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Early Pregnancy Monitoring...yay or nay?


Forum: Trying to Conceive with Medical Assistance

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  #1  
December 3rd, 2011, 07:05 AM
KMH KMH is offline
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I think most of you know that I now live 22 hours away from my snowbabies, so I am doing my FET monitoring locally and then flying to my old RE for the transfer. If I do any betas or early ultrasounds, they'll have to be at my local RE who won't take my insurance.

Last time I had 6 betas and 4 ultrasounds before 10 weeks, and all they did was stress me out. I was told twice that I was going to miscarry, I was given pamphlets about ectopic pregnancy to read, and basically spent the whole first trimester terrified every.single.minute...and there was no reason for any of it because my little Pokey was perfect.

What do I do this time? It really isn't about the money...we have spent so much at this point that another $500 or $1,000 doesn't matter. I'm more worried about my sanity! Can I pretend I'm normal and just show up for a viability u/s at 8 weeks with my OB/GYN, or do I go thru all the betas and everything?
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IVF babies Claire (3), Abigail (1) and George (1)

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  #2  
December 3rd, 2011, 07:46 AM
junglepeachpie's Avatar Super Mommy
Join Date: Mar 2011
Location: Washington, DC
Posts: 506
I think I would do a little but take it down a notch from what you did last time. Maybe two betas just to show you the numbers are doubling and one ultrasound around 6 1/2 weeks.

But I can totally understand not even wanting to do that. You don't have to! I felt pressured by my RE last time to do more than I felt was necessary with and it didn't even matter. All my early monitoring was perfect and I didn't end up with a loss until later so I don't think it would give me peace of mind the next time around. Kind of the opposite situation from what you experienced. It just goes to show that early monitoring may not be all that useful one way or another.
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Katherine (31) and Hubby (33)
TTC #1 since September 2009. Stopped TTC in January 2012
IUI #1 April 2011 was a success, but lost baby at 9 weeks
IUIs #2-5 BFN
Decided not to do IVF and embrace a childfree life (at least for awhile)
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  #3  
December 3rd, 2011, 08:25 AM
*Melissa*'s Avatar Mega Super Mommy
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Definite YAY on the monitoring- although I agree just 2 beta's and an u/s at 6 1/2 weeks.

I say YAY because there is nothing worst than thinking everything is okay with your baby only to find out that it had passed weeks ago...
My first pg, i had an early u/s showing me a HB but a REALLY low one at 52 bpm. I was told it could go either way and if I lost the baby I would bleed/ cramp etc... I never bled or cramped so I assumed all was well...

Anyway I just always think knowledge is power. I like to KNOW everything that is going on with the babies.
Hopefully this time you won't have any questionable betas, and if you do, you will know how to handle it because you've been there.
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  #4  
December 3rd, 2011, 08:32 AM
jmichelle77's Avatar Platinum Supermommy
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I agree with the other girls. SOME monitoring.....but maybe not quite what you went thru before.
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  #5  
December 3rd, 2011, 12:24 PM
Platinum Supermommy
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Location: NY
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I haven't had a chance to read the other responses, but here are my thoughts.

I would do the monitoring. It would drive me absolutely insane to *not know* about how my little bean was doing. It would drive me nuts to not have any measurements or scans to check for the heartbeat. I've also had friends who have had "missed" miscarriages and had no idea. So they showed up at their 8 week appointments and the baby had stopped growing weeks earlier. However, they went through that whole month thinking they were pregnant...and getting that more emotionally vested in the baby and the pregnancy.

Also, I think that what happened with you when pregnant with Clair is kind of an anomaly....I would very much doubt that you would have the same situation with strange beta numbers...but I totally understand you being nervous about going through that.

