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Is a Large Bump Normal After a Blood Draw

Written By Klein Flesing Tuesday, 11 January 2022 Add Comment Edit

Trying to Get Pregnant

IF Testing and Treatment w/o 11/8

Re: IF Testing and Treatment w/o 11/8

@optimistgardener I did find an academic article suggesting that metformin can lower AMH in women with PCOS, so I wonder if that's the case? Because metformin did significantly regulate my cycles over the last 4-5 months, so maybe I'd have been more high-end normal without it? It's hard to say without having an AMH reading from before. I supposed I'll get a definitive answer on it come the ultrasound whether or not my ovaries are polycystic there.
@keikilove you obviously have a much better insight into what's "too much" for you to handle. I will root for you no matter what. Will anxiously await to see what your body decides for you. Sending you hugs!

@optimistgardener thanks for the tag re: PCOS question! @fantasyflyte I had indeed been misdiagnosed with PCOS in my early twenties. The difference though was that it was based on an ultrasound (TBH that ultrasound was done NOT on Day 3 of my cycle) and my complaints of irregular periods. In the past, determination of PCOS was done if the woman was presenting with 2/3 possible symptoms, the 3rd being high androgens. However, when I started all my fertility testing in 2020, all my ultrasounds/androgen markers were within normal range. However I still had quite a bit of variability when it came to period lengths. In my case, it turned out to be thyroid issues driving the cycle irregularity (but they never were drastic... ranged from 24-42 days). One thing to remember is that there are different phenotypes of PCOS. You can read more about that here (note this will download the full text article) and here. Bottom line: you might still have it.

Okay, time for my update. Fasten your seatbelts.

Diagnosis (if you've been): Officially, unexplained. Unofficially, Hashimoto's, AMA, wandering sperm

Status (WTO/TWW/TTA): Whatever the phase after ER and before a period is. WFAF?

What are you doing this cycle? (Testing? Treatment?): Treatment

How are things going?: Okay ladies, got our blast report back and it's.... exactly average. Stats and discussion in spoiler:

We've ended up with 5 embryos: 2 x 3AA, 2 x 3AB, 1 x 3BB. Why average? Because our doctor said that we should expect:

50-80% of resting follicles to respond to sims (we beat that; had 14 AFC, but had 16 follicles at retrieval)
80-85% of retrieved eggs to be mature (beat that too, 13 out of 14 were mature)
85% to fertilize (here, we're right on the money with 11/13 of 13 fertilizing)
40% of fertilized eggs to make it to blast (just slightly above average, but let's call it average for the sake of the argument, since it would have been 4.4 and we got 5)

So, by average, we can expect about 40-45% of our embryos to be euploid. So, we're expecting that number to be 2. And maybe 1 more mosaic.

Btw, none of the eggs from my "Canada eggs" made it to blast.

TL; DR we've decided that 2021 will be our retrieval year, so we're gearing up for another retrieval. After that, we'll close the chapter on retrievals, and move forward with transfers in 2022. I feel good about this.

I'm also truly ecstatic about how this fresh cycle turned out. And who knows, we might get lucky and end up with more euploids than the average, but I need to "protect" myself. But, I cannot lie: I am extremely super bummed about my younger, frozen eggs. Like... REALLY really bummed. Alas, it is what it is. I also know that once I start transferring, I will not want to go back to "retrievals" and put my body through that again.

There are also insurance implications here. I have enough Progyny benefits for either 2 transfers or 1 more retrieval + fertilization, but no genetic testing (the latter would cost $6900 OOP). So, MH and I are strongly considering not doing genetic testing on this upcoming batch. This will be our "backup batch" (subject to change depending on the genetic results of present batch). And retrievals (including meds) COST SO MUCH MORE then transfers so doing a retrieval would help us max out our insurance benefits. But then, of course, all transfers would be OOP for us. Considering cost of transfer is 1/4 of that of retrieval, we are OK with that.

Also, to be honest, I wasn't ready for a transfer this year. It would have been the week before we left to go to AZ for the holidays, and I would have had to have a beta at Quest / LabCrop and I wouldn't be able to enjoy a glass of wine or egg nog with my in-laws. So, yeah, this is the better plan.

