So, DH and I are getting back into the "fertility treatment saddle" so to speak. I saw our RE yesterday and he wants to get aggressive and get us pregnant.
I have in hand a prescription for a new protocol to try (I am a bit of a poor responder to meds). This time we are doing an "overlap protocol" with the meds, combined with IUI and trigger. I take femara from CD 3 for 5 days, but on CD6 I start with small doses of Gonal F. Then when I have 2-4 follicles, we trigger, then IUI 36 hours later.
Also, as you may know I have chronic low iron issues, specifically with my iron stores (ferritin). I was on high doses of one iron supplement recommended by hematologists for 3 months, but unfortunately my ferritin only went up from 7ug to 9ug. It should be over 40ug to be healthy and with the one I was on, it should have worked.
It could be heavy periods as the cause for low iron. Recently I started using a menstrual cup (Diva cup) and measured out my blood loss for a cycle (the cup has measurements on the side). I was surprised to see it was close to 250ml per cycle (avg should be under 40ml). Anything over 80ml is considered a medical concern. My doctor is researching some fertility friendly options for me on this though, since the usual ones (the pill, IUD, anti-inflammatories) really aren't an option at this time if I am TTC.
However, recently I found out that my sister (who had the same iron issues) was diagnosed with celiac disease. She only had the blood test, not the biopsy though. But as soon as she stopped gluten, her iron went up.
So, I mentioned this to my RE and he suggested I go off gluten asap, and don't worry about getting tested for now (since it would take months here to get the test)! So, as of today, I'm gluten free. It's really just a trial for a few months (maybe 6 or so) to see if it can help me get pregnant. If it does, I will stay that way and worry about getting tested after I have a baby. To get the test in the future, I would have to go back on gluten for a while for the test to be valid.
So, AF is due this weekend (but I weirdly have NO symptoms of AF yet which is making me nuts!), I call the clinic and start it all on CD 3 which should be next week. I have NO idea how I'm going to get all these clinic appointments figured out though, since DH changed his job and needs the car always. This new clinic is easy to get to, but will be hard for me to get to work after via bus.
That would be great if the gluten thing is your iron fix! Not that gluten free is necessarily easy to do - but from what I hear from friends, it is a healthier way to be regardless, so if it helps all around, even better!
Good luck with this cycle!
Oh I'm so excited for you!! You have plans! And aggresive plans!!
I hope that it works for you!
(and holy crap!!! 250 mLs??? I've played with tom's lab equipment enough to know that sounds like a ton!! Yikes!)
Wow that is a crazy amount of bleeding! I hope that going gluten free helps with your iron levels. And ultimately helps you conceive! Best wishes!!
So happy to hear you have a plan! I bleed very heavily too and I have never hear of that test. That's crazy that after all these years of me complaining about heavy periods that has never been brought up!!
You know they say gluten is terrible... you never know. So I wish you the best and hopefully this works out for you!!!
Yay to a plan!!!!
So exciting to be on the train again eh!!!
I so hope this will be it!!
I think your journey has been quite long enough now!!!!!!!
Keeping everything crossed for you!!!
Keep us posted love!!!
Oh my gosh, sounds like you have a challenge and you're more than ready to meet it!!!!
I'm excited to hear how things go for you... I know several women whose gluten free diet made all the difference in the world for them as to successfully TTC - I hope such is the case for YOU!!!!!!!!
let us know how things continue to progress!!!
Thank you everyone for the good wishes! So far 1 week of gluten free. I'm DYING! Ok, not really but I didn't realize how much quick/fast food I was eating! I've been so lazy in the kitchen! I also didn't realize how much I relied on carbs, pasta, and bread products! It's shocking! So yeah...I'm finding it a little hard to flip that around but I've managed a week so far. Making lunches and breakfast I'm finding is the hardest because my iron is so low I'm exhausted in the morning. Oh well.
As per my doctor, I took Naproxen (US- Aleve) all during AF this cycle. I tool one in the morning, and one at night. It's an anti-inflammatory and it helps reduce bleeding by up to 50% and the bonus is it's a pain reliever! In all I think it definitely helped with AF bleeding, maybe not 50% less but maybe 30%! Plus, it reduces clots so I didn't have many of those at all (which I think is what causes lots of cramps during AF as they pass the cervix). All in all, very good. She said as long as I stop on CD 7 it shouldn't affect ovulation (which some anti-inflammatories can).
I had my CD 9 ultrasound this morning. 3 follies on the left (12mm, 10mm, 10mm) and a 12mm on the right. Plus lots of 8mm ones. They are happy with the 4 larger ones as that's the max they want me to have. Yay! More Gonal F tonight and back on Monday. IUI should be next Wednesday or Thursday.... hoping for Thursday as I have that day off, but if they can grow 2mm a day, it could be Wednesday...