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01-24-2013 at 1:48 PM
liz4paws
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Joined on 03-05-2011
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liz4paws is not online. Last active: 05-25-2013, 9:57 PMSilver

FET lining questions

Hi ladies! I am doing a medicated FET and am on Lupron and Estrace.  I have only one and only ultrasound appointment prior to our actual ET. I'm hoping you guys might know what to expect.

If my lining is too thin at that ultrasound, what do they normally do? Delay the ET and leave you on Estrace longer? Or cancel?

And if it's too thick, do they usually cancel and make you start over? It seems weird that there aren't in-between appointments to see how things are progressing, but it's all new to me.  

Anything else that might throw a wrench into the game that I'm not thinking of? 

Last two questions for extra points. What usually causes a lining to get too thick? Does being natural vs medicated matter for this?


Me (31) DH (35) - Finding our path to baby #1
Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR
DH: Severe MFI
12/2/11 - IUI #1- BFN
8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)
My ovaries seem to be just for decoration

12/6/12 - Adopted five embryos that had been frozen for over ten years!
2/11/13 - Thawed four, sadly two didn't survive. Transferred two beautiful blasts.

2/16/13 - First BFP of my life!
3/27/13 - No heartbeat at 9w0d. D&C the following day.

4/23/13 - Matched to adopt five new embryos!

My embryo adoption blog: Wishing on a Snowflake

Lilypie Angel and Memorial tickers

 
01-24-2013 at 2:10 PM
JewelsW198...
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Joined on 04-27-2008
Central Virginia
20,463 Points
JewelsW1980 is not online. Last active: 05-26-2013, 3:38 AMBronze

I have no answers because I'm having the same anxiety BUT I emailed my IVF nurse after I had the same 'is there such a thing as too thick' panic attack because I'm already at a 13 with many days to go and she said "We worry sometimes during a stimulation cycle if it gets thick and it has been a long stimulation, but with a FET, that is great!"


* Me- 32 * DH- 32 * TTC for 4 Years
* *IUIs 1-6 BFN*
*IVF #1= BFP- M/C *FET- * *Beta#1: 69 *Beta#2:482 *Beta#3 1088
*Beta#4 28,318 * Ultrasound- 1 beautiful heartbeat
IT'S A BOY!!! MAX LIAM
 
01-24-2013 at 2:11 PM
Crystal120...
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Joined on 04-24-2011
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Crystal120410 is not online. Last active: 05-25-2013, 8:10 PMBronze

My RE will not let me "prep" (estrogen) for more than 20 days. So if Im not where I need to be by then we cancell and start over. I have a baseline u/s, another exactly one week from then, and another 6 days before ET to check it again. 6 days because I start PIO at 5 days prior to ET.

When I have been to thin before he added vaginal estrace 3x day. That cycle it was to late and my lining didnt thicken and I ended up with fluid. Cancelled. This time we are using vaginal viagra/estrace compound that seems to be helping. I have never had it be to thick so I got nothing on that one.

I would assume to much estrogen would amke it to thick since thats what thickens it to begin with. I havent ever done a natural cycle so again I got nothing.

I hope this helps. Im still new to the FET game so I hope these answers are correct.


Married 9-10-11
Together 6 years before marriage
Me 26 DH 28
TTC since 9/2011
Dx endo 2007 Sx laparoscopy
End bcp 9/2011
Dx annovulatory, DOR, Low AMH
Hysteroscopy due to polyp 2-1-12
IUI#1-3 Cancelled due to low response
IUI#4 BFFN
IVF#1 8/30 Beta#1 256, 8/31 Beta#2 482 BFP!! M/C 5w3d
FET#1 Cancelled due to uterine fluid and thin lining
FET#1.2Cancelled due to abnormal bleeding
Hysteroscopy 12/28/12 All clear
FET#1.3 2/2013 Cancelled
FET #1.4 3/19 BFFN
Good Luck to All!!
Crystal
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01-24-2013 at 3:04 PM
Daysie
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Joined on 10-24-2002
Maryland
24,903 Points
Daysie is not online. Last active: 05-25-2013, 6:19 PMGold

At my lining check, I know my RE will just bump ET a week and have you come back in the following week to check it again. If it's not thick enough by then, I believe, in my office, you would be cancelled. I'm not really sure what happens at my office if the lining is too thick. I never asked, but I would assume they would cancel you. 

 This is how my office appointments for FET's go: 

Baseline - check to make sure you are suppressed usually  about 1 1/2 weeks after starting Lupron. At this check in you get a new calendar with start dates for Estrace.

2 weeks after that baseline, you go in for the lining check. Here they want to make sure the lining is thick enough for ET. Here you get instructions on when to start PIO and when the actual transfer will be. (My office gives you 2-3 different dates an ET can happen at the start of the cycle).  

