So I already love my new OBGYN. I spoke with him for about 5 min explained my frustration with my old OBGYN and he's suggesting CD21 testing instead of CD3 testing because of my age. He absolutely agrees that testing needs to be redone after the poss preg test. He even bumped my appointment up to August 13 instead of sept 3. I'm so so excited. Anyone else have CD21 testing done?
Started dating the love of my life: October 31, 2004
He asked me to be his wife: January 31, 2010
Happiest day of my life: September 10, 2011
Off birth control pills: November 2011
First and Only BFP ending in chemical pregnancy: June 2013
Diagnosed with poor luteal phase:14 days and ovulating but low progesterone: July 2013
CD3 and CD21 blood tests are for two completely different things. CD21 tests are usually done to see if you are ovulating. However, testing on CD21 is worthless unless you actually ovulated on CD14. This test should actually be done 7DPO, not CD21.
dx: Unexplained IF TTC since May 2011, 1 year trying, and then 3
TI, 2 IUI = BFN
IVF #1 (May 2013): Antagonist
Protocol: 24R, 18M, 15F w/ICSI; 5dt of 2
early blasts, no frosties = BFN
IVF #2 (August 2013): Lupron Stop
Protocol: 28R, 23M, 15F w/ICSI; 5dt of 1
partially hatched blast, 7 frosties = BFP EDD 5/23/14, blighted ovum (6w6d), D&C (8w6d) FET #1 (April 2014): transferred 2 5d blasts = BFP C.J. born 01/09/15
CD 3 testing tests for hormone levels such as E2, TSH, FSH, LH, AMH, and Prolactin.
There is no such thing as CD 21 testing. What some doctors order as CD 21 testing should be done 7 DPO and since not everyone ovulates on CD 14 it should not always be done on CD 21. 7 DPO testing checks progesterone (P4) levels.
I would ask for a referral to a RE. Many OB/GYNs just aren't qualified to test for or treat IF.
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
Thank you so much to you both. I will keep the 7dpo in mind. Unfortunately, I need a referral for the RE so for now just getting the initial testing done.
Started dating the love of my life: October 31, 2004
He asked me to be his wife: January 31, 2010
Happiest day of my life: September 10, 2011
Off birth control pills: November 2011
First and Only BFP ending in chemical pregnancy: June 2013
Diagnosed with poor luteal phase:14 days and ovulating but low progesterone: July 2013
Thank you so much to you both. I will keep the 7dpo in mind. Unfortunately, I need a referral for the RE so for now just getting the initial testing done.
Can you just ask for a referral? I didn't need a written referral to see a RE (my insurance doesn't require referrals and also doesn't cover IF), but I did ask my OB/GYN's office for a referral since I needed somewhere to start my search for a RE.
I did do my testing with my OB/GYN and one round of Clomid + IUI. When I was ready to move on to a RE, I just called the office and said I felt more comfortable moving on to a RE and asked for some names.
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
Unfortunately, I have to go through my obgyn for now. Not only do I have to have a referral but they have to be justified too. Annoying I know. :-/ I know clomid is to help you ovulate but what is an IUI? And why would you need one? I'm still very new to IF.
Started dating the love of my life: October 31, 2004
He asked me to be his wife: January 31, 2010
Happiest day of my life: September 10, 2011
Off birth control pills: November 2011
First and Only BFP ending in chemical pregnancy: June 2013
Diagnosed with poor luteal phase:14 days and ovulating but low progesterone: July 2013
Unfortunately, I have to go through my obgyn for now. Not only do I have to have a referral but they have to be justified too. Annoying I know. :-/ I know clomid is to help you ovulate but what is an IUI? And why would you need one? I'm still very new to IF.
I would definitely recommend reading the link at the top of the page if you're very new to this. I'm mobile and can't see it, but it's in the page header area and says something like "New to TTTC". I found it very helpful to review standard testing and treatments prior to my conversations with the OB and RE.
TTC #1 since June 2012
Me (28) - DOR (AFC <10, undetectable AMH, >10 FSH), homozygous E429A MTHFR DH (29) - MFI low count and morphology
Nov 2013 IVF/ICSI #1 - Protocol: BCP prep, high doses Menopur and Bravelle (12 days), ganirelex Results: 5 retrieved / mature, 4 fertilized, 1 arrested and 3 complex abnormal after day 3 PGS = Cancelled after ER Jan/Feb 2014 IVF/ICSI #2 - Protocol: Estrogen priming, high doses Menopur and Bravelle (11 days), microdose lupron Results: Cancelled after 11 days of stims due to low response and E2 levels Feb 2014 IVF/ICSI #3 - Protocol: No prep, low dose Menopur (6 days), ganirelex, Bravelle booster with trigger Results: 1 retrieved / 0 mature = Cancelled after ER
Officially moving on to embryo adoption! We used and love Embryo Adoption Services of Cedar Park October 2014 FET #1 - BCP/Lupron/Estrace/Prometrium, transferred 2 of 4 from match #1, BFN December 2014 FET #2 - BCP/Lupron/Estrace/Prometrium, transferred 2 of 4 from match #1, BFN March 2015 FET #3 - BCP/Lupron/Estrace/Prometrium, transferred 2 of 6 from match #2, BFN May 2015 FET #4 - BCP/Lupron/Estrace/Prometrium, lost 2 to thaw, transferred 2 of 6 from match #2, BFN October 2015 FET #5 - Natural cycle, lost 1 from match #3 and 1 from clinic backup to thaw, transferred 1 backup, BFN February 2016 FET #6 - Natural cycle, transferred 1 from match #4, B FREAKING P! Beta 1 = 162, Beta 2 = 316, doubling just over 48 hours
Unfortunately, I have to go through my obgyn for now. Not only do I have to have a referral but they have to be justified too. Annoying I know. :-/ I know clomid is to help you ovulate but what is an IUI? And why would you need one? I'm still very new to IF.
