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Conception

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TTC/ pregnancy on Prednisolone or similar part 2

958 replies

Arianrhod · 18/10/2011 09:55

Starting up part 2 of this thread since the old one closed at 1000 posts!

iggi lots of luck for today, hope it's nothing - I know it doesn't help but I know lots of women have spotting and/or bleeding in pregnancy and it still goes ok. Definitely call the EPU, get scanned - it's worth it, honestly, at least you will know one way or another. Virtual hugs coming your way.

free I also started AF properly this morning, so looks like we may be both importuning a friendly witch for a good fertility spell on Hallowe'en? I know exactly what you mean about the scary stuff ... a small part of me was actually sort of relieved when I didn't get a BFP purely because it means I don't have to go through the whole worrying about miscarrying all over again. Bizarre, but there it is.

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Arianrhod · 25/10/2011 10:29

free Well going on what FF said was my "fertile" time generally I start swi (rather than just for fun) 2-3 days before OV is due, then the 2 'peak' days of OV, plus the following day just for luck. So I guess 6 days in a row, for TTC purposes - but I don't tell OH it's 'that time' otherwise I suspect he'd feel under pressure! :) He seems rather clueless as to my cycle anyway (but I guess why would he know, being a bloke and all that) so I don't think he's ever been any the wiser :)

I don't think Omeprazole leads to moon face, no, it just made my ex put on weight like it was going out of fashion. But I'm hoping it was just he had a bad reaction to it, I've not heard anyone else on here mention it - mind you, I suppose others are taking it alongside the higher dose of Pred, which in itself leads to weight gain, so perhaps they wouldn't know?

Uh oh ... I just quickly consulted Dr Google and yes indeed, one of the main side effects of Omeprazole is weight gain! (for eg. see experience.patient.co.uk/discussion.php?t=30107 ) So what chance do we have, being on both Omeprazole and Pred??!!

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Coconutfeet · 25/10/2011 10:12

Hi Snoopy - They do seem to be able to fit people in at New Life very quickly, certainly within a day or so. Would it be worth checking with Louise to see what she thinks? It would be awful if missing out by a day or two made all the difference to the outcome.

Comedy - I wondered about the link between working with kids and having high NK cells too! Maybe we should suggest it to Mr S as an interesting research paper.

Free - sorry to hear you're feeling rough. Hope you feel better soon. Are you sure the anxiety isn't related to the medication as well? I would have thought that 10 days of solid SWIing should cover all your bases. Your dp's going to be worn out though! Have your cycles got back to normal now, post mc?

freelancegirl · 25/10/2011 10:08

Actually Snoopy I have just worked out that if I do get pregnant this cycle I will actually be away this time when I get a BFP as I am going to the US for my brother's birthday on the 12th! It means I could get a BFP and then not be home until 5 days after.

freelancegirl · 25/10/2011 10:03

Hi Snoopy! Welcome to the thread. Do feel free to stick around. I have had one intralipids treatment (it is very surreal having a drip for no proper reason iykwim) but I am probably not the best example as I also had another mc on my first round of treatment. I have silly-high NK cells of 3.79 which I think had something to do with it. But I think a couple of days on either side is not going to be a problem as surely we don't really know exactly when we implant...? You're going away on the 15th Dec, based on when you ovulate what day would you be likely to know whether you have a BFP?

I have a similar issue with going away at Xmas myself actually and I must work out the proposed dates to see if they would interfere with the intralipids! He has told me that if I get pregnant he doesn't want me to go too far away from him. I was thinking of the Red Sea as it is hot and is only 4-5 hours flight away. I really want some sunshine! But I am waiting until I have to test next month (start SWI next week - isn't it romantic Grin ) and then we are going to book. Taking a chance it will be very expensive I guess.

