I am currently on my 3rd IUI and have run into a road block. At the beginning of this cycle, I ended up with a cyst that we took care of using the pill. After 10 days of BCP, the cyst was gone. I started my Bravelle injections last Wednesday, Feb. 4, and after 5 days of injections, went back in for monitoring on Monday, and had 4 follicles with potential. I was instructed to do two more days of injections, and went back this morning for another u/s. I have 1 follicle that is of good size (19mm), and one that is "getting there" (13-14). The nurse instructed me to take my trigger tonight and to come back Friday morning for the IUI. HOWEVER, I'm a little concerned. I had 1 follicle with my first IUI and 2 follicles with my second IUI, both of which failed, obviously.
I spoke with the nurse this morning about our options, who said we will want to trigger the one follicle tonight and come back on Friday for the IUI, but I don't know that I agree with that. I asked if we could do one or two more days of injections and come back on Monday for the IUI, but the nurse said no because we risk my body ovulating the bigger follicle on its own, and also risk too many follicles and having to cancel.
I really do understand the fine line between too few and too many follicles and I know it only takes one; I also do understand that the more follicles, the higher the risk of multiples, or having to cancel. I truly do understand that. But we are ready to be more aggressive with this.
I would prefer to do one or two more days of injections in an attempt to have 3-4 follicles, or at least two guaranteed instead of just the one. I can make one on my own-- follicles and ovulation are not our issue, it's DH's numbers. (Note: At our initial appointment with our doctor last summer, she said she is comfortable triggering with up to 4 follicles.)
I'm wondering if I should call my RE back to discuss doing two more days of injections, taking the Ganirelix to avoid ovulating the bigger one, monitoring on Friday (instead of IUI), and if all was well, triggering on Saturday and going in on Monday for the IUI. I know there is a fine line before over-stimming...
Would I be completely insane to want to stim for two more days?? While every cycle can be different, I only stimmed for 7 days, whereas in the past I've stimmed for 12 days and 11 days. Do I have a right to do this? Any advice is welcome, even if you're going to virtually slap me alongside the head and say stop being irrational and just do what my clinic says!
Edited because I'm trying to discretely post while at work without getting caught and apparently can't spell while watching over my shoulder...
HSG: Sept 2014, clear tubes
Dx: MFI - Low motility, morph, count (Aug. 2014); Hypothyroidism (May 2015)
Moved to IUIs October 2014
IUI #1 w/ injections: Nov 2014- BFN
IUI #2 w/ injections: Jan 2015- BFN
IUI #3.1 w/ injections: Feb. 2015, cancelled due to cysts- 10 days BCP
IUI #3.2 w/ injections: Feb/March 2015- BFN
IUI #4 w/ 100mg Clomid + Injections: August 2015- BFN
IUI #5 w/ 5mg Femara + Injections: September 2015- BFN
IUI #6 w/ 5mg Femara + Injections: October 2015 - Cancelled due low response
Moved to IVF May 2016
Retrieved 18 eggs on 05/27/2016, 13 were ICSI'd, 9 made it to day-five transfer
Transferred 2 beautiful day-five embryos on 06/01/2016, froze 7
BFP 4dp5dt on 06/05/2016! Line continued to darken beautifully!
EDD: February 17, 2017
Beta #1: 92
Beta #2: 305
Ultrasound #1 - one baby!
Ultrasound #2 - saw heartbeat!