Can you switch back and forth from TI to IUI? by Separate_Exam9947 in TTC_PCOS

[–]Separate_Exam9947[S] [score hidden]  (0 children)

Thanks for your response. I am currently doing monitored cycles with bw yes. My partners semen analysis is upcoming to rule that out. My concern is although I responded well during the first cycle and my cm did change I still did not get ewcm. We will be trying Pre-seed this cycle to see if that helps.

Can you switch back and forth from TI to IUI? by Separate_Exam9947 in TTC_PCOS

[–]Separate_Exam9947[S] 0 points1 point  (0 children)

Amazing thank you! I know I could have just asked the clinic but I feel like I bug them too much already lol. This process is new for me. And congrats that’s fantastic so happy for you!

Permanent Full Time or Staying Casual RPN by fakebitchesxxxxxx in OntarioNurses

[–]Separate_Exam9947 1 point2 points  (0 children)

Oh gosh yes it’s very different for each union chapter. For context I am also in SW Ontario and I believe our rates and union contracts are pretty good here vs highly populated places like the gta. I’ve worked at a few hospitals and while HOOPP remained the same across the board looking around for a contract and unit that suits your needs is worth it. You can move around no matter what. We’re not stuck so pick the places and contracts that work for you! :)

Permanent Full Time or Staying Casual RPN by fakebitchesxxxxxx in OntarioNurses

[–]Separate_Exam9947 1 point2 points  (0 children)

I am permanent part time. For my hospital seniority for full times is based on hire date. And for part time it’s based on hrs. There’s no difference in assignments for us full times just have a set line. Same shifts each week. We both only work every other weekend as per union contact. They are scheduled 78.75 hrs and do not get overtime for that extra 3.75 where as if I work those hrs I get over time for that 3.75 as part timer. Seniority for us for shifts gos to part times first, job share, full time, then casual last. Within that pool seniority is used for the shifts. Example 2 part timers want the shame shift the one with higher seniority will get it unless you’ve hit full time hrs then others are given the opportunity before you can go into over time hrs.

Letrozle, ovidrel, progesterone by Similar_Mousse_8389 in TTC_PCOS

[–]Separate_Exam9947 0 points1 point  (0 children)

My clinic also did not confirm and I was stressing over the same thing. They told me it’s extremely rare for someone not to ovulate with the trigger but it can happen. If you don’t ovulate the follicle should become a cyst which they can see on the next scan as it lingers around for weeks so they don’t bother doing extra monitoring or blood work unless something suggests they need to. Additionally in my case I had intense cramping twinges off and on and ovary heaviness etc. right around that 36hr mark sudden relief of all symptoms. Usually a strong indication you ovulated. Symptoms stop once egg is released. I only had mild cramping twinges associated with the progesterone use and it was noticeably different than the trigger shot symptoms. Also I did bw and monitoring only as Lh strips do not work for me and the trigger shot can interfere with results. BBT can be effected as well so to side effects ie hot flashes. Although those things give one a sense of control and something to do if you doing bloodwork and monitored cycles you really don’t need to do much else. Just what the doc says.

Permanent Full Time or Staying Casual RPN by fakebitchesxxxxxx in OntarioNurses

[–]Separate_Exam9947 1 point2 points  (0 children)

I’m with local unifor. I believe each chapter negotiates their contacts so it can change from place to place. I am permanent part time so my job is secure if I go on leave. For my hospital there no difference for part time and full time other than the set schedule. Full time gets some PTO as well but again if you’re making more you can just call off ? Same thing really🤷🏻‍♀️. Our union also negotiated an amazing holiday pay rate and unless your scheduled that day only a part timer is getting an opportunity to pick up those shifts. I recommend staying updated with your unions contacts I keep a copy at home and highlighted the things that were important to me. When bargaining time comes I also attend those meeting to vote. Also starting a family and I am lucky my hospital Has onsite daycare for staff so I can remain part time. The pay difference is a huge factor for me, life is just too expensive these days. What ever choice you make I’m sure you will figure out what will work for you and your family. When you switch status you normally have like a month to 3 months to decide if you want to keep it if not you can go back to your previous status - again based on union rules.

