Trouble TTC
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trigger tonight. input on follicles size?

Girls, I need your honest opinion.

I was told to trigger tonight, but it just seems to me that it's too soon and too risky. I don't know my e2 today, it was nearing 500 two days ago. If an egg is not mature it will not fertilize or produce a viable zygote, so I am afraid this cycle is a waste. 

My previous cycles were follicles 19-20mm and bfn, so this is just not looking promising, and I don't want to cultivate any false hope, so tell me like it is. 

Left:
16.6
14.8
12.7
13.5

Right:

12.9
13.6
16.0




Re: trigger tonight. input on follicles size?

  • Options
    My RE wouldn't trigger me this cycle until I had at least one follie at 18mm.  I know that different docs have different opinions on follie size though.  Hopefully your two 16's will do the trick for you.  FX for you! 

    **************SIGGY WARNING**************

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    Me 32 :: DH 41

     TTC since November, 2011

    DH's SA : Excellent

    Lap and Hysteroscopy June 2012

    DX: PCOS, Stage III Endo, slight Adenomyosis, blocked tube, and probable LPD

    Treatments:  6 Months Lupron Depot injections; 1500 mg metformin; 3 cycles of Clomid + TI = BFN

    3 endometrial biopsies all were "out of phase" 

    September - December, 2013:  Break to lose weight and get healthy

    40 lb weight loss but still not ovulating "in phase"  

    February - March 2014: bcps + follistim + trigger + TI = BFP

     Beta #1 (12dpo): 30; Beta #2 (18dpo): 500; Beta #3 (25dpo): 7,000!!! 

    1st u/s 4/16: One beautiful hb at 144 bmp 

    2nd u/s 4/29: hb at 166 bmp.  Graduated from RE!!

    TEAM PINK! 

    Baby girl arrived on Thanksgiving day weighing 7lbs 6oz and measuring 20 inches

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    Baby Birthday Ticker Ticker

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  • Options
    My RE triggers (at least for IVF) when you have follies between 16-20 mm. The leading follicles (your 16s) are believed to be the best ones. It's better to trigger when those follicles are ready than to risk losing them while you wait for the others to possibly catch up. As Naria said - they will mature and may grow some more after the trigger shot!

    Good luck!
    ******************************************** siggy warning ******************************************

    image image

    image

    Married July 2011 * TTC #1 since 8/12 * Me: 29 DH: 29
    21 Cycles TI: BFNs
    DX: Stage 2 Endo, uterine polyps and paratubal cysts removed
    2/14: IVF #1 Lupron Protocol = 12R/10M/9F, no frosties; transferred one 3BB blast = BFN
    4/14: IVF #2 Antagonist Protocol = 18R/16M/15F/6 frosties; transferred one 4BB blast = BFP!!
    Beta #1 (5/12) = 232 Beta #2 (5/16) = 886 Beta #3 (5/20) = 3168
    EDD 1/18/15 It's a BOY 

    ~~~~~~ All Are Welcome ~~~~~~

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  • Options
    Thank you so much, I am feeling so much better reading this.
  • Options
    I agree with everyone else, it is pretty likely that you will end up with 2 mature follicles by the time you ovulate. And there is maybe a possibility of a 3rd.  The trigger should help things along.  Good luck and FX for you!



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

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  • Options
    I agree with everyone else. Just wanted to say last cycle I had 2 leading around 18-20 (I think) and the rest of mine were in the 9-12 range when I triggered. I had 3 eggs ended up releasing. So therefore 1 of my smaller ones grew a lot with my trigger. Good luck!!
    Fucking bump!!!!
  • Options
    I was just like you, I had one follicle a little over 15 and a handful around 13. I had hoped for a big 20 mm one, but that never happened. My E2 got to a little over 300 then dropped back down. My doc still had me trigger but we didn't do IUI, just TI. Trust in your doctor! When I was dubious about triggering my husband said "we're paying him for good results, he wants us to succeed!" and that made me feel better. Good luck!
    *****************siggy/ticker warning*****************************


    -Me: anovulatory/ hypothalamic amenorrhea / H: all good
    -IUI  Medicated TI Cycle #1 (Dec): Menopur  + Ovidrel + TI  = BFN
    -Benched for work issues Jan/Feb
    -IUI 1.2: Menopur + Ovidrel = BFN
    -IVF #1- Menopur + Follistim = 12R / 7M / 4F -- first beta-260, second 520. EDD 2/22/15

    Welcome Dane 02/09!


  • Options
    Youll have two-three ovulate at optimum range. With that many growing, they made the right choice.

    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

    My Blog

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