• Xenforo Cloud upgraded our forum to XenForo version 2.3.4. This update has created styling issues to our current templates. We will continue to work on clearing up these issues for the next few days, but please report any other issues you may experience so we can look into. Thanks for your patience and understanding.

IVF Cycle #1 - Anyone else?

Buny - This is probably an early post, but how are you? did you go for the beta test? Im praying for you, I hope you come with good news. What ever it is, stay strong. Thinking of you. x
 
Hey ladies. Spotting had slowed down a lot last night, and there wasn't quite as much this morning, but then after the bumpy, swervy, terrible cab rides to and from the clinic, I was back to heavier spotting with clots. The only consolation I have is that my hpt's have gotten darker, but I have been told that it could also be not that I'm miscarrying but that I'm having an ectopic, so I am just totally freaked out at this point. I'm on bed rest until my ultrasound next week on Monday. My birthday is Monday, so I really am just wishing so hard for everything to be okay because I really don't want bad news on my birthday.

The clinic is a bit behind today and we also ended up arriving a half hour late because I was feeling so sick this morning, so we may not get our beta results back until tomorrow morning. Hopefully they will have them by the end of the day, though.
 
Awwwwwww buny :hugs::hugs::hugs:

You make sure you take lots of rest! near the end of my 2WW I went shopping and I felt cramps and I think it was my shopping trip that made my bleeding heavier. Take rest, Im thinking of you and I hope you come with great news. Try not to stress or think about it too much, I know its easy said then done but try your best. Stress is not good.

xx
 
Oh no, no, no, no buny!!! I hope you get good news later today. We'll be stalking, waiting, and sending huge positive vibes your direction. :hugs: :hugs:
 
Hey ladies. First of my beta came back at 477.8! So a doubling time of 48.5 hours!! Things may be okay in there after all. Well, except that I think my progesterone is so low that I could potentially lose the pregnancy anyway...

My doctor is totally pissing me off. My temp has dropped low, I'm still having cramps, spotting, and bleeding with clots and my doctor continues to refuse to do a progesterone check. During my whole IVF cycle, not ONCE has she checked it. I am SO angry. I wrote her an e-mail about everything and even sent her my chart:


1239943_144488655760181_232532738_n.jpg



and this is the response I get:

"Hi, the hCG level is nice.
So, use [the level of Progesterone previously prescribed], [the level of Estrogen previously prescribes] and we will wait untill monday - ultrasound and hCG level.
dont measure the temperature now. Only wait untill monday :)
and the dose of [the level of Progesterone previously prescribed] is high enough.
Ok?"




So DH and I wrote her back and I said:

"For our peace of mind, my husband and I would like to come in and get my progesterone level checked tomorrow. Of course we will pay for the test.

Thank you so much for your continued support,"


At this point we've decided to just show up at the clinic tomorrow and not leave until someone checks my levels!


Oh! And here is her response to my message yesterday when I first told her about the temp drop, bleeding, cramping,and clots and asked for a progesterone check:

"Hi, in case of more spotting or bleeding come tomorrow for [hCG] blood test. In case that it will be only light spotting, wait untill monday.
I hope it will be ok....
In case of not good result of this pregnancy you will continue with [frozen embryo transfer cycle], it means you will stop [progesterone], [estrogen], start bleeding more and use [estrogen] etc. We will plan it.
But firstly we have to know the result of this pregnancy. Spotting in early pregnancy can occure and doesnt have to mean a problem. We will see how the situation will be. Ok?"


Seriously. Not once does she mention bringing me in for a progesterone check. And also, we had decided this past Monday that the beta would be today- apparently she forgot.
 
:hugs: buny, your doc sounds very frustrating! :(

That's great news on the beta though!! Let us know how you get on with getting your progesterone checked out. FX all will be ok for you! xx
 
Sorry for the long update with lots of details, but this stuff is totally interesting and comes to a great conclusion.

Well. Never could get a progesterone check, but I spoke with a doctor in the US (one of the top IF doctors in the world apparently!) and was able to get some more information about what may be happening. I also did a LOT of research last night and this morning. I am much less worried about things now than I was before.

Here's what I found out:

It seems that in IVF, because the follicles are damaged during egg collection, they can fail easily and not form the corpus luteum that is supposed to make progesterone. In other cases, they do form, but then fail later. This is why we're put on such high doses of progesterone- to make up for these likely failures.

Since my temp dropped so late in my cycle, obviously a corpus luteum did form and then quite possibly failed. Since my body was used to the higher level of progesterone (corpus luteum + suppositories), when the corpus luteum failed, there was a fast enough decrease in the progesterone that it took my body a moment to realize it shouldn't happen. A sudden decrease in progesterone will cause spotting, cramping, and other beginning of AF symptoms. However, and very luckily, there is a safety mechanism in place by around 5.5 weeks of pregnancy that can restore balance and save the pregnancy- the responsive placenta. By 5.5 weeks, the placenta is producing the hormones necessary to sustain the pregnancy. When it senses the decrease in production from the corpus luteum, the placenta kicks up progesterone production. In conjunction with a progesterone supplement, this IS enough of the hormone to stop the cramping and bleeding. The only catch is the pregnancy must be functioning well enough to be able to do this.

The other situation in which the corpus luteum fails is if there is something wrong with the pregnancy itself. In this case, the pregnancy actually tells the corpus luteum to shut down and the miscarriage begins. If this is the reason for the corpus luteum failure, then there will be a miscarriage, no matter how much extra progesterone is added in, because the placenta will be unable to produce the hormones necessary to save the pregnancy as the pregnancy is already failing. Even if an increase in progesterone stops the bleeding, the pregnancy will still fail and this will be seen in future hCG tests and on ultrasounds.

