TTC after a D&C with Femara

iVillage Member
Registered: 03-27-2008
TTC after a D&C with Femara
6
Thu, 09-23-2010 - 10:26pm

Hi Ladies,

So, we just lost our pregnancy at 14 weeks. My D&C is scheduled for tomorrow. I am beyond sad as we tried very hard to get pregnant with my son and went through a lot and got pregnant fairly easily with this baby after 3 cycles of unmonitored Femara.

I want to start trying right away. I'm 36 and my husband is 42. We really want a sibling for a son and we feel like time is not on our side. Plus, I feel like the prospect of conceiving again is the only thing that really makes me happy right now.

So, I have PCOS and have never had ovulatory cycles on my own without the Femara. Everything I read online says that after the D&C to wait for a period and then get started trying to conceive. But, without ovulating, will I have a period on my own after the D&C? How will I know a cycle has passed?

In other words, how long do I wait before taking the Femara? I take it days 3-8 and then start OPK testing...

Help??
Al

 BabyFruit Ticker
iVillage Member
Registered: 12-08-2009
Thu, 09-23-2010 - 10:39pm

Hi. Im really really sorry about your loss, and that you're facing a D&C in the morning. That's got to be one of the very most devastating, lonely things to go through. But youve come to the right place - you're in good company here. We can all relate. However, I hate that we've all had to suffer and survive through so much loss...

As for the meds and next cycle: I have not used Femara myself, but even if you do not ovulate next month, you should still get a period. They say it is best to wait one full cycle before TTCing again in order to let your uterine lining build up a little bit, to make it easier to date a future pregnancy, and also to make sure that you are emotionally ready to go ahead and try again. Also keep in mind that after a miscarriage, your cycle might be a little longer than usual. This is normal (yet frustrating!).

If you have any more questions about how to deal, what to expect, what is normal, anything like that, please ask. Thanks for being here.



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iVillage Member
Registered: 09-15-2005
Fri, 09-24-2010 - 8:58am

So sorry about your loss Al.

Kathy Kate-9, Emmy-8, Kevin-5 Early m/c 5wks 7/02 Missed m/c 7w2d; D&C 3/10 Missed m/c 8wks; D&C 9/10
iVillage Member
Registered: 09-24-2004
Fri, 09-24-2010 - 10:14am

Welcome and I'm so sorry for your loss.

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iVillage Member
Registered: 01-24-2005
Fri, 09-24-2010 - 11:48am
So, I didn't do Femara, but I did do Clomid and this is what I can tell you. I, like you, have PCOS and do not ovulate on my own. My OB just did not seem to "get" that, even though I told her repeatedly. Fortunately, I was seeing an RE. Anyway, I had my D&C, went for my follow up 3 weeks post D&C with the OB. All was fine. The next day I saw my RE. We waited until the following week (so 4 weeks post D&C) and she started me on Prometrium in order to bring on my period because no, I did not get my period and did not ovulate and she thought it unlikely that I would. Then, once I got it, I started the Clomid per my usual dosage. So, we got started right away basically. We waited 4 weeks and then got back on the horse. My OB was saying "wait 3 cycles", blah blah blah even though I told her that if that were the case I'd still be waiting when I was 40. Do you take something to bring on a period before you start the first round of Femara?
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iVillage Member
Registered: 10-05-2006
Fri, 09-24-2010 - 12:19pm

I am so sorry for your loss. I used Femara with my ectopic pregnancy that ended in July and I plan on using Femara again. I am 35 (36 in November) and husband is 41 and we are still waiting for our first. I do feel the time crunch because we want at least 2 kids so my body needs to get going. My doctor is making me wait 3 cycles to have another IUI and I hate waiting. I should be able to take Femara at the end of next month.

Again, I am sorry you have to go through this.

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iVillage Member
Registered: 03-27-2008
Fri, 09-24-2010 - 5:38pm

Had the D&C today. Wasn't as bad as I thought it would be. Staff was all very nice. Procedure itself wasn't bad and very short. I feel ok now and the bleeding is pretty moderate.

My plan, I guess, is to schedule an OB/Gyn visit about 3 weeks from now and maybe get a prescription for prometrium at that time and start it right away. Take it for a week and get a period and then start the Femara on day 3. That will just take me out of the game for a month. I can handle that and I think hubby will be ok with that too.

The chick at planned parenthood that was in charge of questions mentioned 3-6 months before trying to conceive to allow for "healing." When I questioned her, because that was contrary to everything I have read about D&Cs, she said to talk to my own doctor. I guess they say it takes 3-6 cycles for your body to regulate and start ovulating etc...

Well, some of us don't ovulate, ok?

I have had very good luck with Femara. Pregnant with DS on first cycle after several bad attempts with clomid and pregnant with this loss after 3 cycles. My theory is that since I never ovulate, my eggs are all nice and fresh and preserved. I know...

Anyway, I think I'll hang around here a little longer. I feel ok right now about this and hopeful for the future, but I do get choked up thinking about how much we LOVED this little baby and how much he meant to us already. I'm more sad for myself than for him.

 BabyFruit Ticker