 and 1st OB appt ~ 1 perfectly round gestational sac, 1 perfect yolk sac and 1 teeny tiny heart beat seen!!!
Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.
The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube. I guess I'm glad she's proactive, but it does seem concerning.
I'm going to say this as gently as possible. She's not being proactive. She's being irresponsible as a medical provider. It's very irresponsible for an kind of doctor to say the bolded...especially since sperm is produced months before it's seen and "treatments" take several months before there is any possibility of improvement from treatment (in other words, the sperm that's being used now was produced 2-3 months ago). How is she going to speed up sperm production in just a few days? Also, completely blocked tubes require surgery. Sometimes they can be opened and repaired, other times they can't and just have to be removed.
Me: 25
Dx PCOS (June 2006, re-confirmed March 2012), Anemia (May 2010-Still fighting to correct it), Fibromyalgia (May 2011)
Initial b/w - normal
HSG (March 2012) revealed right tube open and looking great. Left tube deformed with hydrosalpinx.
Lap (April 2012) Removal of left fallopian tube. Right tube open and viable, but "rather enlarged." NO evidence of endometriosis...Uterus looks beautiful and "very capable" of carrying a pregnancy!
October 2012 - Clomid 50mg + trigger + IUI = BFN
With all factors taken into account, RE is recommending IVF. Planning on moving forward with treatment as a single woman using DS by Summer 2013.
After 17 months of trying, Surprise BFP #1 2.15.2008 | EDD 8.7.2008 | Lost 2.16.2008
After 2 more years of trying, Surprise BFP #2 1.29.2012 | EDD 9.11.2012 | Lost 1.29.2012
Surprise BFP #3 3.27.2012 | EDD 12/2/2012 | Lost 4.1.2012
I'll have my HSG this month too. My husband's SA have been so different, we have to repeat them to see what his real count is. Initially, I was pretty angry about having to do the eval when I felt my DH low count was the problem but now I understand a little better. Tx won't work if something is wrong with me too.
Can you message me after the HSG to let me know how it goes?
Also, how old are you and how long have you guys been TTC?
Me 33. DH 32. TTC Since 6/2011.
12/2012-m/c, CP.
DH: MFI. CCT/HSG/day 3 blood work-all nl.
IVF#1 ER- 8/7/12, ET- 8/10. beta 8/25 neg, I did not respond as expected. AMH: 0.88.
IVF#2 BCP-10/19. Micro flare Lupron-Nov: It's a bust.
IVF#3 Planned for Feb '13 with a long lupron protocol
ON OUR OWN!!! BFP- 1/12/13. Yay! EDD 9/18, now EDD 9/25
Re: This cycle: Sperm analysis and HSG
At least you have insurance for IF. It's more than a lot of people can say.
Just sayin'
Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.
Can I ask if by "doc" you mean an RE? or an OB/GYN? What treatment would you do for "a sperm problem" if one is found?
RE.
Why is everyone so touchy? Just wanted to vent.
EDIT: No idea what she would do for a "sperm problem," as I'm not the doctor. But when I asked her about not doing the Clomid this cycle and waiting for test results, she said she'd rather not waste time. Shrug.
I wasn't aware we were touchy? I told you to be thankful you had any coverage for IF and KDG asked you an honest, seriously important question.
You're starting Clomid before you have any idea if you have blocked tubes or your husband has no sperm. How is she planning to "fix" those things suddenly in time for the clomid you're taking now to work?
I'm not being touchy. I was asking questions...that's what happens around here. I was asking those questions because, truthfully, I find it laughable that any DR would be able to "fix a problem" like a sperm issue or a blocked tube when a patient has already started a medicated cycle in time to actually have a chance to ya know...work.
Dx: PCOS/Unexplained
July '13 - Mar '14 - Letrozole and TI - BFN
April '14 - HSG - All clear - Letrozole, Trigger and IUI - BFP
May '14 - Miscarriage 5w 3d
July '14 - Letrozole, Trigger and IUI - BFN
Aug '14 - Letrozole, Trigger and IUI - BFN
Sept '14 - Letrozole, Trigger and IUI - BFP
Beta 1 - 87 Beta 2 - 193 Beta 3 - 441
SA - All good
ALL Welcome
Listen to these ladies! They are seriously such a wealth of information and knowledge. It is fine to come on here and vent (Lord knows I've done it before). Everyone is trying to be helpful and offer you advice based on their multitude of experiences.
