Trouble TTC

Estrogen levels /trigger injection

At what estrogen level will an Re usually instruct you to trigger in preparation for an IUI?

                 

TTC since 2012 

Dx : DOR

IUI #1 (Follistim switched over to Menopur injections) - BFN

Attempted IUI #2 (Menopur injections only cycle) better response on the Menopur then the Follistim combination treatment cycle however my cycle was still canceled due to my eggs not maturing and follicles not growing enough on a high dose of Menopur (Re said I could try a cycle of comid + ovidrel  for an IUI) for my second IUI( praying this works for us)

  Clomid + Ovidrel protocol worked still a BFN as a result

Attempted cycle  Clomid  + Ovidrel protocol for IUI # 3 (Unable to do this cycle due to a cyst)

IUI # 3 Clomid+ Ovidrel protocol - BFP    Beta #1 752  Beta #2  1536    Beta #3 3797

EDD 10/27/14

Our sweet baby boy arrived on 9/2/14 TTC # 2 Conceived without help- June 2015 July 2015- Miscarriage ( blighted ovum)
March 2016 (ectopic pregnancy) :( 

 

 

 

Lilypie Premature Baby tickers

Re: Estrogen levels /trigger injection

  • I'm not really sure, but mine was 165 two days ago and today it was 439 so I am injecting tonight.  Not sure if this helps much.
    Ba hahahaha!


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    Me-30 DH-34
    2002- Diagnosed with PCOS at 18
    10/11-10/12 - tried to conceive naturally with Metformin, due to PCOS never had a cycle
    10/12-12/12 3 cycles of Clomid - fail
    6/13- 1st cycle on Clomid 50mg, Metformin, Follistim, and Ovidrel- BFN
    7/13 2nd cycle on Clomid 50 mg, Metformin, Follistim, and Ovidrel 1st IUI - BFN
    8/13 3rd cycle on Clomid 50 mg, Metformin, Follistim, and Ovidrel 2nd IUI - BFN
    9/13 4th cycle on Clomid 50 mg, Metformin, Follistim, and Ovidrel - Benched with Cysts
    From 12/13 to current I have ovulated 4 times naturally
    Currently on break to get healthy.... 35 pounds down, 13 to go!
    All Are Welcome!!

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  • That number will vary depending on how many mature follies you have, there is no "set" level. Each mature follie will account for about 200 of your e2 level.
    Me: 37, DH: 35 :: TCC since 2/11 SA: Perfect! CD3  HSG = Blocked Right Tube
    April- Femara 2.5mg + Trigger + IUI = BFN   May- Femara 5mg = CX - No Response on Left = BFN
    June- Femara 7.5mg + Trigger + IUI = BFN  August- Lap & Hysteroscopy = Blocked & Partially Blocked Tubes
    September- Femara 5mg = CX - No Response on Left = BFN  October- 100mg Clomid + Trigger + TI = BFN
    IVF # 1: Stims 11/30 ER 12/12/12! (10R, 10M, 8F, 2T, 6 F) :: Beta #1- 176  c/p @ 4w4d
    FET #1 February 26th :: Lost 4 to Thaw, Transferred 2 = BFFN
    IVF # 2 Stims 5/10 ER 5/21 (15R, 13M, 13F, 2T, 7F- 6d3 & 1d5) :: Beta # 1- 15 c/p @ 4w
    FET #2 Cancelled, Right Tube Developed a Hydro  8/28 Hydro & Scar Tissue Removed  Cleared for FET
    FET #2.2 Scheduled for September 20th
    2 Thawed, 2 Transferred! Beta #1- 96, Beta #2 906! :: EDD June 10th
    2015- 2 failed FET. We are done
    SURPRISE! BFP 8/8/16   EDD 4/1/17

     
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  • That number will vary depending on how many mature follies you have, there is no "set" level. Each mature follie will account for about 200 of your e2 level.
    They want this - but also the size.  So that is why they will do an U/S and B/W to look at both aspects.  You could have 3 follies above size 18 but they are waiting for the e2 to be over 600.  Or you could have two follies with an e2 of over 400 but the follies are under 18mm.  Anything over 15mm can possibly ovulate and be mature but the best is to wait until a follie is 18mm and producing over 200 units of estrogen before trigger.

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

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