Trouble TTC

Can a small follicle produce a viable egg?

I'm sorry if this is a stupid question.  Can a small(ish) follicle produce a viable egg?  I went in this morning (CD21) and I have one follicle that's almost 17mm.  Apparently my E2 is at 340 and my LH is surging so they want me to skip the trigger because they say I'm about to ovulate on my own.  They wanted a 20mm follicle before triggering so I feel like I'm about to ovulate too early and my egg won't be viable.  I'd appreciate any insight.  Thank you!

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Re: Can a small follicle produce a viable egg?

  • My RE considers anything over 16 to be mature.  GL!
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    TTC since 2008
    Dh:34, no issues.  Me:31, Endo, slightly hypothyroid, deformed ovary, paracentric inversion.
    4 Gonal-F, Cetrotide, HcG, Crinone +TI cycles= all BFN
    Lap in 2012 to remove large unresolving cyst discovered endo and double lobed ovary.
     6 Gonal-F, Cetrotide, HcG, Crinone IUI cycles= All BFN,
    1st IVF w/ICSI- June '13 Antagonist: Gonal-F, Menopur, Ganirelix, HcG, Estradiol, Crinone= 7 retrieved, 4 mature, 1 unfertilized, 2 abnormally fertilized, 1 normally fertilized.  2DT of only embryo and our miracle BFP.
    Our beloved baby boy was born sleeping Oct. 13, 2013 due to pROM/IC/Uterine infection.
    2nd IVF w/ICSI- Feb. '14 EPP/lupron/antagonist: Estrace, lupron, HGH, Gonal-F, Menopur, HcG, PIO, lovenox, doxy/dex.=21 retrieved, 16 mature, 15 fertilized!!  5dt of 1 blast/ 6 frozen. BFP!  Beta 1 9dp5dt:83.9  Beta 2: 11dp5dt: 145.2  Beta 3  14dp5dt: 497  Please be our sticky rainbow baby!

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  • If you said it was 10mm I would say no. But I think 17mm is good enough - mine triggers at 18mm.  But remember that the u/s measurements are not perfect - they can be off by a bit - and your b/w tells a better story about what is happening than the follie size. 

    GL!

     TTC #1 since 6/09
    Dx: PCOS and MFI
    3 IUIs, 4 IVFs = BFFN
      3rd RE: IVF #5/FET = BFP
    14dp5dt=1170 16dp5dt=2573

    1st u/s=
    TWINS!
    It's a Boy and a Girl!

    Born at 34w3d! 
     

  • Thank you so much!  That makes me feel a lot better. 
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  • **ticker warning**

    I did not see PAIF in your siggy, but I felt I needed to respond.

    My RE said they have found viable eggs in follicles as small as 14mm and more typically in 15mm.  I would say 17mm could produce a viable egg.  GL!

    "When the world says, 'Give up,' Hope whispers, 'Try one more time.'" -Anonymous

  • I would say yes.  I triggered for my IUI's at 18.
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  • My RE said he would trigger at anything over 18. GL!

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  • imageCluckyEV:

    **ticker warning**

    I did not see PAIF in your siggy, but I felt I needed to respond.

    My RE said they have found viable eggs in follicles as small as 14mm and more typically in 15mm.  I would say 17mm could produce a viable egg.  GL!

    Glad to hear that and thanks for reminding me that I need to add that to my siggy!

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  • Thanks everyone!!  It's good to know I have a chance.

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  • Last IUI, if I remember right, I had a 20, a 17, and a 14. My RE called the 17 "probable" for ovulation, so should be okay. You don't want to let it go too long and ovulate on your own.

    ETA: Just noticed you are skipping trigger. That part surprises me just a little. My RE triggers even with my 20mm follies...

    Started TTC 2/2009
    Started fertility treatments 11/2010
    Ovarian dysfunction, LPD, male factor
    6 failed medicated IUI's
    Pregnant 5/2011 - Miscarriage at 6 weeks due to triploidy
    Decided to adopt - 6/2012
    SURPRISE! Pregnant without intervention - 7/2012 
    Sweet Baby James Born 3/2013
    Decided to be "One and Done"

    ....OR NOT.
    Pregnant 12/2018 despite birth control pills
    Here we go again...
    Due 8/26/19!
  • In my lasy cycle I had 2 follies that were 16 and a few that were 14. My RE wanted me to trigger the next morning, and like you, I was concerned that I would be ovulating too early. He was very confident that my 16's would grow bigger by the next day and be viable. He also said he had a patient that had one 16 and four 14's and triggered the next day and ended up with quadruplets !! That convinced me enough that the "smaller" follie's can still have viable eggs!

    Good Luck!

    dx: thin PCOS 5/2011 annovulatory, DH= normal, cycle 1: clomid:clomid:ovidrel:TIC = BFN cycle 2: letrozole:follistim:ovidrel:endometrim IUI= BFN cycle 3: follistim:ovidrel: IUI (10/14/11)= BFP (10dpo beta=36, 13dpo beta= 280, 17dpo beta=1237) 1st US 11/11/11= 1HB + 2 other gest sacs 2nd US 11/18/11= TRIPLETS!! 2 boys and a girl born at 31.5 weeks on may 9th.
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