For someone at this for 4 years you'd think I'd know everything... but can we have a discussion on foods that help with lining, implantation, and reducing inflammation and when/how long they should be incorporated into a diet? Or any resources you know of that you'd like to share?
With summer coming up I figured it would hurt to jump on the pineapple train. Am I correct that it (+ the core) should be eaten starting on day of O to 5dpo? Does it hurt to go longer or to start a couple days before O? What other easy foods are there to add to meals?
As far as the "bad" foods/drinks that can cause inflammation, would you say cutting it out by the time O occurs and into the TWW is good enough or should it really be through the whole cycle?
*TW* History
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3| all BFN IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE | 8.20.20 | 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! | 9.22.20 | MC 10.23.20 at 8 weeks TTCAL naturally | starting 11.22.20 Initial consultation with Reproductive Immunologist | 9.14.21 Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono | 10.15.21 | normal Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22 | biopsy provided same effect as endometrial scratch; 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 | 6.6.23 Saline sono, endometritis biopsy, skin & eye check | all normal Labs | high TSH, Factor XIII mutation, high %CD56 Follow up | 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 ended due to filing divorce **New relationship starting May 2024** Surprise BFP!! | 9.7.25 | EDD 5.11.26
I thought I heard grapefruit juice helps with making more EWCM?
As far as inflammation...I suppose I'll bring our gluten free chat over here lol. So I typically don't have any issues with whiskey, even though it's obviously made from gluten (but distilled to where practically no gluten should be left). I'm electing to forgo all whiskey while TTC just in case it's causing a small baseline inflammation that I don't notice. Gluten causes long term issues for me, so it's not something I can just get over in 2 weeks. But I'm ultra paranoid.
I’ve been recommended to redirect my question from WTO here for a bigger audience, so here I am.
Anyone here deal with a luteal phase defect? I know I have it but we weren’t ttc when diagnosed so my dr just recommended bc. She did say she has it as well and used acupuncture which helped her. I guess my question is how are you managing it? And how short is really too short?
my last 4 cycles have had 7-9 day lp’s and my average for the last 8 cycles is 10 day lp’s (which has clearly been on the decrease/used to be closer to 10/11 days usually).
@paytonpedro I’m sure someone else who knows much more than me will chime in but I have seen varying opinions on this over my time here. I think in general less than 10 days is where they start to want to address it? But you can still get pregnant even if it’s shorter than that. I don’t have advice as far as how to lengthen it but I do have a couple of questions.
1. How are you confirming ovulation? 2. Have you let your doc know you are TTC to see if they want to start progesterone supplementation?
@bows22 I’m using opks and tracking bbt to confirm. I haven’t yet. I kinda wanted to see wait would happen first before calling her.... Probably a bad plan? edit spelling
@paytonpedro eh I don’t think it’s necessarily a bad plan. I think it’s one of those things where you would be justified in seeking help before you get to the 6 months/1 year mark (depending on age) if you wanted to but it’s not like it’s impossible to get pregnant with a shorter LP so it doesn’t hurt to try. I know people have talked about doing things to lengthen LP so hopefully you will get some ideas on that. Also I just went back to read your intro and TW loss
What was your LP like when you had your had your CP? CPs happen so I know it’s not necessarily due to low progesterone but that would be something to think about maybe talking to your doc sooner versus later
@bows22 It was a perfect 11 days prior. Almost never off. It’s been off since but I’ve also been very stressed. So I’m not entirely sure if it’s from one, the other, both, neither. That’s kind of why I’m thinking of waiting. I’m trying to manage my stress better to see if that will help.
@paytonpedro I don't have a good answer, but if anecdotes are helpful for you, I don't know what my LP was before the pill, but it was like 8 days when I first came off the pill, and has rounded out to a nice 10-11 days by now (I stopped the pill 3 years ago when we briefly tried the first time, and just never went back on it).