Hi Ari when are you going to start then...? I think I started on CD8 last time, but I did go at it for rather a long time :) I think I ovulate around CD14 but it could be anything up for CD18. The only time I really took note of it was last time I got pregnant so there was a lot of twinges and symptoms that can be put down to implantation etc rather than ovulation. But FF told me I ovulated at CD14. There was some confusion as to whether it might be later as my one and only chart was tri-phasic - ie it went up a second time - and then the growth on the sac was smaller then expected. Digi who is the fountain of all TTC knowledge as far as I am concerned - thought I might have ovulated later than FF had me down. But who knows considering the sac never grew. So anytime between CD14 and CD18 it is.

OOh I didn't know the Omeprazole lead to puffy face as well. Have you seen my moonface video...? I am just now starting to feel more lithe again and can't believe I have to go on the steroids again in a weeks time. I've decided next Weds is Pred day - CD16. I realise that might be two days after I ovulate but it also might be two days before I ovulate!! I guess like with the untralipids it is not an exact science.

ChoccyPud · 25/10/2011 09:58

Morning all!

Hi Snoopy. I can't answer your question but I will say that when for about 5 mins last month Louise was talking to me about Intralipids there didn't seem to be any problem getting in the following working day had it been necessary. That was in a kind of panicked situation though.

If you test from 10dpo, you can up the Pred if you need to as early as possible, so an early BFP would also give you early notice of needing intralipids thus presumably more flexibility in an appointment. I must say I'd want to get in for intralipids sooner rather than later, but I have v high NKCs so I want to bash the little g*ts asafp and as hard as I can!

I'm back to thinking about ttc... I've got some ov sticks left from last month. I usually go by cm but needed a guide last month as I had no idea when I'd be back online! CD6 today so time for fun before getting back to calling it swi from Friday. I also think I might keep using ov sticks as they mean you need only start on the Pred on smiley face day rather than guessing actual ov day. Given that paranoid old me will keep on the Pred until day 14 + BFN I'd rather not start taking it earlier than necessary.

Onwards and upwards! [hgrin]

Arianrhod · 25/10/2011 09:20

Morning all ... welcome snoopy, I can't answer your intralipid question as I haven't had them yet, but othes will no doubt be along shortly who can answer your question.

Virtual hugs to all you pregnant ladies, totally understand your fears and keeping everything crossed that all are groundless this time around!

free 10 days solid BDing should definitely cover all possibilities, I would have thought! I have to say, CD8 myself last night and thinking "will I wear OH out if we DTD now, got to keep him 'fresh' for next week" Grin Now I know all the romance has gone out of the situation!! :) Temping always seems like too much hard work for me, I can just about cope with the trusty CBFM (and backup digi OPKs), don't think I'd manage the thermometer as well! Do you know when you OV, roughly? I know I'll be starting mine CD14/15), yuck, not looking forward to it and it's only my second go at it! Omeprazole from OV as well this time, which also makes me a bit nervous as I saw what it did to my ex-hubby when he had to take it for a while - he put on weight like he was stuffing deep fried Mars Bars every minute of the day, and it was just the Omeprazole! Hoping it doesn't have that effect on me ...

/waves to everyone, hope your Tuesday has started out bright and sunny!

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snoopygirl · 25/10/2011 07:37

Hi all,
Hope you don't mind me butting in just wanted to ask a question really. I am just about to start taking the pred plus intralipids (IF successful) next month for the first time. I was wondering about how critical it is as to when intralipids are taken. I know it sounds like I'm expecting to automatically get a BFP but I have booked to go away for Christmas from 15th Dec and IF i did get preg I need to think about fitting Intralipids in around that. I think I can just about manage it but it may be couple of days early or late.
I realise that leaving it longer than a week isn't good but it shouldn't be that long. Dr S told me the other day "don't even try to conceive if you are not in country to take Intralipids" which I understand as spending all this money out I don't want to risk screwing it up and I'm sure he likes to keep his sucess rate up!
Surely as it's a busy clinic you don't always get an appointment exactly when you want anyway?
thanks in advance for any advice

freelancegirl · 24/10/2011 22:14

Just wanted to say hello as the resident thread alcoholic... been out drinking all weekend and feeling rough and a bit anxious and emotional for it. Which is quite unlike me as I am normally a cheery little soul. Glad all you pregnant folk are doing well physically if not quite being the most optimistic bunch in the box emotionally! It's the physical that is important, right?

