Trouble TTC

Frustrated with my RE

CD1 was Friday and as instructed I tried to call. Apparently they decided to close early though. So here I sit, CD3, no U/S, no appointment scheduled, no Femara...WTF is the point of having "business hours" if you don't follow them?!
Jan15 December Siggy Challenge: Holiday Fails
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TTC Since 4/13 | Me: 28 DH: 29 | DX: PCOS + High T + Arcuate Uterus (11/13)
Cycle #1+2 (4/13-6/13): Natural Cycles = BFN | Cycle #3+4 (6/13-11/13): Anovulatory (Provera)
Cycle #5 (11/13-1/14): Femara + Clomid + Follistim = Cancelled | Cycle #6 (1/14-3/14): Benched
Cycle #7 (3/14-4/14): Femara + Follistim + Estradiol + Pregnyl + Progesterone
BFP: 4/22/14 | Due: 1/1/15 | TEAM BLUE!

Re: Frustrated with my RE

  • I'm sorry. :-(

    I'm not sure about Femera, but I know for my Clomid cycles, my RE says to just come in Monday morning (without an appointment scheduled) for "CD 3" labs if CD 1 is after they close Friday or over the weekend. At least for Clomid, those labs can actually be done on CDs 2-4, so I think you'll actually be ok if you can get in on Monday. Though it will probably be a hassle to run around between them and the pharmacy. Maybe next time you can at least ask for your prescription in advance so you can have it ready to go instead of rushing around at the last minute?

    Good luck! I hope you get in tomorrow! I bet you will.
    **siggy warning**  **everyone welcome**

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    DS- 11.07.02
    DSS- 6.26.04
    Married- 6.29.13
    TTC Again- Sept. 2013
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Test Results/Diagnosis- HSG & SA totally normal
    DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
    5/2014 Possible mild PCOS in addition to hyperprolactinemia??
    7/2014 Adding probable tubal factor to the diagnosis list
    9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
    Methotrexate on 8/12/14 -HCG negative on 9/2/14
    IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
    Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
    u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
    image


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  • calindi said:
    I went in on CD 4 this cycle, no problem! I'd just show up for monitoring honestly. And while you are there, ask what you should do if you have an after hours emergency. Most offices have an on-call line. Good luck!
    I've done the same.  CD4 shouldn't be a problem.  I'd go first thing tomorrow morning.
    Married on October 20, 2012.  Began trying in January 2013.
    RE appointment & testing December 2013 - February 2014= Unexplained IF, possible endometriosis
    IUI#1- March 22 (100mg clomid, 75 mg of Bravelle, Ovidrel trigger) = BFP!!!



  • My RE also just has you come in Monday morning if you start Friday afternoon or Saturday. Hopefully they will get you started on everything tomorrow! I'm sorry, that's so frustrating!



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

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  • jencity9jencity9 member
    edited March 2014
    I had this issue with my RE for lots of scheduling issues and no one informed me of what to do. Then one day I showed up first thing Monday morning to explain I needed to get in that day. That's when I learned that they are there Saturdays and Sundays too. Plus now that I've had a few IUIs with all the monitoring appts, I've been there on weekends and seen how busy it is! This last time my CD1 was Saturday morning so I called and pressed '0' which took me to an operator who sent the office a message. They called back in abou an hour and I was able to schedule an appt for Monday.

    Like PP's said though cd4 is actually perfectly okay too so you could maybe show up tomorrow and ask for an appt? On one of my cycles I did a cd4 appt and did Letrozole cd 4-8 instead of 3-7.

    Me: 32  DH: 33  Married: March 2004

    July 2006: started TTC
    2008: HSG (normal), couple rounds of clomid through gyno
    2008 - 2010: dragging my feet out of fear and procrastination
    October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
    Oct. 2010 - Dec. 2012:  In DENIAL! avoided the issue because I was scared of surgery
    January 2013: returned to RE, fibroids grew significantly
    February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
    March 2013: MRI to determine what type of surgery may be necessary

    July 29, 2013: fibroids (5) removed via robotic laparascopy
    August 2013 - Nov 2013 : benched due to recent surgery

    IUI #1, Dec. 24, 2013, BFN 
    IUI #2, Jan. 25, 2014, BFN
    IUI #3, Feb. 25, 2014  BFN
    IUI #4 canceled due to lack of response to letrozole
    IUI #4.1 April 28, 2014, BFN

    May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
    IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis

    May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
    June 11, 2014: consult, approved to move on to IVF because the hydro is not completely blocked therefore allowing fluid to move through slowly rather than backwards
    IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
    September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
    October 2, 2014 - started metformin treatment
    November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5

    November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
    December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
    December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)

    IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN

    We are done with treatment unsuccessfully. :(


    PAIF/SAIF/All Welcome!

    image    image
  • My RE's office doesn't answer the phones over the weekend, but they are there so if you leave a message, they'll get back to you. Like PP said, I would call first thing tomorrow or just show up. I was stressed last cycle because my CD3 appt was late in the day so I didn't get my bloodwork back until the next day and couldn't start Femara until CD4. The doc said you can start Femara CD 3,4 or 5. Good luck!
    **siggy warning**
    3/09 Clomid 50mg - no O
    5/09 Clomid 100 mg - no O
    7/09 HSG partial blockage, SA passed with flying colors
    7/09 Clomid 150 mg - O BFP! DD 4/24/10
    1/13 off BCP
    7/13 Clomid 50 mg - no O
    9/13 Clomid 100 mg - no O
    11/13 Clomid 150 mg - no O
    12/13 diagnosed PCOS
    1/14 IUI #1 Femara 5mg, Pregnyl, IUI BFN
    2/14 SHG, all clear!
    2/14 IUI #2 Femara 7.5mg, Pregnyl, IUI BFN
    3/14 IUI #3 Femara 10 mg, Pregnyl, B2B IUI BFFN (low sperm count)
    4/14 IUI #4 Femara 10 mg, Pregnyl IUI BFN (low sperm count)
    6/14 IUI #5 Femara 10mg, Pregnyl IUI (numbers back to normal!) BFP!!
    Beta #1: 474 Beta #2: 1346

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