As we approach our first frozen embryo transfer (FET), I’ve been reflecting on our infertility journey and where it all started. I can’t believe how long ago it was that we started this (although I know some peoples’ journeys are far longer), and at the same time it’s flown by.
In November-December 2015 I did labs at my OBGyn’s office on CD21 that indicated my progesterone is low and on CD3 that indicated my FSH is high at 9.1 and my estrogen is low. At that point we decided to go ahead and talk to a Reproductive Endocrinologist to see what our best options would be. He said that my FSH indicates that I may have low ovarian reserve – basically I don’t have as many eggs left as I should at my age. He said there were four options: (1) Clomid + IUI, (2) Clomid + 3 Follistim injections + IUI, (3) Clomid + 10 Follistim injections + IUI, (4) IVF. Because my ovarian reserve might be low, we went with option number 2. This is how it went:
iui #1 – December 2015
CD2: ultrasound – one cyst on right ovary, showing ovulation; labs FSH 6.6 (normal), estrogen 27.9 (normal)
CD5: 50mg Clomid
CD6: 50mg Clomid; HSG showed right tube blocked, Doctor unblocked by shooting the dye 4 times.
CD7: 50mg Clomid & 150 Follistim
CD8: 50mg Clomid
CD9: 50mg Clomid & 100 Follistim
CD11: 50mg Clomid & 100 Follistim
CD12: ultrasound showing 3 follicles on the right ovary (26mm, 17.5, 16), 1 on left side (14 mm); uterine lining only 5.4mm so they sent me home with Estrace ( to take right then, that evening, and the next morning, plus 100 Follistim; no LH surge; labs estrogen 1480; BD so sperm would be between 2-5 days old for IUI
CD13: ultrasound showing 4 mature follicles on the right ovary (26mm, 23mm, 19mm, and 13mm plus 6 follicles that we 10mm or less), and 2 mature follicles on the left ovary (15mm and 12mm plus 5 that were 8mm or less); uterine lining was 6.55; Ovidrel trigger shot in the AM.
Two agonizing weeks later I went in for bloodwork to test my HCG levels, which indicated that the IUI had failed, and we weren’t pregnant. We immediately geared up for our second IUI.
iui #2 – January 2016
CD2: ultrasound; estrogen 41.3 (normal)
CD5: 50mg Clomid
CD6: 50mg Clomid
CD7: 50mg Clomid & 150 Gonal F
CD8: 50mg Clomid
CD9: 50mg Clomid, 150 Gonal F, & 2mg Estrace in AM and PM
CD10: 2 mg Estrace in AM and PM
CD11: 2 mg Estrace in AM and PM; ultrasound showing 3 mature follicles on the right ovary (22mm, 19mm, and 13mm) and 1 mature follicle on the left ovary (23mm); uterine lining was 7-ish;
CD12: Ovidrel trigger shot
Two weeks later my blood work indicated our second IUI had failed. We could have tried a third time – statistics show that if you don’t conceive a child via IUI by attempt #3, it probably isn’t going to work. But my doctor said that even if we got pregnant via IUI this time, we’d probably end up doing IVF in the future so we decided to just go for it now while my eggs are younger than they will be in a couple years. So that’s how we ended up as IVF’ers.
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