I am on countdown to TTC. Going away for a couple of days and think I will start when I get back on CD9 and carry on until CD19, should that do it? I was thinking starting the Pred on CD16. Not sure if I can be arsed to temp.

Comedyworks · 24/10/2011 22:01

Eight weeks and three days ... not that I'm counting too carefully!! Thanks Choccy will have that hypothetical drink - might have to make it a prune juice unfortunately!!

Comedyworks · 24/10/2011 21:59

Most are great but there are some drs who have perhaps being doing it for too long and their sympathy has maybe dried up.
There do seem to be alot of teachers on this thread - is there a link between high NKC and working with children?!!

ChoccyPud · 24/10/2011 21:58

Coconut I'm not a teacher, just happen to have taken this week off work.

It's hardly surprising we don't let go in the early weeks. Too jaded by experience. Too much of the regimented pill taking, ov sticks, pg tests, etc so no sitting around waiting for the 12 week scan for us. You read some of the ttc threads on MN and on the one hand it's nice to know some people are all excited by a BFP, but on the other you know some of them (25% or so) will have mcs and have it all come crashing down. And not enough of them will realise mc is so common until it happens to them, I think that makes it even more of a shock.

Comedy it sounds like you're having a hard day. How far along are you now? You're obv not feeling wonderful (cf M25 vomming...), but try to keep thinking non-negative thoughts. [Hypothetical non-alcoholic Wine ]

Coconutfeet · 24/10/2011 21:52

Bloody hell comedy - that is truly appalling. Despite my moans I'm actually a big fan of the NHS but there are some dreadful doctors out there aren't there.

iggi999 · 24/10/2011 21:48

Me too Coconut Blush
Comedy I cannot believe anyone was so insensitive to you. What an arse. A couple of words of sympathy could have achieved much more.

Coconutfeet · 24/10/2011 21:27

Scooter - it must have been so hard for you miscarrying while your dh was away. It sounds ;ike a fresh start at a different hospital could be just what you need. When I had the last mc, I remember walking into the ward for the ERPC and my heart sinking when I had to sit in the cubicle and stare at the same bloody curtains all over again. Dp was exactly the same.

I really hope it is our turn now. I think we all share that fear of relaxing and letting our guard down and, god forbid, actually enjoying our pregnancies. I know that I'm worried in case it all comes crashing down around me and I'll feel really stupid for believing that it might have been alright this time. I burst into tears when I got my BFP as I was just thinking, oh sh*t here we go again.

So, are there a few of us who are teachers on this thread then? Choccy - you mentioned being on half term. Comedy - I'm sure you said you teach too. Scooter too? I teach primary. (Choccy the work I was talking about having to do was an assignment for my MA that I misguidedly thought would take my mind off all the crap of the last couple of years. Now I just whinge because I feel too sick to sit down and get on with it in the evenings!)

Comedyworks · 24/10/2011 21:10

Hi Scooter, Iggy and Choccy - empathising with everything being said - I'm on a weeks holiday which, whilst lovely in some ways is giving me too much thinking time and too much time to feel ill! Feeling quite low and can't get my head around it being possible that this will work and wish I could focus on doing other things but I feel awful and look awful which I don't mind if it bloody works. Sorry!
I saw a quite well know dr on the NHS and when I started crying whilst answering questions about how my son had died was told that I needed to sort myself out or let her see other patients whilst I pull myself together ... and then we are told that tlc is an important factor in supporting pregnancy! I think the NHS can be truly amazing in an emergency situation but it seems like some of the more everyday routines could do with some fine tuning.
Take care all of you x

