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  #1 (permalink)  
Old 08-03-2006, 09:44 AM
joginny joginny is offline
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Join Date: Jun 2006
Posts: 18
when should changes be made to dosage / meds

I may be jumping the gun, which shows my newness to all of this. Had my first unsuccessful IUI last cycle. I am on CD2 - I have a call into my DR. to find out what if any chances will be made this month regarding medication, timing etc....

Is it typical for them to keep you on the same protocall even if unsuccessful?
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Old 08-03-2006, 09:51 AM
Gemmabean's Avatar
Gemmabean Gemmabean is offline
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Heart

Gina,

I asked mr RE the same thing after 2 failed IUIs. I get great sized follicles and 5-7 each cycle. He said there is no reason to change or adjust my current meds. He also said there's no telling why I had 2 failed cycles.

It's a gamble. I'd say if you didn't have any lead follicles or if they were very small, your RE might increase your does. They all have reasons for the meds the use and the dosage, so we do have to trust them to an extent.

My RE said we should try 4-6 IUIs before moving on to something else. But it would depend on your IF problem, age, etc.

I think if you look at our "signatures" you will see many of us have multiple failures.

Don't give up! Chin up! Many of us are in the same boat.

Take care,
Much love,
Julie
__________________
me 44, DH 35
08.2000 started TTC
2001-2005 "unexplained IF," countless failed clomid cycles

02.14.05 miscarriage
09.17.05 miscarriage
11.07.05 PCOS diagnosed (2000 Metformin ER)
05.29.06 IUI #1 - failed
06.23.06 IUI #2 - failed
10.06.06 NI + follistim #4 - failed
end of treatment
TTC au natural...

11.22.06 BFP
12.20.06 cornual pregnancy ended @ 9 weeks (miscarriage)
02.06.07 ok to TTC again
11.2007 low ovarian reserve
01.2008 TTC au natural still...

........

08.2008 hoping to adopt (domestic newborn)

10.24.08 1st home study meeting
11.14.08 2nd home study meeting (the dreaded home visit)
11.21.08 meeting with adoption attorney
12.05.08 3rd home study meeting
12.24.08 received finalized Home Study report!
waiting to be matched...


A Family is Born: adoption blog

infertility reality blog

.......

Hope gets us to the bridge, faith will get us across. ~ my friend’s grandma
I have been pregnant, I WILL have a baby! ~ Julie

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Old 08-03-2006, 12:10 PM
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Just~A~ Just~A~ is offline
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Join Date: May 2006
Posts: 1,377
That was a nice post, Julie.

My doc added progesterone (prometrium) to my protocol after the 2nd IUI. She upped my FSH drugs just a bit, based on my response to the first round (which was okay, but the 2nd time she said, "I'm VERY pleased with your cycle this time").

So, it does depend on how your body responds. And getting the follies is just part of the battle, unfortunately. Keep hoping!

~A~
__________________
me: 40 dh: 43
unexplained IF

ttc 1995-2006
Tried clomid for a while, backed out of further treatment for a while
2004 surprise preg., but m/c at 6.5 wks

Saw RE finally in Feb. '06; did lap for endo, HSG
IUI #2 w/injectibles - 6/19 hpt ++
Healthy baby girl, Harmony Grace 2/21/07 via C-section
2 pug dogs: Barkley (black pug); Chauncey (gay fawn pug)

Founding member of the "I hate clomid. I love America" club
Former member of the "I love Lexapro" club
On BCP. No more children planned.

http://the-snooch.blogspot.com/
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Old 08-03-2006, 01:23 PM
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kobl kobl is offline
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Posts: 445
Last cycle was my first cycle of injectibles and IUI (didn't work). I just went in for my day 4 sono today and they told me that this cycle they will be increasing my dosage but everything else will be the same. Last cycle I had 2 mature follicles so I am hoping this cycle I will have more but not too many because if I have more than 4-5 mature follicles, they will cancel the IUI because of the risk of higher multiples.

I saw your other post and I had my second Clomid cycle canceled because of a cyst. I cried too. It's so hard to wait.

Good luck!
__________________
Kelly - 36 (diminished ovarian reserves, atypical PCOS, MTHFR)
DH - 33
1 DS 11/03
TTC #2: almost 2 years
2 miscarriages (08/05, 11/05)
3 cycles Clomid
on 2nd cycle of Follistim/IUI
+ HPT 8/22
First beta 8/23 - 71
Second beta 8/25 - 148
First u/s (5 1/2 weeks)- gestational sac
Second u/s (6 1/2 weeks) - h/b 122 bpm
Third u/s (7 wks, 5 days) - h/b 166 bpm
First OB appt (9 wks, 5 days) - saw head, body, arms and legs!
"First Look" on 10/23 - so far, so good
EDD - May 2007 (It's a boy!)
Brian James born on May 10th
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Old 08-03-2006, 03:41 PM
jenedens6102 jenedens6102 is offline
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I think it depends on how you responded to your medications the first time around and also what protocol your RE normally runs on. Sometimes it may be affected by insurance and other times it's just a process of elimination until they find what works best. If in doubt, call them, YOU PAY THEM and thus they need to meet your needs.
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