The Thin Lining -or- How My Uterus is Ruining My Life

mshandlebar · October 2014

Yesterday was a roller coaster. I had my pre-trigger ultrasound, and like I mentioned elsewhere, it went beautifully. I have follies, they are big and even on the unblocked side! I left the doctors feeling positive and I, daresay, hopeful.

Fast forward to the evening. My OB isn't so good about giving me hard facts (I like numbers), but I've started taking photos of the result screen after she steps out of the room (I am a sneaky spy). I was looking over my clandestine report, glowing at my follies sizes, when I noticed that my lining was only 4.6 on CD13. After some serious googling, I determined that this is thin to the point of concern. I was pretty upset that my doctor hadn't even mentioned this to me. Why get my hopes up when the chances of it working aren't high?

Does this seem like a big concern to anyone else? Anyone with lining issues, what does your doctor do about it? I am taking Clomid, which may be the main culprit. I am afraid I may have to move on from Clomid, but this scares me.

Mid-post update: I got a call back from my OBs office. The doc is going to call me later to discuss my concerns, but the nurse told me that at my first IUI my lining was at 5.7 and at the last one it was only 2.9! WTF! Thank goodness I have my RE appointment coming up.

Thanks everyone!

Ann612 · October 2014

That does seem thin to the point of concern. My RE likes to see my lining at about 12-13 around ovulation. When I am too thin, they change the progesterone levels I take. I am glad your doctor is going to call you to discuss. Good luck!

Ann612 · October 2014

oh, and the title of the discussion made me laugh!

deelopi9 · October 2014

My RE likes anything above 11. When mine was low they had me take baby aspirin. I was at a 6 and it went up to 9. Good luck

BunnyBerry · October 2014

That's a very big point of concern - what I've read point to implantation being possible only at 6+, and 8-12 is the best. As far as I've ever read/heard implantation would be impossible with as thin linings as you've described. I would be pretty serious talking to the RE.

When my lining was around 6 and it was still several days before IUI, I was put on estradiol which brought it up to a 10-12 each time by the time of IUI.

Currently, I'm at 6.7, and they're not having me take estradiol yet because there are still a couple days to go.

BandM14 · October 2014

I'm really sorry about the thin lining. I would be super frustrated too if my RE didn't even mention something like that without me bringing it up. Was your RE planning to just trigger and do the IUI without acknowledging the very thin lining?? That makes me seriously question them. IUI treatments are expensive and emotionally taxing, to have you go through that without being sure to give you the best chance of success is unethical in my book. She should have noticed it right away and prescribed something to thicken the lining and up your chances... AND since it seems this has been happening in prior cycles too, she should have thought about switching you off Clomid due to the thin lining.

I would be more than pissed, actually. Hopefully when you talk to the RE this gets resolved. I'm sorry again you are going through this, being able to trust our doctors is something we all deserve.

mshandlebar · October 2014

I just heard back from my OB. She said it is a little on the thin side...why, thank you for paying attention (insert extreme sarcasm)! She put me on 4mg of estradiol starting tomorrow, which is IUI day. Anyone else take estradiol? Does it work? I want to manage my expectations about whether this round has any chance of success.

emmuffy · October 2014

I would ask about this. Your lining sounds way too thin. My clinic prefers to see above 0.8 but will tolerate anything above 0.6.

BunnyBerry · October 2014

@bluefairy5 (I did mention estradiol briefly earlier in the thread.) Can't recall what my dosage is - but it's a little blue pill that I get to take orally (thankfully - some women need to insert it vaginally and get blue discharge) 2x/day. It can be started anywhere from CD8 up to whenever you have an ultrasound that shows a thin lining compared to where it should be at that point, and should be taken through AF or beta.

mshandlebar · October 2014

Thank you all for the help. I am currently drinking raspberry tea, and I scheduled my first acupuncture appointment for tomorrow right after my IUI. I am even going to pop a baby aspirin, drink some pomegranate juice and put a hot compress on my stomach for good measure. I am doing everything I can to thicken this shit up. I just wish my doctor showed the same level of concern.

williegsocks · October 2014

Yeah, that does seem rather thin. I would be concerned as well. Maybe your doctor can prescribe you Progesterone to help with the lining. Smart move on seeing the RE! RE's are much more thorough and know what is important for reproduction to actually be successful. Good luck!!

Radiantly · November 2014

Pom juice? Ps I'm all about nettles too! Nettle tea.

southernyankeegirl · November 2014

**** Grad Warning ****

I had the same problem, and more indifference from my RE (and for me, it was Femara). It isn't unheard of to get pregnant with a thinner lining, but I can't imagine it helps your chances.

When I switched to Follistim, it was a horse of a different color - super plushy and triple striped, and that was the successful cycle. I will never ever do Femara again if we need to return to treatments. My body just worked better with Follistim. So if you have to make the jump, which I hope you don't, just know there's lots of hope there!

Good luck!!!

blsav23 · November 2014

Prior to my most recent IUI, my lining was somewhere in the 4-range & my RE put me on estradiol to thicken it. It did help but I'm not convinced it made it as thick as she would've liked based on her facial expression when I asked if it was thick enough. In any event, I would DEFINITELY ask your RE. As PP stated, you are justified with your concern.

All my best!

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