AW: Lining Issue (Update in OP)

SND1231 · November 2014

Hey ladies.. Sorry for once again being an AW and posting but I am really needing some help.
I took Femera 2.5 mg this cycle. I went for my mid cycle U/S to check on my progress. My RE did not meet with me and I met with the other RE in the practice. He was horrible and so pessimistic. I only had one possible follicle at 16mm, he thought it might even be a cyst. My lining was only 3mm. He was super concerned about this. He told me to take OPK over the weekend and make sure I BD if I get a positive but he doesn't think I will. If I don't get a positive OPK I come back on Monday for another U/S where they will check on the follicle or cyst and most likely trigger with Ovidrel(sp) if what looks like a follicle is a follicle and is larger. They put me on Estradiol (Estrace) 2mg vaginally to increase the lining.

My question is do I just push the pill in or what? From looking online it doesn't tell me anything and the pharmacist and RE both just said take it vaginally. How long do you typically take it? The RE never said when to stop the pills. Also my info on the meds said not to take it if you have a history of a blood clot. I had a blood clot in my brain about 2 years ago. I am very concerned about this.
My other question is has anyone had their lining this low and it come back where it needs to be?
How will the RE know if it is a follicle or a cyst?

I am feeling super down about this cycle. The RE from today was horribly negative about everything. He loudly proclaimed that my AMH is way too low. My lining is too thin for a BFP to even be possible. My follicle is too small. Yada yada. I feel like this cycle is a waste!
Once again sorry for posting yet another question. I am still trying to learn about everything and feel super overwhelmed about it all!

**Update*** So I went back for another ultrasound and unfortunately got more bad news than good. Good news is my follicle went from 16mm to 19mm and he was happy with the growth. I trigger tonight (ovidrel) and was instructed to BD tonight and tomorrow(12 hours after shot). Bad news my lining only went from a 3 to a 5. The doctor was very concerned about this but stopped the estradoil. He also saw some fluid in my uterus and was extremely concerned about this as well. He said if this cycle ends with a BFN I will have to start quite a few more tests to figure out what is wrong with my uterus and why I didn't respond to the Estradoil. He is concerned that the cancer and chemotherapy might have damaged my uterus as well. I feel like this cycle is pointless because I know my lining is too thin to even make a BFP possible. I got the feeling that this cycle is pointless and there is nothing more that I can do. I cried all the way to work today.
My questions are why did he stop the Estradoil if my lining is still too thin?
Is it normal to only BD night of trigger and next day 12 hours after trigger?
Any advice or opinions on the fluid in my uterus?

Thanks again ladies. I do not know what I would do without yall.

emmuffy · November 2014

Everything @BlueJoan said. Just push it in with your finger. It's gross but relatively straightforward. Invest in some pantyliners.

I'm still hoping for you this cycle. FX.

LindseyM2012 · November 2014

I'm sorry that RE had poor bedside manner. I don't think your situation sounds horribly bleak. You just need to do a little more:

When I went for my mid-cycle u/s, I had 2 follicles smaller than your one. Follicles grow 1-2mm per day if they're on track for maturation. Between my Friday u/s and my Monday u/s, I had one fully mature follicle and one borderline mature follicle (I forget the actual measurements, but one was >18mm and one was probably 17mm or so) and triggered with Ovidrel.

Have you gotten your Estradiol yet? Does it come with an applicator? I'm on a progesterone suppository (Endometrin) and they come with little applicators and it is really easy. I'm not too sure the protocol and length for Estradoil though so hopefully others can chime in. However, definitely talk to someone today about the blood clot issue. Is your nurse available?

Sounds like that RE was having a bad day. It is quite likely your follicle will grow over the weekend. You have a little bit of time to get your lining up before implantation would likely occur, so do what you can and hopefully it will work.

SND1231 · November 2014

Thanks @BlueJoan I am taking it once a day at bedtime. I looked everywhere for instructions. I am so sorry to have to put a post up but I was getting so frustrated and worried. Thanks for the heads up about the blue discharge and pee, I had no idea and probably would have freaked out! I didn't have a cyst at the baseline which is why I was so lost as to why he thought it could be a cyst this time. This wasn't my normal doctor and he didn't seem very informed on my case. I didn't think that it was that small until the doctor was saying all the negative things. Thanks for the encouragement and quick response, I appreciate it.

