FET with no period?

Mary

12 Posts
Reply Posted on: Nov 15, 2013 at 8:20am
Hi Dr. Braverman, I apologize if this came thru twice, I received an error message on my computer the first time...I was wondering your thoughts on moving forward with a FET of a donor embryo in the following situation. I had a failed fresh transfer in July and a normal period following in August. I have not had a period since August. I am 41 years old.I tried provera 10mg for 5 days to induce a period and that did not work. at today's appointment my results were as follows...lining 5.27
estrogen 79
progesterone .79
FSH 20.5
LH 20.95
TSH 1.61Is this baseline enough to move forward with a FET? Does it hurt success chances?Thank you

Dr. Braverman

2026 Posts
RE: FET with no period? Posted on: Nov 15, 2013 at 9:37am
If you did not get a bleed on progesterone it means you are not making estrogen , I would cylcle you for one month on estrogen , withdraw with prog then try your FET . Also any time an FET fails you MUST get an immuen workup to be sure there are no implantion issues.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Mary

12 Posts
Reply RE: FET with no period? Posted on: Nov 26, 2013 at 6:19am
Hi Dr. Braverman, I was hoping you could comment on this follow up question. I ended up having a progesterone shot which did induce a full period. On CD4 I went in for a baseline check to start FET cycle.
There was a cyst mentioned on my left ovary and my bloodwork came back with
estrogen 176
progesterone 1.7
LH 12.4
FSH 11.9
TSH 2.17
This doesn't seem like where I would normally be for basleine. Is the estrogen to high to start? Perhaps the cyst is estrogen producing? Is the TSH high?

Thank you and have a wonderful Thanksgiving.

Dr. Braverman

2026 Posts
RE: FET with no period? Posted on: Nov 26, 2013 at 6:24am
It appears you have an active follicle(assuming you were not taking IM estrogen the cycle priot(as sometimes that can stay around a while). I would trigger if this is an active follicle and just do a luteal phase start on your FET.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.