Sorry everyone me again! I have two questions- 1. Should I stop taking OPKs now and assume I probably Oโd early? 2. Whatโs the point of temping after O?
@daisy0322 since you got a temp shift your probably fine to stop OPKs. You should continue to temp to ensure your shift is maintained. Plenty of times have any of us gotten that bump, only for the temp to drop the next day. At a minimum it's probably good to get CHs but continuing to temp in the TWW can help with understanding when AF might arrive.
*TW* History:
Me: 34 DH: 36 |ย Together since 2007 |ย Married July 2016
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks TTCAL naturally |ย starting 11.22.20 Initial consultation with Reproductive Immunologist |ย 9.14.21 Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono |ย 10.15.21ย |ย normal Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy DS born 7.19.22 after induction
TTC #2 begins 6.2023 Consultation with RI |ย 6.6.23 Saline sono, endometritis biopsy, skin & eye check |ย allย normal Labs |ย high TSH, Factor XIII mutation, high %CD56 Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine Repeat labs after 3 weeks on meds Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox Repeat labs in 8 weeks Follow up | 1.16.24 | Green light continues TTC put on pause
@daisy0322 one thing to watch out for with temping in TWW is the false hope / despair that can come with every temperature shift. Some actually stop keeping track of their BBT in LP because it can become an anxiety-provoking exercise.ย
@acleverusername thatโs good to know too. Iโm going to see how I feel after I confirm O. Iโm having a hard time going back to sleep after I temp and have been tired. However I do love a chart lol
Hi itโs me- itโs always me ๐ฉ so Iโve been up quite a bit the last two nights but my temp is falling pretty badly. Do yall think I failed to O?ย
@daisy0322 itโs definitely possible that you had a false surge but the fact that you had a temp shift after makes me think you did O and the last 2 temps are just from not having consistent sleep. I would just keep temping for now and see if they bounce back.ย
@daisy0322 I want to say some chart patterns might see a drop in temps shortly after O. I think they call it a fallback rise? But I would lean towards the false surge theory since all of your temps so far are still pretty close together.
*TW* History:
Me: 34 DH: 36 |ย Together since 2007 |ย Married July 2016
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks TTCAL naturally |ย starting 11.22.20 Initial consultation with Reproductive Immunologist |ย 9.14.21 Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono |ย 10.15.21ย |ย normal Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy DS born 7.19.22 after induction
TTC #2 begins 6.2023 Consultation with RI |ย 6.6.23 Saline sono, endometritis biopsy, skin & eye check |ย allย normal Labs |ย high TSH, Factor XIII mutation, high %CD56 Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine Repeat labs after 3 weeks on meds Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox Repeat labs in 8 weeks Follow up | 1.16.24 | Green light continues TTC put on pause
@daisy0322 Yeah, I think perhaps the hardest part, is that temping doesn't usually tell you a whole lot in real time, but rather you can look back at how things are trending and see what happened.ย So it's great, if it does turn out to be a fallback rise, then you have perfect timing!ย But in a few more days if it doesn't amount to a sustained shift, then there you have it.ย Hang in there!ย I do think -- in your case especially -- it's important to try and at least keep temping until you see a convincing shift / ovulatory pattern.ย Once you see that, if it's going to stress you out too much to keep temping, then you can just WFAF / test whenever you decide. :)
Incidentally, for whoever may need to hear this, this is also a beautiful illustration of why we always historically waited until 3DPO as a rule, before moving over to TWW.ย (Only exceptions being things like treatment where a trigger or IUI / IVF was involved, type of situation, or if for some reason you had a scan that showed that you had ovulated.)
@BusinessWife yeah Iโve had awful sleep and only an hour or so before temping the last two days so Iโm not entirely convinced itโs accurate. I had a weird almost positive OPK this morning first thing but then the next be like 2 hours later was extremely negative so Iโm not counting it. Itโll be interesting in the morning. All other signed point to Ovulation being over so who knows.ย
Random question: Does anyone use Apple Watch and other devices to monitor your heart rate, steps, etc? Do you notice any discrepancies between your devices?
