I will start my post like everyone else: I have been lurking for months and have never posted on a board in my life, but I swore I would when I got a BFP! All of the stories on this website were invaluable in this frustrating and scary infertility process. I finally got my official BFP at 13 DPO, in my fourth IUI cycle (the first IUI using injectables). Before getting into my BFP cycle, here’s a little history—it was so helpful reading about similar cases when I was constantly googling around for “people like me” who had succeeded. I am 33, as is DH. I am healthy and in good shape. I have always had irregular cycles, definitely not true PCOS according to all indicators, but somewhere on the PCOS/hypothalamic amenorrhea spectrum (likely caused by the 30 miles a week I was running!) I went off BCP in May 2011. I didn’t get my period until July 2011 (65-day cycle). I then started acupuncture once a week. In August 2011, we didn’t start trying, but we weren’t preventing; unfortunately, we totally missed the next time I ovulated in late August (a 56-day cycle). We then started getting more serious with OPK’s, etc. in October so that we didn’t miss another one of my rare ovulations (I highly recommend Clear Blue digital OPK, the 20-pack for $30 on Amazon). I didn’t ovulate again until late November, and we timed it perfectly, but BFN. I then went to my OB/GYN in January 2012 for two monitored Clomid/timed intercourse cycles, before moving on to an RE in March 2012 and getting more serious. Below is a (long) summary of my 7 cycles of trying, with more specific details about the final cycle that worked.
Clomid/timed intercourse round 1: lowest dose of Clomid (50 mg) for 5 days, started mid-cycle with no withdrawal bleed first. Triggered a mature 20mm follicle on “day 10” with 6mm lining on trigger day. Timed intercourse (with Pre-Seed) day of trigger and next day: BFN.
Clomid/timed intercourse (disastrous) round 2: started 50mg of Clomid on CD2 for 5 days. No mature follicles at CD9 scan, so 100mg for 3 days; still nothing ready, so 150mg for 3 days. Finally ready to trigger an 18mm follicle (also had a 16mm) on CD 27! Lining killed by so much Clomid, only 3.8mm at trigger. Timed intercourse day of trigger and day after: BFN.
March 2012, on to the RE for all the testing! Discovered TSH level of 3 (needs to be under 2.5). Started 25mg of Levothyroxine every day to get thyroid under control (thereafter TSH was around 1-1.5 at the start of every subsequent cycle). Good day 3 FSH numbers (usually in the 5’s and 6’s on CD2 or 3). DH’s numbers all good except morphology, which was only 3% (4% is the lowest range of normal). Tubes clear in HSG, but discovered that I have an arcuate uterus (confirmed by MRI). Told arcuate (heart-shaped) is a normal variant. Of course, I worried about my uterus and DH’s morphology, despite RE saying not to worry!
First Femara/IUI cycle in April 2012: 5mg of Femara. 2 mature follicles (they were 27mm and 24mm right before my IUI) that ovulated on their own on CD14 or 15 without a trigger shot. 9mm lining on the day of IUI (no word if triple striped). Back-to-back IUI’s on the morning OPK turned positive (CD14) and morning after (CD15). 20m post-wash sperm count for first IUI and 10m post-wash for second IUI: BFN! As with all the IUI’s below, we also BD’ed the night of the IUI and the morning after.
Second Femara/IUI cycle in May 2012: 7.5mg of Femara. 2 mature follicles (20mm and 22mm right before my IUI) that ovulated on CD 16 on their own without a trigger shot. 6.5mm lining on the day of IUI (triple striped). One IUI day after OPK turned positive. A measly 3.9m sperm post-wash: BFN (obviously). *Here I learned that I should not BD every other day from CD10 until the day of the IUI (not sure why I decided to do so). I had depleted DH!*
At this point, I started incorporating my “eastern medicine tricks” into the routine. I changed acupuncturists and started going 2x a week (prior acupuncturist was kind of negative about western treatments and my chances b/c of my thinner lining. Goodbye, negativity!) Also started fertility yoga 1 time a week and doing the yoga “legs up against the wall” every night for 15 minutes (trying to direct blood flow to uterus for thicker lining). Occasionally had red raspberry leaf tea in follicular phase and ate a lot of strawberries for my lining (acupuncturist’s advice). I did more elliptical than my 3-mile jogs.