would your RE see you if your still breastfeeding? - Mothering Forums

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Old 06-19-2010, 01:18 PM - Thread Starter
 
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I have PCOS and it took us 2 years of marriage and truthfully many years of not effectively avoiding before we conceived our son with clomid and tigger shot.

I don't want to take away from my son, who is currently 8 months. I want to breastfeed for at least 2 years (though I think I can convince my dh 2 1/2 since he he's an Oct baby and those immunities are nice over the winter)

Will your RE even see you if your still breastfeeding? are there any safe meds to take while breastfeeding? are there any safe alternative things to try while breastfeeding?

I don't want to mess with anything just yet and ds is still not taking many solids (he just don't like puree anything and there aren't enough 'safe' foods! plus he's just not that interested)

I don't want to take from him to possibly have another...but I want another conceived sometime sooner than 2 years from now.

I haven't yet started my period.

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Old 06-19-2010, 02:10 PM
 
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I know that my sister's doctor told her to stop breastfeeding before they would consider any treatment steps. She didn't want to stop, and ended up getting pregnant on her own. Good luck!

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Old 06-19-2010, 07:24 PM
 
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Mine had no problem "seeing" me and charging me for a consult, but he absolutely wouldn't go any further until I was done nursing.

Once again, Chesapeake me!
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Old 06-19-2010, 07:34 PM
 
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Mine had no problem "seeing" me and charging me for a consult, but he absolutely wouldn't go any further until I was done nursing.
Ditto this.

The hormone testing (are totally different when BF) and meds (may not be safe to BF) radically change your test results for the RE.

My RE will not do anything when a parent is BF regularly (usually not regular periods and hormones are elevated) or taking meds incompatible with treatment (most IUI/IVF meds are not safe to take w/ BF).

Consult probably, but that is it.The RE may also have some 'natural' methods you could try at home though so it would not hurt to talk to him/her.
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Old 06-20-2010, 03:02 AM
 
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My doctor didn't have any problems with me bfing. I did a lot of research on my own before seeing him & felt comfortable with the drugs I knew we would be starting with. I have pcos as well & never had af return on it's own. I used provera to induce the first af. We are currently on our 3rd cycle of clomid & I'm still bfing. That said, I conceived first cycle on clomid (50mg) with ds. I'm now up to 150mg & the first two cycles my progesterone levels were way too low.

I did wait until ds was 18mos before I went to see the doctor. Most of the drugs seem to have the potential to create supply problems - it didn't affect mine but I knew it was a risk it would cause him to wean.

Surviving sleep deprivation one day at a time with dd (Oct '11) & ds (Oct '08).

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Old 06-20-2010, 11:35 PM - Thread Starter
 
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lifeguard What did your doctor say about breastfeeding? Have you been able to ovulate? (I know if varies from person to person, but just wondering) I know the RE I want to go back to, and will probably wait until DS is 18 months as well before going back. Do you think its the bf that's affective your progesterone levels? or just PCOS? My levels were pretty low even what I have pg with DS, but he grew just fine anyway Thank GOD!

I'm so glad to here of someone else who was/is in the same boat.

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Old 06-21-2010, 12:43 AM
 
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I feel like an idiot asking... what is "RE"?

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Old 06-21-2010, 01:52 AM
 
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dakotablue - I had very low progesterone when conceiving ds as well so although the bfing might play into it I think for me it is mostly the pcos. My doctor really didn't say much about the bfing. I didn't ovulate on 50mg of clomid but I did ovulate on 100mg but my luteal phase was too short & my progesterone was still too low. He thinks the 150mg will be the trick so I'm hopeful for this cycle.

vroomiemama - RE is Reproductive Endocrinologist

Surviving sleep deprivation one day at a time with dd (Oct '11) & ds (Oct '08).

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Old 06-21-2010, 11:05 AM
 
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dakotablue - I had very low progesterone when conceiving ds as well so although the bfing might play into it I think for me it is mostly the pcos. My doctor really didn't say much about the bfing. I didn't ovulate on 50mg of clomid but I did ovulate on 100mg but my luteal phase was too short & my progesterone was still too low. He thinks the 150mg will be the trick so I'm hopeful for this cycle.

vroomiemama - RE is Reproductive Endocrinologist
THANKS!

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Old 06-21-2010, 01:13 PM - Thread Starter
 
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dakotablue - I had very low progesterone when conceiving ds as well so although the bfing might play into it I think for me it is mostly the pcos. My doctor really didn't say much about the bfing. I didn't ovulate on 50mg of clomid but I did ovulate on 100mg but my luteal phase was too short & my progesterone was still too low. He thinks the 150mg will be the trick so I'm hopeful for this cycle.
Thanks so much!

