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1 IUI down, 1 more to go- and a bit of confusion/vent
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nferrandi
too excited for words
Member since 10/05 18538 total posts
Name:
Nicole
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1 IUI down, 1 more to go- and a bit of confusion/vent
So I had my first IUI this morning and even though the midwife at my practice said I would do the second one on Wednesday, the Dr. insisted that I do it again tomorrow.
It is actually very frustrating and I don't know what to think, I feel like what they are both telling me is kind of conflicting. I feel like my midwife never really took me seriously when I started questioning things 4 months ago, since we had only been trying for 6 months. Sh reluctantly sent us to a male fertility Dr. after I insisted on having the CD3 and CD21 blood work done and that came back normal. Even in speaking to her since finding out that 2 SA showed DH's swimmers aren't the best, she still hasn't been very aggressive. It was DH's Dr. that said I should have the HSG test and then start IUIs this month.
So after having a follicle study on Thrusday I spoke to the midwife and she said IUI for Monday and Wednesday. I went in this am and one of the Dr's did the insemination. So I said, "see you Wednesday" and he was like "no, I'll see you tomorrow." I told him that the midwife had said Wednesday and he said that they do it two days in a row. Then he was like "and then you'll come in for the shot." I told him I'm not taking any shots, and I had no idea there even was one. He said, no problem that I could try it naturally this month and if I didn't get pregnant then they would up my clomid. Again I was like ***? I told him that I'm not even on clomid now.
He said he likes to be aggressive with infertility to try the up the chances of getting me pregnant. I feel like my midwife hasn't discussed any of this with me. I don't know if she thinks I'm being overly dramatic, or if she's just less aggressive in these things. I don't know what to think. I don't know if I should stay with her or switch to the Dr.
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Posted 6/1/09 8:13 PM  |
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ChiefMT
LIF Adult
Member since 9/08 1440 total posts
Name:
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
I can see why you feel stressed. It sometimes seems like drs, midwides, etc. don't keep us fully informed or don't seem to have a good sense of individual cases. It is like there is a cookbook that they follow. I would speak to both the doctor and the midwife about your concerns. They shouldn't be stressing you out when you are suppose to relax and let things happen. Best of luck to you!
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| Posted 6/1/09 8:33 PM |
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Sassyz75
Turning a new page
Member since 5/05 9731 total posts
Name:
Dina
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
all IUIs I've ever heard of were back-to-back... not spaced one day between.. I've had back-to-back IUIs two times.
Also- if the shot the Doc was referring to is the trigger- then you do it before the IUIs, not after- so that has me
if it were me, I'd probably feel more comfortable with a doc- just because maybe they are a little more educated and see fert issues a little bit more....
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| Posted 6/1/09 9:02 PM |
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nferrandi
too excited for words
Member since 10/05 18538 total posts
Name:
Nicole
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
Posted by Sassyz75
if it were me, I'd probably feel more comfortable with a doc- just because maybe they are a little more educated and see fert issues a little bit more....
I'm kind of leaning that way too. I would have been fine with Lucy if I got preggo on my own, but I'm thinking maybe I need a real Dr. to help me get preggo in the first place. I'm wondering why she had them spaced out? I know when I spoke to her she had said to space them because it looked like I'd be dropping an egg from the left ovary a few days before one from the right. It made perfect sense when she said it, but now I'm not so sure- since even the nurse seemed to know that you do them back to back.
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| Posted 6/1/09 9:14 PM |
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Bxgell2
Perfection
Member since 5/05 16438 total posts
Name:
Beth
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
Posted by nferrandi
Posted by Sassyz75
if it were me, I'd probably feel more comfortable with a doc- just because maybe they are a little more educated and see fert issues a little bit more....
I'm kind of leaning that way too. I would have been fine with Lucy if I got preggo on my own, but I'm thinking maybe I need a real Dr. to help me get preggo in the first place. I'm wondering why she had them spaced out? I know when I spoke to her she had said to space them because it looked like I'd be dropping an egg from the left ovary a few days before one from the right. It made perfect sense when she said it, but now I'm not so sure- since even the nurse seemed to know that you do them back to back.
Did you try naturally this month? i.e. no fertility drugs? if so, your body would only produce ONE egg from ONE side, so what she says makes absolutely no sense.
I did about 7 IUI's before we moved to IVF. Each time we did back-to-back IUI's, per my RE's suggestion. The problem with spacing them too far apart is that you can miss your window of opportunity, as washed sperm doesn't live as long inside your body as regular sperm. The point of doing back-to-back IUI's is for the doctor to monitor your bloodwork and follicle size to determine the exact 12 hour period in which you will ovulate, and to get spermies in there just before, and just after.
Personally I would consult with an RE- his or her job is SOLELY to get you pregnant whereas a midwife's responsibilities cover a whole slew of different areas above and beyond just conception. If you're going to go through the emotional roller coaster of IF, you may as well get the most for what you're putting yourself through. And yes, most RE's are more aggressive because their singular goal is to get you pregnant, but remember, YOU are the patient and you dictate how fast or slow you will proceed. I remember the first time my RE suggested medicated IUI's - I flipped out, and her response was simply, look, I'm here to get you pregnant as quickly as possible. Your job is to tell me what you are and are not comfortable with and I'll work around that.
Good luck! 
