Has anyone done a tracked/monitored cycle with fertility clinic?

[BeetleBear]

Hello everyone 🌺

Background: TTC #1 since 2023 and no luck. Currently our situation is unexplained. There is evidence I ovulate from scans and progesterone blood test (although a second blood test came in at extremely low - 2.3! But this was dismissed by the GP as a sampling error). I have a short Luteal phase (8-11 days) and almost always have spotting from 8DPO. GP says this is irrelevant, as did a private consultant we went to see, but my NHS consultant agreed that it was short and worth making a note of.

Anyway!

I am booked in for a tracked cycle and ovulation induction at Guys next week. I’m not sure what it means and haven’t received too much information. I was just wondering if anyone had done this - what does it entail?

Feel like I’ve done so many tests and just want some action!

Personal experiences welcome! Thanks!

Hi yes I'm 5dpo in my first tracked cycle. Secondary unexplained infertility after TTC second for 2 years. I took Letrozole 5mg for a week and then a scan on CD 11 which showed 3 follicles. I triggered with two injections thee day after. Happy to answer any questions. I went private btw x

Just to add: following the trigger shot, I was told I'd ovulate within 36 hours so tried that night and 2 days after. It gives you a very exact window to try in. Wish you lots of luck with your cycle.

Thank you so much ☺️ really really useful. Interesting that they do prescribe letrozole even if unexplained - I had wondered about this.

I'm considering that too but going to try Cyclogest on its own for a couple of months first.

I listened to a really useful podcast about it a few days ago which explains it all really well. It's one of the 'Don't tell me to RELAX' episodes - Everything You Need To Know About Ovulation Induction with Plan Your Baby'.

Thank you will have a listen! Ooh that’s interesting about cyclogest - any idea how to get that prescribed? No doc has mentioned it to me.

I'm assuming that it will be prescribed as part of your tracked cycle?

I've discovered a clinic called Plan Your Baby and had a consultation with them (which cost about £100) and he sent me a prescription. I had copies of all my NHS blood tests to share and he went through them a lot closer than I felt the NHS consultant did and gave me some other suggestions of things to try. (NHS only suggestion was IVF)

@BeetleBear @secondtimelucky87
Wondering how you are both getting on with monitored cycled? Looking at this as a next step.

Have tried 2 months with Cyclogest progesterone. 1st month no different in cycle, 2nd month extended my luteal phase (which was an absolute head f**k because I thought I was pregnant then got negative tests)

Both my rounds failed sadly. It's £400 a pop so I'm taking a break while I have a few investigations to try to rule out any issues (such as uterine microbiome testing). Definitely worth a try though and I wish you lots of luck if you do go for it 😊

Sorry to hear that :(

I did microbiome testing with DAYE which I'd recommend. My microbiome was totally opposite of ideal so it was worthwhile.

I'm expecting it to be over £1k per monitored cycle. £400 is much better! Did you have letrozole, scans, trigger shot and progesterone?

That's good to know re Daye thank you!

Yes I did. I had mine at Fertility Plus on Harley Street. It was just one scan per cycle but that was all I needed.

realise this is an old thread but thought it might be useful to share my experience… I did a monitored cycle in February 2024 and conceived that month - I had been trying for 18 months and had been stuck with the ‘unexplained’ label too! I always had very borderline progesterone results and spotting for about a week or so before my period but this had been dismissed by the first doctor I saw so I went to see another who recommended the monitored cycle - basically involved a baseline scan around day 5, and then scans to monitor when I was going to ovulate, and then when the follicle looked ready I had a HCG injection trigger so we knew the exact window for ovulation! Then I took progesterone from 3DPO and boom… first ever BFP! If that hadn’t have worked my next step would have been Letrozole…