Infertility

3rd monitoring appointment

i have 7 follies (still 5 that are good but other 2 may catch up).  5 are between 13-18 and 2 are 8 and 10.  My E2 at my last appointment was 765 and that was day before yesterday which had doubled from the previous one so i'm hoping it doubles again. 

She said I would probably do retrieval on Monday.  I am really hopeful that my bloodwork comes back awesome and she says to do retrieval sunday so I don't have to brave 10 inches of snow tomorrow for another monitoring appointment. 

Any thoughts on whether you think she would have me trigger tonight or tomorrow night?

Me (37) DH (39); PCOS changed to Unexplained, changed to DOR in 2012 (finally a correct diagnosis!); 
Started TTC 2009 with RE after 6 months.  
Clomid + Trigger x2; 
IUI + Femara x1,
IUI + Follistim x2;
IVF #1 (MDL) February 2013- BFN.
IVF #2 (antagonist) May 2013, First BFP of my life. 
Identical twin miracle BOYS (!!) headed our way- due date is technically 2/4/14 but c section is scheduled for 1/7! 


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Re: 3rd monitoring appointment

  • Your stats are similar to what mine were - 6 measurable follicles (16/17/18 ish size) at my 3rd appt and e2 was 650ish. She thought about having me trigger that day, then when she saw the e2, she said she wanted to wait one more day to let the e2 get over 700 so I triggered the next day.

    Hope that helps.

    **Warning: Losses and living child mentioned**
    BFP#1 1/31/12, EDD 10/6/12 Harrison Gray born sleeping @ 18w6d. You changed our lives little guy.
    BFP#2 EDD 10/29/13, C/P 2/25/13, Bye little Ish, we barely got to know you.
    BFP#3 EDD 12/21/13, Baby Boots born 11/23/13 My rainbow baby!
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  • Hi cycle buddy!

    I had my 2nd monitoring appointment yesterday and my follies sizes were more or less like yours, my lead follie was only 16 yesterday but today it should be 18 too. My e2 was 1310 and my RE is having me trigger on saturday and ER will be monday. My clinic only does ERs on mondays, wednesdays and fridays, so I had no choice. We both agreed that an ER on wednesday would be too late, as the lead follie would already be 28 by then. FX for our ER!

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  • I can't really help because I was overstimulated but she is probably waiting for the 8 and 10 to get into the teens so you have more eggs (hopefully all mature) retrieved.  I wish I could have waited a little longer for my ER because 4 of my eggs were immature.  Good luck!

    <Image and video hosting by TinyPic
    Married June 2011 Dx: anovulatory due to prolactinoma (1.5cmx 1.5cm in 2006)
    April 2012: MRI- questionable cyst 8mg by 12mm in pituitary ; referred to RE by Ob-gyn after amenorrhea x 4+ months, provera ineffective, low estrogen level
    cycle 1: May 2012, clomid 50mg; cycle cancelled, thin lining, no response
    cycle 2: June 2012, femara 5mg; cycle cancelled, no response
    cycle 3: July 2012, femara 7.5mg; cycle cancelled (largest folli on Cd12 & cd 16: 11, lining 4)
    Repeat MRI July 25,2012- Cyst unchanged, likely old infarction.
    Aug. 8: met with RE, move to injectables if HSG and SA normal
    Aug. 23: HSG all clear; DH- perfect
    Switched to a new RE in early Sept. IVF here we come
    Genetic testing reveals: Fragile X- Intermediate risk/grey zone.
    IVF#1: ER 11/30: 14 retrieved, 10 mature, 7 fertilized. E2 prior to trigger 5200. Decision made to freeze 6 embryos and transfer later due to OHSS.
    IVF#1.2/FET #1: estrogen injects start 1/18, FET delayed to try to thicken lining. lining 5.4mm. FET- 2/18- transferred one 3AA expanded blast. BFP 5dp5dt. Beta #1- 2/27 9dp5dt- 102.27 beta #2 3/1: 147 :(, beta #3 3/4: 268 told to stop meds and let nature take its course. requested 4th beta (3/6); Beta hell for 2 months.

    FET # 2: endometrial scratch 5/6, added estrace vaginally and ASA to delestrogen and PIO. June 10- transferred one 4AA hatched embryo, BFP 4dp6dt, Beta 1 (9dp6dt) 187, Beta 2 (11dp6dt): 412; Beta 3 (15dp6dt ): 4452. U/S #1- one beautiful embryo with a heartbeat of 133 at 7 weeks.  8 weeks: heartbeat 156. EDD 2/26/2014: born 2-3-14 induced due to Pre-E and HELLP at 36w5d.

    12/1: met with RE to discuss trying for #2


  • imageBootsOrHearts:

    Your stats are similar to what mine were - 6 measurable follicles (16/17/18 ish size) at my 3rd appt and e2 was 650ish. She thought about having me trigger that day, then when she saw the e2, she said she wanted to wait one more day to let the e2 get over 700 so I triggered the next day.