Iโm new to the Apple watch and have noticed that it is logging many more steps than my Fitbit. But itโs also recording my active & resting heart rates much differently than my Fitbit. (Iโm wearing one device on each wrist while I compare them.) Just curious if anyone else has noticed this, or if youโve been able to o determine which is most accurate?ย
@keikilove sometimes my โactivityโ ring will close on my Apple Watch while Iโm sitting at my computer working. So I have doubts about the reliability, but havenโt compared to another device. Are you wearing the Fitbit on the same wrist you always have? I wonder if you talk with your other hand or move it while walking? You should try switching wrists and see if the Apple Watch still records more steps. And report back, Iโm curious!
@bows22 Iโve kept the Fitbit on my left wrist, as I usually wear it there. Itโs a great idea to switch them and see how the Apple Watch reacts. I canโt stand having anything on my right wrist; I probably do a lot more with it being right-handed, so the Apple Watch may be picking that up. Thanks for the idea!ย
@keikilove at one point, I investigated the discrepancies between what Apple Watch logged as my running distance and what Nike Run app did; it turned out that Apple Watch was measuring distance by average stride size, and not GPS. Now that was back when I had AW 2, so Iโd been hoping theyโve changed that. But maybe not?!ย
Here's my chart discarding both of those high temps on Thursday and Saturday:
And here's my chart if I only discard Saturday:
Any idea why FF gives me CHs if I only discard 1 temp? Anyone think FF might move my CHs to yesterday as I add more temps this week?
*TW* History:
Me: 34 DH: 36 |ย Together since 2007 |ย Married July 2016
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks TTCAL naturally |ย starting 11.22.20 Initial consultation with Reproductive Immunologist |ย 9.14.21 Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono |ย 10.15.21ย |ย normal Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy DS born 7.19.22 after induction
TTC #2 begins 6.2023 Consultation with RI |ย 6.6.23 Saline sono, endometritis biopsy, skin & eye check |ย allย normal Labs |ย high TSH, Factor XIII mutation, high %CD56 Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine Repeat labs after 3 weeks on meds Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox Repeat labs in 8 weeks Follow up | 1.16.24 | Green light continues TTC put on pause
@inthewoods23. I am blissfully not temping anymore since science has taken over, but I *think* the algorithm in FF relies on your temp shift being higher than the average (or some other moment) of the last X temps (I think maybe 5 or 6). I am guessing what happens when you discard both is that you don't have enough pre-O low-temp data for CH. But if you discard only one, then you have 5 pre-O temps that are "low enough" (I'm guessing the algorithm either disregards one high temp, or takes an average). Either way, I think you did in fact O on day 14 or 15.ย
@bumblebee0210 yeah doesn't the temp shift only need to be 0.3 degrees or something? I did check discarding Thursday and not Saturday and that still gives me CH. I still don't really get it since I have those 3 higher temps from early May so to me I don't have the 5 or 6 temps lower in pre-O. Unless this is another weird AF cycle where I is more than a day after my peak.
