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  1. #1
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    janse's Avatar
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    Question Pessaries a must??

    I don't have my official appointment with RE until Feb 10.

    Up until now I have just been doing monitored cycles. One finished in December with a BFN but due to Christmas shut down dates, I had an unmonitored cycle after that.

    1st time around I had the trigger and progesterone pessaries. That AF was really painful and usually I don't have bad cramps.

    This time blood tests have showed O as of this morning (8am test) and they are wanting me to start progesterone on Tuesday.
    Levels were
    E2 631
    LH 27
    Prog 4.2

    When I asked the nurse why, I was told it was standard for everyone and they sell the pessaries. I have 5 here so I would need to go pick up more during the week.Scan on Saturday showed 17mm follie on right side and I had pain around 8pm on Sat night. Temp was only a minor jump this morning though- 36.03 to 36.08.

    I have had a few problems with delayed ovulation, but cycle seems to have fixed itself mostly now.

    Just wondering if pessaries are the standard for other women? Will it really make any difference?

    1 last baby to join our family.
    Hoping and trying for

    http://www.fertilityfriend.com/home/57da58

  2. #2
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    Progesterone support is required for any HT cycle, fresh or FET transfer. Most of us use suppositories (pessaries) but there are also Progesterone-in-oil shots but not every clinic does them. You could ask about the injections if you prefer (though they are IM ones with the big needle!) or there's different types of pessaries. A lot of us use Crinone but there's also the compounded tablets and a few other brands.

    Since in HT cycles your body really isn't ovulating normally on its own, yes some sort of prog support is necessary since your body wouldn't be producing the progesterone levels it naturally would. They artificially control all of the ovulation process and your usual hormones aren't working, so you wouldn't be secreting enough prog yourself to support a pregnancy.
    Me (38) and DH (38)

    SAHM military momma to DS1 (2004), DS2 (who's all boy but loves to dance, though not in a tutu!) (2006), DS3 (2009), and our rainbow baby girl DD1 (2017)

    early m/c Jan 2013

    Cycle #1 @ HRC (Oct 2014) - 6 retrieved, 4 mature, 3 fertilized and biopsied. 1XX and 1XY abnormal. 1XX no DNA found, rebiopsied and found normal, frozen.
    FET attempt #1 (Nov 2014) - cancelled due to functional cyst. FET attempt #2 (Jan 30, 2015) - NT. Remaining embie failed to thaw.

    May 2015 - started infertility treatments at OFC. Femara 2.5mg
    July 2015 - BFP after second round of Femara. Aug 4 2015 - 6w4d
    Dec 21 2015 - mmc 7w1d

    Apr 2016 - IVF Cycle #2. Converted to IUI because of uneven response and leading follicles.
    Apr 19, 2016 - IUI with 3 mature follicles (2 right, 1 left), post wash: 17mil, 94% motility and 89% rapid motility. BFN.

    June 3, 2016 - 5mg Femara cycle. 5w.
    Sep 1, 2016 - 5mg Femara cycle. 8w.

    Our rainbow baby girl arrived on Mon Aug 28, 2017 - "After every storm comes a rainbow". We are so thankful and grateful for every moment.

  3. #3
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    atomic sagebrush's Avatar
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    Studies have shown that the progesterone does nothing. Doctors give them to people because they can and it makes them look like they're doing something, but unless your LP is super duper short or you have a proven progesterone deficiency they are shown very clearly in several studies from reliable sources to have zero effect on getting and staying pregnant. A viable pregnancy will make all the progesterone you need to sustain it. If the pregnancy ends, it was because it wasn't viable.

    It is ALWAYS your call to make. Most people want to use them no matter what because they want to feel that they've done everything possible to help get/stay pregnant. But more and more doctors are moving away from them now.
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  4. #4
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    Quote Originally Posted by LacePrincess View Post
    Progesterone support is required for any HT cycle, fresh or FET transfer. Most of us use suppositories (pessaries) but there are also Progesterone-in-oil shots but not every clinic does them. You could ask about the injections if you prefer (though they are IM ones with the big needle!) or there's different types of pessaries. A lot of us use Crinone but there's also the compounded tablets and a few other brands.

    Since in HT cycles your body really isn't ovulating normally on its own, yes some sort of prog support is necessary since your body wouldn't be producing the progesterone levels it naturally would. They artificially control all of the ovulation process and your usual hormones aren't working, so you wouldn't be secreting enough prog yourself to support a pregnancy.
    I think Janse is cycling the old fashioned way, just with monitoring from her doc's office.
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  5. #5
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    Quote Originally Posted by atomic sagebrush View Post
    I think Janse is cycling the old fashioned way, just with monitoring from her doc's office.
    Oh gotcha. Oops, my bad!!
    Me (38) and DH (38)

    SAHM military momma to DS1 (2004), DS2 (who's all boy but loves to dance, though not in a tutu!) (2006), DS3 (2009), and our rainbow baby girl DD1 (2017)

    early m/c Jan 2013

    Cycle #1 @ HRC (Oct 2014) - 6 retrieved, 4 mature, 3 fertilized and biopsied. 1XX and 1XY abnormal. 1XX no DNA found, rebiopsied and found normal, frozen.
    FET attempt #1 (Nov 2014) - cancelled due to functional cyst. FET attempt #2 (Jan 30, 2015) - NT. Remaining embie failed to thaw.

    May 2015 - started infertility treatments at OFC. Femara 2.5mg
    July 2015 - BFP after second round of Femara. Aug 4 2015 - 6w4d
    Dec 21 2015 - mmc 7w1d

    Apr 2016 - IVF Cycle #2. Converted to IUI because of uneven response and leading follicles.
    Apr 19, 2016 - IUI with 3 mature follicles (2 right, 1 left), post wash: 17mil, 94% motility and 89% rapid motility. BFN.

    June 3, 2016 - 5mg Femara cycle. 5w.
    Sep 1, 2016 - 5mg Femara cycle. 8w.

    Our rainbow baby girl arrived on Mon Aug 28, 2017 - "After every storm comes a rainbow". We are so thankful and grateful for every moment.

  6. #6
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    janse's Avatar
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    Thank you for your replies

    I have slow rising bbt at the moment.
    Am thinking of waiting to see what 3dpo temps do.
    So concerned I will end up with another cyst. Testing day will be in the same week as my 8 year anniversary with DH.

    1 last baby to join our family.
    Hoping and trying for

    http://www.fertilityfriend.com/home/57da58

  7. #7
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    Are you doing IUI? I didn't require progesterone for my IUI or my FET (my FET was a natural cycle, no PGD).
    Sept 2008 & successful boy sway June 2010.
    M/C Oct 2012

    Is DE in my future?

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  9. #8
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    The Anchor
    Nope. Just a natural cycle with scan and bloods for monitoring.
    I guess that is why i am confused re progesterone being standard for everyone

    1 last baby to join our family.
    Hoping and trying for

    http://www.fertilityfriend.com/home/57da58

  10. #9
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    Well I don't think it's required for a natural cycle, I do find it odd that it's standard, even if your progesterone levels are fine? It wasn't standard at my clinic...
    Sept 2008 & successful boy sway June 2010.
    M/C Oct 2012

    Is DE in my future?

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  12. #10
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    I really honestly think it's nothing more than "that's the way we always did it" and a reluctance on the part of the doc's office not to appear like they are doing everyhting in their power to help you.
    !!! Questions?? Check out the NEW and improved Complete Index !!!

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