Shades - Hope Karate was good - a good way to de-stress
OP - Thanks for your info - and I found the Pg levels intersting as well, why no pregnyl for you this cycle ? day 22 for you today - getting closer
Diamond - Hope your feeling well - what day are you today
AFM : Just BD'ing to help things along - I feel very heavy in my uterus - and twingy little spasm's every now and then - that are quite noticible - so things are happening down there - dont know what though ....
OP - your prog results are certainly consistant with number of follies. As always you teach me new info - I have no idea the levels are dependant of no of follies. Good luck for remainder of TWW.
Shades - how are you going? Did you have b/t and scan today? I hope allwent well and you follie hasnt gone shy..
WLAB - when was your IUI again? Only a couple of days ago? The twinges etc might be hormornes left over from ovulation. You still might be in a fertile window so BDing is very good
AFM - Feeling very positive. Had my weekly acup and I feel very relaxed and balanced. Also had my Day 21 blood test and my prog levels are 102, which the nurse said is very good. Last month is was 64 so this is a big increase. I also found a new pair of jeans at Esprit, $99 marked down to $55!! Bargain!! The ttc stuff weighs me down sometimes, but today Im feeling positive...
Take those jeans back to the shop. I'm convinced you won't be able to wear them in a very short while. 102!!!!! I am totally excited for you!!!
Are they going to do a BT again in two days? If it's around 204 you are looking VERY good. You want it to double every day after that.
AFM: The clinic has written this cycle off. I have too. The symptoms I was feeling have turned out to be a virus that's been going round my office. It's clear I really need the FSH if I have any hope of getting across the line.
WLB - where are you based? Are you the country girl on here? I'm floored your clinic DOESN't do Day 21 bloods. How can they monitor what's going on without those results? At my clinic, a low Day 21 BT result is usually cause for a pregnyl shot, unless you're already on pregnyl for luteal support. Unless you're Diamond and you got a rockin' Prog result by yourself!!!
And no, I'm not a nurse - I am well studied and LTTTC. Our bookshelves are covered with books on fertility. Plus we ride the process every step of the way. My husband saw a new GP this week (can you believe our GP disappeared?) and he said he'd also been thru IVF and supported the Drive Your Own Treatment approach. He said if you don't, you just get processed.
Remember tho - don't use the information to beat yourself up. Use it to empower yourself.
Diamond, I think you just became the poster girl for Fertility supporting Accupuncture!
Original - You have given me the courage I need to call my FS from Melb IVF and ask why they are not doing a day 21 test -
I have the Pregnyl injections here at home ready to go on day 4 and 8 post IUI - maybe that is why FS hasn't requested the test, b/c I have the Pregnyl at home ???
OP - again a wealth of knowledge. Thank you for your lovely post - it certainly made me smile!! I hope you are right and that I will have no need for the jeans, but I do not want to get my hopes up very much. As you know the higher the hopes the harder the fall...
I am sorry this cycle has been written off :-( how frustrating for you. I was hoping you could be a poster call for natural IUI cycles and that this would be a success for you. I hope you are coping ok with this, but remember it is not over till its over ok.
Also, re: my high prog levels. I am on the hcg injects, 3 of on every 3rd day i.e day 3/6/9. Do you think this is why my level is so high? No, no more tests for me until the preg test on 5th Dec. Perhaps this is a good idea though... I will give it some thought...
WLAB - I agree with OP that the day 21 is very important, and highly unusual that it is not ordered. I think you have made the right decision to ask your clinic about it - at least get their version of why it has not been booked. You are a former IVFer right? Did they not order this test for you then?
WLB - Pregnyl is human chorionic gonadatrophin (sp) - hCG. Otherwise known as pregnancy hormone. We use it for two reasons:
1. As an ovulation trigger to ripen an egg and of course trigger its release. (usually Ovidrel)
2. As luteal support (usually Pregnyl)
For luteal support, Pregnyl stimulates the ovaries to produce more progesterone. Progesterone will thicken the endometrium to support implantation. It also feeds the fertilised egg.
At what point you use Pregnyl is irrelevant in terms of the Day 21 bloods. Diamond is right in sayong a good Day 21 result proves you did actually ovulate. But it can also indicate that an egg was fertilised and is feeding itself and seeking implantation.
All our clinics are administering the Pregnyl differently. Mine gives me the 1st shot on the day of IUI, then continues with three shots a week until we're sure we've got nothing. Diamond's clinic seems to give her about three shots in the TWW. Yours is giving you two. No doubt this is because our needs are all different.
In my opinion, no Day 21 BT is professional negligence. Even if your clinic doesn't offer it, you can ask your GP to order it. For us, Day 21 is the 7th day after your trigger injection (as opposed the real Day 21 on your natural cycle).
One last thing - it could be that your "program" with Melbourne IVF doesn't include a Day 21 BT as a cost cutting measure. However, this blood test is fully covered by Medicare. At IVF Australia, you sign about 4 medicare slips up front and they use these throughout the cycle to claim for the BTs they do. You definitely are well within your rights to ask for this test.
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I am totally excited for you!!!
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