Okay so I’ve still not ovulated but I have a new question- I’ve noticed a pattern that when my body is trying to ovulate soon my temp dios to around 97. When my body is just ha gong out not doing anything it’s a bit higher and occasionally has an interesting spike. Does anyone have any ideas what ovulating for real may look like? I’m probably to start bio match HRT meds here soon too so is there even a point in temping anymore? That would mimic a cycle if I O or not
@daisy0322 it makes sense about the lower temps when gearing up to ovulate because the estrogen surge giving you the fertile CM would also drive your temps down.
@daisy0322 I’m not sure what kind of meds you’d be on, but my RE said it was kind of pointless with the trigger shot since it raises your temp. When I was doing medicated cycles they still had me do OPKs but no temping
eta I assume you’d be monitored also so they’d be able to see follicles and such
Hmmm. I know most folks aren’t using the Mira thing but maybe y’all will have thoughts anyway. Mira predicts O today but that seems wrong when I look at my LH. I don’t really see a surge. My estrogen is rising so I would think O would be later, maybe tomorrow/Friday. That would make O delayed compared to other cycles but maybe it’s just a weird month.
But, maybe that little bump in LH was my peak, since it follows that first estrogen peak? But then it wouldn’t make sense to me that estrogen is on the rise today.
@inthewoods23 I read that, similar to sperm production, men and women should expect to see actual results from things like dietary or lifestyle changes 3+ months after starting. So the egg you release today would have been influenced by the food you ate 3 months ago. I'm not a doctor but I would expect that anything as subtle as eating pineapple core (which has largely been disproven because dietary levels of bromelain from pineapple core is negligible/not enough to have any actual effect) isn't going to make or break one cycle. Any anti-inflammatory diet can take months before you actually reap any measurable benefits from it. Cutting out inflammatory food just during the TWW isn't enough. Having been on the "do everything" train for so long, it's easy to get caught up in it. Yes, things like beets or pomegranate juice might have some slight effect on your lining development, but then the sugar content in it can also be inflammatory.
@daisy0322 Some people choose to continue tracking BBT when using HRT support but depending on what you'll be on, it's true, your temps will be unduly influenced by the hormone supplementation so it won't really give you much accurate data other than having a pretty chart to look at in addition to the data points (assuming you'll still use FF to track other things). Do you have any idea what you'll be prescribed? Important to note that if they supplement with estrogen you'll likely need a trigger shot because estrogen will suppress natural ovulation.
You also asked about ovulatory vs an-ovulatory cycles:
For reference, these are my 40+ day an-o cycles before I went on metformin. You can ignore the crosshairs, FF was desperately trying to make it look like I O'd, my RE confirmed I did not based on bloodwork.
As you can see by this one, I had several false surges, followed by a plateau.
This one is a typical rocky-mountain type cycle, with one final temp tip and a surge, but still no O.
This was my last cycle before we started metformin. Two false surges, several patches of EWCM, I had stopped OPKs by this point because they weren't giving me any useful readings.
Whereas this is a regular ovulatory cycle with a temp dip and clear surge that stayed elevated above the cover line during my LP.
TTC History:
Me: 36 MH: 39, TTC since Dec 2017
Aug '18: PCOS dx
Nov '18: MH SA - 19mil
Dec '18-Mar '19: Letrozole + TI - all BFN
Apr '19: Letrozole + TI, - BFN. Repeat SA (27mil) & DNA fragmentation test (17%)
@rachelredhead With that estrogen spike today I think it looks like you might get your LH surge in the next day or two. It doesn't look like you've ovulated to me yet. I think it takes Mira a few cycles to learn. Did it move your o day back?
@kgg2241 yeah, that’s my guess, too. it’s only my second cycle using Mira so I don’t doubt it may take time. I have also been using OPKs and I haven’t seen a solid positive yet. Mira hasn’t bumped my O yet but I may see that tomorrow based on testing.
