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Trouble TTC
BunnyBerry
member
Follie Growth on Femara/Letrozole
BunnyBerry
member
in Trouble TTC
Had my CD11 ultrasound today (first time) and the nurse felt it was slow progress. I don't really feel worried yet, but there are a few things that are new to me (first medicated cycle and IUI#1) that I would love to ask about. Thank you in advance!
- Are follies always measured as an average of their length and width?
- Is it normal to have around 10-15 follies at around 7-9, and then a lead follicle at 10.5 (she measured it was 14x7 and called it 10.5)?
- Should I expect only one mature follicle then?
- Next ultrasound is in 3 days. Does that sound about right with these sizes on Femara?
Thank you for helping me put some of these annoying recurring wonderings out of my mind! Also, I'm kind of proud of my scrawny elongated oval-y left ovary for producing that lead follicle and quite a few others. 
January 3T Siggy Challenge - New Year's Resolutions
Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
Married - July 2008 | Started TTC - Jan 2009 | RE Visit #1 - Mar 2014
IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs
IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
IUI #5.1 - Jan (Bravelle) Cancelled
Planning to start IVF in March!
***All Welcome***
This discussion has been closed.
Re: Follie Growth on Femara/Letrozole
Three days sounds normal. On one of my cycles I had an 11 by that time and they had me go back four days later for another scan.
I think it's possible there could be just one mature follie this time but you never know! Since this is your first medicated cycle it's hard to tell what the pattern will be like. GL!!
2008: HSG (normal), couple rounds of clomid through gyno
2008 - 2010: dragging my feet out of fear and procrastination
October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
Oct. 2010 - Dec. 2012: In DENIAL! avoided the issue because I was scared of surgery
January 2013: returned to RE, fibroids grew significantly
February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
March 2013: MRI to determine what type of surgery may be necessary
July 29, 2013: fibroids (5) removed via robotic laparascopy
August 2013 - Nov 2013 : benched due to recent surgery
IUI #3, Feb. 25, 2014 BFN
IUI #4 canceled due to lack of response to letrozole
IUI #4.1 April 28, 2014, BFN
May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis
May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
October 2, 2014 - started metformin treatment
November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5
November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)
IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN
We are done with treatment unsuccessfully.
July 2014: Femera 5mg CD 4-8, Trigger, IUI = BFN
May 2018 after long period of not trying, starting adoption process with family friend's newborn
November 2018 Adoption complete!
I have PCOS so there are always several small and then one or two will take the lead and the rest won't grow
They say follies grow 2-3mm a day so a repeat u/s in 3 days sounds good.
Good luck!
Me (29) DH (37)
Married 7/11
Actively TTC 3/12
DX: PCOS
Current treatment: Break from IUIs until after the holidays
-----All Welcome----
~~~January 3T Siggy Challenge: New Year's Resolutions~~~
(I don't do resolutions...so I stole T-Rex's)
I tend to go to monitoring every 2 days, but I don't think there is anything wrong with 3 days at this point.
@awiley10 Thanks for the well wishes! Our MFI #s look really similar. Good luck with your first IUI!
@mommalawyer Thanks for sharing. Yeah, I thought those kinds of numbers were more typical for inject cycles like yours (Follistim is an inject, right? Sorry, no personal experience!) so I wasn't expecting them at my appt this morning. Good luck as you wait for beta!!
@viola27 Thanks for sharing. Wow, I didn't realize they grow that fast! This morning I think I heard the nurse say to expect 1.5mm/day but it was all a little new and scary so can't be sure. Looking at your signature...are you still waiting on beta from May IUI? If so, good luck!!
So strange, although RE will not diagnose me with PCOS (I guess because I ovulate and have periods regularly for whatever reason) but this is about the 3rd or 4th thing that shows my body behaving just like one with PCOS! Oh well, at least taking Letrozole is the regular treatment anyways so hopefully it will overcome any problems?
@jencity9 I'm glad to know that your RE had to come back 4 days later with an 11. When the nurse even told me not to bother with OPKs yet it made me a bit nervous, but she said on Letrozole the size for Oing is more like 20-25 or even 20-30. Good luck at your IVF seminar this week. I hope AF and all the timing work out perfectly so the process goes really smoothly for you!
@annaclaire256 Thanks for explaining how your doctor does the follie measurements. I will definitely ask the nurse next time how their method compared with the information I see online. Enjoy your vacation, sounds like an awesome reason to have a natural cycle!!
@jkremp It's nice to know that at this point, more dominant follies could catch up. I would really like more than one mature follicle to feel like this IUI was really a good attempt (good for convincing DH to move onto IVF if needed)! Wow, every 2 days sounds really expensive, LOL...my insurance said they cover "3 ultrasounds" but I couldn't get a straight answer if that is ever, yearly, per cycle, per reasons...so just wanting to find out if this month costs us a few hundred or $1000+. Are you still waiting to hear the results of May's IUI? Good luck!