cancel or trigger?

Rachaeleigh · May 2014

damn it...

My nurse just called. I have 4 follies at 16mm and 2 at 15mm. I didn't ask for exact e2, but she said it rose appropriately

The RE said I can trigger tonight, IUI Sunday or cancel.

So, triggering tonight may mean no mature follies or high multiples. The nurse seemed to think that bc follies continue to grow after trigger that maybe some would mature, but maybe not...but if all mature, that's a shit storm too

And canceling just plain sucks

Ugh. What would 3T do??

MissEm15 · May 2014

I was in your exact same situation last month.. I ended up 5 mature and two more borderline. I had the option to trigger when the lead two follicles were at 16.5mm but I decided to wait bc at that time I was okay w/ an IUI w/ 4 follicles. I was not okay w/ IUI w/ 7 however so we cancelled. We did go ahead w/ TI (we are MFI too that is why). It was a BFN. Looking back, I would have triggered w/ the two almost mature to at least have some hope instead of none from a cancelled cycle. The risks are up to you tho & you need to be comfortable w/ whatever the outcome. I wish you the best luck and peace w/ your decision!

lebradford · May 2014

I think if I was ok with selective reduction, I would do it, and if I wasn't, then I would cancel.

I'm sorry you have to decide. :-(

Rachaeleigh · May 2014

Thanks for your responses, ladies

We're going to trigger tonight, IUI Sunday

*sigh*

BunnyBerry · May 2014

Wow with 6 follies all in the same range, I would definitely not trigger, IUI or even TI.

I would feel that is just asking for trouble.

Looking at your sig, those MFI #s seem less than average for good IUI chances, but certainly not awful for IUI, and it's always possible that the count on IUI day (or even TI day) could have a random improvement.

But my #1 reason would be what it would do to me emotionally to have to wait out the TWW. I'm sure by the end I'd just be praying that nothing happened rather than the risk of multiples.

Of course, we all have different thoughts/feelings when it comes to selective reduction. For me, I hate the thought of it, but I would probably feel somewhat okay about it for health/safety reasons if I had a fluke HOM - like, identical twins or invisible follie or something. (And if we never had success and then I learned that I have really poor egg quality or something, then I would also not feel like I'd made a horrible mistake if I tried with 3 or 4 or something and got HOM.) But I would not want to put myself in a position where I felt like I had taken a serious known risk and then having to deal with the results.

Would your RE be willing to go through the risks as they apply to your individual diagnoses and history? Perhaps you'll find that in your situation, risk of HOM are still extremely low. I would want as much info as possible before having to throw away a cycle.

Good luck with whatever you decide! I'm so sorry that you are in this position. Do you feel comfortable that your RE made wise choices about your injection protocol, and this was just an unlucky surprise?

Rachaeleigh · May 2014

BunnyBerry said:
Wow with 6 follies all in the same range, I would definitely not trigger, IUI or even TI.
I would feel that is just asking for trouble.
Looking at your sig, those MFI #s seem less than average for good IUI chances, but certainly not awful for IUI, and it's always possible that the count on IUI day (or even TI day) could have a random improvement.
But my #1 reason would be what it would do to me emotionally to have to wait out the TWW. I'm sure by the end I'd just be praying that nothing happened rather than the risk of multiples.
Of course, we all have different thoughts/feelings when it comes to selective reduction. For me, I hate the thought of it, but I would probably feel somewhat okay about it for health/safety reasons if I had a fluke HOM - like, identical twins or invisible follie or something. (And if we never had success and then I learned that I have really poor egg quality or something, then I would also not feel like I'd made a horrible mistake if I tried with 3 or 4 or something and got HOM.) But I would not want to put myself in a position where I felt like I had taken a serious known risk and then having to deal with the results.
Would your RE be willing to go through the risks as they apply to your individual diagnoses and history? Perhaps you'll find that in your situation, risk of HOM are still extremely low. I would want as much info as possible before having to throw away a cycle.
Good luck with whatever you decide! I'm so sorry that you are in this position. Do you feel comfortable that your RE made wise choices about your injection protocol, and this was just an unlucky surprise?

We did decide to trigger, but in regard to your question about the injection protocol...

No, I don't feel like my RE made a wise choice. Last IUI, we ended up triggering on cd 9 as well (today is cd9) bc we had 1 follie that was 18, but quite a few at 16. Knowing that I responded like that, my DH and I assumed that my dose would have been lowered to begin with, but decided to trust in the REs decision this cycle

Of course we would discuss it if we don't get a bfp this cycle, but actually that RE is leaving in 2 weeks, and a new one starting

Again, *sigh*

TripMomma · May 2014

It is all just a crap shoot. I have gone ahead with 3 mature and a 4th close...got triplets. On another cycle I had 3 mature and got a BFN...and another time I had 2 mature and 2 close got a BFN, my second pregnancy was 2 mature...they were the same size even, and I got 1 baby. You just never know. I myself can not do selective reduction unless it was more than quads...but that is just me. Fingers crossed you get just one, or two. A HOM pregnancy is nothing to sneeze at, but there are great Doctors out there that can do their best to get everyone through safely. Good luck!