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When is your Dr's cutoff for CD1?

rachlee2010rachlee2010 member
in Infertility
It seems like different doctors say you have to have a full flow period by different times to call it CD 1..My current doctor says they want full flow by 5 pm to call it day 1.  My first RE said by 9 pm.
What is your Dr's cutoff and how important is it??

I just got my period on Saturday..when I went to the bathroom at 3pm it was just when I wiped..I then put a tampon in and when out on errands..when I got home at about 630 and took it out it was def full flow but I don't know exactly what time that started.  I counted it as CD1 because I def think it was at least by 5 if not before.  Plus my dr said bright red and when I wiped at three there wasn't much but I saw some bright red.  

Just curious about different doctors
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Re: When is your Dr's cutoff for CD1?

  • kuposa17kuposa17 member
    My clinic has 5pm cutoff as well. I have a similar problem though, the flow and color change frequently throughout the day, so sometimes I just give it my best estimate.
    me: 39  DH: 42
    TTC: since April 2014
    IUI #1-3 Jan-April 2015 (all BFNs)
    IVF #1 May/June 2015 - cancelled due to poor response
    IVF #2 July/Aug 2015 - BFN
    DE IVF #1 March 2016 - BFP
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  • riveridgionalriveridgional member
    I thought my clinic said 5 was the cut off, but I started round 4:30 once and they counted CD1 as the next day. I would just call and explain to your doctor. He can make the judgment call based on his experience.
    Married to DH 10/6/12
    TTC since 5/14
    Unexplained with (controlled) hypothyroidism and suspected ovulatory dysfunction (but, I do ovulate on my own)
    Clomid 50 mg 3/15 (unmonitored) - BFN
    Clomid 50 mg + metformin 4/15 (unmonitored) - BFN 
    First RE appt. 5/15; Natural cycle 5/15 monitored with 2 mature follicles and Pregnyl Trigger (full dose) + prometrium - BFN
    6/15 HSG - clear tubes & normal uterus; great PCT test results
    TI - 100 mg Clomid + prometrium (AM & PM) + vaginal estrace (AM & PM) 6-7/15 (monitored) --> no additional response and thinned lining - BFN
    TI - Injectables (follistim + Gonal-F, Ganirelix, & 1/2 dose Pregnyl) + prometrium (AM & PM) 9/15 --> 3-7 mature follicles (3 definites and 4+ that could have matured due to trigger) @ O -->BFN + 5 large cysts
    BC for 2 weeks due to cysts
    TI - Injectables (Gonal-F, Ganirelix & full dose Pregnyl) + prometrium (AM & PM) 10/15 --> 1 mature follicle --> BFN 
    TI - Last attempt at injectables (Gonal-F, Ganirelix & 1/2 dose Pregnyl) + crinone (AM only) + vaginal estrace (AM & PM) 11/15 --> 3-4 mature follicles --> BFP!! 11/27/15 @ 13dpo (shockingly, actually waited until then to test)

    Beta #1 @ 16dpo (11/30/15) = 1,075
    Beta #2 @ 19dpo (12/3/15) = 3,150
    One baby: Saw heartbeat @ 5w5d (114 bpm; baby measuring 2.3mm)

    "Great Things are Happening"
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  • Whiggrrl65Whiggrrl65 member

    I think they have those weird times due to their own scheduling. 

     

    If you were able to fill a tampon, its definitely CD1.

      • TTC #1 since August 2014
      • currently on 5th medicated IUI cycle
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  • vssbrmvssbrm member
    @rachlee2010 - I am so glad you asked this, my RE never gave a conclusive answer for this question, just if it was steady that should be counted as CD1.
    Married May 2009, TTC since November 2012 (Together since 2006 ish - had my eyes on him since 2001)
    Me: 32 (33 in May), Him: 37 (January)

    DX: Me: High Prolactin, Possible Autoimmune Disease Issues, though RE not concerned (?)  New RE has a plan!!
           Him: Minor Varicocele, low morphology, slightly low count

    History:

    Beta 5/9/2016 BFP!!
    Embryo transfer scheduled for April 28, 2016 and beta test May 9, 2016 (day after Mother's Day!)
    Transfer Meds include: Lupron Depot (4/1), Minivelle Patch (every 3rd day), Estradiol (3x daily), Amoxicillin, Progesterone in Oil, Methylprednisonlone. Lovenox and baby asprin added after transfer. 

    3/22/16 - Sono Saline ultrasound cyst to be aspirated on 4/1/16 if not cleared up by 3/29 US - It cleared on its own
    Retrieval 3/4/16 - 26 eggs retrieved, 23 mature, 20 fertilized, 14 embryos currently frozen
    Starting IVF Stims on +/- Feb 22, 2016
    HSG scheduled for 1-26-16 - All clear "beautiful uterus" (though inverted)

    Switched clinics and now prepping for IVF in February / March

    Fourth IUI -  CD3-7 100 Clomid w/ Ovidrel Trigger - December, 2015 - BFN
    Third IUI -  CD3-7 100 Clomid w/ Ovidrel Trigger - November, 2015 - BFN
    Second IUI - CD3-7 100 Clomid w/ Ovidrel Trigger - September, 2015 - BFN
    Started Prolactin Medication October 15 - Levels quickly regulated to with in normal range
    First IUI - CD3-7 100 Clomid w/ Ovidrel Trigger - August, 2015 - BFN
    After no BFPs (ever) First RE/Urologist visit in Feb 2015
    HSG w/ OB, 2014 = all clear
    Trying to conceive since November 2012
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  • emsmama15emsmama15 member
    I never got a cutoff either, but my last cycle, I started light flow (probably more like spotting) at 1pm and it finally started really flowing by 8pm.  They called the next day CD 1.  
    *** 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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  • rachlee2010rachlee2010 member
    Now I'm not so sure if I am on the right day but does it matter that much?? 

    I know by 6:30 on Saturday when i checked it counts as full red flow.  I am assuming it was like that at 5 but I didn't actually check.  Would an hour and a half be a huge deal?  Does it really matter at all? I know they want me to start meds on cd 3 (which I did last night) but if it was technically cd2 is it really a big deal?? I am just not going to worry about it..oh well
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  • smdrodgerssmdrodgers member
    My doc says 5pm is the cutoff, but they also tell me exactly when to start meds after that.  So if I started around 5 on Saturday, they would tell me to start meds on Monday.  They tend to over explain just incase :)
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