Trouble TTC

OMG...4 Follies (please post your opinion)

I went to the RE today and found out that I have 4 follies about the same size (14, 15,15,16mm).  None of these are mature yet, but he said that it could happen and that he wanted to see me back Monday or Tuesday.  The problem is I can't go Monday or Tuesday so I have an ultrasound scheduled for Wednesday but he says they may have already ovulated by then and to abstain from sex till he sees me on Wednesday morning because if they all mature and release we could possibly get quads.  What would ya'll do???  DH and I talked about it today (after BDing...oops) and we think we want to just risk it.  We've had very well timed sex in the past and no pregnancy so this is our best chance ever.  We don't want quads but this is our last cycle before a long break of undetermined length.  The RE said that if all 4 were still there Wednesday and hadn't ovulated we could either cancel the cycle or reduce the number of follicles which DH and I have already decided we will reduce the number of follicles if I haven't ovulated on Wednesday but what about before then.  I usually am very cautious and take Dr.'s advice but I really want a baby and am perfectly OK with twins.  I guess I just want other TTTC girls opinions on just BDing away until we see the RE Wednesday and risking it with me having 4 follicles.  

Re: OMG...4 Follies (please post your opinion)

  • pmpknbridepmpknbride member
    edited April 2014
    We took the conservative approach for 3 cycles with 1-2 follies, and had no success. It's very normal to do IUI with 2-4 follies, I had 4 last cycle...so I'd do TI for sure...it looks like we have similar dx, but maybe since you do not have as many cycles under your belt he is being conservative? On another note how does one reduce follies, I have never heard of that as an option, I don't think it's possible? I have heard or canceling cycles, and I've heard of selective reduction (ie if you actually get pregnant with quads reducing the number of babies) but never reducing follies. Make sure you completely understand before making any definite decisions. Good luck! Edited for grammar. .
    *** SIGGY WARNING ***

    Happily Married Since 10.2006  •  TTC since 07.2012
    HSG Good & SA mostly Normal  •  DX lean PCOS
    MAR - NOV 2013  •  5 Cycles Clomid + TI = 2 Late O's/BFN & 3 Big Fat FAILS
    DEC 2013 - FEB 2014  •  IUI #1-3  •  Femara 5mg + Trigger = 3 BFNs
    MAR 2014  •  IUI #4  •  Follistim + Trigger + Crinone = BFN
    APR 2014  •  Benched  •  BCPs to clear up Cysts

    MAY 2014  •  IUI #5  •  Follistim + Ganirelix + Trigger = BFP
    E.D.D. 2/18/2015
    6/11 +HPT • 6/13 BETA 447 • 6/16 BETA 1535
    6/23 U/S Adorable Little Bean • 6/30 U/S Beautiful Strong Heartbeat

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  • MissEm15MissEm15 member
    edited April 2014
    I was in the same situation a week ago.. only I had 5 that were >17. We went for TI but ONLY bc we are MFI. If your DH has a normal SA, then I wouldn't risk it. Honestly up until yesterday, I was a worried mess thinking I made the wrong decision & our odds are very low. I def. agree that if you move forward you need to be open to selective reduction, look it up if you haven't already. 

    Edit: I say I was worried we made the wrong decision until yesterday, bc now I'm sure I'm just out lol. 

    ****siggy warning****

    Me 29/ DH 28
    DH- MFI (low count, 2-3% morph)

    IUI #1 January - Clomid, Ovidrel: BFN
    IUI #2 February - Letrozole, Follistim, Ovidrel: BFP 1st beta-25, 2nd beta-56, 3rd beta-45, miscarriage
    IUI #3 April - CD3 U/S 4-10. Letrozole, Follistim, Ovidrel CD11 - Cancelled.. TI w/5 follicles-BFN
    IUI #3.1 May - CD3 U/S 5-6, Follistim start 5-11 thru 5-17, u/s 5-18 3 mature w/ a close 4th, IUI 5-20 - BFP!
                 Beta #1 12dpo - 164 & progesterone - 89!, Beta #2 16 dpo - 1189, 5w3d - u/s shows TWINS!
                 6/19- u/s showed heartbeats! Baby A 111 & Baby B 118, both measuring 6w1d
                 7/3- Baby A hb 170, Baby B hb 166 - both measuring perfect.
                 7/18 - Baby A 165, Baby B 171 - both measuring right on track & moving all around!