Any questions?: Nope

GTKY: You've just won a $500 gift card for the local mall/shopping centre and you only have 2 hours to use it. What do you spend it on? I actually hate shopping. I.e... going to the mall, and browsing, and trying things on, etc. Totally hate that. I love online shopping so much. But, the question is pretty clear so I'll abide by the rules in answering. If I were forced to go to mall and spend $500 there, I would probably buy a really nice/designer/(Let's face, it would be Kate Spade) quality outfit or a nice handbag/shoe combo.

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
@acleverusername that really sucks about your Canada eggs. I would be disappointed too. But really great about your current report. 5 is a great number I hope you get pleasantly surprised for more than average but I understand reserving your expectations. My IVF was very similar. I still wish I could have done back to back ERs. I think you're making a good decision to focus on ERs now and then just do transfers. And selfishly, timing wise we may end up transferring at the same time

TTC#1 - March 2013

BFP 8/9/13 - EDD 4/14/14 - DS born 4/23/14

TTC#2 November 2015

Dx: Secondary IF June 2016

Medicated IUI cycle#1- Clomid+IUI -1/15/17 -BFN

Break Mid 2017 - Resumed TTC December 2018

"She believed she could so she did..."

Medicated IUI cycle#2- Femara 5mg+IUI 12/22/18 - BFP 1/4/19 - MMC 2/1/19

Saline Sono 3/15/19 - All Clear!

Medicated IUI cycle#3- Femara 7.5mg+IUI 3/28/19-BFN

Medicated IUI cycle#4- Femara 5mg+Gonal F 50iu+IUI 4/27/19- BFP 5/11/19 - MMC 6/12/19 - D&C 6/14/19-

Incomplete M/C Repeat D&C - 7/3/19 -Testing concluded baby was genetically normal

Dx: Unexplained RPL July 2019 - Tested + as carrier for Usher Syndrome & Familial Mediterranean Fever

Saline Sono 8/7/19 - Mostly Clear! All systems go for IVF#1

But will need a repeat Saline Sono between ER and FET

IVF #1 - Antagonist Protocol - 8/17/19

ER#1 8/27/19 - 12R, 6F, 4 biopsied+frozen! (3d5blasts + 1d6blast)- 2 PGS normal embabies!

Saline Sono 9/13/19 - All Clear! Onto FET Prep#1

FET#1 - 4AA -10/4/19 - BFP 10/14/19 - EDD - 6/21/20 -Beta#1-10dp5dt- 379 Beta#2-12dp5dt- 1007 Beta#3-14dp5dt- 2844

DD born 6/15/20
@acleverusername That's great about getting 5 blasts! And you know I am in favor of embryo banking-- especially since (a) for you, it seems to be working, and (b) since you are "unexplained", the transfer side could be an issue. Obviously I'm sad that you won't be joining the exodus this time, but I think it's sensible. Also-- it's totally normal to be bummed about your Canada eggs. It always feels nice to have an insurance policy and it's highly disconcerting when it disappears on you. But it's better that you know now so you can bank the embryos you need.

TTC History

TTC #1 Sep 2017-Sep 2018
BFP 11/30/2017 | MMC 12/31/2017
BFP 6/22/2018 | CP 6/27/2018
BFP 10/5/2018 | EDD 6/14/2019
Baby girl born 6/19/19

TTC #2 Since May 2020
BFP 7/18/2020 | MonoDi Twins | MMC 9/10/2020
BFP 11/7/2020 | CP 11/9/2020
RE Consult January 2021 | Dx "borderline DOR"/RPL
IVF with PGT:
Standard Antagonist:
ER #1 3/27/2021 7R | 5M | 3F | 2B | 1 PGT-A Normal, 1 low-level mosaic
ER #2 4/22/2021 10R | 7M | 3F | 2B | 0 normal, 2 aneuploid
ER #3 5/19/2021 2R | 1M | 0F
Estrogen Priming Antagonist:
ER #4 7/10/2021 5R | 4M | 3F | 1B | 1 PGT-A Normal
Duostim (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1 11/5/2021 | EDD 7/24/2022
@hanshotfirst77 @bumblebee0210 thanks for supporting my decision guys; I did waffle a bit before deciding it's the right thing. And now I feel really good about this decision, albeit a little bummed about not joining the current exodus. However, I've never seen anyone on here say "gee, I wish I didn't do so many retrievals;" however the opposite is oft the case (although back in the summer there was an off-hand comment someone made about 'trying to figure out what to do with their remaining embryos'. I think many of us would like to have that problem.

And yes @hanshotfirst77, maybe we'll be in the same exodus cohort along with @kiki047 and hopefully @keikilove and maybe even @walkawaynee. Woot! Plus, a transfer in late Jan/early Feb will yield me a Libra TBH, and I'm a Libra myself.

