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WWYD? Femara with or w/o trigger?

JMayJMay member
in Secondary IF

Every time I use a trigger with Femara, my LP is 20 days long. 

RE's nurses keep telling me that the trigger ensures a strong ovulation, but in previous treatment cycles where I have used Femara alone, my P4s have always indicated a good O, and I usually have 2-4 follies present.

I've always been a "lightweight" when it comes to any meds, which may be part of where my adversion to western medication comes from.  I can be "over dosed" when receiving the proper amount for someone of my age size and weight.  For example - I had a dentist once who joked he wasn't going to be able to charge me for putting me in twilight because it took so little - I went home and was loopy for 2 whole days. 

So I kind of wonder if for me, the trigger is too much on top of the Femara, and possibly not necessary.  I'm going to talk to the RE tomorrow, as I'm also strongly considering being done.  After 3 and a half years of trying, I'm so fried.  I'm sad abou tthe idea of quitting, but I've been talking about it for months now - I think I might be as ready as I'll ever be.

Anyway - the question is, given my super long LP with the trigger and evidence that I do just fine without it, would you tell me to use it anyway if I go ahead with another cycle?  Thanks for your opinions Ladies!

Doriimage
"Just keep swimming, just keep swimming..."

Miracle DD born 12.2005
TTC #2 since Dec 2008 w/ PCOS
***P/SAIF Always Welcome***

Keep it Natural, Baby!
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Re: WWYD? Femara with or w/o trigger?

  • yunk11yunk11 member
    I would do what ever you feel comfortable with. If you normally do fine without a trigger than I probably wouldn't use it. However, I always think of it like this: At the end of the cycle will you regret NOT doing the trigger (if AF showed up). Does that make sense? Good luck!
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  • Hnysckl426Hnysckl426
    I would try it without the trigger, what can it hurt?  Plus it might give you peace of mind that the trigger wasn't doing more harm than good.
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  • AprilDrew04AprilDrew04 member
    If you ovulate or release the eggs at the right time without the trigger, then why use it?  I know that sometimes the use the trigger with IUI cycles to ensure that the insemination is timed correctly.  But if you are doing ti then maybe skip the trigger this month and see what happens.

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    10/2012 DH diagnosed with Epilepsy
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  • SymphonyGirlSymphonyGirl member

    I say go with your gut on this one.  If it seems like you don't need it, don't use it. My doctor was really pushing me to use Follistim, so I did for one cycle, even though I didn't think it was a good idea for me since I also tend to be over-responsive to some meds.  I was a very high responder and ended up with what would have been great for an IVF cycle but was not good for just a regular TI or IUI cycle.  I asked if I could just do Femara with trigger this cycle and they kind of reluctantly said OK.  At my monitoring ultrasound, the doctor said, "Wow, this is a perfect cycle - looks like you don't even need Follistim."  Imagine that.  Anyway, moral of the story is, do what you feel like will be right for you and your body and don't let yourself feel pushed into doing treatments that don't feel 100% right to you.

     

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  • JMayJMay member
    imageSymphonyGirl:

    I say go with your gut on this one.  If it seems like you don't need it, don't use it. My doctor was really pushing me to use Follistim, so I did for one cycle, even though I didn't think it was a good idea for me since I also tend to be over-responsive to some meds.  I was a very high responder and ended up with what would have been great for an IVF cycle but was not good for just a regular TI or IUI cycle.  I asked if I could just do Femara with trigger this cycle and they kind of reluctantly said OK.  At my monitoring ultrasound, the doctor said, "Wow, this is a perfect cycle - looks like you don't even need Follistim."  Imagine that.  Anyway, moral of the story is, do what you feel like will be right for you and your body and don't let yourself feel pushed into doing treatments that don't feel 100% right to you.

     

    Yes!  Exactly like this.  I have enough problems, so thank goodness, being a good responder is not one of them.  Why overmedicate if not needed?

    Thanks for all your responses Ladies.  I'm still considering what to do.  Will talk to the RE tomorrow and let you know which way I'm going... Thanks again!

    Doriimage
    "Just keep swimming, just keep swimming..."

    Miracle DD born 12.2005
    TTC #2 since Dec 2008 w/ PCOS
    ***P/SAIF Always Welcome***

    Keep it Natural, Baby!
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  • SigmundsGirlSigmundsGirl

    I use an HCG booster to lengthen my luteal phase, so if you don't need it to release the egg or for "perfect" timing, I wouldn't do it.

    Good luck this cycle!

    Dx: PCOS and short luteal phase
    18 cycles (3 with our RE) - Metformin + Clomid + HCG booster did the trick!
    BFP #1 6/22/09 EDD: 3/2/10 DS born: 3/8/10

    TTC #2 since Dec 2011
    BFP #2 7/8/12 EDD: 3/18/12 M/C @ 9w1d: 8/16/12

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