@emmuffy thank you! I can deal with gross if it will work!

SND1231 · November 2014

@LindseyM2012 thanks for your story, that makes me feel a lot better. I already picked up my Estradiol and it's just pills, no applicator, that is why I was soo confused! I think I am going to call my nurse and ask them about the blood clot and meds because I do not want to risk another clot, it was horrible!

SND1231 · November 2014

@hrushka thank you for the encouragement. My original RE would have been happy with that because he honestly didn't expect me to respond at all to only 2.5 mg they expected I would need more but wanted to start at the lowest dose possible due to my complicated medical history. This RE just sent me for a whirlwind of emotions with his negative attitude. I will definitely look into both the raspberry tea and accupuncture! Thank you!

tweetyknicks · November 2014

Regarding your blood clot concern, does your RE have you on low-dose aspirin? I've taken that whenever I've been on meds. Might be an option when you talk to the nurse.

deelopi9 · November 2014

I echo @tweetyknicks - My RE told me to take Bayer baby aspirin and I drank pomegranate juice until O. The progesterone reminds me suntan lotion, and pantyliners helped ALOT.

SND1231 · November 2014

Ladies what would I do without you?! You are all amazing!
I called the nurse and left a message about the Estradoil and my blood clot. The doctor I saw today called back and practically yelled "DO NOT TAKE IT" and told me he hadn't even looked at my chart and wasn't aware of my history! Seriously!!! He said he would talk to my actual RE and get back with me. He called back about an hour later and said that yada yada that the estrogen medication would increase the risks but it wouldn't be any higher than in a normal cycle. So the verdict is to take the Estradoil and also a baby aspirin until I go back on Monday. @tweetyknicks you were totally right! They are requesting records from my treatment of my blood clot from my hospital and will also test me for Factor 5 and something else. If anything tests positive I will be on blood thinners through treatment.
@BlueFairy5 you are the second or third to tell me about the raspberry leaf tea, I will definitely get some! Also, thanks for the encouragement.

@rainbowbridge14 thanks for the advice. It definitely wasn't TMI as I was seriously contemplating asking how y'all got the pills in haha!!!

ETA: clicked submit before I finished..

SND1231 · November 2014

Thank you @IPutKetchupOnKetchup and @BlueJoan . I never want to seem like I am taking too much from all of y'all and not giving it back. I try to participate and reply to as many people as I can. I just have been posting a lot of questions since it is my first medicated cycle. I promise it will slow down soon! I do appreciate all of your wonderful responses, advice, and concerns. I would be lost without this awesome group of ladies.

Edited: tag fail

SND1231 · November 2014

I agree @IPutKetchupOnKetchup I firmly think that you are your own advocate when it comes to health care. I have had way too many issues from doctor's lack of reading my complicated medical history. I am very paranoid about what I take and the effects it can have. This is one time I am really glad that I was double checking my meds!

LindseyM2012 · November 2014

So glad you called and got an answer and plan!!

cbnola71 · November 2014

Rumbera28 said:

It put a chill down my spine to hear that he didn't check your chart before prescribing your meds. I know that we all have to be our own advocates, but that was serious negligence!

totally agree. I would refuse to be treated by that doctor again. not cool. I work in healthcare and often treat patients for other co-workers. I never not look at the patient's evaluation before treating them. I don't prescribe medicine, but often have certain precautions that arise from patient to patient....

FX for this cycle! It doesn't seem like its going too badly!

SND1231 · November 2014

@cbnola71 and @Rumbera28 DH and I are thinking that we will be asking to make a note on our account that we will not see him. I was already upset about his rudeness, how negative he was, etc. You add this to it and we think it's best if we do not see him again. I do know that my U/S on Monday will be with my normal RE. My normal RE is amazing and has never treated me like this one did. He even went over how all my meds and treatments would affect each health concern I have.

dancerspose · November 2014

I totally agree with @Rumbera it's so scary that he didn't even look at your chart, especially given what I would qualify as a more complex medical history. Good for you for reading the materials, questioning the professionals, and getting much more comprehensive information! I'm so sorry you had to go through all that this morning, but glad you're on the right track now.

