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Next Steps

sweetgoosesweetgoose member
in Infertility
Hi Ladies! So, I found out my protocol for IVF #1 today. I am to stay on BC until 11/17, then start stims on 11/21. ER should happen sometime during the first week of Dec. My RE is concerned that I will overstim and for that reason says that we will need to freeze the embryos and do an FET in January. This is not the news I was expecting and I'm feeling a little down that we will not be doing a fresh transfer. I just keep telling myself that my RE is the professional & is doing what will be best to get me pregnant.

Anyone else going through or have gone through this protocol?
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TTC #1 since 8/2011
Dx: Endometriosis(2000) & Uterine Fibroids
Sept 2012-March 2013: TTA for surgery & recovery; surgery removed: neuroendocrine tumor & 30% of pancreas, 
endo on diaphragm & in abdomen, & uterine septum
April 2013: 5mg Femera - IUI cancelled
May 2013: Cycle cancelled; CD3 estradiol levels too high
June 2013: Cycle cancelled; umbilical hernia found; surgery to repair
July 2013: IUI #1.2 - 5mg Femera + trigger = BFN
Aug 2013: IUI #2 - 5mg Femera + trigger = BFN
Nov 2013: surgery to remove 8cm fibroid from uterus & clean up endo
March 2014: IVF #1 - Gonal F & Menopur; retrieved 12 eggs; 6 fertilized; 0 made it to blast
moving on to DE
July 2014: FET #1 w/ DE; cancelled due to clots in uterus; hysteroscopy to remove fibroid.
Hopefully beginning FET #1.2 in late August/early Sept.

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Re: Next Steps

  • anationsanations member
    I had to freeze, but it was bc of pgt. I was disappointed as well. Seems like this whole process is a test of patience!

     

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  • katib77katib77 member
    edited October 2013
    We're doing a freeze all but due to progesterone levels at day of trigger. Why does she worry you'll overstim? History or dx? I'm mobile so I can see if it's in your sig.

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
     S/PAIFW , S/PALW

    My Blog

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  • sweetgoosesweetgoose member
    @katib77 I have no idea why she is worried that I will overstim. My DX & history is stage 4 endo. I am going to call back tomorrow to find out and get a better explanation. 
    image
    TTC #1 since 8/2011
    Dx: Endometriosis(2000) & Uterine Fibroids
    Sept 2012-March 2013: TTA for surgery & recovery; surgery removed: neuroendocrine tumor & 30% of pancreas, 
    endo on diaphragm & in abdomen, & uterine septum
    April 2013: 5mg Femera - IUI cancelled
    May 2013: Cycle cancelled; CD3 estradiol levels too high
    June 2013: Cycle cancelled; umbilical hernia found; surgery to repair
    July 2013: IUI #1.2 - 5mg Femera + trigger = BFN
    Aug 2013: IUI #2 - 5mg Femera + trigger = BFN
    Nov 2013: surgery to remove 8cm fibroid from uterus & clean up endo
    March 2014: IVF #1 - Gonal F & Menopur; retrieved 12 eggs; 6 fertilized; 0 made it to blast
    moving on to DE
    July 2014: FET #1 w/ DE; cancelled due to clots in uterus; hysteroscopy to remove fibroid.
    Hopefully beginning FET #1.2 in late August/early Sept.

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  • bhead81bhead81 member
    I would ask about using a Lupron trigger instead of HCG if she is worried about OHSS.
    Brenda & Phillip married 10/10/09 

    After 6 years of failed cycles, we were blessed with our little man through adoption. 
    B born 1/3/2012. Adoption finalized 12/27/12

    Back  on the IF crazy train...
    Sept 2013 - IVF #1 -  BFP, EDD 6/4/14, born 6/8/14
    Everyone welcome

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  • J&D2007J&D2007 member
    I know it's hard to hear because you are excited, but I would have loved my RE to suggest a FET. I think your body is way better off with a month of rest and optimal hormones and lining.
    Me: 37, DH: 38: ttc 7 years, dx: unknown
    10/11: after 2 years, saw a RE, FSH 5.4
    11/11: BFP! (surprise after thyroid & normal hsg),
    12/11: missed m/c after 7 week u/s, 1/12: D&C
    6/12 IUI#1-IUI #3: clomid = BFP!, C/P
    IVF #1(10/12) FSH 5.4, AFC: 16 long Lupron, 5R/5M/4F, all 4 made it to 5dt, 1 blast/1-8 cell transferred=BFN
    IVF #2(12/12)AFC 21, MD lupron, 4R/4M/3F, 5dt of 1 blast and 2-8cell. BFN.
    IVF#3(4/13) Natural start antagon protocol, 12R,11F. one PGS normal at day 6 transfer. BFN.
    IVF#4 (11/13) C.CRM (ODW.U normal 8/13 Still no Diagnosis) EPP/antagonist. ER 13R/7M/6F. Only 1 made it to freeze. Abnormal. Looking into options of DE, Fresh vs frozen.
    10/14 new local RE to look into what's next. CD3 FSH 4.7, AMH 0.9. Met with DE agencies and exploring options for feb/march 2015.
    Surprise natural bfp (4 days before donor is signed). Beta #1 at 9dpo: 51.8, 2nd beta: 195 (25 hours doubling) @11dpo. 3rd beta (12/15): 516 (35 hrs doubling) 4th beta(12/17): 895 (58 hours doubling) 5th beta(12/19): 2120. U/S at 5w0d(12/22): one gestational sac with yolk sac. U/S #2 (6w0d)12/29. One little bean measuring 6w0d with HR 124. 3rd u/s(1/4)7w0d: baby measuring 7w2d. HR 134. 3/30: A/S at MFM went great except for low lying placenta. Verifi results are normal! Team Blue! Please send any positive thoughts our way! EDD:8/24/2015
    Baby Will born 8/18. He's perfect.
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  • Praying4Miracle17Praying4Miracle17 member
    My RE said that if he could, he would always freeze and do FET's.  Saying that, I was a freeze all due to OHSS.  I wasn't told that until after my ER, so I was devastated.  Really, it's a good thing as it allows your body to heal and your ovaries to shrink back to normal. I'm still waiting on FET #2 (been delayed once), but I was able to try FET #1, 2 months later.  Good luck!!

