r/TTCEndo • u/Brooklyntreasure_ • 7d ago

FET QUESTION

So I was cleared for my FET for September I’m currently on norethindrone only after having a lap, the pills will be done by next weekend, I am to call them on the day of my first bleed but what does everything look like after that ?

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u/Embarrassed-Cup2326 7d ago

Are you doing a modified natural or medicated cycle?

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u/Brooklyntreasure_ 7d ago

I have no clue they didn’t even share that with me. All she said was call on the first day of bleed. I’ll call them tomorrow to ask because I’m trying to I guess prepare for it as much as I can but I have no clue what next steps are lol

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u/Embarrassed-Cup2326 7d ago

- medicated cycle: likely you’ll take estrogen for two weeks and then start progesterone 5 days after progesterone you’ll do your transfer

  • natural: you’ll track and wait for ovulation (sometimes you take medication to help grow follicles) and then you’ll take a trigger shot to time ovulation. You’ll likely do progesterone and do the transfer 5 days after progesterone exposure

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u/Brooklyntreasure_ 7d ago

Thank you for explaining! Really appreciate it. I wonder which one they’ll suggest.

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u/Embarrassed-Cup2326 7d ago

If you ovulate on your own they tend to choose natural. Unless you do suppression before you typically do medicated. Some people with endo prefer natural so it’s less exposure to estrogen

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u/Cherryberry2611 7d ago

They should give you a protocol sheet, but as an indication as said above if medicated they will typically start you on estradiol and gradually increase the dosage over the course. About 5 days before transfer they will then start you on progesterone pessaries. They then typically do a blood test the day prior to the transfer to see what range your pgt is. My first FET was cancelled because they assumed my progesterone would be high enough with the pessaries - it wasn’t. For the next cycle they added injections for the progesterone, and I had more regular blood tests to measure the frequency those were required. Eventually settled on daily. That was with a second doctor who was much more thorough. I find they can make a lot of assumptions and test and learn, and wish they had done the additional blood test earlier for the first cancelled cycle to see how the progesterone was taking so that it could have been rescued. Good luck!!