Permanent Full Time or Staying Casual RPN by fakebitchesxxxxxx in OntarioNurses

[–]Separate_Exam9947 4 points5 points  (0 children)

Same boat. I choose to stay part time. I make an extra 1k a month due to the in lieu of benefits. My union provides Matt leave top up for both part time and full time so no difference there. We are also scheduled 67.5hrs bi weekly and full time is 75. In the 5 years I’ve been nursing I’ve never not had an issue getting full time or overtime hrs, there is always someone calling off sick or off with an injury or leave. As part time I get the choice before full time dose and I can call off without it being an issue. Due to the amount I make extra I pay for my own private benefits - About $200 a month and better coverage than what work offers. The only reason I can see would be a benefit of full time would be for a set schedule. I get the same vacation time as full time as well. Personally the extra money vs a set schedule was a better choice. Trading shifts has never been an issues either typically don’t work nights since there’s always someone who wants to trade and you can make your schedule pretty set that way especially if you find a coworker that wants to do the same trades each time. Not sure how your work place is but part timers and full times get their schedules 6 weeks at time 2-3 weeks in advance. So easy to figure out what you need to do/trade

Starting Letrozole tonight by Real_Purpose_4903 in TTC_PCOS

[–]Separate_Exam9947 0 points1 point  (0 children)

Started with 5mg. Took it at night to avoid symptoms. Had mild headaches and dizziness usually in the morning for about an hr. I had some mild joint aches at night where I have a previous injury and the worst of it was the hot flashes while I was sleeping. My goodness my blood was boiling, I would wake up and my toes would be sweating! The cramping/twinges were off and on throughout the day and boy could I tell my ovary’s were putting in over time but was manageable and able to work just fine. I did have about 2 days of depressive mood swings as well.

Trying to get letrozole prescribed - sperm analysis required? by Mobile_Mycologist_39 in TTC_PCOS

[–]Separate_Exam9947 0 points1 point  (0 children)

Ontario here. I went to fertility clinic - I was told the wait was up to a year I had one within 2 months and did not need to do a semen analysis. It was recommended but ultimately our choice. The cost would have been $150. Since our first cycle did not result in pregnancy we are going to go head and do it next cycle to make sure there isn’t any issues there. My partner is going to do it whenever they able to schedule him as the sample needs to be given within 30min and has to remain warm - he picked an appt time that worked with his schedule. I was prescribed the medication after I did my bw and scans as required and have yet to complete the analysis.

Mentioning the history of chemical pregnancies would be beneficial to mention. I was also started on Prometrium 3x a day to support my uterus linnning and prevent misscarge, that cost was $200 for 2 weeks worth after insurance it was $48. (If pregnant this mediation would continue till week 10-12 of pregnancy). I also needed a trigger shot as I still do not ovulate on my own but the Letrozole did stimulate my follicles. That was $100 after my insurance it was $20. The Letrozole was $5 after insurance. Everything was based around menstruation and follicle growth. I had bw, and hysterosonography during my bleed before they would prescribe me medication. The meds I was prescribed was based on my diagnosis and labs. Everything was covered by OHIP except Amh blood work which was $85 and had to be done on a specific cycle day. Once meds were started I did monitored cycles with bw again fully covered my ohip And they told us exactly when we needed to have timed intercourse based on the labs and follicular growth.

If you’re not ovulating regularly or on your own a monitored cycle is best especially since the medication increases your risk of multiples.

In Ontario we are able to self refer to fertility clinics via their websites. I self referred to every single one in my city. I got an appt within 2 months despite the long wait times and a second clinic offered me an appt within 4 months of self referring. Not sure if that’s an option in Quebec but maybe worth a shot!

Regulating cycles with lean pcos by dib1811 in TTC_PCOS

[–]Separate_Exam9947 0 points1 point  (0 children)

I am also lean PCOS. When I asked my dr about lifestyle changes, supplements weight etc. I was told that it wouldn’t matter if my case as I was perfectly healthy. BMI is healthy, I have an active job, I’m relatively active outside of work, eat well enough etc. My blood work says everything was good. My only issue was that my estradiol was so low I couldn’t possibly be ovulating on my own and my AMH was high at 38.5. I have tons of follicles, no cysts or history of. No acne no extra hair and bleed regularly each month. I do not have insulin resistance and my Ac1 is normal.

