TTC Super Ovulation part 2

[suemays]

hey ladies,

There are a few of us who are ttc after mc's, however there will be ladies out there who are also ttc for the first time or second or third without success. If anyone is on, considering or had success on a super ovulation programme then do join us. How long did it take ? Did you try IUI with it.. ? Did you have PCOS?

Kicking this off and hoping some of you will join....

part 1 here:
www.mumsnet.com/Talk/conception/1385998-TTC-Super-Ovulation

He did? He didn't advise us against having the DNA Fragmentation test ... ?! How bizarre ... maybe he thinks this version of the test is better. Like I say, he wasn't sure about it the last time I saw him 2 weeks ago, obviously he's now seen enough data on it that he's convinced. Wish there was some consistency to this all!

care I meant to ask, are you taking probiotics and Omeprazole with your anti-bs? I read they're suggested to help ameliorate some of the nasty effects the anti-bs have on your digestive system?

I still haven't heard anything from Serum, so don't know if they've got my sample yet. I suppose it's only a week now.

But I did have my follicle scan today (at another place in Harley Street as Mr S is away) and was very pleased with 5 follicles in total! But only 2 or 3 will definitely come out as the other 2 were too small.

What I do find odd is the timing of the injections. Last month, on day 10, I had a single follicle measuring 15.5cm. I was told to do the injection the next night.

This time I have three follicles measuring 18.3, 17.7 and 16 on day 11. And I still have to have the injection tomorrow. I'm a bit worried that the big one might pop out by itself before then!

Yes, ari, it's odd itsn't it? More inconsistencies! He was quite dismissive of the DNA Fragmentation test. Maybe he thought that the FISH test was more relevant to us, having had 2 Down Syndrome pregnancies in addition to the 4 miscarriages. There is certainly cause for concern as far as Chromosome problems go. The test itself costs £400 but they add a £22 handling fee and then Mr S's consultation fee on top of that. Also, the FISH test doesn't include the usual SA for Morphology, Motility etc which we were also advised to have re-tested. So that's an extra £140 on top. Then we have to decide whether, on top of the £130 SO Meds and £150 scan we should have IUI at £700 odd before our 6 cycles of SO are up. Not quite sure how we're supposed to afford IVF if we need it after that .

I think I need a lie down!

brownstag, that's confusing isn't it? I was told that the follicles mature 1-2mm per day and that they should be ready to release at 20mm so the more recent instructions make more sense to me than you last cycle's procedure. My last scan there were 2 follicles at 15mm and I was told to inject 2 days later.

kittens and brownstag can I ask what dose you guys are on ?? I'm still only producing 1 follie on .75 of gonal f, he's upping the dose next month and giving me Progynova.

I'm on 75 Gonal F and Tamoxifen. Produced 2 follies last month despite Mr S's predictions after reading my grim blood results. At which point he'd started to suggest a higher dose, but decided not to after the scan.

I've been taking Progynova for a few months now. Since the beginning of SO - I'm starting my 5th cycle now.

Buzzybee, this cycle I took 7.5mg of letrozole. Last month I took 5mg, and only produced one follicle, so he upped it, but I'm quite staggered with the 5 follicles. I was fully expecting one again and prepared to give up the superovulation treatment since I normally ovulate by myself.
Do you normally ovulate by yourself; also to Kittens?

Ari, had really bad stomach pains all day yesterday. Tried probiotics last night and Om today, both help quite a bit. Feel pretty rotten though.

Brownstag can I ask where you had your follicle scan in Harley street? Also were they ok giving you the prescription for the ovitrelle injection? I booked to see Mr Gafar on Thursday at cd10 but worried will be to early as didn't ov naturally this month until cd21, does the letrezole make you ov earlier does anyone know? Think will email Louise to see what she advises.

Pebbles I oved later than usual on 2.5mg (day 20 against days 14-16 naturally), but earlier (day 12/13) on 5mg. So it all depends if the dose is right for you I would say.

Thanks Euro, Louise replied saying that you can ov earlier on letrezole and better I have the scan to early than to late. Will just have to hope I don't have to go back for another one as dontceantvto pay for two!

brownstag, according the the OPKs I was ovulating myself. I suspect not every cycle though. I didn't respond fantastically to Letrozole. Never more than one follicle. Hence the switch to Gonal F & Tamoxifen.

Pebbles I had my scan at this place games-medical.co.uk/services they work with Mr S so you pay for it with The Miscarriage Clinic and they send the data straight to Mr S who then phones you with his instructions. I found that CD10 was too early for me and I ended up having to pay for another scan. I tend to ovulate around CD15/16 so I'm having my scans at CD12 or 13. Louise just recommends "Making Love" during the few days before just in case you end up ovulating earlier than expected.

I had a good old chat with Louise yesterday. She's very good at rationalising things. I have decided to hold off on the super expensive testing for now and hold off on the SA until next cycle as she said not to worry about having it if the last one was within 6 months, which is was, but to have it re-tested after 6 months. So, I'm going to spend the next month tipping Co-Enzyme Q10, Zinc & Selenium down my OH's throat and then we can see if it's made any difference next month.

