This is a place for those of us who have already started TTC, but have started infertility testing and/or treatments. You can express your thoughts, feelings, and frustrations on infertility. TTC can be a long journey naturally, then add in the difficulties associated with infertility, and it becomes a whole new ball game. The road to infertility can be lonely, frustrating, and complicated, so let's make this a place where we can vent, ask questions, and support one another. Feel free to resurrect this thread at any point in the week if you have something to say. Treat this as an ongoing conversation.
Diagnosis (if you've been):
Status (WTO/TWW/TTA):
What are you doing this cycle? (Testing? Treatment?):
How are things going?:
Any questions?:
GTKY: besides Halloween, what are you looking forward to the most in October?
TTC History
TTC#2
Me: 40.5; MH: 39 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
TTC #2 ... preparing as of March 2024
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
Re: IF Treatment & Testing w/o 9/27
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 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
@walkawaynee Welcome! I’m in some AMA groups and know several ladies with the same age span as you and your significant other (SO). I think it’s great! I hope that you have success with IVF. I saw your intro about the boring bank job and now I see you’re looking forward to fall break. Do they have that in the banking world? Or is your SO in education? We are sooo looking forward to fall break in education!
Btw, I stayed off TB this weekend, but I was thinking about your post last week. First of all, I am so sorry that you're going through all of this. If there's anyone who deserves a break, it's you. And not only do you deserve a break (i.e. not a Fall break; a LIFE break), you also deserve your THB. I cannot think of anyone who's done more to try and grow their family. I am hoping/praying/casting spells in hopes that it will happen for you soon. But, I also don't blame you for starting to look into surrogacy options. For us, it's still too early to be doing that, but I'd have to admit that MH and I actually "price-checked" this a few weeks back. I'm like you... I need to know what might be coming down the road and need time to prepare for that. Re: YH and semen preservation, does he have a reproductive urologist? I feel like that your question re: how good is the sperm after 1 chemo is best asked to him/her (hmmm... are there female reproductive urologists?) I feel like it would depend on the type and dosage of chemo. Anyways, I think @optimistgardener had great advice to give, and rooted in experience too. Me... I'm just shooting off my mouth. 🙏🏻
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 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 are things going?: Better this week; last week was rather brutal. *TW* Loss
So, we had our consult with RE on Friday, and we've decided not to skip a cycle. The doctor didn't think we needed to, and TBH, I just want to get back on this train. We game-planned the rest of the year, and if my O is only slightly delayed (i.e. a week or so), we have the chance to do a transfer before year's end. Or at least _try_ for a transfer. My clinic does a modified natural transfer cycle to start (it will be cancelled if lining isn't thick enough), and doesn't believe in ERA, so there's no point in doing a mock cycle. The doctor basically told me that if modified natural doesn't work, then it essentially becomes the mock cycle (minus the biopsy, ERA, Receptiva Dx), and then we move on to medicated cycle, which wouldn't happen until next year because of lab closures over holidays. I think at that point, I would ask for a mock cycle.
So, this got me thinking... wouldn't it be GREAT if a whole bunch of us here had our transfers around the same time, and they were all successful and we'd all end up in the same BMB?! That is my Birthday & Christmas wishes for this year.
Any questions?: When should I start L arginine? Immediately after my egg retrieval? Also, has anyone tried TCM stuff for lining thickness?
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 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
@keikilove I'm glad you're H is receiving huge support after announcing his diagnosis. We each have our own ways of sharing personal things. Getting the support we all need is all that matters
Diagnosis (if you've been): unexplained, low morph, possible RI issues
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 put on pause indefinitely
@keikilove I’m so sorry about your last transfer and your husbands cancer diagnosis. But I am glad he is finding the support he needs. Rooting so hard for you and your family.
@inthewoods23 I hope you are able to get everything done in time and not have to skip a cycle. That can be so stressful.
TTC#1 - March 2013
BFP 8/9/13 - EDD 4/14/14 - DS born 4/23/14
TTC#2 November 2015
Dx: Secondary IF June 2016
Medicated IUI cycle#1- Clomid+IUI -1/15/17 -BFN
Break Mid 2017 - Resumed TTC December 2018
"She believed she could so she did..."
