Cycle Info


IUI #1: April 2011
Clomid CD 2-5 50 mg
5000 Ovidrel Trigger

April 11-Ultrasound, dominant follicle on left side at 17.5, 3 follicles on right side measure 12, 10, 9
April 13-HCG Trigger 5000 Ovidrel
April 14- IUI 
Post-Wash count: 320.1 million and 97% motility
April 30 AF, BFN


IUI #2: May 2011


 May 1-May 8 (CD 3-CD 11) Gonal-F 75 IU
May 9-May 10 (CD 12 + CD 13) Gonal-F 112.5 
Ovidrel Trigger

Ultrasound and blood work May 3rd (CD 5) - Estradiol 60.1, 6 follicles with lead follicles on right side 8, 7
Ultrasound and blood work May 6th (CD 8)- Estradiol 74.2, 10 follicles, largest on right side 14 and 9
Ultrasound and blood work May 9th (CD 11)- Estradiol 172.5, 12 follicles, largest on right side 17 and 10, left side 13, 10, 10
Increased Gonal-F dosage
Ultrasound and blood work May 11th (CD 13)- Estradiol 400+ range, 2 follicles on right at 22 and 14. Trigger.
May 12th and May 13th (CD 14 and CD 15)- back-to-back IUI's
May 27 AF, BFN


IVF #1: June/July 2011
Lupron 20 units June 16-June 30
Lupron 10 units July 1- July 9
Gonal-F 150 IU's July 1- July 10
Ovidrel Trigger

June 16 started 20 units Lupron
June 30- AF
July 1 (CD 1)- suppression check, estradiol 20, started 150 IU's Gonal-F


July 5 (CD 6)- Ultrasound and blood work, estradiol 249, 8 follicles around the same size


July 8 (CD 9)- Ultrasound and blood work, estradiol 1,287, 9 follicles on right 7 on left


July 10 (CD 11)- ultrasound and blood work, estradiol 2,773, 10 follicles on right, 7 on left
Trigger


July 12 (CD 13)- egg retrieval, 11 eggs retrieved- 6 ICSI, 5 natural fertilization


July 13 (CD 14)- 5 eggs fertilized, only one fertilized naturally


July 14 (CD 15)- 3 embryos at 4 cells, 1 at 5 cells, 1 at 2 cells


July 15 (CD 16)- Transfer cancelled due to fluid in uterus, Continue Progesterone 
July 26- AF, BFN


IVF #1/FET #1: August 2011

July 29-Ultrasound and blood work. Fluid is gone, lining is at 4.7, Estradiol is 23, 3 inactive cysts on ovaries. Start 1 patch of Vivelle.
July 31-1 new patch
August 2- 2 new patches
August 4- 2 new patches
August 6- 2 new patches
August 8- Ultrasound. Lining is at 12, small amount of fluid in uterus, 4 new patches
August 10- 4 new patches
August 11- Start Progesterone 1cc/day
August 12- Ultrasound and appointment. Fluid remains and evidence of additional trace fluid. FET cancelled. Put on BCP's for a month.


IVF #1/FET #1.2: November/December 2011
Estradiol 3mg/day
Dexamethasone/Medrol for assisted hatching


November 11- CD 1
November 14- Start oral Estradiol 1x/day
November 22- started bleeding
November 23- Ultrasound, lining at 6.5, blood work for Estradiol and Progesterone
November 28- Ultrasound reveals lining at 11.5, Started progesterone 2cc's/day
December 4th- Started Dexamethasone
December 5th- Clinic thaws embryos, switched to Medrol for assisted hatching
December 6th- frozen embryo transfer of 2 good 3 day embryos with assisted hatching and 2 3 day embryos that hasn't cleaved yet but were still viable
December 20th- BFN
December 23rd- AF shows


 IVF #2-January/February 2012

Long Lupron Protocol
 BCP's December 26- January 15
Lupron 10 units January 9th-19th, 5 units January 20th-January 27th
Gonal-F 150 IU's January 19- January 26
Gonal-F 37.5 IU's- January 27
Menopur 75 IU's January 19- January 26
Cetrotide