I guess, in the end, it would drive me nuts to *not know* how things were going, which would probably cause me to obsess and be that much more stressed. JMO
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  #6  
December 3rd, 2011, 12:41 PM
Celry's Avatar Platinum Supermommy
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Location: WI
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I planned on having no monitoring this time and was so happy with that decision. I was so much more relaxed. I didn't even call my OB/RE until I was 6 weeks. Her office said that I had to get a beta done. I did that day (a Wednesday) and then my Dr. was on vacation and because of a screw up I didn't get a call back until Monday. I was a wreck during that time. I felt awful with m/s already, but the beta made everything worse. I've since switched OBs and honestly would have been happy to not have the beta. The only thing the betas did for me was to verify what I already knew, that I wasn't having twins again. My numbers weren't doubling very fast because there was only 1 and I was far along.
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Dec 26 '08, BFP after 21 months thanks to acupuncture
Jan 14 '09, first u/s one strong heart beat
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  #7  
December 3rd, 2011, 04:18 PM
KMH KMH is offline
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I only had so many last time because of the funky numbers/bleeding, etc. If things were normal I think I would have only had 2 betas and 2 u/s.

I didn't think about it until now, but will I have to do at least one set of b/w to make sure my progesterone is okay? I'll be doing IM injections for the first 12 weeks.

At this point i'm leaning toward 2 betas and one ultrasound...still unsure. I'm a control freak and information feels like control, but last time I had too much info and that wasn't good, either.
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IVF babies Claire (3), Abigail (1) and George (1)

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  #8  
December 5th, 2011, 11:58 AM
kayakr's Avatar Persuaded by POAS’ers
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Location: Midwest
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KMH - You are making yourself worry already and you don't need to. Just relax and be excited for yout FET. Then once you get your BFP you can decide what to do that makes you the most comfortable. Right now you need to stay positive, healthy and mentally prepare yourself for your new poobear!

Don't think to far ahead and stress yourself out.
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Gretchen
Me (43) DH(33) 12 years together - ttc our first together-I have 14yr old DS
Cycles 1-6 = BFN
Cycle 7 SA results abnormal morphology 2%, 50 mg clomid = BFN
Cycle 8 sonogram normal 50 mg clomid + trigger = BFN
Cycle 9 SA results abnormal morphology and motility. Count 200 mill, 100mg clomid + trigger = BFN
Cycle 10 natural = BFN
Cycle 11 hsg tubes clear, natural + trigger+IUI = BFN
Cycle 12 repronex + trigger + 2 IUI = BFN
Cycle 13 natural ovaries to stimulated for more meds = BFN
Cycle 14-22 natural cycle with Acupuncture and planning ivf/icsi/DE = ALL BFN
Cycle 23 Clomid 50 mg & Progesterone = BFN
Cycle 24 Natural = BFN
Cycle 25 BCP, SA result 7% morphology = BFN
Cycle 26 BCP and Lupron preparing for IVF
Cycle 27 IVF Acupuncture, DE Retrieval April 7, Transfer April 12 =
7 eggs retrieved, 3 fertilized, 2 transferred - zero snow babies
BETA # 1 16DPO or 11dp5dt = 569
BETA # 2 19 DPO or 14dp5dt = 1078
BETA # 3 22DPO or 17dp5dt = 2414 TWINS!
BETA # 4 30DPO or 25dp5dt = 12,685 6weeks 3days 2 heartbeats! 114 & 116
Clayton and Colton Born @ 34 weeks 11/22/13
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  #9  
December 5th, 2011, 12:28 PM
KMH KMH is offline
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Quote:
Originally Posted by kayakr View Post
KMH - You are making yourself worry already and you don't need to. Just relax and be excited for yout FET. Then once you get your BFP you can decide what to do that makes you the most comfortable. Right now you need to stay positive, healthy and mentally prepare yourself for your new poobear!

