November infertility board

posted 1 month ago in TTC
Post # 3
Member
2794 posts
Sugar bee

Hi bee, thank you for starting this! 

ROLL CALL

Your age/partner’s age: 30/33

Baby #: 1

Cycles TTC: ~15?

Known fertility issues: Unexplained 

Previous fertility treatment?: Nope

What are you doing this month (transfer, beta, IUI, retrival)?: Just started at a clinic last month and got normal bloodwork, ultrasound, and semen analysis, though I think some of our levels aren’t optimal (right at the low or high ends of the normal range). This month I’m getting my HSG. Hoping to continue trying naturally this month and then will have another consult with RE after HSG. Since we’re on the younger side I’m tempted to keep trying naturally a bit longer, but also getting so frustrated with so many unsuccessful cycles and no answers. 

Key dates (POAS, beta, transfer): Having an HSG on 11/5. If we’re able to try this month AF is due around the 21-23rd. But at this point I’m not really peeing on sticks, I’m just waiting to see if AF arrives. 

Just for fun: What is your favorite holiday tradition? I LOVE cooking and eating thanksgiving food (even though I’m vegetarian), especially mashed potatoes and stuffing and cranberry sauce and veggie dishes. 

Post # 4
Member
1791 posts
Buzzing bee
  • Wedding: September 2017 - California

 

ROLL CALL

Your age/partner’s age: Both 36

Baby #: 1

Cycles TTC: 

Known fertility issues: RPL, probably due to egg quality 

Previous fertility treatment?: 2 retrievals, 1 transfer (awaiting result now)

What are you doing this month (transfer, beta, IUI, retrival)?: Beta 

Key dates (POAS, beta, transfer): Beta on 11/3 

Just for fun: What is your favorite holiday traditionI love all of the flavors associated with Thanksgiving and this time of year. 

 

Post # 5
Member
4762 posts
Honey bee
  • Wedding: September 2012

ROLL CALL

Your age/partner’s age: 35/35

Baby #: 1

Cycles TTC: 6+ years

Known fertility issues: Unexplained infertility

Previous fertility treatment?: Clomid, medicated TI cycles, 5 IUIs, 2 IVF retrievals, 2 FETs

What are you doing this month (transfer, beta, IUI, retrival)?: FET

Key dates (POAS, beta, transfer): transfer Nov 10, betas Nov 23

Just for fun: What is your favorite holiday tradition? Usually, it’s hosting our annual holiday party, but that’s out, so this year, I’ll go with sleeping out by the Christmas tree. We do that every year on Dec 23 or 24. We’ll be in a new house this year, so we’ll see how that works out!

Post # 7
Member
415 posts
Helper bee
  • Wedding: July 2012

ROLL CALL

Your age/partner’s age: 36/39

Baby #: 1

Cycles TTC: 2.5 years

Known fertility issues: Male factor (we are using a sperm donor), and now we’re looking at other issues since I miscarried our PGS normal embryo 

Previous fertility treatment?: 3 IUIs, one round of IVF that resulted in a miscarriage at seven weeks from our first FET

What are you doing this month (transfer, beta, IUI, retrival)?: Gearing up for our FET in December

Key dates (POAS, beta, transfer): I get my RLP test results this week and AF should show up on 11/2 so I can start birth control before the transfer.

Just for fun: What is your favorite holiday tradition? Black Friday is when we decorate for Christmas and watch Christmas movies. This year we’re also celebrating my husband’s birthday at our favorite restaurant. 

Post # 7
Member
40 posts
Newbee

Hey Bees! I’m fairly new here. After a year of ttc, I decided to join and I’m so glad because I’ve already met so many incredible individuals on here.

ROLL CALL

Your age/partner’s age: 31/29

Baby #: 1

Cycles TTC: 13

Known fertility issues: Possibly MFI but dh will be doing a repeat SA next month

Previous fertility treatment?: None

What are you doing this month (transfer, beta, IUI, retrival)?: We did basic bloodwork and dh did a semen analysis which did show lower end results. The test didn’t report morphology which is why he needs to do a repeat. There is a long wait time to see a RE so I’m currently waiting to get more testing done at a obgyn specializing in fertility in the meantime.

Key dates (POAS, beta, transfer): I’ve stopped peeing on sticks to avoid disappointment. AF is due Nov 17.

Just for fun: What is your favorite holiday tradition? Love the lead up to Christmas! Watching Christmas movies, cozying it up by the fireplace and decorating our home with our furbabies.

Post # 8
Member
24 posts
Newbee

ROLL CALL

Your age/partner’s age: 36/38

Baby #: 1

Cycles TTC: Since May 2018

Known fertility issues: Thin uterine lining

Previous fertility treatment?: 3 IUIs, 2 IVF egg retrievals, 1 cancelled transfer

What are you doing this month (transfer, beta, IUI, retrival)?: Hopefully a transfer if my lining can get thick enough

Key dates (POAS, beta, transfer): Transfer mid-late November

Just for fun: What is your favorite holiday tradition? I love watching all the holiday movies!

Post # 9
Member
253 posts
Helper bee
  • Wedding: October 2017

Hi! I haven’t been active on here for awhile, but hoping to jump back in! 

ROLL CALL

Your age/partner’s age: 32/39

Baby #: 1

Cycles TTC: We hit the 3 year mark in October

Known fertility issues: 2 early losses, MTHFR, subclinical hypothyroidism, lean PCOS (although I ovulate regularly and on my own), thin lining

Previous fertility treatment?: Clomid, Letrozole, IUIs

What are you doing this month (transfer, beta, IUI, retrival)?: We’re not doing any treatments this month, we recently relocated to the East Coast and my DH is finally closer to being ready for IVF, so we’re doing consultations with REs and OBGYNs (I’d be high risk so I want to have that in place as well). I’m not sure if we’ll start treatment right away as he was laid off, we’re waying whether him having the time off is good to start now or if he wants to wait until he has a new job.