    image

    Pregnancy Ticker

  • This is such a personal decision. I agree with researching selective reduction, just in case. If you are ok with that, then I would go ahead with TI. I would also research pregnancy with multiples because there are many risk factors there as well. 
    For my last IUI, I had more follicles than you have which were very very close in size. I'm actually pretty embarrassed that I went ahead with the IUI but I felt desperate. You can see in my siggy that it didn't work... and I had very high hopes. I'm just telling you 'cause I want you to be prepared for either outcome. 

    Me and DH: 32, TTC since 2/2012
    Dx: lean PCOS, low hormone levels, 2 CP's before seeing RE, MTHFR heterozygous
    IUI #1 with clomid and ovidrel: BFN
    IUI #2 with clomid (unresponsive), femara, ovidrel and novarel: Possible CP
    IUI #3 with femara, ovidrel and novarel: BFN
    IUI #4 with Follistim (115 iu) and ovidrel= BFN, developed OHSS, benched- 2 weeks of birth control pills
    IUI #5 with Follistim (75iu) and ovidrel= BFN........Taking a medication break for a few months
    IUI #6 with Follistim (75iu) every other day, femara and Lupron trigger= BFN
    *Taking a long break to get healthy and research/prepare for IVF*
    Goal: gain 5 lbs, gluten/dairy/soy/nut free
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    3T June Siggy Challenge- Celebrity Crush: Woody Harrelson
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  • It is a difficult decision but if it were me I would still do TI. I've had 3 mature follies on a couple cycles of IUI with no success so that's my reasoning, but of course I don't know your history and I can't see it right now cuz I'm mobile.

    Me: 32  DH: 33  Married: March 2004

    July 2006: started TTC
    2008: HSG (normal), couple rounds of clomid through gyno
    2008 - 2010: dragging my feet out of fear and procrastination
    October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
    Oct. 2010 - Dec. 2012:  In DENIAL! avoided the issue because I was scared of surgery
    January 2013: returned to RE, fibroids grew significantly
    February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
    March 2013: MRI to determine what type of surgery may be necessary

    July 29, 2013: fibroids (5) removed via robotic laparascopy
    August 2013 - Nov 2013 : benched due to recent surgery

    IUI #1, Dec. 24, 2013, BFN 
    IUI #2, Jan. 25, 2014, BFN
    IUI #3, Feb. 25, 2014  BFN
    IUI #4 canceled due to lack of response to letrozole
    IUI #4.1 April 28, 2014, BFN

    May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
    IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis

    May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
    June 11, 2014: consult, approved to move on to IVF because the hydro is not completely blocked therefore allowing fluid to move through slowly rather than backwards
    IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
    September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
    October 2, 2014 - started metformin treatment
    November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5

    November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
    December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
    December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)

    IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN

    We are done with treatment unsuccessfully. :(


    PAIF/SAIF/All Welcome!

    image    image
  • I would move forward. I did an IUI cycle with 4 and no luck. It is a very personal decision, but every follie also ups your odds of getting at least one.

    Me: 30  DW (aka C): 29

    Together since 2/15/11 ~ Legally married in NY on 9/29/12

    ***CP mentioned***

    We've been working on baby #1 since July 2013 using Open ID donor sperm.  8 IUI attempts with 5 actual IUIs and one chemical pregnancy.  We have one fresh IVF cycle under our belts as well as a FET.  I have endometriosis and a uterine septum that was corrected via surgery in November 2013. 

    11/14/14 -  Second HSG shows that tubes are still clear and ute is looking good. 

