Trouble TTC

Intro and Thoughts? **bfp mentioned, not mine**

Hello all! I have been lurking on the board and learning a lot since I hit the 1-yr mark back in Jan.  You really have taught me so much and the board has been such a good resource while going through the testing phase.  I've added my basic info to my siggy, but cliff-notes version is that by charting I knew I was not ovulating (only ovulated once since off BCP, and that time had 6 day LP), finally went in for testing with OB in late Feb.  Diagnosed with PCOS. 

So...question for you.  I have stayed with my OB up until this point because it was easier to get the testing covered by insurance with him than switching to RE.  This past cycle he suggested 50mg clomid, and I agreed because 1) I didn't even have to ask for monitoring, he insisted on it; and 2) his office is literally across the street from mine and so convenient.  Just went in for my mid-cycle ultrasound and no follies >10mm.  He is now suggesting another 50mg clomid cycle. I like him a lot and his office has been fantastic, but should I be moving on to an RE?  Or do a couple of cycles with him and then switch to RE if I need to move onto injectables or ART? 

Honestly, I thought I was doing ok with all of this emotionally, but tonight found out our neighbors are expecting #3 in 3 years...and she was complaining about not having enough time to loose baby weight between pregnancies.  I smiled and congratulated them but totally lost it later in the shower.  I guess the ups and downs come with the territory.  :)

Sorry - way longer post than I planned.  Looking forward to getting to know you all a little better! 

Re: Intro and Thoughts? **bfp mentioned, not mine**

  • I'm sorry you have to be here.

    Staying with the OB is a personal decision. I really wouldn't care to get my tests ran before moving to an RE. It seems like yours is doing the correct monitoring but I would still be concerned about him making



    Me: 32 DH: 31.
    B/W: good. SA: good.
    November 2012: Paratubal cyst found during U/S.
    January 10, 2013: Lap removed paratubal cyst and Stage 2 Endometriosis. 
    3 cycles of Femara + TI = BFNs

    June 2013: Femara 2.5 mg, Gonal F Injects 37.5 IU, Menopur, trigger + IUI = BFN

    July 2013: Femara 2.5 mg, Gonal F Injects 75 IU, Menopur, trigger + IUI = BFP!!!!

    Beta 1 @ 11 DPIUI = 76. Progesterone = 27.3

    BFP 8/16/2013 // EDD 4/28/2014

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  • I just wanted to say good luck and welcome! I am so sorry you have to be here but I hope your stay is short! I think pp had great advice and I have nothing more to add except do what your gut tells you to do. If you are feeling nervous with your OB then s
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    Age: Me 26, DH 27, Married Oct. 10, 2009 ,TTC since March 2012
    Problem: Irregular menstruation, unexplained
    Nov&Dec-Provera because of no period after 35+ days
    First RE appt 1/10/2013
    Tests: TSH (normal), Prolactin (normal), SA (abnormal)
    Hysteroscopy (normal) and PCOS labs (negative/normal) 1/15/2013
    2/1/13- HPT BFP but Beta Hcg was negative
    Plan: Femara + Trigger + IUI in April if no real BFP before then Bloggy Blog!
  • Hi...in March and April of last year I tried clomid with my OBGYN but without monitoring. I didn't respond/ovulate so I switch to an RE last Summer. Since switching I have been diagnosed with PCOS IR so I am now on Metformin. I have tried clomid at 150

    Me 32/DH 38
    TTC since 05/2011
    HSG 07/2011 right tube blocked
    Clomid 50mg 3/2012 - no response
    Clomid 50mg 4/2012 - no response
    Met with RE 6/2012
    PCOS/IR diagnosed 6/2012
    Femura 5mg  9/2012 - no response
    Laparoscopy 12/2012 close off right tube
    Clomid 150mg 3/2013 - no response
    1st Follistim Cycle 7/16/2013 -  CD3-6 125iu; CD7-8 150iu; CD9-15 175iu; Trigger 8/1; IUI scheduled for 8/3/2013...BFN AF arrived 8-16-2013
    8/2013 cycle benched for cyst
  • If you did not respond to 50mg of clomid, why would he not want to try upping the dose to 100mg?  If he wants to do the exact same thing as you just did with no response, that is what calls me to question sticking with him.  

