Monitoring, switch from IUI to TI, shrinking/growing follies? (updated)

DharmaChick

My u/s this week have me scratching my head, and also have me wondering why I don't have one more monitoring appointment this cycle:
Monday: Estradiol 131.0; Left 12.7mm, 12.0mm; Right 14.8mm, 12.7mm
Wednesday: Estradiol 196.2; Left 11.9mm, 11.9mm; Right 16.7mm
Thursday (CD19): Estradiol 278.2; Left 13.5mm, 14.1mm; Right 15.7mm?

We were prepping for IUI#4, but DH and I are going on vacation starting on Sunday, so we are going to do TI instead.
My RE left me a message indicating that I should trigger on Sat night, then BD on Sun and Mon.

I had a slow response during each of my Clomid cycles, with only one mature follie each time. So, I wasn't too surprised that it wasn't moving along quite as quickly as planned (though this has been a bit faster than Clomid).  However, I was very surprised that we aren't going to do another ultrasound before triggering, considering the weird changes in follie size. Plus, we have always done an u/s within a day of triggering.

Anyone have a similar experience?  Am I being silly if I call tomorrow to ask my RE if we can do an u/s on Sat?

Pintobean39

I've never done an us the day of my trigger and I've been on injections. My follicles grow slow so I'm sure my RE isn't worried that they are going to shoot up at the last min. My last us is usually the day before my trigger.

Are you taking clomid or injections?

DharmaChick

I am on Letrozole this time around. My worry, since the one on the right seemed to go down in size, is whether or not I will have any mature follies at that time.

DharmaChick

I spoke with the nurse this morning, and she assured me that when the follies are "gaining momentum like this" that they can expect a steady 2mm growth per day, and that Sat should be fine.  She let me know that they would bring me in if there were any doubt, but that they would give me the same plan even if they brought me in on Sat.

I'm wondering if this means that all 3 follies might mature in time?

FX that at least one does!!

Pintobean39

I would think you have a good chance in all 3 being mature, you still have a couple of days before trigger and the trigger will push then even farther to mature. Good luck!!

MissEm15

Good luck!!

DharmaChick

Thank you!!

Lillovebug79

Good luck!

DharmaChick

Positive OPK this morning! That seems reassuring.

Question: We BD'ed last night, but are not supposed to BD again until tomorrow (I trigger tonight, and he has mild motility issues ). Are we good to wait until tomorrow, with that positive OPK today?

I'm kicking myself for not testing last night, but I was not expecting to see that second line (Wondfo) this morning!

Pintobean39

We always do TI too and my RE told me to have sex 12 and 36 hrs after trigger. The positive today just means you are going to ovulate in the next day or two. The trigger tonight will insure you ovulate in 36 hours. I think you are good waiting until tomorrow. Good luck!

DharmaChick

Thanks, @Pintobean39! I have done the trigger with IUI but not TI before. That is helpful to read. Thanks again!

DharmaChick

12 hours after trigger would be a bit tricky; as we will be on an airplane. Lol. It will have to be either 6 hours or 18 hours after trigger.

Pintobean39

DharmaChick said:

12 hours after trigger would be a bit tricky; as we will be on an airplane. Lol. It will have to be either 6 hours or 18 hours after trigger.

You can join the Mile high club??? LOL

If it were me if wait for the 18hrs vs the 6. Then again it's just all a crap shoot.

DharmaChick

Yeah I was giggling about that thought, and what I would say if we got caught. Lol.

I do think that we'll wait until 18 hours, since we at least BD'ed last night.