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  1. #501
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    @Moc24 and @gorgeousgeorge - great explaining!
    @purpleowl - the ladies are right. I had Dr M for immune so I followed his protocol plus The progynova according to Dr N. Everything will be ok

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  3. #502
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    Quote Originally Posted by Monty73 View Post
    @purpleowl I had a scan on the cycle before to check the lining, ovaries etc with my Dr here. Then for the FET cycle Dr N asked me to have a scan on day 11 or 12, then the report is written up and emailed to him. He can then advise if any changes are required with the progynova. It really depends how long you plan on staying in Athens as he can do the scans there if you are there on day 11 of your cycle. The first time I went I was there for two weeks so Dr N done everything. The second time I was only there for 4 days so I had a scan here. I’m planning on going in March again for 3/4 nights so I’ll have a scan here on day 11/12. I will have intrallipids approx one week before transfer.
    He says 15 days in Athens, so I assume he’d do appt the monitoring? What cycle day do you typically fly out if it’s your first de? Do you wait for your period then the day it shows book flights with only a few days notice? Keeping in mind I can’t take the quickest flights, I’ll take longer to get there with it broken up with 2 stops cause I freak out flying. I probably need to allow 2 days for travel.

  4. #503
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    Quote Originally Posted by Moc24 View Post
    Usually you would take the pill for a month then stop to have your period. On day 2 of your period have a scan with your fs or any ultrasound clinic who specialises in women/fertility. If your lining is nice and thin start your progenova/estrogen, book your flights at this stage to be there for transfer around day 18-21 (you can go earlier if you want).
    Have another scan around day 8-10 to confirm lining is thickening nicely then head off to Greece.
    This is what I did with frozen embryos waiting for me although my clinic down regulated me as well.

    Just decide on a month to go and hope your body does what it should. If it doesn’t just try for the next month.

    You don’t need to use an fs as king as you have a gp who can write you scripts and give you ultrasound referrals. You certainly dont need your fs to speak to your Greek clinic, they will tell you when to start meds.

    It really is very easy, even easier when your doing a frozen transfer.
    I’m going for 15 days so I think I need FS there to do all the monitoring for me. I need to be there at least 7 days before transfer for intralipids, plus allow 2 days for flights.

  5. #504
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    Quote Originally Posted by Moc24 View Post
    @ purpleowl


    How will I know when to stop the pill?
    You can take the pill continuously and stop it whenever you are wanting to go to Greece.

    How soon after cd1 do I book flights?
    I always booked my flights after my scan on cycle day 2. So assuming I got my period and lining was nice and thin I would book my flights.

    How do I know the timing is right?
    If you get your period and your scan shows a thin lining on day 2 you are ready to start your progenova.

    What if I don’t ovulate while I’m there so we can’t time a transfer?
    Pretty sure it doesn’t matter if you ovulate or not, your lining is all that matters by this stage. You will start progesterone in Greece this will prepare your uterus for transfer.
    You have frozen embryos so there is no ‘timing’ as such.




    I hope this helps answer your questions.
    Please also see my above post to you.
    Ask away if you need more answers.
    Thank you for this. You’d think it’d be simple for me cause I’ve had so many FETs, but they all relied on a period and ovulation for timing.

    My other fear is ovulating early, then missing the 7 day pre-transfer intralipid window due to flying.

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  7. #505
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    Quote Originally Posted by gorgeousgeorge View Post
    @purpleowl just to add, you dont need to ovulate (you shouldn't ovulate for a transfer) The progynova will stop you from ovulating yourself and sustain your lining until you a ready for a transfer. So like Moc24 said, you take th pill for as long as you need then whenever you stop and get your period (which you will due to the drop in hormones from stopping the pill) that is day 1 of your cycle, then you start progynova on whatever day of that cycle the dr tells you to. This will get your lining to grow and stop you from accidentally ovulating. Then you take progesterone when dr tells you to start and this makes your lining receptive to recieving an embryo.
    So the taking of the pill for a while and then stopping it on a particular day is how you get your cycle to line up with the day you want to do your transfer.
    If that doesn't make sense lemme know and I'll try and explain it another way :-)
    Oh thank you so much, that makes sense now. Previously all my FETs have relied on me getting follicle scans, often triggering ovulation, 5 days later transfer, so the timing always has to be perfect. I didn’t realise progynova stops you from ovulating and you transfer once your lining is ready.

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  9. #506
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    Quote Originally Posted by gorgeousgeorge View Post
    @purpleowl Sorry for so many separate posts but im just reading back and responding...
    Don't wait and do nothing to see if you get a period because you wont know what day you might get your period ir whwther you will get one at all and therefore cant tell when you should be in Athens

    Taking the pill and then stopping will cause you to bleed/get a period a few days after you stop. So this is how you can ensure you WILL get a period on a particular day.

    So this is just an approximate exmple of timing (dr.n will give you exact sayes once you decide when you want to arrive).

