Trouble TTC

Here We Go Again!

Called the REs office this morning to let them know I started my cycle over the weekend and to get my next tx plan. The RE wants to stick with the same game plan. Gonal-f, trigger shot and TI...when asking him about why TI and not IUI he said that my DHs sperm looks excellent and there is only a slight increase in success rates between the two tx when the males sperm is just fine, so he said overall this will save us an extra 300.00 or so....does this sound legit to you ladies?! I really really like this doctor and he is one of the top fertility specialists in Michigan so I feel comfortable with his judgement but just wanted your ladies opinion as well :) I will go in for my baseline ultrasound Wednesday morning and start injects if everything looks good...here we go!
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!!!!!!***




BabyFruit Ticker

Re: Here We Go Again!

  • ena724ena724 member

    I've never had my RE mention TI with me. DH's swimmers are fine as well. I just feel like if I'm doing injectables I would want the best possible plan. That being said, if you can afford the extra $300 I might do it and do TI as well. My IUIs are covered under my insurance, so I've never been put in the position to pay more.

    Maybe you want to get a second opinion.

    ETA- I see in your siggy that you were doing IUIs. Any reason he specifically switched you to TI? I'm a little confused why he would have you go back to TI.

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  • We did 2 rounds of TI prior to starting IUIs.  I think this was partly because DH was reluctant to start IUIs and we had 2 "successes" with TI before.  I would say that if YH's sperm is good, you could give it a try and save a little money in the process.  Good Luck with what you decide!
    CafeMom Tickers
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    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
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  • EIK2013EIK2013 member
    imageena724:

    I've never had my RE mention TI with me. DH's swimmers are fine as well. I just feel like if I'm doing injectables I would want the best possible plan. That being said, if you can afford the extra $300 I might do it and do TI as well. My IUIs are covered under my insurance, so I've never been put in the position to pay more.

    Maybe you want to get a second opinion.

    ETA- I see in your siggy that you were doing IUIs. Any reason he specifically switched you to TI? I'm a little confused why he would have you go back to TI.

     

    The two IUIs were completed with a doctor when I was living in St Louis and I have now moved to Nothern Michigsn so I had to switch doctors. I can understand what your saying with wanting the best with IUIs, but another piece is I have to drive two hours away to get the procedure done since he is the closest RE to me and that can cost some money with gas and what not and if TI is just a small percentage less then I think I may try one more then have the discussion of moving on to IUIs. Thanks for the input! 

    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!!!!!!***




    BabyFruit Ticker
  • My DH has fine counts and my dr has left it up to me in the past- but strongly encouraged IUI if we could afford it as extra assurance that we were timing everything perfectly.  Do whatever you are comfortable with.

     

  • EIK2013EIK2013 member

    imagemonimu13:
    We did 2 rounds of TI prior to starting IUIs.  I think this was partly because DH was reluctant to start IUIs and we had 2 "successes" with TI before.  I would say that if YH's sperm is good, you could give it a try and save a little money in the process.  Good Luck with what you decide!

    Thanks for the input! My DH is just frustrated that we had to switch doctors a couple of times and he wants to put our trust in this doctor...so when I told him another round of TI he said that is what we need to do then and trust this doctor....so, I'm thinking one more round and then have the discussion of moving on.... 

    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!!!!!!***




    BabyFruit Ticker
  • Yay for a game plan!!!! I hope all looks good on Wed.!!!
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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!
  • RunCC37RunCC37 member
    Like some of the other PPs, my RE went right over TI to the IUI because our insurance makes it so that the cost isn't much different. It sounds like you have a good plan that you're comfortable with. 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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