Secondary IF

Too many follies??

Never thought I would have this problem. On oral meds I would get one follie if I was lucky. I was also slow to respond to injects- took them several days longer than normal. I had a monitoring appt today, tentative plan was to trigger for IUI tomorrow. But now I may have too many follies close to maturity. I grabbed a photo of the screen before I left- what do you all think? The doctor said they have to look at the bloodwork results before making a decision. How much can the bloodwork impact this decision?

Hopefully the pic attaches- never tried before.

Thanks!!
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Re: Too many follies??

  • They will look at your E2 levels, but in all likleyhood you are cancelled just like me. I had 5 mature follies this morning and got a big thumbs down. So I guess we will have to drink together. Sorry hon.

    TTC#1 May 2009- July 2010 on our own with no luck

    Started with RE in August 2010, dx with unexplained IF and then finally our 3rd IUI cycle using Follistim and Trigger resulted in our wonderful little man.  Born 12/2/11

    TTC#2 Never really prevented, but were careful early on as Dr. reccomended

    Surprise BFP 12/16/13, started progesterone immediately as first numbers came back low, but betas were good.  Progesterone wasnt enough. Natural MC 12/24/13.

    Back with RE as of January 2014...

    5/27/14- Chemical Pregnancy :(

    April 2015 IVF#1

    5/13/15- BFP, please stick LO!

    Oh and I'm a major Harry Potter Nerd :)

    Silly mugglesimage

    image 
      

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  • I don't have any info for you (I will be doing my first IUI next cycle). But I just wanted to wish you good luck. If you get cancelled can you still do TI? 
    image
    image
    DX: I'm a Recurrent Loser
    Me (35) + DH (37) - Married Sept. 2007
    BFP #1 - DS born 7/11/11
    BFP#2 11/13/13 - EDD 7/29/14 - M/C at 5w3d
    BFP #3 12/28/13 - EDD 9/7/14 - M/C at 4w6d
    BFP#4 3/27/14 -  EDD 12/5/14 - Girl lost to 45X at 8w6d - D&C 
    BFP#5 10/15/14 - EDD 6/30/15 - M/C at 7w2d
    BFP #6 1/5/15 - EDD 9.16.14 [CLICKY for progress]
    In search of a image


  • Gah bummer!
    Me: 32, DH: 33
    DS #1: April 2010
    DS #2: July 2015 (preemie born at 31 weeks) - our little miracle conceived through ART - unexplained secondary infertility/adenomyosis
  • Not for me but will depend @lupineaura‌ doctor decide, being allowed to TI may also depend on the hubs counts and so on. TTA for me, hoping lupinaurea gets a better result.

    TTC#1 May 2009- July 2010 on our own with no luck

    Started with RE in August 2010, dx with unexplained IF and then finally our 3rd IUI cycle using Follistim and Trigger resulted in our wonderful little man.  Born 12/2/11

    TTC#2 Never really prevented, but were careful early on as Dr. reccomended

    Surprise BFP 12/16/13, started progesterone immediately as first numbers came back low, but betas were good.  Progesterone wasnt enough. Natural MC 12/24/13.

    Back with RE as of January 2014...

    5/27/14- Chemical Pregnancy :(

    April 2015 IVF#1

    5/13/15- BFP, please stick LO!

    Oh and I'm a major Harry Potter Nerd :)

    Silly mugglesimage

    image 
      

  • i will preface this with the statement that i've never done IUI or injects. but my nurse sense is tingling... isn't is rather dangerous to do TI with 12 follies?? like, if DHs count is fine, you technically could fertilize alllllll of them. i can't imagine any doc in his right mind would give you the go ahead to do TI @lupineaura   unless you are going to octo-mom's RE.
    Me: 36, DH: 36
    DH's SA = normal
    1 tube only wonder
    AFC 3-5, AMH 0.30

    BFP #1 3/29/11.  EDD 12/4/11... Missed m/c 5/9/11. Cytotec fail. D&C 5/17/11.
    BFP #2   7/5/11.  EDD 3/14/12... Our rainbow Kellen born 3/14/12 via c/s.
    BFP #3 5/30/13.  EDD 2/8/14...  6wk u/s HB 126. 8wk u/s lost HB. D&C 7/12/13.
    BFP #4 2/18/14.  EDD 10/30/14... Ruptured ectopic with L tube removed & D&C 3/7/14.
    BFP #5 7/27/14.  EDD 4/9/15...  m/c @ 5w4d.

    IVF #1    Oct 2014 - antagonist protocol: 9R, 7M, 5F. 3dt of 3 Grade 2 embies. BFN. 
    IVF #2    Jan 2015 cancelled due to dominant follicle.  Converted to IUI #1. BFFN
    IVF #2.1 March 2015 cancelled due to dominant follicle.