In my case, the cause of LPD is most likely hypothyroidism (hence the crazy diet). But unless you can see how you fit into one of those causes, it’s really hard to find an underlying reason for LPD.
When I read the article, the main takeaway for me was that: there is no way to accurately measure progesterone in LP given its pulsatile nature. You’d have to have a blood test every hour to get a sense of progesterone profile.
But that article is just to give you some background information. What might be most interesting is that there is recent research proving that exogenous administration of progesterone can reduce loss rate. So, I would just ask your OB for progesterone supplementation.
(There’s one more I wanted to link you to, but I can’t find it atm. I’ll look tomorrow on my laptop.)
Let me know if you have any questions!
TTC History TTC#2
Me: 41; MH: 40 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020 Mar 2024 | consult to get established with a new reproductive immunologist (Alan Beer Center) Apr/May 2024 | required testing & waiting for a protocol May 2024 | protocol given / decided to go back to my old reproductive immunologist, Dr. Jubiz Jun / Jul 2024 | more testing, incl. SIS, ultrasound, and endometrial biopsy Jul 2024 | Dx chronic endometritis; 14 days of 100mg of doxy given Sep 2024 | Repeat endometrial biopsy; still + for chronic endometritis. 2 more antibiotics + an antiviral Oct 2024 | Hysteroscopy turned polypectomy; endometriosis consult w/ specialist who confirmed high likelihood of endo based on symptoms and ultrasound; lots of blood tests ordered Mar 2025 | Endo excision surgery. Stage 3 endo found! Recoveing Apr 2025 | Planning transfer w/ RE & green light protocol w/ RI; target transfer July or August 2025 May 2025 | Surprise BFP! EDD 1/11/2026
TTC #1
Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020 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 testing 03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️ 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. 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; 3 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; 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... 06/21/2022 | Trying naturally until October 2022 07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023
@acleverusername thank you so much for these articles and your response! I started the first one and jumped around a little but found possible causes and the only one I could see is stress 😓 I just had blood work done in January with thyroid panels and I just had low vit. D. Everything else came back normal. Im going to read them more a little later, thanks again!!!
@paytonpedro my experience is very similar to @fantasyflyte as far as short luteal phase. I'm not sure about my LP this last cycle bc I wasn't doing anything bc I wasn't temping or using OPKs, but the last time I was TTC I was off BC and I just looked at my charts-it took a solid 5 cycles for my cycles to shorten and my LP to go to 10 days-right after I was done with BC I had 35-38 day cycles with an 8-9 day LP.
Another question…. how do you all feel about cervical position/openness/closed-ness? Another app I’m on says it’s unreliable but I don’t honestly know much about it or if it’s helpful/unhelpful/useful/useless???
@paytonpedro I don't track it because I'm super squeamish about sticking my finger up there🙈 😬 if you reliably track BBT/cm/OPKs you probably have enough fertility signs.
@paytonpedro I don't generally bother with position because cm and opks is enough for me. I might note it in my chart if I happen to notice it's way hugher or lower than usual, but cm/opk/tenp has been plenty for me to pretty accurately track.
@paytonpedro it's super unreliable and differs by time of day. As other have said, OPK, bbt + CM are more reliable and should be enough. I'm pretty sure at this point, it's not that you're missing your FW... it's that sperm and egg haven't met yet. So, just keep trying.
