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Pcos..clomid failed, femara failed what is likely to happen next??

4 replies

FingersCrossedLegsNot · 17/08/2013 00:27

So a quick summary....

Pcos, ttc 2 and half yrs

Three months of 100mg clomid, 2 chemical pregnancies

Three months femara, didn't ovulate at all

On metformin throughout all this

So at this stage I feel incredibly dispondant. Throughout all this time I knew where my treatment was going, I had a plan and a next step. But now it feels like nothing, I'm not sure what I will do.

I will be back in the gynae clinic in a months time. Can anyone suggest what I should be asking for? I have never been scanned throughout all of this. Just left totally unmonitored apart fom day 21 bloods. I'm in Ireland btw and in the public system but I am more than likely going to go private soon!

Any advice would be greatly appreciated!

OP posts:
Ladymuck · 17/08/2013 00:40

How old are you?

With no real monitoring to date, I would go private ASAP if you can.

FingersCrossedLegsNot · 17/08/2013 01:47

Hi ladymuck, I am 29 shortly! I think I'm going to wait to see what is suggested at this next appointment and then more than likely go private.

I feel that there must be something that can be done before iui or ivf which seem so drastic and scary to me.

I should say I have a ds aged 7 so I can get pregnant. Unfortunately I am 3 stone heavier than I was when I conceived him.

OP posts:
FrankelInFoal · 17/08/2013 07:28

Hi Fingers I also have PCOS and while I didn't go on to Femara after 5 cycles of Clomid I went on to have Ovulation Induction.

This is basically similar to IVF in that you have to inject drugs on a daily basis, but the fertilisation takes place naturally. You don't go through the down regging of long-protocol IVF. My usual experience was:

Day 4 of cycle: ultrasound to check ovaries and uterine lining & blood test. If blood test clear start daily injections of small doses of Menopur.

Day 4-10: continue daily injections

Day 11: ultrasound scan to check follicle growth and uterine lining. Depending on results may change dose of drugs

Day 11-13 continue daily injections

Day 14: ultrasound scan to check follicle growth. If there is a follicle of sufficient size, given instructions to take a HCG trigger injection that night and told to have lots of sex for the next 3-4 days!

Day 23: blood test taken to check progesterone levels to confirm ovulation

Day 31: take pregnancy test if no period

The HCG trigger causes ovulation within 24-48 hours so it is great to "know" your ideal window.

Because you inject small doses of the stimulating drugs you don't usually produce lots of follicles, but some women can hyper-stimulate. My clinic (NHS) had a policy of not continuing the treatment if you had more than 3 follicles over 15mm.

We were entitled to 6 OI rounds on the NHS (3 to begin with then an additional 3 if I was responding well). I finally conceived on my third cycle and have my 12 week scan next week Grin

The injecting is not as bad as some people make out, and the clinic will show you what to do.

Obviously I can't guarantee that you will be offered this treatment, but I wanted to offer my experience.

AttilaTheMeerkat · 17/08/2013 09:30

I would now look at other clinics; this current one seem not up to muster frankly. No monitoring throughout is completely unacceptable.

I would seek a second opinion and also ask about laparoscopic ovarian diathermy surgery seeing as the drug treatments did not work out.

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