Infertility

I'm so confused about timing, hoping someone can help

I'm scheduled for my egg retrieval in May. This is my first foray into IVF, and we skipped over IUI altogether. My RE said most of the appointments would occur in April. I will begin taking my bcp in March, are there any appointments between the start of bcp and the trial run? Thank for any input. I'm trying ot plan a relaxing vacation before then to get us ready.
Me & DH - 41, DH has a cyst blocking his tubes, I'm just old.
IVF #1 scheduled May 2016 - 375/525 follistim, 75 menopur - cancelled cycle Day 6
IVF #2 scheduled July 2016 - new protocol, switcharoo...IUI June 2016 - BFN
IVF#3 scheduled August 2016 - estrogen & testosterone primed for 3 wks - ganirelix 7 days leading up to stim - 500 follistim, 75 menopur, 150 clomid , no follicle growth on day 6, stopped injectibles. Scanned day 9 just to check, some growth, 3 days 200 mg clomid, day 12 more growth, 100 follistim, 75 menopur, start ganirelix on day 13, ER = 0 eggs, ovulated to soon ( :( )
IVF#4 scheduled Sept 2016 - Microdose Flare protocol, cancelled stim day 6 converted to IUI (one dominant follicle)  :(  IUI cancelled ovulated too soon again. Taking a mental health break.
IVF#5 December 2016 - New protocol, same results. My adventure is over.


Re: I'm so confused about timing, hoping someone can help

  • Here's what my calendar basically looked like:

    2-3 weeks of BCP
    Stop BCP, start dexamethasone (steroid for anti-inflammatory, not all docs use it)
    2 or 3 days (can't remember) after stopping BCP, went in for baseline labs and U/S
    Started stim injections, after about 5 days we started going in every morning for labs and U/S to monitor follicle growth

    Not sure if that helps! I know every clinic does things differently, but they should be able to give you a tentative schedule from start to transfer.

    ---Trigger warning---

    Me: 31 DH: 27
    TTC since April 2013
    Two cancelled IUIs in Aug and Sept '15 due to low motility/count
    IVF round 1: January 2016
    ER: February 17, 2016; 9 retrieved, 7 mature, 7 fertilized
    Day 5 Blastocysts: 5 BB, 1 AB, all normal from PGS
    FET date: May 11, '16; transferred 1 AB embryo
    First beta: May 23, '16: 998!!  Second: May 25, '16: 1648
    EDD: January 27, 2017
    BabyFruit Ticker
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  • I'm a bit confused by your wording on this post. You should be scheduled to start bcps, then start stim medication. You can't really be scheduled for a retrieval until you have monitoring appointments to see how your follicles are growing. You may need 8 days of stims, or you may need 18. You won't know until you start doing it. Once you start your stims you should have appointments every 2-5 days, so you should plan your vacation before that, or after egg retrieval if you're doing a freeze all and FET. I also don't understand "are there any appointments between the start of bcp and the trial run?" What trial run are you referring to? Unless you are planning a mock transfer, which should happen before you start your stims.

    Hope this helps some!
    About us:
    Me - 28, Lean PCOS
    DH - 31
    Married June 2010, TTC since March 2014
    Blog: ourbinarystar.com

    FET cycle #3 Transfer July 28th 2016, Triplets born healthy on February 26th 2017 at 33w1d!

  • We actually don't have our Trial transfer until after egg retrieval. I call with CD1 and overthe next month they'll do all those trials, then put me on meds to prep for transfer.

    ---Trigger warning---

    Me: 31 DH: 27
    TTC since April 2013
    Two cancelled IUIs in Aug and Sept '15 due to low motility/count
    IVF round 1: January 2016
    ER: February 17, 2016; 9 retrieved, 7 mature, 7 fertilized
    Day 5 Blastocysts: 5 BB, 1 AB, all normal from PGS
    FET date: May 11, '16; transferred 1 AB embryo
    First beta: May 23, '16: 998!!  Second: May 25, '16: 1648
    EDD: January 27, 2017
    BabyFruit Ticker
  • My clinic does retrievals one week a month, so fx'd, my retrieval will take place some time during the week of May 8th, with stim starting some time around April 28th. I am referring to a mock transfer which I understand will be done prior to stims, some time in April. I know I will begin bcp some time in March.

