Infertility

*Updated*Additional Testing, How much and How long?

So I just got off the phone with my RE's office and our IVF consult is scheduled for next week (They wanted to schedule it for this week, but I am leaving for a business trip and won't be back until late Thursday evening.  No consults on Fridays.).  I am starting BC this week and still hoping to make the August cycle at the clinic my RE does IVF with. 

My question is for the ladies that went from IUI to IVF, how much "extra" testing did you do?  How long did it take to complete this testing?

So far I have had FSH, AMH, TSH, E2, Prolactin, P4, CF screening, Rubella anti body, sperm antibody (I think that is what it was for), and a HSG.  DH has had a SA, sperm antibody blood work (again I think this is what it was for), and CF screening since mine came back as a carrier. 

I am sure we'll need STD screenings (although now that I think about it, it's kind of strange that they didn't do it before IUI) and maybe a SHG.  Did you do a trial transfer if you had already done IUI with your RE?  Is there any other testing that you can think of that we are missing?  I know I will find out more next week, but I am an obsessive planner so not knowing drives me crazy.

Update:  The nurse reviewed my labs and I needed LH levels drawn (which I mentioned that I was missing back at my original consult in January) so I had to haul @ss to the lab to get them done today.  While I was there they did my infectious disease panel as well.  DH goes to get his infectious disease panel done Wednesday.  When I was leaving the lab they called to schedule my hysteroscopy for Thursday, but since I won't be back in town yet it had to be rescheduled for next Tuesday after my consult.  I think the only thing we have left to do is a repeat SA for DH at the IVF lab, but they said we could schedule it at our consult.  This is getting real and I haven't even had my consult yet.  :) 

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TTC #1 since August 2011

My Blog

September 2012: Start IF testing

DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

January 2015: FET #2 Cancelled due to lining issues

April 2015: FET #2.1


PAIF/SAIF Welcome!

Re: *Updated*Additional Testing, How much and How long?

  • Hi! We had to get infectious disease testing done before IVF. I think they checked for hepatitis and HIV and I am not sure what else. I also had a mock transfer but I am not sure everyone requires them.
    I can't think of anything else at the moment!
    Me 36/DH 46 Me: Low AMH (.21) DOR, mild endo; Started seeing RE 11/12
    Jan-March '13 3 IUIs Clomid + Trigger = BFN
    April '13 IVF 1 MDLF converted to 4th IUI due to 3 runaway follicles! BFN
    July/Aug '13 IVF 1.2 Long Lupron = 7R, 6F, 2T= BFP!!!
    Beta 1=512, Beta 2=1,368 Beta 3= 4,128
    It's a boy!!!!
    SUA, GD
    EDD 4/26/14

    He's Here! Arrived 4/15/14!!!!

    September 2015 - FET with remaining embryos
    Twins! EDD: 6/14/15

    PAIF/SAIF Everyone welcome!
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  • imagePhillyJ33:
    Hi! We had to get infectious disease testing done before IVF. I think they checked for hepatitis and HIV and I am not sure what else. I also had a mock transfer but I am not sure everyone requires them. I can't think of anything else at the moment!

    Thanks for the response. 

    That doesn't seem too bad.  The crazy planner in me is worried that we won't have enough time to finish all of our testing and that we won't make the August cycle, which I know wouldn't be the end of the world but it works out better for my work schedule to cycle in August as opposed to the fall.

