For those of you thinking about TTC while BF

For those of you thinking about TTC while BF

Joined: November 30th, 2006, 2:18 am

May 23rd, 2007, 2:29 am #1

This has come up in a few threads off & on so i just thought i'd post it... the topic of TTC while bf ... do you stop early in hopes of more success @TTC? Or do you let bf run its course and then ttc?

I sent a note to Dr. Zhang to see what his thoughts were (just trying to get a range of opinions!) and he said that although he wouldn't do a transfer while a woman was breastfeeding that one could do natural cycle retrievals and freeze the embryos. This, of course, is dependent on when AF returns - AF doesn't return in some women until after bf is ended, whereas it can return in other women prior to ending bf.

This is sort of a random post but i thought others might be interested in his response -

P.J.

Name: PJ
Age: 40, DH Age: 40
FSH: max day 3 35, day 10 of CCCT 45
TTC #1 4 years, 3 failed IUI's, 2 failed CCCT's, about 2 mos of acu & supplements, 1 naturally conceived, healthy DS when FSH was 19.9 and I was 38yo
TTC #2 10 months, lots of acu, herbs, supplements
IVF #1 - 1 follie - went to ER but egg was bad (clomid + 150 menopur)
IVF #2 - 14 days of bcp's, day 3 fsh of 17, clomid only on day 3 and day 5. 1 follie at retrieval, Successful transfer of 1 4-cell, grade A embryo. BFP! EDD 10/24/07
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Joined: August 2nd, 2004, 9:44 am

May 23rd, 2007, 2:34 am #2

I got AF back at 6 weeks post partum, cycles were about 35 days, but based on BBTs I didn't O until I had fully weaned, at 6.5 months. My cycles went back to normal very quickly after that. So, having AF back doesn't mean you're Oing. But some women do O and get pg while BF, which is great. I like the idea of freezing embryos while BFing, as a way to extend BFing time (if you are Oing). Would have loved to BF longer, but I was close to 40 and knew ttc#2 would be an uphill battle. Still is. My only regret was not starting acu while BFing. I needed a LOT of acu to get reasonably balanced.

Kiwichick

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Me 42.2, DH 45
Highest FSH 19.6 (8/2003); latest FSHs 9.6 (4/05), 9.7 (6/05), 12.4 (10/05), 8.5 (1/06), 18.8 (2/06), 16.4 (4/06), 9.0 (7/06), 12.1 (10/06), 9.0 (4/07 w/E2V)
DD 2 1/2 yrs (IUI/Clomid high FSH baby)
ttc#2 2+ years, two failed IUIs (Clomid)
IVF#1 (MDL) cancelled, no response (July 2005)
Chemical pg on a break cycle (Aug 2005)
IVF#2 - 2 embies, BFN (Nov 2005)
Chemical pg on a break cycle (Jan 2006)
Chemical pg on a break cycle (March 2006)
IVF#3 - 4 embies, 3 t/f, chemical pg (May 2006)
IVF#4 - 3 embies, BFN (Aug 2006)
IVF#5 - cancelled, one follie (Nov 2006)
Natural BFP in Feb 2007; m/c @ 7wks
IVF#6 (low stim) - 2 eggs, 1 embie (frozen sperm, no ICSI), BFN (Apr 2007)
Doing acupuncture, Chinese herbs and supplements, DHEA, baby aspirin, 5mg folic acid. DH doing acu, herbs, vitamins (under duress).
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ruger1225
ruger1225

May 23rd, 2007, 7:30 pm #3

Hi Kiwi,

Can I ask what you consider a LOT of accu. I am presently going 2 times a week and doing herbs. I stopped bf 11 weeks ago and still no ppaf or O. I conceived dd naturally with the help of accu and herbs and want to ttc again before it is too late.
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Joined: August 2nd, 2004, 9:44 am

May 24th, 2007, 12:47 am #4

When I first started doing acupuncture, my acu said he could hardly even feel my kidney pulse, it was so weak. Both kidney yin and yang were weak. He had to fix my kidney yin first before he got too serious about my yang, otherwise the body doesn't handle the treatment well and it won't work either. Well, it took a full 9 months of weekly acu and herbs before he finally said my kidney yin was strong enough that he could tackle my yang. When he started on that I had a few side effects from the herbs, but they gradually eased. It took about another 3 months to get my kidney yang into shape. So, from the time of starting acu it took a full year before my kidney pulses were pronounced "nice and strong". That's a lot more than the standard three months you hear that it takes for acu to work. It really depends on what's wrong with your balances, how serious they are, and whether some have to be fixed before others.

