question about cysts and clomid and BC

[nunu1977]

I am not sure how many on here are TTC (trying to conceive) and suffer from cysts. I think i have posted on here before but ill post again just in case someone has some experience in my situation.

I had a M/C back in September 2008. after having a D&C i seemed to have complications with TTC again. I constantly had lower abdominal pain and it turns out that it was from cysts forming and rupturing. one was so big that the Dr thought it was a benign tumor and wanted to take the ovary out. two weeks later it was gone. the dr was wrong, it was a huge cyst the ruptured.
after months of putting off BC i decided to take my Drs advice and go on it for three months, and then give me clomid to help with ovulation and hopefully get preggers before the cysts come back. . well, my three months are up. there were no cysts on my ovarys but there seems to be fluid behind my uterus that the Dr thinks might have been a cyst rupturing. he was ok to give me the clomid and ive now been taking it for two days.

has anyone else TTC and had problems with cysts, been on BC to get rid of them and then tried clomid (that can cause cysts)?

It took me a year to get preggers the first time (with twins). I don't think it will take that long again with the clomid, but hearing someone elses experience would be nice.

Thanks

[natalie200988]

hi girls im 22yrs of age and i conceved my first child by just on metformin as i av pcos but finding it really hard to conceve another baby so my gino started me on clomid i ad to av a drug that made me av a period first and then i ad to start the clomid on the second day of cycle i ad a scan this morn to see how many eggs ad been released and there is just 1 from my left ovarie waiting but im quite confused as of what this means as the gino just said av sex for the next 5 to 10 days and i will see you in 4months i know if it dnt work then i av to start all over again with clomid but cud any1 help with it thank you x

[afasino]

I'm keeping my fingers crossed for you!

[nunu1977]

Im so sorry!!! its such a emotional roller coaster isn't it!

im 1-2DPO. I got a +OPK but my temp hasn't gone up too much yet. not sure whats going on there!

[afasino]

Got my period on Monday.  Went for baseline ultrasound on Wednesday.  I have developed another cyst from treatment.  First one was on my RT ovary.  This one is on my LT ovary.  We have to sit this cycle out until it goes away.  That was our 21st negative test result.  Fun...

[afasino]

I'm in the middle of my TWW now.  I go for my preg test next Wednesday....

[nunu1977]

the saline US was ok. she found a fibroid but doesnt think that is whats causing pain. I am scheduled for a scope for Oct 2nd. I hope I can get pregnant before then so I don't need it.
20 mature follies is a lot. what CD are you now?

[afasino]

I have read on blogs that most people's dr would like the follicles to be 20mm.  However, my Dr had me trigger with them at 13-16mm.  He also had a talk with me about the risk of multiples.  So I'm assuming that means, 13-16 is mature??  We'll see how it goes...I feel like my period may be coming soon.

I had the saline test done.  It's not bad.  I hope it goes well.  Keep me posted.

[nunu1977]

how many days does it take for the follies to be the right size? do they have to be 20mm? I hope they get it right this time!!!!! let me know how it all goes

im going to the NP on Friday to have a saline ultrasound. they put this thing into my uterus and put saline in there and then do an ultrasound. she thinks i have polyps and will need another D&C. I had to wait for AF and she showed up on Sunday. my first visit with her she said the lining of my uterus was way thick and it should have been thin seen I had just had AF. So im out of the game for a few months I guess... I guess ill know wmore of what is happening on Friday after the procedure.

[afasino]

So....

I ended up at the same Dr. because of the timing with the arrival of my period.  I started injections (Follitism) last Tuesday.  Today's ultrasound showed 8 follicles between the sizes of 13.5mm and 16mm.  I'm taking my trigger shot tonight and having the IUI on Wednesday morning.  Fingers crossed!

How are you feeling?

[nunu1977]

you I would go to a different Dr and try something new for sure! let me know what happens at you appointment!

[afasino]

We're going for a consultation with another RE group next week.  The Dr blamed the cyst for missing ovulation which I think is a bunch of BS.  Everytime I go for the US and Blood work it costs around $750.  This cycle they had me come in 5 times to check me and then they miss ovulation.  So I'm ready to explore other options.

