First time Femara tonight!

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First time Femara tonight!

Postby TUA88481 » Wed Jan 14, 2015 3:21 pm

Hello! My name is Andrea and I am pretty new to this, although it feels like I have been trying forever already. I have been reading so many TTC stories especially about women with pcos, because that's me as well. So I figured it's time to post my own story and see if anyone has anything they can relate to, or anything to say about my situation.
I am 25 and just married 3 months ago. We knew we wanted to start TTC right away, and because I was diagnosed with pcos 10 years ago, I knew I might have some difficulty. I was on the pill for 10 years and had normal cycles, and since I've been off the pill, my cycles have been very close to normal (28 days) with the exception of a 37 day cycle last month. I fully expected for that cycle to be followed by an even longer one, but to my surprise, I had a 28 day cycle again!
I have been using OPKs, and last month I had 2 surges with a clear blue advance, but a conflicting result and no 2nd surge with a cheapie opk. If you're wondering why I used 2 different brands and why I continued testing after my first surge, The answer is bc I'm nuts and completely obsessing about my cycle. And also, my bbt chart did not show a shift after my lh surge, so I figured I didn't ovulate, and might actually ovulate later in my cycle.
Anyway, i was referred to a fertility specialist as soon as I started TTC because of my previous diagnosis of pcos. It had been so long that I was on bc pills and had my levels checked, so I was very anxious to see what my bloods would show. My ultrasound showed classic pcos ovaries. However, my levels were all within normal! (Testosterone was through the roof when I was 15 and initially diagnosed) Probably because at the time it had only been about A month and a half since I had gone off the pill.
Wow it feels good to write this all out. So here I am today, about to start my first cycle of letrozole (Femara) because my bbt chart did not show clear ovulation last cycle, despite 2 lh surges. I am starting with 2.5 mg cd 4-9. I am so hopeful, as I have read many success stories about pcos and Femara. after dh's normal semen analysis, I'm so relieved that that's is one less thing to worry about.
I know that most of the time, Femara is used along with monitoring and iui, but I suppose my dr. Figured that since my levels are still normal, dh is normal, and my cycles aren't too wacky, I might be ok without the monitoring. I just hope I don't make too many follicles. That could be bad, and probably a good reason to be monitored. I might mention it to my dr. If I don't get my bfp this cycle.
Dh is extremely busy with work especially this time of year, and works a lot of 16 hour days, so I'm really hoping he is around enough for us to get in some crucial bd'ing at the right time!!!
I feel extremely lucky that I was diagnosed a long time ago, and didn't have to wait several months before a specialist would see me and prescribe something to get things moving. I know some women try for up to a year before their doctors will discuss fertility treatments with them. Because of my current work situation, I have 20 months left with my job, and I'm feeling desperate to get my bfp while I continue to bring in a steady income. But that's a whole different story!!
Sorry for rambling, but I find it interesting to read everyone else's life stories, so I though maybe some of you ladies might be equally as interested in mine! Lol. Either way. It's a wonderful feeling to finally be writing it all down.
Lots of sticky baby dust to all of you!!!
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
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Re: First time Femara tonight!

Postby TUA88481 » Thu Jan 15, 2015 10:47 am

Ps: I would love to hear from anyone who is TTC! I have spent hours just reading other women's stories and struggles, and it's just nice to have someone to relate to. So anyone, please comment, and/or tell me what you have been going through whether it is similar to me, or entirely different. I keep coming across the same letrozole and pcos stories over and over when I am googling new stuff to read. It's time for me to start interacting with people who are going through this currently, rather than reading stories from old posts of various websites, up to 5 years ago.
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Joined: Wed Jan 14, 2015 8:06 am

Re: First time Femara tonight!

Postby Jzscott » Fri Jan 16, 2015 11:11 am

Hi Andrea, I'm sorry you're going through trouble with TTC. I got married in September 2013 and a few months before that I found out I had either a bicornuate or septate uterus. I've also had long irregular cycles since my period started in 6th grade. I figured I would get myself checked out just to make sure everything was okay to have children. Because of that news we decided to TTC right away. Fast forward over a year and we have managed to conceive once just to have a miscarriage shortly after. I've just recently been prescribed metformin and Clomid and I'm just waiting on AF to come to start the Clomid. I don't have pcos but because my periods are so irregular my doctor thinks that Metformin will help regulate it a bit. We are hoping for an October/November baby! I'd love to keep in contact to give you encouragement during this tough time! Let me know how femara works for you. Hopefully this month will be your BFP!
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Re: First time Femara tonight!

