What's your doctor's iui protocol?

posted 3 years ago in TTC
Post # 3
Member
2457 posts
Buzzing bee
  • Wedding: October 2012

i haven’t taken birth control at all. this was just a step up from our last cycle of trying.

i was on 150mg clomid from CD3-CD7 (five days), on day 10 i went in for follicle study. wasn’t ready, so went back again after the weekend. Triggered with Ovidrel 250 on CD14 in the late afternoon, IUI on CD16 in the early morning.

btw, since you are worried about being overweight. I’m very overweight and i just got my progesterone results today and I had a very strong ovulation with the trigger. And I had not been ovulating at all on my previous cycles of just clomid.

Post # 5
Member
663 posts
Busy bee
  • Wedding: September 2014 - Jacksonville Inn

I am no longer TTC but when I was this was my protocol:

 

Everyday 2000mgs Metformin

CD 3-7 100mgs Clomid

Use OPK’s CD 10-14. If no + OPK by CD 14 I would go in that day for a follicle scan. If I had mature follicles I would trigger with 10,000IU HCG trigger shot. Then IUI at 24 hours and 36 hours past trigger.

I had 6 IUI’s and only 1 ended in a BFP. I miscarried the same week.

Post # 7
Member
2457 posts
Buzzing bee
  • Wedding: October 2012

@NaijaPuertoDorian:  yeah 2WW hell. i get to test on wednesday if there is no AF yet.

Post # 9
Member
2457 posts
Buzzing bee
  • Wedding: October 2012

@NaijaPuertoDorian:  two big and one medium. all on my left. my right ovary is a lazy polycystic bitch.

Post # 10
Member
663 posts
Busy bee
  • Wedding: September 2014 - Jacksonville Inn

@NaijaPuertoDorian:  I have/had PCOS and Endometriosis. I say had because I had a complete hysterectomy including removal of my ovaries 4 weeks ago. Metoformin was beneficial for me because it allowed me to take smaller doses of Clomid. Without Metformin I required higher doses of Clomid. I hope you are able to get an accurate diagnosis, if your Dr. can’t do that for you then find a Dr. who can. Good luck to you! I don’t know if my partner and I are going to pursue adoption or not. At 37 and 43 we are starting to feel as though it’s not an option anymore.

 

Post # 12
Member
663 posts
Busy bee
  • Wedding: September 2014 - Jacksonville Inn

@NaijaPuertoDorian:  I feel pretty good most days, but the first 2 weeks were rough. The hardest part has been having to really take it easy for 6 weeks. Because they didn’t find a huge amount of endometriosis I was able to start hormone replacement right away. Surgical menopause is rough, especially when you are are not pre menopausal yet. I wear a 0.1mg estrogen patch and have very few symptoms of menopause. There is no breast cancer in my family so I think the benefit outweights the risk for me. Also, there is a lot of osteosporosis in my family and women who don’t get estrogen replacement lose a lot of bone density in just a year or two. In terms of foster care, I have thought about it. I personally don’t want to foster kids that I would not be able or willing to adopt. If we did adopt it would likely be children in the foster care system. I just don’t want to foster kids and get attached and then lose them, I have friends this has happened to and it devestated them.

Post # 13
Member
4372 posts
Honey bee
  • Wedding: December 2011

My doctor started with unmedicated, unmonitored. ONLY using OPK’s to time the IUI.

The first 2 cycles were failures, but the 3rd one I took Clomid 100mg/day and did Acupuncture and it worked!!! Still didn’t use a trigger shot or any ultrasound monitoring.

Post # 14
Member
4523 posts
Honey bee
  • Wedding: April 2012

@NaijaPuertoDorian:  I have had 3 IUI so far.  I am on my last one right now.  My RE protocol was CD 3 ultra sound and blood work.  Start 75 units of follistim at CD3 and every night up to CD 5 where I had go back for more blood work and ultrasound.  My body reacted very well with follistim, so at CD5 my follistim dosage would go down to 50 units, I did that for about two days and would go back again for more blood work and ultrasound.  Around CD8 or 9 I would trigger with Ovidrel and would go in the next day after triggering for IUI.  I got 2 IUIs in  one cycle.  Then, would go back 3 days after the second IUI for more bloodwork and that would check progesterone.  Then I would wait 2 weeks to go back again for the pregnancy test.  In all cycles my protocol never changed because my RE said that my body did what it was supposed to do and I had plenty of eggs maturing.  GL with yours and hopefully this is all you need.  FX!!!

Post # 15
Member
3153 posts
Sugar bee
  • Wedding: September 2011

This is the exact protocol I’m on now. However my first cycle we started off at 50mg Clomid and 75 gonal F along with 250 ovidrel, however I didn’t ovulate off the ovidrel (im over weight as well, not sure if that’s why) and then started progesterone suppositories before I O’d, therefore causing me not to O. So be sure to chart your temps as well to make sure you O before starting any progesterone if they prescribe it for you. This second round we did 100mg Clomid and 150 GonalF. I didn’t produce any dominant follicles,  I think because of my left ovary being stubborn. Once AF is induced, I’ll be starting another round of 100 Clomid and 150 Gonal.  FX it works for both of us! 🙂

ETA: actually my days are a little different than yours. I do Clomid 3-7, but gonal on day 9 with u/s day 11. 

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