    BFP #6  (SUPRISE!) 3/19/15.  EDD 11/30/15...  CP at 4w2d.
    IUI #2:    Clomid + Follistim = 3 follies. BFN.
    IVF #2.2 May 2015 - horrible response to micro lupron flare protocol: 3R, 3M, 3F. 3dt of 2 Grade 3 embies. BFFN. 

    BFP #7 (beyond surprised again!) 4/26/16. EDD 1/5/17. beautiful betas!!!! and then near-fatal hemorrhagic corpus luteum. turns out baby was ectopic after all; another lap 5/6 (@24dpo).

    the universe can fuck off.


     "You are overly paranoid and delusional that every one is out to get you." -lastsliverofhope

    Baby Birthday Ticker Ticker
    all AL welcome. TTC #2 for 43 44 months.
    follow my infertility journey here at timestandsstillblog.com

  • @jodee37 I only count 5 mature, if she triggered today I think only 5 would be mature and I still think its unlikely that she get green lighted for TI, but I was just saying that she should see what her doc says. 

    TTC#1 May 2009- July 2010 on our own with no luck

    Started with RE in August 2010, dx with unexplained IF and then finally our 3rd IUI cycle using Follistim and Trigger resulted in our wonderful little man.  Born 12/2/11

    TTC#2 Never really prevented, but were careful early on as Dr. reccomended

    Surprise BFP 12/16/13, started progesterone immediately as first numbers came back low, but betas were good.  Progesterone wasnt enough. Natural MC 12/24/13.

    Back with RE as of January 2014...

    5/27/14- Chemical Pregnancy :(

    April 2015 IVF#1

    5/13/15- BFP, please stick LO!

    Oh and I'm a major Harry Potter Nerd :)

    Silly mugglesimage

    image 
      

  • ahhhh i just counted allz the follies. see, i'm new to this like i mentioned. i just read the post and was like "wha"??? LOL
    Me: 36, DH: 36
    DH's SA = normal
    1 tube only wonder
    AFC 3-5, AMH 0.30

    BFP #1 3/29/11.  EDD 12/4/11... Missed m/c 5/9/11. Cytotec fail. D&C 5/17/11.
    BFP #2   7/5/11.  EDD 3/14/12... Our rainbow Kellen born 3/14/12 via c/s.
    BFP #3 5/30/13.  EDD 2/8/14...  6wk u/s HB 126. 8wk u/s lost HB. D&C 7/12/13.
    BFP #4 2/18/14.  EDD 10/30/14... Ruptured ectopic with L tube removed & D&C 3/7/14.
    BFP #5 7/27/14.  EDD 4/9/15...  m/c @ 5w4d.

    IVF #1    Oct 2014 - antagonist protocol: 9R, 7M, 5F. 3dt of 3 Grade 2 embies. BFN. 
    IVF #2    Jan 2015 cancelled due to dominant follicle.  Converted to IUI #1. BFFN
    IVF #2.1 March 2015 cancelled due to dominant follicle.

    BFP #6  (SUPRISE!) 3/19/15.  EDD 11/30/15...  CP at 4w2d.
    IUI #2:    Clomid + Follistim = 3 follies. BFN.
    IVF #2.2 May 2015 - horrible response to micro lupron flare protocol: 3R, 3M, 3F. 3dt of 2 Grade 3 embies. BFFN. 

    BFP #7 (beyond surprised again!) 4/26/16. EDD 1/5/17. beautiful betas!!!! and then near-fatal hemorrhagic corpus luteum. turns out baby was ectopic after all; another lap 5/6 (@24dpo).

    the universe can fuck off.


     "You are overly paranoid and delusional that every one is out to get you." -lastsliverofhope

    Baby Birthday Ticker Ticker
    all AL welcome. TTC #2 for 43 44 months.
    follow my infertility journey here at timestandsstillblog.com

  • since we are on the topic... what size follie buys a label of "mature?"
    Me: 36, DH: 36
    DH's SA = normal
    1 tube only wonder
    AFC 3-5, AMH 0.30

    BFP #1 3/29/11.  EDD 12/4/11... Missed m/c 5/9/11. Cytotec fail. D&C 5/17/11.
    BFP #2   7/5/11.  EDD 3/14/12... Our rainbow Kellen born 3/14/12 via c/s.
    BFP #3 5/30/13.  EDD 2/8/14...  6wk u/s HB 126. 8wk u/s lost HB. D&C 7/12/13.
    BFP #4 2/18/14.  EDD 10/30/14... Ruptured ectopic with L tube removed & D&C 3/7/14.
    BFP #5 7/27/14.  EDD 4/9/15...  m/c @ 5w4d.

