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TTC After a Loss
Options appt today - good vibes appreciated *UPDATED*
Why am I so nervous about this? I hardly slept at all.
After our last CP about 2 weeks ago, in between bouts of sobbing and cursing the universe, I became very motivated to advocate for myself with our RE. I've educated myself and done my own research (even though that's HIS job, but whatev...), and I've been informally rehearsing in my mind how I plan on approaching this with him at our options appt.
Now I could throw up. Our appt is at 9 this morning. I don't know if I'm nervous that he will give me a hard time about additional testing (in which case we will be going to another office, however inconvenient), or if I'm nervous about hurting his feelings, or nervous about forgetting something on my list...
I think I'm also partly nervous that it'll go great, and he'll say, "Yep, sounds great, let's do it all!" And he'll run all the tests. And they'll all be normal. And I'll just keep being told, "Better luck next time." And that we won't ever have any better luck.
All of the above I guess. At any rate, I could use some good vibes about now, and perhaps some hugs as well. Funny PIPs are also always appreciated 
Thanks ladies! Enjoy your Mondays!
ETA: Update in thread on how it went, if you're interested
PAIF/SAIF, PGAL/PAL welcome.
TTC since March 2010 ~ Dx Unexplained IF September 2011
2011: IUI + Clomid = CP#1
2012: 3 more IUIs + Clomid = 3 more CPs. One on-our-own pg, also CP
2013: BTB IUI + Lupron/Follistim/Prometrium/PIO = CP #6
IF testing, RPL testing, Autoimmune testing = all normal
So lost.
TTC since March 2010 ~ Dx Unexplained IF September 2011
2011: IUI + Clomid = CP#1
2012: 3 more IUIs + Clomid = 3 more CPs. One on-our-own pg, also CP
2013: BTB IUI + Lupron/Follistim/Prometrium/PIO = CP #6
IF testing, RPL testing, Autoimmune testing = all normal
So lost.
This discussion has been closed.
Re: Options appt today - good vibes appreciated *UPDATED*
TTC #1 since Sept 2011
BFP#1 1/31/12. Empty sac discovered 3/5/12. MTX due to location in uterine horn.
BFP#2 2/27/13. Empty sac confirmed 3/20/13. Mifepristone + cytotec.
Currently TTA until Fall 2013, waiting for operative hysteroscopy
Blog Chart
TTC since March 2010 ~ Dx Unexplained IF September 2011
2011: IUI + Clomid = CP#1
2012: 3 more IUIs + Clomid = 3 more CPs. One on-our-own pg, also CP
2013: BTB IUI + Lupron/Follistim/Prometrium/PIO = CP #6
IF testing, RPL testing, Autoimmune testing = all normal
So lost.
BFP #1 4/10/12 D&C 6/5/12@ 12.5wks EDD 12/17/12
BFP #2 9/10/12 CP 9/19/12@ 5.5wks EDD 5/21/13
BFP# 3 12/3/12...Lukas James born 8/15/13
BFP# 4 8/4/14 EDD 4/13/15
Good vibes coming your way!
Some people may view 'doing the doctor's job' of researching as overboard, I view it as responsible! I have told my RE that I read about everything IF and we often have conversations based on what I've read (due to questions asked, we don't have a book club or anything, lol).
There's been a few times where he didn't come up with the plan but after listening to my concerns and reasoning, agreed it could hurt (genetic testing, progesterone after O, endometrial biopsy, testing out my trigger before my 'test date' since I have a history of ectopic and early bleeding).
IMO, a good doctor will listen to ALL your concerns and respond. They will either say it can't hurt, let's go for it or "I don't do that for __XYZ reasons__" For example, my RE only runs the basic auto-immune panel, nothing more. I perused Dr. Bravermann and Dr. Bears (Sears, can't remember now) websites about RPL and their treatments. Their treatments are cutting edge, but my RE does not do any of the stuff they do because there's not enough empirical research to support any of it.
However, he STILL encouraged me to consult with them if I wanted and he would 'carryout their protocol' in his office. Ultimately I chose not to, but he listened and had a conversation about it with me rather just simply saying 'No'.
Sorry for the novel of a response. And I'm not even sure it was all relavent but I like to give examples
Good luck and update us later!
Hope it goes well! ;-)
BFP#1 1/31/12, EDD 10/6/12 Harrison Gray born sleeping @ 18w6d. You changed our lives little guy.
BFP#2 EDD 10/29/13, C/P 2/25/13, Bye little Ish, we barely got to know you.
BFP#3 EDD 12/21/13, Baby Boots born 11/23/13 My rainbow baby!
January PAL Siggy Challenge: Good Advice
BFP #3: 01/28/12, EDD: 09/23/12, MMC (BO), D&C 2/16/12 at 6.5 wks
BFP #4: 05/23/12, EDD: 01/31/12, Early MC at 5 wks
RPL Workup: + LPD (7DPO Prog = 7.8, Endometrial Bx = out of phase)
Elevated Alpha 2-glycoprotein IgA and antiphosphatidylserine IgM -->
Hematologist said not to worry and no need for treatment!
Dx: LPD
Cycle #1(08/2012): Clomid 50 mg CD3-7, Ovidrel CD13 + Progesterone = It worked!
BFP #5 on 09/10/12 (11 DPO). HCG #1 @ 14DPO = 131.6 HCG #2 @ 16DPO = 509
EDD: 05/23/2013
Lucky to be in love with my best friend. BFP #1 3/8/12 Natural MC 4/6/12 EDD 11/20/12
BFP #2 6/5/12 Natural MC 6/19/12 EDD 2/14/13
BFP #3 9/23/12 D&C 11/7/12 EDD 6/7/13
RPL Panel on 11/7...all normal.
