I'm just waiting to ovulate and all that comes along with that. This is my first femara cycle and my OPKs are finally getting darker. I expect it to be positive tomorrow or Wednesday.
So far we're just doing the CD 3-7 femara without a trigger. How many cycles would you consider reasonable before asking for a trigger if this one doesn't work?
I'm still stuck. FET2 has been cancelled 3 times now. 1st was due to fluid. 2nd I had a laprascopy and 3rd they can't get a period forced.
I took provera once a day for 5 days. After 15 days a cycle never started so I went to 10 days of progesterone/prometrium twice a day. Since starting prometrium it's been light spotting the entire time. No cycle though. Went today for a baseline and lining is still to thick at 9.2. It's been 5 days since the last pill so they're going to let me spot for another 2 weeks and if nothing then we'll go back to provera twice a day for longer. I'm literally on CD65. I haven't had a cycle since my laprascopy back on May 6.
DH and I had planned for vacation and we wanted FET to be at that time but since it got cancelled and he couldn't get his vacation back we ended up getting away for a few days to Williamsburg and Busch Gardens.
I'm just waiting to ovulate and all that comes along with that. This is my first femara cycle and my OPKs are finally getting darker. I expect it to be positive tomorrow or Wednesday.
So far we're just doing the CD 3-7 femara without a trigger. How many cycles would you consider reasonable before asking for a trigger if this one doesn't work?
We were always told whenever you're doing any fertility meds not to rely on OPK's. You really should get monitored with a follicle count and bloodwork to make sure you ovulate.
That said I did 3 rounds of IUI all with a trigger. We did T1 which never had a trigger but ended up being a waste of time.
I'm just waiting to ovulate and all that comes along with that. This is my first femara cycle and my OPKs are finally getting darker. I expect it to be positive tomorrow or Wednesday.
So far we're just doing the CD 3-7 femara without a trigger. How many cycles would you consider reasonable before asking for a trigger if this one doesn't work?
We were always told whenever you're doing any fertility meds not to rely on OPK's. You really should get monitored with a follicle count and bloodwork to make sure you ovulate.
That said I did 3 rounds of IUI all with a trigger. We did T1 which never had a trigger but ended up being a waste of time.
I agree. I wouldnt be doing an unmedicated IUI. I did 3 IUIs with trigger and pills/injectibles (I needed the injectibles as I have longer cycles and need the help from the meds to help me go faster) to get my DD. After her we did 4 IUIs (one worked but ended in a MC).
megstoostarryfish We're not doing IUI right now, just an old-fashioned BD cycle with Femara to give my eggs a boost. I've been able to get pregnant on my own (it just takes awhile) but had two losses early this year. I'll be 35 this year and my AMH shows good ovarian reserve for my age. H just had a really positive SA a few weeks back and I had a saline sono in April to confirm that there's not excessive scarring from my C-section or any other stuff going on in my uterus and that showed a normal cavity.
I will have CD 21 bloodwork to confirm ovulation. I'm with an OB and he's given us instructions to BD every other day between CD 10-22. I'm CD 15 right now.
We are not doing any follicle monitoring this cycle, but I plan to ask for monitoring next cycle if this one is not successful. It was suggested to me by a friend who's been through a ton of IF to ask for a trigger next cycle and so I'm trying to wrap my head around it all.
megstoostarryfish We're not doing IUI right now, just an old-fashioned BD cycle with Femara to give my eggs a boost. I've been able to get pregnant on my own (it just takes awhile) but had two losses early this year. I'll be 35 this year and my AMH shows good ovarian reserve for my age. H just had a really positive SA a few weeks back and I had a saline sono in April to confirm that there's not excessive scarring from my C-section or any other stuff going on in my uterus and that showed a normal cavity.
I will have CD 21 bloodwork to confirm ovulation. I'm with an OB and he's given us instructions to BD every other day between CD 10-22. I'm CD 15 right now.
We are not doing any follicle monitoring this cycle, but I plan to ask for monitoring next cycle if this one is not successful. It was suggested to me by a friend who's been through a ton of IF to ask for a trigger next cycle and so I'm trying to wrap my head around it all.
Hopefully you don't, but, if you need to do another cycle I would stop with the OB given your age and go to an RE. They're so much easier to work with than an OB, results from blood work and ultrasounds are same day so everyone is on the same page and meds can be adjusted as needed and they have a lot more tools so to speak.
megstoostarryfish We're not doing IUI right now, just an old-fashioned BD cycle with Femara to give my eggs a boost. I've been able to get pregnant on my own (it just takes awhile) but had two losses early this year. I'll be 35 this year and my AMH shows good ovarian reserve for my age. H just had a really positive SA a few weeks back and I had a saline sono in April to confirm that there's not excessive scarring from my C-section or any other stuff going on in my uterus and that showed a normal cavity.
I will have CD 21 bloodwork to confirm ovulation. I'm with an OB and he's given us instructions to BD every other day between CD 10-22. I'm CD 15 right now.
