Trouble TTC

IUI Scheduling Question

TTCBabyJTTCBabyJ member
edited May 2014 in Trouble TTC
Even though I am so excited to start treatment, I was looking over my paperwork and I have a question. My RE wants me to call the day I get a positive opk so that we can schedule the iui two days later. Is this normal or is this too late? Of course DH and I will bd but I was just wondering if scheduling the iui two days after a positive opk is too late?
Me: +35 DH: +35
TTC: Since January 2013 
DX: PCOS. Severe Endometriosis, Unicornuate Uterus w/only left tube and left ovary, Pedunculated fibroid (on the outside of uterus) and Anovulation. All conditions diagnosed 8/13
TX: Metformin
DH DX: MFI - low morphology, low motility
Ultrasound shows both kidneys in spite of UU. 
HSG showed clear tube on the left side. 
Lap Surgery performed 1/9/14 to remove fibroid and endo (Stage 3)
  • IUI# 1 June 2014 started 100 mg of Clomid - 7dpiui Progesterone: 13: BFN
  • IUI#2  July 2014 started 100 mg of Clomid - 7dpiui Progesterone: 5.75: BFN
  • Natural Cycle - so shocked to be in 2WW - 7dpo Progesterone: 15.5: BFN
  • Working with new RE starting injectables in late August.
  • IUI #3 August 2014  w/ Menopur: BFN
  • Finally ovulating on my own!!
Waiting to start IVF hopefully
**********All Are Welcome**************
3T January Siggy Challenge: New Year's Resolution
image

 

Re: IUI Scheduling Question

  • My RE said the day after the OPK+, because even with testing once/day you can pretty closely guarantee it will be within a good window (either it just turned positive, so IUI would be maybe 12 hours before O, or it turned positive almost 24 ours ago, so IUI would be no more than 12 hours after O).

    Now, my RE said this after looking at my charts for several months and seeing that I do indeed O on the day of or day after my first OPK+. Has your RE seen your charts and determined you get your surge earlier before O? Or is there a big problem with motility and he wants to make sure the egg is ready to go before the sperm get there? Otherwise I would really wonder about the timing. Good luck.

    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • Loading the player...
  • My RE office says 'call by 9 am after first positive OPK' so they can get you in that day...but your RE prob has a schedule in mind for you based on your individual factors. Good luck!!

    ME:      36, on BC since 1996,  irregular periods.   HUBS:      37, healthy

    2001—meet.  2005—marry.  2006—Furbaby is born. 

    On BC till end of 2009.  2010 NTNP.   

    New Year’s Eve 2010—BFP?! January 13, 2011—early loss, HCG peaked at 324, no D&C needed.

    +++++

    Feb 2011-Nov 2012—NTNP 

    Dec 2012 --present (TTC 20 months) Not even a hint of a BFP

    Me:  BW, U/S, HSG, HSN normal.  AMH 2.33.  Hubs: SA normal 

    +++++

    April 2014--IUI #1 Clomid 100 4-8 Follistim 150 9-14, 5 mature follies at trigger, Peak E2 5/5 1100, BFN 

    May 2014 ---IUI#2 Clomid 100 3-7 Follistim 150 8-13, 3 mature follies at trigger, Peak E2 6/6 547, BFN

    June 2014--IUI#3 Follistim 150/225 3-15, 3-5 mature follies at trigger, Peak E2 7/11 1450, BFN

    July 2014--IUI#4 Follistim 225 2-12, 3 mature follies at trigger, Peak E2 8/12 841, BFN

    Breaking till after Christmas, then IVF...taking 4000 mgs daily Inositol and Melatonin 3mg


  • TTCBabyJTTCBabyJ member
    edited May 2014
    Yes, we do have MFI as well. And when my RE looked at my charts he did mention it looks like I get a positive opk but I actually "spit out the egg" the next day based on the ovulation spotting I get. I did ask about the trigger shot but my RE stated he wanted to try clomid only to see how it works first and then up the dosage and add a trigger shot if this IUI fails.
    Me: +35 DH: +35
    TTC: Since January 2013 
    DX: PCOS. Severe Endometriosis, Unicornuate Uterus w/only left tube and left ovary, Pedunculated fibroid (on the outside of uterus) and Anovulation. All conditions diagnosed 8/13
    TX: Metformin
    DH DX: MFI - low morphology, low motility
    Ultrasound shows both kidneys in spite of UU. 
    HSG showed clear tube on the left side. 
    Lap Surgery performed 1/9/14 to remove fibroid and endo (Stage 3)
    • IUI# 1 June 2014 started 100 mg of Clomid - 7dpiui Progesterone: 13: BFN
    • IUI#2  July 2014 started 100 mg of Clomid - 7dpiui Progesterone: 5.75: BFN
    • Natural Cycle - so shocked to be in 2WW - 7dpo Progesterone: 15.5: BFN
    • Working with new RE starting injectables in late August.
    • IUI #3 August 2014  w/ Menopur: BFN
    • Finally ovulating on my own!!
    Waiting to start IVF hopefully
    **********All Are Welcome**************
    3T January Siggy Challenge: New Year's Resolution
    image

     
  • I don't have personal experience because I always was monitored and did the trigger, but from what I understand the +OPK is the sure before you O so it's possible that the O won't happen until closer to your IUI. I know whenever I did the trigger I went in two mornings later for the IUI.

    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
  • The one month I did IUI without monitoring or trigger with my GYN (rookie mistake), they had me come in the day after I got a positive OPK. I was lucky because OPKs have been pretty reliable for me and I usually O the next day, but that's not the case for everyone. Doing IUI based on OPKs is pretty unreliable. But it's good that if it doesn't work your RE plans monitoring and a trigger next cycle.



    ********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

    image
  • Sounds late.  My IUIs are the day after positive OPK.  Even with that I think we might be missing it.  I'd ask if you can do it the day after pos OPK.


  • wbirdwbird member
    I wouldn't sweat it, as long as they're monitoring you via ultrasound. Everybody ovulates at different times, and it seems like they can definitely tell when you're going to O. Of course, if you're worried, you can ask if they're inseminate twice? That's what they did for me for my first IUI.
  • rella22rella22 member
    Are you doing a trigger?  Or just OPK's?  Typically IUI is done 36 hours after trigger is scheduled....OPK's differ for every person as far as when you actually ovulate after your first +OPK.  

    ***SIGGY WARNING***




    me: 28 - all test normal
    DH: 33 - SA normal

    *unexplained*

    TTC since September 2011
    2011-Oct.2013 - trying off and on, ob/gyn, no meds
    November 2013-December-EOD, ob/gyn, no meds

    January 2014- ob/gyn ordered Clomid (50 mg) unmonitored, EOD-BFN
    February-Clomid 50 mg. unmontiored, EOD - BFN
    March-Switched to RE
    April- 100 mg Clomid/Ovidrel-BFN
    May - 100 mg Clomid/Ovidrel-BFN
    June-*BREAK/Switch RE*
    July- 5 mg Femara/Ovidrel + IUI #1- BFN
    August- 5 mg Femara/Ovidrel + IUI #2 - BFP!!!!

    EDD: May 7th, 2015: Team PINK



This discussion has been closed.
Choose Another Board
Search Boards
"
"