    Hope that helps.

     

    thanks boots!  it does!  I''m sooooooo hopeful that she will just have me trigger tonight and come in on Sunday for ER! :)

    Me (37) DH (39); PCOS changed to Unexplained, changed to DOR in 2012 (finally a correct diagnosis!); 
    Started TTC 2009 with RE after 6 months.  
    Clomid + Trigger x2; 
    IUI + Femara x1,
    IUI + Follistim x2;
    IVF #1 (MDL) February 2013- BFN.
    IVF #2 (antagonist) May 2013, First BFP of my life. 
    Identical twin miracle BOYS (!!) headed our way- due date is technically 2/4/14 but c section is scheduled for 1/7! 


    BabyFetus Ticker image
  • imagesolisilou:

    Hi cycle buddy!

    I had my 2nd monitoring appointment yesterday and my follies sizes were more or less like yours, my lead follie was only 16 yesterday but today it should be 18 too. My e2 was 1310 and my RE is having me trigger on saturday and ER will be monday. My clinic only does ERs on mondays, wednesdays and fridays, so I had no choice. We both agreed that an ER on wednesday would be too late, as the lead follie would already be 28 by then. FX for our ER!

     

    so excited for both of us!!!  lots of luck!

    Me (37) DH (39); PCOS changed to Unexplained, changed to DOR in 2012 (finally a correct diagnosis!); 
    Started TTC 2009 with RE after 6 months.  
    Clomid + Trigger x2; 
    IUI + Femara x1,
    IUI + Follistim x2;
    IVF #1 (MDL) February 2013- BFN.
    IVF #2 (antagonist) May 2013, First BFP of my life. 
    Identical twin miracle BOYS (!!) headed our way- due date is technically 2/4/14 but c section is scheduled for 1/7! 


    BabyFetus Ticker image
  • Whether you're told to trigger tonight or tomorrow probably depends on what that e2 is today. If you said it was 765 2 days ago and is doubling then I'd imagine you're probably looking at 1200-1500 today which I'd venture to guess means you've got a good chance of getting as many eggs as follicles or close to it. If the largest is 18 though, they may have you go another night just to give it a little time to grow and for the 8 and 10 to catch up too. Although keep in mind that after your trigger those follies will sprout up a little more before ER too so there's hope either way for the 8 and 10!!! Plus, its been my experience that as long as you have a fair amount of "mature follies" then its more likely for the smaller ones to have eggs too. I've gotten 19 eggs from 20 follies where I had 10s in the group too!

    Good luck, can't wait to see when your trigger ends up being!

    Me: 33, Endocrine issues & FVL       DH: 32, Nothing 
    NTNP 2009-2012         TTC since 2012:
    • Clomid, 2 IUI cycles, and 5 IVF cycles = BFN
    • FET #1   August 2013 = BFP!     EDD 5/11/14
    • Jack dx at 19w1d with Dandy Walker on 12/16/13
    • Severe Pre-e /HELLP set in Jack born sleeping at 20w1d on 12/23/13
    • FET #2 --July 2014  BFP!  ---  EDD  4/5/15

    Jack has handpicked his sibling up there :)

    My blog about IF and loss ... Kate's IF Blog

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  • Thanks all !
    Me (37) DH (39); PCOS changed to Unexplained, changed to DOR in 2012 (finally a correct diagnosis!); 
    Started TTC 2009 with RE after 6 months.  
    Clomid + Trigger x2; 
    IUI + Femara x1,
    IUI + Follistim x2;
    IVF #1 (MDL) February 2013- BFN.
    IVF #2 (antagonist) May 2013, First BFP of my life. 
    Identical twin miracle BOYS (!!) headed our way- due date is technically 2/4/14 but c section is scheduled for 1/7! 


    BabyFetus Ticker image
  • E2 came back at 1413 which means it doubled again from Wednesday.  Excited and nervous at the same time!!!  Does that mean I actually have 7 mature eggs?  Or the possibility of that?  Even with the IUI's with 3 follies my E2 never got above a 250.  I'm starting to get uncomfortable today and it happened quite quickly.  :(

    Monitoring appointment tomorrow (probably last one!) and hoping for ER on Monday!

    Me (37) DH (39); PCOS changed to Unexplained, changed to DOR in 2012 (finally a correct diagnosis!); 
    Started TTC 2009 with RE after 6 months.  
    Clomid + Trigger x2; 
    IUI + Femara x1,
    IUI + Follistim x2;
    IVF #1 (MDL) February 2013- BFN.
    IVF #2 (antagonist) May 2013, First BFP of my life. 
    Identical twin miracle BOYS (!!) headed our way- due date is technically 2/4/14 but c section is scheduled for 1/7! 


    BabyFetus Ticker image
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