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| Posted 6/1/09 9:32 PM |
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nferrandi
too excited for words
Member since 10/05 18538 total posts
Name:
Nicole
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
Posted by Bxgell2
Did you try naturally this month? i.e. no fertility drugs? if so, your body would only produce ONE egg from ONE side, so what she says makes absolutely no sense.
I did about 7 IUI's before we moved to IVF. Each time we did back-to-back IUI's, per my RE's suggestion. The problem with spacing them too far apart is that you can miss your window of opportunity, as washed sperm doesn't live as long inside your body as regular sperm. The point of doing back-to-back IUI's is for the doctor to monitor your bloodwork and follicle size to determine the exact 12 hour period in which you will ovulate, and to get spermies in there just before, and just after.
Personally I would consult with an RE- his or her job is SOLELY to get you pregnant whereas a midwife's responsibilities cover a whole slew of different areas above and beyond just conception. If you're going to go through the emotional roller coaster of IF, you may as well get the most for what you're putting yourself through. And yes, most RE's are more aggressive because their singular goal is to get you pregnant, but remember, YOU are the patient and you dictate how fast or slow you will proceed. I remember the first time my RE suggested medicated IUI's - I flipped out, and her response was simply, look, I'm here to get you pregnant as quickly as possible. Your job is to tell me what you are and are not comfortable with and I'll work around that.
Good luck!
Yes, we're trying completely naturally this month- no drugs, no trigger. I know what you're saying about the eggs, but this is what I was told by the tech (who is a close friend of mine) as well as the midwife. Maybe this is a "twins" month for me?
And you're right about the Dr. thing. I think I'm going to have to switch over. The main goal is for me to get pregnant, and whoever can get me there fastest is who I need to go with. The funny thing is, I had the same response when DH's fertility Dr. started talking about all of this and his response was the same, "we can take this at your own pace." I wish he was my Dr!
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| Posted 6/1/09 9:48 PM |
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sasha96
lovin' my 2 little ladies!
Member since 5/05 7401 total posts
Name:
Julianne
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
maybe you should ask for the midwife and RE to speak and then consult with one of them as a follow-up. You can take it from there with deciding how to proceed (i.e. primarily going to one for now...RE IMO).
Message edited 6/2/2009 1:31:33 PM.
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| Posted 6/2/09 8:12 AM |
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spooks
So in love!
Member since 6/06 4378 total posts
Name:
Sarah
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
I agree with PP that you should consult with an RE. As others said if they do two it is usually back to back and the trigger shot (if that's what he was referring to) would be before not after, since that makes you ovulate. Complete this cycle and talk to them about your concerns and/or look for an RE if needed. Best of luck to you
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| Posted 6/2/09 8:42 AM |
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JennyPenny
?
Member since 1/08 12702 total posts
Name:
Jen
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
Posted by Bxgell2
Personally I would consult with an RE- his or her job is SOLELY to get you pregnant whereas a midwife's responsibilities cover a whole slew of different areas above and beyond just conception. If you're going to go through the emotional roller coaster of IF, you may as well get the most for what you're putting yourself through. And yes, most RE's are more aggressive because their singular goal is to get you pregnant, but remember, YOU are the patient and you dictate how fast or slow you will proceed. I remember the first time my RE suggested medicated IUI's - I flipped out, and her response was simply, look, I'm here to get you pregnant as quickly as possible. Your job is to tell me what you are and are not comfortable with and I'll work around that.
Good luck!
I completely agree. You should definitely be seeing an RE.
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| Posted 6/2/09 8:45 AM |
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maybeamommy
Blessed beyond belief
Member since 10/07 17048 total posts
Name:
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
Posted by JennyPenny
Posted by Bxgell2
Personally I would consult with an RE- his or her job is SOLELY to get you pregnant whereas a midwife's responsibilities cover a whole slew of different areas above and beyond just conception. If you're going to go through the emotional roller coaster of IF, you may as well get the most for what you're putting yourself through. And yes, most RE's are more aggressive because their singular goal is to get you pregnant, but remember, YOU are the patient and you dictate how fast or slow you will proceed. I remember the first time my RE suggested medicated IUI's - I flipped out, and her response was simply, look, I'm here to get you pregnant as quickly as possible. Your job is to tell me what you are and are not comfortable with and I'll work around that.
Good luck!
I completely agree. You should definitely be seeing an RE.
ITA with everyone!
It doesn't really make sense to do anything other than back-to-back IUIs so that you get in that window of ovulation. I would definitely see an RE since they are most knowledgeable when it comes to GETTING people pregnant.
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| Posted 6/2/09 10:32 AM |
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nycgirl
Angels!
Member since 3/09 7721 total posts
Name:
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Re: 1 IUI down, 1 more to go- and a bit of confusion/vent
We are at your point (soon)...I've had a US, will have blood work as soon as my darn AF comes & HSG. I sopke about the plan with my RE...who will titrate it according to my aggresiveness & my schedule (I have a lighter work schedule...so we will up whatever we are doing at that time).
He said:
1. CD 3 comes; Blood work. (I've been ovulating fine...hopefully it'll be OK) & hubby gives sperm for SA (or before). Start Clomid.
2. CD5 or 6ish: HSG
3. Ovulation: IUI here. Triggered vs not.
Next moth: same
Next month: Maybe IVF. Maybe more triggered IUI. We have to see depending on insurance & hubbys sperm.
Point is: I'm sure there are lots of ways to do things...you sound uncertain...so if you want to go for it full force: go see someone else.
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| Posted 6/3/09 9:45 AM |
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