Got the green light, BUT ...

[Guest guest]

Hi, everyone.

I just thought I'd send an update. I haven't posted much recently,

because I've been digesting the info I got from my recent visit to the

doctor (last Friday).

OK. I had an office hysteroscopy Friday, for a post-op check on my

uterus. (Operative hysteroscopy #2 was in May and I got my first

period in AGES a couple weeks ago.) Apparently, I have only a tiny

bit of scarring left and the Dr thinks it's absolutely best to leave

it there and start ttc. Having consulted with Dr. Isaacson about my

condition, I know that he would agree, so I'm comfortable with this.

The bad news: thin lining (4mm mid-cycle; don't know if it's triple

line pattern) and high FSH. My FSH shot up from a nice 6.5 on CD3 in

November (the month before I got AS) to 16.5 on CD3 now. It's the 2nd

test. post-Ashermans, where it's been high. QUESTION: both post-AS

times my FSH was tested, I'd just gone off the Premarin/Provera. The

RE said he thinks we should be getting a valid reading, but the jump

is so enormous! I'm " only " 35. Has anyone else had FSH tests just

after these hormones??

Anyway, I've been signed up for a couple cycles of ovulation induction

w/ IUI, then I'll go to IVF. I'm scared of all the shots! My RE said

he'd go straight for IVF if he could, but he can't. Insurance

reasons, I believe. The insurance companies require an attempt with

IUI before they'll pay for IVF. (At least here in Massachusetts, our

insurance has to cover these treatments.) I feel like the IUIs will

end up being a waste of precious time.

I know I should be thrilled that I'm not needing more surgery, but I

feel so discouraged because of everything else. The thin lining and

the high FSH. Has anyone had high FSH and still carried a pregnancy

to a living child?

Kim K

[Guest guest]

Good for you that your "nearly" clear and ready to ttc. The shots are really not a big deal. I'd give them to myself in the abdomen--only 1/2 inch needle for the FSH. My husband would give me the HCG(trigger) shot in the hip. It will be therapeutic for you hormonally though. It will straighten out your FSH levels and supply lots of additional estrogens to prime your lining. So it is by no means a waste of time. Maybe you'll even get pg right away and not even have to worry about IVF!!! I got pg the 2nd round of shots but had to take a break between them because I developed cysts(very common). My lining was also 4mm w/o additional meds. and got to 6.5 w/Gonal-F and vaginal & oral estrogen. Good Luck!!!

cheryl

Get your FREE download of MSN Explorer at http://explorer.msn.com

[Guest guest]

Hi Kim,

Yes, I had high FSH and got pregnant with IVF and carried to term. But, this was before Ashermans and I am in your shoes with the poor mid-cycle lining I am afraid. There are ways to try to improve this and you may respond....but be prepared. I am dealing with the thought of losing time to my ovaries as I deal with lining issues. I am giving this IVF a last chance and then we go to surrogacy. I don't have time to be trying IVF after IVF. I am almost 40.

The FSH hormones may help build your lining. When you try IUI ask for a higher dose of FSH. Ask for an IVF dose of FSH (6 ampules at least). You may get better lining and you may have a better chance of one of the embies sticking. Incidently, what were your estradiol levels at Day 3 when you had your FSH checked?

One thing you do have in your favor is that you are 35. As you approach 40 and beyond there are 2 factors that contribute to infertility. One is FSH and hormone levels and the other is simply the egg quality gets worse with age. It seems that eggs in women 40 or more have very fragile eggs and this phenomena is separate from Day 2 FSH levels. The fact that you are 35 is better than if you were 40. So your eggs won't be as fragile.

There are many ways to try to improve your lining. What I wouldn't do is use estrogen while on IVF because this may be helpful to some women, if you have high Day 3 FSH you may need better quality embryos and estrogen plus FSH injections during IVF don't help embryo quality. We can talk about this stuff later when you are starting to go through it. Anyway, I thought I'd give you my 2 cents.