Infertility, IVF, IUI and more...: Wrap Up

Tuesday, July 7, 2015

Wrap Up

I wanted to do a post to wrap this blog up.

After the miscarriage last fall we were losing hope. We started looking into adoption seriously but decided to talk to one more doctor and do a round of donor IUI or if that was not possible do donor sperm.

We started talking to the new doctor in January and more tests were ordered. An advanced semen analysis and a DNA fragmentation. The Semen analysis came back at a count of 800,000 38% motility, 1% normal morphology, with major defects. The DNA fragmentation came back at borderline. That was done on 2/23. On 2/26 we went out of town. On 3/10 I found out I was pregnant.

Today I am 21 weeks and 1 day pregnant today with our little girl. So far she is healthy and growing on plan! If you want to follow the pregnancy progress check out my new blog, 40, Fat and Pregnant

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Pre IVF TTC Timeline

IVF Timeline

IVF #1

6/19/13-RE Consult

6/25/13-HSG

8/20/13- IVF Consult

8/21/13- Financial Consult

10/1/13- Hysteroscopy

10/2/13-Start BCP

10/9/13- TESE

10/11/13-Transfer frozen vials and test

10/14/13-Okay to start IVF

10/25/13- Chart Review, Med List

11/11-13- Order Meds

11/19/13- Meds Arrive

11/20/13-Start Lupron (10 units) and Dexamethasone (.75mg)

11/24/13-Last BCP

11/25/13- Lower Lupron to 5 units

11/27/13-Baseline Ultrasound and Estrogen Level, Last day of Lupron

11/28/13-Start Ganirelex (125mcg), Start Period

12/2/13 -Start Follistim (600 units), Start Folic Acid

12/4/13-Start Menopur (half vial), Lower Follistim to 375 units

12/9/13-Follicle check and estrogen level check. E2@ 134, 6 follicles only 2 of measurable size. Continue meds until Wednesday
12/11/13-Follicle check and estrogen level check. Still only 2 follicles in the range they need to be. Cycle canceled.

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IVF #2

1/09/14- Take 50mg Provera to start period

1/15/14- Start Birth Control Pill

1/23/14- Start Lupron and Dexamethasone

1/26/14- Last Birth Control Pill

1/27/14- Lower Lupron to 5units

1/30/14- Stop Lupron, Start Ganirlex 125mcg, baseline ultrasound and E2, Cyst Found, E2 @ 162, aspiration scheduled for 1/31/14

1/31/14- Cyst aspirated

2/1/14- E2 level 26

2/2/14- Start period, start E2V injections

2/9/14-Start E2V Suppository 2mg

2/10/14-Start Follistim 600 units, Start Folic Acid 1mg

2/12/14- Lower Follistim to 375 units, Start Menopur 1/2 vial daily

2/14/14- Ultrasound- 5-6 follicles on the right, no med change

2/17/14-Ultrasound- 12 follicles above 10mm, E2 @ 1402, Continue same meds, add antiobiotic, re-check on Wednesday

2/19/14-Ultrasound-14 follicles above 10mm, E2@ 1293, Last Follistim and Menopur shots

2/20/14- Last Ganirelex shot, start antibiotic suppository, HCG 10,000 unit trigger shot at 9pm

2/22/14- Egg retrieval-9 retrieved. Begin Progesterone in Oil (PIO) shot 50mg per day.

2/23/14- Fertilization report: 9 retrieved. 7 mature, 1 broken, 4 fertilized normally, 2 had incomplete fertilization. Bottom line: 6 in culture

2/25/14: Day 3 report: 3 arrested (stopped growing), 1 8cell, 1 6cell, 1 3cell, remaining one never fertilized. 3 total left in culture

2/27/14: Day 5 report: no growth since day 3, giving the remaining 3 until day 6

2/28/14: Remaining 3 embryos arrested. Stop all meds, start tapering off dexamethasone

3/6/14: period began

Post IVF

3/5/14- Semen analysis, 1 MILLION sperm, 75% motility.

IUI#1

5/18/14- Started Clomid, 100mg for 5 days

5/27/14-3 mature follicles, lining at 12mm, HCG trigger shot

5/28/14- IUI, 2.5 million post wash

6/9/14- BFN, new cycle start

IUI #2

6/13/14- ultrasound

6/19/14-ultrasound

6/22/14- + OPK

6/23/14-ultrasound, 2,500mg HCG

6/24/14-IUI, very low motility

Suprise BFP

9/1/14- Positive pregnancy tests. Beta 25, progesterone 10.9

9/2/14-50mg progesterone in oil, 200mg endometrium

9/3/14- Beta 9, Progesterone 18.8

9/6/14-Started period. Miscarriage@ 4w6d