Both of the above situation will lead to a low progesterone score. However, in neither situation will an increase in progesterone dosage do anything to help. In one case, the pregnancy will automatically begin to correct the situation, rendering an increase in progesterone unnecessary, and in the other case there is no way to prevent miscarriage no matter the progesterone dose- hence why a doctor would choose not to run a progesterone test. (I really wish my doctor could have just told me this!!)

As for my situation, I am VERY happy to report that I have had almost no spotting today at all, that my cramps are gone, and that my temperature has risen. I will be taking it easy for the rest of the weekend as I recover from the progesterone decrease. At this point, I am assuming I had a corpus luteum failure due to IVF follicle trauma. There may be other possible causes for sudden decreases in progesterone, but this is the reason that seems most likely and is by far the simplest explanation.

I am still not out of the woods. My hCG is much lower than one would normally expect at this point in pregnancy and the hCG stall last week still is not a good sign, but it seems I have managed to get past another hurdle in this early and complicated pregnancy- and that is definitely worth some happy excitement. I go back in on Monday for another beta test and for an ultrasound to rule out ectopic. I will let you ladies know the results as soon as I have them!

Here's a pic of my awesome temperature rise:

1208906_144771862398527_1359517655_n.jpg
 
Wow, why couldn't your doc have just told you that?! That's really useful info. Loving your temp rise today!! Good luck for your beta and u/s on Monday! xx
 
Very interesting, Buny! Thanks for posting that, and I'm sooooooooooooooo glad it's good news for you! :happydance:

You may well be up the duff! :cloud9:
 
How's everyone doing?

I had my consultation yesterday... they think I *could* have PCOS. AF was irregular for about 18 months off the pill, but is now fairly regular which isn't a sign, but apparently my ovaries look like classic PCOS in terms of high number of follicles and the position of them. Hopefully I'll be starting ivf on my next cycle if everything comes through in time, and I'll be on a lower dose of drugs as I'm higher risk for OHSS :( Hopefully all will be ok! Oh, and they aren't going to put me on BC ... which is unusual I think, as everyone I've heard on here says they're put on it first. But this clinic doesn't, they just start on your next cycle. Not sure whether to be excited or scared about the whole ivf thing! lol!
 
buny - Thats excellent! good to hear everything is going well. :thumbup:

pbl - How are you? Hows the BCP's going?

Mrs.B - Sorry to hear about the PCOS. I hope it does cause a great effect and your IVF goes smooth and well. Dont stress over IVF, stay strong. I wish you all the best. Keep us posted.

:dust::dust::dust:

(I like this image)
 
I think the short protocol--no BCP--used to be standard, right? :shrug: Frankly, I'm jealous! I'd much rather start stimms straightaway instead of almost four weeks of BCP. :brat: Sorry about the tentative PCOS diagnosis, but I don't think you should be discouraged by it. It just means they'll be watching you carefully for signs of over-responding, which isn't bad. PCOS ladies often produce tons of eggs, so FX for you!

Definitely with you on excited/scared. :argh:

Things are very boring in TTC land here. Still have ages to go on the BCP. :coffee:
 
Thanks Yearning :)

Thanks Pbl :) Ah, I see - I knew I was on short protocol, but I didn't really know the difference between short and long (other than I assume one is shorter than the other!) I've got to wait about 4 weeks anyway, because I have 5 weeks cycles and I'm only about CD8/9... but it gives time for the meds to arrive and for me to have injection training (ooo... fun!). Yeah, glad they're going to be watching carefully for signs of over-responding... OHSS scares me! I've heard that PCOS ladies produce lots of eggs (which I guess is because they said the classic sign of PCOS is high number of follicles? Apparently, for my age, it's normal to have 16-20... and i have 29). Looks like we'll be on the drugs at about the same time!
 
Heyyy I just realised Mrs.B you are on short protocol which is good. I was on long protocol like pbl and I had to have BCP for ever! (Ok not really - like a month) It was annoying and I was just excited to hurry and start the injection phase. So dont worry about it and as for you pbl you just chill and enjoy the momments :-)
 
That would be so great if you both are together in process. :happydance: :happydance::happydance:

Exciting exciting. Wishing you both BFP's. xx
 
Had an u/s on Monday and got to see the gestational sac in my uterus, but my hCG didn't rise correctly. (Didn't even double in 3 days, still under 1000.) Yesterday started spotting and cramping again. Still going today. Pregnancy symptoms all disappeared right around the time the spotting/cramping started yesterday morning. Doctor says there is nothing she can do if I'm miscarrying, so we just go back in for an u/s in a week to see if there has been any growth or if it has stopped. It was smaller than they wanted it to be on Monday, so it may have already stopped at that point. No idea.
 
Thanks Yearning :)

Oh no buny, I was hoping you'd be back with good news :( I will keep everything crossed that your next u/s shows everything is ok and that baby's just being a little bit naughty and scaring you. :hugs: :hugs: xx
 
Ohhhhh bunyyy.:hugs: Im sorry to hear that. Hopefully we hear good news from you. Take it easy and lots of rest. I hope this is a minor thing and you have a healthy pregnancy. Stay strong. x
 

Users who are viewing this thread

Members online

Forum statistics

Threads
1,650,346
Messages
27,147,162
Members
255,792
Latest member
dspls
Back
Top
monitoring_string = "c48fb0faa520c8dfff8c4deab485d3d2"
<-- Admiral -->