December 26, 2011- Baseline sono and blood work at new fertility clinic. Everything looks good to start Birth Control Pills.
 Progesterone .8, Estradiol 20, TSH 1.07, FSH 6.8, LH 4.90

January 9, 2012- Start Lupron 10 units/day

January 16, 2012- Blood work and ultrasound.
Progesterone 2.1, Estradiol 26, TSH 3.85, FSH 2.8, LH 3.71

January 19, 2012 (CD 1)- Blood work and ultrasound
Progesterone 1.4, Estradiol 41, TSH 1.91, LH 3.05
Started 150 IU Gonal-F, 75 IU Menopur, decrease Lupron to 5 units

January 23, 2012 (CD 5)- Blood work and ultrasound
Progesterone 0.9, Estradiol 639, LH 1.68
Left Ovary: 1x8 mm, 1x10 mm
Right Ovary: 1x7 mm, 1x8 mm, 1x9 mm, 1x10 mm


January 25, 2012 (CD 7)- Blood work and ultrasound
Progesterone 1.3, Estradiol 1710, LH 4.20
Left Ovary: 7 follicles 2x7 mm, 1x8 mm, 3x10 mm, 1x11 mm
Right Ovary: 7 follicles 1x8 mm, 3x9 mm, 2x11 mm

January 27, 2012 (CD 9)- Blood work and ultrasound
Progesterone 1.9, Estradiol 5006, LH 7.61
Left O: 8 follicles 2x9 mm, 3x10 mm, 3x12 mm
Right O: 9 follicles 3x9 mm, 2x10, 2x11 mm, 1x12 mm, 2x13 mm
Gonal-F reduced to 37.5, stopped Menopur

January 28, 2012 (CD 10)- Blood work and ultrasound
Progesterone 2.1, Estradiol 7672, LH 3.74
Left: 10 follicles 1x9 mm, 1x11 mm, 3x12 mm, 2x13 mm, 2x14 mm, 1x15 mm
Right: 10 follicles 1x10 mm, 1x11 mm, 2x12 mm, 1x13 mm, 2x14 mm, 2x15 mm
Start coasting No Menopur or Gonal-F, only 5 units Lupron

January 29, 2012 (CD 11)-Dose of Cetrotide and still coasting to reduce estradiol levels

January 30, 2012 (CD 12)- Blood work and ultrasound
Progesterone 0.9, Estradiol 1215, LH <0.2
Left: 9 follicles 2x13 mm, 1x15 mm, 1x17 mm, 2x18 mm, 2x19 mm, 1x20 mm
Right: 10 follicles 3x14 mm, 1x15 mm, 1x16 mm, 1x17 mm, 2x18 mm, 1x19 mm, 1x24 mm
Trigger shot 10,000 IU HCG 9:30 PM
Started Dostinex to prevent OHSS

February 1, 2012 (CD 14)- Egg retrieval, 28 eggs retrieved
Stomach bug : (

February 2, 2012 (CD 15)- Fertilization Report
Of the 28 eggs retrieved, 21 were mature and they performed ISCI on these
Of those 21, 17 fertilized
Started Crinone progesterone 2x's/day, Lovenox injections, and estradiol 2 mg/day

February 6, 2012 (CD 19)- 5 day transfer of 2 4AA blasts. Froze 4 others (1 4AB, 2 4BB, 1 5BC)

February 15, 2012 (9dp5dt)- Beta HCG test- Positive at 43!!

February 17, 2012 (11dp5dt)- Beta #2=63 This is an 87 hour doubling time... not good

February 20, 2012- 14dt5dt- Beta #3=175. This is a 48 hour doubling time

March 1, 2012- First ultrasound at 6 weeks 1 day. Chemical pregnancy discovered when nothing is found on ultrasound and HCG comes back at 16.8. Stop all meds and wait for AF.