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • NeeseyNeesey member
    The only additional testing we will need is a saline u/s to make sure everything looks good after my D&C.  We already had the infectious disease panel done before IUI.  It sounds like you have had most everything done already too.  
    image 
     image image image
    TTC since 3/2011 Adenomyosis, LPD, hypothyroidism. 
    BFP on 7/20/12 after 4 cycles Clomid + IUI 
    2 large subchorionic hematomas & no heartbeat at 7w6d   
    D&E 8/18/12 Sonohysterography found septum and necrotic tissue.   
    Hysteroscopy to remove both 10/5
    IUI #5-7 50mg Clomid + trigger = BFN  
    IUI #8 Femara + Bravelle + HCG + Progesterone = BFP 3/27/13
    Beta 1 (13dpo) = 169  Beta 2 (17dpo) = 1073  No heartbeat at 9w3d. 
    D & C 5/10/13  Triploidy 69 (paternal inherited)
    IVF #1 with ICSI and PGS 11R 8M 5F 2 biopsied/frozen
    PGS results = 1 with trisomy 13 & 1 good embryo for FET 
    FET #1 EV, estrace, nitro patches.  Cancelled due to thin lining
    FET #1.2 oral estrace, f'ing nitro patches and no delestrogen.  Transfer 12/31. BFN
    PAIF/SAIF welcome
    Surprise BFP on 6/13/14  Our only unmedicated bfp ever.
    Beta #1 339  Beta #2 649 44 hour doubling time
  • The only additional testing we needed was the infectious disease panel, CF screen (for DH), and a blood type for me.  I also had to do the saline sonogram in the office.  We had some other testing that's pending (see sig), but that's not something everyone does.  
    CafeMom Tickers
     Anniversary
    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
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


    imagehttp://oi44.tinypic.com/10dwifm.jpg
  • The only ones we've had that you're missing is the infectious diseases and SHG (other than the MFI-specific ones). The SHG can be done while you're on BCP before cycling, so that's not a time-sensitive issue. The infectious disease panels came back within a week or so if I remember correctly?
    image imageimage
    image

    ***EVERYONE WELCOME***
    TTC #2 with assistance since 03/11
    Me: 33, Autoimmune (Hashimotos and FMS/CFS)
    Treated with Synthroid, acupuncture, TCM and supplements
    DH: 33, MFI (very low on all counts, high antibodies, hemochromatosis)
    Many treatments tried, none successful

    IVF/ICSI #1 05/14 - EPP/Antagonist, Gonal-F and Luveris, 18R, 14M, 13F - SET of 1BC, all arrested on day 5 - C/P
    Genetic testing = normal, DNA Frag = excellent
    IVF #2 03/15 - Long protocol with Suprefact, Gonal-F, and possibly Luveris, adding in PICSI
     
  • imagemonimu13:
    The only additional testing we needed was the infectious disease panel, CF screen (for DH), and a blood type for me.  I also had to do the saline sonogram in the office.  We had some other testing that's pending (see sig), but that's not something everyone does.  

    Thanks! 

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • Thanks for all of your replies. 

    I am trying really hard not to be a crazy control freak who has to plan everything out, but it's easier said than done sometimes.  :)

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • I'm just like you, I like to know everything, and have everything planned out. Like others have said, it sounds like you have everything done, except the Infectious disease screening. My dr. did a mock transfer at my 1st monitoring appointment, it was super simple!
    It really stinks having to do all of this, especially for big planners like us. I have learned you just have to take everything one day at a time! 
    Me 28 DH 30 Married 08-11-07 TTC since 07/11 HSG 01-21-13 Left FTB Seeing RE 1-28-13 RE 1-28-13 Both tubes blocked LAP surgery 2-15-13 Both tubes removed Started IVF #1 June 2013 Meds: BCP, Lupron, Gonal-F, Ovidrel, Medrol, Doxycycline
    Beta #1-BFP!!! HCG-55 Beta #2--111 Beta #3--2,825 Beta #4 22,031 1st U/S 7-29-13 Saw and heard our little sweet pea's heartbeat!! 109 bpm 


    image
  • We did not have to have any additional testing done...everything was done prior to us starting medicated cycles and we did not have to do a mock transfer.  We did have to sign different consents.  Just have to have our STD tests redone in prep for our FET as they are only valid for a year at our clinic.
    Married: 7/2/11 TTC: 12/2011
    Me: 31, PCOS DH: 37, low morph and low counts

    4 medicated TI, 1 IUI+Femara, 1 IUI+GonalF = BFNs
    IVF #1 Lupron/GonalF (Dec 2012)= 30R, 21M, 21F with ICSI, 18 HIP frosties!!!
    FET in August 2013 

    http://i45.tinypic.com/21pym9.jpg

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