My Ovulation Chart
good for you.
I think going in with a lot of research and ideas is the way to do it. you have to be your own advocate!
I hope it goes really well
BFP #2 5/27/12. EDD 2/1/13. m/c and D&C 6/21/12.
נשמה שבאה לעולם למספר חודשים לשהות במעי האם, היא נשמת צדיק גמור שבאה לעולם רק לתקן פגם קטן ולאחר מספר חודשים אלו היא שבה למקומה לגן עדן להתענג על ה'. לעתיד לבוא נשמה זו תוכר באחד מבנייך ובזכות נשמת צדיק זה תזכי להיות במחיצת צדיקים
TTC Since September 2011
BFP#1:Dec.1.11 EDD:Aug.09.12 MC:Jan.11.12 (9WK5D)-Natural
BFP#2:Apr.18.12 EDD:Dec.21.12 MC:May.1.12 (6WK3D)-D&C
BFP#3:Sep.12.12 - Suspected CP | BFP#4:Dec.1.12 - Suspected CP
BFP#5: Dec.26.12 EDD:Sep.10.13 MC:Jan.7.13 (4WK6D)-Natural
BFP#6: Jun.11.13 EDD:Feb.23.13 Beta: #1=8000 #2=24532 US@6wk2d showed 7wk2d size with 143BPM HR * NT US@12wk6d looked good. A/S passed with flying colors and our team color is Blue! *Grow my little Pamplemousse*!!!
WOW!! Thank you guys for all your responses. It went mostly well, I guess. We met with the actual doctor today, instead of the NP that I usually see. I asked him about all of the additional tests that were recommended on my other post, and he basically said that most of them were unnecessary because anything they would show would have already turned up in the tests they've done. His thoughts on an endometrial biopsy were that it might turn something up, but that there was no proven treatment for anything that it might show aside from the guessing game they are already sort of playing. (If we would decide to go ahead with a gestational carrier or DEs, it might be worthwhile to do in the future to consider which would be the best option, but not if we are going to continue with IUIs).
We plan on asking all of these same questions to the other RE next week when we have our second opinion appt. (which our current RE was also very supportive of.)
The plan for now is to do another untreated cycle while he reevaluates my FSH, Estradiol, progesterone, etc. (They were normal after a year TTC before treatment, and were also normal after my second loss, but I'm all about testing them again just to make sure.) His recommendation, depending on the results, is to begin FSH injects + IUI in an attempt to eliminate any potential negative effects the Clomid could be having.
I did share with him that I was not happy that when I asked his NP specifically if the Clomid could have anything to do with our losses, and if it was worthwhile to try another med, she flat out told me, "No." He said he would speak with her. I sort of feel like I should get my thousand bucks back for the 2 IUIs we had since that conversation. Grrrr.... I could KICK myself for not pushing to have this meeting with him sooner.
I feel okay about this plan so far. Trying not to freak out about the injectibles and all the additional monitoring that goes with that, and how the hell I'm going to manage that with work. I'll cross that bridge when I get to it, I guess.
THANK YOU again for all your vibes, FX, hugs, and PIPs. You have been so helpful!
TTC since March 2010 ~ Dx Unexplained IF September 2011
2011: IUI + Clomid = CP#1
2012: 3 more IUIs + Clomid = 3 more CPs. One on-our-own pg, also CP
2013: BTB IUI + Lupron/Follistim/Prometrium/PIO = CP #6
IF testing, RPL testing, Autoimmune testing = all normal
So lost.
Source: weheartit.com via Captain on Pinterest
D&C: 03/08/12 Waited for AF for 146 long days!
Hysteroscopy/D&C on July 10th to fix blocked cervix (DX: Cervical Stenosis)
BFP #2 12/8/12, EDD 08/21/13 Our rainbow arrived 08/24/13!
I'm glad you have a plan and I'm very glad your RE is supportive of a second opinion (any doctor worth their salt shouldn't be worried about second opinions).
BFP #2 5/27/12. EDD 2/1/13. m/c and D&C 6/21/12.
good for you for standing up for yourself. I had some negative experiences w/ a f/u appt, but was so traumatized at the point that I couldn't say anything. I called the office a few days later to give my concerns and they were really cool & sympathetic about it & receptive to the feedback I gave
So glad your appt went well and also that you are getting a second opinion. As far as the injections and scheduling, just deal with it when you have to...I'm sure you'll be able to find a way to make it work!
BFP #1 4/10/12 D&C 6/5/12@ 12.5wks EDD 12/17/12
BFP #2 9/10/12 CP 9/19/12@ 5.5wks EDD 5/21/13
BFP# 3 12/3/12...Lukas James born 8/15/13
BFP# 4 8/4/14 EDD 4/13/15
BFP #2: 8/31/12 EDD: 5/18/13 Chemical pregnancy: 9/4/12
BFP #3: 5/17/13 EDD: 1/24/14 Loss at 5 weeks: 5/29/13
Lots of testing, all clear with the exception of compound heterozygous for the MTHFR mutation.
Cycle 1: Femara, trigger shot, Bravelle added due to slow response = BFN
Cycle 2: Cancelled due to two cysts =(
Cycle 3: Femara, Bravelle, trigger shot and IUI = BFP then loss #3
Cycle 4: Femara, Follistim, trigger shot and IUI = BFP! EDD: 6/7/14
PGAL/PAL welcome
Lucky to be in love with my best friend. BFP #1 3/8/12 Natural MC 4/6/12 EDD 11/20/12
BFP #2 6/5/12 Natural MC 6/19/12 EDD 2/14/13
BFP #3 9/23/12 D&C 11/7/12 EDD 6/7/13
RPL Panel on 11/7...all normal.
My Ovulation Chart