bonzo
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Post by bonzo on Sept 16, 2018 13:08:09 GMT -6
I’m so sorry, wineandcake, this must be devastating for you and your sister. Your clinic sounds awful too, they’re definitely not making any of this easier for you.
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Post by skidevil87 on Sept 16, 2018 17:38:40 GMT -6
wineandcake I'm so sorry to hear of this. I wish you had more support from your clinic.
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Post by skidevil87 on Sept 17, 2018 18:01:52 GMT -6
talk me off the ledge guys. My nurse just called and said my E2 dropped from 1700 to 585 and my P4 dropped from 39.8 to 22.2. I know there are fluctuations in the levels at different times of the day. This lab work was drawn at 7:20 and my morning dose of PIO was at 7:45 and I'm due for my E2 tomorrow morning. I am feeling every side effect from the progesterone (tender breasts, fatigue, acne, and waves of nausea), I know I'm getting the meds into the muscle and I'm 4dp5dt. I also know I shouldn't read into this too much and I know these levels are well within a range to support a pregnancy... but I can't help but go.. there.
Any insight/ rational thoughts appreciated.
Edit: Not looking for the "am i preggers?!" info. I'm just looking at different fluctuations in cycles. I start on endometrin tomorrow as well.
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Post by champagne on Sept 17, 2018 18:39:17 GMT -6
talk me off the ledge guys. My nurse just called and said my E2 dropped from 1700 to 585 and my P4 dropped from 39.8 to 22.2. I know there are fluctuations in the levels at different times of the day. This lab work was drawn at 7:20 and my morning dose of PIO was at 7:45 and I'm due for my E2 tomorrow morning. I am feeling every side effect from the progesterone (tender breasts, fatigue, acne, and waves of nausea), I know I'm getting the meds into the muscle and I'm 4dp5dt. I also know I shouldn't read into this too much and I know these levels are well within a range to support a pregnancy... but I can't help but go.. there. Any insight/ rational thoughts appreciated. Edit: Not looking for the "am i preggers?!" info. I'm just looking at different fluctuations in cycles. I start on endometrin tomorrow as well. I don’t have any advice or insight, but I’m thinking good thoughts for you! When is your blood draw?
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Post by champagne on Sept 17, 2018 18:43:51 GMT -6
I had an ultrasound today and I feel like things are not going well. First ultrasound showed 10 follicles, but today only showed 7. My doctor said only 4 were on track and 3 were behind. I’m very worried. How many did you have at this point? I’ll take any anecdotes.
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Post by skidevil87 on Sept 17, 2018 20:06:34 GMT -6
talk me off the ledge guys. My nurse just called and said my E2 dropped from 1700 to 585 and my P4 dropped from 39.8 to 22.2. I know there are fluctuations in the levels at different times of the day. This lab work was drawn at 7:20 and my morning dose of PIO was at 7:45 and I'm due for my E2 tomorrow morning. I am feeling every side effect from the progesterone (tender breasts, fatigue, acne, and waves of nausea), I know I'm getting the meds into the muscle and I'm 4dp5dt. I also know I shouldn't read into this too much and I know these levels are well within a range to support a pregnancy... but I can't help but go.. there. Any insight/ rational thoughts appreciated. Edit: Not looking for the "am i preggers?!" info. I'm just looking at different fluctuations in cycles. I start on endometrin tomorrow as well. I don’t have any advice or insight, but I’m thinking good thoughts for you! When is your blood draw? Next blood draw is either Sunday or Monday. This has really just got me down in the dumps tonight.
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sally
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Post by sally on Sept 18, 2018 5:51:18 GMT -6
I'm so sorry wineandcake. ❤️ It's hard enough to deal with the loss and disappointment without having to deal with crap from your clinic. Do you have any sort of comment/feedback form or a patient advocate you could contact? What name did they call you? Your sister's? Did they mangle yours? Either way that's incredibly unprofessional.
