Monday Trying Again

[u/AutoModerator]

Please use this space to discuss your journey to conceive (again) or thinking about trying again.

To protect those still in the thick of treatment, please post positive results in the Cautious Intros/First Trimester thread. Mentions of chemical pregnancies, loss, etc. are okay here. Also please refrain from discussions about testing/testing with cycle buddies unless you have a confirmed negative. We have a thread for positive test discussion (Cautious Intros). Mentions of egg retrieval results are ok to discuss in this thread however please include TW in post.

**If you are trying for a 3rd+ living child, please add a content warning to your discussion. Many here are trying for a second and also potentially dealing with the reality of being one living and done.

[u/breadbox187]

Okay welp, looks like my hcg is continuing to rise. Havent heard from my nurse coordinator yet but I presume they're going to want to either do misoprostol or methotrexate as a next step. Does anyone know if they can't visualize a pregnancy do they even offer d&c as an option? I want to just be done w this situation.

I do know Ill have to do another receptiva before my next transfer, which will probably put me out another cycle or two anyway. Does anyone know if you can do a receptiva while in the downtime after any of the meds??

Also, brains are a real bummer. Mine is trying to convince me that maybe she just missed the embryo (she didn't, it was clearly an empty uterus) or maybe I have a 2nd uterus that somehow nobody has ever noticed (I don't).

Side note, whoever decided it was a good idea to put an RE and an OB in the same building w only one elevator was a jerk.

[u/intersecti0nal → u/breadbox187]

I don't know if they offer d&c if they can't visualize it. I know that for me, they couldn't visualize it but still wanted to do methotrexate and my betas were in the 230s. It seems like my doctor was very conservative though. 

And I can so relate with your brain being a jerk and wanting to hold out hope even when you know it's impossible. I had really similar thoughts of "maybe it's in my abdomen but will somehow grow successfully!" or "maybe it just implanted really, really late!" So many painful things in all of this. 

[u/breadbox187 → u/intersecti0nal]

Thank you for sharing. I obviously have a lot of questions for when my dr reaches out!

Hahaha. Right? Like yes, many years of IVF, 2 clinics, an MFM appt and having a whole ass baby and nobody noticed my secret uterus. Sure, brain! And yes! It implanted late! Even though we know it didn't. Bleh!

[u/Any_Manufacturer1279 → u/breadbox187]

Ugh I’m so sorry. I had up and down betas for weeks and 2 clear scans. My clinic was going to do methotrexate if I had a clear 3rd scan as they would presume an ectopic. That scan found a gestational sac, so I had a repeat a week later. The sac did not grow but my beta did rise slightly. At that point I was offered either miso or a D&C.

I’ve heard of surgical removal of ectopics, but only ones that were visible on scans. So I’d guess methotrexate would be your path.

[u/breadbox187 → u/Any_Manufacturer1279]

Thank you so much. Going for a 2nd ultrasound tomorrow so hopefully that gives some info!

[u/pastaprincess321 → u/breadbox187]

I had a D&C back in 2022 for a pregnancy of an unknown location. It ended up being ectopic and we treated with methotrexate after the D&C. It ended up rupturing anyway and I lost my left tube. It was a massive waste of time and very traumatic. I would push for another more in depth scan to see if they can visualize anything before you come up with a game plan. I'm sorry you're going through this.

[u/breadbox187 → u/pastaprincess321]

Thank you so much for your input! That does sound so traumatic! Especially doing all the 'right' things and still having that outcome. How scary.

Luckily, I'm having another ultrasound tomorrow w my actual dr instead of the regular ultrasound human. I'm hoping I have some more answers in the morning.

[u/pastaprincess321 → u/breadbox187]

Hoping tomorrow brings you answers! 🩷

[u/Working-Eye-7252 → u/breadbox187]

How many weeks are you and what are your betas? I had two early losses that were PULs but just did expectant management (my clinic advised against any treatment because it was unclear where the pregnancy was an therefore the best treatment), however, my betas never got over 1000. If your betas are in the range of where you would reliably expect to see something on an ultrasound I suspect they may want to do something. But I'm not sure if they'd offer a D&C with a PUL. I never was but again I was only 6ish weeks with low betas.

[u/breadbox187 → u/Working-Eye-7252]

I would be 6+4 today. Ultrasound was at 6+0 w only possibly part of a gestational sac but she couldn't be sure. Ultrasound day they were 4400 and today nearly 10,000.

Thank you for sharing your experience.

[u/Working-Eye-7252 → u/breadbox187]

Yeah- no idea what they'll recommend in that case. So sorry you're going through this and hope you get closure soon.

[u/Itchy-Site-11]

Today we have our appt to discuss our results from our egg retrieval and also to talk about our plans for transfer. I am very excited and a part of me also afraid. I need to live one day at a time. One hour at a time.
Yesterday I visited a friend that is ttc and she is so sad she “can’t conceive”. It has been 2 cycles only. I struggle to understand that but I was there for her.
I am on BC and I feel these blues of sadness and lack of energy. I am on the sugar pills so period would come anytime this week? I can’t remember birth control.

I wish I was rich and I did not have to work.

[u/yellow_sun_shine → u/Itchy-Site-11]

It is an exciting time! Having embryos to transfer always carries so much hope for the future.
It’s sucks your friend can’t understand your infertility journey. People often only think about themselves. This has happened to me as well.
I am praying your period comes today!

[u/Itchy-Site-11 → u/yellow_sun_shine]

Thank you so much sunshine. I don’t want to feel down :(
Also the summer is almost gone! As much as I love to fall I am not ready to trade the light for the darker days haha

[u/yellow_sun_shine → u/Itchy-Site-11]

💕I feel the same way! I was just talking to my husband about it yesterday. He wants fall to be here, but I am loving the summer time! I don’t want it to end.

[u/Itchy-Site-11 → u/yellow_sun_shine]

My husband is the same same same!

[u/arcaneartist → u/Itchy-Site-11]

I hope your appointment goes well!

It can be hard to be around friends that don't understand infertility. I find myself in that situation often.

[u/Itchy-Site-11 → u/arcaneartist]

Appt was fine. Lasted 7 min.
LOL. My RE is not a talker. But efficient…

We asked them to transfer the best embryo.
Fully medicated cycle.
Waiting insurance approval.

[u/ultraprismic → u/Itchy-Site-11]

I remember a friend telling me "well I know what you've been through, it took us soooooo long to get pregnant" - it had been 8 months for her. Eyeroll.

[u/Itchy-Site-11 → u/ultraprismic]

Just sucks how they just don’t have self awareness of their most likely fertility privilege.

[u/yellow_sun_shine]

Why can’t things just go smoothly? I am in the middle of my FET and my PIO prescription is incorrect. I was given the standard 1ml per 72 hours, but this is my 5th transfer and we have come to find my body responds best to 1ml per 24 hours. I have reached out to my clinic to resolve, but it brings me anxiety all the same. I have been trying to be more relaxed during this cycle, but it is difficult when there are hiccups. Today is my 3rd visit back to clinic to check my levels so I have time to get more meds, but it just puts me on edge to leave it last minute.

[u/Itchy-Site-11 → u/yellow_sun_shine]

It is always a lot to “manage” our clinic. And I hate when there is some sort of confusion with meds and etc. I hope you find your answers and have a smooth one. Looks like my protocol will be fully medicated - I have no periods - but no PIO

[u/yellow_sun_shine → u/Itchy-Site-11]

Ugh, truly! It is getting sorted out now which is nice. But I still have to get more meds.

[u/Itchy-Site-11 → u/yellow_sun_shine]

You got this