    12/6/14 - Started BCPs in prep for IVF #2

    12/22/14 - Saline u/s and endometrial scratch (All was clear and OUCH!)

    1/2/15 - Began stimming for IVF #2

     ****All Welcome!****

    We are Mommas to four fur babies - 3 dogs and 1 cat.

    image   

  • Follicle reduction according to my RE is where they go in with a needle under local anesthesia and aspirate some of the eggs out to save the cycle.
    @snedge it is a medicated cycle with 7.5 mg of Femara but this is a really long continuation of the last cycle where I didn't respond. We were planning in being in the 2ww at this point but my ovaries had different plans. Usually I'm fine with taking off work or coming in late for appointments but that isn't possible this week for multiple reasons. DH and I are going to sit down and talk at length about what decision to make. I thank all of you for your honest opinions they have been very helpful.
  • This cycle I had 5 mature and a couple just below mature when I triggered but I'm 39 with normal SA so it's no big deal for us. I don't think it worked for us. If it were me I wouldn't think twice but your situation is obviously different.

    Good Luck!
    Fucking bump!!!!
  • I will find out tomorrow how many follies I have and at this point I feel like I would TI with anything! I had no idea follicle reduction existed. Good luck and let us know your decision!

    ***SIGGY WARNING***




    me: 28 - all test normal
    DH: 33 - SA normal

    *unexplained*

    TTC since September 2011
    2011-Oct.2013 - trying off and on, ob/gyn, no meds
    November 2013-December-EOD, ob/gyn, no meds

    January 2014- ob/gyn ordered Clomid (50 mg) unmonitored, EOD-BFN
    February-Clomid 50 mg. unmontiored, EOD - BFN
    March-Switched to RE
    April- 100 mg Clomid/Ovidrel-BFN
    May - 100 mg Clomid/Ovidrel-BFN
    June-*BREAK/Switch RE*
    July- 5 mg Femara/Ovidrel + IUI #1- BFN
    August- 5 mg Femara/Ovidrel + IUI #2 - BFP!!!!

    EDD: May 7th, 2015: Team PINK



  • @ReneeJ2011‌ - just wondered what you ever decided. I have 4 mature about 10 under 15. We are going for it & will have IUI the next two days. Our doctor offered follicle reduction as we'll but I was toga afraid he might take "the one" that was meant to be. Let us know how it's going for you!
    Me: 28 DH:35
    Married 03/20/11
    Started TTC: Nov 2011
    05/2013: went to OB-Gyn regarding irregular periods & told not to worry
    10/2013: HSG- Clear & normal. Progesterone to induce cycle. Husband SA- "low end of normal"
    10/2013: Clomid 50mg- 2 small follicles
    11/2013: Clomid 50mg- no follicles
    12/2013: Progesterone to induce cycle
    01/2014: Clomid 100mg- 1 small follicle. Transferred to RE
    02/2014: Prometrium & Progesterone injection to induce cycle
    04/01/2014: IUI #1- BFN
    04/17/2014: cyst....waiting for it to go away
    04/28/2104: started Follistim ...again
    05/07 & 05/08/2014: 4 mature follies- IUI 2 days in a row. Praying for a BFP
  • emmuffyemmuffy member
    I would probably go for it, but that's based on my own experience with having two IUIs with two follicles that did not result in any pregnancy, let alone a twin pregnancy. There is no guarantee of success even with four follicles. That being said, I completely agree with the posters who suggested you think through how you would feel about multiples and selective reduction before proceeding further. There's nothing wrong with waiting for a better cycle if you don't think you can handle three or four babies.

    Official diagnosis: Unexplained IF. I am 32. I have low ovarian reserve (low AMH), and poor egg quality. I've also been diagnosed with mild glandular developmental arrest (lining problems, detected with EFT).

    We are using open ID donor sperm. IUIs #1-7=BFN. IVF September 2014 antagonist protocol, 8R,5M,3F, 5 day transfer of 1 morula = BFN. IVF#2 planned for January 2015 (antagonist protocol + HGH).

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