Postby TUA88481 » Fri Jan 16, 2015 12:09 pm

I am so sorry to hear about your recent loss. I can't imagine what that must be like. I'm beginning to understand it's much more common that I had thought before starting this whole process and reading so many stories. I have now realized it is a huge part of the process for many of us who may not have it as easy when it comes to fertility. But that doesn't make it any easier. It sounds like you've got a great plan going for further attempts. Did you conceive natural the last time? I think the metformin and clomid will certainly help, not only to get your bfp but, also to keep the pregnancy going!

My periods were also very irregular when they first started about 12 years ago. I was getting one about every 3 months, which is what led to my bloodwork confirming pcos. My hormones were allll over the place. BC pills regulated me perfectly for 10 years, but im now noticing symptoms that my hormones may be getting wacky again. With pcos, the longer I wait after stopping the pill, the more irregular my hormones will become. I'm aware that there may be a long road ahead!

An October/November baby would be ideal for me too! I hope you see AF soon! I know if she takes too long to show, you could possibly start the medication that will induce it!? I forget the name of it. But You probably already knew that.

For us, the advantage that we have is that we are young and both knew we may have trouble before we started TTC! That actually makes us pretty lucky when you think about some women who think TTC will be no problem, so they start in their mid 30s only to find out after a year of trying that they need major help!

I would love to keep in contact. Let's hope you see AF soon, and I see ovulation!!
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Joined: Wed Jan 14, 2015 8:06 am

Re: First time Femara tonight!

Postby Jzscott » Fri Jan 16, 2015 3:31 pm

It sounds like we have pretty similar AF's. Except mine have never been shorter than 45 days. Mine seem to come every 2 months and sometimes every 4 months. When I was younger and asked doctors about it they told me that my cycle was still trying to regulate itself and not to worry. I've never been able to take BC because I have a blood clotting disorder (factor V) and it can cause blod clots.

I did conceive naturally the first time. I had my longest cycle yet (108 days) and refused to believe it could have been due to pregnancy. I started feeling pms symptoms about 3 weeks before I finally tested on a digital. I started bleeding a few days later and by the time I got to the doctor for my HCG test I was already at an 11 and then down to "less than 1" whatever that means a week later. I'm very confused how I conceived because of having such a long cycle but I'm glad to know I can get pregnant. I'm just sad I didn't test sooner and I didn't even know how far along I was because of my wacky cycle.

If AF doesn't arrive by the end of next week my doctor says to call and he will prescribe provera to start my period. The downside to that is I'll have to wait another 10 days on the pill and however long after that to actually start Clomid. He sounds pretty confident that it will work within the first 3 cycles but having read so many stories I'm not so positive. He did say that if it looks like Clomid isn't working for me when monitoring my first round he will switch me to femara (letrozole). So maybe that will work!

We are lucky that we are still young and already know we have trouble conceiving! I'm glad we didn't wait any longer. I'd love to have 4-5 kids but right now I'm praying for just one sticky little bean!

Here's to getting AF and ovulating!
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Re: First time Femara tonight!

Postby TUA88481 » Fri Jan 16, 2015 5:13 pm

Wow, that's crazy you had no idea you were pregnant. That just goes to show anything can happen! That must be reassuring to know you can conceive though! I don't know how true this is, but I have heard that a woman's is more likely to conceive again shortly after a pregnancy or mc, so maybe your next cycle might just work!

Clomid and Femara seems to be very interchangeable. My Dr. Said she switches her patients from one to the other all the time. But hopefully we won't have to switch!

That's great that they will monitor you on the clomid. My dr. Didn't suggest monitoring me, which has got me a little worried. I have always wished there was a little window into my body so i could see exactly what's going on in there, and the monitoring is the closest thing to that!! I'm going to just have to rely on my bbt chart to tell me if I actually ovulated, and I know that can always be iffy. And my dr. Actually told me not to bother with bbt charting!! After leaving my appointment, I thought, "Then how the heck am I supposed to know if it worked!?" So I'm charting anyway. I'm also worried about over stimulating my ovaries, which is good reason to monitor.

As far as your monitoring goes, will they be measuring follicles before ovulation, and progesterone after?
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Joined: Wed Jan 14, 2015 8:06 am

Re: First time Femara tonight!

Postby Jzscott » Fri Jan 16, 2015 5:53 pm

I've also heard that you're more fertile after a miscarriage so maybe my first round of Clomid will be a success! *fingers crossed*

My doctor made it sound like femara and Clomid were different, saying that more people seem to have success with femara but Clomid has been around longer and is used more because of the familiarity with side effects and all. Who knows... I'm glad I'll be monitored for the first round just to see if it's actually doing anything. I don't chart and I have never used opks. I use a period tracker and have for the past 3 years to determine ovulation but because of differing cycles I know the statistics are off. Since you're not being monitored I would definitely keep charting! Are you able to request being monitored or do they just not offer it? If clomid doesn't work on my first round I'll be investing in some opks since I won't be monitored any further. I don't think I'll ever temp or check cervix. It sounds too complicated. I've thought many times about how I wish I could just look inside to see what's going on! Genius invention that would be!

