Hey everyone! I’m new here!!

Ceauth

Hey, I’ve been lurking for a few months and am ready to introduce myself. My DH and I have been TTC our first since 04.2018, and I have been diagnosed with Borderline-PCOS/Unexplained IF. Our RE has put me on Letrozole 2.5 mg CD 3-7 and we have undergone 1 IUI, and are about to undergo IUI #2 in August with same protocol. When I underwent my first IUI, my RE did not monitor my follicles with an U/S, I’ve noticed that many of you have received U/S monitoring throughout your cycle. Is this normal to not have an U/S during the IUI process? Thanks for any feedback!! 

inthewoods23

Hi @Ceauth!

Yes US is, to my knowledge, always used with IUI. My RE won't have you do the trigger shot until the follicle(s) are at least 20mm. In my 1st IUI cycle, I triggered right around my usual O time without meds (usually CD17-19). My other 2 IUIs I triggered on CD12.

Letrozole can cause you to O earlier or later than normal. I'm very surprised they would do no monitoring with you! Unless... Was your doctor having you use OPKs to predict around the time you would O? Or did you use a trigger shot?

Ceauth

Hi @inthewoods23 my doctor has been having us use OPKs to predict and we go in the following day for the IUI. My DH and I are planning up to 6 IUIs before moving onto IVF because our insurance covers IUI but not IVF. Do you recommend the trigger shot? Our RE never mentioned the trigger shot as a possibility, and I’m having a hard time trying to navigate my options. 

inthewoods23

@Ceauth I'd say that's really up to you and your doctor if you just use OPKs or the trigger (and some may do both?). My doctor likes to take control of the cycle, hence the monitoring and then trigger since that makes you ovulate 24-48 hours later to give the best timing for IUI. And I know reading the coloring on OPKs can be a little difficult to determine peak vs high fertility. Trigger removes the risk of missing your surge.

Ceauth

@inthewoods23 Thanks for the input! I’m going to talk to my RE after my current round (I’m on CD5), if it doesn’t end in a BFP, about my options regarding the trigger shot. FX for you!