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sally
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Post by sally on Sept 18, 2018 5:58:07 GMT -6
talk me off the ledge guys. My nurse just called and said my E2 dropped from 1700 to 585 and my P4 dropped from 39.8 to 22.2. I know there are fluctuations in the levels at different times of the day. This lab work was drawn at 7:20 and my morning dose of PIO was at 7:45 and I'm due for my E2 tomorrow morning. I am feeling every side effect from the progesterone (tender breasts, fatigue, acne, and waves of nausea), I know I'm getting the meds into the muscle and I'm 4dp5dt. I also know I shouldn't read into this too much and I know these levels are well within a range to support a pregnancy... but I can't help but go.. there. Any insight/ rational thoughts appreciated. Edit: Not looking for the "am i preggers?!" info. I'm just looking at different fluctuations in cycles. I start on endometrin tomorrow as well. This is probably a stupid question but why are they doing the blood draws? Is it to monitor your levels so they can adjust if needed? If so, and they haven't adjusted anything, I would't worry about it. Even if they do adjust it it's fine, that's why they're monitoring things. Different people respond differently to the hormones. If they're just monitoring for funsies and they're not gong to change anything regardless, I'd stop the monitoring though. Seems like it's not helpful and will just stress you out. As you said, levels will fluctuate anyway. I've only done vaginal progesterone and don't know much about PIO though.
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sally
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Post by sally on Sept 18, 2018 6:05:26 GMT -6
I had an ultrasound today and I feel like things are not going well. First ultrasound showed 10 follicles, but today only showed 7. My doctor said only 4 were on track and 3 were behind. I’m very worried. How many did you have at this point? I’ll take any anecdotes. Where are you in the cycle? Is the 10 from your antral follicle count (at your baseline ultrasound)? How big were the ones they saw in the most recent ultrasound? I think you're still pretty early along in the cycle. I know after baseline, my clinic only measures follicles larger than 10mm. Different clinics report things differently though. Good luck!
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bonzo
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Post by bonzo on Sept 18, 2018 6:35:52 GMT -6
skidevil87, no advice, but hopefully you’re just seeing regular fluctuation of levels. I know my clinic recommends always doing meds 2 hours prior to the blood draw, so maybe since your draw was before your PIO that’s why you saw a drop? FX for you!
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Post by champagne on Sept 18, 2018 9:03:27 GMT -6
I had an ultrasound today and I feel like things are not going well. First ultrasound showed 10 follicles, but today only showed 7. My doctor said only 4 were on track and 3 were behind. I’m very worried. How many did you have at this point? I’ll take any anecdotes. Where are you in the cycle? Is the 10 from your antral follicle count (at your baseline ultrasound)? How big were the ones they saw in the most recent ultrasound? I think you're still pretty early along in the cycle. I know after baseline, my clinic only measures follicles larger than 10mm. Different clinics report things differently though. Good luck! Thanks for the feedback. The 10 were seen at my baseline ultrasound. Yesterday was day 5 of stims and ultrasound check and that is when there were 7 total but 3 behind. I didn’t get the measurements, my doctor was going so fast. I go in again tomorrow so I’m hoping they will catch up.
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Post by skidevil87 on Sept 18, 2018 17:10:35 GMT -6
bonzo, sally, I actually talked to the physician I work for. Although I can't speak for my actual physician (the doc I work for is the medical director and my doc is one of the docs in the practice), they usually get a P4 and an E2 4 days post transfer- I assume to adjust PIO as needed or add supplemental endometrin. The lab draw was at 7:20 and I do my PIO at 7:45, so the dip to 22 was just my normal trough. 22 is actually still adequate to support a pregnancy, and my E2 level was fine- it was a normal fluctuation. The doc I work for reassured me that the magic 30 number for progesterone is old and antiquated and there is NO research to suggest that is the magic number to support a FET. Now I'm just upset I had to pay $282 for 21 days worth of endometrin... for a level that won't even show up in the blood anyway. Fertility clinics are funny that way... most of them are private practice and a lot of them have the view of "if it ain't broke, don't fix it". This is especially true if they have a really good birth rate. they think, because it's worked so far, why change anything. When in reality, they should always be looking at the current ASRM data and constantly looking up studies to adjust practice based on ASRM guidelines. The doc I work for is one of those- so he doesn't even know why my doc took the levels, or put me on the endometrin... but I can't cross those blurry lines of being a fertility nurse and being a patient.