    I guess what I'm asking it I know all the sort of 'milestone' dates, I'm just wondering about appointments in between those for bloodwork, etc. I would love to have a set in stone schedule for work but i understand that's not likely.

    Thanks for all the info!

    I'm also wondering why some places do fresh transfers over frozen and vice versa.
    Me & DH - 41, DH has a cyst blocking his tubes, I'm just old.
    IVF #1 scheduled May 2016 - 375/525 follistim, 75 menopur - cancelled cycle Day 6
    IVF #2 scheduled July 2016 - new protocol, switcharoo...IUI June 2016 - BFN
    IVF#3 scheduled August 2016 - estrogen & testosterone primed for 3 wks - ganirelix 7 days leading up to stim - 500 follistim, 75 menopur, 150 clomid , no follicle growth on day 6, stopped injectibles. Scanned day 9 just to check, some growth, 3 days 200 mg clomid, day 12 more growth, 100 follistim, 75 menopur, start ganirelix on day 13, ER = 0 eggs, ovulated to soon ( :( )
    IVF#4 scheduled Sept 2016 - Microdose Flare protocol, cancelled stim day 6 converted to IUI (one dominant follicle)  :(  IUI cancelled ovulated too soon again. Taking a mental health break.
    IVF#5 December 2016 - New protocol, same results. My adventure is over.


  • @KirstenCas Definitely ask your doc. As you said, it can't be set in stone because it all depends on how your body responds, but they should give you a calendar.

    There is a higher success rate for FET because your body has had time to come down off all the screwy hormones. If you have even slight OHSS, and then put a baby in, it can really exacerbate things and you could miscarry and/or have serious health complications for yourself. Most clinics will do both, but ours recommended the FET, and absolutely will not do a fresh if you have symptoms of OHSS.

    ---Trigger warning---

    Me: 31 DH: 27
    TTC since April 2013
    Two cancelled IUIs in Aug and Sept '15 due to low motility/count
    IVF round 1: January 2016
    ER: February 17, 2016; 9 retrieved, 7 mature, 7 fertilized
    Day 5 Blastocysts: 5 BB, 1 AB, all normal from PGS
    FET date: May 11, '16; transferred 1 AB embryo
    First beta: May 23, '16: 998!!  Second: May 25, '16: 1648
    EDD: January 27, 2017
    BabyFruit Ticker
  • Thanks
    Me & DH - 41, DH has a cyst blocking his tubes, I'm just old.
    IVF #1 scheduled May 2016 - 375/525 follistim, 75 menopur - cancelled cycle Day 6
    IVF #2 scheduled July 2016 - new protocol, switcharoo...IUI June 2016 - BFN
    IVF#3 scheduled August 2016 - estrogen & testosterone primed for 3 wks - ganirelix 7 days leading up to stim - 500 follistim, 75 menopur, 150 clomid , no follicle growth on day 6, stopped injectibles. Scanned day 9 just to check, some growth, 3 days 200 mg clomid, day 12 more growth, 100 follistim, 75 menopur, start ganirelix on day 13, ER = 0 eggs, ovulated to soon ( :( )
    IVF#4 scheduled Sept 2016 - Microdose Flare protocol, cancelled stim day 6 converted to IUI (one dominant follicle)  :(  IUI cancelled ovulated too soon again. Taking a mental health break.
    IVF#5 December 2016 - New protocol, same results. My adventure is over.


