LL - ttc #1, 2nd tx, start d/r 26th Feb
Issy - ttc#1, 1st tx, start d/r Mar/Apr, AFC scan mid-Feb
Nappy - ttc #2, 2nd tx, FET 2Feb Test 16Feb
Hi all thanks for the understanding about the joys of pessaries. just to clarify for those who have yet to experience it, cyclogest pessaries contain progesterone/ or substitute. they are encased in a white waxy coating and can be used rectally or vaginally. It will depend on your clinic where you use them and how many. My clinic believe that when used rectally they need to use twice as many to maintain prog levels. The white coating melts with body heat and and discharges when you stand up. The idea of lying for 30mins is to give your body time to absorb the drug, not because it will fall out. So you will need a constant supply of panty liners.
Lottie according to my doc hcG just tells the corpus luteum to produce progesterone, so taking hcG is not necessary as you are by-passing it by taking the cyclogest. I also started bleeding only 11 days after ET and because of my short LP and low prog blood tests I am taking double the normal dose of cyclogest this cycle. Hope that helps.
cedar Yes indeed am at the wessex (sorry about your m/c btw). I think they are so lovely there, especially Lorraine the receptionist. As for transfer I think it depends on your fertility issues as to whether you go for natural or controlled. Mine was natural, as the front end of my cycle is very good (womb lining etc, but I do ovulate late) so I was using OV testers to know when I had a surge and then they scanned that day and then we checked I had ovulated before doing the transfer a few days later. ( As we were transferring blastocysts I think they transfer a bit later than day3ers) I have then supported the corpus luteum with progesterone.
The negatives of natural are that you might have to do several trial cycles to check hormone levels etc first (in my case we turned the trial into a real cycle). The positives are that it is cheaper, as not so many drugs, and no needles at all. It also did not mean many trips to the clinic.
The benefits of a controlled cycle is that I guess you can just crack on as it is all controlled and if you have PCOS or other cycle issues, it will remove those factors.
As for the type of eggie to put back in, I didn't have a choice as all of ours were blasts, but they don't thaw as well, so we only had 1 good one out of 4. I think if you let them develop to that stage in a dish it probably gives the embryologist a better chance of choosing a good one. However it will take more. I am no expert and you should make sure you understand the pros and cons from the consultant before you decide what to do. If you are uncertain give them a call to go over it again, as it is probably a lot of information to take in on top of dealing with the m/c.
Sorry about the essay but hope it helps and lovely to have another south coaster on the thread! Snow?? what snow!!