Don't think to far ahead and stress yourself out.
I am seriously going to print this out and tape it to my desk...you are so right. Thank you
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Melissa & DH
IVF babies Claire (3), Abigail (1) and George (1)

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  #10  
December 5th, 2011, 01:31 PM
kayakr's Avatar Persuaded by POAS’ers
Join Date: May 2011
Location: Midwest
Posts: 3,751
Only happy healthy thoughts!!! Think of fluffy white bunnies, not scary misleading tests that make you worry! Fluffy White bunnies and super easy wonderful FET with your beautiful snowbabies! This is all you need to concern yourself with right now!
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Gretchen
Me (43) DH(33) 12 years together - ttc our first together-I have 14yr old DS
Cycles 1-6 = BFN
Cycle 7 SA results abnormal morphology 2%, 50 mg clomid = BFN
Cycle 8 sonogram normal 50 mg clomid + trigger = BFN
Cycle 9 SA results abnormal morphology and motility. Count 200 mill, 100mg clomid + trigger = BFN
Cycle 10 natural = BFN
Cycle 11 hsg tubes clear, natural + trigger+IUI = BFN
Cycle 12 repronex + trigger + 2 IUI = BFN
Cycle 13 natural ovaries to stimulated for more meds = BFN
Cycle 14-22 natural cycle with Acupuncture and planning ivf/icsi/DE = ALL BFN
Cycle 23 Clomid 50 mg & Progesterone = BFN
Cycle 24 Natural = BFN
Cycle 25 BCP, SA result 7% morphology = BFN
Cycle 26 BCP and Lupron preparing for IVF
Cycle 27 IVF Acupuncture, DE Retrieval April 7, Transfer April 12 =
7 eggs retrieved, 3 fertilized, 2 transferred - zero snow babies
BETA # 1 16DPO or 11dp5dt = 569
BETA # 2 19 DPO or 14dp5dt = 1078
BETA # 3 22DPO or 17dp5dt = 2414 TWINS!
BETA # 4 30DPO or 25dp5dt = 12,685 6weeks 3days 2 heartbeats! 114 & 116
Clayton and Colton Born @ 34 weeks 11/22/13
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  #11  
December 6th, 2011, 09:58 AM
Erin84's Avatar POAS Queen
Join Date: Feb 2009
Location: San Diego, CA
Posts: 3,952
I agree with Gretchen and not getting ahead of yourself. And pretty much everyone else who said maybe 1 set of betas, one u/s ~6.5 weeks. Then maybe another one at 8-9? Then another one after the first trimester was up, and on and on until you have your baby! I think that's what I would want... But only you know what you would want
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With us on earth for five short days, with us in our hearts forever.
(Thank you Natasha for this beautiful graphic of Andrew, and to the ladies of the Nov 10 PR who help me in carrying on his memory.)


Jan. 2009: Came off years of BCP and started TTC
March 2010: BFP -- finally!
Oct. 22, 2010: Drew is born, but has to stay in the NICU because of cord complications resulting in oxygen deprivation and brain problems =(
Oct. 27, 2010: I held him in my arms while Daddy, Grandma, Great-Uncle and I sang him to sleep =( Hardest thing I've ever done...
June 14, 2011: Drew's baby brother or sister waved hi to us with a BFP!
June 25, 2011: Natural miscarriage... Can we please catch a break here?
Nov. 2011: 100mg Clomid followed by 2mg Estrogen, Ovidrel trigger, and 200mg progesterone suppositories 2x/day 14 days. BFN.
Dec. 2011: 2nd medicated cycle. BFN.
Jan. 2012: Took a month off to breathe...
Feb. 2012: Same regimen of Clomid and other meds, add IUI. 2 eggs and 8.5 million swimmers. BFN.
March 2012: 75 IU Follistim CD 3-11, follie scan CD 8 showed 6 follies likely to mature. Triggered, IUI on CD 14, 4 million swimmers. BFN.
April 2012: 75 IU Follistim CD 3-10. Scan showed 2 mature follies, 2 almost certain to mature, and two not likely but possible. (All 6 evenly and perfectly spaced out between the left and the right.) Triggered, IUI CD 13 with 5 million swimmers. BFN.
May 2012: 75 IU Follistim starting CD 3. Waiting to O. Timed intercourse. Likely 5 follies to mature.




^^ Click graphic for chart ^^


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