Secondary IF

pos opk day before scheduled trigger

I have a call into my RE nurses, but guessing this will be a quicker response. What happens if you get a positive opk before your scheduled trigger? I was supposed to trigger tomorrow at 11pm and iui Friday at 11am. Just got a pos opk at 12:15pm today. I was really wanting to trigger to ensure both follicles would release. They were at 16.5 and 17.5 yesterday. I'd appreciate any input! TIA!

Two DDs 10/08 and 08/10, no primary IF
TTC #3 since 10/2011 - dx unexplained/weak ovulation
 3 BFN clomid + TI cycles, 5 BFN clomid/gonal f IUIs, 1 mmc IUI
2/19/2014 IVF #1 Unexpected low E2 (oversuppressed) -> increased to max doses = 3 or 4 follicles, converting to IUI
BFFP Saw 1 beautiful heartbeat at 6w6d, follow up u/s at 9w showed mmc. Eff this.
NTNP 5/2014-9/2014, OPKs and TI 10/2014 - 1/2015. 
RPL testing all normal, AFC, AMH, and FSH all normal. 
IVF 1.2 1/22/2014 natural cycle start, AFC 28, 300 gonal f/150menopur. 
ER 2/3/15 14R 8M 3F w/ICSI Day 5 transfer on 2/8/15 of one "Grade A+" blast and have TWO frosties! 

 image

Re: pos opk day before scheduled trigger

  • I'm no expert here, but I believe the +opk means you will ovulate in 24-48 hours.  Also, thinking that if you did ovulate one, then the trigger may still cause the second one to ovulate as well.

    Curious to hear what your RE says. 

    Image and video hosting by TinyPic 

    DD conceived after 3 years of ttc.
    MFI - DH had varicocele repair and took Clomid to get DD b. 02/2010

    TTC #2 since 6/2010
    10/2012 DH diagnosed with Epilepsy
    A few failed IUIs summer 2012 and 2013. 
    DH taking clomid and waiting to see if he needs another vericocele repair. 
    Hoping for a 2015 baby or babies. 
    Wishing, hoping, waiting.


    Lilypie Fifth Birthday tickersLilypie - Personal pictureLilypie Trying to Conceive Event tickers

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  • Nurse just called back and said she will have to "put it into the RE" bc she didn't know. She also said they don't usually have patients do trigger AND opks?! Wth?! Doesn't logic say if I'm surging right now I will likely ovulate by tomorrow night when they wanted me to trigger, which would make a Friday iui too late? Interested to see what the RE says.

    ETA: apparently plan stays the same. RE says opks are hard to read and the ultrasound I had yesterday is a better indicator. We will be BDing tonight and tomorrow to cover our bases, but just seems odd opks suddenly "don't matter. "

    Two DDs 10/08 and 08/10, no primary IF
    TTC #3 since 10/2011 - dx unexplained/weak ovulation
     3 BFN clomid + TI cycles, 5 BFN clomid/gonal f IUIs, 1 mmc IUI
    2/19/2014 IVF #1 Unexpected low E2 (oversuppressed) -> increased to max doses = 3 or 4 follicles, converting to IUI
    BFFP Saw 1 beautiful heartbeat at 6w6d, follow up u/s at 9w showed mmc. Eff this.
    NTNP 5/2014-9/2014, OPKs and TI 10/2014 - 1/2015. 
    RPL testing all normal, AFC, AMH, and FSH all normal. 
    IVF 1.2 1/22/2014 natural cycle start, AFC 28, 300 gonal f/150menopur. 
    ER 2/3/15 14R 8M 3F w/ICSI Day 5 transfer on 2/8/15 of one "Grade A+" blast and have TWO frosties! 

     image

  • imagegennyu:

    imageJen071407:
    Nurse just called back and said she will have to "put it into the RE" bc she didn't know. She also said they don't usually have patients do trigger AND opks?! Wth?! Doesn't logic say if I'm surging right now I will likely ovulate by tomorrow night when they wanted me to trigger, which would make a Friday iui too late? Interested to see what the RE says. ETA: apparently plan stays the same. RE says opks are hard to read and the ultrasound I had yesterday is a better indicator. We will be BDing tonight and tomorrow to cover our bases, but just seems odd opks suddenly "don't matter. "

    I agree that it feels odd, but my RE has also advised that I put away the OPKs while on a monitored cycle.  So I do.