  • Also, some people are on BCPs for as long as 6 weeks prior to stims.  It's less common, but it happens.
    Me- 39 (turning 40 in April), TTC for the first time ever (since Jan 2015), low ovarian reserve
    Married 3/14/14 to my wonderful wife, but her sperm count is rather low
    TTC with frozen donor sperm and science

    7 IUIs, 7 BFNs.
    2 IVF attempts, both cancelled and converted to IUI, both BFNs.
    Decided that my tired old ovaries are ready to retire.
    Next step- reciprocal IVF, using my wife's eggs, my uterus!  
    fresh 5 day transfer (2 embryos) 4/17/17- BFP! 
    Identical twins "due" 1/2/17 (but anticipated arrival sometime December)

  • KLake42 said:
    Also, some people are on BCPs for as long as 6 weeks prior to stims.  It's less common, but it happens.
    Yes, this is what our doctor said during the training session. Everyone is different. 
    DS#1: born Dec 29, 2013 
    TTC#2 since Sept 2014 - unexplained secondary IF
    BFP #2: 11.7.14  M/C: 11.27.14 @ 6w3days
    BFP #3: 04.19.2015 M/C 04.27.15 @ 4w3days
    BFP #4: 10.05.2015 C/P @ 3w4days
    Oct 11, 2015: Cycle 13. Starting Femara (2.5mg). HSG this cycle (all clear) - BFN
    Nov 12, 2015: Cyle 14. Femara 5mg + IUI - BFN
    Dec 10, 2015: Cycle 15. Femara 5mg + IUI #2 - BFP #5! C/P 4w4d
    Jan 10, 2016: Cycle 16. Femara 5mg + IUI #3 - BFN.
    Feb 10, 2016: Cycle 17.  No IUI or meds. Taking a break - Natural BFP Mar 5, 2016!!!! EDD Nov 16, 2016
    Moving to IVF March 2016
    Beta at 10dpo: 21, Beta at 12dpo: 98, Beta at 14dpo: 264, Beta at 16dpo: 745
    U/S 6w6d: single beautiful heartbeat of 121bpm - It's a boy!!!!
    Nov 3, 2016: Our family became complete. Welcome DS #2.
  • Hi there. I'm doing my fist IVF cycle now too, so I understand the confusion about the schedule. I like to have it all planned out as well. Here's the tentative schedule my clinic gave me:

    2/19 - 3/21 - BCP
    3/25 - come back for blood work and ultrasound; start stims and go in every 2-3 days for monitoring
    4/5 - approximate date of retrieval 
    4/10 - approximate date of fresh transfer if we decide to go with it 

    Hope this helps. 
    ***History & TW in Spoiler***

    ***bfp & child warning***
    TTC - since 2014
    7 rounds of Clomid - BFN
    IUI #1 - October 2015 - BFN
    IUI #2 - November 2015 - BFN
    IUI #3 - December 2015 - BFN
    IVF #1 - March 2016
    Retrieval #1 - April 2016
    FET #1 - May 2016 - BFP!!! DS - Born January 2017
    Trying for baby #2...
    FET #2 - January 2018 - BFN  
    No more embryos left; switched to a new RE
    IVF/Retrieval #2 - January 2019
    IVF/Retrieval #3 - March 2019
    FET #3 - April 2019 - BFP!!! - DD: Born December 2019
    Trying for baby #3...
    FET #4 - October 2021 - BFP!!! - Due June 2022


  • Thanks so much
    Me & DH - 41, DH has a cyst blocking his tubes, I'm just old.
    IVF #1 scheduled May 2016 - 375/525 follistim, 75 menopur - cancelled cycle Day 6
    IVF #2 scheduled July 2016 - new protocol, switcharoo...IUI June 2016 - BFN
    IVF#3 scheduled August 2016 - estrogen & testosterone primed for 3 wks - ganirelix 7 days leading up to stim - 500 follistim, 75 menopur, 150 clomid , no follicle growth on day 6, stopped injectibles. Scanned day 9 just to check, some growth, 3 days 200 mg clomid, day 12 more growth, 100 follistim, 75 menopur, start ganirelix on day 13, ER = 0 eggs, ovulated to soon ( :( )
    IVF#4 scheduled Sept 2016 - Microdose Flare protocol, cancelled stim day 6 converted to IUI (one dominant follicle)  :(  IUI cancelled ovulated too soon again. Taking a mental health break.
    IVF#5 December 2016 - New protocol, same results. My adventure is over.


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