So, went to the RE today. Quick review...my FSH was 88 (who knows what CD it was, I've had no a/f in six months). E2 was 34. Met w/my RE (great guy, sad he's retiring.) Here's the plan - I'm taking YAZ BCP, so I can get a dose of estrogen along with progesterone to jumpstart a/f (he said that the prog amt in bcp is similar to provera, plus you get the bonus of some estrogen as well.) He also said that typically a patient with amenorrhea takes it for 10 days, but with my FSH so high, he said to go ahead and take the full 28 days to give my system a bit more help. He then said that a/f should come back w/in two weeks after stopping the bcp, and if not to come back and maybe get an estrogen shot. I also said that with only four samples left (I'm a single mom, using donor sperm) that I want to make sure I get the best cycles. So since we're not going to bother with Day3 FSH, he said to wait until follie is about 18-24cm (I prefer larger follies, I think RE's trigger too soon, I conceived DS w/a follie of 26cm). When the follie is the right size, I'll get an E2 reading, and if it's >100, then it's a good cycle to try, if it's lower, then wait for the next one. When I told him why the good antral follicle count and the good 5-layer lining, he said it's like a basketball player - you may be a great dribbler, great rebounder, but lousy 3-point shooter and lousy on defense. Doesn't mean you won't score, it just may be a bit harder and more unpredictable. He also didn't think my high antral follicle count implied PCOS, so that's good....
I was just diagnosed with high FSH. I have similar FSH numbers and I also started the same brand of BCP on Friday. My doctor called on Monday and wants to do some further research as to the best proctol. She mentioned Lupron injections. Does your doctor not care about your Day 3 FSH because your FSH was so high? What medication (if any) did your doctor prescribe to assure ovulation? Did your doctor say that IVF was completely out of the question unless you used donor eggs?
It's not that my RE doesn't factor in FSH, just ranks it lower than age, antral follicle count, and CCT (which I won't take). He knows that I'm going to try natural IUI's regardless, so is simply helping me strategize as to how to give myself the best possible chance. He also knows that we don't know what CD I was on (yet 88 is still very high regardless). if you think about it, no matter how much FSH it takes to get a good E2 amt to mature an egg, if you get a good E2 at ovulation, that's what matters isn't it? So that is what we'll test to determine if it's a good cycle to try or not. I'm not doing lupron or other stims, I had cancer (melanoma) which came about while I was on stims before, and I now that I'm cancer-free I don't want to risk recurrence with hormone stimulants. My RE would probably rule out IVF due to FSH. We did try an IVF stim cycle when I was ttc#1, only produced one follicle, so not worth it for me, my choice. I still plan to do TCM to restore balance to my hormones, which I felt helped immensely last time (when my FSH was 45 then hovered in the 30's)
Thanks for the info. I just heard back from my doctor's office. I will be starting Lupron next Thursday while still taking BCP's, 10 days after that they will retest my FSH levels. Depending on the results, they will start me on injectable meds. I told them I wanted to skip Clomid. I've read that it can cause high FSH levels and would rather not waste my time if I was just going to move on to injectables anyway.
Do you think it's work setting up an appointment with an RE to discuss IVF?
Scary about your cancer history and I can understand not wanting to do expose yourself to too many hormones. Glad to hear that you are clear.
Sounds good.... so are they doing lupron as they would an IVF cycle? What is their logic for adding that to the bcp? are you being prepped for an IVF cycle? Remind me of your stats... Good move to skip clomid, if you're going to try stims anyway, why risk screwing things up with clomid? Are you working w/an RE? or is this your OB? If you don't have an RE yet, I'd recommend it because OB's for the most part don't really understand/know the subtlies and complexities of ttc
Thanks for the thoughts on my (former) cancer. Melanoma, scary kind, docs told me to stop ttc until I was clear. I think the stims triggered a latent tumor to grow, which in the end was good because I was able to discover it and get it removed. The cycle after it was removed, I conceived my son, natural IUI, ovulated CD8!
I'm seeing a fertility specialist. She's great! She does everything, but IVF. I have an appt with an RE at the beginning of July just to see what my options are for IVF. When do you think they will do your IUI? Mine will probably be the 2nd week in July.
I did some research and the Lupron therapy is similar to what they would do for IVF. The combo of the BCP's and Lupron should help quiet the FSH.
Sounds like a good plan. My RE & I never discussed Lupron, maybe because of my cancer scare and me not wanting to take any stims. But in your case, it sounds like you've got a great plan and keep us posted on your progress!!!!