I hope this cycle does the trick! I'll keep my fingers crossed!

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Old 06-21-2010, 02:48 PM
 
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I feel like an idiot asking... what is "RE"?
RE = Reproductive Endocrinologist. They're fertility specialist who do IUI and IVF procedures.

Once again, Chesapeake me!
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Old 06-22-2010, 03:10 AM
 
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I don't want to take away from my son, who is currently 8 months. I want to breastfeed for at least 2 years (though I think I can convince my dh 2 1/2 since he he's an Oct baby and those immunities are nice over the winter)
Whatever you and your RE decide, you should be aware that if you DO get pregnant it may significantly decrease your milk supply. It doesn't for all women, but does for many. Just something to consider if you really do want to breastfeed for at least 2 years (especially since your lo is so young). You probably already know that though, and I can certainly understand the desire to start trying now if it took a long time the first time!!! Good luck with whatever you decide--I hope you can find someone who will work with you, and that you get pregnant quickly when you're ready

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Old 06-22-2010, 03:26 AM
 
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My RE wouldn't begin any treatments until I was totally done BFing.

Thankfully, even though dd2 was an IVF baby, it seems #3 really wanted to be conceived, because we did it all on our own this time around.
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Old 06-22-2010, 03:34 PM
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We just had our first RE appointment yesterday. She did not ask if I am nursing, and I did not mention it. I guess maybe I should have, but he is only nursing 2-4 times a day (all at night) anyway, so I didn't think it was a significant factor (plus, DH has male factor).

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Old 06-22-2010, 08:31 PM
 
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My RE did not seem to have any issues with me BF'ing. After all the testing and an attempt to remove a fibroid, his next recommendation was injectibles and IUI. We could not afford it, and ended up getting pregnant on our own very recently. DS weaned during the first half of the cycle that we got pregnant.

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Old 06-23-2010, 01:35 AM
 
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This wasn't an issue for the two RE's I saw. I did my cycles while bf'ing and my dd self weaned one month before her 3 rd birthday. I was 5 months pregnant. Pregnancy did not affect my milk supply. All my blood levels were normal and I had gotten my first period while still exclusively bf'ing.

I did two NCIVF which means unmedicated IVF. So just estrogen and progesterone were the medications I took, which also did not affect my milk supply.

I'm a so happy I bf my first instead of me weaning her for a cycle. If it were to come to me weaning my ds to do a cycle I would wait. I am still bf'ing my 21 month old and starting another cycle this summer. Bf'ing wasn't an issue again this time either.

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Old 06-23-2010, 12:33 PM - Thread Starter
 
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Thank you all so much for your experiences and responses. I know there is the small possibility my body may just work it out on its own, but I doubt it. I am planning on waiting until ds is at least a year or more before going back to my RE, but I've been thinking about it a lot lately. I think mostly because its been 8 months and still no period, but ds did just start solids so we'll see.

I was hoping that since I already have a 'condition' that IF would be assumed and bf not considered an issue after 'cycles' have returned.

Does anyone know of the effect of clomid or HCG or even injection on breast milk (not supply as I'm one of the over abundant feed the entire block girls) but how much may go through? if so goes through would the risk be lessen for a girl baby? I don't know just wondering of anyone who had done the research.


marlee That is so great to hear. Thank you! I didn't know you could do unmedicated IVF...

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Old 06-23-2010, 01:05 PM
 
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I did two NCIVF which means unmedicated IVF. So just estrogen and progesterone were the medications I took, which also did not affect my milk supply.
How do you do that? I'm assuming there is only one egg able to be retrieved, two at the most.

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Old 06-23-2010, 11:16 PM
 
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another voice here- my RE doesn't care that I'm nursing, except to the effect that he says it can lessen the chance of ovulation-inducing drugs working. (oh, and he won't do IVF on nursing moms). In my case, he's been right, I didn't O until 150mg clomid.

For us, it was a heart-made decision to begin fertility tx despite the risk of milk drying up (I feel comfortable at the level my DD nurses taking Clomid and progesterone). I have endo that has progressed really fast in the last year, and we decided it was worth the risk to start now rather than not having our much-wanted #3.

Like you said, dakotablue, bc I have another "condition", the RE never figured that it was nursing (tho, he did draw my prolactin just to see- normal)

Best to you.

