Trouble TTC

thin uterine lining, multiple follicle help

Hi.  I am new to this, but was wondering if anyone has information that could help me.  My hubby and I have been TTC for 12 cycles now.  We have been told that he has a low sperm count by the doctor we have been seeing.  Due to this, I took Clomid this cycle.  Apparently, it was as higher dosage than I needed because I have a potential of releasing up to 10 eggs (though only 4 follicles are over 15 mm).  I also found out at my U/S yesterday that my uterine lining is only 5.4 mm. Due two the amount of follicles my doctor has cancelled the trigger shot and the IUI.  Does anyone know how big a follicle needs to be before it releases or could all of them release no matter the size?  Also, is there any chance that if an egg were to be fertilized it could implant in such a thin lining?  I don't want multiples, but it's hard for me to pass on our best opportunity to conceive without IUI. Any advice or information that could help me make my decision would be helpful.  Thanks!
Married: Aug 2013
TTC since Aug 2013
Charting since Feb 2013
First doctor: Jan 2014 - May 2014: diagnosed with PCOS, progesterone pills, Femara & progesterone shots
Second doctor: May 2014 - present: retested & dye test (told I am fine, but hubby has problem)
100mg Clomid = too many follicles = no IUI, cysts from last cycle = no IUI
four IUIs (last one cuz they wouldn't let me do IVF yet)
 IVF #1

Re: thin uterine lining, multiple follicle help

  • I'm sorry the IUI had to be cancelled! There is kind of a bell curve as to what size follicles are mature and release. I think for Clomid the ideal is about 20-25mm at the time of O, but anything from 15+ at monitoring has a potential.

    I've read that implantation is almost impossible under 7-8mm at time of O. But, the lining can continue to grow until O, sometimes 1-2mm per day. I'm not sure about what happens to the lining between O and implantation.

    I would ask your RE if he wants you to abstain or use TI. With a thinner lining there is also higher chance of CP and miscarriage, if I remember correctly. And depending on what your ovaries do, if the RE has told you there is a potential for up to 10 eggs by the time of O, I would not mess with that! Perhaps your RE would be willing to consider alternate plans and monitoring so they would be able to tell you if fewer follies ended up being front-runners?
    January 3T Siggy Challenge - New Year's Resolutions
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    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 2009RE 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***
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  • Thanks for replying.  At our appointment yesterday (CD12), our doctor told us that she suggests abstaining or using protection this cycle.  She thinks we have an 8% chance of multiples and that my uterine lining it lower than it should be, but she had also said in a previous appointment that she doesn't believe we are ever likely to get pregnant on our own.  Feels like I am getting contradictory information from her and the office is closed until Monday.  That would be CD 16 and ovulation will probably happen by then, right? I think I am just having a hard time accepting that I shouldn't try this month.
    Married: Aug 2013
    TTC since Aug 2013
    Charting since Feb 2013
    First doctor: Jan 2014 - May 2014: diagnosed with PCOS, progesterone pills, Femara & progesterone shots
    Second doctor: May 2014 - present: retested & dye test (told I am fine, but hubby has problem)
    100mg Clomid = too many follicles = no IUI, cysts from last cycle = no IUI
    four IUIs (last one cuz they wouldn't let me do IVF yet)
     IVF #1
  • @BunnyBerry‌ has good advice! I would recommend calling your RE and see what they recommend. I have found that maybe they don't think to mention something at an appointment but when I call I can double check the important info.
    ***********siggy warning **********



    Me: 26 DH: 27
    TTC #1 Since Aug. 2013
    Cycle 1: O CD 25=bfn
    Cycle 2: O CD 48=bfn
    Cycle 3: Anovulatory/Provera =120 days!
    Cycle 4: Anovulatory/Prometrium=127 days! RE consult 6/16
    Me: Anov/poss. pcos?  HSG=normal/SA= Normal 
    July/Aug. 2014= Femara+trigger+TI=BFP!!
    Beta #1@ 16dpo=626!! Beta #2=1510
    Ultrasound @ 5w6d=heartbeat at 110!
    Ultrasound @ 6w6d =heartbeat at 131!


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  • Wow, if you have an 8% chance of multiples, sounds like they are saying you have a high chance of pregnancy! No wonder you don't want to waste this one. Hopefully if you call again and push a little, they will either give you a more thorough explanation, or figure out something they can do. :)
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    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 2009RE 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***
  • I think they are closed for the holiday weekend, but I think I will call on Monday and at least ask about the thin uterine lining and maybe some more things.  I am only concerned that I will ovulated before then.  Thursday was a faint + on the OPK while Friday was a negative and today was a fairly strong positive.  I've been praying about it a lot and thinking maybe God gave the high amount of eggs because that it what it will take to get one baby.  Plus, an 8% chance doesn't seem like much, but then my sis-in-law released three eggs on her first month of Clomid and got the triplets she wanted. Big difference there is that her hubby had good fertility.
    Married: Aug 2013
    TTC since Aug 2013
    Charting since Feb 2013
    First doctor: Jan 2014 - May 2014: diagnosed with PCOS, progesterone pills, Femara & progesterone shots
    Second doctor: May 2014 - present: retested & dye test (told I am fine, but hubby has problem)
    100mg Clomid = too many follicles = no IUI, cysts from last cycle = no IUI
    four IUIs (last one cuz they wouldn't let me do IVF yet)
     IVF #1
  • When I was monitoring, I had abour 10 folicles two, but only one grew to the size my RE wanted which was 19mm. She was looking for anything over 18mm. My linning was 9.2 and she said she was looking for anything over 7mm otherwise the chances of MC would be too high. I dont know if this is different for everyone or if they have some standard size, but if your doctor is saying better not try this month, I know it is hard, but I probably would listen. You want to have a successful healthy pregancy.
  • Nice to hear that someone has been in my situation with the amount of eggs. What cycle day did you have your U/S?  If I went off of what your doctor was looking for there would be only one egg, but too thin of a lining.  I wonder how fast the lining can grow.  Maybe it could have gotten to 7+ mm by O?  I've been taking OPKs every day to try to figure out when O is so I can get a good idea on when to stop abstaining, but they have been all over the place just like my temp and lack of mucus.  Can Clomid really cause all these issues - no mucus, high temps throughout, positive-negative-positive-negative OPKs?  I had heard of Clomid raising the temp while taking it, but my last day taking Clomid was about a week ago.
    Married: Aug 2013
    TTC since Aug 2013
    Charting since Feb 2013
    First doctor: Jan 2014 - May 2014: diagnosed with PCOS, progesterone pills, Femara & progesterone shots
    Second doctor: May 2014 - present: retested & dye test (told I am fine, but hubby has problem)
    100mg Clomid = too many follicles = no IUI, cysts from last cycle = no IUI
    four IUIs (last one cuz they wouldn't let me do IVF yet)
     IVF #1
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