Medicated IUI cycle#2- Femara 5mg+IUI 12/22/18 - BFP 1/4/19 - MMC 2/1/19
Saline Sono 3/15/19 - All Clear!
Medicated IUI cycle#3- Femara 7.5mg+IUI 3/28/19-BFN
Medicated IUI cycle#4- Femara 5mg+Gonal F 50iu+IUI 4/27/19- BFP 5/11/19 - MMC 6/12/19 - D&C 6/14/19-
Incomplete M/C Repeat D&C - 7/3/19 -Testing concluded baby was genetically normal
Dx: Unexplained RPL July 2019 - Tested + as carrier for Usher Syndrome & Familial Mediterranean Fever
Saline Sono 8/7/19 - Mostly Clear! All systems go for IVF#1
But will need a repeat Saline Sono between ER and FET
IVF #1 - Antagonist Protocol - 8/17/19
ER#1 8/27/19 - 12R, 6F, 4 biopsied+frozen! (3d5blasts + 1d6blast)- 2 PGS normal embabies!
Saline Sono 9/13/19 - All Clear! Onto FET Prep#1
FET#1 - 4AA -10/4/19 - BFP 10/14/19 - EDD - 6/21/20 -Beta#1-10dp5dt- 379 Beta#2-12dp5dt- 1007 Beta#3-14dp5dt- 2844
DD born 6/15/20
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 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
@hanshotfirst77 how much more time to do you have until you're back at CD1?
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 put on pause indefinitely
@acleverusername 37 was absolutely my worst year so I feel you there. I honestly felt like that was the year I started to feel older.
@inthewoods23 I was able to do labs before I got pre authorized with thr understanding that if I was denied I had to pay out of pocket but I am sure all insurance is different
@hanshotfirst77 I have a saline sono coming up as well waiting for the RE to get back with me on the date. I LOVE apple picking. There aren't any places close to my home now and I miss going so much. I love everything about fall though (except pumpkin spice lattes oddly enough)
TTC#1 - March 2013
BFP 8/9/13 - EDD 4/14/14 - DS born 4/23/14
TTC#2 November 2015
Dx: Secondary IF June 2016
Medicated IUI cycle#1- Clomid+IUI -1/15/17 -BFN
Break Mid 2017 - Resumed TTC December 2018
"She believed she could so she did..."
Medicated IUI cycle#2- Femara 5mg+IUI 12/22/18 - BFP 1/4/19 - MMC 2/1/19
Saline Sono 3/15/19 - All Clear!
Medicated IUI cycle#3- Femara 7.5mg+IUI 3/28/19-BFN
Medicated IUI cycle#4- Femara 5mg+Gonal F 50iu+IUI 4/27/19- BFP 5/11/19 - MMC 6/12/19 - D&C 6/14/19-
Incomplete M/C Repeat D&C - 7/3/19 -Testing concluded baby was genetically normal
Dx: Unexplained RPL July 2019 - Tested + as carrier for Usher Syndrome & Familial Mediterranean Fever
Saline Sono 8/7/19 - Mostly Clear! All systems go for IVF#1
But will need a repeat Saline Sono between ER and FET
IVF #1 - Antagonist Protocol - 8/17/19
ER#1 8/27/19 - 12R, 6F, 4 biopsied+frozen! (3d5blasts + 1d6blast)- 2 PGS normal embabies!
Saline Sono 9/13/19 - All Clear! Onto FET Prep#1
FET#1 - 4AA -10/4/19 - BFP 10/14/19 - EDD - 6/21/20 -Beta#1-10dp5dt- 379 Beta#2-12dp5dt- 1007 Beta#3-14dp5dt- 2844
DD born 6/15/20
And yeah... re: getting back on the train.... CAN WE PLEASE JUST HAVE A BABY ALREADY?!
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 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
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 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
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.
@keikilove Oh man. I was following your story over the weekend, and I am so sorry that you're dealing with all of this. I think it's one of those times you need to dial way way back on any expectations of yourself other than basic survival. I'm glad that YH was able to share and get some support, and I really hope that you guys will soon get some good news.
@acleverusername I am also trying for the by-end-of-year transfer I think (this is also an answer to @keikilove
from last week-- if this duostim does end up going at least ok (1-2 normals), we will likely move to transfer next. My hair is falling out and I think I am done.). Hoping we can be BMB friends!