TTC History TTC#2
Me: 41; MH: 40 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020 Mar 2024 | consult to get established with a new reproductive immunologist (Alan Beer Center) Apr/May 2024 | required testing & waiting for a protocol May 2024 | protocol given / decided to go back to my old reproductive immunologist, Dr. Jubiz Jun / Jul 2024 | more testing, incl. SIS, ultrasound, and endometrial biopsy Jul 2024 | Dx chronic endometritis; 14 days of 100mg of doxy given Sep 2024 | Repeat endometrial biopsy; still + for chronic endometritis. 2 more antibiotics + an antiviral Oct 2024 | Hysteroscopy turned polypectomy; endometriosis consult w/ specialist who confirmed high likelihood of endo based on symptoms and ultrasound; lots of blood tests ordered Mar 2025 | Endo excision surgery. Stage 3 endo found! Recoveing Apr 2025 | Planning transfer w/ RE & green light protocol w/ RI; target transfer July or August 2025 May 2025 | Surprise BFP! EDD 1/11/2026
TTC #1
Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020 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 testing 03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️ 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. 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; 3 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; 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... 06/21/2022 | Trying naturally until October 2022 07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023
@paytonpedro my cervix is basically always high so that part never matters for tracking purposes. The most I maybe get out of checking is firmness. But I also feel like I just mark things because "well my OPK was positive so that must be what a soft cervix feels like since it should be soft around now and idk I guess it was open".
*TW* History
TTC #1 since 7.2017 Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3| all BFN IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name" RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer 2nd Opinion with another RE | 8.20.20 | 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! | 9.22.20 | MC 10.23.20 at 8 weeks TTCAL naturally | starting 11.22.20 Initial consultation with Reproductive Immunologist | 9.14.21 Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation Saline sono | 10.15.21 | normal Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations BFP! | 11.3.21 | EDD 7.14.22 | biopsy provided same effect as endometrial scratch; 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 | 6.6.23 Saline sono, endometritis biopsy, skin & eye check | all normal Labs | high TSH, Factor XIII mutation, high %CD56 Follow up | 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 ended due to filing divorce **New relationship starting May 2024** Surprise BFP!! | 9.7.25 | EDD 5.11.26
@paytonpedro I guess I’ll be the lone voice here that says it’s very informative & reliable for me.😄 What helps me the most is on O day when it’s already plugged up (sounds weird & gross, but I’ve learned that the CM gets super thick & seals/blocks the opening when party time is over) and I don’t need to attempt 1 more HIO. Similarly, usually on the night of O day, or the morning after, my cervix is closed tight & firm, which also gives me the red light that FW is over. I find this helpful because at this point in TTC I’m super tired of HIO many times in FWeek. Once recently, I was taking a fertility med that dried up all my CM & my OPKs hadn’t started to turn yet. I checked cervical position & it was high, soft, & open so I knew it was Go time despite no other clues. The next day I got my OPK peak surge & it only lasted a couple hours, so if it weren’t for checking my cervix I might’ve missed the FW altogether. So yes, I find it very useful.
Re: Questions/Chart Stalk June 2021
With summer coming up I figured it would hurt to jump on the pineapple train. Am I correct that it (+ the core) should be eaten starting on day of O to 5dpo? Does it hurt to go longer or to start a couple days before O? What other easy foods are there to add to meals?
As far as the "bad" foods/drinks that can cause inflammation, would you say cutting it out by the time O occurs and into the TWW is good enough or should it really be through the whole cycle?
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3 | all BFN
IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE | 8.20.20 | 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! | 9.22.20 | MC 10.23.20 at 8 weeks
TTCAL naturally | starting 11.22.20
Initial consultation with Reproductive Immunologist | 9.14.21
Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono | 10.15.21 | normal
Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI | 6.6.23
Saline sono, endometritis biopsy, skin & eye check | all normal
Labs | high TSH, Factor XIII mutation, high %CD56
Follow up | 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 ended due to filing divorce
**New relationship starting May 2024**
Surprise BFP!! | 9.7.25 | EDD 5.11.26
As far as inflammation...I suppose I'll bring our gluten free chat over here lol. So I typically don't have any issues with whiskey, even though it's obviously made from gluten (but distilled to where practically no gluten should be left). I'm electing to forgo all whiskey while TTC just in case it's causing a small baseline inflammation that I don't notice. Gluten causes long term issues for me, so it's not something I can just get over in 2 weeks. But I'm ultra paranoid.
my last 4 cycles have had 7-9 day lp’s and my average for the last 8 cycles is 10 day lp’s (which has clearly been on the decrease/used to be closer to 10/11 days usually).