March 4, 2012- AF shows with a vengeance

March 5, 2012- HCG levels at 4.1

IVF #2/FET #1- March 2012
March 5, 2012 (CD 2)- Baseline ultrasound and everything looks good.Start estrogen 3x's/day. Back on dexsamethasone, baby aspirin and prenatals. TSH 2.45, LH .47, FSH 4.1, estradiol <20, progesterone .6, HCG 4.1

March 8, 2012- Hysterosonogram #3- everything perfect, HCG 1.9

March 14, 2012- Ultrasound, blood work and intralipid therapy LH 3.74, Estradiol 610, Progesterone <0.8

March 19, 2012- embryo transfer of 4 blastocysts


March 20, 2012- beta results- BFN

IVF #3-April/May 2012
Long Lupron Protocol

April 1, 2012- Start birth control pills

April 15, 2012- Start 10 units of Lupron daily

April 19th- Last BCP

April 23rd- CD 1, suppression check TSH 3.2, FSH 3.8, LH 1.85, Progesterone 1.9, Estradiol 25

April 26th- Start Gonal-F 150 IU, Luveris 37.5, dexamethasone, prenatal, reduce Lupron to 5 units

April 30th- Blood work and ultrasound after 4 days of stims
Progesterone 0.2, Estradiol 469, LH 1.99
Left Ovary: 2x7 mm, 2x9 mm (4 follicles)
Right Ovary: 3x7 mm, 2x8 mm, 1x9 mm (6 follicles)

May 2nd- Blood work and ultrasound
Progesterone 0.3, Estradiol 1096, LH 1.70
Left Ovary: 1x7 mm, 3x10 mm, 1x13 mm (5 follicles)
Right Ovary: 1x3 mm, 2x10 mm, 1x11 mm, 1x13 mm (5 follicles)

May 4th- Blood work and ultrasound
Progesterone 0.2, Estradiol 2469, LH 2.66
Left Ovary: 1x9 mm, 3x10 mm, 1x11 mm, 2x12 mm, 1x13 mm, 1x14 mm, 1x16 mm (10 follicles)
Right Ovary: 1x7 mm, 1x8 mm, 1x10 mm, 3x11 mm, 2x12 mm, 1x14 mm, 1x15 mm (10 follicles)
Reduce Gonal-F to 75 IU's

May 5th- Blood work and ultrasound
Progesterone 0.9, Estradiol 4691, LH 3.29
Left Ovary: 1x10 mm, 4x11 mm, 1x13 mm, 1x14 mm, 1x17 mm (8 follicles)
Right Ovary: 2x9 mm, 1x10 mm, 1x11 mm, 1x12 mm, 2x13 mm, 2x14 mm, 1x15 mm (10 follicles)
No Gonal-F, No Luveris, only 5 units Lupron

May 6th- Gonal-F 75 IU's, Luveris 37.5, Lupron 5 units

May 7th- Blood work and ultrasound
Progesterone 0.3, Estradiol 5041, LH 1.10
Left Ovary: 2x12 mm, 2x13 mm, 1x14 mm, 2x15 mm, 1x16 mm, 1x19 mm, 1x20 mm (10 follicles)
Right Ovary: 1x10 mm, 1x12 mm, 3x14 mm, 2x15 mm, 2x16 mm, 1x19 mm (10 follicles)
take Cetrotide only
Intralipid therapy

May 8th- Blood work and ultrasound
Progesterone 0.1, Estradiol 1075, LH <0.2
Left Ovary: 1x13 mm, 2x14 mm, 2x15 mm, 2x16 mm, 1x17 mm, 1x18 mm, 1x20 mm (10 follicles)
Right Ovary: 1x12 mm, 1x13 mm, 2x15 mm, 3x16 mm, 1x17 mm, 1x19 mm, 1x20 mm (10 follicles)
Trigger 10,000 HCG

May 10th- Egg retrieval, 19 eggs retrieved

May 11th- Fertilization Report
Of the 19 eggs retrieved, 13 were mature and they performed ISCI on these
Of those 13, 8 fertilized
Started Crinone progesterone 1x's/day, PIO 1 cc/day, Lovenox injections, and estradiol 2 mg/day

May 15th- Day 5 embryo transfer, 3 blastocysts 1 4AA, 1 4AB, 1 2BB
May 16th- Freeze 2 embryos on day 6

May 24th- (9dp5dt)- Beta HCG test 19.5, progesterone 27.8, stopped meds.