We are not doing any follicle monitoring this cycle, but I plan to ask for monitoring next cycle if this one is not successful. It was suggested to me by a friend who's been through a ton of IF to ask for a trigger next cycle and so I'm trying to wrap my head around it all.
Hopefully you don't, but, if you need to do another cycle I would stop with the OB given your age and go to an RE. They're so much easier to work with than an OB, results from blood work and ultrasounds are same day so everyone is on the same page and meds can be adjusted as needed and they have a lot more tools so to speak.
this x1000. Whenever you take IF meds, you increase your chance for multiples, and only through Follicle monitoring (ultrasounds) can they tell how well you are responding and will cancel your cycle if you have too many eggs. Like my clinic will cancel if you have 3-4+ eggs that are mature for an IUI.
Seriously can't recommend enough about going to an RE instead of an OB.
Hopefully you don't, but, if you need to do another cycle I would stop with the OB given your age and go to an RE. They're so much easier to work with than an OB, results from blood work and ultrasounds are same day so everyone is on the same page and meds can be adjusted as needed and they have a lot more tools so to speak.
this x1000. Whenever you take IF meds, you increase your chance for multiples, and only through Follicle monitoring (ultrasounds) can they tell how well you are responding and will cancel your cycle if you have too many eggs. Like my clinic will cancel if you have 3-4+ eggs that are mature for an IUI.
Seriously can't recommend enough about going to an RE instead of an OB.
Also totally agree with this. Would an OB even prescribe a trigger? I feel like you’d *have* to have follicle monitoring to know when to trigger.
megstoo I’m so sorry, that sounds unbelievably frustrating. Whenever I’ve been on provera, I’ve done 10 days (one pill a day- I can’t remebwr the dosage) and my cycle starts about a week after the last pill. I hope they can find something to work for you.
I’ve been spotting, and expect CD1 to be Saturday. I’ll be having a HSG this cycle and hopefully will be able to move forward with another clomid+trigger+IUI cycle sometime following. It’ll be my 5th clomid cycle and after 6, I can move onto IVF, but I’m not sure if we are going to. It’s a really shitty feeling knowing that if it doesn’t happen in the next two cycles, we may call it quits.
Post by ilovecandy on Jul 15, 2019 15:43:28 GMT -5
Megstoo hugs
Achi I am just going to ditto what everyone else said about monitoring and seeing a re.
Just got first bill from my office for some pretesting that insurance doesn't cover and it isn't as bad as I was expecting. H was like wow but I was all actually that is cheaper than I thought it would be. I should probably contact and make sure that all the other stuff uff went through right? I mean the date of service on it is the day I got all the costly stuff (stuff I knew insurance woundt cover) done along with some stuff insurance should have covered so I would think it would be all on one bill for me as that is how it was billed to insurance as all in one day.
ETA went and looked at my papers for what codes they gave for each thing I had done and it matches up to the billing statement. Guys my clinic is so weird. They gave us a price list of what each thing costs. Such as Office hysterscopy $3,571 Mock $1578 Antral follicle count $708.
But then the billing people only cahregs like 1750 total for all three to insurance. Insurance paid out a dismal amount then they adjusted (took off a large amount) and I am at $812. I know my insurance should have covered everything but mock because I checked with them. So I was expecting to pay closer to $1000 because my clinic discounts for me 40 percent what insurance doesn't pay. So 40 percent of my mock is 947 but they only actually billed me 812. This is why medical insurance is fucked in this country I mean seriously. I am happy to pay less but yeh
I’m still Feeling like poo. Better but still not great. My ovaries are sore and I have a bit of nausea today. I bounced back pretty quick after the last retrieval, but not this one.
I’m hoping I don’t get a phone call until Friday. Any phone call before then is probably not great news.
I’m still Feeling like poo. Better but still not great. My ovaries are sore and I have a bit of nausea today. I bounced back pretty quick after the last retrieval, but not this one.
I’m hoping I don’t get a phone call until Friday. Any phone call before then is probably not great news.
Still thinking of you and starryfish and keeping my fingers crossed
ilovecandy insurance is so crazy. I’m just now getting into it, as prior to the IUI everything has really just been an office co-pay. I just got a call today saying I was approved for the infertility program through insurance (uh, good) and that IVF will be 100% covered, but would that cover meds too or no? The lady I talked to wasn’t sure and said to call another number. I don’t know what’s typical.
ilovecandy insurance is so crazy. I’m just now getting into it, as prior to the IUI everything has really just been an office co-pay. I just got a call today saying I was approved for the infertility program through insurance (uh, good) and that IVF will be 100% covered, but would that cover meds too or no? The lady I talked to wasn’t sure and said to call another number. I don’t know what’s typical.
My insurance covers dianostic and usually monitoring depending on how it is coded (anything for a code for ivf or iui is not accepted). Also most meds aren't but estrogen and progesterone I just have a small co pay. I am going overseas for my meds like I did last time it is way cheaper. My triggers shot is going to be freedom Fertility though since it is a refrigerator drug.
