FET HRT Info .... Please Share

Hi Ladies, I am currently on my 1st FET HRT cycle after a failed IVF/ISCI in June. Hoping to have some good results from the one and only blastocyst embryo left in freeze.

Last Thursday, during my CD11 BT/US, it was found that my oestrogen level is low at 800 and hence had Progynova dose doubled since then. Endo lining was said to be good at 10.1mm on that day. Was told that FET date is most likely to be on my CD22.

Today, had my CD16 BT/US and was just advised by nurse that I will be needing another round of BT/US on my DC18 though oestrogen level is now at 2100 and endo lining had also increased to 11.5mm.

Am very concerned that my FET date had been kept pushing backward. Is this normal? I thought FET date should not be too far from my last treatment (ie, CD19).

Did ask nurse what exactly are they looking for on my next BT/US before deciding on a FET date but nurse advised that I'll need at least a course of 5 days Progesterone pessaries after my CD18 and hence FET date is most likely to be on my CD24.

Am anxious and unsettled and hope to hear from anyone who could help shed some light on my circumstance, please.

Thank you.

Although I don't have the numbers, I know that my FET date was pushed back for both transfers. I don't know why, so I can't reassure you on that front.

But best of luck for tranfers. Fingers crossed for you.

Thank you Entreat for your kind words.

I probably need to have more faith in the clinic's decision but ultrasonist said that she does not hope to see me again after the last scan when I asked if I am expected back again. In fact, she murmured why had the transfer not taken place anytime soon when the uterine lining seemed all ready now.

By the way, is your transfer also a medicated cycle?

So happy for you that you had finally achieved your BFP. Here's wishing you a very happy and healthy pregnancy.

with a HRT cycle, there is no definitive "O" date to base everything on, so they can drag it out with the progynova as long as needed to get the ideal circs - then they start the progesterone supplements on the theoretical O date and do transfer based on that

i know it's hard when everything is up in the air like this, but don't worry about the details like cycle day - as long as your lining is thick enough and prolific (not patchy) you're fine to go ahead whenever your hormone levels are where they need to be

good luck with FET

BG

Hi Ping,

No, I wasn't medicated. They just did blood tests through the cycle to check where I was at, and then I had two U/S to check the endo, which was a little sluggish. in fact, the ob/gyn said at the first scan my endo was 'B grade'!! he changed his mind 3 days later. :D

I was a little concerned as the courier hadn't come with the trigger & i thought i'd miss my O, but the nurse reassured me that if that happened they would use the hormone levels to calculate a transfer date.

Still have my fingers crossed for you!

BG, thanks for sharing. It helps much to know and be reminded that a medicated FET is afterall a controlled cycle and hence, the desired hormone readings and uterine condition would have to be presented before I could get nearer to my ET date. Yes, nurse did mention that I will probably be starting my progesterone pessaries sometime after my BT/US tomorrow.

I'm trying to be patient and positive again for unnecessary stress like this is a real 'No No' during the treatment cycle.

Wonder how did the Doctors decide on whether one should go on a natural or medicated FET. Perhaps, a patient's age would be a criteria for consideration?

Entreat, it must have been nerve breaking for you to be awaiting for the courier. At least Karlgoolie has the facilities for U/S. We live in Karratha and even if I am eligible for a natural FET, I would still need to be in Perth for the cycle treatment.

Regarding the endo grading, any idea what is that? I saw on my last 2 scans result slip that it was a 'C' for mine.

yes - at least we do have a ob-gyn here... as 'different' as he is. Do you find getting your blood tests to Perth difficult? Mine seem to miss the courier all the time. :( And the pathology center has a policy of denial... "oh no, your blood definitely made the courier...".

I've no idea how they actually grade it. BUT... I did just find this very interesting acticle on the web!
http://humupd.oxfordjournals.org/cgi...nt/2/4/323.pdf
Page three has the grades. I never knew! I couldn't tell any layers on the screen!

My transfer date for my HRT FET kept getting pushed back due to poor response to the Prognova (my lining just did not want to thicken). My dose kept having to be increased and my FET finally happened 21 days after I first started on the tablets.

My embie was frozen at day 3 and by the time it was transfered it was a beautiful 6 cells... Now my little embie is currently asleep in her cot and is an amazing 6 months old!

So I wish you all the very best with your cycle... I will be praying for a BFP for you.

Janie xxx

Hi Entreat, thanks for the link. Asked Ultrasonist about the grading and was told C is the best. How interesting, I thought like an academic grading, A would be the ultimate. By the way, I made a mistake, mine was B all this time. No fret, my uterine lining and blood test had both increased and transfer is scheduled on next Wed. Fingers crossed that the FE will thaw nicely.

All this time, during my treatment, I have been staying in Perth from the day that U/S is needed .... so has no experience of having to rush the local Pathology Dept to expedite blood result. Nevertheless, did hear from clinic's nursing manager that it has always been a common worry for those who had to conduct test out of Perth due to delay in courier.

Thank you Janie for your well wishes as well as the shared experience and joy.

Very thankful to have found BB's forum.

Cheers!

How strange! My OB-gyn said A was the best!! maybe they're using different scales... there were three in that acticle.

Entreat, strange indeed :rolleyes: as you said, maybe different clinic uses different grading scale.

Thanks again.

Cheers!