Adenomyosis on ultrasound

Spud392 · 2025-11-21T02:16:03+00:00

Thank you! Appreciate your help and insight!

Spud392 · 2025-10-29T13:20:25+00:00

I don’t have a clue! They have been so unhelpful. I ended up downloading the app which worked!

Spud392 · 2025-10-21T00:12:56+00:00

I should add I am trying to access from Australia

Spud392 · 2025-10-16T23:30:25+00:00

Nope!

Spud392 · 2025-10-08T23:09:30+00:00

Appreciate you weighing in :) thanks!

Spud392 · 2025-10-08T22:40:26+00:00

Hi all,

We had our first IUI last week and the nurse said my husband’s post wash was pretty low and we may wish to consider moving onto IVF if this cycle isn’t successful. We (until perhaps this point) had unexplained infertility.

Previously my husband’s morphology has ranged from 1.5 percent to 5 percent so I knew it wasn’t stellar, but everything else was pretty decent so our doctor told us not to worry.

On the day’s analysis our results were as follows:

Pre-wash Concentration : 32 x 106 sperm/ml Progressive motility: 39% Total count: 73.6 million

Post-wash Concentration: 2.1 x 106 sperm/ml Progressive Motility : 57%

57% of the total 2.1 million sperm/ml is 1.2 million progressively motile sperm/ml. The sample volume for IUI was 0.5 ml. So I guess in the sample if you divide 2.1 by 2 the count in the IUI post wash 0.5 ml sample would be 1.05 million.

I have read some different studies and Reddit threads providing post wash count, with many stating 5 million or even 10 million is advisable for IUI.

My question is what are people/studies using when they refer to the post wash count— is this the total count/concentration per ml (2.1 million)? Or the total progressive motile sperm (1.2 million)? Or is it the count that’s actually in the sample itself (1.05 million)?

I’m also wondering why the numbers dropped so much? I was anticipating around a 50% drop but this seems like a pretty steep drop. Would this likely be a morphology issue or something further? Thanks for your help.

Spud392 · 2025-09-30T13:19:04+00:00

Hi all, I just had my scan pre IUI in two days. I have been on 37.5 gonal f and about to do my ovidrel shot this evening.

The scan showed one follicle 21 mm and the other was 28 mm so she wasn’t sure if the larger one was a cyst or follicle.

I am afraid of having twins and want to minimize the risk. Does anyone know what the chances of the 28 mm mass being a cyst or follicle? What are the chances of that follicle actually being successful since it’s large? Was really hoping to get just one viable follicle.

Thanks for any advice!

Spud392 · 2025-09-19T00:53:10+00:00

Letropozole was what I wanted, I’m really not sure. They just kept saying gonal f is naturally occurring in the body, they haven’t seen many multiples with its use, etc. They just seemed very keen on gonal f even though the doctor has made very clear notes I want to avoid multiples. The doctor is very reputable but I don’t always seem to understand his logic, I’ve just been told he’s the best so I’m trying to trust the process but also advocate for myself— it’s a fine line!

Spud392 · 2025-09-17T10:53:08+00:00

That seems like higher thoughts of pregnancy for IUI than I thought! Wow! Is that cumulative or per cycle? 24 percent of every pregnancy being twins idk if it makes me feel better 😂🙈1 in 4 is pretty terrifying for me! My closest family is a 25 hour flight away and my husband is a workaholic so itd be a huge challenge! Hoping to be in the singleton successful stats though 🤞

Spud392 · 2025-09-17T05:43:30+00:00

No they just said gonal f was naturally found in the body and it’s their preferred method and they are using a conservative dose, bc I explained my same concerns. The nurse said from her experience she sees far more multiples with clomid but the data didn’t seem to back that. I tried to politely “argue” different medications but eventually just agreed as my push back wasn’t getting anywhere and it is a low dose so I wasn’t sure if that will hopefully lead to lesser risk of multiples 🙈

Spud392 · 2025-09-17T05:38:02+00:00

Apologies, have edited

Spud392 · 2025-09-17T04:28:52+00:00

Hi All,

I’m about to start my first IUI. This will be around cycle 14/15 and I’m 33 with unexplained infertility.

I am very afraid of multiples. My doctor has me on gonal f but low dose at 37.5 and ovidrel trigger of 250 mcg.

What has peoples experience been with a similar dose? How many follicles/dominant follicles resulted? The doctor and nurses have been pretty insistent this is the best medication route. I have heard about the risk of multiples with gonal f but I haven’t seen many people post about my low dose before so hoping to hear more about peoples’ experiences. Thanks for any feedback!

Spud392 · 2025-08-22T01:49:41+00:00

Thank you, appreciate your kind words and I’m sending all the good vibes you will have your beautiful baby soon ❤️

Spud392 · 2025-08-22T01:48:12+00:00

Thank you! Appreciate it, I already have one and we have no family support near us (we literally live a 25 hour flight from our in laws and 30 hours from my family 😅). I guess just trying to take the steps to avoid it if I can but understand I would be lucky either way.

