Trying to Get Pregnant

IF Treatment and Testing- Week of 8/6

2

Re: IF Treatment and Testing- Week of 8/6

  • @sheepshepherdess I’m sorry you feel like you’re out this cycle. 
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  • @emmasemm Fx for you girl! I truly hope this cycle is it for you <3 How exactly does a damn ovary hide?
    People think we become mothers when we give birth but the truth is we become mothers the moment we start calling our babies to us in our thoughts, dreams and prayers. Some paths are short and some are so long that you can easily forget where you were headed.

    How I feel all of the time.
    My 7 Year Journey ***Tw in spoiler***
    IVF
    IVF #1 - September 2018; Follistim, Menopur, Cetrotide & Lupron/HCG combo trigger; PGS; ICSI
    Back on Levothyroxine
    FET #1 - October 2018; cancelled, all PGS aneuploid
    FET #1 - November 30th, transferred anyway
    Wondfo BFP 5dp5dt, CB Digi 6dpt, 
    1st Beta on 7dpt 93
    2nd Beta on 10dpt 510!

    TTC #1 since 2011. Tried for 5 years before we knew there was a one year rule.
    Diag w/MS 2016; w/PCOS & IF 2017
    New RE 2018; PCOS diagnosis taken away, IF due to ovary adhesions, but prev. RE insists PCOS IF

    IUI
    IUI #1 July 2017 w/100mg Clo+trigger; BFN; benched w/big cysts
    IUI #2 October 2017 w/50mg Clo+trigger; BFN; benched w/big cysts
    IUI #3 February 2018 w/5mg Femara+trigger; low P
    BFP February; mc March; Subclinical hypothyroid started Levothyroxine 
    IUI #4 March 2018 w/7.5mg Femara+trigger; BFN
    Medicated cycle & TI April 2018 w/7.5mg Femara+trigger; BFN
    Tried several cycles on our own; all BFN
     
  • @emmasemm So excited for Friday!!! At least it sounds like you're past the point where the Drs marvel over your repro organs' unusual layout, and they instead just dive in and figure out how to find them, including that sneaky ovary. Yay no injections!
    Me: 29 DW: 44
  • Sorry all I’ve been super busy at work and mobile bumping is hard I’ll try and come back later for more comments 

    @emmasemm and @zamora_spin YGPM 

    @emmasemm so excited for you for tomorrow ahhh!! Can’t wait for your update! Are you planning an FET after this retrieval? 
  • Sparty18Sparty18 member
    edited August 2018
    Hi ladies, I hope it's ok for me to jump in over here with a few questions.  We are supposed to be starting Clomid and likely IUI this cycle.  I had my blood work and u/s at my RE this morning.  Unfortunately, they found a 6.9cm cyst on my left ovary.  (ETA: My right ovary had 20 antral follies.)  It wasn't my RE doing the u/s, so I'm waiting on a call back later with the plans to move forward from my RE.  In the meantime, the RE this morning mentioned they will likely want to drain it tomorrow.  Questions:

    1.  For anyone who has had a cyst drained, can you explain a bit about your experience?  Did you have anesthesia?  The RE this morning said she always does anesthesia but my RE gives me the option.

    2.  My nurse still gave me the Clomid prescription, but said to wait as they will likely wait for me to start until after the cyst is drained.  I'm on CD4 today, so starting tomorrow should still be ok if all goes well.  The script is for 100mg, which I asked why they are starting me so high and the nurse just said that is their standard.  Should I push any further on why they are starting so high or is this relatively common?  I have no known issues other than early ovulation.
  • @Sparty18 I don't have any input on the cyst, but my RE is recommending 100mg of Clomid for my IUI next cycle, too. I also ovulate on my own. She said that they usually start there and then adjust up or down as needed, but they want to get the best chance of having 2 nice big follicles ovulate to increase the chances of fertilization and implantation. She said there are more than 2 that ovulate then they'll cancel the IUI and highly recommend we don't BD. 
  • @zamora_spin I think they may give me Valium before IVs...but of course I'm stressed that they won't give me enough
    Formally Leekat
    Me: 36 DH 38
    Married Sept 2014
    TTC Since Nov 2015
    IVF Cycle 1 - 0 eggs
    IVF Cycle 2 - 3 embryos
    FET 1 (transferred 1 embryo) - BFN
    FET 2 (transferred 2 embryos- BFN
    IVF Cycle 3 - 1 embryo
    FET 3 (transferred 1 embryo) - BFN
    Donor Egg Retrieval 2/19/18 -4 embryos that didn't make it to freeze
    Donor Egg Retrieval 4/30/2018 - 6 eggs - 5 embryos frozen Day 3
    FET 4 (with donor eggs) (transferred 1 embryo) -BETA 7/10 - BFN
    Hysteroscopy & Endo Scratch 
    FET 5 (with donor eggs) (transferred 2 embryos)-BETA 9/10 - BFN
    Final FET (#6) (with donor eggs) (transferred 2 embryos) BETA 10/15 BFP!!
    EDD: June 24, 2019 Baby O born June 26, 2019

  • @zamora_spin Thanks for sharing your experience.  Yes, they will do a monitoring u/s before IUI.