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
@acleverusername great news on the five blasts! sorry about the disappointment of the canadian eggs, though. also: y'all don't close the door on yr way out of this place! i'm dreaming of tagging along at the tail end of an exodus early next year. fx.

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.
@acleverusername That is a fantastic update! Make the argument for "average" all you want😄 but those results are wonderful! However, I'm very sorry about your younger eggs. That is understandably disappointing. As others have said, it would've been nice to have those as your back-up plan. But you seem to have a great back-up plan formed with the current use of your insurance. It sounds like a really smart choice. And it allows you to fully enjoy the holidays, which is always a treat. I hope the exodus continues from now through the holidays and into early next year!

AFM, bloodwork came in very late last night. My numbers look excellent, which really surprised me being that this is the luteal phase. My body is acting like I'm in follicular phase so it's a go for the IUI this Saturday. I'm just glad this whole cycle is drawing to a close. I welcome some boring normalcy after this.
@optimistgardener I am expecting you to GTFO this year!!! Especially if you do a fresh transfer.

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
@acleverusername my plan is if i get blasts it's likely i'll get them tested. i'm still within the window for my "multiple cycles" set charge with cooper genomics, so it seems like it would make sense to do the testing even if i only get a couple? i hadn't even thought about that til they sent me an email this morning reminding me that i wouldn't need to do anything more than pay shipping for more tests. anyway, that pushes me out into next year for a frozen transfer if i get that lucky.

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.
THEN WE'LL GTFO TOGETHER IN THE NEW YEAR! Assumption is made that others will leave before.

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
@optimistgardener low-key freaking out until everything all works out is kind of my jam. there are worse ways to live haha! As far as the rest of your check-in - have the drink! Get the massage!

@gingermama29 glad you were able to get the booster and that it went easy on you!

@keikilove I'm so glad your IUI is a go! And that there is so much more sperm left than you realized. What amazing news! I know you said you were going to be busy for the foreseeable future but I hope it gets less stressful soon at least.

@acleverusername average is still wonderful! Woohoo! But I'm so sorry about your Canada eggs. That's so disappointing❤️

P.S. if I'm not gone by this exodus you are planning, please please please take me with you.
@bows22 thanks for the validation! and to everyone else who told me to go get a drink last night, i totally did. wound up having a pint and a half, which was... maybe more than ideal, but it was also what the soul needed for just general relaxing in the middle of all the craziness and also the possibility of some new friendships with colleagues. Now i just gotta see about that massage, hahah.

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.
@bows22 I really do hope you're already gone by the time the MASS EXODUS happens. But if, by chance you're not, you're coming with us!!!

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
@LJMoon6 I replied to you in my head but apparently didn't type it!! I need to start doing my replies in a note again because I swear I forget what I am doing by the time I scroll back down to the comment box. Anyway I am so hopeful for you!! Just not for myself haha. I think I'm 1 day ahead of you (8 DPO) but I have zero interest in testing yet. Hopefully this weekend will be a distraction and then I'll reevaluate on Monday.
@acleverusername first of all, if we're planning an exodus early next year...

Second, 5 blasts is great!! If you're anything like me, I'm sure you were hoping to be above average, especially with your windfall # of eggs going into this round, but it's also oddly reassuring to come in around the average too. My old RE used to say average is good, average people get pregnant, we want average. Really sorry about your CA eggs though, especially because you froze them at a time when they were meant to be a backup plan, and now that you needed them it didn't work out as you hoped. I get that. FX you can more than make up for them in your next ER. I'm glad you're feeling good about that part - maybe we'll be cycle buddies!
@keikilove I didn't realize you had that much sperm available to you - in that case, it sounds like this is just what you need to salvage this cycle. FX for you friend!!

AFM, spotting never turned into anything so I never called it in. *shrug* I'm trying not to stress about it, but let's be honest, I'm dying inside.

And to top it all off, I had a slight mental breakdown last night that I think was just a buildup of my cumulative stress, but also *TW* mention of a PG announcement

I came across a rather shocking pregnancy announcement from an ex-friend who plastered it all over all her socials that she's having her "miracle" second baby after "IF" (she called it IF, I called it her being impatient because it took her more than a year so she went straight to IVF and was successful on her first try). Which makes her yet another person lapping me and she will very well have the 2nd before we even get to transfer again.