May 29th (15dp5dt)- Beta #2 HCG 14.1, progesterone .1, TSH 1.85, CD 1

June 4th- Beta #3 HCG 2.7, progesterone .8


IVF #3/FET #1- July 2012
July 10th, 2012 (CD 3)- Baseline ultrasound and everything looks good.Start estrogen 3x's/day. Back on prenatals. TSH 1.62, LH 5.48, FSH 5.9, estradiol 39, progesterone 1.1, HCG <0.5

July 20, 2012- Ultrasound, blood work and intralipid therapy LH 5.2, Estradiol 579, Progesterone 0.8

July 25, 2012-embryo transfer of 2 embryos
August 2nd- Beta HCG negative


IVF #4- September/October 2012
Antagonist Protocol with Lupron trigger. Freeze all
Managed by Dr. Br.averman at my local clinic, on .75 mg Dexamethasone during stims

September 19th- baseline appointment. TSH 1.84, LH <0.2, FSH 0.5, estradiol 23, progesterone 1.9, last BCP

September 24th, 25th (CD 1,2)- Gonal-F 225 IU

September 26th-30th (CD 3, 4)- Gonal F 150 IU

October 1st (CD 5) first monitoring appointment. LH 1.29, estradiol 191, progesterone 0.3
Left Ovary: 1x5 mm, 3x6 mm, 1x8 mm (5 follicles)
Right Ovary: 3x5 mm, 2x6 mm, 1x7 mm, 1x9 mm (7 follicles)
Keep dose of Gonal-F at 150 and added 1 vial of Menopur

October 2nd- Add Ganirelix, 150 Gonal-F, 1 vial Menopur

October 3rd (CD 7)- Monitoring appointment. LH 0.19, Estradiol 306, Progesterone 0.3
Left Ovary: 1x7 mm, 2x8 mm, 3x9 mm, 1x10 mm (7 follicles)
Right Ovary: 1x7 mm, 1x8 mm, 3x9 mm, 1x12 mm (6 follicles)
Increase to 2 vials on Menopur, 150 Gonal-F, Ganirelix

October 5th (CD 9)- Monitoring appointment. LH .46, Estradiol 1094, Progesterone 0.3
Left Ovary: 1x9 mm, 5x10 mm, 1x13 mm (7 follicles)
Right Ovary: 2x11 mm, 3x12 mm, 2x14 mm (7 follicles)
Dosages of meds stay the same

October 8th (CD 12)- Monitoring appointment. LH .63, Estradiol 4537, Progesterone 0.7
Left Ovary: 2x13 mm, 2x14 mm, 3x15 mm, 2x16 mm (9 follicles)
Right Ovary: 1x11 mm, 1x13 mm, 1x14 mm, 3x16 mm, 2x17 mm, 2x19 mm (10 follicles)
Reduce to 1 vial of Menopur

October 9th (CD 13)- Monitoring appointment. LH .23, Estradiol 6115, Progesterone 1.0
Left Ovary: 1x12 mm, 1x13 mm, 1x14 mm, 4x15 mm, 1x16 mm, 1x17 mm, 1x18 mm, 1x21 mm (11 follicles)
Right Ovary: 2x15 mm, 2x16 mm, 3x17 mm, 1x18 mm, 1x19 mm, 1x21 mm, 1x22 (11 follicles)
Trigger shot- 30 Units Lupron

October 10th (CD 14)- Our third wedding anniversary!! Blood work LH 16.5, Progesterone 8.7