Good luck with the rest of the cycle!

BunnyBerry · November 2014

So glad you are all set with a safe plan!

I wanted to encourage you that when I took estradiol starting mid-cycle, it made a huge difference. Lining often grows 0.5mm for every 1mm of follie growth, but the estradiol can really increase that. Plus, it gives you faster lining growth between O and implantation, so by the time a LO needs that lining, there's a great chance it will be where it needs to be.

I had around 5mm and then 3-5 days later it was close to 12mm. Good luck!

SND1231 · November 2014

Wow @BunnyBerry that's amazing!! That really makes me feel a lot better.
Ketchup and Blue y'all are cracking me up!! Thanks for the encouragement and advice! I also agree that BJ is just not a great nickname haha!

SND1231 · November 2014

UGH what a terrible visit at the RE. I posted an update in the OP. All advice would be appreciated.

LindseyM2012 · November 2014

I'm so sorry for bad news. I don't have any advice or input. Just lots of hugs.

dancerspose · November 2014

I'm so sorry for the bad visit. I don't have any advice about the fluid in uterus or lining, but I want to send lots of hugs and positive vibes.

I will say that my RE's office said that for TI we should BD the night I trigger, the next day if we wanted, but then definitely the third day, so basically it was for 3 days, not two.

SND1231 · November 2014

Thanks ladies. I just keep crying. I am an emotional wreck today. I am fine with my lining not being perfect this round as I know they have other options for the next round. But I could see and hear the concern in my RE. I am terrified that something is majorly wrong with my uterus. I just don't know what to think. I knew cancer and chemo had side effects but I am sick of it all and just want to scream.
Thanks for the advice about BD. DH doesn't have any MFI issues so we will probably do what they say tonight, tomorrow AM, and the next day just to be safe. That way I feel like we did all that we could do even with the crappy lining.
@rainbowbridge14 thank you. I try to be strong so much. TB is the one place I can be honest with my feelings. I will look at the IF board for info about the different types of estrogen thanks!!

SND1231 · November 2014

thanks @Rumbera28 I am still learning and that explains a lot. In my head I was thinking if I stay on it it would make the lining better etc but that makes sense. It is so weird that all of a sudden there is fluid. I have had three other U/S and none showed it. I'm hoping it might just be from being on BC for awhile (which the RE mentioned, but was leaning more towards damage from chemo). I will definitely let all my other dr's know what is going on so that everyone can be on the same page.
@BlueJoan that is very true. I guess each bump in the road will let my RE better know what to expect for the next cycle. I just hope that I will not have to be benched at all or at least for long while we do further testing if this cycle doesn't work.
Thanks again ladies. I am so thankful for a place where I can be totally honest and emotional and it be ok.

dominicandreamer · November 2014

I'm sorry I no help with any of your questions. Just wanted to say I'm sorry you had such a rough visit. FX that they can figure this out and treatment will be possible.

BandM14 · November 2014

I have no advice on the fluid or the lining, but just wanted to say I'm so sorry for the bad news. I will be thinking of you.

mshandlebar · November 2014

Ugggh, I am so sorry about your not so great appointment. I was hoping you would get good news. It is scary and frustrating when you hear bad things. When I had my lining issue last month, a few people told me that the lining continues to thicken after ovulation. My understanding is that you have until implantation to get her nice and thick. So, don't count yourself out quite yet.

I am glad that you get to trigger soon, and I hope that this works out for you. If you don't get a BFP then you, your doctor and YH will figure out the steps to take. All you can do is take it one step at a time. Sometimes crying is the best way to deal with these things

Big hugs!

SND1231 · November 2014

Thanks @mshandlebar‌ you are very sweet! I appreciate all the encouragement! I'm usually not an emotional person but goodness all the bad news has gotten to me lately especially with the holidays coming. I'm trying not to lose all hope but am researching for what we can do differently next cycle.

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