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Jan 25, 2013 - 10 comments

Here we go again.

DH vericocele surgery didn't work so on to phase 2.

We saw the RE for the first time this morning.  He said our two options are IVF-ICSI or donor sperm IUI.  We already knew this and already knew we were going to do donor sperm IUI. He said he believe I have endometriosis, which I've thought for a long time now.  He said there are 2 treatments for this; surgery and pregnancy. So he wants to try pregnancy first, kill 2 birds with 1 stone.  

We have decided to do Clomid with our first try. And we have decided to start on my May cycle. So that gives us time to save up more money and have the baby after the holidays if it works. That way the holidays are less stressful. Though I would LOVE a baby for christmas, we both think it would be in our best interest to wait.  Having a baby in Nov or Dec would be very difficult for both of us at work and home. So we wait some more.

We call him one our first day of the cycle. We order our donor sperm. I start clomid on day 3 (for 5 days?). On day 13 we come in for the sonorgram to check the follicle and lining. Then when the follicle is ready we give me a shot to make the folly pop, then 39 hours later I get inseminated. Then "two weeks later your either pregnant or your not."

I love this doctors straight forwardness and his optimism. I think this is a great match. He is also about saving the most amount of money. Our first visit only cost $20!!!!!  I'm jumping out of my skin, but I've gotta wait till May. It'll be better for everyone. I am not a nice person to be around when I'm stressing over money or getting overwhelmed......


Baby Maker
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1396867 tn?1433524301
by hopeitworks, Jan 25, 2013
I am so happy you are moving forward however I just want to comment onthe Endometriosis. Have you had your tubes checked? Are they checking your uterus doing a HSG?
If your tubes are blocked then IUI is not the best option for you. Also depending on the depth of your endo surgery may be needed prior to getting pregnant so that you will be cleaned out/up
If you have any ?s please feel free to  ask
I knwo you  have had a long road and Infert isnt cheap nor is it emotionless. Again wishing you the very best!

1351078 tn?1416316746
by retta483, Jan 25, 2013
good luck will be praying for you :)

1152782 tn?1451105026
by ConnieG, Jan 25, 2013
Thank you retta!

Thank you hopeitworks!

(It's good to be back!)

He said that there are two ways to treat endometriosis, surgery and pregnancy. So he wants to give IUI a try first. If it doesn't work after a couple trys then do a laproscopy to see if I do indeed have it and if my tubes are blocked.  So I guess if it's not severe then he has success without directly treating the endo.  IDK. I don't really want to be put under unless I have to be, so for 2 cycles this is okay with me.

I will definitely be coming to you with questions if it comes to treatment for endo!!! I am so appreciative of you and the other ladies who have stood with me during this infertility roller coaster all this time!

1396867 tn?1433524301
by hopeitworks, Jan 25, 2013
He is correct in surgery and pregnancy. The only way to DX is with the surgery, the only long term treatment from studies is pregnancy. However my concern and why I commented was that if he hasnt checked your tubes which he can do in a office proc its a simple u/s with dye test then how does he know its worth even doing a IUI I guess if it cost you next to nothing great but do you have a max on your infertilty that the IUIs are going to go towards? I just hate to see benefits wasted in a sense.. Sorry I am so blunt Im not trying to be nor am I trying to be harsh. I just work in Insurance also so I know the ins and outs of benefits...Just soem food for thought :)

1217293 tn?1467357944
by Risa615, Jan 25, 2013
Hi Connie, welcome back! How is your thyroid? What is your tsh and t3? I found out my t3 was low so I added a new med and got prego that same cycle naturally have 5 yrs of trying iuis & ivf that failed. Thyroid is just so important.  Also taking baby aspirin daily is good for us thyroid issue girls! So happy you have a plan!

1152782 tn?1451105026
by ConnieG, Jan 28, 2013
Thanks hope! I appreciate your bluntness. He did mention an xray to check tubes. I'm not really sure when that will happen.  When we call back they will set up all the details. I'll ask then.

Hey Risa, thanks!  I am getting my thyroid checked friday. I'm pretty sure it's outta wack! I have sooo many symptoms lately. My plan is to tell her I'm TTC so I need to write down tsh and t3 to make sure she checks those too. I think she's also gonna check my mass to see if it's grown.  What new med did you add??? And, do you take baby aspirin all the time or just for TTC?  We are probably starting IUIs in late april or late may. So I'm wondering if I should start it now or wait a bit......

I just nearly forgot exactly how helpful you ladies are! I am so glad I get to come back here and participate again :)

1396867 tn?1433524301
by hopeitworks, Jan 28, 2013
Connie- Phew!! I am so happy he mentioned it. I am so glad you are on a new course of action and taking the next step!! Baby Dust your way!!!!

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by Sherri90049, Jan 28, 2013
Glad you are getting thyroid checked. Here's what I recommend you request: TSH, free T3, and free T4. There are more that can be done, like thyroid antibodies, but if you can at least get the first three, that should give alot of info. Now here's the important part. TSH needs to be as close to 1.0 as possible when TTC. Over 2.0 is not good enough. Most RE's know this already. But the ones that don't, they just look a the lab normal range which can be as high as 4.5 or 5.5 and tell you you're fine. (If you're that high, you're REALLY hypothyroid.) Equally important are the "free's" (free T3 & free T4). They need to be either smack in the MIDDLE of the normal range, preferably higher (in the upper half of the range).

If you come back with any of the above being abnormal, your dr will immediately want to prescribe Synthroid, which is a T4-only thyroid med. This is not the best option. A better choice is either Armour Thyroid or NatureThroid. If you can get your dr to let you try one of those, then that's great. The second best option, which you probably have a much better chance of actually getting, will be Synthroid (T4) plus Cytomel (T3). This was Risa's protocol and we believe that the adding of the Cytomel may have been the thing that helped her (in addition to lots of good supplements she had been taking) to be successful. She was first given Synthroid only and stayed on that for a long time. She felt better at first but after a few months was back to feeling alot of hypo symptoms. I convinced her to push her dr for a trial of T3 (Cytomel) at a low dose (2.5mcg a day) and she was pregnant the very next cycle after 5 years of TTC!

Sorry to write so long. I am just hoping that we can save you some time by letting you know what we learned over a long period of time. It's tricky with drs and thyroid. I hope you have an open minded cooperative dr. This could easily make the difference for you with TTC! Praying for it all to go well for you. I believe Risa takes the baby aspirin every day through TTC and pregnancy. But she can tell you for sure. Hugs!!!

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by Shannon79, Jan 28, 2013
Hi Connie!!

I'm so glad to see you haven't given up on your TTC journey, even though it can be one of the toughest things you'll ever do. But it's always worth it in the end when you see that BFP and 9 months later you get to hold that little bundle of joy.

I'm crossing all my fingers and toes that this works for you!! I would love to see you get that BFP that you truly deserve

1217293 tn?1467357944
by Risa615, Jan 29, 2013
Hi Connie,
Sherri mentioned I am taking Cytomel for my T3, just half a pill a day, 2.5 mg.  My T3 was 82 (range with my office is 80-170) it was 102 when I got my bfp after a month of meds.  Yes, baby aspirin every morning when you take our thyroid meds and now is a good idea. Take your thyroid meds first thing every morning no matter what! I remember you have times when you didn't take it,  I hope you are better now.
You need to wait to do any iui's until your thyroid is back on track which could take 2-3 months. I agree with Sherri, TSH needs to be around 1.  Glad you are asking about  the HSG per Leanne's suggestion. It has to be done prior to any iui's. It is a quick procedure, but very important.

We are here for you, we have all been though so much, we can help you cut your ttc time down for sure!

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