October 11th (CD 15) 10/11/12- Egg retrieval. 23 eggs

October 12th (CD 16) Fertilization Report. 19 matured and ICSI'd, 13 fertilized

October 16- AF shows 5 days after retrieval

October 17th (CD 21) Freeze Report
7 embryos frozen
3 on day 5: 5AC, 4BC, 3BC
4 frozen on day 6: 4AC, 4BC, 4BC, 4CC

IVF #4/FET #1- October/November 2012
Lupron protocol managed by Dr. Braverman at my local clinic
2000 ER Metformin

October 18th (CD 3) Baseline Appointment
TSH 1.2, LH 2.91, FSH 2.4, Estradiol 79, Progesterone 0.7
Start birth control pills

October 31st- Blood work and ultrasound
TSH 3.06, LH 1.12, FSH 1.0, Estradiol <20, Progesterone 1.8
Lining 5.88

November 1-November 5
 Lupron 10 units

November 5th- Endometrial biopy. Not fun! Last birth control pill.

November 6- Drop Lupron to 5 units

November 7- AF shows, CD 1

November 8- Blood work and ultrasound
LH 0.24, Estradiol 22, Progesterone 1.5
Lining 4.74

November 9th- Start Delestrogen 0.4cc (continue on Tuesdays and Fridays), Lovenox, Neupogen 23 units, baby aspirin

November 14th- Blood work and ultrasound
LH 0.96, Estradiol 746, Progesterone 0.6
Lining 7.78

November 19th- Blood work and ultrasound
LH 1.38, Estradiol 1190, Progesterone 0.3
Lining 8.98

November 20th- Last Lupron shot

November 21st- Start Progesterone in oil 2cc's/day, Doxycycline (oral for 7 days 2x's/day), and Clindamycin (vaginal suppository for 3 days 1x/day)

November 26th- Transfer of two blasocysts

December 5th- HCG measures 0.8, Progesterone 38.3. Another BFN

December 13th- AF starts



IVF #5-January 2013
Cycle done with Dr. Braverman using his lab
Supplements: Omega 3 Fish Oil 2x's/day, Vitamin D 4000 units/day, Vitamin C 2000 mg/day, Vitamin E 600/day, Vitamin B Complex, Pycogenol 100 mg/day, Preg-nitude 2x's/day
Metformin 2000 extended release/day
Birth Control Pills- December 13, 2012-January 2, 2013

January 6, 2013 (CD 1)-Start Viagra suppositories 2x's/day, Gonal-F 225 IU, Lovenox 40 mg

January 7, 2013 (CD 2)-Viagra 2x's/day, Gonal-F 225 IU, Lovenox 40 mg

January 8, 2013 (CD 3)-Viagra x2, Gonal-F 150 IU, Menopur 75 IU, Lovenox 40 mg

January 9, 2013 (CD 4)-Blood work and Ultrasound
LH <0.2, Estradiol 97, Progesterone 0.8
Lining 5.49
Follicles on Left: 5x5 mm, 2x6 mm
Right: 1x3 mm, 6x5 mm
Change in Protocol: stop Gonal-F and use only Menopur
Viagra x2, Menopur 225 IU, Lovenox 40 mg

January 10, 2013- (CD 4)- Viagra x2, Menopur 225 IU, Lovenox 40 mg

January 11, 2013 (CD 5)-Blood work and Ultrasound
LH 0.23, Estradiol 199, Progesterone 0.8
Lining 6.95 with small pocket of fluid
Follicles on Left: 1x5 mm, 3x6 mm, 2x7 mm
Right: 2x4 mm, 3x5 mm
Viagra x2, Menopur 225 IU, Lovenox 40 mg, Ganirelix

January 12, 2013 (CD 6)- Last Lovenox shot, stop baby aspirin, Continue Ganirelix, 225 IU Menopur, and Viagra

January 13, 2013 (CD 7)- Hosted my sister's baby shower. Menopur 225 IU, Ganirelix, Viagra