Key dates (POAS, beta, transfer): My period is estimated to arrive around November 7th, I usually don’t POAS unless I want to have a drink or do something harder physically.

Just for fun: What is your favorite holiday tradition? Generally my side plays bingo with all the kids with cheap prizes. I have 12 nieces/nephews on my side so it’s super fun to watch.

Post # 11
Member
1205 posts
Bumble bee

ROLL CALL

Your age/partner’s age: 31/35

Baby #: 1

Cycles TTC: since September 2018

Known fertility issues: PCOS, autoimmune issues. Two chemical pregnancies

Previous fertility treatment?: TI, IUI, IVF, one fresh transfer that ended in a chemical

What are you doing this month (transfer, beta, IUI, retrival)?: I started with a new RE today and will be doing additional testing and medications aimed at resolving my newly-discovered autoimmune thyroid problem and uncovering any more issues

Key dates (POAS, beta, transfer): none this month

Just for fun: What is your favorite holiday tradition? I love decorating for Christmas! I’ll be starting early this year due to extenuating circumstances. 

I had my first consult today with my new RE and I liked her a lot. She is a good mix of evidence-based medicine and being willing to think outside the box a little. She thinks my issues are autoimmune based rather than chromosomal. I’m going to have a hysteroscopy next Wednesday, and she also recommends an ERA cycle. After that ERA we will go for our next transfer, so that won’t be until December or so. In addition, she recommended that I consider the following: 

–steroids at time of transfer

–lovenox

–metformin or ovisotol

–baby aspirin

–intralipid infusions

–neupogen

–In terms of PGS testing, she didn’t think it’s worth the risk to thaw, test, refreeze, and then rethaw UNLESS we both undergo chromosome testing and it reveals issues.

We are meeting in person on Friday so I’m going to do some research and decide which of these interventions I’d like to pursue. Has anyone done any of these things? Metformin and aspirin seem pretty standard with PCOS but I’m going to need to do more reading on the others. 

Post # 12
Member
1205 posts
Bumble bee

View original reply
@cbn8787:  You and I have very similar issues. I also have lean PCOS and subclinical hypothyroidism, with two early losses and a thin lining. Are you on any medications? I was very newly diagnosed with the hypothyroidism so I’ve been researching like crazy on how to treat it. 

Post # 13
Member
415 posts
Helper bee
  • Wedding: July 2012

View original reply
@DogsAndWine:  I’m glad you like the new RE. I don’t have any experience with the treatments listed besides aspirin but the steroids make sense if you are having an autoimmune issue. They lower your immune system so your body may be more likely to accept the pregnancy. However I’d want to know the risks of doing that and possibly being pregnant with a lowered immune response during flu season and a pandemic. It was one of my concerns when I did my RLP. Lovenox was also brought up by my RE as a treatment if my bloodwork indicated a clotting issue. 

I think I’d be hesitant to do those without any tests that show I need them, personally. I can tell you what I was tested for in case it helps.

Post # 14
Member
2446 posts
Buzzing bee
  • Wedding: August 2017

Hi everyone, just creeping along following those of you who I’ve met from previous month boards.  It’s exciting there are so many betas and transfers coming up! 

Anyone can always feel free to pm or tag me especially in regards to thin lining as the primary infertility issue. 

View original reply
@DogsAndWine:  I’m so glad you have a second opinion with someone who is wanting to investigate the issues! I’m shocked to tsh wasn’t tested prior to transfer, since it’s such a common issue!  That being said, it’s often recommended to test it after transfer too because even people with controlled tsh can have it get high once they have a bfp.  

your transfer protocol sounds very much like my second opinion clinic (create in Toronto’s) “kitchen sink” protocol for thin lining.  I’ve always been on steroids for my transfer (stopped on the day I start progesterone), and we did lovenox this round due to clotting issues. I was told that lovenox and aspirin were unnecessary unless the clotting issue was possibly severe (ie history of deep vein thrombosis or pulmonary embolism, or APS or factor V).  I took aspirin until the day of transfer then switched to lovenox. 

Create uses a combination of intralipid, platelet rich plasma infusions and neupogen (either infusions or injections) for lining thickness.  Unfortunately there’s nothing that says these things definitively work, but at the same time there’s nothing to say it worsens the chances either.  I was planning to go all in with our plan to switch clinics and ship embryos (pre Covid), I would have done it all to improve our chances with our remaining 2 embryos. Personally if you have several embryos (I can’t remember), I’m not sure the added costs of the add ons would be justified if I had a lot of embryos left to try.  But if insurance is paying for it, that maybe would have changed my thoughts since we paid out of pocket for everything. 

 

good luck everyone! 

Post # 15
Member
1205 posts
Bumble bee

View original reply
@piscesinsc:  That’s a good point about the steroids lowering my immune system just as we’re going into flu season, and with covid still in full force. It sounds like I wouldn’t be taking them until transfer so luckily there’s plenty of time to make that decision. What were you tested for? The lovenox seems to be a blood thinner which is what aspirin does, at least to my understanding. I’m a bit hesitant to do both. 

I’m also toying with the idea of doing a medicated IUI before a FET. We have gonal F and menopur leftover from our IVF cycle so I kind of feel like why not? If it doesn’t work, it doesn’t work and if it does, we use up our meds and save an embryo for later. I meant to bring that up today but I’ll talk to my doctor about it on Friday. 

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