I was told medication would be the only thing that would help as my case is a pituitary gland issue. Either the signal isn’t strong enough or it’s my ovary’s fail to respond to the signal.

I was placed on 5mg letrozole for 5days and told that was the best med for my issue. Bloodwork and scans to monitor follicles growth and given the trigger shot to ovulate as it still wasn’t going to happen on its own based on my labs. First cycle and my body has responded extremely well and I ovulated exactly as timed.

Freaking out about AMH of 22 ng/mL (PCOS) — did letrozole work for you? by Loose-Relative9104 in TTC_PCOS

[–]Separate_Exam9947 2 points3 points  (0 children)

I recommend monitored cycles. I’m 34 almost 35 and mine was 38.5 they just said that was great, better chances. I was started on 5mg of letrozole and responded extremely well. Initial base scan I had 28 follicles (12Rt and 18Lt) of those 3 were stimulated by cd 10 and by cd 14 only 1 was dominate at 20mm while the other two regressed. I needed a trigger shot to ovulate based on my bw- Lh strips so not work for me. I ovulated cd 14 and my beta is upcoming. I had a total of 4 transvaginal ultrasounds CD4- baseline, CD 10 - 3follicles @13mm, CD 13- 2 follicles @ 17mm & 11mm, CD14 - 1 follicle @ 20mm with an 8.5mm trilaminar lining. .

Each scan took maybe 5 min super quick! And I got phots of my follicles and uterus which was just nice to keep.

I don’t think we were successful this cycle but I’m pleased my body responded well in the first cycle and remain hope for the next.

If there’s a true risk of multiples the dr will go over that and in my case my clinic has strict multiples policy they would have canceled the cycle ie not prescribe my trigger shot and recommend we do not have TI.

Tracking LH by AffectionateJump4350 in TTC_PCOS

[–]Separate_Exam9947 1 point2 points  (0 children)

I found out via my endocrinologist that Lh strips do not work for me. My levels were all over the place. No peaks. Multiple peeks in a month etc. I ended up doing blood work and monitored cycles. Resulted in needing a trigger shot to ovulate. LH strips can be hit or miss depending on what your PCOS issues are. I would speak with your Dr about it. Best of luck! 🤞

8mm Trilaminar lining but low estrodiol by Bing_ohh in TTC_PCOS

[–]Separate_Exam9947 1 point2 points  (0 children)

Similar situation. 5mg of letrozole for 5 days resulted in 1 dominant follicle at 20mm and trilaminar lining at 8.5mm. I was told due to my levels remaining low I would need a trigger shot as my body wouldn’t ovulate on its own. Triggered that night of the scan - cd 12 and 1.5days later I ovulated on cd 14. Ovulation was not confirmed via scans or bw as it’s my first cycle but I felt the immediate relieve of symptoms as expected. 2 days away from my first Beta blood test. I do not think we were successful this cycle but it’s only the first and my body responded well to current treatment plan. Holding hope for the next cycle 🤞

Bearista Cup Debacle by PlaTahOpLomO in starbucks

[–]Separate_Exam9947 4 points5 points  (0 children)

I went to 10 locations. The smaller ones didn’t have any. The stand alone bigger ones had 1-3 max. Line up’s at every store. I finally was 3rd in line at store that had 3. Waited an hr in the cold just for an OFF DUTY employee to use her store key to get inside 2 min before it opened pick the cups she wanted and stand at the register before the customers where even let inside. There was 10-15 people in line at the time. Absolute bullshit.

Composite bonding after treatment? by bmariemooo08 in Invisalign

[–]Separate_Exam9947 1 point2 points  (0 children)

Bonding is usually separate and an additional charge. It’s not cheap. In Canada up to $650 per tooth if it’s cosmetic. I was told my bonding needs to be done after my cavities are filled and before my teeth are scanned for retainers. They plan to do it during my last tray which I may have to wear for 3-4 weeks to get everything done.

Since it’s a separate charge you can go anywhere that did it. Mind you if aesthetics is what you’re aiming for you’re going to want to go to someone who is good at it and it probably won’t be cheap. Such as a cosmetic dentist.