I think in general less than 10 days is where they start to want to address it? But you can still get pregnant even if it’s shorter than that. I don’t have advice as far as how to lengthen it but I do have a couple of questions.
1. How are you confirming ovulation?
2. Have you let your doc know you are TTC to see if they want to start progesterone supplementation?
edit spelling
@bows22
It was a perfect 11 days prior. Almost never off. It’s been off since but I’ve also been very stressed. So I’m not entirely sure if it’s from one, the other, both, neither. That’s kind of why I’m thinking of waiting. I’m trying to manage my stress better to see if that will help.
eta I assume you’d be monitored also so they’d be able to see follicles and such
@daisy0322 Some people choose to continue tracking BBT when using HRT support but depending on what you'll be on, it's true, your temps will be unduly influenced by the hormone supplementation so it won't really give you much accurate data other than having a pretty chart to look at in addition to the data points (assuming you'll still use FF to track other things). Do you have any idea what you'll be prescribed? Important to note that if they supplement with estrogen you'll likely need a trigger shot because estrogen will suppress natural ovulation.
You also asked about ovulatory vs an-ovulatory cycles:
For reference, these are my 40+ day an-o cycles before I went on metformin. You can ignore the crosshairs, FF was desperately trying to make it look like I O'd, my RE confirmed I did not based on bloodwork.
As you can see by this one, I had several false surges, followed by a plateau.
This one is a typical rocky-mountain type cycle, with one final temp tip and a surge, but still no O.
This was my last cycle before we started metformin. Two false surges, several patches of EWCM, I had stopped OPKs by this point because they weren't giving me any useful readings.
Whereas this is a regular ovulatory cycle with a temp dip and clear surge that stayed elevated above the cover line during my LP.
TTC History:
Me: 36 MH: 39, TTC since Dec 2017
Aug '18: PCOS dx
Nov '18: MH SA - 19mil
Dec '18-Mar '19: Letrozole + TI - all BFN
Apr '19: Letrozole + TI, - BFN. Repeat SA (27mil) & DNA fragmentation test (17%)
Aug '19: Letrozole + HCG trigger + IUI + prog supp - BFN (MH: 16mil)
Sep '19: 2nd IUI, same protocol - BFN (MH: 16mil)
Dec '19: IVF #1 w/ICSI, PGT. 5 retrieved, 4 fertilized, 3 blasts, 3 PGT-A normal.
Mar '20: FET #1, perfect 5AA blast transferred. BFN.
Sept '20: FET #2, 5BB tsf. 9/18/20 BFP!! EDD: 5/27/21. MMC 11w
Feb ‘21: FET #3, last 6BB blast transferred. BFP, EDD 11/2/21. MC 5w3d.
May '21: IVF #2 w/ICSI, PGT. 8R, 7M, 6F, 6 blasts - 3AB, 3AB, 3BB, 4BB, 5BB, 6BA. Fresh tsf 5/13/21 - BFN.
June '21: PGT-A results = 3 abnormal, 1 low level mosaic. Referred to new REI, had consult with 2nd RE in between.
Sept '21: RPL, immune testing normal
Oct '21: IVF #3 w/IMSI, PGT. 33R, 26M, 23F, 9 blasts (7 day 6, 2 day 7). PGT-A = 5 normal, 1 mosaic
Dec '21: Positive for endometritis, RX Flagyl & Keflex
Jan '22: FET #5 - Kitchen sink immune/RIF protocol incl. PRP, intralipids, prednisone, medrol, nivestym, fragmin - CP
Feb '22: FET #6 - Kitchen sink immune/RIF protocol w/higher doses of pred & fragmin - BFN
Mar '22: Mock cycle for ERA - cancelled, repeat endometrial biopsy instead. Still positive for endometritis. RX ciprofloxacin & amoxicillin.
Apr '22: IVF #4 w/IMSI, PGT. 28R, 23M, 16F, 11 blasts. PGT-A = 6 normal.