HTH,
Kiwichick

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Me 42.2, DH 45
Highest FSH 19.6 (8/2003); latest FSHs 9.6 (4/05), 9.7 (6/05), 12.4 (10/05), 8.5 (1/06), 18.8 (2/06), 16.4 (4/06), 9.0 (7/06), 12.1 (10/06), 9.0 (4/07 w/E2V)
DD 2 1/2 yrs (IUI/Clomid high FSH baby)
ttc#2 2+ years, two failed IUIs (Clomid)
IVF#1 (MDL) cancelled, no response (July 2005)
Chemical pg on a break cycle (Aug 2005)
IVF#2 - 2 embies, BFN (Nov 2005)
Chemical pg on a break cycle (Jan 2006)
Chemical pg on a break cycle (March 2006)
IVF#3 - 4 embies, 3 t/f, chemical pg (May 2006)
IVF#4 - 3 embies, BFN (Aug 2006)
IVF#5 - cancelled, one follie (Nov 2006)
Natural BFP in Feb 2007; m/c @ 7wks
IVF#6 (low stim) - 2 eggs, 1 embie (frozen sperm, no ICSI), BFN (Apr 2007)
Doing acupuncture, Chinese herbs and supplements, DHEA, baby aspirin, 5mg folic acid. DH doing acu, herbs, vitamins (under duress).
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Joined: November 30th, 2006, 2:18 am

May 24th, 2007, 2:48 am #5

I got AF back at 6 weeks post partum, cycles were about 35 days, but based on BBTs I didn't O until I had fully weaned, at 6.5 months. My cycles went back to normal very quickly after that. So, having AF back doesn't mean you're Oing. But some women do O and get pg while BF, which is great. I like the idea of freezing embryos while BFing, as a way to extend BFing time (if you are Oing). Would have loved to BF longer, but I was close to 40 and knew ttc#2 would be an uphill battle. Still is. My only regret was not starting acu while BFing. I needed a LOT of acu to get reasonably balanced.

Kiwichick

<a href="http://www.fertilityfriend.com/home/kiwichick">
<img border="0" src="http://www.fertilityfriend.com/ticker/k ... c.png"></a>

Me 42.2, DH 45
Highest FSH 19.6 (8/2003); latest FSHs 9.6 (4/05), 9.7 (6/05), 12.4 (10/05), 8.5 (1/06), 18.8 (2/06), 16.4 (4/06), 9.0 (7/06), 12.1 (10/06), 9.0 (4/07 w/E2V)
DD 2 1/2 yrs (IUI/Clomid high FSH baby)
ttc#2 2+ years, two failed IUIs (Clomid)
IVF#1 (MDL) cancelled, no response (July 2005)
Chemical pg on a break cycle (Aug 2005)
IVF#2 - 2 embies, BFN (Nov 2005)
Chemical pg on a break cycle (Jan 2006)
Chemical pg on a break cycle (March 2006)
IVF#3 - 4 embies, 3 t/f, chemical pg (May 2006)
IVF#4 - 3 embies, BFN (Aug 2006)
IVF#5 - cancelled, one follie (Nov 2006)
Natural BFP in Feb 2007; m/c @ 7wks
IVF#6 (low stim) - 2 eggs, 1 embie (frozen sperm, no ICSI), BFN (Apr 2007)
Doing acupuncture, Chinese herbs and supplements, DHEA, baby aspirin, 5mg folic acid. DH doing acu, herbs, vitamins (under duress).
prime the system so that when you're ready, your body's ready. I too - sort of - stopped bf in order to ttc. Although af returned at around 6 mos pp (when ds started solids) my cycle didn't really regulate until i fully weaned him at 9 mos. I tried to stop bf at 6 mos but couldn't - i had both physical and emotional difficulty stopping. It took me an additional 3 mos to finally wean.

I have read that sometimes af returns but ovulation isn't occurring and i've also read that it's possible to ovulate even before af returns. So i suppose you'd just have to be monitored closely to figure out what's going on.

P.J.

Name: PJ
Age: 40, DH Age: 40
FSH: max day 3 35, day 10 of CCCT 45
TTC #1 4 years, 3 failed IUI's, 2 failed CCCT's, about 2 mos of acu & supplements, 1 naturally conceived, healthy DS when FSH was 19.9 and I was 38yo
TTC #2 10 months, lots of acu, herbs, supplements
IVF #1 - 1 follie - went to ER but egg was bad (clomid + 150 menopur)
IVF #2 - 14 days of bcp's, day 3 fsh of 17, clomid only on day 3 and day 5. 1 follie at retrieval, Successful transfer of 1 4-cell, grade A embryo. BFP! EDD 10/24/07
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Emily
Emily

May 24th, 2007, 8:14 pm #6

This is my dilema as I have posted before. I am pregnant with baby #2 and ideally would have BF for 12 months like I did for DS; however, RE told me its best to wean at 3 months then return. I'm 32, FSH of 9.6, max meds, retrieved only 2 eggs, 1 took. We want a 3rd baby. I learned from my posts that with youth in my age that I have more time but I am a poor responder and unlikely to conceive naturally now that AF comes every 17 days do it my body working harder to crank out what eggs I have left each month.

For IVF I have to work at least part time for coverage. It is very hard working with a newborn and a toddler and cleaning, cooking, caring for family as the primary since DH needs to excel in his job as the primary for the long run. I will likely wean around 4-5 months and jump back in right before my maternity leave is over.