@inthewoods23 I have no idea on the pre-auth front, but usually your doctor's office will know because they are doing the billing. But yeah for basic labs I would think it's fine?
@hanshotfirst77 Glad you're feeling good about the embryo! Hopefully you can get the show on the road soon...
I'll be back tomorrow with updates from my end (it's day 6!)
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
Duostim (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1 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
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.
**TW for discussion of death**
How are things going?: 2 things are currently happening: my bast report from last cycle, and also my current cycle. Both are going very well, stats in spoiler
This cycle: my clinic is not used to duostim (I think because I live in an area with mandated insurance coverage for infertility, which typically means cycles are spread out for insurance reasons). Man, I am a real novelty to the nurses! My baseline ultrasound yesterday, as expected, was bananas, but I think still points in a good direction. Basically, the issue is at baseline they can still see a lot of the follicles left over from the retrieval, and the new ones as well. I had 8 big follicles (almost certainly all leftover), and TWENTY-FIVE little ones. Some of these are likely leftover also, but my typical AFC (before last cycle) was like 8-10, so I still think there is a lot of potential in there. My estradiol was 30, so at least they will get to monitor that normally (hopefully!) we shall see.
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
Duostim (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1 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 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
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.
@acleverusername Yes to a mass exodus please!
TTC#1 - March 2013
BFP 8/9/13 - EDD 4/14/14 - DS born 4/23/14
TTC#2 November 2015
Dx: Secondary IF June 2016
Medicated IUI cycle#1- Clomid+IUI -1/15/17 -BFN
Break Mid 2017 - Resumed TTC December 2018
"She believed she could so she did..."
Medicated IUI cycle#2- Femara 5mg+IUI 12/22/18 - BFP 1/4/19 - MMC 2/1/19
Saline Sono 3/15/19 - All Clear!
Medicated IUI cycle#3- Femara 7.5mg+IUI 3/28/19-BFN
Medicated IUI cycle#4- Femara 5mg+Gonal F 50iu+IUI 4/27/19- BFP 5/11/19 - MMC 6/12/19 - D&C 6/14/19-
Incomplete M/C Repeat D&C - 7/3/19 -Testing concluded baby was genetically normal
Dx: Unexplained RPL July 2019 - Tested + as carrier for Usher Syndrome & Familial Mediterranean Fever
Saline Sono 8/7/19 - Mostly Clear! All systems go for IVF#1
But will need a repeat Saline Sono between ER and FET
IVF #1 - Antagonist Protocol - 8/17/19
ER#1 8/27/19 - 12R, 6F, 4 biopsied+frozen! (3d5blasts + 1d6blast)- 2 PGS normal embabies!
Saline Sono 9/13/19 - All Clear! Onto FET Prep#1
FET#1 - 4AA -10/4/19 - BFP 10/14/19 - EDD - 6/21/20 -Beta#1-10dp5dt- 379 Beta#2-12dp5dt- 1007 Beta#3-14dp5dt- 2844
DD born 6/15/20
@acleverusername weirdly when I asked if they could look up costs based on CPT code I got some really reasonable dollar amounts! I've seen some people in the FB group mention the tests for a couple mutations are a couple hundred dollars each but the guy I spoke with told me $64 for each. I don't know what to believe. Maybe our insurance is just that good? I really don't know. Looking up the details "diagnostic testing" is listed so... maybe they cover any diagnostic type test???
@optimistgardener yeah I would have been so ticked off if it turned out that I was just past the window. Thank god for ovulating 2-3 days later than normal this cycle. I was getting mad last week when my OPKs weren't getting darker! lol. I guess my body just knew it was for the best!
@bumblebee0210 you know, I suppose I could make an appointment at Quest for the basic stuff and go back another time for the blood draw for the genetic mutation tests. Wow 5 blasts that's amazing!! FX a good number are normal!
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 put on pause indefinitely
@inthewoods23, getting everything lined up can be so stressful. I think for bloodwork specifically, it depends how they code it in their system. I've done treatments both with and without insurance coverage, and in either instance my REs always coded prep work - bloodwork, the HSG, saline sono, etc. under diagnostic testing so insurance covered it even if I didn't have IF coverage.