IUI stands for Intra Uterine Insemination. It is a treatment option where the take your DH/SO's semen sample, wash it so that only the best sperm are left, and then inject the washed sample into your uterus. It's a treatment option that can be helpful for MFI and sometimes unexplained IF.
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
I am glad you like your new OB/GYN, but I would talk with him and see if what he meant by CD21 testing was really meant to be 7dpo testing. I would also verify with him if you shouldn't have both. I totally get where you need some tests to prove that you need to see an RE, but I believe most REs will want the results of both CD3 and 7dpo tests. GL!
TTC Since January 2012
Me:37 DH:34 DX July 2013: Unexplained Infertility New DX Dec 2013: DOR
Re: CD3 testing vs. CD21 testing
CD21 tests are usually done to see if you are ovulating. However, testing on CD21 is worthless unless you actually ovulated on CD14. This test should actually be done 7DPO, not CD21.
dx: Unexplained IF
TTC since May 2011, 1 year trying, and then 3 TI, 2 IUI = BFN
IVF #1 (May 2013): Antagonist Protocol:
24R, 18M, 15F w/ICSI; 5dt of 2 early blasts, no frosties = BFN
IVF #2 (August 2013): Lupron Stop Protocol:
28R, 23M, 15F w/ICSI; 5dt of 1 partially hatched blast, 7 frosties = BFP
EDD 5/23/14, blighted ovum (6w6d), D&C (8w6d)
FET #1 (April 2014): transferred 2 5d blasts = BFP
C.J. born 01/09/15
CD 3 testing tests for hormone levels such as E2, TSH, FSH, LH, AMH, and Prolactin.
There is no such thing as CD 21 testing. What some doctors order as CD 21 testing should be done 7 DPO and since not everyone ovulates on CD 14 it should not always be done on CD 21. 7 DPO testing checks progesterone (P4) levels.
I would ask for a referral to a RE. Many OB/GYNs just aren't qualified to test for or treat IF.
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!
Can you just ask for a referral? I didn't need a written referral to see a RE (my insurance doesn't require referrals and also doesn't cover IF), but I did ask my OB/GYN's office for a referral since I needed somewhere to start my search for a RE.
I did do my testing with my OB/GYN and one round of Clomid + IUI. When I was ready to move on to a RE, I just called the office and said I felt more comfortable moving on to a RE and asked for some names.
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!
TTC #1 since June 2012
Me (28) - DOR (AFC <10, undetectable AMH, >10 FSH), homozygous E429A MTHFR
DH (29) - MFI low count and morphology
September 2013 IUI#1 - Clomid + Trigger + IUI = BFN
October 2013 IUI#2 - Letrozole + Menopur + Trigger + IUI = BFN
Nov 2013 IVF/ICSI #1 - Protocol: BCP prep, high doses Menopur and Bravelle (12 days), ganirelex
Results: 5 retrieved / mature, 4 fertilized, 1 arrested and 3 complex abnormal after day 3 PGS = Cancelled after ER
Jan/Feb 2014 IVF/ICSI #2 - Protocol: Estrogen priming, high doses Menopur and Bravelle (11 days), microdose lupron
Results: Cancelled after 11 days of stims due to low response and E2 levels
Feb 2014 IVF/ICSI #3 - Protocol: No prep, low dose Menopur (6 days), ganirelex, Bravelle booster with trigger
Results: 1 retrieved / 0 mature = Cancelled after ER
Officially moving on to embryo adoption! We used and love Embryo Adoption Services of Cedar Park
October 2014 FET #1 - BCP/Lupron/Estrace/Prometrium, transferred 2 of 4 from match #1, BFN
December 2014 FET #2 - BCP/Lupron/Estrace/Prometrium, transferred 2 of 4 from match #1, BFN
March 2015 FET #3 - BCP/Lupron/Estrace/Prometrium, transferred 2 of 6 from match #2, BFN
May 2015 FET #4 - BCP/Lupron/Estrace/Prometrium, lost 2 to thaw, transferred 2 of 6 from match #2, BFN
October 2015 FET #5 - Natural cycle, lost 1 from match #3 and 1 from clinic backup to thaw, transferred 1 backup, BFN
February 2016 FET #6 - Natural cycle, transferred 1 from match #4, B FREAKING P!
Beta 1 = 162, Beta 2 = 316, doubling just over 48 hours
IUI stands for Intra Uterine Insemination. It is a treatment option where the take your DH/SO's semen sample, wash it so that only the best sperm are left, and then inject the washed sample into your uterus. It's a treatment option that can be helpful for MFI and sometimes unexplained IF.
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!
4 rounds of clomid, 2 with IUI = BFN