    IVF #1    Oct 2014 - antagonist protocol: 9R, 7M, 5F. 3dt of 3 Grade 2 embies. BFN. 
    IVF #2    Jan 2015 cancelled due to dominant follicle.  Converted to IUI #1. BFFN
    IVF #2.1 March 2015 cancelled due to dominant follicle.

    BFP #6  (SUPRISE!) 3/19/15.  EDD 11/30/15...  CP at 4w2d.
    IUI #2:    Clomid + Follistim = 3 follies. BFN.
    IVF #2.2 May 2015 - horrible response to micro lupron flare protocol: 3R, 3M, 3F. 3dt of 2 Grade 3 embies. BFFN. 

    BFP #7 (beyond surprised again!) 4/26/16. EDD 1/5/17. beautiful betas!!!! and then near-fatal hemorrhagic corpus luteum. turns out baby was ectopic after all; another lap 5/6 (@24dpo).

    the universe can fuck off.


     "You are overly paranoid and delusional that every one is out to get you." -lastsliverofhope

    Baby Birthday Ticker Ticker
    all AL welcome. TTC #2 for 43 44 months.
    follow my infertility journey here at timestandsstillblog.com

  • some practices vary on this slightly, I believe the minimum is 14mm, but my RE feels that 16 or higher is more likely actually mature.

    TTC#1 May 2009- July 2010 on our own with no luck

    Started with RE in August 2010, dx with unexplained IF and then finally our 3rd IUI cycle using Follistim and Trigger resulted in our wonderful little man.  Born 12/2/11

    TTC#2 Never really prevented, but were careful early on as Dr. reccomended

    Surprise BFP 12/16/13, started progesterone immediately as first numbers came back low, but betas were good.  Progesterone wasnt enough. Natural MC 12/24/13.

    Back with RE as of January 2014...

    5/27/14- Chemical Pregnancy :(

    April 2015 IVF#1

    5/13/15- BFP, please stick LO!

    Oh and I'm a major Harry Potter Nerd :)

    Silly mugglesimage

    image 
      

  • And they can grow 1-3 mm a day so after the trigger, more could be mature.
    Me: 32, DH: 33
    DS #1: April 2010
    DS #2: July 2015 (preemie born at 31 weeks) - our little miracle conceived through ART - unexplained secondary infertility/adenomyosis
  • I don't if it's standard but my RE says it's the size that they are on day of trigger, but none the less still too many :(

    TTC#1 May 2009- July 2010 on our own with no luck

    Started with RE in August 2010, dx with unexplained IF and then finally our 3rd IUI cycle using Follistim and Trigger resulted in our wonderful little man.  Born 12/2/11

    TTC#2 Never really prevented, but were careful early on as Dr. reccomended

    Surprise BFP 12/16/13, started progesterone immediately as first numbers came back low, but betas were good.  Progesterone wasnt enough. Natural MC 12/24/13.

    Back with RE as of January 2014...

    5/27/14- Chemical Pregnancy :(

    April 2015 IVF#1

    5/13/15- BFP, please stick LO!

    Oh and I'm a major Harry Potter Nerd :)

    Silly mugglesimage

    image 
      

  • I don't if it's standard but my RE says it's the size that they are on day of trigger, but none the less still too many :(
    Yeah maybe...just thinking that if she's not triggering til tomorrow, a few of those slightly smaller ones in the 13mm range could grow!
    Me: 32, DH: 33
    DS #1: April 2010
    DS #2: July 2015 (preemie born at 31 weeks) - our little miracle conceived through ART - unexplained secondary infertility/adenomyosis
  • Oh I just see I used "after" the trigger which was confusing.
    Me: 32, DH: 33
    DS #1: April 2010
    DS #2: July 2015 (preemie born at 31 weeks) - our little miracle conceived through ART - unexplained secondary infertility/adenomyosis
  • So, as I was going to reply, the nurse called. We are a go. I asked about the number of follies, and she said they think only three are mature. She said they like to see them at 18. Plus I guess my estrogen wasn't super high. I don't know what's normal, but mine was 335 (I think- I didn't write it down). So, I triggered and IUI tomorrow. I admit I'm a bit terrified. I don't need a reality show. Then again, it still could result in a big fat zero. Thank you all for your replies. I admit they are making me hesitate, but I do trust my doc. Then again, apparently they have a 40% twin rate for successful inject cycles....seems high. I mean, I could cope with twins but more than that gives me a bit of a panic attack....
    Baby Birthday Ticker Ticker


    Pregnancy Ticker
  • Okay, Dr. Google has made me feel less nervous for once. In reading that your E2 level should be between 200 to 300 per mature follicle. Does that sound about right? If that's the case then I'm guessing I only have 1 to 2 follicles which actually have mature eggs. FX...
    Baby Birthday Ticker Ticker


    Pregnancy Ticker
  • Good luck!!