@hanshotfirst77, ugh. I feel you on missing thr testing cutoffs. I missed my saline sono window by like a day and had to wait out the next cycle. Luckily, my cycle cooperated and my wait wasn't that long. I'll be hoping yours is short too!
@bumblebee0210, congrats on the amazing blast news!!!!
The last fall farmers' markets of the year, and last couple of flea markets and barn sales. I always like this time of year but also hate it. Mostly for the same reasons.
@walkawaynee I’m glad you’re feeling confident moving forward.
@keikilove I’m so happy YH is getting so much support after going public. I can’t imagine navigating all those emotions. Is there absolutely no chance that his sperm can rebound once he’s done with chemo? I’m glad you’re thinking about seeing a therapist. The strength it takes to know when everything is too much is incredible. I admire you.
@acleverusername *TW I’m so sorry for your loss. TW* I’m so glad you have a doctor that understand all the emotional aspects of this journey. I’m glad you’re jumping right back in and you have a great plan for retrieval and transfer. And even though I just joined back in, I would love to be a part of the mass exodus too lol.
@inthewoods23 I’m so glad you were able to get the biopsy scheduled! Remind me what this is for again (I’ve been lurking here and there but I’m sure I’ve missed a lot). And I have no advice about the pre-authorization stuff, only to say, insurance stuff sucks! I hate the hoops they make you jump through.
@hanshotfirst77 I’m glad you got the reassurance you needed and have some confidence moving forward.
@optimistgardener I’m glad the start of the semester has been keeping you busy. I can’t imagine doing a sperm transfer at all, let alone trying to hide it from family in town. When will you be starting a new retrieval and, remind me, are you changing any protocols for your next cycle?
@mokay19 *TW I’m so sorry for you and your family’s loss. TW*
@bumblebee0210 Holy moly! Those numbers are insane! FX that his second half continues in a positive direction.
Edit to add:
@zwink1 I’m so sorry your work situation has fallen apart. Do you think it will be easy to find a new job in your field? My supervisor just officially announced his retirement and we’re all super nervous about the change and what that will mean for our work dynamic. Change is hard and scary!
Married: 8/2015
TTC #1: 4/2017
Testing: HSG, U/S, BW, and DH's SA all normal
DX: Unexplained
8/2018: Clomid + TI = BFN
9/2018: Clomid + TI + Progesterone = BFN
11/2018: Clomid + IUI + Progesterone = BFN
12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
10/7/2019: Healthy baby boy!
TTC #2: 12/2020
2/2021: Letrozole + TI = BFN
3/2021: Letrozole + TI = BFN
4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
8/2021: Letrozole + IUI + Progesterone = BFN
9/2021: Letrozole + IUI + Progesterone = BFN
10/2021: Letrozole + IUI + Progesterone = BFN
11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022
Diagnosis (if you've been): Unexplained
Status (WTO/TWW/TTA): WTO
What are you doing this cycle? (Testing? Treatment?): Going in for a baseline scan to hopefully do our 3rd IUI. I’m worried there will be a cyst that will cancel the cycle but I’m prepared to ask to do a natural IUI cycle instead. They’ll likely say no to that though.
How are things going?: Blah. Not well. Last week was rough. I thought we were done trying with the RE for the year but I re-ran the numbers and we should be able to afford a couple more cycles. If they don’t work then we’ll be looking to change clinics next year.
Clinic drama in spoiler because I don’t know how to shorten it all lol:
They are super condescending and have generic responses ready for all questions. There also seems to be a lot of confusion and no communication between staff.
For our first IUI I sent an email asking about concerns of the IUI potentially needing to be done over the weekend and if they would still do it. The nurse said no, they don’t do IUI’s on the weekend. But then when I went in for my baseline appointment the nurse said absolutely and that it would be “unethical if they didn’t.” Ok, great. So it sounds like they don’t like doing them on the weekend but they will if they have no other choice.
