Newbie Playdate and NFNSQ

[Deleted]

Jan 28, 2016 11:04:59 GMT -5 mill23 said:

TMI alert - Can anyone talk to me about clotting? My period is mostly clots every month. Dr Google tells me it's either nothing or horrible. Does anyone know if this can impact fertility? Any good research share? Should I raise it with my doc?

When you say mostly clots, is it light flow and some clots or a heavy flow with a large amount of clots?

[mill23]

Jan 28, 2016 11:07:33 GMT -5 @wallflwr926 said:

Jan 28, 2016 11:04:59 GMT -5 mill23 said:

TMI alert - Can anyone talk to me about clotting? My period is mostly clots every month. Dr Google tells me it's either nothing or horrible. Does anyone know if this can impact fertility? Any good research share? Should I raise it with my doc?

When you say mostly clots, is it light flow and some clots or a heavy flow with a large amount of clots?

It's 2-3 days heavy flow and almost all clots. But that's it.

[aprilz81]

Jan 28, 2016 10:13:06 GMT -5 Andrea said:

Jan 27, 2016 22:46:35 GMT -5 aprilz81 said:

wanderingheart , is right in IF you don't ovulate then it doesn't matter what cycle day the blood work is done because your (our) hormones are so out of whack that we don't get the normal ebbs, flows and surges of a "normal" cycle.

That being said, I think it is important to mention that some women with PCOS do ovulate on their own.  If you or any lurkers have PCOS and do ovulate it would be important to get blood work done on CD3.

I didn't know you had PCOS!

Yup!  I got my diagnosis almost a year ago just a few months after coming of BCP.  I had self diagnosed myself with it years ago because as I started reading about it almost all of the symptoms applied to me.

I'm not insulin resistant but everything else applies to me.  Super fun!  *sarcasm*

[Andrea]

Jan 28, 2016 12:56:39 GMT -5 aprilz81 said:

Jan 28, 2016 10:13:06 GMT -5 Andrea said:

I didn't know you had PCOS!

Yup!  I got my diagnosis almost a year ago just a few months after coming of BCP.  I had self diagnosed myself with it years ago because as I started reading about it almost all of the symptoms applied to me.

I'm not insulin resistant but everything else applies to me.  Super fun!  *sarcasm*

Stop! I had no clue you had PCOS. Glad you were able to get a doctor to give you the dx! Good luck!!!

[lilsneezy]

Jan 28, 2016 9:22:58 GMT -5 sleepymonkey said:

I have a question about trigger shots. I'm going to ask my RE on Monday when I see him but I thought I would see if anyone here could give some insight. What is the benefit of giving a trigger shot to someone who ovulates on her own? I ovulate every month, usually between CD16-19. This is my first medicated cycle with letrozole and my RE is going to have me do a trigger shot. Isn't the trigger just to induce ovulation? Also, are the any side effects I should be aware of? Since it's hcg, can I look forward to the potential for nausea (I was incredibly sick during 1st tri with DD)?

And one other question about letrozole. Has anyone who has taken it noticed being incredibly tired while taking it? I took my first dose Monday and I have felt like I could just sleep all day every day since then.

My RE told me that the trigger shot forces your follicles into the last stage of maturation. It will also release any mature eggs you have within 24 hours of administering the shot. So if you have three mature follicles, all three will be ovulated within 24 hours of taking the shot. 

(Edited for clarity)

[JustJudy]

Jan 28, 2016 11:14:35 GMT -5 mill23 said:

Jan 28, 2016 11:07:33 GMT -5 @wallflwr926 said:

When you say mostly clots, is it light flow and some clots or a heavy flow with a large amount of clots?

It's 2-3 days heavy flow and almost all clots. But that's it.

I would recommend talking to your doctor. However, my anecdote is I used to have very similar periods so I started taking low dose aspirin and it really helped.

[JustJudy]

Jan 28, 2016 9:22:58 GMT -5 sleepymonkey said:

I have a question about trigger shots. I'm going to ask my RE on Monday when I see him but I thought I would see if anyone here could give some insight. What is the benefit of giving a trigger shot to someone who ovulates on her own? I ovulate every month, usually between CD16-19. This is my first medicated cycle with letrozole and my RE is going to have me do a trigger shot. Isn't the trigger just to induce ovulation? Also, are the any side effects I should be aware of? Since it's hcg, can I look forward to the potential for nausea (I was incredibly sick during 1st tri with DD)?

And one other question about letrozole. Has anyone who has taken it noticed being incredibly tired while taking it? I took my first dose Monday and I have felt like I could just sleep all day every day since then.

I don't know about trigger with TI, but I will say personally I didn't have any side effects from the shot. I'll get to do it again this month though so it may have been a fluke

Letrozole did make me tired. Clomid, on the other hand, makes me feel a bit speedy.

[aprilz81]

Jan 28, 2016 9:22:58 GMT -5 sleepymonkey said:

I have a question about trigger shots. I'm going to ask my RE on Monday when I see him but I thought I would see if anyone here could give some insight. What is the benefit of giving a trigger shot to someone who ovulates on her own? I ovulate every month, usually between CD16-19. This is my first medicated cycle with letrozole and my RE is going to have me do a trigger shot. Isn't the trigger just to induce ovulation? Also, are the any side effects I should be aware of? Since it's hcg, can I look forward to the potential for nausea (I was incredibly sick during 1st tri with DD)?

