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Back to trying on our own.... RE suggests skipping IUI and moving to stim IVF....

HpearlHpearl member
in Trouble TTC
I need to figure out how to do  siggy so ya'll can save time reading my history.   I will make it brief:

8/96 severe peritonitis (ruptured appendix nearly killed me)  and ovarian cyst removed
1/12 clear HSG,   tubes open!  (yay)
3/14 hypo thyroid diagnosed,  treatment begins,  water sonno,  tons of blood, etc.
5/14 submucosal fibroid removed (3.5 cm).    Sitting in "just the wrong spot"  and acting as an IUD

Genetic testing,  blood work,  semen all normal!

I am 35.  Hubby is 33

So,  had my "final" consult post op yesterday.    RE is going out on maternity leave... we need  break so we are going to try on our own for a few months.

I was surprised that my RE suggested we not try IUI and go straight to stimulated IVF,  even though I seem to have plenty of eggs,  and we are otherwise healthy (I could stand to shed  few pounds, but nothing major).

If I am ovulating,  the swimmers are good,  and there are no further diagnostic issues,  why skip to IVF?   I trust my RE,  but this came out of left field.

Thoughts welcomed.  I am reading through others posts to try to get a grip but I guess I was really hoping she would say she thought that perhaps between the fibroid and thyroid treatment we might have solved the mystery.

Thanks ladies.


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TTC since 2012
Me 35, DH 32 -DH SA all clear
8/97 severe perotinitis infection as a result of ruptured appendix. poss abdomen/tube scarring
1/12 HSG all clear!
2/12 Multiple fibroids diagnosed,  2 submucosal
3/14 Hashimoto diagnosed, began treatment
3/14 first RE appointment
5/14 successful lapriscopic myomectomy via power morcellation
as of 7/14.....not so patiently waiting
poss IUI/IVF fall 2014  BIG Surprise BFP Aug 2014!


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Re: Back to trying on our own.... RE suggests skipping IUI and moving to stim IVF....

  • AutumrayAutumray member
    Welcome! Sorry you find yourself here. Also sorry I cant give you much advice as I am super early in my medical IF treatment. I hope you can get what youare looking for here some amazing, helpful and experienced ladies here
    *** Siggy Warning ***
    Me:30 DH:33
    TTC since 10/12 
    HSG- Tubes Clear slight scarring on UTE (unexplained)
    DH SA- Normal
    10/12-6/13 Natural 
    Pcos Dx 7/13 Metformin 500mg x2 daily
    4/14 Provera  10days  then Clomid 50mg CD5-9 (BFN)
    5/14 Provera 10days then Clomid 50mg CD5-9  (BFN)
    6/14 (no provera yay!) Clomid 50mg CD5-9  (BFN)
    7/14 Natural Cycle Moving on to RE appt not til 7/31 (BFN)  
    8/14 Plan of action! Moved up to 1500mg Metformin, Femara 3-7 (Trigger canceled due to not big enough follies and holiday weekend) (BFN)
    9/14 7.5mg Femara CD3-7 +ovidrel  (BFN)
    10/14 5mg Femara(3-7) Follistim 75 (7-9) +Ovidrel +TI (last treatment cycle this year Breaking til after Holidays) (BFP! Beta #1 114, Beta #2 364)
    ~~~~~~~~~~~~ ALL ARE WELCOME! ~~~~~~~~~


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  • rubysirubysi member
    Welcome. I also really have no advice because I have just started medical treatment. It seems to be quick to IVF. Have you tried medicated cycles already?

    image
                ***TTCAL January siggy challenge ***
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  • ronniesgirl1981ronniesgirl1981 member
    I, too, was fast-tracked to IVF (though I did complete 2 IUIs). Here's the thing: you ovulate and the sperm are good. IUIs can only overcome so much. I feel like IUIs weren't doing anything for me that we couldn't do on our own. Now, I don't think I could have mentally handled IVF without trying a couple IUIs first.
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




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  • Waterlily234Waterlily234 member
    That does seem quick...you mention bloodwork was normal, did you do day 3 FSH and get your AMH? If you have normal ovarian reserve I'm perplexed as to why IVF. Perhaps she is just thinking that will be the most successful in the shortest period of time? I hope your break is restful and good luck for when you do start treatment.

    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


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  • BunnyBerryBunnyBerry member

    Welcome! So sorry about that difficult history of surgeries, but I am glad they found and removed that fibroid!

    If the fibroid-acting-as-an-IUD was just removed last month, the it sounds like you have a strong explanation for your IF and it's been removed now...sounds like the perfect time to give it a few months (maybe even 6, since you're 35?) to try on your own or use COH and IUI to speed up your chances. Can't imagine why IVF is on the table, unless you're burnt out from this and are ready for a baby 5 minutes ago and have insurance coverage for IVF or independent wealth!

    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 2009 | RE 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***
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  • HpearlHpearl member
    Thanks so much :)  There certainly are some amazing individuals on the board!

    To answer the questions,  yes,  all hormone levels were normal (day three and the other one I can never remember).   I seem to have plenty of eggs as well.   So all systems are normal now.   

    I suggested perhaps chlomid or something else that could "boost" things a bit,  especially since my husband and I do not have a concern with regard to multiples.  

    I am hoping that the fibroid being gone will do the trick.   I think I was just mentally prepared for something less expensive and invasive than IVF being suggested.   We are oop,  so this would be a hefty expense, but one that we have been mentally preparing for over the last year.  I am not afraid of IVF,  I just hoped it wouldn't be needed.

    Fingers crossed that we will have success on our own over the next months!   I am going to do my best to let go of the $$ floating in my head if this dosnt' work.  Thanks from the bottom of my heart for allowing me a venue to vent! 


    image"">
    TTC since 2012
    Me 35, DH 32 -DH SA all clear
    8/97 severe perotinitis infection as a result of ruptured appendix. poss abdomen/tube scarring
    1/12 HSG all clear!
    2/12 Multiple fibroids diagnosed,  2 submucosal
    3/14 Hashimoto diagnosed, began treatment
    3/14 first RE appointment
    5/14 successful lapriscopic myomectomy via power morcellation
    as of 7/14.....not so patiently waiting
    poss IUI/IVF fall 2014      BIG Surprise BFP Aug 2014!


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