FALL/WINTER 2021 INFERTILITY

posted 4 months ago in TTC
Post # 211
Member
3933 posts
Honey bee
  • Wedding: July 2018

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@DrAtkins:  My husband put off his SA too.  Granted we had conceived a child easily, so he thought he was golden.  We did 1-2 timed medicated cycles and a IUI before he finally did it (after I chewed him out), and found out he has some MFI factors!  So those were kind of a waste.  If I were you, I would get on his case about it.  You don’t want to go through treatments without knowing all the information.

Do you think he will be checked out of the process in general?  My husband has been pretty involved and very supportive, which is good.  Fertility treatments are kind of horrible even with support and feeling like a team.  I think he just had a weird male hangup about wanting to avoid the SA and not wanting to be found lacking etc.

Post # 212
Hostess
9777 posts
Buzzing Beekeeper
  • Wedding: March 2014 - Chicago, IL

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@anev:  Thanks bee. TI for this first cycle and then we will reassess. 

Post # 213
Hostess
9777 posts
Buzzing Beekeeper
  • Wedding: March 2014 - Chicago, IL

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@KittyYogi:  He’s supportive and came to my HyCoSy with me. Before the excuse was not having enough time, but he was on vacation one week and working from home another so I don’t really think he has an excuse anymore. I’ll have to bring it up again and start putting more pressure on him. He even can produce his sample at home and take it in to the office so… yeah, I definitely getting annoyed!

Post # 214
Member
112 posts
Blushing bee

Thank you for your responses! I am receiving quite a bit of encouragement in real life to opt for the laparoscopy over the HSG test, so I am really appreciative for your insights as firsthand accounts and valid counterbalances.

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@anev:  We only discovered the cyst at my first ultrasounds last month, so my doctor wants to check again in January to see if it goes away. He is thinking, if not, it could be an endometrioma. No one has ever labelled us ‘unexplained fertility’ perhaps because we are only 15mo in and only now seeing a specialist; however, yes, there is currently no explanation based on all the diagnostic tests we have done so far.

Thanks for sharing your experience 

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@KittyYogi: Definitely – low key surgery, but still a surgery is top of mind for me. It is interesting to hear your experience was over an hour. When I asked, my doctor said he’d do the procedure within 5min! And this was with doing a dye test, too, to check for blocked tubes. Granted, he may have been exaggerating. I can’t believe how costly your procedures were. I am in Canada, so won’t incur any expenses.

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@Equine_Breeder:  Good point. My DH and I are seriously considering waiting for a few more months before escalating to more invasive mesaures.

Post # 215
Member
2987 posts
Sugar bee
  • Wedding: August 2017

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@frostedforks:  I’m in Canada too (but lived in USA when I had my previous lap).  Where I am, the wait list is crazy long for a lap!  Maybe your re has cancellations, and while technically it is the gold standard for a thorough work up, it is not performed by like 80-90% of patients (or possibly even more!) undergoing fertility treatments.  I would be curious if you posted a separate thread asking if people had a lap as part of their IF work up (for curiousity sake).  But maybe your RE master plan is to investigate that cyst more thoroughly (that was why I had mine), and it 1000000% took longer than 5 minutes!  But if you have an endometrioma causing egg quality issues, surgery could be exactly what you need.  

Post # 216
Member
108 posts
Blushing bee

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@anev: What supplements did you take for egg quality? I am taking Ovasitol and CoQ10 (and of course a prenatal). Wondering if there are some others I should look into/ask my doctor about. Thanks!

Post # 217
Member
2987 posts
Sugar bee
  • Wedding: August 2017

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@mrsmcho:  my fertility clinic was not helpful in recommending supplements (since nothing has been “scientifically proven”).  I started taking based on It Starts With the Egg, but then tweaked it with my naturopath.  I’m unexplained.  

I took vitamin D, vitamin C, prenatal with methylfolate, NAC, ubiquinol 600 mg/day.  Once stims started I added in melatonin and myo inositol.  Also, recommend high quality professional brand vitamins that are third party verified (the vitamin industry is so terribly regulated).  The brands I use are NFH and Genestra – it’s more expensive but worth it!

Post # 218
Member
108 posts
Blushing bee

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@anev:  I will definitely look into those prenatals. I’ve actually been searching for a better one. I’ve also been wanting to read It Starts with the Egg. Thank you!

Post # 219
Member
742 posts
Busy bee
  • Wedding: June 2019

Another update: I went in for my HSG today on cd10 and it was promptly cancelled because allegedly I am about to ovulate. 

What’s interesting about this is that I have no symptoms and negative ovulation predictor tests. Knowing my body it will be at least 4-5 more days till I get a positive LH surge, yet my dominant follicle is measuring 22 mm and there’s another one behind it at 16. This is consistent with last month when the dr thought I was about to ovulate (giant dominant follicle) but my body took another week to get its shit together.

I wonder if my “delayed” ovulation is the source of my problems, causing overly-large, over-ripe eggs? Or, is timing the trigger shot a week earlier than I would ovulate naturally going to guarantee a negative result? 

I am triggering tomorrow morning, and we do our first iui friday afternoon. 

Post # 220
Member
2987 posts
Sugar bee
  • Wedding: August 2017

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@lucyinsky:  sorry I can’t remember, are you on letrozole now?  Either way, if you trigger and your follicle is above a certain size, it will ovulate (overrides natural hormones).  but it’s a good call to not do the hsg when you are about to ovulate, wouldn’t want to risk an ectopic 

Post # 221
Member
742 posts
Busy bee
  • Wedding: June 2019

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@anev:  yup, I was taking letrozole.

 

I just think it’s interesting that my follicles look ready yet my body is doing nothing to ovulate.

Post # 222
Member
2987 posts
Sugar bee
  • Wedding: August 2017

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@lucyinsky:  my body was completely different on letrozole than normal (unexplained).  Normally I was ovulating CD16-18 with a 10 day lp and when I took letrozole I ovulated cd10-12 with a 14ish day lp.  My surges were also different.  Normally my opk would be blazing for about 3 days (with temp shift on 3rd day) and on letrozole it was fast.  I never triggered or did iui with letrozole though.  The adjustment in LP was likely due to higher progesterone due to multiple follicles.

Post # 223
Member
742 posts
Busy bee
  • Wedding: June 2019

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@anev:  that’s interesting, thanks for sharing.

 

I had the same pattern of growing a follicle to 20+ mm and then not ovulating last cycle as well, when I wasn’t taking any meds. I’m starting to wonder if my fertility issue might be related to this- growing follicles past ripeness. 

Post # 224
Member
1845 posts
Buzzing bee
  • Wedding: October 2013

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@mrsmcho:  I also HIGHLy recommend It Starts With The Egg because she’s a scientist and has done some really good research. It’s very evidence based. Just because doctors don’t look into supplements and herbs doesn’t mean it doesn’t have valid scientific benefits! I did vitamin D, CoQ10, NAC, lipoic acid (I think it’s called), ginseng, and acupuncture 

Post # 225
Member
108 posts
Blushing bee

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@Equine_Breeder: I just ordered the book, and it’ll arrive tomorrow! It’ll give me something to read while we are traveling for Thanksgiving next week. I really want to do acupuncture, but my insurance doesn’t cover it. Maybe my husband’s will (I’ll be on his insurance starting in January).

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