wow, that was a real consultation

iVillage Member
Registered: 08-07-2007
wow, that was a real consultation
15
Tue, 12-14-2010 - 10:16am

We talked about everything. And like all aspects of this journey it had its ups and downs. I really fear she is being too conservative for me. I get that she has over-stimulated patients before and had to cry and hold thier hand when doing a slectiv reduction. But come on! Get me pg and let me worry about raising twins/triplets! But I like her, and her bedside manner. And she really does hear me out and not treat me like a number or a piece of meat. So here is the gammut:

1) She wants me to get another HSG with an endometrial biopsy next monday (provided I

Chouli, 34; DH 45 Lilypie Pregnancy tickers

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iVillage Member
Registered: 07-28-2009
Tue, 12-14-2010 - 10:25am

Chouli, the cycle your RE wants you to do is called a hybid cycle (oral and injectable meds) and I want to give you a little hope k :) Clomid and IUI didn't work for me. Femara and IUI didn't work for me. MY FEMARA, BRAVELLE, OVIDREL HYBRID CYCLE WORKED - twice in a row! I'm glad the consult went well and I HOPE HOPE HOPE they can get you into that IVF study!

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iVillage Member
Registered: 08-07-2007
Tue, 12-14-2010 - 10:37am
Thank you, Chelle. Do you think I should do the back-to-back? I've read that it really doesn't help, but logically, how can it not? It does mean another $400 or so.
Chouli, 34; DH 45 Lilypie Pregnancy tickers
iVillage Member
Registered: 05-12-2008
Tue, 12-14-2010 - 10:41am

I'm glad that all went well.

iVillage Member
Registered: 07-28-2009
Tue, 12-14-2010 - 10:49am
Well, that depends on your definition of "help". It doesn't help in that washed sperm really only lasts 12 MAYBE 24 hours on the high end. So doing back to back IUI's does not increase the number of sperm in there at any one time. How it DOES help goes more toward the timing of it all. Most women O anywhere between 24 - 48 hours post trigger. So almost all RE's use 36 hours as a happy medium for timing the IUI. But looking at the time span, you will have some women that O earlier. Most won't O later than 48 hours but some can O in 20 hrs vs 24. I hope you are following me here as I know I am starting to ramble. Anyway, when doing back to back IUI's the standard protocol is one 24 hours post trigger and one 12 hours later at 36 hours post trigger so you are more likely to have fresh sperm there when your egg(s) are released and therefore you have a better chance of fertilization. But the sperm from the first IUI will likely all be dead by the time you have your second IUI so it's not like "more sperm higher chances" KWIM?
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iVillage Member
Registered: 08-07-2007
Tue, 12-14-2010 - 12:09pm
Grr. I just don't get how its going to be *better* to do a hybrid cycle compared to Femara-only. I see how its going to be more costly and monitored, but what's the benefit to TTC? So fracking frusterating.
I think I'm going to elect to do just the one IUI. Unless DH is adamant to do 2.
Chouli, 34; DH 45 Lilypie Pregnancy tickers
iVillage Member
Registered: 07-28-2009
Tue, 12-14-2010 - 12:30pm
Well, it *is* better than oral meds alone but marginally so. If it makes you feel better, my RE took us down the same journey yours is as far as your protocol is concerned. Oral meds then hybrid cycles with trigger, then straight injectables. Most dr's don't like to jump from one step to another while skipping all the steps in between.
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iVillage Member
Registered: 07-28-2009
Tue, 12-14-2010 - 12:44pm
Oh and something I forgot to tell you: for me at least my hybrid cycles didn't require any extra monitoring compared to the Femara cycle alone. I came in I think at cycle day 10 and normally I was done after that one appt and told to trigger on CD 12. So there was only one monitoring appt which is what you're doing now, right? Based on you dr wanting you to come in on CD 8, you might have ONE more appt but there shouldn't be much more than that unless you have a serious response problem and I don't see that happening.
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iVillage Member
Registered: 06-29-2010
Tue, 12-14-2010 - 12:46pm

I'm glad you had a comprehensuve consult. I know it's more reassurring when you feel that the doctor is really listening to you and wants to help you out. I hope you can get in that study. Free IVF would be amazing. I know this journey sucks. I wanted to send some HUGS!!! Hope this new cycle and plan works for you.

iVillage Member
Registered: 03-02-2007
Tue, 12-14-2010 - 1:30pm

Chouli - wow, that sounds like a really good meeting with the dr.! I know you are frustrated, but I can see what Chelle is saying - most doctors like to stick with the various steps and see what works or doesn't before moving to the next step.

Kelly, mom to 4 year old Lexi, wife to Rob TTC Number 2 since April 2010, with a loss in June 2010 at 4.5 weeks, and a loss in April 2011 at 8 weeks (possibly ectopic). Saw the RE in May 2011, we were moving forward with testing and an IUI when we
iVillage Member
Registered: 03-19-2007
Tue, 12-14-2010 - 3:05pm

Sounds like a great visit. I know the cost is worrying you, and you'd like to move a bit faster with the meds, but I trust what Dr. Chelle says lol. It seems like this doctor is not as 'factory' as other dr's, especially with graduating you up to the different meds. And the fact that you like her bedside manor is soo important.

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