    So, say i want to arrive in Athens on 20th of May.

    1st April Start pill
    28th April Stop pill
    30th April get period (because stopping the pill causes bleeding like a period a few days after you stop)
    30th April -First day of bleeding DAY 1 of cycle
    8th May- DAY 8 of cycle start progynova, keep taking progynova until 20th May when you arrive in Athens. (Taking progynova will sustain your lining for as long as you need)

    This is just an example and dr.n will tell you exact info once you've told him what date you plan to be in Athens.
    Thank you, that’s a great explanation. The FETs I’ve had were very different so it all got confusing. Thanks, I’ll work on dates with Dr N 👍.

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  11. #507
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    Quote Originally Posted by Phia View Post
    @Moc24 and @gorgeousgeorge - great explaining!
    @purpleowl - the ladies are right. I had Dr M for immune so I followed his protocol plus The progynova according to Dr N. Everything will be ok
    Out of curiosity, what did Dr M have you do for immune issues before you left?

  12. #508
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    Quote Originally Posted by purpleowl View Post
    Thank you for this. You’d think it’d be simple for me cause I’ve had so many FETs, but they all relied on a period and ovulation for timing.

    My other fear is ovulating early, then missing the 7 day pre-transfer intralipid window due to flying.
    Hi @purpleowl :-) its ok, you're welcome
    So yeah, instead of doing a natural cycle where they waiting for your period, then wait for you to ovulate, then wait for your body to make progesterone (which your body knows to make itself after ovulation), this time for DE ivf you will be doing a medicated FET, which means they will use the pill, progynova and progesterone meds to make all this happen on set days.

    Remember you wont ovulate at all because you will be taking active pill which stops ovulation and you will then take progynova which prevents you from ovulating once you stop the pill. So you dont need to worry about ovulating as long as you take pill and then progynova.

    If you are doing FET and going for 14 days, you will have plenty of time to wait to do transfer. It only takes 1 day and so you will have 13 days either side of that as leeway.

    So with the intrallipids, i think you can have them anywhere between 14-7 days before transfer and then again on transfer day. So i reckon you could do intrallipids in Aus about 1 week before you fly out and then you can do them as soon as you get to Athens and/or on transfer day or just before you fly home.

    So remember once you start the progynova this will sustain your lining, theoretically for as long as you need. Technically you could take it for weeks or months and your lining will be ready so this gives you leeway/time.

    Its only once you then also start taking the progesterone as well as the progynova that it become important to have the FET 2-3 days after you start progesterone.

    So maybe your timeline could be something like...
    Day 1 get period
    Day 2-3 start progynova, have intrallipids in Aus
    Anywhere between Day 15-20+ fly to Athens
    Arrive in Athens, have intrallipids sometimes during the 14 days you are there.
    Fly home- have intrallipids about 2 weeks after bfp if you get one.

    14 days is plenty if time for leeway either side of a FET.

    If you get to Athens and your lining is thick enough, you start progesterone and have transfer 2-3 days after that.

    If you get to Athens and lining isnt thick enough, you keep taking progynova for a few more days or a week or 10ish more days, (however long it takes-if dr.n thinks its not getting thick enough faster then you just up the dose of progynova), the start progesterone and have transfer and intrallipids a day or 2 before you fly home.

    Or you do the above at any time during your 14 days there.

    If you get a scan before you go and your lining is good/thick enough already, then continuing to take the progynova will ensure its still good when you arrive, even if it takes 2-3 days to get to Athens and you keep taking it and your lining will still be good anytime during the 14 days you are there.

    I reckon if you organise your Australian intrallipids for 1-2 weeks before you know when your flight will arrive in Athens, you'll be right. Its 2 weeks give or take a few days so it wont matter if your flight take 2 days.

    Please ask more if this doesn't make sense. :-) If the Aus intrallipids becomes to far away from the day you arrive, just have intrallipids as soon as you arrive in Athens, do the transfer and more intrallipids 2 weeks after you arrive the day before you fly home. That way youve definately had intrallipids 1-2 weeks before transfer (arrival day in Athens) and last day in Athens (2 weeks-14 days later).
    Last edited by gorgeousgeorge; 26-02-2019 at 14:56.

  13. #509
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    @gorgeousgeorge just a thought, with all of my fets I have started estrogen on cd2 no later than that, I think CD 8 is late to start especially if your still naturally ovulating?

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  15. #510
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    Quote Originally Posted by purpleowl View Post
    Oh thank you so much, that makes sense now. Previously all my FETs have relied on me getting follicle scans, often triggering ovulation, 5 days later transfer, so the timing always has to be perfect. I didn’t realise progynova stops you from ovulating and you transfer once your lining is ready.
    Yep this way is waaaay easier so the timing is less important. The progynova puts you in a "holding pattern". If you'd only done natural cycle FETs can totally see how it would seem impossible to time it right to the exact day.

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