    @thegirlwhowaited_ Thanks for sharing.  I plan to ask the RE more when I see him for the cyst.  That is one of my fears that I will end up overstimulated and the IUI will be cancelled but what if we already have timing before we know that.   :#

    @KristoKekerooni Thank you.  I feel like I have heard both ways with Clomid delaying O and Clomid making O earlier.  I am obviously hoping it helps to delay mine, but only time will tell.  I was supposed to start today so it would have been CD 4-8, but if we wait now until after the cyst is drained and that happens tomorrow then it would be CD 5-9.  Given that I have O'd on CD9 before, hopefully that will help the issue.
  • @Sparty18 , hopefully it delays it by a bit. You might even see a delay from the cyst being drained. CD5-9 is good! It focuses more on quality over quantity, so that works in your favor. Another reason they might have you on 100 instead of a lower does. Because by then lead follicles are already pretty much determined. I would recommend keeping up with OPKs the entire time. Temping is hit and miss with Clomid, normally miss. But OPKs will help you know if you ovulate early or how close you are getting. If you see your OPK darkening before your appointment, you can always request an earlier US, that way you know whether to move IUI up or HIO at home, just in case the egg is viable. 
    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
            

  • @emmasemm Did you nap all day today?!  I bet you’re thankful for a day off from everything. GL tomorrow. 
  • My insurance makes me use WINFertility. When I called I was told I had to "activate" my membership (done), but I didn't need to have a pre-auth for procedures go through them. However, I do have to have all my prescriptions go through them, then through my insurance, then to "Freedom Fertility Pharmacy", who will then send them to me. I've seen ladies on TB ask questions about using WIN when they don't have insurance coverage. My question is just if anyone has had experience with them like this for prescriptions and how long until my RE sends WIN the Rx will I get the Rx? I want to make sure my REs office is aware because they seemed unfamiliar with just using WIN for Rx's and not pre-auths.
  • @Sparty18 did the RE do any blood work? I've had cysts after taking both clomid and letrozole. We did not move forward with treatment in either of those cycles. Did they mention if the cyst is active? One cycle I was told to wait it out and see if they went down on their own (I had multiple, one that ruptured). The next time I was benched and put on BCP to shrink the cyst. As other ladies have mentioned Clomid can just feed a cyst. Sorry, no experience with draining. 

    @beachbunnyxo123 hey lady. hope your week is getting better.

    @emmasemm GL tomorrow!!!

    TTC#1 10/2016
    TTC/IF:included medicated cycles, IUIs and 2 rounds of IVF with 1 embryo each. 
    BFP finally in 12/2018

    TTC#2 06/2021
    planning FET


    "Some days are diamonds, some days are rocks,
    some doors are open, some roads are blocked" 

  • @thegirlwhowaited_ - Does your clinic use Win? Because Win only authorizes certain clinics... might check on that. 

    I do know freedom pharmacy is really fast, and often overnights meds for free. 
    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
            

  • @Avrilmai They did do the normal blood work.  She didn't say whether it was "active" but just said it was a normal, fluid filled cyst with nothing in it to cause concern.  I guess that makes me think it's not active?  I'm not real clear.  When the nurse called back I asked if she knew what type of cyst, but she just reiterated it was just a fluid filled cyst.  From all my googling today, I see how there are some that are cause for more concern so it appears mine is none of those, I'm just not sure exactly which type of cyst it is.  Hopefully that made sense.
  • *lurking*

    @emmasemm I have my fingers crossed so hard for you tomorrow! I'll be lurking for an update, as always. <3
    @Sparty18 To know if the cyst is active you need to know your estradiol level. If your estradiol is too high, you likely will want to wait for the cyst to shrink or reabsorb before starting a cycle. A fluid-filled cyst can still be active, I believe.
  • @darkstar42 Thanks for that info, I am not sure then as I haven't received blood work results and they didn't mention anything about it being active.  I am assuming even if it is active and they are able to drain it, it will not matter then whether it was active or not?  
  • @Sparty18 makes sense. as @darkstar42 said they will usually look at estradiol/E2 levels (that's why I was asking about blood work) and decide what to do from there. Are they having you move forward with taking the Clomid? I don't want to be an alarmist, but I would hate for them to have you feed a cyst more clomid. a ruptured cyst was pretty painful and I don't wish that on anyone. It is always good to be an advocate for yourself and to ask you healthcare provider as many questions as you need to to feel comfortable.

