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11-28-2012 at 5:21 PM
AngieL444
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Too Many Chocolate Chips (update to 1st RE Appt)

First of all, thanks for all of the good thoughts and prayers today for my 1st RE appt.

It went well, and we have an official diagnosis and a treatment plan....completely overwhelmed by all of the information they gave me today, but it feels good to know that we have a plan!

DH's SA was PERFECT....he can't stop looking at the paper!! 

I had a transvaginal ultrasound (1st one ever, so I was super nervous), but like everyone has told me, it wasn't a big deal.  While doing the ultrasound, the dr. pointed everything out on the screen and explained what everything was.  At one point, she said "See these circles, these are your ovaries.  Now, see all of those chocolate chips on those circles....you have about 30 on each one, and 8 is normal."  At this point she told me that I most likely have PCOS (which I figured, as I have several classic symptoms.....acne and excess body hair).

Her plan is for me to come in next week for my HSG....seeing my anxiety today, she has already prescribed me Valium for the procedure...which already makes me feel better.

The plan she would like to proceed with is Femara CD3-7, ultrasound monitoring appts, trigger shot, and IUI.  I'm on CD1 today, so she said we can go forward with this plan this cycle.  I on the other hand, feel like I need another month.  I am overwhelmed with everything from today, and just want to wait until my next CD1 to begin the actual "intervention" part of this journey.  I'm also considering doing at least one cycle with medication, monitoring, and TI instead of IUI....is it normal for RE's to move straight to IUI instead of letting you try medication with TI first??

Thanks again ladies!!

 
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How an only child plays "school"....she teaches the dog to write her name.
Me (33) DH (33) TTC #2 since July 2011 (3 month break Oct-Dec 2011)
1st RE Appt. 11/28/12
DX with PCOS DH's SA=Perfection
HSG=All Clear!!
Feb 2013
Metformin+Femara+Dexamethasone+Ovidrel=BFN
Mar 2013
Metformin+Femara+Dexamethasone+Ovidrel=BFN
Apr 2013
IUI #1=BFN
May 2013
IUI #2 upped Femara from 2.5 mg to 5 mg=???  
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11-28-2012 at 5:34 PM
JonBon18
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I'm glad your app went well and you have a plan :) I don't know about the IUI vs TI, I've seen more people going with TI first, you should do what feels more comfortable to you. 

Good luck with your HSG, I hope everything is clear!
TTC #1 since Feb 2012 /// Diagnosed with PCOS (@16) annovulatory

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11-28-2012 at 5:54 PM
JulianneJa...
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I'm glad you have a plan! Your post makes me want to eat a chocolate chip cookie right now!
When the Lord closes a door, somewhere He opens a window.  
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11-28-2012 at 6:08 PM
chicsahm
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JulianneJacks:
I'm glad you have a plan! Your post makes me want to eat a chocolate chip cookie right now!

 

This and THIS... I just got cookie dough and it is calling my name now, dessert before dinner, I think so! And again, glad things went well today!

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11-28-2012 at 6:16 PM
sunlavende...
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Glad you finally have some answers.  Best of luck moving forward.

Trying to get knocked up since June 2012
Making a Baby ~ Blogging It Up  
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11-28-2012 at 6:44 PM
pittielove...
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Yay for a plan! 

"Love is composed of a single soul inhabiting two bodies."- Aristotle

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11-28-2012 at 6:54 PM
doodiebug1...
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glad that you now have a plan and place and have a diagnosis!  GL on your HSG!
~April Siggy Challenge~

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Daisypath Anniversary tickers My Ovulation Chart TTC since April 2011-Me 27 DH 25 BFP 7.01.2011 c/p @ 4wks 3.2012 Metformin 500mg for irregular cycles
 
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11-28-2012 at 7:03 PM
JilllyBean
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Glad you have a plan! I know what you mean. I actually waited one cycle after they told me what they wanted to do. I needed to mentally prepare. I did TI the first cycle. They said I could do either but that we wanted to get the clomid dose right first we could try one with TI first. 
Off BCP since 1/12
TTC since 3/12
High LH/FSH Ratio 8/12
DX with PCOS 11/12
Clomid 50mg - 19.5mm Follie - Trigger + TI = BFP! 11/12
EDD August 11, 2013

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11-28-2012 at 7:08 PM
curlylocks...
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I'm glad you got some answers and a plan. I've seen many start eith TI and others jump right to IUI. There are a lot of things at play with it. Did you get a chance to ask the doctor about starting with TI? If not you could call back snd ask for their reasoning behind recommending that andI why/why not they didn't recommend TI. Even if you do decide to go ahead with IUI you would probably feel better just getting thar answered. Good luck!

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О Привязать! Z!
TTC since 11/2011
BFP #1 EDD 12/14/12, C/P 4/9
Me: 27, dx DOR, heterozygous Leiden Factor V; H: 28, no known issues
After 3 failed Clomid + IUI cycles we are moving on to IVF in July
Everyone welcome. 
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11-28-2012 at 8:00 PM
darjeeling
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Glad you have a plan (and some valium, haha).  Good luck moving forward! 

