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Sh*tty monitoring appt : ((

noelcallumnoelcallum member
in Infertility

Just got back from monitoring (day 6 of Gonal F). I only have 4 follicles that she thinks can make it.  Angry

The nurse started talking about being converted to IUI etc. WTF. I am so upset right now.

Does anyone have any idea if it is worth me going on a higher dose now or is it too late? I am on a low dose (187.5).

I had:

L - 1.7, 1.4, 0.8

R - 1.5, 1.3

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TTC #1 since Jan 2012
IVF March/April 2013
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Re: Sh*tty monitoring appt : ((

  • sorrellam30sorrellam30 member
    I had my appointment today too. My nurse said a lot of times they don't even measure on day six...? She did with me but I think there could still be hope of them just upping your meds...maybe someone who has already gone through the process before will have better insight. But I'm rooting for you!

     


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  • GettinCraftyGettinCrafty member

    I'm not sure if it's too late or not, but depending on your dx, maybe ask about adding Human Growth Hormone to the mix. I'm DOR and it's something RE told me about before we got started on this cycle (which just got converted to IUI yesterday because I produced a few mature follicles too fast...ugh!). He wasn't convinced I'd need it, but said he'd assess after 5 days on stims. It's supposed to kick start growth (I think) and contribute to egg quality. Seems to me there might still be time to add it, or to up your meds. I'm no expert, though.

    GL! My fingers are crossed for you.

     

    Began TTC #1 in Sept. 2010. I was 33, DH was 36.. Dx with DOR and slight MFI (8/4/11).

    Test results (after first RE visit 6/21/11): 7DPO b/w: Progesterone = 11.3; CD3 b/w: FSH = 10.1 mUnits/mL, E2= 52.0 pg/mL, AFC: 6; SIS Ultrasound: Uterus great, tubes clear! AMH: 0.3 

    IUI#1 June 2012 (Follistim/HCG trigger): BFN 
    IUI#2 July 2012 (Follistim/HCG trigger): BFN 
    IUI#3 August 2012 (Follistim/HCG trigger): CP (Beta #1: 4.61, Beta #2: 1.0) 
    IUI#4 October 2012 (Follistim, ovulated before trigger, missed IUI, converted to TI): BFN 
    Jan. 2013 New RE
    IVF #1 June 2013 MDL Protocol. Converted to IUI#4.1. (High E2 and 3+ mature follicles at first monitoring.) BFFN
    IVF #1.2 August 2013 Stop Lupron Protocol with Human Growth Hormone added. 17R, 14M, 9F (with ICSI), 2 embryos (decent quality - grade 2) transferred on day 3, 2 blasts made it to freeze. Beta 8/26. BFFN :'(

    FET #1 December 2013 Last try! Transferred 2 blasts -- graded 3AB and 4BB. Beta #1 (12/27/13) 530. Beta #2 (12/30/13) 1876. BFP! One bean. EDD 9/3/2014!

    We welcomed the most beautiful baby girl into the world on September 11, 2014!

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  • BeeBee08BeeBee08 member
    A lot will depend on your e2 as well.  If you are getting too high they won't want to increase your dose, but adding the low dose HCG could be an option.  I don't think you should consider yourself out of the game yet.  While it's not going as you hoped, your doctor might still be able to get a few more to catch up.  Sorry it's not what you wanted to see today.  ((hugs))

     
    me 33/DH 36
    ttc since 10/2008; d/x: mild MFI, stageII endo
    ~~PAIF/SAIF Welcome~~
    11 IUI’s = 1 m/c (7w4d)
    IVF#1 January 2012 BFN, FET #1 April 2012 BFN
    Surprise BFP October 2012 m/c (7w), Surprise BFP April 2013 m/c (6w4d)
    IVF #2: July 2013, ET 1 embryo 7/18, beta 1 @ 14dp3dt - 757, beta 2 @ 16dp3dt - 1762
    U/S 1 @ 6w4d = 1 little frogger with HB of 118, U/S 2 @ 7w3d measuring right on track with HB of 160
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  • HeatherHam10HeatherHam10 member
    Just curious if those sizes are in cm or mm? In assuming cm because if so those follies seem pretty decent size at this stage...do you have other smaller follies that could catch up? That is a pretty low dose you are on. Its tough to say whether you should increase or not because if you have 4 dominant follies it might be tougher for those little ones to catch up. Im so sorry your appointment didnt fo as planned.
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    Me 28 DH 30

    After 4+ years TTC

    FET #2 = DS Madden Jeffery <3 July 29, 2014 <3
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  • noelcallumnoelcallum member
    imageheath04angel:
    Just curious if those sizes are in cm or mm? In assuming cm because if so those follies seem pretty decent size at this stage...do you have other smaller follies that could catch up? That is a pretty low dose you are on. Its tough to say whether you should increase or not because if you have 4 dominant follies it might be tougher for those little ones to catch up. Im so sorry your appointment didnt fo as planned.
    image
    TTC #1 since Jan 2012
    IVF March/April 2013
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  • noelcallumnoelcallum member

    imageheath04angel:
    Just curious if those sizes are in cm or mm? In assuming cm because if so those follies seem pretty decent size at this stage...do you have other smaller follies that could catch up? That is a pretty low dose you are on. Its tough to say whether you should increase or not because if you have 4 dominant follies it might be tougher for those little ones to catch up. Im so sorry your appointment didnt fo as planned.

    It's in cm. And yes, I think it is too late to up the dose and get more for the reasons you said. They did not mention any other ones except the ones I put on my original post.

    Here is the kicker - in April (after my cancelled IVF.1) I went for a second opinion. The RE there was really shocked that I would be on such a low dose of Gonal and said she would have put me on a much higher dose to "wake up" the ovaries. I asked my RE about it and she said no, that dose is fine for you. And now.. my IVF is going to get cancelled and It could have been prevented. I am so mad and upset.

    image
    TTC #1 since Jan 2012
    IVF March/April 2013
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  • Crystal120410Crystal120410 member
    I don't have any advice on the size but with my fresh we thought we were getting four the whole time until ER and we got 6.
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  • jezebel57jezebel57 member

    I would think that they would continue you on the same or higher dose as it'll take a few days for the lead to mature anyway before you trigger.  What protocol are you on?  Are you taking ganirelix?  

    Sending growing follie vibes! 

    Me (37) DH (39); PCOS changed to Unexplained, changed to DOR in 2012 (finally a correct diagnosis!); 
    Started TTC 2009 with RE after 6 months.  
    Clomid + Trigger x2; 
    IUI + Femara x1,
    IUI + Follistim x2;
    IVF #1 (MDL) February 2013- BFN.
    IVF #2 (antagonist) May 2013, First BFP of my life. 
    Identical twin miracle BOYS (!!) headed our way- due date is technically 2/4/14 but c section is scheduled for 1/7! 


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  • noelcallumnoelcallum member
    imagejezebel57:

    I would think that they would continue you on the same or higher dose as it'll take a few days for the lead to mature anyway before you trigger.  What protocol are you on?  Are you taking ganirelix?  

    Sending growing follie vibes! 

    No ganirelix. Long lupron. I was on lupron 12 March - 5 April then cancelled cycle and Bcp from 5 April to 19 May. Started lupron again 15 May.

    They are increasing my Gonal F to 225. I'm worried it is too little, too late but not much I can do about it now.

    image
    TTC #1 since Jan 2012
    IVF March/April 2013
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