I'll be taking clomid days 5-9. On cycle day 3 I'll go in for labs to check progesterone. More lab work on day 10. We're supposed to BD from days 11-16 (assuming ovulation day 14) Day 16 is an ultrasound to see how big my follicles are (if any) and then another lab on day 21. And then hopefully a BFP by day 28-32.

Has your doctor said anything about BDing every other day as opposed to every day? I'm not sure what we should do.
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Re: First time Femara tonight!

Postby TUA88481 » Fri Jan 16, 2015 6:22 pm

I didn't actually ask my dr. About how often we should bd. I always come up with a million questions to ask as soon as my appointment is over! But everything I have read says that as long as DH's semen analysis was normal, bd'ing every day is ok. It's when the man's analysis is lower than average, that bd'ing every other day is beneficial. At least that's what I've read.

I was under the impression that clomid and Femara were quite similar, but yes clomid has been around much longer. Femara is actually a breast cancer drug and is used off market for fertility, so some doctors aren't comfortable with it. My dr. literally said, "Do some research, find out what would cost you less, decide what you'd rather take, and let us know. Then we will fill the prescription for you."! So yea, she left it up to me. That seems kind of crazy now that I think about it.

I totally should have requested to be monitored! I didn't realize that clomid/Femara and monitoring pretty much go hand in hand, until after my appointment when I started researching like crazy. There is a chance it could cost me quite a lot of money to be monitored, and maybe that's why she didn't suggest it. Or maybe my doctor just isn't as thorough as she should be. I wouldn't mind paying for it! I think I'll request to be monitored if my first cycle doesn't work.

Your monitoring seems very thorough, that's great. But I always thought progesterone was checked after ovulation, and follicles were checked before? I think I've still got a lot to learn!!

As far as charting it's sooo easy. I was intimidated by it for my first month, but then I decided to start on my 2nd cycle, and all you do it take your temp at the same time every morning before getting out of bed! It won't really work for women with irregular sleeping habits, because the amount of sleep you get at a time plays a big part. But I sleep the same amount each night, and on weekends when I can sleep later, I still set my alarm and take my temp at 5am, and then go back to sleep. And checking my cervix has never told me anything. It could feel one way in the morning, and then completely different later the same day. I have failed to notice any pattern when checking it. If you need to start OPKs next month (hopefully there will be no need!!) you should definitely chart your bbt, because as I'm sure you know, OPKs only confirm lh surge, and can't confirm ovulation.
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Joined: Wed Jan 14, 2015 8:06 am

Re: First time Femara tonight!

Postby Jzscott » Fri Jan 16, 2015 11:00 pm

Thats nice that your doctor let you make the decision on what you'd like to use, femara or Clomid. Mine said we'd start with Clomid and use femara if it didn't work. At the same time, she should know what she's doing and give a little more guidance. I wrote a list and brought it to the doctor. I was already shaken up about a miscarriage and doctors are so rushed I didn't want to completely forget all my questions. I did forget to ask about BDing everyday or every other day though. He made it sound like everyday was best.

I was actually a little bit confused about the monitoring. I thought it was days 7 and 21 for progesterone checks so I looked it up to see why I would need blood work on cycle days 3 and 10 and apparently it's an FSH test to determine if my ovaries are working. I found this article: http://www.givf.com/fertility/clomidchallengetest.shtml and I'm actually very excited (and nervous) to see if my ovaries are working correctly. Although my doctor didn't say anything about FSH that I can remember. Then I guess the ultrasound on day 16 is to see if I ovulated and progesterone on day 21. You should find out about the monitoring. Maybe you could call your insurance to see if they cover it and if not what it might cost.

I think temping would be very hard for me because I wake up at different times all the time. I'm amazed at how people are able to keep track of it. I would love to give it a try if nothing else seems to work. I'm sure it's very nice knowing when you've ovulated so you can wait then start taking HPTs without having to worry if you've bd the right days. I always just guess and try to figure out if the pain I felt was ovulation, implantation or nothing.
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Re: First time Femara tonight!

Postby TUA88481 » Sat Jan 17, 2015 6:20 am

Ohh yes, I've heard of FSH. That makes sense. I have a feeling that your ovaries will be fine, considering you were able to get a bfp naturally, and being on the clomid. My fingers are crossed for you!