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Post by champagne on Sept 19, 2018 20:08:17 GMT -6
bonzo, sally, I actually talked to the physician I work for. Although I can't speak for my actual physician (the doc I work for is the medical director and my doc is one of the docs in the practice), they usually get a P4 and an E2 4 days post transfer- I assume to adjust PIO as needed or add supplemental endometrin. The lab draw was at 7:20 and I do my PIO at 7:45, so the dip to 22 was just my normal trough. 22 is actually still adequate to support a pregnancy, and my E2 level was fine- it was a normal fluctuation. The doc I work for reassured me that the magic 30 number for progesterone is old and antiquated and there is NO research to suggest that is the magic number to support a FET. Now I'm just upset I had to pay $282 for 21 days worth of endometrin... for a level that won't even show up in the blood anyway. Fertility clinics are funny that way... most of them are private practice and a lot of them have the view of "if it ain't broke, don't fix it". This is especially true if they have a really good birth rate. they think, because it's worked so far, why change anything. When in reality, they should always be looking at the current ASRM data and constantly looking up studies to adjust practice based on ASRM guidelines. The doc I work for is one of those- so he doesn't even know why my doc took the levels, or put me on the endometrin... but I can't cross those blurry lines of being a fertility nurse and being a patient. I’m glad the doctor you work for was reassuring. It makes sense when you break it down. I’m sorry about the extra money for endometrin. Everything with IVF is so expensive it sucks to feel like you spent money when you didn’t need to. I didn’t realize you were an IVF nurse. That must make things a little complicated.
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Bluebird
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Post by Bluebird on Sept 19, 2018 21:25:45 GMT -6
Where are you in the cycle? Is the 10 from your antral follicle count (at your baseline ultrasound)? How big were the ones they saw in the most recent ultrasound? I think you're still pretty early along in the cycle. I know after baseline, my clinic only measures follicles larger than 10mm. Different clinics report things differently though. Good luck! Thanks for the feedback. The 10 were seen at my baseline ultrasound. Yesterday was day 5 of stims and ultrasound check and that is when there were 7 total but 3 behind. I didn’t get the measurements, my doctor was going so fast. I go in again tomorrow so I’m hoping they will catch up. Any updates? I had some slow growers, and my doc just said we needed to be patient. She was right, and I ended up with a good number of mature follies at retrieval. Can’t remember where I was at day 5, but I had 11 days of stims in the end.
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Post by charliefox on Sept 20, 2018 7:56:08 GMT -6
Well...I really don't want to face the music but I'm pretty sure I'm out. I tested out my trigger which took the full 14 days, skipped yesterday because I was bummed. Last night I had multiple bfp dreams (torture!), tested with an FRER this morning (9dp5dt) and BFN. Betas tomorrow morning will just confirm what I already know. Then I can stop this gross Endometrin. Of course H leaves for Army duty today so I'll be all alone in my grief.
We have 2 frozen embryos so we'll have to decide how to proceed. Another SET or use em both? I need to check with our insurance because if we still have coverage left then it might make sense to squeeze in another retrieval this calendar year and save ourselves from paying the deductible again. Blargh.
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Bluebird
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Post by Bluebird on Sept 20, 2018 19:06:58 GMT -6
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Post by champagne on Sept 20, 2018 20:16:09 GMT -6
Thanks for the feedback. The 10 were seen at my baseline ultrasound. Yesterday was day 5 of stims and ultrasound check and that is when there were 7 total but 3 behind. I didn’t get the measurements, my doctor was going so fast. I go in again tomorrow so I’m hoping they will catch up. Any updates? I had some slow growers, and my doc just said we needed to be patient. She was right, and I ended up with a good number of mature follies at retrieval. Can’t remember where I was at day 5, but I had 11 days of stims in the end. Thanks for asking Bluebird. I had another ultrasound this morning and they are catching up. My doctor said she’s pretty sure we’ll get 6 good ones or more. They started me on cetrotide today, which has been the worst injection so far, but of course it’s worth it for a chance at a baby.
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Post by champagne on Sept 20, 2018 20:17:34 GMT -6
Well...I really don't want to face the music but I'm pretty sure I'm out. I tested out my trigger which took the full 14 days, skipped yesterday because I was bummed. Last night I had multiple bfp dreams (torture!), tested with an FRER this morning (9dp5dt) and BFN. Betas tomorrow morning will just confirm what I already know. Then I can stop this gross Endometrin. Of course H leaves for Army duty today so I'll be all alone in my grief. We have 2 frozen embryos so we'll have to decide how to proceed. Another SET or use em both? I need to check with our insurance because if we still have coverage left then it might make sense to squeeze in another retrieval this calendar year and save ourselves from paying the deductible again. Blargh. I’m so very sorry. I have been thinking about you. Wishing you all the best for your next transfer. Keep us posted.
