IVF Cycle After Miscarriage
Posted: Mon Dec 29, 2014 11:21 am
I have heard a variety of advice regarding how long to wait after a miscarriage before trying again. From what I've read, it is safe to try again right away, but what exactly does that mean? Do I wait for my period and start there as CD1, or can I start even before that?
Here are my details:
*I am a gestational surrogate
*I did and will be doing a FET (one PGS tested 5 or 6 day embryo) - so don't need to ovulate or worry about egg retrieval
*Miscarriage was believed to happen at 7w1d (12/20) - complete and natural (found no baby on US at what would have been 8 weeks, on 12/26)
*Beta hCG labs done on Sunday 12/28 (1 week and 1 day after m/c) and hCG level was 47
*Very light spotting for two or three days and have currently had no spotting for about two days
*I am feeling fine, physically. It was not a very painful miscarriage - I didn't even know it was a miscarriage when it happened. Emotionally, I am ready to try again. I am one of those who feels like waiting is wasting time and, although our lost baby is grieved, we don't want to delay (the intended parents and I both want to try again as soon as it is safe).
*Medication first round was estrogen starting at CD1, 2mg orally 3x/day; baby aspirin starting at CD1, 81mg orally 1x/day; progesterone starting at CD14, 400mg vaginally (suppositories) 2x/day. Meds will probably be similar next time, except that I am going to try to get switched to PIO shots instead of the suppositories, as I worry low progesterone may have contributed to the m/c (levels were 11.9 at 5w3d and, although I know the blood test doesn't pick up the numbers well when you use progesterone suppositories, it's the only thing that stands out as being off in this pregnancy, and I would rather be safe than sorry)
So, since I'll be doing another FET, and don't need to ovulate or worry about egg retrieval, do I need to wait for my next period, or can I just wait for my hCG to drop to zero and then start meds? I will, of course, be talking to our IVF clinic, as well. However, they are closed for the holidays. Also, I like to get as much information as I can from many sources, so that I can feel like I am making the best informed decision that I can.
Thank you so much for your time.
Here are my details:
*I am a gestational surrogate
*I did and will be doing a FET (one PGS tested 5 or 6 day embryo) - so don't need to ovulate or worry about egg retrieval
*Miscarriage was believed to happen at 7w1d (12/20) - complete and natural (found no baby on US at what would have been 8 weeks, on 12/26)
*Beta hCG labs done on Sunday 12/28 (1 week and 1 day after m/c) and hCG level was 47
*Very light spotting for two or three days and have currently had no spotting for about two days
*I am feeling fine, physically. It was not a very painful miscarriage - I didn't even know it was a miscarriage when it happened. Emotionally, I am ready to try again. I am one of those who feels like waiting is wasting time and, although our lost baby is grieved, we don't want to delay (the intended parents and I both want to try again as soon as it is safe).
*Medication first round was estrogen starting at CD1, 2mg orally 3x/day; baby aspirin starting at CD1, 81mg orally 1x/day; progesterone starting at CD14, 400mg vaginally (suppositories) 2x/day. Meds will probably be similar next time, except that I am going to try to get switched to PIO shots instead of the suppositories, as I worry low progesterone may have contributed to the m/c (levels were 11.9 at 5w3d and, although I know the blood test doesn't pick up the numbers well when you use progesterone suppositories, it's the only thing that stands out as being off in this pregnancy, and I would rather be safe than sorry)
So, since I'll be doing another FET, and don't need to ovulate or worry about egg retrieval, do I need to wait for my next period, or can I just wait for my hCG to drop to zero and then start meds? I will, of course, be talking to our IVF clinic, as well. However, they are closed for the holidays. Also, I like to get as much information as I can from many sources, so that I can feel like I am making the best informed decision that I can.
Thank you so much for your time.