*TW* History:
Me: 34 DH: 36 |ย Together since 2007 |ย Married July 2016
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks TTCAL naturally |ย starting 11.22.20 Initial consultation with Reproductive Immunologist |ย 9.14.21 Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono |ย 10.15.21ย |ย normal Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy DS born 7.19.22 after induction
TTC #2 begins 6.2023 Consultation with RI |ย 6.6.23 Saline sono, endometritis biopsy, skin & eye check |ย allย normal Labs |ย high TSH, Factor XIII mutation, high %CD56 Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine Repeat labs after 3 weeks on meds Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox Repeat labs in 8 weeks Follow up | 1.16.24 | Green light continues TTC put on pause
I was given the info for a doctor who might be able to help me. I called and spoke to the NP for a bit. Obviously Iโll have to have a real appointment but she talked to me about clomid. Which was never an option because they canโt trigger ovulating for me but she said since I am ovulating that it could increase my odds for conception? Iโm a little nervous about messing with my hormones that recently decided to cooperate. Does anyone have experience with clomid? Particularly taking not for ovulation trigger but to โsuper ovulateโ. She also said that she wasnt 100% on that care plan that the doctor would have to make the final call.ย
@daisy0322 is this an OB office? OBs have a bad reputation for prescribing clomid when it isnโt always appropriate. Itโs only recommended for a certain number of uses in your lifetime (I think because it can thin your lining) and often times you need to be monitored via ultrasound during your cycle. Iโm going to be taking it myself after my surgery when I do IUI so it definitely has its place but I personally would only be comfortable taking it under the care of an RE.ย
Edit for more thoughts - I also wonโt be triggering ovulation and the goal for me on clomid is โsuper ovulationโ but Iโm AMA - I know you mentioned about your body technically being in menopause but that you have normal fertility when you ovulate so I donโt know if that means if you are having a normal cycle that you could possibly over-respond to the clomid?
@bows22 that was kind of my concern because I have been told I have normal fertility if I ovulate. ย However, doctors always admit they donโt really know much because Im an unusual case of an unusual pathology I guess sheโs some kind of high risk OB and Iโm not sure I would last many cycles with it I hate anything that messes with my hormones I always feel awful. I really appreciate your answer. I wanted to bounce this off off some others because I do know thereโs doctors out there that can be wild cards.ย
@daisy0322 Iโve seen people say here โREs get you pregnant, OBs keep you pregnantโ so I always think of that when an OB brings up clomid. But I noticed that my OB has RE listed under her specialties so Iโm sure there are some that know more. I think if they are going to monitor you then thatโs a different story too. But hopefully you just keep ovulating. Iโm curious to see what your doc says though. Did you make the appointment?ย
@bows22 i havenโt made the appointment yet. I wanted to look into it more on my own first and talk about it. Because itโs super easy to be like yes I want a baby letโs do this and then itโs not actually a good idea. I do know within their โnetworkโ they have REs its kind of a interesting situation. Iโm more inclined to go to a well known doc in our area who does holistic alternative medicine and has fertility support plans. Heโs really into things like acupuncture and looking into your diet and such but heโs outrageously expensiveย
@daisy0322 I did some reading about using Clomid in POI cases and I think the overall consensus is that results are inconsistent but, in majority of cases, it doesn't work (https://www.tandfonline.com/doi/full/10.1586/17474108.2.6.711 &ย https://www.verywellfamily.com/understanding-primary-ovarian-insufficiency-4067190). So, I agree with @bows22 that if it's something you want to try, RE would be your best bet as you'll want to be monitored closely (blood levels, follicle growth, etc.) I don't think you're at risk for developing many follicles, but if you have no starting antral follicles to begin with, it might be detrimental to your overall health to take Clomid (it does have a lifetime max, and it can thin out your lining; mine went from 8.13mm to 4.11mm in 3 cycles). I think the alternative medicine doctor is an interesting choice; are you talking about a functional medicine doctor?ย
@daisy0322 in my experience OBs prescribe you clomid when they donโt know what else to do. Mine did before I moved to the RE and I only did 1 cycle because I was nervous about not being monitored since I ovulate regularly. Did they give a reason for prescribing it to you when it has only been a couple cycles? I guess it could help you ovulate on off months or something?
@b_1029 their theory was that I am already ovulating but they donโt know for how many cycles and when it stops it may stop forever so clomid would increase my chances of getting pregnant quicker because it may get me to release two eggs for exsample instead of 1. Basically just trying to optimize my chances while I have a period of fertility availableย
Ladies (or their husbands) taking ubiquinol - since this is the active form of CoQ10, do you take less of it? How much do you take a day?