1 week after the lining check is the ET.

exactly 2 weeks after ET, (Yes, my office is crazy and makes you wait 2 WHOLE weeks AFTER ET, that's 14 days.) you have your beta.

 

So for me, so far I've been delayed a week due to the cyst. So I went in for my initial baseline on the 17th, found cyst, Now I go back in for baseline #2 tomorrow morning. My original ET of 2/6 was pushed back to 2/14. And the same thing would happen if the lining wasn't thick enough. So I have the potential to be pushed back by 2 weeks if my lining isn't thick enough around 2/7.

Um, I hope that all makes sense, and it may have been more infor than needed, sorry.   

 


♥TTC#1 since June 2010♥

BFP #1 - 2/14/2011 * Natural m/c - 2/28/2011 @5w4d
BFP #2 -7/9/2012 * Chemical Pregnancy
BFP #3 -10/12/12 * Missed m/c - 11/15/12 @8w4d
BFP #4 - 2/18/13 * EDD 11/1/13! Please Stick Around Little One!

My Chart
DH (31) - 06/2011 - All Normal!
Me (29) - Stage 2 endo, polyps, cysts, and septum, FSH- 7.8, AMH - 1.2.
Hysteroscopy/Lap - 11/17/11 - removed: Stage 2 Endo, 3 cysts, and polyps & septum fixed.
1/1/12 -Cycle #18 = Ovidrel+B2B IUI+Progesterone = BFN
1/28/12- Cycle # 19 = Ovidrel+B2B IUI #2+Progesterone = BFN
4/6/12 - Stims Begin!! 300 Follistim, 10 Novearel, ganirelix
4/16/12- Cycle Cancelled. Poor/Late responder
6/8/12 - Stims begin for IVF 1.2: 500 Follistim, 20 Novarel, Ganirelix
6/18/12 - Trigger
6/20/12 - ER = 20 Retrieved, 18 mature, 15 fertilized w/ICSI
6/25/12 - ET - One beautiful blast transferred. 9 to freeze
7/9/12 - Beta #1 = 450, 7/11/12 - Beta #2 = 350, 7/13/12 - Beta #3 = 198-chemical pregnancy
8/23/12 - Hysteroscopic Surgery scheduled - Adhesion removed.
9/2/12 - FET Cycle #1 - tfr'ed 2 5 day blasts, 1 hatching
10/5/12 - ET
10/10/12 - + HPT FX for a sticky baby!
11/2/12 - 2nd U/S - 1 ges sac, 2 beautiful babies 2 beautiful heart rates = 125!!
11/15/12 - 8 weeks, no heart beats
11/16/12 - D&E - Chromosome testing showed 2 normal females
12/17/12 - Embryos biopsied and sent for PGS and re-frozen.
12/26/12 - PGS results: 3 abnormal male embryos, 4 normal embryos remaining.
1/6/13 - Lupron start for FET #2.
1/17/13 - Baseline - Cyst delayed us by a week.
1/25/13 - Baseline #2
2/7/13 - Lining Check
2/13/13 - FET #2 - tfr'ed 2 5 day blasts
2/18/13 - BFP! +HPT, Please, Please stick little one(s)
2/26/13 - Beta #1 = 1361!! keep sticking little one!
2/28/13 - Beta #2 = 2787!! Thanks Be To GOD!!
3/2/13 - Beta #3 = 4959! What a little miracle we have!
5/20/13 - It's a GIRL!! Team Pink!
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01-24-2013 at 3:21 PM
lincoln79
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Joined on 10-24-2011
16,221 Points
lincoln79 is not online. Last active: 05-24-2013, 3:12 PMBronze

my office only has one monitoring appt. for FET cycles. Mine was yesterday. They check about 10 days before FET and my RE looks for e2 levels and three line appearance more than thickness.

my lining yesterday was 6.1  with three lines and estrogen in the mid-200's. My RE likes to see it over 100.

i got my first bfp with a lining of 5.6 the day before ER, so i try not to worry about it. i am glad it was above six this FET cycle at monitoring (last month it was 5.3) with the addition of viagra.

hope this helps! 


TTC #1 since 12/2010 DH: MFI, cancer survivor Me: Resected septate uterus, lap treated mild endo, tubes open, ovulate on own. 3 Failed IUI's (2/2012, 4/2012, 6/2012) IVF #1 August 2012. BFP! Beta #1 56.7 Beta #2 150 One baby, one heartbeat on 9/20/12! no h/b @7w6d. dandc @8w0d Praying unceasingly for a miracle. PAIF/SAIF welcome Image and video hosting by TinyPic Image and video hosting by TinyPic Image and video hosting by TinyPic  
01-24-2013 at 3:22 PM
Crystal120...
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Joined on 04-24-2011
30,141 Points
Crystal120410 is not online. Last active: 05-25-2013, 8:10 PMBronze

Daysie my RE makes me wait the whole 2 weeks also. It drives me nuts!!


