Trouble TTC

Ovulated before Trigger shot?

edited September 2014 in Trouble TTC
Good Evening everyone!

Just wondered if this has happened to anyone. To start I have PCOS and do not ovulate on my own. AF started on 08/25 (from provera) and after Day3-5 bloodwork, RE decided to start Clomid (25mg for 5 days) on 08/26.  I went back to RE for 'Day 12' blood work on 09/05 (even though this was not my day 12) to monitor to see if I responded and to know when to do the trigger shot. Nothing maturing... I went back again on 09/08, still nothing, not even close. I figured the dosage was too low and I assume my RE did too. I went back on 09/11 and still nothing.  He provided a prescription for more clomid (50mg this time) and wanted me to take it during the same cycle since the first dose didn't work (I though this was strange but I still dropped it off at the pharmacy). I got a call that afternoon from my nurse saying my blood work came back and it looks like I already ovulated.  How is this possible?  They didn't see any growth of mature eggs and I never did the trigger shot. Is it possible my blood work could have been wrong.  I have an appointment on Thursday to follow up but I don't know what to think.  This is my first cycle on clomid so I don't necessarily want to get my hopes up. I also feel like without seeing any growth on my ultrasounds that even if I did ovulate on my own, the egg wouldn't have been mature enough to even be fertilized. Anyone have any insight into this craziness?!?
TTC #1 since 07/2012
Diagnosed w/ PCOS 11/2010
Me & DH- 24

●Cycle #1-

1st - Clomid 25mg- Non Responsive
2nd - Clomid 50mg- Non Responsive
3rd- Femara 5mg- ???


My Cycle Chart


October Siggy Challenge
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Re: Ovulated before Trigger shot?

  • Hi...I have no advice to give but our bodies can really do some messed up stuff, especially when on clomid and other drugs. I would call the RE and ask for more information. It seems a bit strange that they never observed a follicle and then your blood work showed that you ovulated. Did your ultrasounds reveal any follicles? or were there follicles, just no mature ones? I'm wondering if maybe you did have a follicle and for some reason it was hidden somewhere and they didn't see it on the ultrasound.

     I know I'm totally not helping, but I feel for ya!

    Me: 33, DH: 32

    TTC: 2 years
    Fertility blood tests all normal
    Tilted uterus
    3 day ultrasound 17 follicles
    HSG: 11/13/13- tubes open
    DH SA: SUPER sperm (145 million, 84% motility, 22% morphology)
    All infection disease and immunity blood tests NORMAL

    FIRST IUI May 2014: 100 mg Clomid days 5-9, third ultrasound CD 13 revealed four follicles 27, 24 and 20 and 13mm. Trigger shot May 28 with IUI May 29 and 30 (fingers crossed) - BFN started spotting 11DPO :(

    IUI #2 B2B 6/23 and 6/24, three mature eggs and 130 million sperm! FX this is the month!  BFN 7/8

    3rd cycle benched due to cysts - TI with OPK tests -  BFN

    3rd mediated cycle: Clomid+Trigger+TI  (three follies left side, one on right as usual....what the hell right ovary get it together and produce some damn follicles!) 7DPO progesterone level 43 with NO suppositories YAY for a natural strong ovulation. Beta canceled started spotting 13DPO - Third time is not a CHARM! 14 day cycle WTF! Everything looks normal - RE wants to start injectables next cycle so this cycle I'm benched

    Officially benched until March....but still plan on trying the baking soda douche due to my excessive and thick CM

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  • Thanks for your response!  I did have follicles but they never matured from what the ultrasounds showed.  I did have a cyst that showed larger on the ultrasound but they assured me that was nothing to worry about. Just when I thought it was over they called and said it already happened.  I'm kinda dumb founded right now at what to think...
    TTC #1 since 07/2012
    Diagnosed w/ PCOS 11/2010
    Me & DH- 24

    ●Cycle #1-

    1st - Clomid 25mg- Non Responsive
    2nd - Clomid 50mg- Non Responsive
    3rd- Femara 5mg- ???


    My Cycle Chart


    October Siggy Challenge
    image


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  • I'm sorry that's happened to you, it sounds really stressful!

    Like PPs said, I would want to know exactly what blood work results they are talking about. And I might ask about having a more senior nurse or the RE monitor for a cycle in case the tech messed up and missed a follicle. I would also ask what size the biggest immature follies were at the last monitoring, because perhaps they just had you wait too long between monitoring or perhaps they should have scheduled your trigger and waited instead.

    Did YH's SA come back good? Hopefully if you were BDing you didn't miss out on a cycle! :)
    January 3T Siggy Challenge - New Year's Resolutions
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    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
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