Then when I went in for my CD10 scan I had 5 follicles all around the same size (3 at 12, 2 at 11.5). They wanted me to trigger 3 days later (on a Sunday) without a follow-up scan… even though they have a cancelation policy of 4 or more. When I brought up my concern of not wanting to birth 5 children at once, the nurse came back with “that’s the chance you take when you’re doing an IUI.” She also went on to say contradicting statements. When I asked how much follicles grow each day she said about 1 every day but once they reach 12 they usually grow 2 every day. I also asked if we could delay the trigger by a day so that they could grow a little bigger and then we could do another scan, she said no because by that point all 5 of them would be mature and we would need to cancel. But if you run the numbers she gave me on how much they grow, they would have all been mature by Sunday anyways. I also told her I would rather cancel than have 5 babies at once and she asked if I would like to cancel now and wouldn’t let me schedule the follow up scan.
My second IUI went nearly perfectly (we lowered my dose and I only produced 1 follicle). Until my LH started surging an hour before my trigger shot. My surges are usually strong and fast so I knew I would be ovulating the next day, accompanied by my typical ovulation cramps. I did the trigger like planned but called the clinic the next day. The nurse said it wasn’t surprising that my OPK turned positive since they saw my LH rising the day before with blood work. (I thought the whole point of doing the blood work was to adjust timelines if indicated!? And the nurse just confirmed they saw it rising. Did someone drop the ball and not even look at my test results?!) Anyways, they didn’t move my scheduled IUI up at all and I’m nearly certain we missed our window.
When I got the call the beta was negative and to go over the next cycle plan, the nurse told me to stop using OPKs because they’re unreliable and that the cramps I were feeling were from the increase in estrogen. Even though I’ve been using these same OPKs (confirmed with bbt) and been having ovulation cramps since I started tracking. Obviously, they are the experts and I’m trying to trust them, but I feel like I just keep getting talked down to.
This cycle they wanted to move my dose back up again. When I brought up concern about producing 5 follicles the nurse was a little loss for words and said she would talk to the doctor and we can talk again at baseline. I also asked that if my OPKs turn positive again before my trigger if we could do back to back IUIs and she basically said no. That that was an “old school” approach, and she hasn’t seen that done at this clinic before.
Anyways. All that to say… I’m beyond annoyed with my clinic and just want to be done. But we’ll stick it out a few more cycles and then re-evaluate.
If you made it through that… bless you! I’ve been needing to get that all off my chest.
Any questions?: Is there any difference in taking the same dose letrozole/clomid on different days? For example, I took letrozole CD3-7 and produced 5 follicles. Removing cycle to cycle variation, would taking it CD5-9 potentially give me less?
GTKY: besides Halloween, what are you looking forward to the most in October? We love going to this corn maze close to the house. It usually takes us an hour to get through. Also, all the apple cider! Yum!
Married: 8/2015
TTC #1: 4/2017
Testing: HSG, U/S, BW, and DH's SA all normal
DX: Unexplained
8/2018: Clomid + TI = BFN
9/2018: Clomid + TI + Progesterone = BFN
11/2018: Clomid + IUI + Progesterone = BFN
12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
10/7/2019: Healthy baby boy!
TTC #2: 12/2020
2/2021: Letrozole + TI = BFN
3/2021: Letrozole + TI = BFN
4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
8/2021: Letrozole + IUI + Progesterone = BFN
9/2021: Letrozole + IUI + Progesterone = BFN
10/2021: Letrozole + IUI + Progesterone = BFN
11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022
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
Duostim (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1 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
Diagnosis (if you've been): PCOS
Status (WTO/TWW/TTA): WTO
What are you doing this cycle? (Testing? Treatment?): NTNP
How are things going? Things are good. I spoke with my OB and he agreed that seeing a fertility specialist was a good idea, especially since I would be considered high risk at this point given my losses. He actually recommended me to the one that he and his wife saw when they were TTC. I called them and have a tele-med consult appointment scheduled for Oct 25! It feels good to be taking the next steps and hopefully getting some answers.
Any questions?: anything I should ask or need to know for my consult appointment?
GTKY: besides Halloween, what are you looking forward to the most in October? Cooler weather and changing leaves!
@walkawaynee welcome!! Glad you’re feeling at peace with IVF.
@keikilove I’m glad things feel a bit better today. It’s a lot to deal with and it might not hurt to have someone you trust to talk to about it and process feelings. Still sending hugs and positive vibes your way!
@acleverusername sounds like you have a good plan with your RE! FX you can get a transfer in before the end of the year! I love the mass exodus to a BMB idea!
