Mid-cycle Ultrasound Results and Switching RE??? — The Bump
Trouble TTC

Mid-cycle Ultrasound Results and Switching RE???

I went in for my mid-cycle ultrasound yesterday and there were 2 14mm follicles on the right side and 2 9mm follicles on the left. My RE said don't come back in for another ultrasound and trigger Saturday morning then intercourse Sunday morning and evening. Should I insist on another ultrasound?

I think my RE is very knowledgable but I'm not convinced he's the right fit for me. He's nice and made my husband and I feel confident after the first appointment when he diagnosed me with PCOS. He's just sort of awkward and doesn't seem to offer information unless I ask. Of course I went home last night and was browsing their website and another doctor in the practice has a special interest in PCOS, should I try to switch to him? This is only our second cycle with a RE but obviously I would like to keep this relationship short and want the best results.

Sorry for the length!
Me: 26, PCOS, Clear HSG
DH: 29, Perfectly Normal SA
Married Since 10/6/2012
TTC Since 6/2013

2/2014: Visited OB-GYN, Low Progesterone
3/2014: 50 mg Clomid, Ovulated, BFN
4/2014: 50 mg Clomid, Ovulated, BFN
5/2014: 50 mg Clomid, Ovulated, BFN
6/2014: 50 mg Clomid, Ovulated, BFN

7/2014: First RE visit, Diagnosed with PCOS, Started on 5 mg Femara + Ovidrel + TI, 1 22mm Follicle, BFN
8/2014: 5 mg Femara + Ovidrel + TI, 2 Mature Follicles, BFN
9/2014: 5 mg Femara + Ovidrel + IUI #1, 3 Mature Follicles, BFN
10/2014: 5 mg Femara + Ovidrel + IUI #2, 1 Mature Follicle, BFN
11/2014: 5 mg Femara + 75 mg Follistim + Ovidrel + IUI #3, 3 Mature Follicles, BFN
12/2014: Starting IVF in January

1/2015: IVF with ICSI, Currently Stimming

*****Everyone is Welcome*****

Re: Mid-cycle Ultrasound Results and Switching RE???

  • My clinic monitored me until follicle maturity or very close to...however I was on injectibles.  2 follicles at 14 yesterday growing at approx 2 mm per day will in theory be def ready on Saturday. Are you having your E2 and LH monitored too? Are you worried about ovulating early or the follies not being mature or both?  If you can afford it and it gives you peace of mind, go ahead and ask, it can't hurt.

    ME:      36, on BC since 1996,  irregular periods.   HUBS:      37, healthy

    2001—meet.  2005—marry.  2006—Furbaby is born. 

    On BC till end of 2009.  2010 NTNP.   

    New Year’s Eve 2010—BFP?! January 13, 2011—early loss, HCG peaked at 324, no D&C needed.

    +++++

    Feb 2011-Nov 2012—NTNP 

    Dec 2012 --present (TTC 20 months) Not even a hint of a BFP

    Me:  BW, U/S, HSG, HSN normal.  AMH 2.33.  Hubs: SA normal 

    +++++

    April 2014--IUI #1 Clomid 100 4-8 Follistim 150 9-14, 5 mature follies at trigger, Peak E2 5/5 1100, BFN 

    May 2014 ---IUI#2 Clomid 100 3-7 Follistim 150 8-13, 3 mature follies at trigger, Peak E2 6/6 547, BFN

    June 2014--IUI#3 Follistim 150/225 3-15, 3-5 mature follies at trigger, Peak E2 7/11 1450, BFN

    July 2014--IUI#4 Follistim 225 2-12, 3 mature follies at trigger, Peak E2 8/12 841, BFN

    Breaking till after Christmas, then IVF...taking 4000 mgs daily Inositol and Melatonin 3mg


  • They didn't do any bloodwork, just the ultrasound.
    Me: 26, PCOS, Clear HSG
    DH: 29, Perfectly Normal SA
    Married Since 10/6/2012
    TTC Since 6/2013

    2/2014: Visited OB-GYN, Low Progesterone
    3/2014: 50 mg Clomid, Ovulated, BFN
    4/2014: 50 mg Clomid, Ovulated, BFN
    5/2014: 50 mg Clomid, Ovulated, BFN
    6/2014: 50 mg Clomid, Ovulated, BFN

    7/2014: First RE visit, Diagnosed with PCOS, Started on 5 mg Femara + Ovidrel + TI, 1 22mm Follicle, BFN
    8/2014: 5 mg Femara + Ovidrel + TI, 2 Mature Follicles, BFN
    9/2014: 5 mg Femara + Ovidrel + IUI #1, 3 Mature Follicles, BFN
    10/2014: 5 mg Femara + Ovidrel + IUI #2, 1 Mature Follicle, BFN
    11/2014: 5 mg Femara + 75 mg Follistim + Ovidrel + IUI #3, 3 Mature Follicles, BFN
    12/2014: Starting IVF in January

    1/2015: IVF with ICSI, Currently Stimming

    *****Everyone is Welcome*****

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  • I would probably call the office and ask for a nurse to call back...then tell the nurse I would like one more ultrasound, and which day does she recommend? At our office eat least, the nurse would be accommodating.:)

    I wouldn't necessarily switch REs at this point, perhaps let him know at the next consult that the more he can explain or give you details, the less anxiety you have about the process?

    Good luck with whatever you choose!
    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 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***
  • I have pretty decent insurance and only pay a portion of the cost. I'm going to give the office a call and see what they say.
    Me: 26, PCOS, Clear HSG
    DH: 29, Perfectly Normal SA
    Married Since 10/6/2012
    TTC Since 6/2013

    2/2014: Visited OB-GYN, Low Progesterone
    3/2014: 50 mg Clomid, Ovulated, BFN
    4/2014: 50 mg Clomid, Ovulated, BFN
    5/2014: 50 mg Clomid, Ovulated, BFN
    6/2014: 50 mg Clomid, Ovulated, BFN

    7/2014: First RE visit, Diagnosed with PCOS, Started on 5 mg Femara + Ovidrel + TI, 1 22mm Follicle, BFN
    8/2014: 5 mg Femara + Ovidrel + TI, 2 Mature Follicles, BFN
    9/2014: 5 mg Femara + Ovidrel + IUI #1, 3 Mature Follicles, BFN
    10/2014: 5 mg Femara + Ovidrel + IUI #2, 1 Mature Follicle, BFN
    11/2014: 5 mg Femara + 75 mg Follistim + Ovidrel + IUI #3, 3 Mature Follicles, BFN
    12/2014: Starting IVF in January

    1/2015: IVF with ICSI, Currently Stimming

    *****Everyone is Welcome*****

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