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11-28-2012 at 8:50 PM
babydreams...
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Glad you have a plan and can move forward.  Lots of luck to you.
TTC since 10/11 Started testing 1/13 HSG, Saline Sono, BW, MRI for slightly high Prolactin All tests came back normal DH- SA normal Diagnosis: Unexplained 3/13 Clomid 50mg/trigger/IUI #1/Endometrin BFN 4/13 Clomid 100mg/trigger/IUI #2/ Endometrin BFN 5/13 Clomid 100mg/trigger/IUI #3/ Endometrin ??? 
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11-28-2012 at 9:00 PM
herecomest...
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Having a plan is great!  Good luck!
  • We are: 34
  • TTC since March 2011
  • Dx: Unexplained
  • Clomid + Trigger + TI + Progesterone
  • Clomid + TI + Progesterone
  • Femara+ TI + Progesterone
  • Femara+ IUI + Progesterone
  • Clomid + Trigger + IUI + Progesterone
  • Acupuncture
 
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11-28-2012 at 9:14 PM
cls78
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So glad everything went well for you! 
TTC since May 2012. Daisypath Vacation tickers 
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11-29-2012 at 12:03 AM
LabRat1852
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Yay for a plan!

 

my doctor used the exact same comparison when we talking about my TVUS. I don't have typical "too many chips" but my chips are all lined up in a row, which he described as "string of pearls". Love these metaphors!

  


***TTC since August 2010***
After Anovulatory Cycles x 3: Mar 2011: Clomid 50 / Apr 2011: Clomid 100 / July 2011: Clomid 150 / September 2011: Clomid 200 ~~All Anovulatory
*7 month Sanity Break*
First RE visit August 2012
Current: Metformin, building to full dose
Plan: Femara + Metformin

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11-29-2012 at 1:44 AM
bbg676
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Glad it went well!  Yay for having a plan.

As for TI vs. IUI - I respond well to Femara (on my 3rd month) and we have a great sperm count, which is why we are doing, and will continue to do, TI.  My RE said that at their hospital, IUI is not done unless you're AMA, have low sperm count, or have other factors that require more aggressive treatment.

What we know right now is that I don't ovulate (or release follicles) on my own, so we're treating that.  If it continues to fail, we'll look into more aggressive insemination techiniques, such as IUI.  I also have PCOS.

Six Seasons and a Movie! Ha-zah!

TTC #1 Since Aug 2011 - Everyone Always Welcome
Lupus/Mixed Connective Tissue Disease(2009); Hypothyroidism(2012); Endometriosis(2012)
PCOS(2012); Low Progesterone + High Testosterone & DHEA(2012);
HSG (Arcuate Uterus)/ SA (All Clear)
August 2012 - 50mg Clomid - Appeared to be no response, but cycle ended naturally on CD44
September 2012 - 5mg Femara - 32mm Follie (Right) + Ovidrel + TI = BFN
October 2012 - 5mg Femara - 14mm on CD12 turned to 23mm on CD14 + Ovidrel + TI =
BFP #1 - 11/17/2012 EDD 7/25/2013 M/C 11/19/2012 @4w5d
November 2012 - 5mg Femara + Trigger + TI = BFN
December 2012 - Natural Cycle ending in
BFP #2 - 2/4/2012 EDD 10/2013 DX Unviable Provera to induce MC 2/11/13
Cycle #13 - 3/5 - Started Vitex 1200mg
Chartilicious 
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11-29-2012 at 7:37 AM
bewilderin...
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I first read this as Too Many Dips then I read it as Too Many Chocolate Dips then I read it the right way lol.

ANYWHO! I hope the tests work out in your favor! Good luck!

BFP#1: 08/30/12 EDD 04/30/12 m/c 09/04/12 6wks

BFP#2: 01/27/13 EDD 10/06/13 no baby/just sac on u/s 02/25/13 chemical abortion 03/02/13 9wks  
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11-29-2012 at 8:49 AM
anastasiac...
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I am very glad to here you have a plan!
Lilypie Second Birthday tickers Daisypath Anniversary tickers Lilypie Maternity tickers TCC #1: 12/01/2010 BFP #1: 2/08/2011--EDD 10/21/2011--Beautiful Baby Boy Born 10/13/2011 TCC #2 01/01/2012 Cyst found in left ovary 11/10/2012 during ER visit for serve pain Ultrasound conducted on 12/03/2012 GYN follow up 12/11/12 Suggested another 6 months of TTC before referral to RE around 5/01/2013. No need for RE!!!! After 12 months I'm pregnant! BFP #2: 1/13/2013 EDD: 09/25/2013 Cyst diagnosis as endo via another ultrasound 
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11-29-2012 at 9:13 AM
Slapalicio...
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Good luck with the HSG and yay for getting some answers!!
\m/ (>.<) \m/
Changing it back to Iron Man in honor of IM3. Loved the movie.

TTC #1 since 06/2011

Click here to read the Welcome Post, especially if you're new to the TTGP board!
Click here to go to the Bump Board Glossary
Click here to go to the TTGP Blog! It's more up to date than the link above 
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11-29-2012 at 9:19 AM
SweetC80
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Glad you got a plan together. If you aren't ready for IUI, I'm sure if you asked the RE they might be fine w/ you just doing TI. Every RE has a different opinion on the TI vs IUI. REs are in the business of getting you pregnant and some like to go straight to IUI because they think you have a higher sucess rate than TI, even if there isn't an obvious need for it yet.

