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Old 08-08-2009, 12:51 AM   #1 (permalink)
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What is wrong with me? 4th cycle of drugs, 1st on femara (5mg). 2 mature follies, trigger with O on cd 14. DH's semen anaylysis great (98 mil, 92% motility), HSG all clear (done this cycle, so tubes should be extra open), BD day before and day of (and day after), used preseed and instead cups, and bfn! And I have a DS so I know that I can get pg and carry!

On the bright side (regarding the bfn), I found I have subclinical hypothyroidism on 7 dpo and started meds, so this will give me a little more time to find the correct dosage and get regulated before a pregnancy.

But... I just don't understand why I'm not conceiving this time around. uggghhhh!!!!

Any insight? Or would this just fall in the 'unexplained' category?

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Old 08-08-2009, 12:54 AM   #2 (permalink)
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Aw hun, it may be the last thing you want to hear... it annoys me when people say it to me... but even a 100% "normal" healthy couple only has a 20% chance of getting that BFP every cycle. The wait is so freaking horrible, i know. I feel like a freak of nature as well. How long is your Luteal Phase? I'm thinking that may be our issue?
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Old 08-08-2009, 01:05 AM   #3 (permalink)
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thanks for the response. just makes me feel better to vent and hear some words of encouragement. My lp is 14-15 days, so not an issue for me (thankfully!).
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Old 08-08-2009, 01:07 AM   #4 (permalink)
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Keep ur head up sweetie, I wish u the best.
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Old 08-08-2009, 01:56 AM   #5 (permalink)
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Two thoughts come immediately to mind.

1) Have you had an HSG to check that your tubes are clear?

2) What do you mean by "subclinical" hypothyroidism? Do you know what your TSH levels are? Until 2002, doctors had relied on a normal TSH level ranging from 0.5 to 5.0 to diagnose hypothyroidsim. Now, the American Association of Clinical Endocrinologists encourages doctors to consider treatment for patients who test outside a target TSH level of 0.3 to 3.0. In the future, it is likely that the upper limit of the TSH range will be reduced to 2.5

HOWEVER, and this is a big however, many reproductive endoctinologists now try to get TSH levels optimized between 1 and 2 for patients that are trying to conceive.

hth,

ann
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Old 08-08-2009, 02:03 AM   #6 (permalink)
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do you BBT chart? You didnt mention it, but because you are on meds, i figure you are, but are your temps real strong during LP? It may possibly be a progesterone thing.... ? idk... just trying to help.

And what someone else said earlier, even healthy couples only have a 20% chance.

*hug*

I'm sorry
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Old 08-08-2009, 02:11 AM   #7 (permalink)
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Thanks for the responses.

Yes I did have an HSG this cycle (my original post said SA - I have already edited it, too many acronyms!) and it was all clear.

My TSH was 6.0 and T4 and T3 normal (what I guess is the typical definition of 'subclinical' hypothyroidism along with the fact that I don't have symptoms). I know TSH of 6.0 is considered high - but neither my RE or Endo thinks its a problem (I'm guessing with normal T4, T3). I've started on 25 mcg synthroid and will be tested for response in 1 week. I'm really pushing to get less than 3.0 asap ("normal" here in Japan is 4.5, but I've brought in some american research articles that say 3.0 and my Endo agrees with targeting less than that for the pregnancy).

yes, I bbt chart. My average temp raise is about 1°F over coverline. Its less than that for the first week posts O and about 1.2-1.3 °F over coverline in the 2nd half of my lp. Is that an adequate temp rise? My RE tested my p4 and e2 6dpo and said both were in the normal range post O (don't remember the #s).

thanks again for the thoughts/suggestions.
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Old 08-08-2009, 02:35 AM   #8 (permalink)
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theres really no "normal" when it comes to temps being the same temp or the difference between before O or after O.... the important thing is that you are seeing a definite temp difference in ur cycles. and as long as your temps are pretty much around the same temp after you ovulate, they are considered strong LP temps. If one or two temps are off its fine, but if its choppy then there could be a progesterone problem....
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But keep up the good work!

And I know we all get sick of hearing it, but try your best to keep a positive attitude. Bbaies are suppose to be joyful.... dont let the joy leave you.
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9/09 Round 2 Clomid 50mg 5-9 O'd on CD16
Referred to RE

HSG reported 2 completely blocked tubes


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Old 08-08-2009, 03:01 AM   #9 (permalink)
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Quote:
Thanks for the responses.

Yes I did have an HSG this cycle (my original post said SA - I have already edited it, too many acronyms!) and it was all clear.
Much more of this and you're going to start sounding like you talk only in text-speak!
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Been there, done that!

Quote:
I'm really pushing to get less than 3.0 asap ("normal" here in Japan is 4.5, but I've brought in some american research articles that say 3.0 and my Endo agrees with targeting less than that for the pregnancy).
My first RE tested my TSH as part of a standard work up. I received a very angry call from her nurse wanting to know if I had been taking my synthroid, and if not, why. Someone had apparently made a charting error indicating that they had prescribed the med for me. I had no idea what she was talking about - the last time I had my TSH tested was easily 11 years earlier, and I had never been on meds for it. Anyway, all of the hullaballoo was because my TSH came in at 2.9 (!!!). Taking 25 mcg of synthroid very quickly brought me down to 1.5.

What was funny was I never *thought* that I was having hypothyroid symptoms, until I went on the meds, and I started feeling. . . better.

Hopefully, you'll get stabilized at a much lower level quickly. 6 is well and truly out of the range of normal - though I have a friend who routinely tests at 20+, they just can't seem to stabilize her
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Old 08-08-2009, 03:03 AM   #10 (permalink)
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Oh - I forgot to add, 1 week may not be enough time to see how your body adapts to the addition of synthroid. 2 or 4 weeks may be a better indicator.
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