(Apparently I'm full of GIFs today)

TTC History:

Me: 34 MH: 37, TTC since Dec 2017

Aug '18: PCOS dx

Nov '18: MH SA - 19mil

Dec '18-Mar '19: Letrozole + TI - all BFN

Apr '19: Letrozole + TI, - BFN. Repeat SA (27mil) & DNA fragmentation test (17%)

Aug '19: Letrozole + HCG trigger + IUI + prog supp - BFN (MH: 16mil)

Sep '19: 2nd IUI, same protocol - BFN (MH: 16mil)

Dec '19: IVF #1 w/ICSI, PGT. 5 retrieved, 4 fertilized, 3 blasts, 3 PGT-A normal.

Mar '20: FET #1, perfect 5AA blast transferred. BFN.

Sept '20: FET #2, 5BB tsf. 9/18/20 BFP!! EDD: 5/27/21. MMC 11w

Feb '21: FET #3, last 6BB blast transferred. BFP, EDD 11/2/21. MC 5w3d.

May '21: IVF #2 w/ICSI, PGT. 8R, 7M, 6F, 6 blasts - 3AB, 3AB, 3BB, 4BB, 5BB, 6BA. Fresh tsf 5/13/21 - BFN.

June '21: PGT-A results = 3 abnormal, 1 low level mosaic. Referred to new REI for a new IVF cycle

Sept '21: RPL, immune testing normal

Oct '21: IVF #3 w/IMSI, PGT. 33R, 26M, 23F, 9 blasts (7 day 6, 2 day 7). PGT-A = 5 normal, 1 mosaic

Nov '21: WFAF to schedule endometrial biopsy so we can move on to FET
@kiki047 i'm dying at that last gif! also so annoying about the ex-friend.

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.
@optimistgardener this is the girl that told me I should "just do IVF" (like her) at a time when we were still exploring other options. I pointed out that just because it worked for her doesn't mean it'll work for me, and she accused me of throwing her PG in her face because I'm jealous. That was the breaking point. That was also my first IF-related breakup, but let's be honest, she was toxic to begin with so it wasn'treally about IF.
But speaking of friends, I'm so glad you had that drink! I find it so hard to make new friends as an adult so hopefully this is the start of some new bonds formed with your colleagues. I plan to indulge in some much-needed wine tomorrow night as well.

TTC History:

Me: 34 MH: 37, TTC since Dec 2017

Aug '18: PCOS dx

Nov '18: MH SA - 19mil

Dec '18-Mar '19: Letrozole + TI - all BFN

Apr '19: Letrozole + TI, - BFN. Repeat SA (27mil) & DNA fragmentation test (17%)

Aug '19: Letrozole + HCG trigger + IUI + prog supp - BFN (MH: 16mil)

Sep '19: 2nd IUI, same protocol - BFN (MH: 16mil)

Dec '19: IVF #1 w/ICSI, PGT. 5 retrieved, 4 fertilized, 3 blasts, 3 PGT-A normal.

Mar '20: FET #1, perfect 5AA blast transferred. BFN.

Sept '20: FET #2, 5BB tsf. 9/18/20 BFP!! EDD: 5/27/21. MMC 11w

Feb '21: FET #3, last 6BB blast transferred. BFP, EDD 11/2/21. MC 5w3d.

May '21: IVF #2 w/ICSI, PGT. 8R, 7M, 6F, 6 blasts - 3AB, 3AB, 3BB, 4BB, 5BB, 6BA. Fresh tsf 5/13/21 - BFN.

June '21: PGT-A results = 3 abnormal, 1 low level mosaic. Referred to new REI for a new IVF cycle

Sept '21: RPL, immune testing normal

Oct '21: IVF #3 w/IMSI, PGT. 33R, 26M, 23F, 9 blasts (7 day 6, 2 day 7). PGT-A = 5 normal, 1 mosaic

Nov '21: WFAF to schedule endometrial biopsy so we can move on to FET
@bows22 I am still hopeful for you but I understand wanting to protect yourself from disappointment. Getting your booster sounds like a good plan!

@optimistgardener I'm so glad you went out for that beer! You deserve it!!

@gingermama29 glad you didn't have any side effects from the booster! I had such bad flu-like symptoms for 2 days after.

@laura-kay I'm so sorry about your BIL. I hope they get some answers and he feels better soon.

@LJMoon6 I hope this IUI works for you!! Yup I was on progesterone, thank you for sharing your experience!