    I agree wi


    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
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  • Hi and welcome! Like PP have said, I would see about meeting with an RE and still see the OB in the meantime if needed, but definitely ask about upping that dose! GL!!
    TTC #1 since Sept 2011
    Me: 33, DH: 35, DX: PCOS & MFI (low everything)
    IUI #1-3 - Low Post-Wash Counts - All BFNs
    IVF #1 w/ ICSI: Long Lupron Protocol - Freeze-All Cycle due to Severe OHSS
    ER 4/27, 33 Eggs Retrieved, 13 Frosties
    FET #1 6/5, Transferred One Perfect 4AA Blast, HPT BFP @ 6dp5dt
    Beta #1 - 209, Beta #2 - 508, Beta #3 - 1,059
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  • Hello and welcome.

    In response to the questions about not upping the amount of clomid: do you suppose it's because of the amount already in her system? According to my RE, clomid will stay in the body for 6 weeks.

    AMA & SAIF. TTC #1 since Oct. 2010. DX: Unexplained. BFP on break after 32 months trying and 2 med cycles. Baby girl born at 40w0d!

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  • Welcome to the board!

    I'm surprised your OB didn't up your dosage of clomid? I would think he would increase the dosage to get those follicles growing more....this is why I would recommend an RE. Even if your OB is doing proper monitoring RE
    Me: 27, DH: 29*** TTC since November 2011 *** Dx with PCOS in September 2012 
    ***September 2012: IUI #1 = BFN*** 
     ***October 2012: IUI #2 = cancelled due to not responding to meds ***
     ***February 2013: IUI #3 - BFN ***
     *** April 2013: Gonal-f, HCG Trigger and TI = BFN*** 
     ***May/June 2013: TAKING A BREAK.***
    ***July 2013: Gonal-f, Trigger and TI = BFN***
    ***August 2013: Gonal-f, Trigger and TI = Cancelled due to over-stimulating***
    ***September/October 2013: Fermara, Gonal-f, Trigger and TI = BFP!!!!!!!!!!!!!!! Beta #1: 65, Beta #2: 210!!!!!!***




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  • imagesueann911:
    I'm sorry you have to be here. Staying with the OB is a personal decision. I really wouldn't care to get my tes

    ** After  2 1/2 years of Unexplained IF, 2 failed medicated cycles, and 4 failed IUI's - our baby girl came to us through the miracle of
     Mini IVF! **

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  • imagekatib77:

    If you did not respond to 50mg of clomid, why would he not want to try upping the dose to 100mg?  If he wants to

    Married since 2008 Me:36 DH: 35 TTC since August 2011. SA - "good" ultrasound - "excellent" Blood work - "good" Diagnosis: unexplained infertility Starting cycle 1 of clomid 3/27
  • I just wanted to say welcome and good luck! PP has given some good advice. And we all know how rough it can be to hear someone complain about a pregnancy. That why we try to keep this board as our safe place to lean on one another, learn from each othe

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  • I don't have any advice to add just wanted to say welcome and good luck! 

    **************SIGGY WARNING**************

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    Me 32 :: DH 41

     TTC since November, 2011

    DH's SA : Excellent

    Lap and Hysteroscopy June 2012

    DX: PCOS, Stage III Endo, slight Adenomyosis, blocked tube, and probable LPD

    Treatments:  6 Months Lupron Depot injections; 1500 mg metformin; 3 cycles of Clomid + TI = BFN

    3 endometrial biopsies all were "out of phase" 

    September - December, 2013:  Break to lose weight and get healthy

    40 lb weight loss but still not ovulating "in phase"  

    February - March 2014: bcps + follistim + trigger + TI = BFP

     Beta #1 (12dpo): 30; Beta #2 (18dpo): 500; Beta #3 (25dpo): 7,000!!! 

    1st u/s 4/16: One beautiful hb at 144 bmp 

    2nd u/s 4/29: hb at 166 bmp.  Graduated from RE!!

    TEAM PINK! 

    Baby girl arrived on Thanksgiving day weighing 7lbs 6oz and measuring 20 inches

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  • Thank you all for your thoughts and guidance!  Based on everyone's responses, I think I will make an appointment with an RE and start switching over.  If it takes a while to get an appt I will probably stay with my OB for one more cycle but t

  • Before conceiving DD a few years ago I started the process with my OB. Having already been diagnosed with PCOS we went straight for clomid, I did not respond to 50, the next month we went up to 100 which I did not respond to either then up to 150 slight r
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