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  #1 (permalink)  
Old 11-21-2008, 07:21 PM
wannabeamomma wannabeamomma is offline
Member
 
Join Date: Oct 2008
Posts: 102
Anyone hear the term mini-stim ??

I had a long talk with my RE nurse today about my p4 number.

While she did say that I am not a complete bust for IUI cycle #2 - she didn't sound too optimistic.

So, we discussed next steps which will be a medicated cycle.

I told her my concerns about side effects, the chance of over-stimulating and the chance of multiples (we are just not financially or emotionally prepared for multiples). We agree that if its G-D's plan for us, then so be it, but we do not want to tempt fate either.

So, she went over again, what my protocol would be and it would be what she called a mini-stim.

On CD2 - ultrasound and urine test
CD3-CD7 - clomid
CD9 - injectible either gonal-f or follistim
CD12 - ultrasound and trigger
CD13 or 14 - IUI or B2B IUI's

She said that the doses they would do would be low and chances of OHSS would be low as well - as I am clearly ovulating and since back in Feb my P4 was 21.9 after ovulation.

So, I am def feeling better about this cycle and prepared for what will come if we move on to cycle #3.

Has anyone else ever heard the term mini-stim?
__________________
Me: 36 years old - Reproductively Healthy
DH: 36 years old - low count, motility and morphology
TTC since April 2007
---------------------------------------------
HSG - May 2008 - All Clear
All pre-testing bloodwork - Normal
Diagnosed with Cervical Dysplasia - May 2008
Cryosurgery - June 2008
Normal Pap - August 2008

IUI #1
+OPK's on cd15, cd 16 - 10/14 & 10/15
B2B Natural IUI's on cd16, cd 17 - 10/15 & 10/16
Progesterone blood test - 10/22 - 8.8 not 10 or higher like they said it should be
HPT - 10/24, 10/26 - both
Official POAS day - 10/29 -
arrived 10/29 ...on to IUI #2

IUI #2
+OPK on cd 16 & cd17 - 11/13 & 11/14
Natural IUI on cd 17 & cd 18 - 11/14 & 11/15
Progesterone test sked - 11/21 - 6.6 - Even lower than last cycle - SO UPSET !!
Beta sked - 11/30




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  #2 (permalink)  
Old 11-21-2008, 07:25 PM
renni1010's Avatar
renni1010 renni1010 is offline
MsConception
 
Join Date: Jun 2006
Posts: 161
protocol

Haven't heard of mini-stim but it sounds like a great protocol for you especially since you have a good p4.

One dose of the inject along with the clomid is probably going to be just perfect for you. Are they going to do an u/s on day 7 or 9 to see where you are with the clomid?

This might be your month!! Hope so!

Best wishes~
__________________


Me-40 (High FSH) diminishing ovarian reserve
DH-26 (perfect)

2 best friends
X and ZZ
(our Rhodesian Ridgebacks)
DS born 1989
TTC since March 2006
M/C April 2006 Baghdad, Iraq
Tubal Jan 2007 methotrexate 2 shots
Tubal 1987 removed left tube
-------------
9-11 Gonal f cycle
10-5 Femara-Gonal F Cycle
-------------
10-30 AF
11-1 cycle cancelled-cysts
11-14 Lap scheduled





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  #3 (permalink)  
Old 11-21-2008, 08:21 PM
socaintexas socaintexas is offline
Senior Member
 
Join Date: Nov 2007
Posts: 373
I did a similar protocol for my first 3 IUI's. I had one follicle one month, two follicles the next month, then one follicle. (See signature below). I would not worry too much about over-stimulating or multiples. If you end up producing more follicles than you are comfortable with, you can always cancel the cycle.

I remember when we did our first medicated IUI cycle, I had the same concerns. In looking back, my concerns were totally unfounded. By the time I got to the third IUI I was wishing I had more than 5 follicles!!!

I hope this cycle works for you so you do not have to move on to IUI #3. Good luck to you!!!
__________________
Sheila
Me - 37
DH - 36 - low normal count

TTC since July 2006
5/07 - normal HSG
6/07 - 9/07 - DH on clomid (22 mil in Sept)
6/17/08 - FSH 7.6

IUI #1 10/26/07 - first IUI - unmedicated at OB/GYN

11/28 - 12/2 - Clomid 100 mg; 12/4 - Repronex 150 IU
12/7/07 -LO - 25 mm; RO (10.1 & 7.2 mm), lining 7 mm; HCG; 12/9/07 - IUI #2- 16m sperm; 12/24 -

12/28 - 1/1 - Clomid 100 mg; 1/3 - HMG 150 IU
1/4 - LO 21 & 19.6 mm, lining 9 mm; HCG 1/6 - IUI #3 - 19m sperm; 1/20/08 -

1/25 - 1/29 - Clomid 100 mg; 1/31 - HMG 2 vials
2/1 - RO 29 mm, LO ovary 17 mm, lining 6.3 mm
2/2 - HCG; 2/4 - IUI #4 - 37m sperm; 2/18 -

6/20/08 - bc; 7/24 - AF; 7/28 - 8/4 HMG 150 IU; 8/1 - 7 follicles, E2 187; 8/4 RO 17.5 & 16 mm , LO 16 & 14 mm, e2 331 and prog 0.9; HCG 8/5 & IUI # 5 on 8/7 - 8m sperm 1% morph; 8/14 Prog 26.4; 8/18

IUI #6 - HMG 150 IU 8/22 - 8/27; U/s 8/27 - RO 17.8 mm LO 16.3 mm - trigger; IUI 8/29; 6m sperm 6% morph; Prog 45.9; 8/9
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