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Post by skidevil87 on Sept 21, 2018 9:19:58 GMT -6
charliefox, I'm so sorry. I wish you didn't have to grieve alone. As someone who only had 1 embryo- I say, if you have the insurance coverage and you have the emotional strength- do another retrieval before the end of the year! Yes, it will postpone a birth, but maybe you could get another 2-3 embryos as a cushion out of it. AFM I am 8dp5dt. I am feeling very crampy- lots of tugging and pulling especially if I move my torso funny. I do get waves of nausea and my boobs hurt like hell, but I'm chalking that up to progesterone. I haven't tested yet and may only test beta morning just so I have a clue as to what I'm going to get the call stating. Beta is Sunday. Part of me feels like it really worked and this is it, but those negative thoughts are still in the back of my mind... I've never seen a positive pregnancy test before and nothing has worked up until this point... so why would it? Only time will tell.
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Post by charliefox on Sept 21, 2018 9:37:50 GMT -6
skidevil87, everything crossed for you! I hate all these tricky progesterone symptoms.
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bonzo
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Post by bonzo on Sept 21, 2018 9:43:22 GMT -6
I’m sorry, charliefox. If you have coverage I would go with another retrieval to bank some embryos. champagne, that’s great that your follicles are catching up! Cetrotide should help with that too. skidevil87, FX for you on Sunday! AFM, I’m 3dp5dt. The progesterone is wrecking havoc on my acne, but otherwise we’re too early for any symptoms. First beta next Friday at 10dp, so I’m trying to just enjoy this time being PUPO. Every single day is a new milestone so I’m just trying to appreciate where I’ve gotten.
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Post by charliefox on Sept 21, 2018 11:21:48 GMT -6
bonzo, yay! How's the PIO? For some reason that's my biggest fear.
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sally
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Post by sally on Sept 21, 2018 15:05:41 GMT -6
skidevil87 everything crossed that this is it for you.
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sally
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Post by sally on Sept 21, 2018 15:06:26 GMT -6
charliefox I'm so sorry. Good luck with your decision.
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Post by charliefox on Sept 21, 2018 18:55:39 GMT -6
Yup, it's official, beta was negative. Moving onto FET. Not sure if I'll have to wait a cycle or if we can jump right in, my coordinator is calling me back on Monday.
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Post by champagne on Sept 21, 2018 19:09:04 GMT -6
Rooting for you skidevil87 ! I totally get the infertility mind tricks though. It’s so hard. Congrats on PUPO bonzo ! I’m so excited for both of you.
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bonzo
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Post by bonzo on Sept 22, 2018 7:02:30 GMT -6
bonzo , yay! How's the PIO? For some reason that's my biggest fear. Honestly, it’s not that bad so far. I’m terrified of needles, and I’d heard so much about PIO that made me dread it. But H has gotten really good at shots! Most of the time it doesn’t hurt going in, and I massage the area after to break up the oil. The injection sites are getting sorer as I’ve had more, but I try to walk and loosen it up. The scariest thing is if H nicks a vein, since IM bleeders tend to drip. The first day this happened, and I was convinced I was dying. But apparently it’s just a thing that happens occasionally with IM shots. I haven’t had another bleeder since, luckily!
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Post by skidevil87 on Sept 22, 2018 18:56:29 GMT -6
bonzo, if I remember right, the PIO did that to me the first few days, but then relaxed a bit. I would much rather do more PIO than these disgusting endometrin inserts. This morning I couldn't hold out anymore. I'm 9dp5dt. I peed on a stick and got a positive on a FRER. Beta is tomorrow. We will see what that number is. I can't help but to be terrified that either my levels won't rise or something will happen... I'm always just waiting for the shoe to drop. That's just what IF does to people... steals the joy out of something finally good.
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Post by charliefox on Sept 22, 2018 20:37:10 GMT -6
skidevil87, it totally steals the joy but a positive at 9dp5dt sounds great! Congratulations! I'll be sending all the sticky, rising numbers, vibes!
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bonzo
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Post by bonzo on Sept 22, 2018 21:09:02 GMT -6
skidevil87, yay! Everything crossed for your betas!
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