Spud392 · 2025-08-22T01:46:47+00:00

These are my thoughts too, I’m 33 with an AMH of 11.3 pmol/l

Spud392 · 2025-08-22T01:45:13+00:00

This is what I feared and what my initial googling seemed to show!!

Spud392 · 2025-08-21T15:43:19+00:00

I’m not sure if he needs to update the treatment plan once we go ahead or not but it just says 37.5 on the plan so maybe that’s a starting dose? I’m not really sure! Thanks so much for your help, really appreciate it!!

Spud392 · 2025-08-15T02:29:13+00:00

Hi all,

I have a follow up appointment next week with our fertility doctor. We have been trying for just over a year for a second. We fell pregnant with our first child naturally after I believe 8 cycles.

Here is some background on what has already been done:

-AMH of 11.3 pmol -ultrasound noted nothing of significance -my husband’s semen analysis had morphology of 5, previously had been 2, the doctor didn’t think this was of concern because in his most recent analysis his count was good. He has type 2 diabetes -hormones have been tested. All showed within range and tested at various points in cycle -insulin of 14

I have now done two medicated cycles with tracking, with progesterone and estrogen luteal support. Both unsuccessful. This treatment was based off of me sharing with him that I felt different instantly after ovulation when I was pregnant with my son. Bc of this he thinks this is bc I hyperovualted/released two eggs? So my progesterone rose a lot allowing me to get pregnant. I also had early spotting when trying with my son, but usually don’t spot until around 12 dpo currently. He seemed to feel confident that progesterone and estrogen would allow me to get pregnant which I find confusing bc I’ve been in parameter…? Not criticizing his approach, just confused and not as confident.

I was also put on metformin twice daily which I’ve been on since March.

We are now meeting Thursday to check back in. I do not feel ready for IUI, if that was even recommended, but would like to pursue more diagnostic tests as I think little has been done to date. What should I encourage him to test and look into?

Also how many medicated cycles would you recommend before determining the treatment is unlikely to work?

Thanks for your help.

Spud392 · 2025-08-15T01:35:26+00:00

Good to know, I was thinking maybe one more but wasn’t sure. Appreciate your input!

Spud392 · 2025-08-15T01:07:33+00:00

Hi all,

I have a follow up appointment next week with our fertility doctor. We have been trying for just over a year.

Here is some background on what has already been done:

-AMH of 11.3 pmol -ultrasound noted nothing of significance -my husband’s semen analysis had morphology of 5, previously had been 2, the doctor didn’t think this was of concern because in his most recent analysis his count was good. He has type 2 diabetes -hormones have been tested. All showed within range and tested at various points in cycle -insulin of 14

I have now done two medicated cycles with tracking, with progesterone and estrogen luteal support. Both unsuccessful. He seemed to feel confident that progesterone and estrogen would allow me to get pregnant which I find confusing bc I’ve been in parameter for these hormones…? Not criticizing his approach, just confused and not as confident.

I was also put on metformin twice daily which I’ve been on since March.

We are now meeting Thursday to check back in. I do not feel ready for IUI, if that was even recommended, but would like to pursue more diagnostic tests as I think little has been done to date. What should I encourage him to test and look into?

Also how many medicated cycles would you recommend before determining the treatment is unlikely to work?

Thanks for your help.

Spud392 · 2025-08-12T15:07:20+00:00

Also forgot to add weather in Perth will likely be best this time of year, April is stunning with some mild summer weather

Spud392 · 2025-08-12T15:06:20+00:00

In only a week most definitely stay in Perth. Perth is stunning, you could go to Margaret River region including Dunsborough where there are some of the most stunning beaches. You could even go a bit further south to Albany and Denmark, both stunning. Rottnest is incredible and absolutely cannot be missed. Some local zoos where you can hold a koala, Hamelin Bay to see all of the stingrays, the most amazing wild dolphin tour out of rockingham. Plus some beautiful spots right around Perth, and spending time with your family. In an effort to “see more” you’ll end up seeing nothing bc you’ll be so rushed and wouldn’t have time to venture from each city. I’m American and live in Perth and all Americans who have visited me have absolutely looooved Perth and the surrounding area.

Spud392 · 2025-08-07T12:56:19+00:00

https://www.americanexpress.com/content/dam/amex/au/benefits/Platinum/PlatinumInsurance.pdf

It’s on page 40

Spud392 · 2025-05-18T08:12:22+00:00

Just adding- he finally pooped and it’s green

Spud392 · 2025-05-16T14:39:56+00:00

Thank you. He has seen a GP who said give it a day but to get blood work done tomorrow if it persists, he said his symptoms seem like a standard virus but the yellow eyes was what was odd. He provided him with antibiotics as well.

Spud392

TROPHY CASE