scooterchaser · 24/10/2011 19:28

iggi absolutely understand where you're at, its so hard when our history paints such a bleak outlook. It does feel as if you allow yourself to be happy and life will only seem crueller when it goes wrong. Carrying my son was a touch and go pregnancy as well in many ways (at its worst, he had a heartrate of 500 bpm) but I watch him now with all his stubbornness and determination (terrible threes!) and think wow, he was made of strong stuff and I think to myself I've got to give this one the same credit, its the same genes combo after all! I have nothing scientific to base this on obviously, as the only thing that is different this time is I am under treatment but I just have to turn around the idea that I am ALWAYS the bad statistic, the exception that allows everybody else's pregnancies to sail along beautifully. I have done enough of that.... so definitely feel OUR TURN NOW GUYS! I hope I can pass some of this (probably short-lived) positivity on, but I also totally understand that to expect the worst is like a comfort blanket for most of us now and its so hard to let go of it. Ask me again in a week and I will probably be deep in 'The Fear' again!

choccy I did tell a group of RL friends in the last pregnancy right from the start because on the previous occasions I had told them about the pregnancies and the miscarriages in the same breath and it was all a bit of a shock to take in. I did get support from them last time but I just want things to be so different this time and I would love to have properly good news instead of just a tentative pregnancy test result. I will wait and see what the six week scan holds and then see....

Talking of scans I am considering going to Epsom, just because at ESH EPU I have had some horrible moments (not least sitting with my third mc in a box for four hours on a weekend). That is AWFUL that you were told off by the sonographers at Epsom (MC CARE CODE alert!) but in my experience they never have the best bedside manner and I think it depends on who you get on the day/whether they are hungover/have PMT or not etc etc and I think its a lottery wherever you go. Dr S's midwife is meant to call me tomorrow I guess to schedule my next appointment so they might insist on Epsom anyway and admit its quite appealing to try and start with a clean slate somewhere new.

DH can be absolutely brilliant but I know that he would honestly prefer the weeks to race by and suddenly find ourselves with a baby as if by magic. This year has been very stressful with mcs happening while he is abroad and all the scans and appointments meaning time off work he can't afford and sometimes suddenly having to let people down/duck out of important things to be at my side. His work will only sympathise so long. I think the best thing I can do is not to draw to much attention to it this time, after all I know the drill and feel strong enough to take on a lot of it by myself. Sounds ill-advised I know, but my family and friends have really been through hell watching me fall apart again and again, and I just feel like protecting them a bit this time.

ChoccyPud · 24/10/2011 17:09

I know what you mean iggi about negative thinking. I know I won't get excited about a BFP any more as its just the first step along up to 8 weeks of stress til the magic 12 week point. It's so cruel that we shall never have the excitement that many women have when they first find they're pg. Being able to see Stogan properly excited is great, something to look forward to.

I don't plan on telling anyone outside a very limited group of people who know our situation until its "safe" ie past 12 weeks but saying that, with having to go for Intralipids I'll have to tell my boss and HR really so I can get time off. Don't see why I should use holiday or call in sick for it! I'm sure they'd keep it confidential not least because I'd make clear how upset and angry I'd be if they didn't - last thing I'd want is anyone else knowing at such an early stage...

Anyway, what I was going to say Scooter was firstly I'm so happy and relieved I found the Pred Thread, and such a lovely group of ladies who are all in the same place as me. It's great to get support and chat (and vent!) here about what we are each going through, whatever stage we are at. But I've found it's also good for both me and DH to have (a select group of) friends in RL who know where you're at. DH is brilliant, this has brought us closer together in fact, but he's a guy (fortunately Wink) and won't ever really know what things feel like. All the stress also gets to him sometimes I know and he finds it helpful to talk to some of his friends too and to vent a bit with them I'm sure.

