Trouble TTC

IVF Timeline?

So we had our follow up appointment with my H's urologist yesterday and we are going to move ahead with a TESE surgery to extract sperm and then freeze for my IVF cycle. I am pending my baseline bloodwork, etc. until I get my period but can someone give me an idea of what the monitoring schedule looks like for a typical IVF treatment cycle?

***SIGGY/TICKER WARNING***

TTC since September 2012 ~ DH(32): Non-obstructive azoospermia, Me(32): Normal

10/13 - TESE found sperm!! ~ 11/13 - IVF w/ ICSI #1 ~ ER 11/23/13 ~ 10 R, 9 M, 8 F

ET 11/29/13 ~ Transferred 2 beautiful hatching blasts, 5 frosties

12/5/13 -  BFP!!! Beta #1 (12/7/13) - 189  Beta #2 (12/9/13) - 401 Beta #3 5871

12/16/13 U/S #1 - TWINS!! EDD - August 16, 2014 ~ 7/19/14 - Our beautiful baby girls joined the world!

Re: IVF Timeline?

  • You may or may not start with BCP and/or Lupron, it's just going to depend on your protocol. I always began with about 2-3 weeks of BCP, Lupron overlapping BCP a few days, then just Lupron for about a week before I went in for a baseline. Some protocols are different and don't require this.

    You will start with a baseline u/s and b/w just like any other medicated cycle to make sure you are ready to begin stims. After about 4 days of stims you will return for u/s and b/w and then you will go in about every other and then every day until they think you are ready to trigger. Most ladies stim for about 10 days. Some more, some less. The appointments are usually first thing in the am and don't take long.
    About 36 hours after trigger you return for ER. HTH.
    Me: 37, DH: 35 :: TCC since 2/11 SA: Perfect! CD3  HSG = Blocked Right Tube
    April- Femara 2.5mg + Trigger + IUI = BFN   May- Femara 5mg = CX - No Response on Left = BFN
    June- Femara 7.5mg + Trigger + IUI = BFN  August- Lap & Hysteroscopy = Blocked & Partially Blocked Tubes
    September- Femara 5mg = CX - No Response on Left = BFN  October- 100mg Clomid + Trigger + TI = BFN
    IVF # 1: Stims 11/30 ER 12/12/12! (10R, 10M, 8F, 2T, 6 F) :: Beta #1- 176  c/p @ 4w4d
    FET #1 February 26th :: Lost 4 to Thaw, Transferred 2 = BFFN
    IVF # 2 Stims 5/10 ER 5/21 (15R, 13M, 13F, 2T, 7F- 6d3 & 1d5) :: Beta # 1- 15 c/p @ 4w
    FET #2 Cancelled, Right Tube Developed a Hydro  8/28 Hydro & Scar Tissue Removed  Cleared for FET
    FET #2.2 Scheduled for September 20th
    2 Thawed, 2 Transferred! Beta #1- 96, Beta #2 906! :: EDD June 10th
    2015- 2 failed FET. We are done
    SURPRISE! BFP 8/8/16   EDD 4/1/17

     
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  • You may or may not start with BCP and/or Lupron, it's just going to depend on your protocol. I always began with about 2-3 weeks of BCP, Lupron overlapping BCP a few days, then just Lupron for about a week before I went in for a baseline. Some protocols are different and don't require this. You will start with a baseline u/s and b/w just like any other medicated cycle to make sure you are ready to begin stims. After about 4 days of stims you will return for u/s and b/w and then you will go in about every other and then every day until they think you are ready to trigger. Most ladies stim for about 10 days. Some more, some less. The appointments are usually first thing in the am and don't take long. About 36 hours after trigger you return for ER. HTH.


    This is a good explanation.  Also the results of your CD 3 blood work will help your doctor determine what protocol will be used.  Most women without any indication of DOR or POF, that respond well to stims do well with a Long Lupron (agonist) protocol.  It is pretty much like Twists described. 

    My clinic has you come in for monitoring after 6 days of stims on Long Lupron protocol.  I only ended up stimming for 8 days with IVF #1 and only had 2 monitoring appointments (one on the morning of day 7 of stims and one that would have been day 9 of stims, but I ended up triggering that day and not stimming) and the baseline appointment.

    imageimageimageimageimage

     

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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!

  • Sorry for the post and run but this is really helpful!

    ***SIGGY/TICKER WARNING***

    TTC since September 2012 ~ DH(32): Non-obstructive azoospermia, Me(32): Normal

    10/13 - TESE found sperm!! ~ 11/13 - IVF w/ ICSI #1 ~ ER 11/23/13 ~ 10 R, 9 M, 8 F

    ET 11/29/13 ~ Transferred 2 beautiful hatching blasts, 5 frosties

    12/5/13 -  BFP!!! Beta #1 (12/7/13) - 189  Beta #2 (12/9/13) - 401 Beta #3 5871

    12/16/13 U/S #1 - TWINS!! EDD - August 16, 2014 ~ 7/19/14 - Our beautiful baby girls joined the world!

  • PPs have given you a good idea....but here was my recent timeline just as another point of reference.

    8/13 - 8/24 - BCP
    8/26 - AF came (but this doesn't have to happen)
    8/27 - b/w and u/s for baseline and started stimming w/Follistim and low dose hcg
    8/30 - first monitoring appt
    9/1 - monitoring
    9/3 - monitoring
    9/4 - monitoring and trigger of Lupron and HCG at 11:40pm
    9/5 - monitoring and second Lupron trigger at 11:40am
    9/6 - ER scheduled for 11:40am and received total egg report
    9/7 - fert report and bad OHSS started (be careful!!!)
    9/8 - check up for OHSS
    9/9 - check up for OHSS
    9/12 - received 6-day blast frostie report (we're doing FET, no fresh transfer because of OHSS risk)
    Now......waiting for AF so I can start my meds for FET hopefully sometime around the weekend of 9/28.  Most people who do a fresh cycle will go back for ET on either day 3 or 5, but my clinic seems to be partial to day-6 blasts because of the quality of their labs, but this will vary among clinics and how your own body reacts to stims.

    Good luck!!
    Me 31 ~ DH 30
    IVF/FET #1 - BFP!!
    <3 CJW 6/15/2014 <3
    DX - PCOS 2004
    FET #2 - scheduled for 11/24/15
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