Me Dx: Weak Ovulation / Total Thyroid Removal
DH Dx: Mild MFI (borderline all 3), Varicocele
TTC#1 since 5.11
Clomid 50mg + TI = Poor Response
Clomid 100mg + TI (x2) = BFNs
Clomid 100mg+IUI#1 (5.6M Post Wash & 1 Follicle) = BFN
Surprise BFP on 1/20/13 EDD: 9/25/13 It's A Girl!!
S/PAIF Welcome
**Shibby! Lots of love for my TBBFF rayofsunshine99 and the newest member of her family, Lily!**
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11-29-2012 at 9:41 AM
ksgsmu
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Glad you had a great RE appointment! I was very overwhelmed as well when I left, but you will soak it all in over the next week or so and get excited to get the ball rolling!

I was shocked that I started an IUI cylce right away with clomid and injects.  I had had all my testing done, but I thought we might just do a couple of rounds of clomid first with TI.   At first I questioned this, but I am trusting the aggressiveness of my RE.  I am 35 and want more than 1 child so after he presented the stats to me and all my options and their probable success rates I relented to do IUI with injects.  Guess that is why he is getting paid the big bucks ( out of pocket bucks in my case!).

Good luck on whatever route you choose to go!

Me:35 DH:37 TTC#1 since 4/2012 Me DX: Hashimotos,Hypothyroid, DOR-low AFC, all other tests normal. DH: normal

IUI #1 50 Clomid,75 GonalF,Ovidrel,Progesterone = fair response,BFN

IUI #2 150 Gonal F, Ovidrel, Progesterone= ok response but BFN

IUI#3 225 Gonal F - Cancelled IUI due to early O- TI

PAIF/SAIF Welcome!

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11-29-2012 at 10:04 AM
Emily&Chad
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Hey Angie, I know we already spoke about this privately but that is exactly how my RE appt went as well. I'm glad you got some answers dear and good luck with deciding what to do next. As you know I found out in August and have pushed back my hsg and SA until January.. which is quickly approaching. 

I was offered femera with TI first before IUI. I am not sure why some RE's don't suggest that first. Maybe it depends on the severity of your pcos? Obviously had there been an issue with your dh's sa that would have been a no brainer. Anyway, glad you have some answers. 

♥TTC#1 since 04/11♥CP 03/28/12♥Me:Polycystic Ovaries&Endo?♥Him:MFI♥
♥Miracle BFP 3/4/13♥EDD 11/13/13♥
♥Blog♥ 
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11-29-2012 at 11:14 AM
Mrs. Mo
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SweetC80:
Glad you got a plan together. If you aren't ready for IUI, I'm sure if you asked the RE they might be fine w/ you just doing TI. Every RE has a different opinion on the TI vs IUI. REs are in the business of getting you pregnant and some like to go straight to IUI because they think you have a higher sucess rate than TI, even if there isn't an obvious need for it yet.

Ditto.

I actually had to ask to do a TI cycle instead of just IUIs (the problem is all me). Of course, they let me, but they reminded me that IUIs have a slightly better sucess rate (since they shoot it all up there). Are you OOP or does your insurance cover anything? For me, the insurance coverage (or lack-there-of) is what helped me decide. All my meds were covered under my prescription coverage but the procedures were barely covered. So, doing a TI cycle would practically be free (only had to pay for Rx copays + couple of u/s)

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Dx: Hashimoto's Hypothyroidism
After 2 years TTC & failed IUs,we have our IVF baby born 9/24/11



LO#2 aka 'Miracle Baby' EDD:9/28/13



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"Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all."
-- Dale Carnegie


"Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time."
--Thomas A. Edison 
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11-29-2012 at 1:18 PM
lynnyloo
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The cost of the IUI procedure alone with my 50% insurance coverage is $105. I'm not sure what the original rate is before the insurance negotiates the rate. This $105 is about 1/5 the cost of my total IUI cycle (CD3 & CD11 u/s, clomid, gonal-f, ovidrel, progesterone, and beta test). For the added 10% success rate they gave us for IUI (18-25%) vs. TI (5-10%), I think the price we pay for the IUI is more than worth it.

If insurance covers meds and such then it may be worth doing a TI cycle, but otherwise I think IUI is a better value.

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PAIF/SAIF welcome
TTC #1 since 10/2010
Diagnosis: Unexplained IF
IUI #1 & #2 (Cycles #24/25): Clomid, Gonal-F, trigger = BFN
Break Cycle #26 = CD69 BFP
Beta #1 2/20/13 = 449, Beta #2 2/22/13 = 1012, Beta #3 2/25/13 = 2479
u/s 3/1/13 = gest sac and yolk sac
u/s 3/11/13 = hb 133, u/s 3/19/13 = hb 169 BabyFruit Ticker 
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11-29-2012 at 1:25 PM
kicius56
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Good luck!



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