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Concerned about LH surge before trigger need help please

sail123sail123 member
in Infertility

I had monitoring today (ultrasound only) and after some humming and haahhhing my RE decided that I should trigger tomorrow night.

After I left the appointment I started to get really crampy, like I may ovulate. I took an OPK and it is positive.

I called my RE to see what I should because I don't want to ovulate on my own before tomorrow night and I'm stressing.

Is it too late to trigger if I am already surging on my own? If I don't trigger will only one egg release (I have three follies)?

Thanks ladies.

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Re: Concerned about LH surge before trigger need help please

  • LnR70707LnR70707 member
    Are they doing bloodwork too?  I had a near positive OPK the day before my final monitoring (I was so sure we'd miss O that we had sex that night just in case) but my bloodwork showed I hadn't yet so I triggered that night.  GL!


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    2 years, 2 surgeries, 2 clomid fails, 2 IUIs, 1 loss, IVF #1 - 10/25/10 = BFP!, DS is now 3.5yrs!
    TTC #2 - 6/12 surgery #3, FET #1 & 1.2 = BFN, 12/2012 FET #2 = BFP! DD is 1.5 yrs!
    Surprise! 12/16/14 BFP, loss #2 12/31/14

    I can't wait for the "im getting a divorce" post in 5 years or so because your husbands were fed up with your disgusting chair asses from playing on the knot all day and getting fired 4-5 times for not doing any work. you guys are all winners!! ~ Laur929

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  • sail123sail123 member

    imageL&R70707:
    Are they doing bloodwork too?  I had a near positive OPK the day before my final monitoring (I was so sure we'd miss O that we had sex that night just in case) but my bloodwork showed I hadn't yet so I triggered that night.  GL!

    No, just ultrasound.

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  • anna2006anna2006

    Hmmm - did they do bloodwork yesterday?  They should be following your E2 and LH levels every day at this point.

    I would ask the RE to check LH today.  I think you could trigger today if you are indeed surging, but I don't know that as 100% fact.  Some REs will give an antagonist urgently to try to stop a natural LH surge.  So it seems that there might be something you could do if you knew you were surging.

    It sounds like this is one of those times that you need to loudly advocate for yourself.  Insist on bloodwork!

    Good luck.

     

    TTC Since 2007 M/C survivor twice in 2008 IVF twice at CCRM in 2009 TWIN BOYS born in July 2010 IVF again in 2011 BABY GIRL due August 2012
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  • patchen30patchen30 member
    Definitely talk to your RE.  I did read somewhere (although I'm not sure if it's accurate) that sometimes cycles where the trigger is timed to the natural LH surge are very successful (i.e. the eggs are really mature).

    TTC in 2008. Stage II/III endo, Hashimotos hypothyroid, low morph (3%).
    2 cycles Clomid/Ovidrel/TI/Crinone=BFN.
    IUI #1 - 4 Follistim/Ovidrel/IUI/Crinone = BFN.
    IVF #1 - Antagonist w/ ICSI 4/10. 17 retrieved, 5DT of 2, BFN :(
    IVF #2 - Long Lupron w/ ICSI 6/10. 15 retrieved, 3DT of 2, BFFN!!
    Lap 7/21/10
    IVF #3 - Clomid/Antagonist w/ ICSI 10/10. 14 retreived, 3DT of 3, BFP 10/20 but m/c. No HB 11/15/10 - D&C 11/17/10.
    FET - 2 blasts, 1 survived the thaw. Transfer 2/19. Beta #1 3/1 375, Beta #2 3/3 885, Beta #3 3/8 4261, Beta #4 3/11 9005. U/S 3/8 1 sac 1 yolk, U/S 3/16 1 heartbeat 114bpm!

     

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  • sescms2004sescms2004
    This happened to me on a Clomid/IUI cycle.  I got a positive OPK in the morning and was supposed to trigger that night.  They bumped up my IUI to the next day.  I did still trigger that night, though.  They generally do IUI's the day following a positive OPK or 36 hours after a trigger shot, whichever comes first.  I would definitely call and let them know about the positive OPK and see if you can get your IUI bumped to tomorrow.
    TTC #1 since 6/07, Dx = Ovulatory dysfunction, DOR, and autoimmune issues ~ 4 Clomid cycles, 1 Femara Cycle, 6 Injectible IUI cycles~ 4 Chemical PG's ~ IVF #1 Dec '09 = BFP!! Beta 8dp3dt = 68 10dp3dt = 276 16dp3dt = 1511 ~ First U/S 1/14 = 3 Heartbeats!!! Lost Baby C at 8w5d Emergency Cerclage at 22wks saved our babies lives Lilypie Second Birthday tickers
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  • sail123sail123 member
    Thanks ladies! I spoke to my RE. I took the shot today and I'm going in late tomorrow morning for my IUI. That was incredibly stressful!
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