And one other question about letrozole. Has anyone who has taken it noticed being incredibly tired while taking it? I took my first dose Monday and I have felt like I could just sleep all day every day since then.

I had a trigger this cycle.  The shot location (upper butt) was sore for about two days but otherwise no side effects.  The needle itself didn't hurt (and I'm a HUGE baby about needles) but the HCG stung as it went in.  I waited one week after the trigger and took a pregnancy test to make sure the HCG had left my system and that any future positive would be legit.  Some people test it out every day but I didn't want the hassle.

I haven't been on letrozole yet, but if this cycle doesn't work I'm going to ask my doctor to try it out to see if I respond better.

[joy]

Jan 28, 2016 15:51:27 GMT -5 lilsneezy said:

Jan 28, 2016 9:22:58 GMT -5 sleepymonkey said:

I have a question about trigger shots. I'm going to ask my RE on Monday when I see him but I thought I would see if anyone here could give some insight. What is the benefit of giving a trigger shot to someone who ovulates on her own? I ovulate every month, usually between CD16-19. This is my first medicated cycle with letrozole and my RE is going to have me do a trigger shot. Isn't the trigger just to induce ovulation? Also, are the any side effects I should be aware of? Since it's hcg, can I look forward to the potential for nausea (I was incredibly sick during 1st tri with DD)?

And one other question about letrozole. Has anyone who has taken it noticed being incredibly tired while taking it? I took my first dose Monday and I have felt like I could just sleep all day every day since then.

My RE told me that the trigger shot forces your follicles into the last stage of maturation. It will also release any mature eggs you have within 24 hours of administering the shot. So if you have three mature follicles, all three will be ovulated within 24 hours of taking the shot. 

(Edited for clarity)

Yes - this and the timing issue for trigger shots. Mine was a teeny needle in my belly. I also ovulated on my own and was against the shot. They really wanted it so I gave in. sleepymonkey

[jcrewgirl]

Bringing this back for a, most likely, stupid question....

If I felt O pains, that day is actually O day, not the day after, correct?

I understand temping would confirm when I O'ed, but I'm not temping yet just going by CM.

[ironbaby]

Feb 3, 2016 15:05:34 GMT -5 jcrewgirl said:

Bringing this back for a, most likely, stupid question....

If I felt O pains, that day is actually O day, not the day after, correct?

I understand temping would confirm when I O'ed, but I'm not temping yet just going by CM.

O pains can't be reliably correlated to ovulation.

If you're going by CM, you'd see fertile CM up to and including the day of O, but again, this is an imperfect science, and plenty of people see no fertile CM, or fertile CM after O.

[lettricern]

Regarding caffeine, I found an interesting study that was done. While its results are far from conclusive, I did find it interesting that caffeine is found in follicular fluid (the fluid around the egg while it is developing in the ovary) : www.ncbi.nlm.nih.gov/pubmed/21119578

The study also seems to indicate that while caffeine didn't affect pregnancy rates, it did affect outcomes. Granted, this was in women already undergoing treatment for IVF, so it's really hard to say what that means for people TTC without intervention.

While I am certainly decreasing my caffeine intake, I'm not giving it up entirely. Mostly I'm decreasing it because I'd rather not go through withdrawal while KU'd and potentially having HG again.

[lettricern]

Feb 3, 2016 15:05:34 GMT -5 jcrewgirl said:

Bringing this back for a, most likely, stupid question....

If I felt O pains, that day is actually O day, not the day after, correct?

I understand temping would confirm when I O'ed, but I'm not temping yet just going by CM.

It depends. There really isn't a science to mid-cycle pain. I get really strong O pains that happen to coincide with the day before a temperature shift. However, you can also have pain after O due to the muscular contractions of your fallopian tubes. You can also have pain before O due to the follicle growing. Without temping, I'd say it's hard to know what your pain coincides with. 

[emilie]

Jan 28, 2016 9:22:58 GMT -5 sleepymonkey said:

I have a question about trigger shots. I'm going to ask my RE on Monday when I see him but I thought I would see if anyone here could give some insight. What is the benefit of giving a trigger shot to someone who ovulates on her own? I ovulate every month, usually between CD16-19. This is my first medicated cycle with letrozole and my RE is going to have me do a trigger shot. Isn't the trigger just to induce ovulation? Also, are the any side effects I should be aware of? Since it's hcg, can I look forward to the potential for nausea (I was incredibly sick during 1st tri with DD)?

And one other question about letrozole. Has anyone who has taken it noticed being incredibly tired while taking it? I took my first dose Monday and I have felt like I could just sleep all day every day since then.

I ovulate on my own but still do trigger shots during my treatment cycles.  I know that if you don't trigger and you have multiple follicles there is an increased chance for developing cysts.  I'd just do it to make sure your ovaries are completely cleared out.  I have done the IM HCG shots in the butt and have had no side effects other than, um, a sore butt.

[LadyNymeria]

Feb 3, 2016 15:05:34 GMT -5 jcrewgirl said:

Bringing this back for a, most likely, stupid question....

If I felt O pains, that day is actually O day, not the day after, correct?

I understand temping would confirm when I O'ed, but I'm not temping yet just going by CM.

Jumping in because I had O pains every month. Some months it was the day before and the day of O. Other months it was the day of and the day after O. They cannot be used as a reliable indicator for when (or if) you actually O'd.