You say your DH was v low and quiet yesterday... I'm sure he's thinking with some trepidation to the next few weeks now you've had a BFP and it's all hands to the pump/drip. I'm not going to be flippant and suggest you concentrate on yourself and try not to worry about him (obv) but equally you need him there for you in the next weeks while you deal with The Fear (as someone described it the other day). You don't indicate whether he has other stuff going on that's causing him to feel low, so I'm kind of making assumptions here. If he doesn't want to talk to you, does he talk to anyone else about all this? Can you suggest he does? Problem shared and all that...

Btw I don't know what E Surrey hospital is like, but I've always been able to get into Epsom EPU for early scans without too much hassle. They have appointments in the afternoons so you don't have to go through the St Helier experience of turning up and queuing down the corridor waiting to be seen, along with happy excited women who are waiting for their 12 week scans (or so I've heard). Just call the EPU office and explain your history and they'll book you in. Advantage of using Mr S's name if you do need to press for an appointment is he's their boss! Go with DH though as although the mw is lovely, the sonographers are let's say clinical at best... Being TOLD OFF for not being sure of my lmp when I'd just been told there was no hb and it measured less than it should've done on the day of the scan is an experience not easily forgotten. Of course it was smaller it had died some days before FFS!!!!

I can dig out the number for you if you can't find it on the website.

iggi999 · 24/10/2011 14:11

Scooter in Scotland the holidays have just finished Sad
I think I will be the most pessimistic person the midwife will have seen at my booking-in appt on Wed. For me, the negative thinking makes me feel I'm not 'jinxing' myself, I think. Though obviously how I feel about the pg will not change the outcome.
I remember the newspaper article about the woman who'd had 18 mc before seeing S. Her first pg after seeing him was a late mc, then she had a baby. So think he is remembering his success rate with some licence.
(I clearly do think there's some group of Greek-god-like figures watching us and ready to strike down our babies if we get too happy!)

Stogan · 24/10/2011 13:23

I'm not on holsSad but hope all who are are having fun !!! Only 60 days till I finish work tho woo hoooooooo!!!!!?????? way too excited already !

scooterchaser · 24/10/2011 12:58

comedy yes the cyclogest is fun isn't it, not! I don't know what kind of scan schedule I am going to get, I am NHS so probably the budget pack! I might ask to have the scans at my local EPU (Redhill) but I am a little worried that introducing another hospital into the mix might confuse matters and they might query the frequency of them, whereas I imagine at Epsom or St Helier they are used to Dr S patients and probably know a bit better what to do with us! I am really tired of having to explain things all the time. Yes CCTV is exactly what we need, we could be hooked up to our own mini 4D scan machine all the time - surely the technology is not that far off!

coconut wow sounds like you've been messed around - grrr! I had tests re-done three times because no-one knew what they were doing and I went mad for worry in the months it took to finally get things right! NHS is so brilliant on one hand but they can't half cock things up sometimes, its usually lapses in communication that does it, leaving us stressed out and on the phone the whole time trying to take charge. Already this morning been to the hospital for a new NK count and just off the phone with Dr S's office, its all quite full on isn't it.

I hadn't heard about the no losses past 12 weeks thing, but it sounds quite an encouraging statistic and I'm all about the hope at the moment :)

stogan well done for committing and buying some stuff, woohoo go positive moments like that. Everyone else gets to be excited like that so why shouldn't we. I have to admit acquiring (in a freecyle type way) one of those glider rocking chairs, actually during the 2ww, that's quite impressive optimism for me.

choccypud glad to hear you are feeling more human. All these meds and hormones are havoc aren't they and family days can be tough sometimes. I spent yesterday with a very low and quiet DH on a very long bike ride and had way too much time in my own head. I'm not planning on telling anyone for a long while so when DH isn't in a good place, I start to feel quite lonely about the whole thing (thank goodness for MN!). Hope you have a relaxing break this week.