@inthewoods23 ooof that’s a tight window but I’m glad you’re able to make it work! Sending all the positive vibes for your biopsy!
@hanshotfirst77 sorry you missed the window for this cycle but I’m glad you’re feeling better about your upcoming FET!
@mokay19 sorry you’re in limbo. I hope the next month flies by so you can get rolling with treatment with the new insurance.
@bumblebee0210 that’s awesome news! So excited for you!!
@zwink1 sorry to hear about your work situation. That is so stressful. I hope you can find something better quickly!
@LJMoon6 sorry you’re having such a difficult experience. That’s so frustrating! I don’t blame you for wanting to switch.
@bumblebee0210 I think that has a lot to do with it, re: speaking to the nurses and not the RE. The only time I’ve actually spoken to my RE has been during the consult. Everything else is done by the nurses. Scans, blood draw, communicating instructions, and even the actual IUI. I really don’t understand why even just a follow up phone call by the RE isn’t done. One of the nurses I was talking to could definitely tell I was getting frustrated and offered for me to schedule a follow up appointment with the RE… But that would have delayed us starting our next cycle. Which I don’t want to do.
@gingermama29 I'm so glad you got an appointment scheduled so fast! That's great!Married: 8/2015
TTC #1: 4/2017
Testing: HSG, U/S, BW, and DH's SA all normal
DX: Unexplained
8/2018: Clomid + TI = BFN
9/2018: Clomid + TI + Progesterone = BFN
11/2018: Clomid + IUI + Progesterone = BFN
12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
10/7/2019: Healthy baby boy!
TTC #2: 12/2020
2/2021: Letrozole + TI = BFN
3/2021: Letrozole + TI = BFN
4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
8/2021: Letrozole + IUI + Progesterone = BFN
9/2021: Letrozole + IUI + Progesterone = BFN
10/2021: Letrozole + IUI + Progesterone = BFN
11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022
Lady friend, we’re here for you. Trust me when I say that nurses don’t know much about anything. The number of times I got off the phone with my nurses and rolled my eyes as I knew 💯 that what she said was wrong…. Well there are many such occasions. They are trained to read out the results but rarely are they equipped to do anything more. So, a few things…
1) About having 5 kids… honestly the chance of that happening is infinitesimally small at our age (I think we're same age). It’s not like each additional follicle gives doubles, triples, quadruples the success rate of IUIs. Sadly, it doesn't work like that. What I can tell you is you should watch this video from TEW. If you don't have time to watch, look at this graph... it outlines chances of success of IUI by # of follicles and age, as well as absolute / relative risk of multiples by age/# of follicles. She talked to another doctor who did a study that demonstrates what amount of follicles are "safe" for women at any given age. For context, I did a super-ovulation cycle with TEW in March, and I ovulated 4 follicles. We also did double insemination. I asked what my chances of success were and TEW said about 10-12%; and she said that with 1 or 2, it would have been less than 10%.
2) About ovulation soon after your LH surge. Keep in mind that before your follicle releases the egg, the oocyte still need to go through meiosis which takes ~1 day. So, even if you have a quick surge, doesn't mean that your egg is released quicker. From this article: "The resumption of meiosis (so called nuclear maturation) occurs 14–18 h after the beginning of the LH surge; meiosis I is completed within 35 h and the oocytes reach the metaphase II stage (MII) [16]."
3) On the topic of switching clinics, YES absolutely do that. Remember, I'm on my 4th clinic (the last switch due to insurance but you get the point). You are spending too much – emotionally, physically, mentally – to be treated like an afterthought. Even if the nurses can't give you answer, someone at the clinic should. I would agree with @bumblebee0210 about talking to the clinic director about only dealing with an NP, a PA, or directly with RE. Think about the stress that you're experiencing having to deal with the nurse who can't give you the answers you're looking for. I know it's easier said that done, and ultimately, you need to listen to your gut.
Anyways, I hope all of this helps. I'm happy you're back here. Ask us ANY questions. You know how much I love to get into the scientific nitty gritty answering ppl. Lol. *Hugs*
Edit: okay, we're not the same age (just looked at the Newbies intro thread). LOL. But I'm not changing what I wrote... hopefully the sources I've cited will help.