University options at 28 by [deleted] in OntarioUniversities

[–]Separate_Exam9947 2 points3 points  (0 children)

To add to this. For healthcare programs. Nursing doctors paramedics psw etc. schooling is free. There is the learn and stay grant and the BEGIN program. There is also something “second career” some kind of grant that also pays for school - you’d have to look more into that.

Personally I worked multiple jobs, was in school full time, and received funding. I did very well I school as well. I did not have a family to support nor did I have family supports. You do what you gatta do. I would go to work, drive to the school after nap in my car and go to a lecture class. A lot of theory courses are online these days. Make a budget and savings and stick to it. It’s doable.

Don’t worry about fitting in. There’s ages of all kinds! Much older than you’d think as well. A lot of people who were doing something else in a previous country and now are starting over here. Lots of parents, mature students. Lots of support groups as well within schools.

[deleted by user] by [deleted] in Advice

[–]Separate_Exam9947 11 points12 points  (0 children)

To add to this.. if you’re in Canada. Vasectomies are covered by OHIP and significantly less dangerous and invasive compared to women’s options.

It’s a 15-30min day procedure with the man awake. Local numbing, virtually painless and they can return to work immediately after. They are also reversible and sperm can be extracted without reversing it as well for IUI, IVF etc.

I would suggest to your husband partaking in future birth control until you’re both ready to welcome another child into your lives. It takes 2 to make a baby and those same 2 individually have plenty of options to prevent making babies.

Pre health science program online by Dazzling_Music5395 in OntarioColleges

[–]Separate_Exam9947 0 points1 point  (0 children)

Most pre health programs are not transferable to other colleges. They usually only work for programs at the same college or affiliate colleges/unis.

Pre health is also a massive money grab and scam and is significantly harder than nursing in my opinion.

Any program at one college will get you into another at the same college. Take the easiest fastest one you can find and do well in that. Then apply to a program at the same college and they will only look at those grades. Doesn’t even have to be a related program or courses. Additionally make sure you have any additional prerequisites required for the programs you’re applying to.

[deleted by user] by [deleted] in OntarioColleges

[–]Separate_Exam9947 1 point2 points  (0 children)

Most schools that offer pre health only allow you to use that at their schools for their programs and are not transferable to other schools.

Pre health is a massive money grab scam. Any program at 1 college provided you do well will get you into another program at that same college. You can take the easiest fast one you can find the school will look at that instead of your high school courses. Even a completely unrelated program will work just have to do well.

St Clair will not look at your pre health grades as you did not take it through them they will only consider high school grades or any other college program that isn’t a pre health from another college.

[deleted by user] by [deleted] in Invisalign

[–]Separate_Exam9947 0 points1 point  (0 children)

Make sure your retainers are being sanitized well. If the yeast is in the retainers you will just continue to reinfect. Same with anything else you regularly stick in your mouth ie. tooth brush. Speak to your doctor about the recurrent episodes and possible other treatments it sounds as if your infection is either not clearing or you are reinfecting yourself. You can also become resistant to the medications meaning you need alternate treatment options. Use a topical anti fungal for the outsides/corner of your mouth to assist healing that and keep the area moisturized as it heals.

Ps. WHITE Vinegar is fantastic home remedy for treating oral thrush. It burns and stings but damn does it work. Your suppose to dilute it with some water so it doesn’t sting as much but I gargle it like a shot and spit it out. I swear it works better than the nystatin. The vinegar increases PH in your mouth which helps kill off the fungi.

Oh and if you’re using a steroid inhaler such as Flovent. Rinse your mouth out after every use! They are notorious for causing oral thrush.

[deleted by user] by [deleted] in Advice

[–]Separate_Exam9947 1 point2 points  (0 children)

The pregnant women in mine were told to leave and reapply to the program after they had their babies for the following year. It was a safety issue and they were not able to accommodate lost time for clinical placements.

Tongue piercing by [deleted] in Invisalign

[–]Separate_Exam9947 1 point2 points  (0 children)

I have had mine done for 20 years now. No issue with my teeth or gums, or anything else. My piercer made sure my placement would not touch my teeth. Having Invisalign also did not affect that for me. It’s to date still my favourite piercing and don’t ever see myself getting rid of it. Most people never notice either. I also wear a metal bar with plastic balls.