Married 9-10-11
Together 6 years before marriage
Me 26 DH 28
TTC since 9/2011
Dx endo 2007 Sx laparoscopy
End bcp 9/2011
Dx annovulatory, DOR, Low AMH
Hysteroscopy due to polyp 2-1-12
IUI#1-3 Cancelled due to low response
IUI#4 BFFN
IVF#1 8/30 Beta#1 256, 8/31 Beta#2 482 BFP!! M/C 5w3d
FET#1 Cancelled due to uterine fluid and thin lining
FET#1.2Cancelled due to abnormal bleeding
Hysteroscopy 12/28/12 All clear
FET#1.3 2/2013 Cancelled
FET #1.4 3/19 BFFN
Good Luck to All!!
Crystal
Image and video hosting by TinyPicImage and video hosting by TinyPic Daisypath Anniversary tickers
 
01-24-2013 at 4:46 PM
moonaggie
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Joined on 10-03-2010
4,751 Points
moonaggie is not online. Last active: 05-25-2013, 6:05 PMNewbie

Great question - sometimes I feel so dumb for not asking more things before all of these procedures!  We are doing a FET somewhere around Feb 13-15th with frozen eggs from an anonymous donor.  I had my baseline U/S yesterday and was told all looked well (my lining was 2.4, which I was told was good).  I go back in 2 weeks (Feb 6th) and have been told if the endometrial lining is "thich enough" then I start the progesterone shots 4 days later (the day before my DH participates by giving his sample).  However if it is not thick enough I will continue meds and come back in one week.  I was on BCPs, Lupron (10 units) for 9 days, and after the U/S yesterday I am now on Lupron (5 units) plus estrace 2x per day.  I have no idea what will happen if it doesn't thicken up enough.  And I have no idea if there is such a thing as "too thick"?  I am interested in hearing the other responses as well. 

 Good luck!! 


TTC: 8/2011; Me: 38, DOR; DH: 34, no issue "Super Sperm"; Conceived au natural: 10/2011; no h/b @ 10w5d; D&C: 12/19/2011; 2012: 3 failed rounds of Clomid, 1 failed IUI, 2nd IUI cancelled due to poor response; IVF #1 cancelled due to no response to Stims 2013: Anonymous Egg Donation Scheduled for first cycle 2/2013 with 7 frozen eggs + DH "Super Sperm". 2/2013: 1st ET using frozen DE cancelled after 4 fertilized embryos failed to cleave past 4-cell stage. Currently on Estrace and Progesterone injections. Donor retrieval was 4/11. 20 eggs retrieved. 16 of 20 eggs fertilized normally. 5-day transfer 4/16 - one beautiful blast transferred. 7 embryos cryoed. BFP @ 5dp5dt! Beta #1 = 89. Beta #2 = 209. Unplanned u/s 5/5 = saw sac and yolk sac. U/s on 5/7 - saw start of fetal pole. U/S on 5/16 - saw h/b! 140 bpm. First OB appt 5/22 - h/b = 164. EDD 1/2/14.  
01-24-2013 at 4:46 PM
Gr8te
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Joined on 08-18-2012
10,106 Points
Gr8te is not online. Last active: 05-25-2013, 9:34 PMBronze

My FET is scheduled for 2/8. They put me on BCPs and I didn't get a period, so I'm behind schedule. I have to have two u/s to make sure I'm on enough estrogen. If my lining isn't an 8 by 2/3, the FET is delayed. If it's not layered correctly or too thick it's canceled.

GL


~ Everyone Welcome ~
TTC: 05/2011 Me: 32, All Clear DH: 38 Dx: MFI Low Testosterone & 1% Morphology
IVF #1 w/ICSI & IMSI, 12/03/12: ER: 27R, 20M, 15F
4 blasts frozen (3BA 4BA 4BB 5BB) b/c of moderate OHSS
FET #1: 02/08/13 Transferred 3BA & 4BA | HPT 5dp5dt BFP!
10dp5dt Beta #1 - 810 | 12dp5dt Beta #2 - 1843
 BabyFetus Ticker 
01-24-2013 at 6:02 PM
liz4paws
Not Ranked
Joined on 03-05-2011
40,007 Points
liz4paws is not online. Last active: 05-25-2013, 9:57 PMSilver
Thanks for the responses, ladies!

Me (31) DH (35) - Finding our path to baby #1
Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR
DH: Severe MFI
12/2/11 - IUI #1- BFN
8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)
My ovaries seem to be just for decoration

12/6/12 - Adopted five embryos that had been frozen for over ten years!
2/11/13 - Thawed four, sadly two didn't survive. Transferred two beautiful blasts.

2/16/13 - First BFP of my life!
3/27/13 - No heartbeat at 9w0d. D&C the following day.

4/23/13 - Matched to adopt five new embryos!

My embryo adoption blog: Wishing on a Snowflake

Lilypie Angel and Memorial tickers

 
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