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 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
And for your question about what “to think about my day-5 4BB as "better" than my day-6 5AB, because that day-6 5AB was only like a 3BB on day 5”… I’m sure give seen this: https://www.sensiblesurrogacy.com/quality-grade-of-embryos/ I think it’s the ultimate grade of the embryo that matters. So your 5AB > 4BB. And a 3BB would have been slightly worse than 4BB.
I hope this helps!
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 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
ETA: I am about the same age as you, and I am about the same age as @LJMoon6, so by the transitive property...
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
Duostim (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1 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 - March 2013
BFP 8/9/13 - EDD 4/14/14 - DS born 4/23/14
TTC#2 November 2015
Dx: Secondary IF June 2016
Medicated IUI cycle#1- Clomid+IUI -1/15/17 -BFN
Break Mid 2017 - Resumed TTC December 2018
"She believed she could so she did..."
Medicated IUI cycle#2- Femara 5mg+IUI 12/22/18 - BFP 1/4/19 - MMC 2/1/19
Saline Sono 3/15/19 - All Clear!
Medicated IUI cycle#3- Femara 7.5mg+IUI 3/28/19-BFN
Medicated IUI cycle#4- Femara 5mg+Gonal F 50iu+IUI 4/27/19- BFP 5/11/19 - MMC 6/12/19 - D&C 6/14/19-
Incomplete M/C Repeat D&C - 7/3/19 -Testing concluded baby was genetically normal
Dx: Unexplained RPL July 2019 - Tested + as carrier for Usher Syndrome & Familial Mediterranean Fever
Saline Sono 8/7/19 - Mostly Clear! All systems go for IVF#1
But will need a repeat Saline Sono between ER and FET
IVF #1 - Antagonist Protocol - 8/17/19
ER#1 8/27/19 - 12R, 6F, 4 biopsied+frozen! (3d5blasts + 1d6blast)- 2 PGS normal embabies!
Saline Sono 9/13/19 - All Clear! Onto FET Prep#1
FET#1 - 4AA -10/4/19 - BFP 10/14/19 - EDD - 6/21/20 -Beta#1-10dp5dt- 379 Beta#2-12dp5dt- 1007 Beta#3-14dp5dt- 2844
DD born 6/15/20
More importantly, to your clinic drama, I agree with @acleverusername, if you're not comfortable where you're at and don't think you're getting the proper care, absolutely switch!!! This is one of those things where there's too much invested financially, emotionally, and physically to not feel 100% comfortable where you're at. I have been lucky to find a new RE that I am equally comfortable with, but when my last RE announced that she was leaving the area I really struggled with where to go from there and it definitely delayed me from moving forward. Given everything that had happened, I had a lot of trust in her and replacing that was daunting, but I feel like that level of trust is important for this kind of thing and you should absolutely be able to have that in your care team.
@acleverusername Ok. First off, thank you thank you thank you! I needed that kick in the butt to chill out. What was missing from the nurses was the science behind their comments. Being in STEM, I need a little bit more than a generic comment of “oh, it’ll be fine.” And I shouldn’t have to dig through scientific journals to decode their comments. I knew I should have come back on here sooner. Bouncing all these concerns off of you guys would have helped tremendously, instead of letting them all build up. But I knew I didn’t have the time to dedicate to it this summer. But man, am I glad to be back!
1) Oh yes. I was being a bit dramatic when I made the comment about having 5 babies at once lol. I knew the chances of that happening were pretty low. Thank you for sharing the chart and video (I haven’t had a chance to look at the video yet). That will help soooo much for this next cycle since they’re increasing my dose again. So according to that chart, if all 5 follicles were mature (>14mm) and I had success, I would have had a 30% chance of having multiples. Yikes. That’s still terrifying!
2) Thank you for sharing that article. I read something similar when I was going through the cycle. It gave me hope. But when it didn’t work I turned bitter lol, and I needed to blame the failure on something. My question is, when is “the beginning of the LH surge.” Because I’ve had a nurse tell me that by the time I get a positive OPK it is usually delayed from the blood test (I’m assuming it takes a little longer for LH to reach your urine vs your blood). So, for example, they said my blood was already indicating a rise in my LH Tuesday morning, but my OPK didn’t turn positive till Wednesday night. When would the clock start ticking, so to speak? That’s probably a question that can’t be answered and is getting down to the hour by hour life of an egg. Either way, it was probably fine. Everything is just an average/best guess and can’t really be known for each individual person, especially during an IUI. Which makes it an even more frustrating process.