Wishing nice half terms to all the teachers out there, quite a few of us I think and everyone else on hols this week.

ChoccyPud · 24/10/2011 11:42

Much better thank you coconut. More human definitely. I think last month's mc was catching up with me as well as pmt, Pred withdrawal, and desperately needing a break from work. Fab combo!

Have fun at work...not to rub it in but I'm on hols all week Grin

Coconutfeet · 24/10/2011 11:28

That makes sense Choccypud. I was just confused because this person had a late loss that has more recently been attributed to killer cells, but maybe the process starts off early in the pregnancy if you don?t have any treatment.

I heard that programme too. I'm sure I read something about that research on the miscarriage boards, as a few people were putting themselves forward for it. Its exciting news but what a shame they?re still 5 years away from any treatment. I wonder if that ties in with the NKC theory at all. I think Quenby is another one who supports the treatment of killer cells with pred etc.

Now, I must get off MN and get some work done. Are you feeling any brighter today Choccy?

ChoccyPud · 24/10/2011 10:44

Morning everyone, happy new week!

Coconut he said the same thing to me. I think the context is that if you can get to 12 weeks you've beaten the NK cells as the placenta has taken over. In the awful event that there's a loss after that point, it won't be because of your NK cells. I guess Mr S would say that as such, a late mc wouldn't be "him" losing a baby.

Isn't the NHS wonderful - I don't blame you for complaining, it just adds to your stress having to fight the system doesn't it. At least you've got your appointments now :)

Did anyone hear Prof Quenby on R4 Woman's Hour just now? She's done some research on NKCs as well but as far as I can work out she tests uterine levels rather than blood. She was talking about an enzyme in the lining of the uterus that they think can be switched on or off, or levels increased to prevent mc - or in future be used as a contraceptive. She didn't mention NKCs, so it didn't seem quite on our topic but will presumably be available on the BBC website later if anyone's interested.

Coconutfeet · 24/10/2011 09:58

Congratulations to Scooter and Digi!! Really lovely news. (And Digi, your food sounds amazing.)

Free - It'll be really interesting to see which medication wins out on the appetite front.

Also, thanks to Ari for the book recommendation for ds. I will definitely look into it.

Well I've finally got my booking in appointment on Wednesday (will be 12+1) after the cock-up with my referral. I seem to be too late for a nuchal scan but they're offering me a dating scan on 15th November, by which time I will be 15 weeks, followed by a quadruple test the following week (as it will be too late for the nuchal test). I'm thinking of refusing the quadruple test as the odds are likely to be bad given my age and I don't want to have an amnio of anything so it would just cause needless worry. But it does seem like a very long time to wait for the dating scan! I'm just fed up with the hospital. When I had an ERPC earlier this year they promised to refer me to the RMC. When I followed up with them because I hadn't heard, it turned out that they hadn't done the referral. They promised to do it, but the same thing happened again... three times! I eventually made a complaint, but it's just so frustrating having to fight all the time. Arrrgh.

One more thing. I was talking to a RL friend who has a close relative also going through treatment with Mr S and apparently he told her that he has never lost a baby after 12 weeks. This girl is sceptical (she had a very late loss among others, so is naturally terrified). That's quite a claim isn't it. Also, how would he know if everyone goes back to the NHS at 16 weeks? I'm just curious as to whether you've heard the same thing.

Have a good day everyone.

Arianrhod · 23/10/2011 19:58

Very quickie from me as supposed to be cooking dinner (def. NOT a domestic goddess a la Digi!) but wanted to say a big Woohoo! to scooter for your brilliant BFP and to digi for another excellent scan!

I def. want to come along to a Pred survivors dinner (I'll bring the cake and the omeprazole for afterwards).

pud hope the family day went as well as poss today, iggi hope you're feeling ok and bleeding settled down and free hope the will to resist food is going strong :) And /waves to everybody else :)

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