@keikilove I'm glad you decided to do the IUI this cycle and that you have more sperm left than you expected! I am still amazed by your strength through all of this. I hope you have some relief from stress soon.

@acleverusername 5 embryos is wonderful!! I'm sorry about your Canada eggs though. I'm excited for you to start transferring in the new year!!

@kiki047 ugh I'm sorry about your friend's announcement.

Sorry it's taken me so long to respond this week. I got called in to work Sunday night and then worked my normal three 12 hour shifts Monday-Wednesday so I've either been sleeping or working all week. Thank you all so much for the kind words. Update below in spoiler:

**TW**

I started having heavy period-like bleeding on Wednesday so I figured my body would be getting back to "normal" soon. Well I went for a repeat beta this morning and my HCG went from 27.8 on Monday to 41.8 today. My RE called me and said that sometimes part of the pregnancy can be still there and causing the HCG to be produced even if the pregnancy is abnormal. So now I have to go back for another blood draw next Wednesday to see if the number has gone back down and if it hasn't then she'll have to give me medication to get it down. The even more frustrating part of this is that it delays everything even further and she said there's no way we'll be able to fit in another FET before the end of the year. I'm disappointed both because I hate being in limbo but also because I've hit my insurance deductible so another transfer would be completely covered this year but now I'll have to shell out the deductible again in January. It's not the worst thing ever, but after all of this it just adds to my frustration. I'm just tired and feeling very defeated right now, especially because I have absolutely no control over any of this.

TTC History

Me: 34 DH: 33
Married 07/2012
DD born 07/2014
DD2 born 10/2018
TTC#3 starting 07/2021

IF history:
TTC #2 since January 2016
June-Aug 2017: 3 IUIs w/Clomid = BFN
Sept 2017: Dx w/Endometriosis
Oct 2017: IUI w/Letrozole = BFN
Nov 2017: IUI w/Letrozole = BFN
Dec 2017: pre-IVF testing
Jan-Feb 2018: IVF--17 eggs retrieved, 13 fertilized, 9 frozen and 1 transferred on 2/10 = BFP on 2/19!!! EDD 10/29/2018
FET Oct 2021: BFP on 10/31! MC at 5 weeks
@shortstack930 oh goodness, I'm so sorry about your confusing beta. That's so frustrating. I've been in beta hell before and it is such a mindf*ck. I hope you have better news next week so you can move on from this. *hugs*

TTC History:

Me: 34 MH: 37, TTC since Dec 2017

Aug '18: PCOS dx

Nov '18: MH SA - 19mil

Dec '18-Mar '19: Letrozole + TI - all BFN

Apr '19: Letrozole + TI, - BFN. Repeat SA (27mil) & DNA fragmentation test (17%)

Aug '19: Letrozole + HCG trigger + IUI + prog supp - BFN (MH: 16mil)

Sep '19: 2nd IUI, same protocol - BFN (MH: 16mil)

Dec '19: IVF #1 w/ICSI, PGT. 5 retrieved, 4 fertilized, 3 blasts, 3 PGT-A normal.

Mar '20: FET #1, perfect 5AA blast transferred. BFN.

Sept '20: FET #2, 5BB tsf. 9/18/20 BFP!! EDD: 5/27/21. MMC 11w

Feb '21: FET #3, last 6BB blast transferred. BFP, EDD 11/2/21. MC 5w3d.

May '21: IVF #2 w/ICSI, PGT. 8R, 7M, 6F, 6 blasts - 3AB, 3AB, 3BB, 4BB, 5BB, 6BA. Fresh tsf 5/13/21 - BFN.

June '21: PGT-A results = 3 abnormal, 1 low level mosaic. Referred to new REI for a new IVF cycle

Sept '21: RPL, immune testing normal

Oct '21: IVF #3 w/IMSI, PGT. 33R, 26M, 23F, 9 blasts (7 day 6, 2 day 7). PGT-A = 5 normal, 1 mosaic

Nov '21: WFAF to schedule endometrial biopsy so we can move on to FET
@kiki047 it appears you've dodged a toxic friend bullet there, whew! There's an evangelical quality, sometimes, to people for whom a treatment has worked. it can be hard for them to acknowledge that, indeed, everyone has their own path and also their own medical realities that are not everyone else's medical realities. sorry you had to deal with that.

but also YES! about making friends as an adult. this is a huge challenge! through my late 20s and 30s i used my graduate program as my social foundation, but when i left grad school and moved back "home" (or at least back to my home state) i realized how hard it is to build a community from scratch in your 30s. this was exacerbated, of course, by the arrival of covid. there's been a whole lotta me, myself, my couch, and my pup going on around here. human friends would be lovely.