    TTC#1 10/2016
    TTC/IF:included medicated cycles, IUIs and 2 rounds of IVF with 1 embryo each. 
    BFP finally in 12/2018

    TTC#2 06/2021
    planning FET


    "Some days are diamonds, some days are rocks,
    some doors are open, some roads are blocked" 

  • @Avrilmai Just realized I didn’t update in here earlier when my RE office called back. The nurse said my RE was giving me two options. 1) Let it be and hope it resolves on its own and start treatment next cycle. 2) Have it drained tomorrow morning and start Clomid tomorrow night assuming the aspiration is successful. 

    We are leaning toward draining it at the moment, my H and I will discuss more tonight. 
  • suzycupcakesuzycupcake member
    edited August 2018
    @Sparty18 If the only reason to drain a cyst is to hurry up and start a treatment cycle, I'd think it would be better to wait it out and allow it to dissolve on its own. Sometimes that might take two cycles of complete pelvic rest but to me, it's worth it to not cause any more trauma on your body. That's just my opinion though and I'm not your doctor. That's just what my RE had me do and it worked out both times I got huge cysts from taking Clomid, but I'm prone to cysts anyway on my own so that's probably why I reacted that way to it. 

    Like pps said, 100mg is a standard starting does, but that doesn't mean it's the only starting dose. You can absolutely ask your doctor to start out cutting the dose in half. I started out at 100 and went back to 50 and still got the same number of follies as before 2-3 I think it was. There are women who can even do 25 and get 2 mature follies. It really just depends on your body. If you have a history of cyst issues, it might be worth asking for a more conservative plan starting out or discuss Femara instead since that minimizes the risk of cysts by a lot. 
    People think we become mothers when we give birth but the truth is we become mothers the moment we start calling our babies to us in our thoughts, dreams and prayers. Some paths are short and some are so long that you can easily forget where you were headed.

    How I feel all of the time.
    My 7 Year Journey ***Tw in spoiler***
    IVF
    IVF #1 - September 2018; Follistim, Menopur, Cetrotide & Lupron/HCG combo trigger; PGS; ICSI
    Back on Levothyroxine
    FET #1 - October 2018; cancelled, all PGS aneuploid
    FET #1 - November 30th, transferred anyway
    Wondfo BFP 5dp5dt, CB Digi 6dpt, 
    1st Beta on 7dpt 93
    2nd Beta on 10dpt 510!

    TTC #1 since 2011. Tried for 5 years before we knew there was a one year rule.
    Diag w/MS 2016; w/PCOS & IF 2017
    New RE 2018; PCOS diagnosis taken away, IF due to ovary adhesions, but prev. RE insists PCOS IF

    IUI
    IUI #1 July 2017 w/100mg Clo+trigger; BFN; benched w/big cysts
    IUI #2 October 2017 w/50mg Clo+trigger; BFN; benched w/big cysts
    IUI #3 February 2018 w/5mg Femara+trigger; low P
    BFP February; mc March; Subclinical hypothyroid started Levothyroxine 
    IUI #4 March 2018 w/7.5mg Femara+trigger; BFN
    Medicated cycle & TI April 2018 w/7.5mg Femara+trigger; BFN
    Tried several cycles on our own; all BFN
     
  • @emmasemm yay!!  Good luck tomorrow!  I’m excited for you!

    @Sparty18 I don’t have any advice but I am sorry about the cyst!
  • @KristoKekerooni they do use WIN, but there experience is more about procedures than prescriptions. Good to know Freedom pharmacy is fast. I hope my insurance is fast too. Thanks. 

    @emmasemm good luck tomorrow!
  • @suzycupcake Thanks for your insight.  I do not have any history of cysts that I am aware of, so this is new territory for me.  I'm certainly not basing the decision solely on hurrying up for treatment.  Obviously it's a downside to wait, but really I'm more nervous about the cyst getting even bigger and causing more issues.  I'm also nervous about the pain of it possibly rupturing given the size of it already.  :#  We're weighing the options, and one thing I'm considering is having it drained but waiting another cycle for Clomid.  Out of curiosity, did your RE say any specific reasons to not drain them?  
  • suzycupcakesuzycupcake member
    edited August 2018
    @Sparty18 No, she just said they would go away on their own and if they did not, she could give me a two week course of birth control to help them dissolve. She wasn't too keen on things she thought were invasive when it can be solved in other ways, but again, I am not the poster of what should happen. You'll make the decision that's best for you and your family. And my trusting what my doctor said would be no different than you trusting yours. It works out either way. 
    People think we become mothers when we give birth but the truth is we become mothers the moment we start calling our babies to us in our thoughts, dreams and prayers. Some paths are short and some are so long that you can easily forget where you were headed.

