@kaitlink33 Oh sorry, I read that wrong. I thought you meant you responded to the highest letrozole dose. That's great you are growing follies now though.
@mrsdaddario thanks for the explanation about estrogen and estrogen pills. Hurray for science! I was worried for a second.
@TravelingCouple I also got my endometrin through an online pharmacy because it was less expensive. Kings pharmacy based in Brooklyn.
@TravelingCouple I can confirm that Kings Pharmacy (that @madspunk uses) is legit. They have brick-and-mortar stores in NYC, where I got my IUI-related meds. I know a lot of people use Freedom Fertility Pharmacy, too.
@kyersten - I have to say I mostly believe REs are really into it for good reasons, but at the same time, most REs are very IVF-centered. That being said, I would advocate for yourself if IVF is really something you don't want to go to. Get a second opinion or push for an SHG or something. But also... what is the rest of the history here? Is there any other reason IUIs won't be beneficial? MFI, Endo, PCOS... etc? Or has it just been "unexplained" up till this point? Have you had other testing done? It might be that he is IVF-minded, but it also might be just that that's one more thing that could prevent an IUI, so he wants to give you the best chance possible. I will say this, your insurance covering IVF is incredible. Make sure you look into it though. Are they covering IVF as a separate entity from all the rest of your IF treatment, or do you have a cap and you just haven't hit it yet, so it's covered? I ask because you don't want to "waste" your allotted money on IUIs, find out IVF is necessary, and then find you have no more coverage. Just make sure you do plenty of research on the insurance side, so there are no surprises later. Especially with the insurance game, you have to be your own best advocate. Good luck!
TTC #1 since September 2014 Diagnoses: RPL, Endometriosis, MFI
(count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low
progesterone Check out my Infertility blog Check out my Infertility Instagram
Loss History (TW):
BFP: 3 May 2015, loss confirmed 4 June 2015 BFP: 15 August 2015, loss confirmed 23 August 2015 BFP: 16 November 2015, loss confirmed 22 November 2015 BFP: 18 July 2016, loss confirmed same day BFP: 04 March 2018, loss confirmed 23 March 2018 BFP: 12 June 2018, TWINS; D&C 06 July 2018
TTC History (TW):
3 losses in 2015 Met with OBGYN in January 2016 Me: all clear, H: OAT November 2016: HSG = All
Clear!
January 2017: H tested again, High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt
#1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17 December 2017 SA: Zero improvement after embolization January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC) Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA) FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018 May 2018: SHG/SIS = all clear "beautiful uterus" FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. BFP: 12 June 2018, EDD 20 February 2019 Ultrasound, 25 June 2018: There are two! Lost Baby A 02 July 2018 Baby B not growing, D&C 06 July 2018 Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel.
Next Up:
TTC Naturally, possibly IUIs for remainder of 2018. ER#2 ~Jan 2019
@KristoKekerooni I just briefly browsed your IF blog and it brought tears to my eyes. Your deleted letters to your children are beautiful and so heartbreaking. I so wish that I understood why some women experience infertility, loss and such inexplicable heartache. Actually, understanding wouldn't be enough, I wish there was an answer and a fix. I'm so sorry for your losses and I also wanted to say that I think it's beautiful that you are going through foster care classes. My sister is a foster mom and what I've seen her do with children that need a loving home in emergency situations just stirs my heart. It is no easy feat, but it is so, so needed. I love that you are opening your heart like that. My DH and I have discussed this as an option as well if more biological children are not in our future. It would be a hard pill to swallow, but I just feel like there are more children out there that we are meant to love and have join our family. Whether or not they are all biological, I have no idea. Just wanted to share my love and support to and with you
Oh, @TravelingCouple . I appreciate you saying something! It's a pretty new blog. I have a bunch more that I have written but haven't posted. I need to do that... ha. but really, thank you. Especially with the foster care side of things, we never even really thought about it. We just jumped right in because at the end of the day, we want kids. Not to say we won't grieve if we can't have biological kids, I'm just saying kids are kids. And I want all of them. I really hope and pray your journey takes you to more kids, biological and foster/adopt, if that's what's in your cards. I appreciate your support and you reaching out. Much love!
