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Please help before I overreact and cry at work! So confused/frustrated!

CMH25CMH25 member
in Infertility

The nurse just called me. She told me to discontinue my meds and take the HCG tonight at 10:00pm. Okay, fine. I was expecting that. As of this morning, the ultrasound tech told me I only had about 4-5ish follicles that looked to be at a good size (25 (too big?) 17, 16, 16, 15). Not great numbers, but considering how much they grew from Saturday (15, 12, 12, 12) I figured they wouldn?t wait any longer. I was a little disappointed, but I only need one, right?

 So when I asked the nurse about what I had she said, ?You have one a little ahead of the others (I already knew this), and the doctor said he might want you to freeze your eggs (or maybe she said embryos) for a later transfer date.? WTF does that mean? Why would they wait for a transfer? Any ideas?  Is this really bad news, or am I just being silly??  She said that he would know for sure after the retrieval and he would talk to me about it.

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Re: Please help before I overreact and cry at work! So confused/frustrated!

  • catery18catery18
    i'm a little confused but are they worried you have OHSS and think you may need to wait until that subsides before your transfer?? 
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  • MontyMrsMontyMrs
    Have you had any symptoms of OHSS? Maybe they saw a big spike in your E2 and are concerned about hyperstimming. I've seen girls coverted to a frozen transfer for this reason. Also, I wouldn't worry about that lead follie, my numbers tend to similar to your at ER, with one big lead but I still end up with a good amount of mature eggs. Good luck and I hope you get answers soon.
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  • hillareehillaree
    Nothing sounds "bad" from what you said - there could be reasonable explanations. I would definitely call your RE or nurse today to get more info so you don't have to worry! Good luck.
    We are adopting! Currently waiting for our domestic infant adoption match.

    My blog: Making Me Mom

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  • CMH25CMH25 member

    I haven't had any symptoms of OHSS.  Is OHSS possible with only 5 follicles over 14MM?  Eh, I wish she didn't say anything!  I went from knowing I didn't have as many follicles as I would like, but trying to stay positive, to thinking that I won't be having a transfer this month.

    Crying

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  • njohnson1972njohnson1972 member

    Try not to stress (I know it is easy to say, but hard to do).

    I was told I only had 2 follies right before I triggered.  I ended up with 4 at ER.  A lot of times there are more follies that they just can't see.

    And I don't know much about OHSS, but that is usually the only reason I have seen ladies have to delay ET.

    Good luck!

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  • mcclure2828mcclure2828

    Hi, I haven't posted on this board in a very long time but I happened to be lurking and see your post.  I went through the same thing a few months back.  I hope you don't mind me posting!!

    In my last IVF I had several follicles with the largest being a 22.  After my retrieval they told me we would have to freeze our embryos and do a FET.  I was so confused and upset as I had never heard of doing this because of follicle size.  The reason my doctor gave is that a large follicle over 20 can affect your hormones and make your lining unreceptive to implantation.  I don't know what hormones she was referring to or how they would make the lining unreceptive as she didn't get much more detailed than that with me. I trusted her and froze all my embryos for a FET.  I googled like crazy and have never been able to find any info that backs this up.  So I don't know if she was wrong or right but that was the reason she gave me. 

    I hope this gives you a little info.  The way I looked at it was that it was really disappointing to have to put off the transfer but if my doctor thought it would give us a better chance I was willing to try it.

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  • CMH25CMH25 member
    imagemcclure2828:

    Hi, I haven't posted on this board in a very long time but I happened to be lurking and see your post.  I went through the same thing a few months back.  I hope you don't mind me posting!!

    In my last IVF I had several follicles with the largest being a 22.  After my retrieval they told me we would have to freeze our embryos and do a FET.  I was so confused and upset as I had never heard of doing this because of follicle size.  The reason my doctor gave is that a large follicle over 20 can affect your hormones and make your lining unreceptive to implantation.  I don't know what hormones she was referring to or how they would make the lining unreceptive as she didn't get much more detailed than that with me. I trusted her and froze all my embryos for a FET.  I googled like crazy and have never been able to find any info that backs this up.  So I don't know if she was wrong or right but that was the reason she gave me. 

    I hope this gives you a little info.  The way I looked at it was that it was really disappointing to have to put off the transfer but if my doctor thought it would give us a better chance I was willing to try it.

    Thank you so much for posting!  Interestingly, for both of my IUIs I also had very large follicles (>25) very early in my cycle.  They ended up doing the IUIs the day after trigger (once just over 12 hours) because of my follicles growing so fast.  I just wish I had more of them! 

    I'm on a low dosage of the medication (112.5 gonal f) to begin with.  I wonder if they would increase it next time (if needed) to get more eggs, or if that would just cause the follicles to grow even faster. 

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  • mcclure2828mcclure2828
    That's one of the reasons I was so confused.  I know people trigger for IUI's with larger follies all the time and also have heard of lots of IVF transfers with follicles over 20.  I'd be interested to hear your doctors reasons for putting off the transfer.  Good luck to you!! 
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  • CMH25CMH25 member

    Okay, so I heard back from my usual nurse (the other one wasn't my usual nurse).

    Apparantly, if you have one follicle that is larger than the others and it becomes "dominant" it can affect your progesterone and hormone levels creating issues with implantation (just like pp said).  I guess it affects the window that they can do the transfer.  She said that the doctor would look at my file and consult with the lab and make a decision.  They find that success rates are higher when you wait and do a FET.  IMO, if I have more than one that is of good quality, I'm willing to give it a go.  I'm only transferring one at a time anyways.

    I guess I will just have to see what happens and take my doctor's advice.  It is what it is.

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