Very interesting, I never thought of doing a natural cycle. That's good food for thought because I only got 2 eggs from mine so why do all of the meds and subsequent PIO if I can attempt a natural cycle?

~Emily
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Joined: November 30th, 2006, 2:18 am

May 25th, 2007, 12:41 am #7

Just to clarify - when i said above 'natural cycle' i mean natural cycle ivf - i.e., low or minimal meds, then do a retrieval, freeze & transfer once bf is over. Just wanted to make sure that was clear. I got pg from my 2nd low-stim ivf (which was virtually a natural cycle) in spite of only producing 1 follie.

In your situation, you might be able to try a few cycles with just meds and bd. Estinyl could be used (potentially) to regulate your cycle - i.e., to lengthen the follicular phase to increase the odds of quality eggs. And some supplementation in the luteal phase would likely be necessary also - if your cycle is that short then probably your luteal phase needs to be lengthened as well.

Those are just some thoughts - this would keep the cost down and give you a few months to try semi-naturally before going back to ivf. As you said, if you're a poor responder (as i am), then why waste the money and effort on all the stims.

It's good that your RE is still willing to work with you in spite of being a poor responder. You might consider a phone consult w/ dr. check to see what he would recommend for you. You could either then continue to work w/ your RE and maybe use some of his recommendations.

Just some thoughts for you to consider -

P.J.

Name: PJ
Age: 40, DH Age: 40
FSH: max day 3 35, day 10 of CCCT 45
TTC #1 4 years, 3 failed IUI's, 2 failed CCCT's, about 2 mos of acu & supplements, 1 naturally conceived, healthy DS when FSH was 19.9 and I was 38yo
TTC #2 10 months, lots of acu, herbs, supplements
IVF #1 - 1 follie - went to ER but egg was bad (clomid + 150 menopur)
IVF #2 - 14 days of bcp's, day 3 fsh of 17, clomid only on day 3 and day 5. 1 follie at retrieval, Successful transfer of 1 4-cell, grade A embryo. BFP! EDD 10/24/07
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Joined: August 2nd, 2004, 9:44 am

May 26th, 2007, 10:13 pm #8

This is my dilema as I have posted before. I am pregnant with baby #2 and ideally would have BF for 12 months like I did for DS; however, RE told me its best to wean at 3 months then return. I'm 32, FSH of 9.6, max meds, retrieved only 2 eggs, 1 took. We want a 3rd baby. I learned from my posts that with youth in my age that I have more time but I am a poor responder and unlikely to conceive naturally now that AF comes every 17 days do it my body working harder to crank out what eggs I have left each month.

For IVF I have to work at least part time for coverage. It is very hard working with a newborn and a toddler and cleaning, cooking, caring for family as the primary since DH needs to excel in his job as the primary for the long run. I will likely wean around 4-5 months and jump back in right before my maternity leave is over.

Very interesting, I never thought of doing a natural cycle. That's good food for thought because I only got 2 eggs from mine so why do all of the meds and subsequent PIO if I can attempt a natural cycle?

~Emily
I would still BF for 6-9 months but I would start acupuncture as soon as you can after having the baby. This would get your system into the best possible shape for when you do wean and want to start ttc. The most important thing will be trying to get your cycles as normal as possible, and acu is pretty good at that. Good idea to jump back into ttc while you are still on maternity leave. PJ's idea of consulting with Check is a very good one.

Kiwichick

<a href="http://www.fertilityfriend.com/home/kiwichick">
<img border="0" src="http://www.fertilityfriend.com/ticker/k ... c.png"></a>

Me 42.2, DH 45
Highest FSH 19.6 (8/2003); latest FSHs 9.6 (4/05), 9.7 (6/05), 12.4 (10/05), 8.5 (1/06), 18.8 (2/06), 16.4 (4/06), 9.0 (7/06), 12.1 (10/06), 9.0 (4/07 w/E2V)
DD 2 1/2 yrs (IUI/Clomid high FSH baby)
ttc#2 2+ years, two failed IUIs (Clomid)
IVF#1 (MDL) cancelled, no response (July 2005)
Chemical pg on a break cycle (Aug 2005)
IVF#2 - 2 embies, BFN (Nov 2005)
Chemical pg on a break cycle (Jan 2006)
Chemical pg on a break cycle (March 2006)
IVF#3 - 4 embies, 3 t/f, chemical pg (May 2006)
IVF#4 - 3 embies, BFN (Aug 2006)
IVF#5 - cancelled, one follie (Nov 2006)
Natural BFP in Feb 2007; m/c @ 7wks
IVF#6 (low stim) - 2 eggs, 1 embie (frozen sperm, no ICSI), BFN (Apr 2007)
Doing acupuncture, Chinese herbs and supplements, DHEA, baby aspirin, 5mg folic acid. DH doing acu, herbs, vitamins (under duress).
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