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Happy Update Bizarre Update to Support, hugs, and advice as I make this huge decision  

post #1 of 19
Thread Starter 
Hi Everyone,

I've posted pretty infrequently on this board. I have PCOS. I conceived DD with Clomid followed by a trigger and progesterone just in case in my first cycle with an RE (I had 2 failed clomid cycles with a GYN about 6 months before that). Last November when DD was 16 months (and still nursing MANY times a day) we tried again, with no response to the clomid, so of course, no trigger. Over the last year we've tried several cycles each time getting no response to the Clomid. I remained relatively calm about it assuming that the nursing was the issue.

DD (now 27 months) has been slowly weaning (pretty much on her own). She was down to once a day by September, and in mid October started skipping days, only nursing every 48 hours or so. We started a cycle in October, which still resulted in no response. In fact, less response than we had in May when she was nursing MANY times a day. DD is now weaned. She hasn't nursed in 9 days (and for the 2-3 weeks before that it was every 3-4 days). My milk is definitely gone (maybe the clomid helped with that).

So, we're looking at the possibility of moving on to injectibles. I have a very strong emotional tie to this coming cycle. It will be the first cycle where DD is completely weaned. I have been telling myself all year that I would be pregnant by Christmas and this is my last shot at that. DD was conceived in a cycle between Thanksgiving and Christmas. We were planning on a 2-3 year age gap, and this is the last cycle that's officially in that range.

I think we're going to move onto the injectibles this cycle if the timing works out perfectly. We're traveling for both Thanksgiving and Christmas, so the timing of my cycle will have to work out in a pretty tight time range. I'll probably use progesterone cream to start a cycle myself in that time range, which usually works very well for me. If the timing just doesn't work out, then I'll go ahead and do another clomid cycle.

I go in tomorrow for the "teaching appointment" where they teach you to use the injectibles. I can't believe I'm looking at the possibility of giving myself injections. I'm terrified at the increased chance of multiples. A multiples pregnancy would be so different, and a multiples birth, and then raising multiples... I could do twins (though it would sure change everything). My RE assures me he'd stop the cycle if we were looking at 4+ follicles, though I'm thinking I might cut off at 3 instead.

I'm a basketcase and second guessing everything. Maybe I should just do clomid again. Maybe I should stop it all and do acupuncture (which would in the end mean waiting until January I'm sure, which I just can't let myself do emotionally).

Not sure the point here with all of my rambling. I just need some hugs and advice. I haven't told my mother about all of this (yet?) though she knew all about it with DD. I'm debating telling her, but I can't quite get myself to tell her, especially since I'd pretty much have to tell her I'd been NOT telling her for a year...
post #2 of 19
Sounds like you have a really great plan set forth. I can't tell you not to stress, but take heart in the fact that you are doing what you can to add a life into your family! Injections suck, I am not gonna lie about that, but they are worth it. I would do my IVF cycle over in a heartbeat. It is a lot of ups and downs but you sound like you are in a good frame of mind.

Try this cycle. Give it your best effort. It sounds like this is the cycle that you are wanting to try. If it doesn't work, examine your options from there. Maybe take a month off and try acupuncture. Then give it another shot.

Unfortunately in the infertility world, there is little hope in predicting the future. Best to take it one day at a time.

Good luck to you!!!
post #3 of 19
Thread Starter 
Well, it looks like I'll be doing clomid again this cycle after all. I spoke with the pharmacy and between the delicate timing of shipping the drugs, the window for when I would need to start my cycle is about 24 hours long. I can generally initiate a cycle pretty easily, but I can't control it that well. So, instead of trying to order the drugs just in case (which would cost me over $200 out of pocket with insurance coverage and would cost over 10% of my life time maximum coverage on prescriptions), I'm just going to go with the Clomid this cycle. If that doesn't work, I'll either do injectibles or step back and do accupuncture or something in the new year.
post #4 of 19
Good luck with the Clomid!
post #5 of 19
It's all hard, and just weaning is a tough phase, even if you didn't have IF issues to cope with on top of it. Take care.
post #6 of 19
Are you insulin resistant? Have you tried Clomid + Metformin? This apparently can be a magic combination for women with PCOS to get pregnant. For me I got pregnant on just Metformin at a time when I was annovulatory, and then got pregnant with my second child without drugs after switching to a high protein/no sugar or refined grains diet.

Good luck!
post #7 of 19
Thread Starter 

Bizarre update

So, after changing my mind several times about this cycle as I watched dated trying to carefully time my cycle with holiday travel schedules and shipping schedules, I was settled on doing injections and went in for my teaching visit. That morning I went in for a quick blood draw. I still had not induced a cycle after a week of progesterone cream, so they wanted to see what was going on.