*TW* History:
Me: 34 DH: 36 |ย Together since 2007 |ย Married July 2016
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks TTCAL naturally |ย starting 11.22.20 Initial consultation with Reproductive Immunologist |ย 9.14.21 Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono |ย 10.15.21ย |ย normal Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy DS born 7.19.22 after induction
TTC #2 begins 6.2023 Consultation with RI |ย 6.6.23 Saline sono, endometritis biopsy, skin & eye check |ย allย normal Labs |ย high TSH, Factor XIII mutation, high %CD56 Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine Repeat labs after 3 weeks on meds Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox Repeat labs in 8 weeks Follow up | 1.16.24 | Green light continues TTC put on pause
hey @daisy0322 i'm jumping in with @b_1029, @acleverusername and @bows22
with some skepticism about clomid unless you're being carefully
monitored. As @b_1029 says, a lot of OB clinics prescribe clomid because
they're short on other ideas. I almost think it's a numbers game they
play. Like, "this woman is bound to get KU (or go away) eventually, so what can we do
in the meantime that will help her to feel like we're being proactive?"
For reference, I have DOR and only a single ovary, and am 38. At a
previous clinic (a "women's health" and maternity care office) I was
given clomid after 3 months of natural IUIs ending in BFNs. They wanted
to go ahead with the IUI that cycle unmonitored, but I insisted on an
ultrasound before getting the IUI. the US showed that I had a thin
lining (subsequent monitoring has shown that without clomid my lining is
normal) and also that the clomid had produced only a single small
follicle that prematurely ruptured. We canceled my IUI that
cycle, and in the next they put me on letrozole instead (which also ultimately proved unhelpful). I'm not saying
that clomid isn't useful for many women, but it's clearly more useful
for some than others.
History
I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.
Began TTC in Aug '18 @ age 35
5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN
Mar-Jun '19 IUIs, all BFN
Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.
May '19 HSG shows open tube, but ultrasound suggests fibroids
MRI in June '19 confirms two large fibroids, one growing through wall of uterus
In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.
Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.
April '20 --> June '20, natural IUIs, all BFN.
July? saline ultrasound and bubble test demonstrate open tube
July '20 clomid cycle cancelled for thin lining
Aug-Oct, 3 femara cycles, all BFN
RE referral. While waiting to set up an appointment Nov-Jan,I continue with natural cycles and ICI, using a known donor, BFN...
Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.
Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")
Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN
May '21, first IVF round cancelled due to cyst.
July '21 IVF: standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 7; 6 days of stims. 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal. Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow. Dec -21, standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 5; 11 days of stims. retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Feb '22 FET (low-level mosaic): CP. May '22 egg retrieval, lupron flare protocol. HGH priming for 1 month before stims; md lupron 20/20u daily; menopur 225, follistim 225, 10k trigger after 8 days of stims; AFC 10; 13 retrieved; 10 mature; 8 fertilized. All frozen at 2PN for later thaw, grow, and biopsy. July '22 egg retrieval same protocol: 9 days of stims; AFC 8; 10 retrieved, 8 mature, 4 fertilized and frozen. Sept '22 ER same protocol: AFC 10; 12 retrieved, 11 mature, 11 fertilized. From the 3 retrievals, 7 survived to day 5-6 blastocyst, from which I have 2 normal embryos! Jan 20, Fully medicated FET, baby aspirin, dexamethasone, acupuncture, and as much woo as I can stand (which isn't very much). BFN. July 23, Natural FET + baby aspirin. BFN.