    TTC#1 May 2009- July 2010 on our own with no luck

    Started with RE in August 2010, dx with unexplained IF and then finally our 3rd IUI cycle using Follistim and Trigger resulted in our wonderful little man.  Born 12/2/11

    TTC#2 Never really prevented, but were careful early on as Dr. reccomended

    Surprise BFP 12/16/13, started progesterone immediately as first numbers came back low, but betas were good.  Progesterone wasnt enough. Natural MC 12/24/13.

    Back with RE as of January 2014...

    5/27/14- Chemical Pregnancy :(

    April 2015 IVF#1

    5/13/15- BFP, please stick LO!

    Oh and I'm a major Harry Potter Nerd :)

    Silly mugglesimage

    image 
      

  • I didn't read all the comments, sorry if it's already been said- You have 5 mature now, and the 4 - 13s will finish up with that trigger, so yes, most definitely this should be canceled, and you should be very careful to avoid with this many potentially mature. The last thing you want is the be the next Octomom. 


    Spontaneous pregnancy #1
    DD1 July 31, 2011

    Trying for #2 since Oct 11
    732973 Clomid Cycles
    2 IUIs 
    3 Fresh IVFs= 1 Ectopic treated with MTX
    Spontaneous pregnancy #2= Ectopic #2= lost left tube
    Spontaneous pregnancy #3= DD2 January 29, 2016
    Spontaneous pregnancy #4= Ectopic #3
    Spontaneous pregnancy #5= Baby #3 is a BOY!!! 



    BabyFruit Ticker
  • @potatocastillo‌ did you see the update with the e2 number? Does that make it seem better? I trust this practice pretty well (I also went to them for my daughter). They seem pretty confident it's safe to go forward, but I am also nervous.
    Baby Birthday Ticker Ticker


    Pregnancy Ticker
  • So, as I was going to reply, the nurse called. We are a go. I asked about the number of follies, and she said they think only three are mature. She said they like to see them at 18. Plus I guess my estrogen wasn't super high. I don't know what's normal, but mine was 335 (I think- I didn't write it down). So, I triggered and IUI tomorrow. I admit I'm a bit terrified. I don't need a reality show. Then again, it still could result in a big fat zero. Thank you all for your replies. I admit they are making me hesitate, but I do trust my doc. Then again, apparently they have a 40% twin rate for successful inject cycles....seems high. I mean, I could cope with twins but more than that gives me a bit of a panic attack....
    I see here, Idk, if you trust them, then go for it. I just know when I have anything over 15mm a mature follicle comes out, so for me personally this would make me super nervous to proceed. Hopefully (really FX) you won't get KU with an insane amount of babies, but at least one, right? I always think the absolute worst case scenario for treatment cycles would be a selective reduction- which is probably why we see a ton of triplet/quads moms from IUIs. Who could go through all the work to get KU, and then have to risk losing everything because you try to reduce one or two, you know? :( So scary. 


    Spontaneous pregnancy #1
    DD1 July 31, 2011

    Trying for #2 since Oct 11
    732973 Clomid Cycles
    2 IUIs 
    3 Fresh IVFs= 1 Ectopic treated with MTX
    Spontaneous pregnancy #2= Ectopic #2= lost left tube
    Spontaneous pregnancy #3= DD2 January 29, 2016
    Spontaneous pregnancy #4= Ectopic #3
    Spontaneous pregnancy #5= Baby #3 is a BOY!!! 



    BabyFruit Ticker
  • It is scary. And frustrating. It's like, either I don't respond at all or have to worry about HOM. Gah. Thanks for the well-wishes. I'm going to talk to the doctor before the procedure to make sure. I'll keep you posted.
    Baby Birthday Ticker Ticker


    Pregnancy Ticker
  • Good luck!
    Me: 35 DH: 35 - Married 10 years
    PCOS and MF

    Two failed rounds IUI in 2010
    IVF #1 in 2011 - BFP 8/5/11 - Our IVF miracle was born 4/8/12
    FET 9/23/13; BFP -Twins-10/3/13; EDD 6/10/14; MC 11/1/13; D&C 11/4/13
    FET 3/28/14; BFN - 4/7/14
    IVF #2 - Transfer 2 embryos 11/14/14; BFP 11/24/14 - Beta 265;
    11/26/14 - Beta 612; 11/28/14 - Beta 1263; 12/1/14 - Beta 3571;
    12/3/14 - first u/s - two gestational sacs; 12/17/14 - two healthy heartbeats (132 and 134)
    Our IVF miracles were born 7/16/15

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