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-   -   How many medicated cycles generally before you have to take a break? (http://www.justmommies.com/forums/f74-trying-to-conceive-medical-assistance/2473871-how-many-medicated-cycles-generally-before-you-have-to-take-break.html)

L-SBB January 11th, 2012 07:10 AM

How many medicated cycles generally before you have to take a break?
 
Sorry for all the questions...and many thanks to those of you so much more experienced than me answering them :smile:

I'm curious for those who took Clomid, trigger shots, etc...how many cycles in a row does your RE allow you to do before they recommend taking a break? And how long of a break did they recommend?

I seriously need AF to kick in so I can go badger my RE with questions directly at the baseline appt :p

KMH January 11th, 2012 07:15 AM

Re: How many medicated cycles generally before you have to take a break?
 
A lot of REs won't do more than 4-6 cycles of the same protocol, simply because if it hasn't worked by then, it probably isn't going to work. My RE never asked me to take a break, but I was forced to do so because of cysts during a couple of cycles.

kayakr January 11th, 2012 07:30 AM

Re: How many medicated cycles generally before you have to take a break?
 
My RE never has suggested break either. I had 3 rounds of Clomid plus trigger with all BFN. DH and I agreed to one month break to just to feel normal for a bit. Then we went right to Iui. We are now be starting our 3rd iui in a row.

From my understanding as long as your ovaries can handle it they like to keep going.

kayakr January 11th, 2012 10:04 AM

Re: How many medicated cycles generally before you have to take a break?
 
Well guess what? I just got back from my CD1 appointment and I have to take a break. My ovaries are two big to continue with another medicated injections. They said it was good I responded so well to the meds last time, but becuase of that I am extra swollen so I DO have to take the month off.

So I guess the question to your answer is whenever your body says "no way"!!

L-SBB January 11th, 2012 10:21 AM

Re: How many medicated cycles generally before you have to take a break?
 
thanks for the responses....i'll have to talk further with my RE about what he's thinking if this next cycle doesn't work.

Even if he doesn't recommend a break I may take one for a cycle or two...one of my worries (and I want to go talk with my PCP) is that on one hand I'm being told with the newly diagnosed blood clotting disorder (and an abnormal additional result for anticardiolipins) that I'll never be put on birth control or estrogen replacement b/c of the clotting risk. But then the meds they're now prescribing me carry an enhanced clotting risk (esp the progesterone) so I'm not necessarily comfortable doing endless medicated cycles without a break even if my ovaries held up for them.

IDK, need to think about it some more and maybe get a less pregnancy/TTC-focused opinion from my PCP, since to date the only doctors involved in the clotting issues have been OBs/REs. :confused:

kayakr January 11th, 2012 10:25 AM

Re: How many medicated cycles generally before you have to take a break?
 
You get as much information as you can from anyone you can. Then you can make an informed decision for yourself. So yes get that other specialist involved too.

ccartanddesign January 11th, 2012 12:02 PM

Re: How many medicated cycles generally before you have to take a break?
 
I did 9 cycles of Femara with trigger shot - 5 of those cycles were IUIs. Then i got an infection from the last IUI so I quit for the summer. I just finished my first round of IVF and my RE told me I had to wait a cycle before starting my next IVF cycle.

*JenJen* January 11th, 2012 05:55 PM

Re: How many medicated cycles generally before you have to take a break?
 
My RE only does forced breaks post miscarriage or if your baseline is off(cysts, elevated bloodwork). Otherwise, you can do up to 6 cycles on the same protocol before a switch is forced.

mistletoe January 14th, 2012 07:22 AM

Re: How many medicated cycles generally before you have to take a break?
 
I would definitely second the suggestion of second opinions, especially from different kinds of specialists. \

As for protocol, the practice where we go has a standard 3-cycle of clomid-IUI before moving to IVF, based on statistical results, i.e., as previously mentioned, after 3 failed cycles the chances of a particular protocol working is extremely limited. I have also read a study -- though without being able to give you the source it is absolutely debatable -- that 6 months of clomid was the recommended maximum dosage due to increased risks. But, until I can actually re-find the study, I wouldn't take just my word on it.


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