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Old Dec 29th, 2015, 17:01 PM   1
Hiker1
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Entering the world of Assisted Conception...like it or not...


Hello! Just wanted to introduce myself. I've been hanging out in the 2WW forums for a while, but as of today when my DH and I officially went to a fertility doctor, I think I need to accept that I am no longer part of the group of folks who will be conceiving the good, old-fashioned way. A little about me - 34, married for a year and a half. TTC for 1 year. I have hypothyroidism and it was determined a few weeks ago with diminished ovarian reserve (FSH of 12.8), had a clear HSG test done, and was referred to a fertility clinic by my obgyn. Would love to have some buddies to go through this with, especially someone who is just starting on this journey like me!

To fill you in on the doctor's plan: (he said we need to be "aggressive" when talking about the measures we need to take to get me pregnant and to do so ASAP because of the ovary situation)

This next month, I'll be put on a series of oral meds (Letrozol), then take a shot of Ovidrel, then we'll be doing IUI. After just 1 month of that, if that doesn't work, we'll move to some kind of injections with IUI, and not sure how long we have to try that, but then it will be onto IVF.

There is still a chance (we'll see in a week or so) that we got pregnant on our own this month, but I'm not holding my breath, if all the letdowns from this past year are any indication. In general I am still is shock, disbelief, and disappointment that this is happening. If not, I do feel somewhat empowered that we have a plan, and good doctors and amazing science so we can hopefully have a baby. I've told myself to try to stay unemotional about it, be realistic, and try one thing at a time. Hoping to find some friends on here to go through this with! Thanks for letting me share my story!



 
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Old Dec 30th, 2015, 11:23 AM   2
Smille24
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If you don't mind, I'm going to join you. I feel kind of lonely myself because I don't know where I belong.

A little about me. Both dh and I are 28 and we've been ttc #2 (my 2nd, but dh's 1st) since Sept 2013. In the beginning, we tried a relaxed approach bc we watched our good friends struggle to conceive. They constantly complained how their sex life became a job. We swore that wouldn't be us, but after 9 mths we knew we had to take action.

We gave it another year b4 going to my ob for help. She suggested since I had a child and my dh has not, the easiest way to figure out the issue was doing an SA. Those numbers came back at 13mil with 10% motility. My ob told us she could not assist with a male issue and referred us to an RE.

After a series of tests like you had, my dh's numbers went up, but he has an extremely high % of abnormal sperm. My egg reserve is good, but they are not maturing so the quality is terrible. They said we can go straight to IVF which would give us a higher success rate or try 3 rounds of IUI. They are confident that IUI will work as long as his count cooperates.

So we are doing IUI this cycle with clomid. I am terrified it won't work. I will be completely crushed. I am sick of being poked and prodded but I remind myself that this is necessary for us to conceive. It's not the "old-fashioned way", but I've come to terms with it.



 
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Old Dec 30th, 2015, 12:56 PM   3
Hiker1
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Thanks for sharing this Smille! Sounds like we both are on the same track. Certainly different situations, but both frustrated after a long time, both wishing it wasn't the way it is, and both starting this process around the same time. But for our health and sanity, we need to come to terms with it. The alternative to not going through with assisted fertility is potentially (and quite likely) no children of our own. That's not an alternative I'm willing to accept just yet.

I dont know much about the particulars of sperm quality/quantity. I was kind of given the impression (could be totally wrong though) that with IUI, the sperm is somehow "treated" prior to insemination so that only quality ones are used? In which case, I would think your chances would be pretty good since all that is being inseminated will be "good" ones. I really hope it happens for you quickly. The thought of all the poking/prodding/unnaturalness of it gets to me too.

I had my day 21 bloodwork today for progesterone levels, as well as AMH, and a bunch of other tests, including preconception genetic testing. I'm trying to tell myself that it's a good thing because we'll know prior to conception if there might be any genetic issues. People who conceive naturally don't usually get that luxury

Anyway, anyone else starting this process, please feel free to jump in and join! The more of us in this together, the better I think.



 
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Old Dec 30th, 2015, 14:59 PM   4
Smille24
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They do what they call "washing" where they wash away the surrounding fluid which enables them to be more mobile. It also removes the abnormal sperm as well. I start 100mg of clomid tomorrow. I'm dreading the symptoms but it's 4 days, I can do it!



 
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Old Dec 30th, 2015, 15:09 PM   5
Hiker1
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Yes, washing. That's what I meant. So yeah hopefully with that you'll have nothing but "good" ones to do their thing! Good luck with the Chlomid! What are the side effects? Is this your first time?



 
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Old Dec 30th, 2015, 22:50 PM   6
Smille24
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They told me the side effects were hot flashes, extreme mood swings and dryness down there. There's also a 10% chance of multiples. This is my 1st time taking it. I'll start tomorrow (cd 3-7). Hopefully the symptoms will be mild.



 
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Old Dec 31st, 2015, 09:14 AM   7
Hiker1
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Keep us posted on your side effects. Hope they aren't too bad!!



 
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Old Dec 31st, 2015, 14:15 PM   8
MMW430
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Smille, are you doing a trigger shot? Are you being monitored at all? Our first baby, was an IVF baby (first try, transferred one embryo and had one baby) but I'm currently pregnant with our second, which is from iui (it was a different clinic. The first time, we didn't even try iui.

IUI, worked on the second round, which was clomid, monitoring, and an ovidrel trigger shot. Hopefully you don't have side effects, I didn't! Honestly, IUI is a breeze compared to IVF, but if it comes to IVF, you'll be okay and it'll be worth it if it works. Good luck!



 
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Old Dec 31st, 2015, 16:08 PM   9
Smille24
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Thank you. No side effects so far, but it's day 1.

I am doing the trigger shot which will be mailed to me.
They are monitoring me bc they want to make sure they got the dosage right and make sure my body is doing what it should. I will also be taking progesterone after the procedure.

Congrats on your second pregnancy! It makes me so happy to hear it worked and gives me so much hope!



 
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Old Dec 31st, 2015, 17:29 PM   10
MMW430
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It's great you're being monitored. Not everyone does that. I'm on progesterone as well. It really is true sometimes when they say you only need one. I had one follicle, and really wasn't very hopeful because, I mean, one doesn't seem very good, but it worked!



 
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