clomid + trigger shot today, risk of triplets. HELP!!!

blondie3001nz

Hi ladies, 

I have done a cycle of clomid, had my ultrasound today and have 1 big follicle 20mm and 2 smaller ones 13mm.  They have given me a trigger shot today and have advised that I have a risk of conceiving triplets. Then the specialist advised that if in the chance I did conceive triplets, they would recommend reducing this to a twin pregnancy for mine and babies health. Sheesh, I hope that doesn't happen cos I don't think I would be able to terminate one baby, how would you even choose which one? anyway, my question to you, is what would you do in the situation where it is possible (although probably unlikely) that you would conceive triplets? would you give it a miss this cycle or would you take the risk? This is something my dh and I need to discuss later.

 TIA for your opinions  

skiboston

I had 5 follicles in May and didn't get a BFP so I would move forward there is little chance the 13mm's will do anything. There is like a 1% chance of triplets with clomid and I think 5% twins.  And I have 3 now bigger then yours that we are waiting another few days to trigger.

kz's_girlygirl

If it were me, I would go for it- but I have egg quality issues so the chances of all 3 being good eggs would be low. 13mm is still small, and they may not reach maturity. GL whatever you decide!

katib77

There is a very small chance that the 13mm would grow enough to release.  I don't know statistics but I have to say your chance of triplets is very slim.  But these are risks you should have been made aware of before taking that first clomid pill.  Why some choices are hard...they are also personal. 

For me personally, I've had a IUI clomid cycle with two follies (25 &19mm) and a second one with the u/s the day of trigger showing three at 19, 16 & 14mm.  I went ahead with both cycles with MFI and nope, still not PG.  But if you're not dealing with MFI I don't know how you feel about your chances. 

Blueyed228

I think they have to tell you that risk.  My RE's office makes us meet with a "therapist" of sorts if we have more than 3 mature follicles to lay out all possibilities and make sure that we understand what that means and if we want to move forward with the cycle.  I think it has to do with medical ethics and all that jazz.

I had 1 mature follicle to first time and got a BFN, the second time I had 2 and it was positive but resulted in a chemical pregnancy.

That being said, they did tell me that if one takes, the others like to take as well.  But like PP said, 13mm is small so the chance of a mature egg in them is less than the larger follicle.

Megaloo05

I'd do it. I would take the chance. its likely (like others have said) the 13mm follies wont reach maturity. I wouldnt take the chance of a missed cycle. 

Good luck with whatever you decide.  

Eve_Angelique

I would go ahead with it too, like PP have said its a very small chance, and I would think your best bet would be with the 20mm follie. GL in whatever you decide. 

megmacp

I would and have taken that risk. Mind you, it was a BFN. Every month that I've taken Clomid with my RE I've had at least 2 follies. As for reducing my pregnancy, I would go on hospital bed rest for my entire pregnancy before I terminated or reduced my pregnancy!!!

blondie3001nz

Thanks everyone, it helps knowing a bit about what others have been through too!! I don't remember if this was explained or not at my appointment. I think it probably was, but it was so much to take in at the time, I was trying to get my head around having to use a fertility specialist to even conceive! :S Agree with you fully too about reducing megmacp!!!

sbrowns08

Honestly, I've had loads of follies and have never gotten PG so my opinion might be skewed. However, if you're on clomid, 18mm is the smallest an egg is likely to mature. if you already triggered, those 13's probably won't catch up. I say you're fine.

GL!

kobrie01

I would go for it! I just had 3 follies over 20mm for IUI #2 (w/ clomid) and one smaller one. I asked my Dr. about risk of multiples and he said that they hope for one baby with 3 or 4 follies, and typically multiples on clomid occur if there are more like 5+ follies.  That being said you never know...

Mrs.Slick

First of all, with only one mature one, your risk of triplets isn't that high. Higher than normal? Yes, but not terribly high. Also 2-3 mature follicles is the objective of most RE's for TI and IUI cycles because even though there's that risk, it's still only about a 20% chance of conceiving one. 

And about the selective reduction. Plenty of people have triplets and they cannot make you reduce. That is a personal decision between you and your H.  Yes, it would be a risky pregnancy but it's still possible to do. 

eponine7682

First of all, like with any ART cycles, your chance for multiples does increase, and you and DH should sit down and talk about what that means for you guys and how you feel about it if it were to happen.

However, I had 3 beautiful follies for my last IUI all over 18mm and I didn't get pregnant. My RE said that chance of pregnancy doesn;t go up that much with more follies. Given that a typical mature follicle is also 17mm and higher I am not sure your 13mm ones will mature in time.

In the end, it's your decision, but if I were you, I would go ahead. GL with whatever you decide!

Jill070707

I don't think the 13mm follies will play a role.  They're too small.

sammyslick

I dont know anything about the technicalities of these procedures, I just wanted to say that at this point, If you were given the opportunity for 3 healthy babies, I wouldnt chose to terminate one. You have gone this far into the process of just trying for one, that if you actually did have 3 fertilized egs, or one that split to 3, then I would be so happy to have that blessing. Unless you have some major medical issue that would kill you if you had triplets, I would keep them all!

 

Just my opinion!!! GL!

jackiejoey

I had 5 large follies last cycle and it resulted in a BFN with Clomid, trigger, and timed intercourse. Dont worry the chance is very, very small for triplets.