[nunu1977]

no I wish FL did require it! my insurance doesn't even cover diagnostics for infertility! that's why I haven't gone for IUI yet.
I cant believe they missed ovulation!!!!! do they discount your next treatment because of that?
you are paying a lot for IUI!!!!! Bam is paying $600 for IUI nad I believe that is everything included except for the medication. when her cysts is gone that is. the month she finally is going to have IUI and she vets a cysts that stops AF form arriving.

So do you think your Dr will be ok with IVF? If I could afford it I would go for it!

[afasino]

Keep me posted!  I hope that you were ovulating!!

I went in for another vaginal ultrasound and E2 test.  The nurse called me late afternoon yesterday to tell me that "we missed ovulation".  I nearly lost my mind on her.  I have spent thousands of dollars this month for them to make me ovulate on their time and they missed it?  Not cool!  I am meeting with the doctor today at 2:30.  I'm hoping to remain calm.  They want me to start treatment again after my period.  I'm done with the IUI thing.  I keep wasting my time and money.  I am going to ask to go right to IVF.  We'll see what he says.  For the IUI we have been spending about $5k a month.  I think IVF is around $9k.  Fortunately, my insurance covers $25k in a lifetime.  We've used a lot of it but it's better than nothing.  Some states require you to have infertility coverage.  I work in RI but live in MA.  MA requires the coverage, RI does not.  So we're using up all of my insurance coverage on my RI plan and then jumping on my husbands MA plan. Does your state require coverage?

[nunu1977]

I hope everything works out so you can try the IUI as I know it is a lot cheaper im sure! How much is IVF? my insurance wont even cover diagnostics with infertility. thankfully because of the pain they can try and figure out why im not getting pregnant along with fixing the pain. I am 99% positive that not getting pregnant and the pain are related
Im tracking my BBT right now. it went up some today but not enough to say I have O'd. I am praying that it goes up tomorrow. I was in  a lot of pain yesterday and last night so Im hoping that it was O pains. if my BBT doesn't go up then im going to ask the NP to go ahead and do the procedure to see if I need the D&C... no use wasting time if im not pregnant and not even Oing!

[afasino]

E2 is your estrogen levels.  It should increase as you produce eggs.  I went in again today for repeat blood test and US.  The cyst is significantally smaller.  I have 20 follicles...all of which are under 12 mm.  I'm seeing a RE.  The first 1.5 years of trying we stuck with the OB.  We've been with RE for 4 months now.  If nothing happens this cycle, I'm going to give up on the IUI and start with IVF.

[nunu1977]

what is E2? I am glad that the cyst went down in size. are you seeing a RE or an OB/GYN?

[afasino]

The cyst has reduced its size by a lot.  So that's great news.  I developed two more follicles on my left ovary.  However, all 8 are >12mm.  My E2 went from 87 to 97 in 48 hours.  Something is going on in there...it's just really slow. The Doctor wants to retest on Monday.  If there aren't any mature follicles or if my E2 doesn't increase, they will cancel treatment for this cycle.  Ahhh...the joys!

[afasino]

Thanks!  The Doctor wanted me to wait 48 hours then return for another ultrasound and blood test.  I go in tomorrow morning at 9:00.  I'll let you know what they say!

[nunu1977]

- i just finished three months on clomid. I went to a new Dr this week and she is seeing more on the US than just cysts. it seems that I have a problem with polyps in my uterus and that could be what is causing most of my pain and stopping my from TTC again. I did not take the clomid this cycle and the NP said she could see one mature follie on my left side. if I dont get preggers from the cycle then I will have to have a balloon put in my uterus and have another US to see if it is polyps, if it is then I will have to have another D&C. I dont want another D&C but if it will help me get preggers then ill do it!

I hope that your ovary will get back to normal fast so you can get on with your fertility treatment. lost of BD to you!