    Yep. The ultrasound is going to be a better indicator of what your body is doing. Are you doing IUI? If so, be careful about too much BDing. You wouldn't want a low count when you really need it. 

    ETA: I see IUI is for Friday. Personally, I would only BD tonight and then wait until Friday night.

    image
     
    A + Life

    Anniversary
    Baby Birthday Ticker Ticker

    Me:24 DH:27
    TTC #2 since August 2011

    DX: Low AMH 1.79 Mildly elevated FSH 9.9

    1 month of Letrozole, 3 IUI's with Letrozole, All BFN. 1 canceled IVF cycle, BFN.


    May 2013 IVF w/ICSI #1.5: Start BCP 5/8 2 pills a day. Suppression Ultrasound 5/29. Begin Dexamethasone & Lupron Microdose 5/31. Started Gonal F and Menopur 6/2.


    ER 6/12 13R,9M,8F.


    5DT CANCELLED due to moderate OHSS


    5DT UNcancelled due to embryos not being capable of cryopreservation


    Transfered 2 "poor quality" embryo's on 6/17

    No frozen embryos.


    Beta #1 6/25 6. Chemical Pregnancy confirmed. Beta #2 6/28 -1
    Done trying

  • Thanks for the replies! I wish I was told sooner to put the opks away during a trigger cycle. It would have spared me all this extra analyzing I'm trying to stop doing. I think I understand what my RE said, basically that the surge the opk picks up can last awhile, but the actual peak is impossible to identify and that is the point that the 36 hours to ovulate starts. So hopefully my "peak" isn't until late tomorrow. Does that all sound right with what you all know? Never thought I'd be so mad to see a positive opk!

    Two DDs 10/08 and 08/10, no primary IF
    TTC #3 since 10/2011 - dx unexplained/weak ovulation
     3 BFN clomid + TI cycles, 5 BFN clomid/gonal f IUIs, 1 mmc IUI
    2/19/2014 IVF #1 Unexpected low E2 (oversuppressed) -> increased to max doses = 3 or 4 follicles, converting to IUI
    BFFP Saw 1 beautiful heartbeat at 6w6d, follow up u/s at 9w showed mmc. Eff this.
    NTNP 5/2014-9/2014, OPKs and TI 10/2014 - 1/2015. 
    RPL testing all normal, AFC, AMH, and FSH all normal. 
    IVF 1.2 1/22/2014 natural cycle start, AFC 28, 300 gonal f/150menopur. 
    ER 2/3/15 14R 8M 3F w/ICSI Day 5 transfer on 2/8/15 of one "Grade A+" blast and have TWO frosties! 

     image

  • imagegennyu:

    imageJen071407:
    Nurse just called back and said she will have to "put it into the RE" bc she didn't know. She also said they don't usually have patients do trigger AND opks?! Wth?! Doesn't logic say if I'm surging right now I will likely ovulate by tomorrow night when they wanted me to trigger, which would make a Friday iui too late? Interested to see what the RE says. ETA: apparently plan stays the same. RE says opks are hard to read and the ultrasound I had yesterday is a better indicator. We will be BDing tonight and tomorrow to cover our bases, but just seems odd opks suddenly "don't matter. "

    I agree that it feels odd, but my RE has also advised that I put away the OPKs while on a monitored cycle.  So I do.

    mine too. As soon as I started doing medicated/monitored cycles, all the rules changed! 

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