Question about labs and monitoring appt

kristyn831 · August 2014

Just curious - during IUI cycles, do you routinely get labs with your monitoring ultrasounds? I had my CD12 u/s today and had estrogen and progesterone drawn. Problem is, the nurse never tells me what labs I need or if I even need them so today they had to call the doctor on call to clarify the order because I wasn't sure. Of course I forgot to ask the nurse today when she called with my results of the ultrasound.

catlover790 · August 2014

I am only doing TI this cycle but I think on CD 3 they do LH, estradiol, progesterone, hcg, and fsh. For CD 12 and 14 they did LH' estradiol, and progesterone. It seems like that is routine for my office, I never even asked or anything they just automatically took my blood. I would think you would want to know if your estrogen looks like the follicles are maturing? Not sure though!

BunnyBerry · August 2014

I only get bloodwork on CD3. Not sure if that's typical though.

Tiko99 · August 2014

Hello:

The only blood work I've had during an IUI cycle was on 7DPO for progesterone to confirm ovulation. I know some ladies here have their E2 checked before the IUI, I believe, and I kind of wish my RE did some blood work during the cycle so I know more about what is going on inside my body.

Good Luck!

kristyn831 · August 2014

Thanks, ladies! I have had E2 done with each u/s to help them know when I'm ready to trigger (other than measuring follicles, obviously). I never had 7DPO labs but will ask this time. First IUI was considered a bust from the start due to poor sperm numbers, so there was no follow-up, I just called when AF came 2 weeks later.

I think we will be moving on to IVF next time if numbers are poor again

catlover790 · August 2014

it's interesting that you all don't have as much bloodwork done! I wonder if it's necessary because it would save me a lot of money if it wasn't! I kind of liked seeing my estrogen levels rising though so I could kind of confirm that my follicles were good but if they can tell just from the size I wonder if I could skip it! Interesting!

BananaPancakes02 · August 2014

I get an ultrasound around around CD3. I had bloodwork the first couple of CD3, but now I just get U/S to make sure there are no cysts, and lining is looking good. Midcycle CD 13ish, I get U/S and they check my progesterone and estrogen. My doctor makes more of the decision to trigger based on the ultrasound. And then I get labs a week post trigger.

MARISAV77 · August 2014

The only labs I've had taken were my initial bloodwork and CD3 on my first cycle when I first started to see me RE back in November. She said since all of my labs were normal I didn't have to do bloodwork with each cycle. I've done 2 medicated cycles, with trigger shots and TI, one Medicated IUI with trigger all with US to see how my follicles were growing. The only time they wanted to take bloodwork was this month to confirm that I did ovulate on my own, because my RE said it looked like it on the US when I went in on CD13 (I was planning on doing IUI#2 this month)
Now I'm wondering after reading everyone's post if I should be having labs done every cycle. I go to a well respected fertility clinic in my area, so I am trusting that my RE knows what she's doing. But now I am having doubts!

tweetyknicks · August 2014

I'd be surprised if I didn't get stabbed by a needle every time I go to the doctor's office. Here's my usual workup:

cd3: u/s, estradiol, progesterone to check that my innards are back to baseline and estradiol and progesterone are low

~cd 9: u/s, estradiol to check follicle development after 5 days of letrozole

every second day thereafter: u/s, estradiol to check follicle development while on Bravelle shots

trigger until I have at least one follicle >18mm

~7dpiui: progesterone

~12-14dpiui: beta

I am a bit confused that my estradiol level never comes into play. It's been 268 (1 follicle) and 238 (2 follicles) the last two times I triggered for IUI on the day they told me to trigger. My nurse said they like to see 150-200 per mature follicle. At what point would the estradiol level cause concern if u/s showed a follicle large enough to be mature?

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