3) Thank you. I want to switch clinics and be somewhere that I feel confident with. Of course I’m hoping we have success before I actually have to go through that process. The convenience of already being set up with them and them being so close is nice. I will see if I can get a follow-up appointment (or at least a call) from my RE this cycle. Thanks for the suggestion/push (and @bumblebee0210 too).
Married: 8/2015
TTC #1: 4/2017
Testing: HSG, U/S, BW, and DH's SA all normal
DX: Unexplained
8/2018: Clomid + TI = BFN
9/2018: Clomid + TI + Progesterone = BFN
11/2018: Clomid + IUI + Progesterone = BFN
12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
10/7/2019: Healthy baby boy!
TTC #2: 12/2020
2/2021: Letrozole + TI = BFN
3/2021: Letrozole + TI = BFN
4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
8/2021: Letrozole + IUI + Progesterone = BFN
9/2021: Letrozole + IUI + Progesterone = BFN
10/2021: Letrozole + IUI + Progesterone = BFN
11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022
@LJMoon6 I've started seeing an RI (reproductive immunologist). The biopsy checks for 6 different immunology markers. As you know, the immune system has to do all the right things to allow implantation to occur with embryos being considered foreign bodies. If you wanna learn more about it, it's called a decidualization score. Scoring low is bad meaning I don't have the markers indicating my immune system isn't suppressing properly. I really feel you with the dislike with your current clinic. I'm now fully intending on getting pregnant naturally now that I know that's possible. I did not like my RE's bedside manner when I saw her *tw* in the early days of my PG last year that ended in MC *end TW*. I really hope I never have to transfer another embryo with them.
@CatGifsRock if I had to guess, I bet those follicles measuring 22mm on Friday were well overmature by the time it was Monday. My largest follicles we're maybe 18 when I did the trigger shot. I think a third of my eggs ended up not being mature but I only did half dose of the trigger to prevent OHSS. I'm sorry only 1 ended up fertilizing 😔
@gingermama29 I'm so happy you got the referral!!
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 put on pause indefinitely
@keikilove and @optimistgardener being like that. And I'm sure others here are too! Sadly, the nurses don't do this kind of research and reading, so we're glad you're back here. To answer your questions further:
1) You read that chart correctly; at your age, you have a much higher risk for multiple, so I would NOT recommend you proceeding with an IUI if you have more than 2... maybe... 3 follicles. For someone in my age category, 4 or 5 follicles is well within tolerated risk. But yeah, your eggs are still young!
2) Yeah, so the start of the LH surge is tricky, cause you're literally have to do a blood test every hour to pinpoint it exactly. And obviously peeing every hour would mean you're using a diluted sample. So that's why most OPKs say that "you ovulate 12-72 hours" after your surge begins. Depending on the type of OPKs you're using (threshold-based or semi-quantitative), by the time you "turn a positive" your LH has been rising. Threshold based tests have a minimum threshold of sometimes 25mIU/mL and sometimes 40mIU/mL, so your LH needs to be OVER that amount before you get a positive. Also depending on how often you test (if it's once a day), your surge could have started right after you tested last, so by the time you test next, it will have ben 20+hrs since the start. If your blood work showed that your LH surge was starting on Tuesday, then my best guess that ovulation window was mid-day'ish Wednesday. The other thing to keep in mind that washed sperm doesn't keep as long as non-washed sperm. It starts to lose its potency 6-12 hours after insemination, although it can live up to 24-48 hours inside the uterine tract. So... there is a chance your timing was ever-so-slightly off, but I think it was pretty much bang on. BTW, I know all of this because I had exactly the same concerns, feelings, about my IUI in Feb of this year. So I canvassed the internet in search of answers and can now pass that on to you and others.
3) Can you start looking for a new clinic in parallel? At least that way you're working towards a Plan B in case you're not successful this time around.
Hope this helps!
I still want to get back to all you other ladies, but work is crazy, so I'm doing a little bit at a time.
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 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
❤️❤️
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 put on pause indefinitely