    How I feel all of the time.
    My 7 Year Journey ***Tw in spoiler***
    IVF
    IVF #1 - September 2018; Follistim, Menopur, Cetrotide & Lupron/HCG combo trigger; PGS; ICSI
    Back on Levothyroxine
    FET #1 - October 2018; cancelled, all PGS aneuploid
    FET #1 - November 30th, transferred anyway
    Wondfo BFP 5dp5dt, CB Digi 6dpt, 
    1st Beta on 7dpt 93
    2nd Beta on 10dpt 510!

    TTC #1 since 2011. Tried for 5 years before we knew there was a one year rule.
    Diag w/MS 2016; w/PCOS & IF 2017
    New RE 2018; PCOS diagnosis taken away, IF due to ovary adhesions, but prev. RE insists PCOS IF

    IUI
    IUI #1 July 2017 w/100mg Clo+trigger; BFN; benched w/big cysts
    IUI #2 October 2017 w/50mg Clo+trigger; BFN; benched w/big cysts
    IUI #3 February 2018 w/5mg Femara+trigger; low P
    BFP February; mc March; Subclinical hypothyroid started Levothyroxine 
    IUI #4 March 2018 w/7.5mg Femara+trigger; BFN
    Medicated cycle & TI April 2018 w/7.5mg Femara+trigger; BFN
    Tried several cycles on our own; all BFN
     
  • @emmasemm good luck today girl!!! Looking forward to your update!  <3
  • @emmasemm Thinking of you today!!! Hope to see a great update! 

    TTC#1 10/2016
    TTC/IF:included medicated cycles, IUIs and 2 rounds of IVF with 1 embryo each. 
    BFP finally in 12/2018

    TTC#2 06/2021
    planning FET


    "Some days are diamonds, some days are rocks,
    some doors are open, some roads are blocked" 

  • @emmasemm Good luck today! Can't wait to hear how it went!
  • @thegirlwhowaited_ I used WINfertility with my work's insurance and actually loved them! When I ordered all of my meds for stims, they called me and walked me through every.single.one. Side effects, what they do, how to inject and store, what not to do while stimming etc...
    I didn't noticed that there were any timing issues because my pre-auth went through them. The only hold up was getting me registered bc I signed up for insurance in January and wanted to start ASAP So it just took a bit for my information (along with everyone else who was new to their insurance in January) to get into their system. 
    My doctor would send my prescription, WIN called me to confirm and then would authorize and send to the pharmacy. Even now when I have to order refills, the pharmacy just says ok you need pre-auth for XYZ so they'll call and have that done and the meds are always quickly sent. 
    Let me know if you have any more questions-they're definitely there to help and were also very friendly whenever I talked to anyone! 
  • @50Wife Thanks! The WIN nurse when I called initially was very nice. It's nice to know that they cover all the bases with you before hand. I've been on the same insurance policy for a few years and will stay though next year. When I had my new patient appointment with my RE they pulled all my insurance info and told me to call WIN, so I've already "activated" my benefits with WIN and I got a letter from my insurance company, albeit vague, about authorizing "unlisted special service, procedure or report". I'll let you know if I have anymore questions about WIN. I hope you're doing well. <3
  • @emmasemm I’m sorry today wasn’t your best but I’m keeping my FX that all 4 eggs fertilize!
  • @emmasemm I have everything crossed that those two will be growing strong and for a good report on Monday! How many do you have on ice now? I give you a lot of credit that’s a lot to go through with the multiple back to back cycles! 
  • @emmasemm sending everything your way for a good report back on Monday. Glad you had some great down time on your vacation with YH. 
  • @emmasemm keeping my FX crossed that both those little ones make it to Monday!
  • Ok possibly silly question.  Can Provera give you a +opk/make you ovulate?  I stopped tracking on cd 34 (Thursday) and started Provera Friday night.  Late last night I had some twinges I normally get before I O plus some other signs so I took an opk today and it was +. Could it be a false + or should we BD tonight just in case?  And if it’s a true +, should I stay on it? 
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