@shortstack930 i'm so sorry that you've run into this really unfair, kicking you when you're already down complication. i hope it all resolves asap. and 🤬 about the insurance bulls***. it may not be the worst thing ever but it's a perfect example of the insurance industry's inhumanity.

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.
@bows22 I've been thinking of you a lot the past couple of days and wondering how it's going. Being that you're trying to not give it too much energy till next week I'm going to keep quiet. Sending silent positive vibes.😉

@kiki047 Whew, that sounds like a doozy of an ex-friend. Your gifs today are pure perfection. They're definitely worth a thousand words: I can feel your pain. I'm sorry AF never made things clear for you. Do whatever you need to to address that warranted anxiety. Sending you hugs. Hang in there, my friend!

@Shortstack930 Ugh, so sorry to hear about the rising beta and the delays it is causing! That is so frustrating. The insurance part of it is just the icing on the s*** cake. Hopefully by some miracle your betas will be trending very low or non-existent by next week and there's will be a chance to squeeze in another FET after all. Sending you big hugs as well!

ETA: Kiki & @optimistgardener Ditto to the difficulties of friend-making in the current era. Covid surely added a layer of complication to an already tough environment for making new friends. Glad to have you guys online if nothing else!🥰
@optimistgardener I'm so yay glad you decided to have a drink with your work friends. Sounds like it was a great time!

@kiki047 wow yeah you definitely dodged a bullet with that friend. I'm sorry she was so triggering though. IF has definitely taught me what friends are genuine and which ones are just not.

@shortstack930 ugh that really sucks. I'm so sorry. I hope your next one goes down super fast so you don't have delays. Big hugs!

AFM still waiting on insurance….

but anyways I wanted to let you guys know I probably won't be around next week. Leaving for much needed vacation tomorrow. I hope I come back and see awesome news for you all.

TTC#1 - March 2013

BFP 8/9/13 - EDD 4/14/14 - DS born 4/23/14

TTC#2 November 2015

Dx: Secondary IF June 2016

Medicated IUI cycle#1- Clomid+IUI -1/15/17 -BFN

Break Mid 2017 - Resumed TTC December 2018

"She believed she could so she did..."

Medicated IUI cycle#2- Femara 5mg+IUI 12/22/18 - BFP 1/4/19 - MMC 2/1/19

Saline Sono 3/15/19 - All Clear!

Medicated IUI cycle#3- Femara 7.5mg+IUI 3/28/19-BFN

Medicated IUI cycle#4- Femara 5mg+Gonal F 50iu+IUI 4/27/19- BFP 5/11/19 - MMC 6/12/19 - D&C 6/14/19-

Incomplete M/C Repeat D&C - 7/3/19 -Testing concluded baby was genetically normal

Dx: Unexplained RPL July 2019 - Tested + as carrier for Usher Syndrome & Familial Mediterranean Fever

Saline Sono 8/7/19 - Mostly Clear! All systems go for IVF#1

But will need a repeat Saline Sono between ER and FET

IVF #1 - Antagonist Protocol - 8/17/19

ER#1 8/27/19 - 12R, 6F, 4 biopsied+frozen! (3d5blasts + 1d6blast)- 2 PGS normal embabies!

Saline Sono 9/13/19 - All Clear! Onto FET Prep#1

FET#1 - 4AA -10/4/19 - BFP 10/14/19 - EDD - 6/21/20 -Beta#1-10dp5dt- 379 Beta#2-12dp5dt- 1007 Beta#3-14dp5dt- 2844

DD born 6/15/20
@optimistgardener Yay for that beer and some colleagues. I'm throwing my hat in there for making friends in your late 30's, something I had to do after moving to the US. I'm an extrovert, so I NEED to talk to friends so I've had to do some desperate things to make friends (including temporarily having 4 housemates; that also helped save money, and I only did it fr 5 months, but made some awesome friends in the meanwhile.)

@shortstack930 I am truly sorry you're in beta limbo; as if you weren't already dealing with a lot. Sending you hugs of support. I totally understand the insurance bit too; that's weighing into our equation too, and given how close we are to the end of the year, we've just decided that we'll have to suck it up. Question: are your embryos PGT tested?