January 14, 2013 (CD 8)- Monitoring appointment and blood work at Dr. Braverman's office in Long Island. Things have increased in size and tentative retrieval for Sunday or Monday. Lining at 10.
Menopur 225, Ganirelix

January 15, 2013 (CD 9)- Last Viagra, Menopur 225, Ganirelix

January 16, 2013 (CD 10)- Blood work and ultrasound
LH 0.54, Estradiol 1907, Progesterone 1.2
Lining 11
Follicles on Left: 2x10 mm, 4x11 mm, 3x12 mm, 1x15 mm 
Right: 1x6 mm, 1x9 mm, 4x10 mm, 1x11 mm, 1x14 mm
Viagra x2, Menopur 225 IU, Lovenox 40 mg, Ganirelix

January 17 (CD 11)- Ganirelix, Menopur 3 vials. Start Cipro antibiotic for me and W

January 18th (CD 12)- Monitoring appointment and blood work at Dr. Braverman's office in Long Island. 15 follicles measured on the left and 10 on the right all of varying sizes. Ganirelix, Menopur 3 vials, Cipro

January 18th (CD 13)- Ganirelix in the AM, 30 units Lupron trigger at 3 AM January 19th (CD 14) also start Clindamycin antibiotic vaginal suppository, Cipro

January 21- (CD 15)- Egg retrieval in Manhattan. 12 eggs retrieved and was told there were lots of "empty follicles." Took 1500 HCG booster shot after retrieval. Cipro, Clindamycin, Vivelle patches (3), PIO 2 cc

January 22 (CD 16) Fertilization Report- Of the 12 eggs, 8 were mature and all 8 fertilized with ICSI. Cipro, PIO 2 cc

January 23 (CD 17)- Dr. B tells us 2 more eggs fertilized with IVM. Of our original 8 that fertilized, 5 were at 4 cells and graded A, 2 were at 4 cells and graded B, and 1 was at 3 cells and graded D. The two that had fertilized later were at the 2PN stage. Cipro, PIO 2cc, Vivelle 3 patches

January 24 (CD 18)- 5 8 celled embyros grade A, 2 6 cell grade B, 1 4 cell A, 1 5 cell D, 1 3 cell D, Cipro, PIO 2cc

January 25 (CD 19)- Cipro, PIO 2cc, Vivelle 3 patches, Neupogen 35 units

January 26th (CD 20)- Embryo transfer of 2 grade A hatching blasts, Cipro, PIO 2cc, Neupogen 35 units, Valium for transfer
January 27 (1dp5dt)- PIO 2cc, Vivelle 3 patches, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository

January 28th (2dp5dt)- Found out we froze 2 grade A blasts. PIO 2cc, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository
Blood work to check estrogen and progesterone level- Dr. B says "perfect"

January 29 (3dp5dt)- PIO 2cc, Vivelle 3 patches, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository

January 30 (4dp5dt)- PIO 2cc, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository. Faint line on a HPT in the AM.

January 31 (5dp5dt)- PIO 2cc, Vivelle 3 patches, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository

Feb 1 (6dp5dt)- PIO 2cc, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository

Feb 2 (7dp5dt)- PIO 2cc, Vivelle 3 patches, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository

Feb 3 (8dp5dt)- PIO 2cc, Neupogen 35 units, Lovenox 40 mg AM/PM, baby aspirin, estrogen/progesterone suppository

Feb 4 (9dp5dt)- Beta HCG and progesterone levels. HCG 185.5 Progesterone >40

Feb 6 (11dp5dt)- Beta HCG and progesterone levels. HCG 433.4 Progesteone >40. Doubling time of 38.8 hours!! Repeat immune panel and continue all meds.

Feb 12- Received news from Dr. Braverman's office that immune results were consistent with current treatment and to continue all meds the same.

April 1st- Last ultrasound and visit to Dr. Braverman. Both babies look great. Told to discontinue PIO, Neupogen, Estrogen shots and continue Metformin, baby aspirin, Foltanx, and Lovenox 1x/day.