TTC #1 since September 2014 Diagnoses: RPL, Endometriosis, MFI
(count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low
progesterone Check out my Infertility blog Check out my Infertility Instagram
Loss History (TW):
BFP: 3 May 2015, loss confirmed 4 June 2015 BFP: 15 August 2015, loss confirmed 23 August 2015 BFP: 16 November 2015, loss confirmed 22 November 2015 BFP: 18 July 2016, loss confirmed same day BFP: 04 March 2018, loss confirmed 23 March 2018 BFP: 12 June 2018, TWINS; D&C 06 July 2018
TTC History (TW):
3 losses in 2015 Met with OBGYN in January 2016 Me: all clear, H: OAT November 2016: HSG = All
Clear!
January 2017: H tested again, High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt
#1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17 December 2017 SA: Zero improvement after embolization January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC) Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA) FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018 May 2018: SHG/SIS = all clear "beautiful uterus" FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. BFP: 12 June 2018, EDD 20 February 2019 Ultrasound, 25 June 2018: There are two! Lost Baby A 02 July 2018 Baby B not growing, D&C 06 July 2018 Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel.
Next Up:
TTC Naturally, possibly IUIs for remainder of 2018. ER#2 ~Jan 2019
@wabash15@juliebeannn@TravelingCouple Thank you for the kind words! I love this community - for me, after updates with the RE I always think I need to 1) call my mom and 2) go to the bump! I appreciate you all I did ask if there was other testing that could be done to confirm, but he said the risks outweigh the benefits. I do like him a lot and have had no problems with him so far - I think it was just unexpected to hear "IVF is your best option" after having thought all our tests were clear. I think I do probably trust him and DH trusts him (and is not one to easily trust people we don't know).
@KristoKekerooni The reason he suspects scar tissue is that I had a ruptured appendix a few years ago. It actually did rupture (due to misdiagnosis) and I was in the hospital for a few days for severe internal infection. So he says because of how fragile tubes and etc. are, he doesn't think there is any way I could have come out from that unscathed. He was amazed and pleased that the HSG didn't show any fluid or blockage in my tubes, but said other signs on the images do point to scar tissue. Other than this, neither DH or I have another diagnosis.
As far as the IVF goes, I am incredibly grateful my insurance has been so great with the TTC journey so far. My insurance covers three IVF attempts per live birth. My RE office is working on getting it all officially cleared with the insurance for whenever we decided to do it. I do need to find out if the FSH medication/injections are covered.
Thank you for all your advice and insight @KristoKekerooni ! I will look into the SHG and check out your blog!
DH: 31, Me: 27 Married May 2014 TTC #1: May 2015 September 2016-December 2016: Met with RE, fertility testing, diagnosis of tubal scarring, and plan of IVF *TW in spoiler boxes*
Surprise! Unexpected BFP 2/22/17 just when we were about to start fertility treatment!
@kyersten - Oh. So logically, what he is saying makes sense, but just my opinion, I'd rather *know* scar tissue was the issue than to assume it. Either way, I hope everything goes smoothly for you. Keep us updated! Oh, and thanks.
TTC #1 since September 2014 Diagnoses: RPL, Endometriosis, MFI
(count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low
progesterone Check out my Infertility blog Check out my Infertility Instagram
Loss History (TW):
BFP: 3 May 2015, loss confirmed 4 June 2015 BFP: 15 August 2015, loss confirmed 23 August 2015 BFP: 16 November 2015, loss confirmed 22 November 2015 BFP: 18 July 2016, loss confirmed same day BFP: 04 March 2018, loss confirmed 23 March 2018 BFP: 12 June 2018, TWINS; D&C 06 July 2018
TTC History (TW):
3 losses in 2015 Met with OBGYN in January 2016 Me: all clear, H: OAT November 2016: HSG = All
Clear!
January 2017: H tested again, High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt
#1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17 December 2017 SA: Zero improvement after embolization January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC) Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA) FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018 May 2018: SHG/SIS = all clear "beautiful uterus" FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. BFP: 12 June 2018, EDD 20 February 2019 Ultrasound, 25 June 2018: There are two! Lost Baby A 02 July 2018 Baby B not growing, D&C 06 July 2018 Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel.
Next Up:
TTC Naturally, possibly IUIs for remainder of 2018. ER#2 ~Jan 2019
Diagnosis (If you've been): Just got DH's first SA results yesterday: low count (26 mil), 5% morphology. But, the 5% of good sperm had good motility. My ob/gyn is recommending IUI.