@kiki047 your gif game is so strong. Goodbye toxic friend though. She needed to go. I'm sorry that your period is MIA. Any suspicions as to what's happening? I'm probably going to start stims beg of Dec, so maybe we can be cycle buddies? But tbh, I hope you'll be through your cycle by then.

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
@acleverusername nope our embryos are all untested so we have no idea how many are actually normal. They all have "good" as their rating according to my RE so I'm hoping we'll be able to get one THB out of them.

TTC History

Me: 34 DH: 33
Married 07/2012
DD born 07/2014
DD2 born 10/2018
TTC#3 starting 07/2021

IF history:
TTC #2 since January 2016
June-Aug 2017: 3 IUIs w/Clomid = BFN
Sept 2017: Dx w/Endometriosis
Oct 2017: IUI w/Letrozole = BFN
Nov 2017: IUI w/Letrozole = BFN
Dec 2017: pre-IVF testing
Jan-Feb 2018: IVF--17 eggs retrieved, 13 fertilized, 9 frozen and 1 transferred on 2/10 = BFP on 2/19!!! EDD 10/29/2018
FET Oct 2021: BFP on 10/31! MC at 5 weeks
@shortstack930 I'm sorry about the beta issues. I hope everything can reset itself for you soon so you can move forward again.
@bows22 I'll echo what keiki said, and just leave this here...

@optimistgardener my friends are kinda scattered all over the city and beyond now so it feels like such a chore to actually get together... so we don't, lol. But I did finally have a FaceTime "date" with my bestie who lives on the west coast for the first time since... oh I don't even know. And that felt nice. Cheers to making new friends! Especially virtual ones.
@hanshotfirst77 enjoy your vacation! I hope some time away will help clear your mind and be good for your heart too.
@acleverusername no idea what's up with my cycle. Part of me wonders if that was just a stupidly light period because my lining was virtually non-existent after my withdrawal bleed. But honestly I'm so sensitive to any little shift in hormones and my cycles go all haywire every time so it's probably just that. I'll be really pissed if that really was AF though and now I'll have to wait a whole 'nother month. On the bright side, we'll surely have our PGT results back before we start again so there's that. They said 2-4 weeks and it's been 2 weeks today so... FX!

TTC History:

Me: 34 MH: 37, TTC since Dec 2017

Aug '18: PCOS dx

Nov '18: MH SA - 19mil

Dec '18-Mar '19: Letrozole + TI - all BFN

Apr '19: Letrozole + TI, - BFN. Repeat SA (27mil) & DNA fragmentation test (17%)

Aug '19: Letrozole + HCG trigger + IUI + prog supp - BFN (MH: 16mil)

Sep '19: 2nd IUI, same protocol - BFN (MH: 16mil)

Dec '19: IVF #1 w/ICSI, PGT. 5 retrieved, 4 fertilized, 3 blasts, 3 PGT-A normal.

Mar '20: FET #1, perfect 5AA blast transferred. BFN.

Sept '20: FET #2, 5BB tsf. 9/18/20 BFP!! EDD: 5/27/21. MMC 11w

Feb '21: FET #3, last 6BB blast transferred. BFP, EDD 11/2/21. MC 5w3d.

May '21: IVF #2 w/ICSI, PGT. 8R, 7M, 6F, 6 blasts - 3AB, 3AB, 3BB, 4BB, 5BB, 6BA. Fresh tsf 5/13/21 - BFN.

June '21: PGT-A results = 3 abnormal, 1 low level mosaic. Referred to new REI for a new IVF cycle

Sept '21: RPL, immune testing normal

Oct '21: IVF #3 w/IMSI, PGT. 33R, 26M, 23F, 9 blasts (7 day 6, 2 day 7). PGT-A = 5 normal, 1 mosaic

Nov '21: WFAF to schedule endometrial biopsy so we can move on to FET
@bows22 don't beat yourself up. I like to say: "you made the best decision at the time, given the information you had." No point in thinking "shoulda coulda woulda"; that's only gonna cause more grief and anxiety.

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
ok question time in case anyone is bored (i'm going to call the clinic about this tomorrow as well):

so i am on CD 10, having inserted my nuvaring on CD 1 as directed, and i'm STILL BLEEDING. Kinda off and on, but most days definite "heavy" spotting and today it's more like a "light day" for a real bleed. According to my IVF calendar, i'm supposed to remove the nuvaring this Wednesday the 17th, and my baseline is Sun. the 21st.