@inthewoods23 I was told to take the same of COQ10 or Ubiquinol. And that dose was 600mg. Not sure if thatโs helpful. I now take the NeoQ10 from Theralogix and I take 2 of those pills daily. I only give 1 to MH.ย
Alrighty- me again. As an OB correspondent update she does actually want to monitor me And she said she doesnโt want to do clomid for a few reasons but she has other ideas so I have and appointment with her next month.
now- ugh I made the appointment but now I think maybe I didnโt even O? I had a high OPK reading last night which I read can be normal right before your period but now itโs peak this afternoon premom called at a 1.38. Which seems .... extreme? For 16 dpo.ย
I donโt know yโall Iโm just frustrated. I totally cried today about it too even though thatโs unlike me. My cycles just seemed so regular for 3 months and now this. It shouldnโt be this hard. Maybe Iโm being dramatic ๐ฌ
@daisy0322 I don't have any advice or insight, but I'm so sorry you are feeling so frustrated. It is hard to figure all this out, especially when our body throw us curve balls. Hugs.ย
@daisy0322 ok I totally feel you, this has happened to me before and there's nothing like thinking you have O'ed and are now in the TWW and then realizing you didn't, it's so frustrating. Are you tracking any other signs (like CM & CP) to help corroborate O? Bc your tempsย suggest O, but they're not super consistent so it's possible that you didn't O at all! Remind me what your cycles were like before... consistent? Or all over the place?
@daisy0322ย So the CH are still dotted, did they ever get solid past 3DPO?ย What detection setting do you have FF set to?ย Do any of the other setting modes change or remove the CH all together?
It will be interesting to see how low this current dip may go.ย To my eye, I would say also that the two lows during your FP (26th and the 1st) are not looking super <i>progressively </i>lower, terribly.ย KWIM?ย Which is maybe not a clinical thing, but I have noticed with my charts anyway, the FP temps seem to really trend downward, and even if there are other prior dips, the pre-O dip is definitively The Lowest.ย Like I would love to have seen that O dip just like another .1 degree lower or so, and then it would be more pronounced, and then a true upward leveling off or sort of plateauing of those "post-o" temps.ย I guess that is my overly wordy way of saying I agree that I'm not sure your current chart actually looks biphasic to me. :/
@daisy0322, I'll be interested to see how your temps trend given the recent dip. I've been temping since 2014 (I know, I know, every body is different), and while my pre-O temps hover in the 97.1-97.7 degree range, once I've ovulated they tend to never dip below 98 degrees until I'm due for my period.ย
Re: Chart Stalk and Questions May 2021
1. Should I stop taking OPKs now and assume I probably Oโd early?
2. Whatโs the point of temping after O?
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN
IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks
TTCAL naturally |ย starting 11.22.20
Initial consultation with Reproductive Immunologist |ย 9.14.21
Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono |ย 10.15.21ย |ย normal
Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI |ย 6.6.23
Saline sono, endometritis biopsy, skin & eye check |ย allย normal
Labs |ย high TSH, Factor XIII mutation, high %CD56
Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
TTC#2
TTC #2 ... preparing as of March 2024
TTC #1
TTC #1 02/2020 - 07/2022
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testingย
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN โน๏ธ
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.ย
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB;ย 3ย euploid
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB;ย 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
05/20/2022 | D&C; recovering...ย
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; ๐ฆ๐ผ born on 4/5/2023
Hi itโs me- itโs always me ๐ฉ so Iโve been up quite a bit the last two nights but my temp is falling pretty badly. Do yall think I failed to O?ย
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN
IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks
TTCAL naturally |ย starting 11.22.20
Initial consultation with Reproductive Immunologist |ย 9.14.21
Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono |ย 10.15.21ย |ย normal
Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI |ย 6.6.23
Saline sono, endometritis biopsy, skin & eye check |ย allย normal
Labs |ย high TSH, Factor XIII mutation, high %CD56
Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
Incidentally, for whoever may need to hear this, this is also a beautiful illustration of why we always historically waited until 3DPO as a rule, before moving over to TWW.ย (Only exceptions being things like treatment where a trigger or IUI / IVF was involved, type of situation, or if for some reason you had a scan that showed that you had ovulated.)