[afasino]

I am 30 yrs old.  My husband and I have been ttc for 2 years.  We went through our first round of Clomid (100mg days 3-7) and IUI last month.  I was in severe pain all month, had terrible hot flashes and was incredibly moody.  I ended up in the hospital because of a fever.  It turns out that I had an enlarged Ovary that was caused from the Clomid.  The Doctor said if I was pregnant, we wouldn't worry about it.  If I wasn't pregnant, we'd have to change my treatment plan.  I wasn't pregnant...so, this cycle I took 5mg of Letrozole on days 4-8 (should have been 3-7 but had a hard time filling Rx).  Today is day 12.  I had my ultrasound.  My left ovary is normal size and I have 6 follicles under 12mm.  My right ovary is triple it's size with a massive cyst on it.  It also has 2 follicles under 12 mm.  The Nurse could only tell me what she was seeing and not what she thought the Doctor would do about it.  The cyst was a result of using the Clomid.  I'm assuming they will skip IUI this month until the cyst is gone (either on its own or through removal).  I have done some research on Cysts after Clomid and it seems to be a very common problem

[nunu1977]

I drink a lot as well, and not drinking dry up CM.. so I cant win either way. im either diluting the LH in my urine by drinking water or helping my CM dry up by not drinking water.

it was my first pregnancy. it was twins as well. got to get my step kids from the bus. write more soon

[tinkerbell101]

Grrrr I am growling at the nurse for you!!!

I do my monitor in the morning and back it up with OPKs morning and night too! Don't wanna miss the vital time. I am kicking myself that I didn't start the OPK's earlier as then I would know if I ovulated or not - never mind no point stressing over it now...

I am CD13 today - got my peak which picked up the LH surge on the monitor yesterday so I guess I am ovulating today which is pretty cool and not bad for me... thats if I have ovulated! I will keep an eye on my temps and am praying for a spike in temp tomorrow. fingers crossed!!!

Like you I have only ever seen a positive on the ones with the lines in the morning but last month I used the digital ones and got a positive all day. I know it says to test in the evening but my theory in that if you drink alot of fluid it will dilute the urine too much!! I run pretty much everyday and drink gallons of water.

Was your recent M/C your first pregnancy?

[nunu1977]

yea the nurse hasn't phoned back yet and it already 12.20pm. Im half tempted to phone them again but i think they are out for lunch from 12-1.30.

I wish I had of thought to ask the nurse that phoned (two weeks after i left a message) about being monitored.
I OPK twice a day. in the Am and the PM. the AM is always darker than the PM, and that confuses me because they say its better to test in the PM.
I worry  hat ill miss my surge. its so frustrating!!!!!!

Oing CD8 or 9 is early! maybe you were lucky this cycle and the egg was mature enough!

Clomid is the cheapest thing here as well. its $29 for 5 pills. my insurance pays for some of it so I only pay $17.

So i just phoned the Drs again. it was the same receptionist.  all she said was the nurse was really good at returning calls... what ever!!!!! why does it take over a week sometimes then???? she is sending another message to her now. I even said i don't mind talking with another nurse if she is too busy. the receptionist started to have a little attitude..... Grrrrrr

What CD are you now?

[tinkerbell101]

Good for you - it s*cks that you have to push for everything though doesnt it!!  I hope they call you back soon. TTC is stressful enough without having to fight to find out whats going on. I wish I had the funds to get an U/S every month as think it would give me a clearer picture of what is going on so my clinic use the bloodtests on CD21 instead which only indicates whether I ovulated and not the quality or quantity of the eggs released. In the UK a trigger shot at my clinic isn't much I think its something like £20 but I haven't needed one as I seem to be ovulating without it.

I am so surprised that they didn't give you monitoring it doesnt seem right given your history. Keep moaning about the pain and they will have to give you a scan!!

I know people have mentioned that they do get some pain and throbbing sensation in their ovaries whilst on Clomid which is normal for them but it has never happened to me.

I am a bit worried about doing another 3 months of clomid but it is the cheaper option as the Gonal F monitored cycles can cost alot more!!

I am hoping that I did ovulate early as no follies were seen as did get the high on my monitor which picked up the LH surge (although it wasn't picked up on the OPK so maybe I missed it?) and praying for a miracle.

I was ovulating on my own before the clomid but early in my cycle on CD8 or 9 which was why the reason I was put on the clomid, to delay my ovulation and give me a better chance of releasing a mature egg.

It would be a complete longshot to get a BFP but gotta keep positive, stranger things have happened

Good luck with getting everything sorted - keep me posted and let me know what happens I will be thinking of you!!!