The clinic nurse was very on the fence about how to deal with my calendar when she decided to do this short BC prep phase. I think she would have preferred more time, like another week or two, on the Nuvaring, but didn't want to have me on for almost 2 whole cycles, as would have been the case if she'd started me in October. But my baseline, U/S check-in appointments, and stimming calendar were already set so she sort of crammed me onto this short BC prep. I'm a bit worried it's too short and it will not have done its job of calming my hormones down by the time I arrive for my baseline. Does anyone have any guesses as to whether this ongoing spotting/bleeding means anything in particular about my hormone levels?

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.
@optimistgardener Honestly can't opine on the spotting/bleeding while on BC other than I've heard it's "normal." Sorry girl. I hope someone else here or any lurking grads could opine.

@bumblebee0210 how are you holding up in view of your beta tomorrow? I'm thinking of you and wishing with all my might for a positive outcome. 🤞🏻

TTC History

Me: 38, MH: 36 | Met 02/09 | Started Dating 08/17 | Married 02/02/2020
TTC #1 since 02/2020
2009 | Dx PCOS; likely a misdiagnosis
07/14/20 | Dx Hashimoto's Thyroditis
07/21/20 | 1st RE appointment
07/2120 - 08/20/20 | so much testing; no signs of PCOS
08/20/20 | Dx Unexplained; AMA
09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
09/30/20 | Urology consult; more testing required
10/2020 | Clomid + OPK + TI + Prometrium | BFN
10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing
03/14/2021 | Hybrid + Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
04/07/2021 | Natural cycle while we regroup | BFN
04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
05/10/2021 | New RE consult & plan for IVF
05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH.
06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 2 euploid + 1 low-level mosaic
08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
11/12/2021 | IVF cycle #3 (mid-luteal start):
i've been thinking of @bumblebee0210 as well. sending all the good vibes.

@acleverusername thanks for weighing in. yeah, the corner of TTC/IVF trivia that is like "but also how do we all respond to birth control" is an obscure one. I'll just go back to trying not to think about it/stress-shopping for cute shoes on the internet. so far i've managed to avoid actually buying anything. the only thing stopping me though is that i'm already near my credit card limit thanks to the IVF. sigh!

History

I am doing this on my own. Left ovary and fallopian tube removed due to cyst/necrosis just after birth. Right ovary and tube still purport to function.

Began TTC in Aug '18 @ age 35

5 or 6 (or 7?!) cycles using frozen donor sperm, ICI. All BFN

Mar-Jun '19 IUIs, all BFN

Began process of referral for RE in spring of '19, blood tests confirm low AMH (.54) but all else is good.

May '19 HSG shows open tube, but ultrasound suggests fibroids

MRI in June '19 confirms two large fibroids, one growing through wall of uterus

In June '19 I move from California to Oregon, disrupting my insurance, referrals, etc. 5 months spent piecing it all back together.

Nov. '19 attempted myomectomy (vaginal approach) failed. 2nd surgery using laparoscopic method in Jan '20 is successful.

April '20 --> June '20, natural IUIs, all BFN.

July? saline ultrasound and bubble test demonstrate open tube

July '20 clomid cycle cancelled for thin lining

Aug-Oct, 3 femara cycles, all BFN

RE referral. While waiting to set up an appointment Nov-Jan, I continue with natural cycles and ICI, using a known donor, BFN...

Jan '21 more bloodwork, AMH is worse (.30), FSH high albeit not catastrophic at 13.2. hysteroscopy all good. "looks cozy!" says the RE.

Feb '21, injectables (menopur, novarel), iui, BFN (doc said the frozen donor sperm sample had the "best numbers she'd ever seen!")

Mar '21, injectables, iui cancelled due to lack of follicles, converted to at home-insem. BFN

May '21, first IVF round cancelled due to cyst.

July '21 IVF: 8 eggs retrieved, 7 mature, 5 fertilize, 4 made it to blast. 3 are 4AB, 1 is 4BB. PGT-A results all abnormal.
Oct '21 somewhat improved AMH (.51) and significantly improved FSH (8.9). Maybe it's all the pills I swallow.
Dec -21, retrieval yields 5, 4M, 2 reach day-6 blast (4AB & 4BB). 1 low-level mosaic (chr. 3 deletion), 1 complex abnormal. Moving forward w/ FET in Feb for mosaic embryo.

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Is a Large Bump Normal After a Blood Draw

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