Finally, I'm going to see an RE and some other junk...
jaci20634
member
Good News: As the title says, I'm going to see an RE at the University hospital tomorrow afternoon! Yay! I'm a bit nervous and not sure what they are going to do. Anything I need to know? My husband is going too, I'm so glad he gets to go, we weren't sure if he would be able to with work being short, but they are not going to be short tomorrow (well now they will be with him gone...)
Bad News: I never got a + on my OPKs so I think we missed our chance for IUI#2, but considering I supposedly have PCOS (see other junk note below) I guess they don't work. Can anyone actually tell me WHY they don't work with women with PCOS? I can't seem to find a "real" answer anywhere... This ticks me off because by now we should have had 4... Oh well, on the bright side I finally get to see a specialist and someone who deals with this on a daily basis. Hopefully things are looking up!
Other Junk: I am a little upset with my OB's office. I got all my records from them and the notes from when I had an u/s to check for PCOS the results say "POSS PCOS" and hand written on the bottom of the same page is "?PCOS" WTH does that mean! A year and a half and I'm just now finding out this is a POSSIBLE dx! Grrr!
Back to the RE appointment, since it seems like OPKs are unreliable for me, would it be prudent to ask for a trigger for next month?? I'm also going to ask for something other than clomid, because that's all I've been on so far... Any other suggestions for my first appointment? Ahhh! I'm super excited!!
Brief history since I am a little technologically challanged and can't figure out how to SAVE a siggy! :-)
TTC since Nov 2011
Me: Possible PCOS 2/2013
DH: SA 4/2013-abnormal (low count [17.6 million/ml] and motility [0%, swear that is what the paperwork says]), 2nd SA 11/2013-Normal (37.1 million/ml & 60%)
Jul 2013-50mg Clomid, TI, BFN, Day 21 Progesterone-21.30 ng/ml, according to my chart I got a surge, but got + 2 days in a row...
Jan 2014-50mg Clomid, TI, BFN, Day 21 Progesterone-28.48 ng/ml, told I didn't need to keep testing, no LH surge??
Feb 2014-50mg Clomid, TI, BFN, also had TSH tested-high for TTC (3.16), Rx for Levothyroxine 25mg, possible LH surge
Mar 2014-50mg Clomid, supposed to be IUI#1.1, no LH surge, TI as best we could, BFN, HSG performed-everything ok
Apr 2013-50mg Clomid, supposed to be IUI#1.2, out of town on mini vacay/DID get a surge, TI, BFN
May 2013-50mg Clomid, IUI#1.3, got LH surge, had IUI, BFN
Jun 2013-50mg Clomid, IUI#2, no LH surge, Retest TSH-very good (1.77)
Going to see RE on June 30th
Me: PCOS Dx: Feb 2013 and Low Thyroid Dx: Feb 2014
DH: SA #1: Apr 2013 – low count/low motility, SA #2: Nov 2013 - Perfect
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~
TTC History
Off BC November 2011
Visit with OB/GYN February 2013
Ultrasound confirms PCOS, OB/GYN suggests Clomid
Due to a bad beginning in 2013 didn't start Clomid right away
Clomid +TI August 2013 – BFN
Another break, 2013 was a really bad year for us...
Clomid +TI January 2014 – BFN
Clomid + TI February 2014 – BFN
Follow up with OB/GYN, tests Thyroid – LOW
HSG planned for March 2014
Clomid +IUI #1 planned also for March 2014
Re: Finally, I'm going to see an RE and some other junk...
Me: 30 yrs (PCOS), DH: 28 yrs (SA normal)
June 19, 2008: Started dating
August 12, 2012: Got married
September 2012: Came off BC pills after 12 yrs
September 2012-May 2013: Irregular periods (every 45-55 days), no positives on OPKs, used fertility friend
May 2013: Started actively TTC, talked to OB about irregular periods and possible anovulation
October 2013: HSG all clear, hormone levels normal, U/S showed polycystic ovaries, PCOS diagnosis
February 2014: Clomid 50mg days 4-8, many follicles on CD14 but none bigger than 8mm
March 2014: Switched to RE, saline u/s all clear
April 2014: 3hr glucose showed IR, started on Metformin 1000mg/day, put on low-carb low-sugar diet
June 2014: Femara 2.5mg x10 on CD3, 19mm follicle on CD17, Ovidrel, TI, Endometrin suppositories = BFP!!!
Our little one due March 11, 2015
I have read the reason OPKs don't work for PCOS ladies as well is because PCOS women tend to have higher LH levels at all times which causes multiple days of positive OPKs or false positives. I don't remember if this is right so please correct me if I'm wrong!
autocorrect changed transvaginal to translational!
Me: 28 MH:35
Married September 2012. TTC since September 2013
June 2014 - Dx w/ significant PCOS and referred to RE.
July/August 2014 - Testing complete: Testosterone & AMH very high, FSH slightly high, Vitamin D low, tubes and lining all lovely. DH SA: A+
Cycle 1 (Nov 2014): 2.5 mg Letrozole/Ovidrel/TI = BFN
Cycle 2 (Dec 2014): 5 mg Letrozole/Ovidrel/TI - BFN
Cycle 3 (Jan 2015): 5mg Letrozole/Ovidrel/TI - BFN
WTF consult scheduled for 1/29
On your medicated cycles, the 2 days of OPK+ is really normal - the timing of your testing each day could have caught the beginning and the end of your surge.
In the cycle where you had a CD21 progresterone of 21, that indicates O occurred. It's always possible to miss the surge during the day if it happens to be short (again, can be normal) or if the urine isn't concentrated enough.
Since OPKs have not been friendly to you, it makes tons of sense to request a trigger shot. Actually, although I did not use a trigger for my first medicated IUI cycle personally, almost everyone on this board does.
I hope working with an RE relieves some of these concerns and gives both of you some renewed hope and energy for this process! We certainly felt better after getting testing and a plan with the RE.