Trouble TTC a Sibling

An intro.....and a question

Hi! I have been lurking bump boards for awhile now....but just finally have the courage to join a community. We've been TTCAS for 11 months now - got pregnant with our first LO right off BCP.....thought that would happen again (soooo naive) when we started to TTC #2.......and I did get pregnant, but it was a chemical.........and then no ovulation since (except, according to OB, MAYBE this month)..........

I'll work on a siggy, but for now......here's my stats

DD 4/2011

TTC Since November 2013

CP 12/14/2014

.....no ovulation since, except *maybe* this month.....progesterone is just barely high enough for my OB to think I ov'ed. I do chart - and the last three cycles HAVE shown temp shifts followed by AF....but 2/3 progesterone was so low OB said probably not "actual" ovulation....w/e that means.

4 rounds of clomid (50, 100, 150, 150)
1st round letrazole (2.5)

Anyhow - we are teetering on starting to see a RE - insurance covers it - but I am scared! :( I don't know why.....I know that might sound ridiculous.

Question: I used to have nausea at end of cycle with Clomid - any ladies who have used Letrazole also have nausea at end of cycle?

Re: An intro.....and a question

  • So, my experience with my OB was that they feel everyone has a 28 day menstrual cycle.  When I finally went to get a referral to a RE, I was on day 45 or so.  I was charting and using OPKs and knew I had just ovulated.  The OB I saw (who is no longer my OB) told me that wasn't possible as it was too late in the cycle so I should just take Provera and start Clomid.  I waited 12 days (I also knew my LP was 13 days) and my period started.  I guess I'm trying to point out that OBs don't always know the nitty gritty of getting you pregnant and how women's cycles work when they're not completely textbook.  Did you have your progesterone drawn 7 days after your chart showed you'd ovulated?  Because if your OB only ordered a 21 day progesterone and you ovulate later in your cycle, the result is meaningless.

    Bottom line -- go to the RE!  You've taken pretty high doses of Clomid and are now moving on to Femara.  A RE will monitor you throughout your cycle so you know what's going on in there.  They'll do some baseline testing to make sure your tubes aren't blocked or your hubby doesn't have any issues.  Something as minor and "easily fixed" as an infection can impact sperm counts.  

    It's scary to go to the RE.  Partly because you have to admit it's just not working the old fashioned way and that's a hard thing to face.  But it's also exciting because they know so much more than you or your OB do.  They are the experts!  Go for it!  Good luck!

    ** No nausea with either Clomid or Femara, but my Femara cycle was a bust. I started progesterone on day 12, so I'm not sure what might have happened.
    *** Child & current pregnancy mentioned ***
    Me - 41 (PCOS), Hubby - 43 (healthy)
    7/2013 - Sweet baby girl born (Clomid + TI)
    3/2014 - TTC #2, return to RE 7/2014
    12/2015: IVF #1 transferred two great looking embryos - BFP!
    First ultrasound: TWO beautiful little heartbeats!!
    Harmony: negative; level 2: babies look great and are boy/girl! :) 
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  • I've never heard of having a temp shift without ovulation, but I could be wrong. More likely as PP said, they are testing progesterone on the wrong day or your progesterone is low for some other reason. They can confirm ovulation with an ultrasound if they catch it at the right time. 

    Agree with the recommendation to see an RE. I hope you get some answers! 
    **Warning: Losses and living child mentioned**
    BFP#1 1/31/12, EDD 10/6/12 Harrison Gray born sleeping @ 18w6d. You changed our lives little guy.
    BFP#2 EDD 10/29/13, C/P 2/25/13, Bye little Ish, we barely got to know you.
    BFP#3 EDD 12/21/13, Baby Boots born 11/23/13 My rainbow baby!
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    January PAL Siggy Challenge: Good Advice
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  • Thanks everyone! I have the moving parts in place - appt with primary care doctor to get referral (our insurance works that way, weird) and scheduled appt with an RE.

    Thanks for the feedback and support - I second PP who indicated high levels and no monitoring being bad. I only just recently found out insurance covers RE for me before a full year of trying because of my PCOS.....so now I feel like I've wasted so much time. :(

    I'm already feeling better having a place to talk about all of this! Hoping I can support everyone in the coming months! Thanks for the welcome!
  • (P.S. I'm a nerd and read up on BBT charting despite limited guidance from OB - and was able to advocate for additional progesterone draws one week after I identified ovulation through charting .....my levels were like 4ng/mol and 6ng/mol..... So, not ideal. )
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