Cycle/CD: 6/11
Status (WTO/TWW/TTA): WTO
What are you doing this cycle? (Testing? Treatment?) Mostly just researching and gathering information. Yesterday sucked. We ended up
talking, and he says he’s quitting smoking after this weekend. We were already
planning to clean up our diet starting in the new year (cliché, I know), so
we’ll do that, and I’m going to put him on a multivitamin/fertility supplement.
Then he’ll do another SA in 3 months to see if there’s any improvement. At that
point we’ll make a decision on IUI.
How are things going? Um, still trying to crawl out of the gut-punch fog from yesterday. DH isn't sure if he wants to continue TTC before the 3 month post-smoking mark... But now that I'm thinking about our conversation from last night, I'm just realizing that he thinks that his swimmers would cause a birth defect in a baby because of the label on cigarette packs. So, I need to re-educate him on a few things.
Any questions? Has anyone had any experience with FertileAid for men? Or FH Pro for Men? Or is it all just a bunch of crap? I know that CoQ10 is recommended, and he needs to be on a good multivitamin anyway. I'm just trying to limit the number of pills he has to take each day because he's a baby about it. So, that's why I'm liking the FH Pro for Men - because it's kind of an all-in-one.
GTKY: What is your favorite Christmas/holiday cookie? Spritz or sugar cookies. But I don't usually turn down any kind of cookie!
@lund I'm so sorry you have to deal with this and it is so much to process. I'm glad they are planning a repeat SA. Has your OB given you a referral to an RE and or a urologist for DH?
*TW*
TTC 1/2012 Diagnosed : unexplained infertility 6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015 TTC #3 5/2016 Restarted Fertility tx IUI 2 rounds, baby girl 12/17
@wabash15 thank you again for your kind words and support The nurse we talked to yesterday didn't really give us any recommendations/referrals aside from recommending IUI. I'm considering making an appointment with my ob/gyn just so DH and I can speak with him about our options, and possibly seeing an RE or urologist. My guess is that since he's a smoker, they aren't pushing us to spend more money on more appointments/tests, and would just encourage lifestyle changes first. Maybe that's naive? I can message my ob/gyn and ask about it.
@lund I would make an appointment to talk to your OB. Its so much to process and to have only talked with an nurse. I think that this might help you and DH get some of your questions answered. Also hearing it from a medical professional can help cement things for DH. I would ask your OB about a referral at the least for DH just to rule out any physical things on his end.
*TW*
TTC 1/2012 Diagnosed : unexplained infertility 6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015 TTC #3 5/2016 Restarted Fertility tx IUI 2 rounds, baby girl 12/17
@lund I'm so sorry to hear that, that must've been a stressful day and rough to hear. I'm also glad they are giving you a repeat SA too see if there can be improvements based on lifestyle changes. Maybe this will be the thing that makes your DH kick the habit for good, which would be great for everyone. I know you've been wanting him to quit for a while. Sending hugs, no one ever wants to move over to this thread, but the ladies here are the bees knees
Re: IF/Testing check-in Week Dec 12
@mrsdaddario thanks for the explanation about estrogen and estrogen pills. Hurray for science! I was worried for a second.
@TravelingCouple I also got my endometrin through an online pharmacy because it was less expensive. Kings pharmacy based in Brooklyn.
Good luck!
Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
Check out my Infertility blog
Check out my Infertility Instagram
BFP: 15 August 2015, loss confirmed 23 August 2015
BFP: 16 November 2015, loss confirmed 22 November 2015
BFP: 18 July 2016, loss confirmed same day
BFP: 04 March 2018, loss confirmed 23 March 2018
BFP: 12 June 2018, TWINS; D&C 06 July 2018
Met with OBGYN in January 2016
Me: all clear, H: OAT
November 2016: HSG = All Clear!
January 2017: H tested again, High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17
December 2017 SA: Zero improvement after embolization
January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
May 2018: SHG/SIS = all clear "beautiful uterus"
FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo.
BFP: 12 June 2018, EDD 20 February 2019
Ultrasound, 25 June 2018: There are two!
Lost Baby A 02 July 2018
Baby B not growing, D&C 06 July 2018
Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel.
ER#2 ~Jan 2019
Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
Check out my Infertility blog
Check out my Infertility Instagram
BFP: 15 August 2015, loss confirmed 23 August 2015
BFP: 16 November 2015, loss confirmed 22 November 2015
BFP: 18 July 2016, loss confirmed same day
BFP: 04 March 2018, loss confirmed 23 March 2018
BFP: 12 June 2018, TWINS; D&C 06 July 2018
Met with OBGYN in January 2016
Me: all clear, H: OAT
November 2016: HSG = All Clear!