Most of the way through the appointment a nurse popped her head in and asked to speak to the nurse doing the appointment. She came back in holding my blood results. I had an HCG level of 16! It's officially positive at 20, so they have me coming back in on Thursday to check again and see if it's going up. I'm surprised to say that this news doesn't surprise me at all. I've had an upset stomach and heartburn for about a week. I've been falling asleep at the drop of the hat in the afternoon and waking up early in the morning like I did through my whole pregnancy with DD. I've been an emotional basketcase. I kept thinking I felt pregnant, but telling myself it was just all of the hormonal manipulation, plus the emotional stress of the treatment, the stress of holiday travel, and the stress of all of the Ike repairs. On the way up the elevator to the appointment, trying to gear myself up for giving myself shots every day, I kept thinking, but I won't have to do that because I'm pregnant. When the nurse came in and asked to see the other nurse, my first thought was, those are my lap results and I'm pregnant. All year, as we did failed cycle after failed cycle, I told myself, it's ok, I'll be pregnant by Christmas. I told Darren on the phone after the appointment, I'm having another little girl in August. I seem to be completely, calmly certain of this. However, I'm trying to hold out and wait for the official positive at least. I'm guessing I ovulated around the 23rd of November (8 days after the last time Azalea nursed! I certainly must have ovulated here even if the pregnancy doesn't stick, which is quite an indicator about nursing and fertility at least for me.). So, I'm not even 4 weeks along now. Meanwhile my mind in rushing through the list of things to do before we have this baby - find a midwife, buy a van, ....

I'd terrified about tomorrow. I'm so completely certain I'm pregnant. My breasts ache. I'm craving eggs of all things. And I'm trying really hard to not set myself up to be shattered. DH is thrilled and doey eyed. I told him I was wishing he could sit at home and wait for the lab results with me tomorrow afternoon so I didn't have to call him at work with them or hold the news until he gets home. He insists I should call him. I replied, what if it's bad news, and he said "that possibility hadn't even occurred to me."
post #8 of 19
Wow! I hope you get wonderful news tomorrow.
post #9 of 19
Oh this sounds good! I also found out I was pg the first time coz I took progesterone pills and no period. I'm so excited for you! Hoping for you to hit that magic 20...
post #10 of 19
Good luck!
post #11 of 19
Oh Flower, my fingers and toes are crossed for you! Sounds like this could really be wonderful news!
post #12 of 19
Your headline caught my attention, so I am subbing cause I want to see your results... GOOD LUCK...
post #13 of 19
Thread Starter 
My HCG levels went up to 63 - more than the double we were hoping for. : I'M PREGNANT :

My progesterone levels look good, so they're not putting me on suppositories We really don't have a date on the pregnancy. The first day of my last period was Oct 23. I took Clomid on days 5-9 and my estrogen levels had gone back down by day 15 without producing a large enough follicle. I'm guessing I should be between 7-14 days past ovulation as I'm just getting a positive test. So, based on days we DTD, I'm guessing I ovulated on about Nov 23 - day 32 of my "failed Clomid cycle".

They want me to come back in on Monday for more blood work - to make sure the HCG keeps going up. They plan to do an ultrasound to date the pregnancy once I hit 2000. I'm torn on the testing. Blood draws are not invasive or difficult, but each one is costing me $30. Doing several each week will add up. I have no history of miscarriage, just trouble ovulating, so I'm considering waiting until say Wednesday to do the blood draw... I might be up to 2000 by then.
post #14 of 19
Aw! Congratulations!!
post #15 of 19
Quote:
Originally Posted by Flower of Bliss View Post
: I'M PREGNANT :
Hooray hooray HOORAY!!

Congratulations!! Wonderful news!!
post #16 of 19
::::::
post #17 of 19
Wow! Congrats! Some "failed" clomid cycle, huh???? : I would just do what you feel is best with the blood draws... if you can wait until wednesday, I say why not? Was it just the clomid that made you Ovulate?
post #18 of 19
Thread Starter 
I talked to the office today and asked what they would do if the HCG started going down, or were there other things they were watching for that they could fix. I was told that if the HCG didn't go up they would "track me carefully and eventually determine if I need a D&C". That's certainly not worth a million blood draws. So, I'm going back in on Thursday. Hopefully my HCG level will be at 2000 by then and we can do an ultrasound to date the pregnancy on Friday or early the next week.

I have no idea how much of a factor taking the clomid was. We didn't do a trigger or anything else. I wasn't taking Vitex or anything. In November DD nursed on the 3rd, 5th, 7th, 11th, and 15th and not since. Her first day to completely skip nursing was October 29th. So, I personally think her weaning (which I was not encouraging and was honestly quite sad about) was the primary factor in my ovulating. The whole time she was cutting back nursing she was regularly telling me "Mommy's going to have another baby soon" and "my sister is coming" and generally talking about me having a baby. This was unprompted. Clearly DD knew it was time for her to wean and for me to get pregnant.
post #19 of 19
Congratulations!
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