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Old 06-24-2010, 12:48 AM
 
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How do you do that? I'm assuming there is only one egg able to be retrieved, two at the most.
My clinic is a great leader in this and IVM (invitro maturation). They waited until my follicles were of good size then did the collection. They did collect the immature ones as well (the IVM part). But I had two mature and they fertilized and transferred those. I did 3 cycles all resulting in 2 mature follicles and subsequent pregnacies. One ended in miscarriage. And I have two beautiful children from the other 2 cycles

I also am pretty sure had an HCG shot for those cycles just before retrival.

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Old 06-24-2010, 01:44 AM
 
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RE = Reproductive Endocrinologist. They're fertility specialist who do IUI and IVF procedures.

Thank you but someone in previous post had explained.

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Old 06-24-2010, 03:13 PM
 
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I have PCOS am still nursing my DD and am going through fertility treatments,

Strangely enough, breastfeeding has helped to regulate my cycles because they were crazy all over the place before.

My RE will even do IVF while I'm nursing and we're currently saving for that since our insurance only covers part of it.

If you have bloodwork done, you can have your prolactin levels checked and the number should be enough to tell you if breastfeeding is hindering your ovulation capabilities or if it's PCOS.

And Clomid is fine for breastfeeding, although it does cause a dip in supply for some and isn't recommended for breastfeeding that hasn't been established yet. I'd have to look it up in Hale's book but I don't think it ends up in milk or is at least very minuscule.

And HCG it totally safe because it's what your body would release when you're pregnant anyway.

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Old 07-29-2010, 03:33 PM
 
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I'm really glad to have found this thread while googling breastfeeding and IVF. I had always thought that I couldn't do one until I was finished with the other. Some of the threads I have found on here have been such a godsend! Some of the resources I have come across are below.

For those who are considering IVF while breastfeeding, or IUI, or any medications at all, consider visiting Dr. Thomas Hale's website for medical providers. It lists specific medications and how they are transmitted or not through breastmilk. This was really encouraging to read and find. Many medications are not readily bioavailable through the milk supply. One obstacle out of the way? Although based on the fact that the website is for medical providers to post questions, it becomes apparent that most doctors don't seem familiar with how medication is or isn't transmitted! Good to do your own reading -- check it out below.

http://neonatal.ama.ttuhsc.edu/cgi-b...pc=53&post=928

So if meds aren't an issue for my daughter, why are doctors so against breastfeeding and fertility procedures? I've come across suggestions that the success of implantation may be lessened by breastfeeding. This seems to be more true, however, for women who are breastfeeding infants or young children? I've had a hard time finding statistics or specifics.

The following article on kellymom implies that if you are later in breastfeeding, older child for instance, and your fertility has resumed normally, this may not be an issue. This is just a snippet, but the article was a good read if you follow the link.
http://www.kellymom.com/bf/normal/fertility.html

"Do I need to wean to get pregnant?
Probably not. If you are still transitioning to full fertility (as discussed above), breastfeeding may affect the success of implantation. Once implantation is successful, breastfeeding should not affect a healthy pregnancy (see A New Look at the Safety of Breastfeeding During Pregnancy for more information). If your periods have come back and settled into a regular pattern, it is likely that breastfeeding is no longer affecting your fertility."

I'd love to hear more from anyone with experience breastfeeding and success or not of IVF or other procedures!
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Old 07-29-2010, 03:39 PM
 
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Here's where we are in the process.

I did my 2nd try at IVF as a frozen cycle with no meds, putting 3 blastocysts in back in 2007. 2 of them were good, one was a little less developed, but it was explained to me that the presence of each would up the likelihood that at least one would take. Voila! It did! My daughter was born in 2008.

My daughter is healthy, beautiful, and the greatest blessing in my life. She is now 2 years old and still nurses a few times a day. Upon waking, at nap, and again at bedtime. Sometimes wakes at night to nurse once or twice. Anyway, as my 36th birthday approached a few weeks ago, I started thinking about wanting to try again before too long. Breastfeeding until my girl is ready to stop kept me from thinking about it before. After reading on here and elsewhere, though, I realized it might not have to be an obstacle.

Now here we are in 2010, I'm getting older, have no plans to wean, and want to move ahead with another try. In my consult, doctor initially said, we recommend you wean before moving ahead. I responded with a slew of information from everything I'm reading, as well as my commitment to bf'ing, and asked about the difference in rates of success if I wean or if I don't. Doc didn't have an answer for how it alters statistically. Instead he suggested checking FSH levels, prolactin levels, and an ultrasound.

