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Update on my cycle


Forum: Trying to Conceive with Medical Assistance

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  #1  
July 4th, 2013, 06:50 AM
Impatientlywaiting's Avatar Veteran
Join Date: Oct 2012
Location: Indiana
Posts: 279
Went for my CD10 u/s this morning and have 2-3 matre follicles! We'll probablh be ready for the IUI sooner than expected on day 10. Waiting for the nurse to call me back after the blood work comes back and they call the RE. I really wanna take my last vial of Bravelle tonight but i have a feeling they'll advise me not to. What do u gals think?
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  #2  
July 4th, 2013, 09:03 AM
smsturner's Avatar Mega Super Mommy
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I have no advice... But good luck!
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  #3  
July 4th, 2013, 11:47 AM
Impatientlywaiting's Avatar Veteran
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Update from RE: HCG tonight and IUI on Saturday. Estrogen was still low this cycle.. Only 75. RE doesnt seem concerned by that but that seems low to me especially since I'm only 24 but I'm no expert...
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  #4  
July 4th, 2013, 01:20 PM
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Good luck!!
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  #5  
July 5th, 2013, 04:13 PM
Lucy S.'s Avatar POAS addict
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I am BY NO MEANS an expert but that does seem rather low esp. for multiple follicles. Did you ask?

everything goes smoothly!!!
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  #6  
July 5th, 2013, 04:21 PM
Impatientlywaiting's Avatar Veteran
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Yes I asked and they said the RE wasn't concerned. Also said with my history of polycystic and the femera/ letrozole can lower estrogen also :/
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  #7  
July 5th, 2013, 05:55 PM
Lucy S.'s Avatar POAS addict
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Well I am thinking about you sweetie and thinking +++ thoughts!
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  #8  
July 5th, 2013, 07:49 PM
Lash's Avatar Platinum Supermommy
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Typically mature follicles are at about 200 per follicle, so you should be in the 400-600 range. 75 seems premature to trigger
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  #9  
July 5th, 2013, 08:29 PM
*JenJen*'s Avatar impatiently waiting
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trigger at 75? Can I ask what your day 3 e2 level was? That seems really strange to have mature follicles at that number. Normally you see about 200 of e2 per mature follicle, so somewhere in the 500-700 range is what I would expect for 3 mature follicles on a medicated cycle. Letrozole does lower E2, but you should still see at least 50 per mature follicle, so I'd expect to see your number at least double where it is for 3 mature follicles.
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  #10  
July 5th, 2013, 08:55 PM
Impatientlywaiting's Avatar Veteran
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Didnt have an E2 On day 3 this cycle. It's been quite some time since I had but they did say my last medicated cycle (before lap and and endo removal) my day 10'E2 was only 20. I trust my RE 110% .. He's the best RE anywhere around here.. Great SART scores and one of the higher ranked in the nation so I'm dont believe he'd misguide me for a second but the low E2 still confuses me...
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  #11  
July 5th, 2013, 09:23 PM
Lash's Avatar Platinum Supermommy
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They didnt run any bloodwork before starting you on injections? Seriously? Who is your doc? This is IUI though right? Which isn't a SART statistic and about 80% of the time, SART percentages are due to the embryologist and lab, not the RE himself

Are they not talking about EPP protocols? I don't see why they would leave that out for you at this stage
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  #12  
July 5th, 2013, 09:27 PM
*JenJen*'s Avatar impatiently waiting
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No bloodwork before an injectable cycle??? And none in recent months? That is so strange to me. Who is your RE? SART data has nothing to do with Iui and almost all to do with the lab for IVF.
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  #13  
July 5th, 2013, 09:45 PM
Impatientlywaiting's Avatar Veteran
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Oh boy I'm really worried now I specifically asked the nurse about an EPP before this cycle began and she kind of brushed it off and said the increased dose of Bravelle would help that. My RE is Dr John Jarrett. I'm a nurse myself so I'm pretty particular about doctors in general and he's always been great but with as busy as he is we seem to primarily deal with the nurses.

I'm so worried now that my chances are blown for this cycle... And this is IT before moving to ivf (which is all OOP and I probably cant afford yet) ;-(
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  #14  
July 5th, 2013, 10:00 PM
*JenJen*'s Avatar impatiently waiting
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I don't care how busy an RE is, if he's not taking the time to sit down with you and discuss the pros and cons of a protocol before you start it, there is something wrong with that. A nurse is not the same as an RE. Great nurses do know a lot about their specialty, but they are not the same.

I'd definitely be doing a lot of research before you move to ivf. I'd consider looking at a few different docs for consults. And no matter what, get a new set of cd3 labs- e2, lh, fsh, amh, progesterone, tsh, the works. An ultrasound only provides a superficial view of what is going on, without that baseline they really cannot tell how you are progressing with a protocol like the one you are on.
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Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #15  
July 5th, 2013, 10:10 PM
Lash's Avatar Platinum Supermommy
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I'm working on putting some numbers together for you
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  #16  
July 5th, 2013, 10:23 PM
Impatientlywaiting's Avatar Veteran
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Thanks, Lash. So Im wonderong if I'm totally screwed on this cycle?... Even with the 2, possibly 3 mature follicle's and DH usually has above average numbers post wash.
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  #17  
July 5th, 2013, 10:47 PM
Lash's Avatar Platinum Supermommy
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What size were your follicles?
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  #18  
July 5th, 2013, 10:59 PM
Impatientlywaiting's Avatar Veteran
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21x18, 19x18 and the third "almost" mature was 17x13
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  #19  
July 5th, 2013, 11:03 PM
Lash's Avatar Platinum Supermommy
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Do you know your lining thickness?

I'm just wondering if your E2 is even high enough to build a lining and if you're looking at empty follicles that aren't containing mature ova
What was your LH?
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  #20  
July 5th, 2013, 11:10 PM
Lash's Avatar Platinum Supermommy
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What was your antral count
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