Also, it's helpful if you are able to put some information about yourself in your siggy (diagnosis, tests, treatment, etc) even though you mentioned some of it in your post. That way people know what you have already had done and can offer better suggestions or advice...even if you just came here to vent.
It sounds like you were already questioning your RE about doing another medicated cycle prior to all of the testing. And if you are OOP for treatment, wouldn't you want to wait until after the HSG and SA to make sure you weren't spending money for no reason?
GL with your testing!
~~PgAL March Siggy Challenge - Pet Shaming~~
TTC #1 since Feb 2011 Dx: MTHFR C677T Homozygous, Antiphospholipid Syndrome, LPD
BFP #1: 8/4/11 c/p 4w5d
BFP #2: 9/4/11 c/p 5w0d
BFP #3: 1/16/12 c/p 4w0d
BFP #4 8/9/12 m/c 7w3d
BFP #5 11/2/12 ?EDD 7/16/13? PLEASE grow sweet baby!!
This: my OB wanted to start me on Clomid without even asking what CD I was on, thanks to these ladies I know to wait for our RE appt on 6/26. Listen to them..they know.
This. Like everyone else has already said, which we aren't trying to jump down your throat, we want to make sure you are educated and make the right choices the first time around. Many pp have learned the hard way.
For example, what are you going to do if there are no sperm or tons of sperm but no motility. This cycle and meds will be a complete waste. You only get a max of 6 Clomid cycles a lifetime and I would make sure you have all your T's crossed before moving forward. Trust us when we tell you, there isn't a quick fix for anything when it comes to IF.
Sept '11-April '13 ~ Testing, failed multiple MFI treatments, saving & TONS of praying
January 2014 ~ IVF/ICSI & PGS ~ no response to stims ~ converted to IUI ~ BFN
February 2014 ~ On to donor embyros ~ 5 blasts!!!
March 2014 ~ FET #1 ~ Transferred 2 blasts ~ BFN
July 2014 ~ Kliman's mock cycle with endometrial function test
Sample too small for EFT, HE slide showed immature cells
New protocol planned, saving for another biopsy for EFT
January 2015 ~ Considering adoption options
April 2015 ~ Privately arranged adoption of planned pregnancy
DD#1 ~ Lillyana Violet Marie born 6/15/16, Finalized adoption 12/20/16
July 13, 2018 ~ BFP....WTF?!?!
7/16 Beta #1 ~ 466...7/18 Beta #2 ~ 1,077...7/23 Beta #3 ~ 5,291
7/23 US #1 ~ 1 gestational sac seen and yolk sac
7/30 US #2 and 1st OB appt ~ 1 perfectly round gestational sac, 1 perfect yolk sac and 1 teeny tiny heart beat seen!!!
I'm going to say this as gently as possible. She's not being proactive. She's being irresponsible as a medical provider. It's very irresponsible for an kind of doctor to say the bolded...especially since sperm is produced months before it's seen and "treatments" take several months before there is any possibility of improvement from treatment (in other words, the sperm that's being used now was produced 2-3 months ago). How is she going to speed up sperm production in just a few days? Also, completely blocked tubes require surgery. Sometimes they can be opened and repaired, other times they can't and just have to be removed.
Dx PCOS (June 2006, re-confirmed March 2012), Anemia (May 2010-Still fighting to correct it), Fibromyalgia (May 2011)
Initial b/w - normal
HSG (March 2012) revealed right tube open and looking great. Left tube deformed with hydrosalpinx.
Lap (April 2012) Removal of left fallopian tube. Right tube open and viable, but "rather enlarged." NO evidence of endometriosis...Uterus looks beautiful and "very capable" of carrying a pregnancy!
October 2012 - Clomid 50mg + trigger + IUI = BFN
With all factors taken into account, RE is recommending IVF. Planning on moving forward with treatment as a single woman using DS by Summer 2013.
After 17 months of trying, Surprise BFP #1 2.15.2008 | EDD 8.7.2008 | Lost 2.16.2008
After 2 more years of trying, Surprise BFP #2 1.29.2012 | EDD 9.11.2012 | Lost 1.29.2012
Surprise BFP #3 3.27.2012 | EDD 12/2/2012 | Lost 4.1.2012
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Hi Bluek210,
I'll have my HSG this month too. My husband's SA have been so different, we have to repeat them to see what his real count is. Initially, I was pretty angry about having to do the eval when I felt my DH low count was the problem but now I understand a little better. Tx won't work if something is wrong with me too.
Can you message me after the HSG to let me know how it goes?
Also, how old are you and how long have you guys been TTC?