My last appointment I went to, I brought my mom with me because she likes to ask questions too, but we both screwed up. My biggest mistake was not doing enough research before going to my appointment. I've started writing things down for the next time.

I think I will call and find out about my insurance coverage. I just got a bill for $350.00 for all of my blood work, so I'm thinking it won't be covered, but we'll see.

So last night I took my 3rd Femara, and I woke up with a headache. And a one yesterday morning too. But if that's the worst of the side affects, I think I can manage!

Happy Saturday, I hope you have a nice day!!
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Joined: Wed Jan 14, 2015 8:06 am

Re: First time Femara tonight!

Postby Jzscott » Sat Jan 17, 2015 8:55 pm

I'm glad you have a supportive mom willing to come with you. That must be a big help having someone to talk to. I'm sorry you weren't able to ask all your questions. That's a lot of money for some blood work. I hope it's not too much to be able to be monitored. How is charting working out for you? Headaches as your only side effect is not bad! I hope that will be the worst of it :) I'm so anxious to start clomid. I just wish AF would show up. I hope you've enjoyed your Saturday!
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Re: First time Femara tonight!

Postby TUA88481 » Sun Jan 18, 2015 7:05 am

Charting has been fine, all low temps so far. I was a bit worried yesterday, bc my opk was close to positive, and I didn't want to ovulate too early since I'm still taking the Femara, and conception while taking the pills can be dangerous. I also need some time to build up my lining since AF just ended. But today, my opk was lighter than yesterday, so that's good. Ideally I won't ovulate until late next week.

I hope AF comes for you really soon!! Waiting is so hard! Do you usually get symptoms leading up to it? Are you noticing anything?
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Joined: Wed Jan 14, 2015 8:06 am

Re: First time Femara tonight!

Postby Jzscott » Sun Jan 18, 2015 12:18 pm

I'm glad to hear opking is going well for you. It's strange how the lines can be so hard to understand. Hopefully you'll ovulate when you're supposed to, not too early and not too late!

Looks like I may be a lot further behind than I would like to be. Waiting for AF really is the worst. I go months waiting for her to show up and since the last time I had AF was December 19 my body is nowhere near ready to start again. I'm worried that even if I start provera that it won't start my period because it's too soon. I've only taken provera once and it was because I was on cycle day 90... And it took me 5 days after the last pill to start. And my periods are always very light and short. I'm wondering if my lining just doesn't build up or something. I was hoping Metformin might kick start a period.

Normally I start getting pms two weeks before AF starts. But right now I feel nothing. Guess I'm gonna call Monday and see if I can get provera.

Have you ever taken provera or do you normally get AF naturally?
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Re: First time Femara tonight!

Postby TUA88481 » Sun Jan 18, 2015 3:19 pm

I've never taken provera. My longest cycle in ten years has been 37 days and that was 2 cycles ago. The only reason I had totally normal cycles for 10 years was bc of birth control pills, but my dr. And I are both convinced that my cycles would eventually become much longer, the longer I'm off the pill. It's only been 3 months since going off of the pill, so I'm still pretty regular. But like I said at the beginning, my cycles were always about 90 days before I started the pill at age 14.

Did you ever wonder if you might just ovulate before AF comes!? I wouldn't totally rule that out, unless your dr. Specifically said no way. You never know!! I'm so sorry the waiting is driving you crazy. I can imagine!! I think the provera will work though!!! When did they say they would start the provera?

Oh and I'm sure they could check your lining with all of the monitoring you are having done! Then you can find out for sure if you are not building it up enough.

I'm really hoping this waiting will be over for you soon!!
Me-25
DH-34
Married October 2014
TTC #1 since November 2014
Jan. 14th- Starting femera(letrozole) for PCOS and no ovulation
Feb. 12-BFP!!!

My chart:
http://www.fertilityfriend.com/home/576889
TUA88481
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Re: First time Femara tonight!

Postby Jzscott » Sun Jan 18, 2015 5:23 pm

My doctor hasn't said anything about my ovulation. You think that would mean I have a short luteal phase? It would make sense since I always get pms two weeks before starting AF. I just didn't think I could possibly be ovulating with a cycle that long. My doctor said to call this week sometime if AF hasn't come yet and he will prescribe provera. He didn't do it to begin with because he was confident it would come by the 18th or 19th and he thought it would just be a waste of money. I was hoping it would so I wouldn't have to wait an extra 10+ days to start AF and then wait another 5 to start Clomid but looks like I will have to do provera. I'll call tomorrow or Tuesday if it hasn't started and take it immediately. Just want to get everything started!!

How many days left of femara do you have left? You'll probably be ovulating and getting your BFP before ive even gotten AF!
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