FSH came back at 5, anything below 15 is normal. Prolactin came back at 12, anything below 25 is normal. Ultrasound showed that I had just ovulated.

I have a saline sonogram scheduled for tomorrow, the last of the screenings we set up. I will look to consult with the doctor after that.

Based on the normal numbers, I'm inclined to cycle in 6 months or so, no intention of weaning. (We're in the middle of selling our house and moving, so I have to wait a few months til we get settled before I am ready to try this!) Doctor seems okay with that, I'll check in with him for sure, but the NURSE is a different story. She keeps pushing the issue, telling me I have to wean before we go ahead, PUSHING.

I imagine many medical providers go with what they already know, rather than being open to latest information and research. I could do with a little less nurse input, I'm consulting the doctor, here, not the nurse!

What are your experiences?

In addition, PGD has come a long way since we first did our IVF 3 years ago. Anyone have experience with PGD? This involves screening the blasts to see which ones are genetically correct. Costs a lot of money!!! But screens out embryos you might otherwise waste time implanting that have no chance of successfully proceeding. In other words, finds the embryos or blasts that have a chance at pregnancy. Also, allows you to put one in at a time with far greater chances of success. This is a biggie for us!

After spending all that money, though, I'm worried about whatever small statistics by which I am decreasing our chances of success by bfing! Round and round we go...

My inclination is to continue nursing, go ahead with the cycle when we are ready, and use PGD as our best odds of success with this.

This is so hard! I'm so glad to read about other people's experiences with the same trying decisions and thoughts. Thanks to all!
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Old 07-29-2010, 04:27 PM
 
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Thanks for the info babymama nursing. Maybe we should make this a sticky? Its important information, which is difficult to come by. (in my experience)

Ill be brief now, but back later to contribute my story. Suffice to say, i was ovulating but had a short luteal phase because of breastfeeding back when i conceived ds2 (now 2). I took progesterone to ensure that i would get past the implantation stage, and sure enough, conceived on my first cycle ttc back then.

Now im ttc again, but not so much luck. I still have a short luteal phase, am still nursing ds2 (and sometimes even ds1)

In any case, i did continue to nurse through my pregnancy.

Back later... :-)
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Old 07-30-2010, 04:34 PM
 
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Yes, and I have been. I breastfeed my almost 11 month old and have been doing IF treatments.
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Old 07-30-2010, 05:14 PM
 
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The only thing my RE had to say about me weaning was "although the drugs you'll need would be safe for nursing, if you're nursing while pregnant, your fetus and your nursing baby will steal all of your nutrition."

Uh huh, yeah. I told them I'm weaning, but I'm really not. That's just absolute garbage!
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Old 10-10-2010, 07:17 PM
 
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Bumping this for my own selfish purposes!

DD is 20 months, and we've got an appointment with the RE at the end of the month to discuss having a second child. DD nurses a lot. But I don't have much supply left, so I think it's mostly comfort nursing. However, she does nurse at least 5 times during the day, although I think we can say that we've successfully nightweaned (except for when she's sick or teething).

We have 4 frozen embryos remaining.
We plan to do a FET with 2 of them as early as December.
I'm already taking BCP to create a cycle, because I don't have a cycle without BCP.

Last time, if I recall, we did a regime of BCP with added prometrium to prepare the lining. We transferred 2 thawed embryos last time, and ended up with a fast BFP that resulted in our brilliant, healthy, miracle little girl.

Anyone new have anything to add? Anyone who posted before have an update?

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Old 10-11-2010, 08:18 PM
 
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I am TTC this month. When I told my current RE I was breastfeeding my 2 1/2 year old DD still, he ordered a prolactin test. When the levels came back normal, he told me that nursing would not interfere so there was no reason to wean. The RE I saw before the one I currently have, wouldn't even work with me unless I weaned, and the one I had while ttc my DD told me that it wouldn't matter as long as I have regular periods and normal length luteal phases. So it all depends on the RE.
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Old 10-15-2010, 02:30 PM
 
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This is great info. We are thinking about starting to TTC #3 and I'm still pumping for my two year old. He took 2.5 years to get after cycle after cycle of meds, eventually did IUI/injections did the trick. I'd like to just go straight into that because I know it worked before, but I was concerned because of BFing. Now I'm encouraged and I'll check into it (although DH isn't as on board as I am, this may freak him out a little!).

Hayley, exclusively pumping (eliminating dairy and soy) 2 years now! Proud mommy to:Owyn 2/8/03 and Dominic 10/16/08 (GERD, SPD, pediatric feeding disorder, eczema) # 3 EDD 07/13/11
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