June '22: FET #7 - Microdose lupron downreg w/kitchen sink immune/RIF protocol - double embryo transfer. BFN.
July '22: FET #8 - Mini stim w/Puregon + trigger, kitchen sink immune/RIF protocol. BFN.
Sep '22: Taking a break
Dec '22: Attempted abdominal myomectomy, fibroid too close to cervix and major blood vessels. Wasn't removed.
Feb '23: FET #9 - Modified natural w/baby asp, HCG trigger, PIO, PRP, Medrol, HCG wash, embryo glue - BFP!! EDD 11/11/23
In my case, the cause of LPD is most likely hypothyroidism (hence the crazy diet). But unless you can see how you fit into one of those causes, it’s really hard to find an underlying reason for LPD.
https://www.rcog.org.uk/en/news/progesterone-could-prevent-8450-miscarriages-a-year-finds-new-research/
Let me know if you have any questions!
TTC History
TTC#2
Mar 2024 | consult to get established with a new reproductive immunologist (Alan Beer Center)
Apr/May 2024 | required testing & waiting for a protocol
May 2024 | protocol given / decided to go back to my old reproductive immunologist, Dr. Jubiz
Jun / Jul 2024 | more testing, incl. SIS, ultrasound, and endometrial biopsy
Jul 2024 | Dx chronic endometritis; 14 days of 100mg of doxy given
Sep 2024 | Repeat endometrial biopsy; still + for chronic endometritis. 2 more antibiotics + an antiviral
Oct 2024 | Hysteroscopy turned polypectomy; endometriosis consult w/ specialist who confirmed high likelihood of endo based on symptoms and ultrasound; lots of blood tests ordered
Mar 2025 | Endo excision surgery. Stage 3 endo found! Recoveing
Apr 2025 | Planning transfer w/ RE & green light protocol w/ RI; target transfer July or August 2025
May 2025 | Surprise BFP! EDD 1/11/2026
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 testing
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
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.
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; 3 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; 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...
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023
how do you all feel about cervical position/openness/closed-ness? Another app I’m on says it’s unreliable but I don’t honestly know much about it or if it’s helpful/unhelpful/useful/useless???
TTC History
TTC#2
Mar 2024 | consult to get established with a new reproductive immunologist (Alan Beer Center)
Apr/May 2024 | required testing & waiting for a protocol
May 2024 | protocol given / decided to go back to my old reproductive immunologist, Dr. Jubiz
Jun / Jul 2024 | more testing, incl. SIS, ultrasound, and endometrial biopsy
Jul 2024 | Dx chronic endometritis; 14 days of 100mg of doxy given
Sep 2024 | Repeat endometrial biopsy; still + for chronic endometritis. 2 more antibiotics + an antiviral
Oct 2024 | Hysteroscopy turned polypectomy; endometriosis consult w/ specialist who confirmed high likelihood of endo based on symptoms and ultrasound; lots of blood tests ordered
Mar 2025 | Endo excision surgery. Stage 3 endo found! Recoveing
Apr 2025 | Planning transfer w/ RE & green light protocol w/ RI; target transfer July or August 2025
May 2025 | Surprise BFP! EDD 1/11/2026
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 testing
03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
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.
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; 3 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; 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...
06/21/2022 | Trying naturally until October 2022
07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3 | all BFN
IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE | 8.20.20 | 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! | 9.22.20 | MC 10.23.20 at 8 weeks
TTCAL naturally | starting 11.22.20
Initial consultation with Reproductive Immunologist | 9.14.21
Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono | 10.15.21 | normal
Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI | 6.6.23
Saline sono, endometritis biopsy, skin & eye check | all normal
Labs | high TSH, Factor XIII mutation, high %CD56
Follow up | 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 ended due to filing divorce
**New relationship starting May 2024**
Surprise BFP!! | 9.7.25 | EDD 5.11.26