Iโm new to the Apple watch and have noticed that it is logging many more steps than my Fitbit. But itโs also recording my active & resting heart rates much differently than my Fitbit. (Iโm wearing one device on each wrist while I compare them.) Just curious if anyone else has noticed this, or if youโve been able to o determine which is most accurate?ย
be picking that up. Thanks for the idea!ย
TTC#2
TTC #2 ... preparing as of March 2024
TTC #1
TTC #1 02/2020 - 07/2022
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testingย
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN โน๏ธ
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.ย
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB;ย 3ย euploid
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB;ย 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
05/20/2022 | D&C; recovering...ย
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; ๐ฆ๐ผ born on 4/5/2023
Here's my chart discarding both of those high temps on Thursday and Saturday:
And here's my chart if I only discard Saturday:
Any idea why FF gives me CHs if I only discard 1 temp? Anyone think FF might move my CHs to yesterday as I add more temps this week?
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN
IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks
TTCAL naturally |ย starting 11.22.20
Initial consultation with Reproductive Immunologist |ย 9.14.21
Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono |ย 10.15.21ย |ย normal
Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI |ย 6.6.23
Saline sono, endometritis biopsy, skin & eye check |ย allย normal
Labs |ย high TSH, Factor XIII mutation, high %CD56
Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
BFP 11/30/2017 | MMC 12/31/2017
BFP 6/22/2018 | CP 6/27/2018
BFP 10/5/2018 | EDD 6/14/2019
Baby girl born 6/19/19
TTC #2 May 2020-November 2021
BFP 7/18/2020 | MonoDi Twins | MMC 9/10/2020
BFP 11/7/2020 | CP 11/9/2020
RE Consult January 2021 | Dx "borderline DOR"/RPL
IVF with PGT:
Standard Antagonist:
ER #1 3/27/2021 7R | 5M | 3F | 2B | 1 PGT-A Normal, 1 low-level mosaic
ER #2 4/22/2021 10R | 7M | 3F | 2B | 0 normal, 2 aneuploid
ER #3 5/19/2021 2R | 1M | 0F
Estrogen Priming Antagonist:
ER #4 7/10/2021 5R | 4M | 3F | 1B | 1 PGT-A Normal
Duostimย (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021ย 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1ย 11/5/2021 | EDD 7/24/2022
Baby boy born 7/19/22
TTC #3 since May 2023 (ntnp)
IVF Started Fall 2023 (Standard Antagonist)
ER #7 10/6/2023 | 9R | 6M | 5F | 3B | 2 aneuploid, 1 high-level mosaic
ER #8 10/31/2023 | 5R | 4M | 3F | 1B | 1 PGT-A Normal
FET #2 11/27/23 | CP (bHCG = 8)
FET #3 planned Jan 2024
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN
IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks
TTCAL naturally |ย starting 11.22.20
Initial consultation with Reproductive Immunologist |ย 9.14.21
Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono |ย 10.15.21ย |ย normal
Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI |ย 6.6.23
Saline sono, endometritis biopsy, skin & eye check |ย allย normal
Labs |ย high TSH, Factor XIII mutation, high %CD56
Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
that if it's something you want to try, RE would be your best bet as you'll want to be monitored closely (blood levels, follicle growth, etc.) I don't think you're at risk for developing many follicles, but if you have no starting antral follicles to begin with, it might be detrimental to your overall health to take Clomid (it does have a lifetime max, and it can thin out your lining; mine went from 8.13mm to 4.11mm in 3 cycles). I think the alternative medicine doctor is an interesting choice; are you talking about a functional medicine doctor?ย
TTC#2
TTC #2 ... preparing as of March 2024
TTC #1
TTC #1 02/2020 - 07/2022
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testingย
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN โน๏ธ
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.ย
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB;ย 3ย euploid
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB;ย 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
05/20/2022 | D&C; recovering...ย
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; ๐ฆ๐ผ born on 4/5/2023