Insurance for sure is a mindfuck and a pain at times.
ilovecandy insurance is so crazy. I’m just now getting into it, as prior to the IUI everything has really just been an office co-pay. I just got a call today saying I was approved for the infertility program through insurance (uh, good) and that IVF will be 100% covered, but would that cover meds too or no? The lady I talked to wasn’t sure and said to call another number. I don’t know what’s typical.
If your insurance covers IVF it typically covers the IVF meds as well. You may have to order through a specific specialty pharmacy and sometimes the approval process can be a pain in the ass but if you start early there’s no reason why they shouldn’t approve you.
Post by pinkpeony08 on Jul 15, 2019 19:48:37 GMT -5
Keep coming back to check in on any updates, starryfish and joenali . Sending so many good wishes to you!
My reproductive immunology appointment is tomorrow. I'm a bit anxious about it, feeling like it's the only stop left for any answers.
We were all supposed to visit my brother and his family this past weekend, but my husband unexpectedly had to work. I still went with the kids, but I was exhausted after a 4 hour drive each way without another adult. We all had a great time, but I'm grateful I took all of tomorrow off of my appointment. It's scheduled to take 4 hours and then I will have the afternoon to relax a bit. And amazingly my husband was supposed to have to go out of town for work tomorrow night for a few days and the trip was cancelled!
ilovecandy insurance is so crazy. I’m just now getting into it, as prior to the IUI everything has really just been an office co-pay. I just got a call today saying I was approved for the infertility program through insurance (uh, good) and that IVF will be 100% covered, but would that cover meds too or no? The lady I talked to wasn’t sure and said to call another number. I don’t know what’s typical.
Meds should be covered but ask if there is a specialty pharmacy! My meds qould have been 10K+ had i not called and asked where to get them. I had to go through my insurances specialty pharmacy to get them covered ( and there were some exclusions so ask about substitutions if that is the case)
ilovecandy insurance is so crazy. I’m just now getting into it, as prior to the IUI everything has really just been an office co-pay. I just got a call today saying I was approved for the infertility program through insurance (uh, good) and that IVF will be 100% covered, but would that cover meds too or no? The lady I talked to wasn’t sure and said to call another number. I don’t know what’s typical.
Meds should be covered but ask if there is a specialty pharmacy! My meds qould have been 10K+ had i not called and asked where to get them. I had to go through my insurances specialty pharmacy to get them covered ( and there were some exclusions so ask about substitutions if that is the case)
Thanks! I learned the hard way that I have to get my trigger shot from a specialty pharmacy- thankfully it was only $100, and I had everything figured out by the following cycle so I just had to pay a co pay of $32. I’m guessing other IVF meds would have to be filled at the specialty pharmacy as well.
this x1000. Whenever you take IF meds, you increase your chance for multiples, and only through Follicle monitoring (ultrasounds) can they tell how well you are responding and will cancel your cycle if you have too many eggs. Like my clinic will cancel if you have 3-4+ eggs that are mature for an IUI.
Seriously can't recommend enough about going to an RE instead of an OB.
Also totally agree with this. Would an OB even prescribe a trigger? I feel like you’d *have* to have follicle monitoring to know when to trigger.
My OB specializes in fertility and so many people in my area have seen him and had success. As far as I know he would prescribe a trigger, but I would definitely insist on monitoring.
It’s too late for monitoring this cycle, and deed’s been done so it is what it is at this point. But I’ve definitely got a list of questions for him at my follow up before the next cycle would start.
Post by pinkpeony08 on Jul 16, 2019 15:35:08 GMT -5
Well, my appointment was this AM with reproductive immunology. I was there all morning, and I felt like it was very thorough. The pelvic ultrasound with doppler showed decreased blood flow to the ovary that is set to ovulate in the next day or two as well as uterine artery blood flow. She explained this could be related to premature ovarian failure. They drew something like 20 tubes of blood and spent 40 minutes getting a very thorough history. She also would like a endometrial biopsy, which I am waiting to hear back if my OB is willing to do. I go back in 3 weeks for the results.
Well, my appointment was this AM with reproductive immunology. I was there all morning, and I felt like it was very thorough. The pelvic ultrasound with doppler showed decreased blood flow to the ovary that is set to ovulate in the next day or two as well as uterine artery blood flow. She explained this could be related to premature ovarian failure. They drew something like 20 tubes of blood and spent 40 minutes getting a very thorough history. She also would like a endometrial biopsy, which I am waiting to hear back if my OB is willing to do. I go back in 3 weeks for the results.
This sounds like a positive step in the right direction.
Still hoping for our embryos to grow. I think it was day 4 last time that they called us to tell us none had made it. It’s day 4 today. I hope we can get through the day without a phone call.
Still hoping for our embryos to grow. I think it was day 4 last time that they called us to tell us none had made it. It’s day 4 today. I hope we can get through the day without a phone call.
Still hoping for our embryos to grow. I think it was day 4 last time that they called us to tell us none had made it. It’s day 4 today. I hope we can get through the day without a phone call.
Still hoping for our embryos to grow. I think it was day 4 last time that they called us to tell us none had made it. It’s day 4 today. I hope we can get through the day without a phone call.