January 2017: H tested again, High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17
December 2017 SA: Zero improvement after embolization
January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
May 2018: SHG/SIS = all clear "beautiful uterus"
FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo.
BFP: 12 June 2018, EDD 20 February 2019
Ultrasound, 25 June 2018: There are two!
Lost Baby A 02 July 2018
Baby B not growing, D&C 06 July 2018
Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel.
ER#2 ~Jan 2019
@KristoKekerooni The reason he suspects scar tissue is that I had a ruptured appendix a few years ago. It actually did rupture (due to misdiagnosis) and I was in the hospital for a few days for severe internal infection. So he says because of how fragile tubes and etc. are, he doesn't think there is any way I could have come out from that unscathed. He was amazed and pleased that the HSG didn't show any fluid or blockage in my tubes, but said other signs on the images do point to scar tissue. Other than this, neither DH or I have another diagnosis.
As far as the IVF goes, I am incredibly grateful my insurance has been so great with the TTC journey so far. My insurance covers three IVF attempts per live birth. My RE office is working on getting it all officially cleared with the insurance for whenever we decided to do it. I do need to find out if the FSH medication/injections are covered.
Thank you for all your advice and insight @KristoKekerooni ! I will look into the SHG and check out your blog!
Married May 2014
TTC #1: May 2015
September 2016-December 2016: Met with RE, fertility testing, diagnosis of tubal scarring, and plan of IVF
*TW in spoiler boxes*
Oh, and thanks.
Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
Check out my Infertility blog
Check out my Infertility Instagram
BFP: 15 August 2015, loss confirmed 23 August 2015
BFP: 16 November 2015, loss confirmed 22 November 2015
BFP: 18 July 2016, loss confirmed same day
BFP: 04 March 2018, loss confirmed 23 March 2018
BFP: 12 June 2018, TWINS; D&C 06 July 2018
Met with OBGYN in January 2016
Me: all clear, H: OAT
November 2016: HSG = All Clear!
January 2017: H tested again, High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17
December 2017 SA: Zero improvement after embolization
January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
May 2018: SHG/SIS = all clear "beautiful uterus"
FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo.
BFP: 12 June 2018, EDD 20 February 2019
Ultrasound, 25 June 2018: There are two!
Lost Baby A 02 July 2018
Baby B not growing, D&C 06 July 2018
Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel.
ER#2 ~Jan 2019
Diagnosis (If you've been): Just got DH's first SA results yesterday: low count (26 mil), 5% morphology. But, the 5% of good sperm had good motility. My ob/gyn is recommending IUI.
Cycle/CD: 6/11
How are things going? Um, still trying to crawl out of the gut-punch fog from yesterday. DH isn't sure if he wants to continue TTC before the 3 month post-smoking mark... But now that I'm thinking about our conversation from last night, I'm just realizing that he thinks that his swimmers would cause a birth defect in a baby because of the label on cigarette packs. So, I need to re-educate him on a few things.
GTKY: What is your favorite Christmas/holiday cookie? Spritz or sugar cookies. But I don't usually turn down any kind of cookie!
Married: 2/1/2012
TTC #1 since August 2016
DH SA Dec 2016: Low count (11.7 mil total motile), 5% morphology, 73% motility
Blood work June 2017: AMH 1.1 (ugh), FSH 8.4, LH: 5.2, estradiol 28 pg/ML, progesterone 7.4
HSG July 2017: tubes clear
BFP 7/24/17 - EDD 4/5/2018
Diagnosed : unexplained infertility
6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
TTC #3 5/2016
Restarted Fertility tx
IUI 2 rounds, baby girl 12/17
Married: 2/1/2012
TTC #1 since August 2016
DH SA Dec 2016: Low count (11.7 mil total motile), 5% morphology, 73% motility
Blood work June 2017: AMH 1.1 (ugh), FSH 8.4, LH: 5.2, estradiol 28 pg/ML, progesterone 7.4
HSG July 2017: tubes clear
BFP 7/24/17 - EDD 4/5/2018
Diagnosed : unexplained infertility
6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
TTC #3 5/2016
Restarted Fertility tx
IUI 2 rounds, baby girl 12/17