Dr Q, or DR Littman, Q~ about my lining
July 16, 2008
I called my RE because I had my first IUI Sinday June 13,2008- At my CD 9 appointment the nurse commented that my lining was 4.5mm.. but showed 3 stripes..and I have a wonderful follicle size 20mm..along with one 15mm and 13mm. I had taken clomid CD 3-7 at 5mg-- I got a call on CD 9 at night to go ahead and trigger with 10,000 IU of Novarel.. and the IUI was done 36 hours later... But my lining or lack of bothered me.. so I went on line and researched lining and then to my dissapointment discovered linings 8mm-13mm are ideal so I called my RE.. this was her response.. would you concur..
"She assures me that my lining is fine and told me that adding estrogen between CD 9-Cd11 would have done very little as my blood work on CD 9 showed an estrogen level over 900... She said the most important thing is that they saw 3 stripes.. Also that clomid does make for a thinner lining,and thats expected.. she said that there is a chance if the egg fertilizes it will successfully implant in my lining...She said she would never have done the IUI if there was not a chance.. she also said doing the IUI was better than intercourse because the sperm are right in the uterus.. I just do not know what to believe.. she is super nice and told me that I have a great follice and 3 stripes, excellent estrogen level and all those 3 things combined make for a good chance at a successful IUI.. Please share your oppinion.Thanks
"She assures me that my lining is fine and told me that adding estrogen between CD 9-Cd11 would have done very little as my blood work on CD 9 showed an estrogen level over 900... She said the most important thing is that they saw 3 stripes.. Also that clomid does make for a thinner lining,and thats expected.. she said that there is a chance if the egg fertilizes it will successfully implant in my lining...She said she would never have done the IUI if there was not a chance.. she also said doing the IUI was better than intercourse because the sperm are right in the uterus.. I just do not know what to believe.. she is super nice and told me that I have a great follice and 3 stripes, excellent estrogen level and all those 3 things combined make for a good chance at a successful IUI.. Please share your oppinion.Thanks
Okay, I shoot straight from the hip so here goes. Your lining needs to be at least 8mm for a good chance at implantation. I ALWAYS add in estrace vaginally on cycle day 9 especially if it is looking thin. She is correct in saying the the triple line pattern is important, but not correct in saying a lining of 4.5mm is okay... I would switch to using either injectables or letrazole next cycle, because these would not have as much impact on your endometrial lining.
as a reminder:
---------------------------------------------
Dear users:
The purpose of the site is for you to read and evaluate all the information provided to you. Different doctors will have different opinions about specific issues. In addition keep in mind the site is not meant to replace your own doctor who will have all your information in front of them. Please also run a search in the site for all references to these topics to learn more about it.
---------------------------------------------
Dear users:
The purpose of the site is for you to read and evaluate all the information provided to you. Different doctors will have different opinions about specific issues. In addition keep in mind the site is not meant to replace your own doctor who will have all your information in front of them. Please also run a search in the site for all references to these topics to learn more about it.
Hi Caryn!
I also had the same problem with clomid. My lining never got over 5mm. When I switched to the injectables my lining was always between 10mm-12mm when I ovulated. So the injectables worked! Unfortunately the Femara (letrozole) didnt work for me but it does work for many women so I would give that a try next cycle! Praying you get your BFP though and there is no next cycle! Dont worry hun, you'll get your 2nd baby :) xoxo
I also had the same problem with clomid. My lining never got over 5mm. When I switched to the injectables my lining was always between 10mm-12mm when I ovulated. So the injectables worked! Unfortunately the Femara (letrozole) didnt work for me but it does work for many women so I would give that a try next cycle! Praying you get your BFP though and there is no next cycle! Dont worry hun, you'll get your 2nd baby :) xoxo
I did! I went in on cd 15 for an US which was 3dpo and they measured my lining at 6.5mm. I asked my RE if that was still too thin and she said it wasn't. I started noticing symptoms around 6 dpo so I'm guessing implantation started around then - but I'm not sure. So, that probably gave it a few more days to build. I've been scared of a chemical given the lining but my HPT was darker this morning so hopefully that's a good sign.
I never say it won't work, but it is highly unlikely with a lining that thin. Regardless of the serum level of estrogen, I still would add in estrace vaginally and I have seen some very good results. I would not do another clomid cycle if this does not work, I would do either letrazole or injectables because they won't affect the lining as much.
thanks Kris- I am so confused as my own RE assures me my lining is fine.. but when I went in for my CD U/S it was 4.5MM and I triggered that night, and had IUI last Sunday.. I did speak to her voicing my concern, and told her that I was dissapointed she would do the IUI if my lining was not thick enough.. again she told me it was fine.. I hate it when docs sugar coat things, but as we all know she would not admit of any wrong doing.. so I am 9 DPO


July 16, 2008
Im hoping that everything this month goes perfectly and im guessing that they wouldnt have told you it was fine if it wasnt so try, as hard as it is, to relax and hang in there!
much love