    **Sig warning***

     

     

    TTC since 9/2011. DH - 32, me 32.

    IUI#1 (natural): BFN; IUI#2 (clomid): BFN; IUI#3 (clomid and follistim): BFN.

    IVF #1 March 2013, freeze all (OHSS).

    FET#1 June: BFN

    FET#2 August: delayed due to thin lining (6.3).  Took a few months off to try and thicken the lining with lots of estrodial.  FET#2.2 December: Cancelled due to thin lining (4.8). Two frosties left.

    *New RE* Sonohystrogram and hystereoscopy done in Feb.

    IVF #2: ER 3/4/14  ET 3/7/14, transferred 3, 3 day 9 cell perfect embryos.  No frosties.

    Beta #1 (14dp3dt) 504

    Beta #2 (21dp3dt) 11,561

    First ultrasound on 4/3/14 showed 3 sacs: one empty and two with beating hearts!!  At 7w2d, found out that one baby did not have a heartbeat anymore.  Praying that baby B makes it.  Baby B is a girl!

    EDD 11/25/14 BORN 11/29/14

    **PAIF/anyone welcomed to comment!!  Thank you.


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  • becomingmommyagainbecomingmommyagain member
    My RE is the complete opposite.  They prefer to always maximize the fresh cycle.  Perhaps that is just because of my age?  Their clinical practice has had great success on freeze/thaw rates so i'm sure it's nothing to do with that...  

    Perhaps you have really good ovarian reserve and they anticipate good development?
    Either way, your RE should be able to plan a cycle that will minimize the possibility of OHSS.  

    And the only thing that matters is that you trust your physician.  Every cycle is different.  
    ****Siggy Warning****

    IVF Cycle #1 - 4/06/2013 -3dt of 2 embryos, nothing to freeze - BFN 
    IVF Cycle #2 - 7/18/2013- 3dt of 3 embryos.Froze one 3AA 6 Day Blast! - BFN
    IVF Cycle #3 - 9/15/2013 - 3dt of 4 embryos, nothing to freeze - BFP!!!
    10/7 - +HPT - Beta #1 10/10 - 72, Beta#2 10/14 - 518,Harmony 21 @ 12 weeks shows one very healthy little BOY!!


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    Baby Birthday Ticker Ticker
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  • FutureMrsW9FutureMrsW9 member
    edited October 2013
    sweetgoose said:
    Hi Ladies! So, I found out my protocol for IVF #1 today. I am to stay on BC until 11/17, then start stims on 11/21. ER should happen sometime during the first week of Dec. My RE is concerned that I will overstim and for that reason says that we will need to freeze the embryos and do an FET in January. This is not the news I was expecting and I'm feeling a little down that we will not be doing a fresh transfer. I just keep telling myself that my RE is the professional & is doing what will be best to get me pregnant.

    Anyone else going through or have gone through this protocol?
    This is exactly what you should be feeling.  I felt the same way, as we had to do an all freeze cycle, too.  If your RE thinks it's necessary definitely just trust him.  Mine predicted that I would get OHSS, and sure enough I did and it was literally one of the worst things I've ever experienced.  I was thanking my lucky stars that we decided to do a FET from the beginning because it would have happened anyway, and at least at that point it wasn't a surprise.  Once all is said and done your FET will be here before you know it!  EDIT:  Also, as much as you feel like it stinks to have to wait, doing an FET actually gives them more control over when in your cycle they'll transfer, and you'll be as close to "natural" in your cycle as can be so it's a better environment for your embryos :-)  I was on day 20 of my cycle when I had my FET on Sunday, and we transferred a 6-day blast, so it was literally EXACTLY where I would be if it were a natural cycle!  Just another positive of FETs vs. ETs.  And like a PP said, my clinic also prefers to do frozen transfers if/when possible because their results are much better - there's no conclusive "why" yet, but it's just worked out that way in the past few years.
    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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