Trouble TTC

my plan to beat IF:

I had my long-awaited follow-up with the RE today!  and moving forward with treatments; I finally finished all of the testing:  full cd3 b/w and u/s, saline sonohystogram, hsg, 2 hr gtt, prolactin, dhea-s, and day 21 progesterone.  DH had his SA, which was pretty good, just slightly low morphology.  my dhea-s and prolactin levels were repeated for slight elevations.

This was an interesting consult because he put the options on the table and let me choose. If I hadn't been reading this tttc board, I would have been truly lost. for that, I owe all of you a million thanks!! 

Diagnosis: PCOS and elevated dhea-s. (non-IR pcos)  I was worried about IR because my father is one year post type II diagnosis - though he is overweight and not the healthiest eater. my cd21 progesterone was only 1.7  :(

His choices for me:

1. unmonitored clomid  (why would he even offer this?!)

2. fully monitored clomid (called "aggressive clomid" by his office)

3. fully monitored clomid plus trigger shot

4.  fully monitored clomid plus trigger shot plus IUI

he spoke about using letrozole or injects in the future should the above not work.

He will treat the elevated dhea-s with 1mg dexamethasone/day

I chose #3!  If this doesn't work, I hope to do letrozole and then move to IUI.

thanks for reading this novel and please feel free to comment! thanks!

 

 

 

 

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Twins born March 2014 at 26 weeks due to preterm labor
and our 37weeker born May 9th, 2016!






Re: my plan to beat IF:

  • YAY for a plan! GL!!

    Me: 34 - Hydrosalpinx DH: 33
    Previous history
    IUI switched to TI x6 = BFN
    IUI x2 = BFN
    Essure procedure for hydro

    New starts

    *Possibly starting clomid in Sept or Oct 

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  • Did you ovulate on cd14? Because if you didn't, a low p4 on cd21 doesn't mean anything. 
    image  image
    О Привязать! Z!
    The Science Babies debuted 5/6/14 @ 34 weeks
  • How exciting!!! Sounds like you had a really great appointment! GL!
    Anniversary Image and video hosting by TinyPic
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    3TC March Siggy Challenge: Funny Internet Meme Image and video hosting by TinyPic
    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!
  • Good luck! 

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

    BLOG

    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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  • RunCC37RunCC37 member
    Glad you have a plan! Good luck!
    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

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  • glad you have a plan, hopefully the clomid does the trick!
    TTC #1 since April 2012 Image and video hosting by TinyPic Image and video hosting by TinyPic
  • I know your are relieved to have the testing done and have a plan in place. Good luck!
    imageimage
    Me(32) + DH(32) TTC #1 since Dec 2011
    RE consult Dec 2012, diagnosed with lean PCOS (didn't see that coming!)  medicated cycles 1 - 4 = BFN
    cycle 5 - metformin, femara 7.5mg, IUI #1, progesterone = BFP!!!
    beta #1 (13dpiui) 37, beta #2 (15dpiui) 104, u/s at 6w5d hb of 115
    image
  • imagecurlylocks3:
    Did you ovulate on cd14? Because if you didn't, a low p4 on cd21 doesn't mean anything. 

     

    I'm not sure I understand what you're saying...my RE said my p4 was very low

    Baby Birthday Ticker Ticker

    Mama to Three Girls: 
    Twins born March 2014 at 26 weeks due to preterm labor
    and our 37weeker born May 9th, 2016!






  • AkieshaAkiesha member
    Yay for a plan, good luck with everything.
    My Ovulation Chart
    TTC since 0ct. 2011
    Me-34,DH-34
    Dx:Hypothyroidism 2008
    HSG- All clear CD 3 bloodwork normal
    SA- Abnormal Dx:MFI
    DH on 50mg Clomid 3x week
    BFP#1- 1/21/13 CP 1/24/13
    Cycle 18,19 & 20 50mg Clomid+trigger+IUI= All BFFN
    Cycle 21-25 Taking a break for now, still HIO Hoping!
    Moving onto IVF Next AF
    (PAIF/SAIF Welcome)
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  • Best of luck to you!
    ***SIGGY WARNING***

    DX: Unexplained
    6 Failed IUIs (Clomid and Gonal F).  
    IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
    Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
    12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
    After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
    2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
    BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


    All Welcome
  • I agree that sounds like a great plan. Good luck starting treatment cycles! Hopefully it will be just one cycle!
             *********************************************************************************
                      

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    Married October 2009. Me 29 H 28.
    After 1 year of infertility, our little miracle was conceived via our 3rd IUI on May 5, 2013.
    Holland Sophia was born Jan 24, 2014.
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  • imageJennyS86:

    imagecurlylocks3:
    Did you ovulate on cd14? Because if you didn't, a low p4 on cd21 doesn't mean anything. 

     

    I'm not sure I understand what you're saying...my RE said my p4 was very low

    What she's saying is that P4 should be tested 7dpo NOT on CD 21. So unless you know you ovulated (by charting or bloodwork) on CD 14- your P4 number is worthless.

    I'm skeptical of an RE who thinks monitoring is aggressive.  

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