Sorry, a working link might be more helpful! I saw Mr Mahfouz.

games-medical.co.uk/services

Pebbles, I also saw Mr Mahfouz at GAMES, but I already had the prescription for the Ovitrelle from the month before. Mr Mahfouz's fax wasn't working so I texted Louise my results and she phoned me back. She is going to be getting me prescriptions for next month's drugs, I assume in the post.
On Clomid and letrozole I ovulated earlier than I would normally; around day 13 or 14. My natural cycles can be anything from day 16 to day 26, usually on the later side.
Kittens, my husband has started taking a similar concoction (all bought by me of course). Also L-arginine. But I think it takes a while to affect the sperm, several months. He takes statins, which aren't good for sperm, although his sperm test last year was normal.

Thanks Kittens that's great, did you just speak to them directly and ask for results to be faxed to Mr S? Just trying to work out the logistics of it all and if London will be nearer. Problem is I live in Hertfordshire and work in Gerrards Cross meaning I will have to drive to work as can't get train to work and then get train into London and back...

Cheryl gave me their number and I rang them and explained I was one of Mr S's patients. A doctor Vera Medic scanned me. Then he (or his secretary or nurse, Inga, who was away when I was there) then usually faxes the results to Mr S/Louise. Mr Mahfouz obviously does this all the time; they didn't ask me for any money either. I assume I'll pay Mr S later.

Just started typing a reply and then reaslised that brownstag had written everything I was saying anyway!

Or you can email Inga at [email protected]

brownstag I usually ovulate myself, I'm hoping the 150mgs does the trick otherwise I might stop the SO. I used to ov around cd14-17 and then this year it changed to cd12, now i'm on cd19, hoping I will tomorrow

kittens mr s told us to get mr b's SA done 6 weeks after the last one , he said if its no good and I produce 2 follies then we should consider iui. I've been giving mr b l'arginine and l'caratine aswell as co enzyme and macca, a friend gave them to her DH and it helped improve his results

What were his results like the first time? My OH had 5% morphology which we thought was going to be bad news but Mr S seems to think that although it's just within the acceptable range, it's ok. The jury's out on whether we should have IUI.

mr b's were 2% and 14% motility, he wasn't well when he did it, ironically we fell the first month trying last year and now it won't happen at all. How did you find the Progynova ??

Thank you ladies for all the info and help. Louise is not around this week to sort out the scan results so asked me to stick with appointment with Mr Gafar.

Euro I meant to say earlier so sorry the ivf didn't work out for you. You must have felt awful with all those side effects. Hopefully the ivf version with no down regging will be better for you.

I don't think I had any problems with the Progynova. Made my skin look better whilst I'm on it but now I have loads of lovely spots since my AF showed up. All of my previous pregnancies were achieved within 1-3 cycles of trying. Mostly first or second actually. No BFP now for over 18 months

Is anyone on here a fertility charter/pant-snot checker?
I feel really hopeless about this cycle on 7.5mg of letrozole because my fertile mucous is virtually nil, not quite as bad as on Clomid but pretty bad. Ironically on the 5mg it was plentiful, but the egg singular.
I'll be ovulating tonight with possibly 3 eggs but I don't feel the sperm have a chance of reaching them.
Anyone else had this problem? I'm in two minds as to its significance; although it forms an important part of traditional fertility awareness, no gynaecologist has ever asked me about it. My NHS doctor said there's no evidence it makes any difference, but I can't help feeling it does. Surely every little component of the whole cycle is important, else why would there be so much infertility?

I've not had anything resembling egg white for years and have still conceived several times despite the fact. Not doing so well now but I don't think it's down to that particular issue. I have even mentioned it to Mr S a few times and he's not been particularly concerned. You can try something like Pre-seed or Conceive Plus if it does worry you. Other things to try are Evening Primrose Oil (only up until ovulation, not after), robitussin cough linctus prior to ovulation, drinking grapefruit juice prior to ovulation. All supposed to increase EWCM.

I don't do charting for a few reasons. The first being that I wake up at such various and random times, whether it be because the cat's woken me up or because i have a very early job on that day, or no job. It's hard to get any consistency. Also, it's just another way to get further obsessed and stressed about TTC. I feel that having follicle tracking scans gives a pretty comprehensive idea of what's going on ovulation wise. Mind you, the only time I regret not temping is when I read people's comments on other's cycles, or more specifically their likelihood of BFP based on their temperatures.

Thanks Kittens; it's good to know you can conceive without it. I am using all the things you mention except for grapefruit juice; I'd never heard of that. I agree that on medicated cycles there's not much point in charting, but on unmedicated cycles I just like to know whether I've ovulated and how long my LP is. I have been charting this cycle just out of interest, to see how the chart differs with meds/more eggs, and also I was a bit worried my body would ovulate before the shot kicked in.
And yes, obsessive, but once you've got it down to a fine art it is much easier and therefore less so.