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3ย |ย all BFN
IVF #1 |ย 6.11.19ย |ย 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1ย |ย 9.10.19ย |ย BFNย "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testingย |ย all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2ย |ย 3.31.20ย |ย Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE |ย 8.20.20ย |ย Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! |ย 9.22.20ย |ย MC 10.23.20 at 8 weeks
TTCAL naturally |ย starting 11.22.20
Initial consultation with Reproductive Immunologist |ย 9.14.21
Decidualization score biopsy |ย 10.1.21ย | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono |ย 10.15.21ย |ย normal
Bloodwork |ย 10.21.21ย |ย high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22ย ย | biopsy provided same effect as endometrial scratch;ย added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI |ย 6.6.23
Saline sono, endometritis biopsy, skin & eye check |ย allย normal
Labs |ย high TSH, Factor XIII mutation, high %CD56
Follow up |ย 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
For reference, I have DOR and only a single ovary, and am 38. At a previous clinic (a "women's health" and maternity care office) I was given clomid after 3 months of natural IUIs ending in BFNs. They wanted to go ahead with the IUI that cycle unmonitored, but I insisted on an ultrasound before getting the IUI. the US showed that I had a thin lining (subsequent monitoring has shown that without clomid my lining is normal) and also that the clomid had produced only a single small follicle that prematurely ruptured. We canceled my IUI that cycle, and in the next they put me on letrozole instead (which also ultimately proved unhelpful). I'm not saying that clomid isn't useful for many women, but it's clearly more useful for some than others.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, standard antagonist. 225menupur/225gonal-f/cetrotide/5000u trigger, AFC 5; 11 days of stims. retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal.
Feb '22 FET (low-level mosaic): CP.
May '22 egg retrieval, lupron flare protocol. HGH priming for 1 month before stims; md lupron 20/20u daily; menopur 225, follistim 225, 10k trigger after 8 days of stims; AFC 10; 13 retrieved; 10 mature; 8 fertilized. All frozen at 2PN for later thaw, grow, and biopsy.
July '22 egg retrieval same protocol: 9 days of stims; AFC 8; 10 retrieved, 8 mature, 4 fertilized and frozen.
Sept '22 ER same protocol: AFC 10; 12 retrieved, 11 mature, 11 fertilized.
From the 3 retrievals, 7 survived to day 5-6 blastocyst, from which I have 2 normal embryos!
Jan 20, Fully medicated FET, baby aspirin, dexamethasone, acupuncture, and as much woo as I can stand (which isn't very much). BFN.
July 23, Natural FET + baby aspirin. BFN.
TTC#2
TTC #2 ... preparing as of March 2024
TTC #1
TTC #1 02/2020 - 07/2022
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testingย
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN โน๏ธ
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.ย
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB;ย 3ย euploid
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB;ย 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
05/20/2022 | D&C; recovering...ย
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; ๐ฆ๐ผ born on 4/5/2023
now- ugh I made the appointment but now I think maybe I didnโt even O? I had a high OPK reading last night which I read can be normal right before your period but now itโs peak this afternoon premom called at a 1.38. Which seems .... extreme? For 16 dpo.ย
It will be interesting to see how low this current dip may go.ย To my eye, I would say also that the two lows during your FP (26th and the 1st) are not looking super <i>progressively </i>lower, terribly.ย KWIM?ย Which is maybe not a clinical thing, but I have noticed with my charts anyway, the FP temps seem to really trend downward, and even if there are other prior dips, the pre-O dip is definitively The Lowest.ย Like I would love to have seen that O dip just like another .1 degree lower or so, and then it would be more pronounced, and then a true upward leveling off or sort of plateauing of those "post-o" temps.ย I guess that is my overly wordy way of saying I agree that I'm not sure your current chart actually looks biphasic to me. :/
Due with baby #2: Feb 2022