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Is this crazy?

jen4nyjen4ny member
in Secondary IF
I had my ultrasound today and I have potentially 5 mature follicles. I have three that are 17-19 mm and two that are 14-15 mm. They want me to trigger tomorrow and go ahead with the IUI. Since I have had so many failed ones with two follicles I guess the extra ones can't hurt. The RE did mention risk of multiples but said since I am on round 4 he would do it anyway. But of course then I start googling and see that some people are told they can't do IUI with so many follicles. So now I am worrying a bit about high order multiples but the chances of that are really slim- right? Any opinions on this?
"From the moment I first saw you, the second that you were born, I knew that you were the love of my life" Baby Birthday Ticker Ticker
Me: 35, DH: 40
TTC # 2 since 8/13, Dx: unexplained secondary infertility
Clomid cycles 7/14 & 8/14= BFN
IUI # 1 (clomid) 8/27/14= BFN
IUI # 2 (clomid and follistim) 9/25/14= BFN
IUI # 3 (femara and follistim) 10/23/14= BFN
IUI # 4 (femara and follistim) 11/20/14= BFN
12/12/14- saline sono shows two polyps
2/15- two uterine polyps and "schmutz" (RE's words) removed
8/15- surprise BFP! Beta #1 70 Beta #2 150 
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Re: Is this crazy?

  • pettycrockerpettycrocker member
    edited November 2014
    Yea, 5 is kind of scary. I did trigger with 6 (I think 5 or 6? I can't remember) but that was because only 3 were on my good side *back when I thought I still had a good side* (very funny universe) , the others were on the left and that is totally blocked, so I felt ok. Idk if I would be able to comfortably do this. I think 3 would be the max I am comfortable with. I agree with kiki, it's about what you feel comfortable with. 


    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!!! 



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  • pettycrockerpettycrocker member
    Comfortable is the word for the day guise 



    image


    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!!! 



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  • sailorgalsailorgal member
    Hmmm that would make me nervous! But I triggered with 4 and got nothing. But then I've had 1 or 2 and had CPs so I dunno.
    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
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  • Davie813Davie813 member
    Hmmm.  Is your RE is willing to proceed because he feels confident that higher-order multiples are not a realistic possibility based on your individual age, bloodwork, etc, or just because this is your 4th try?

    Due to my crappy egg quality, my RE actually plans to transfer 4 embryos during IVF, and I triggered for IUI twice with four follicles (and got one early miscarriage for my trouble).  Given those facts, I suspect she might have proceeded to do IUI with 5 follicles, too.

    If I were you, I might ask him a bit more about the logic behind his decision and about how likely (again, based on egg quality) he thinks multiples would be for you, personally.  After that, I agree with everybody else: whatever you're comfortable with.

    Good luck!
    *****Signature/Ticker Warning******

    Me: 41, DH: 45
    DD, 6/15/2013
    TTC #2 beginning January 2014
    AMH 1.05; FSH range 7-11

    July 2014: IUI #1.  Follistim + Pregnyl.  2 follicles--BFN
    September 2014: IUI #2.  Follistim + Pregnyl + Ganirelix + Crinone.  4(?) follicles--BFN
    October 2014: IUI #3.  More Follistim + More Ganirelix + Pregnyl + Crinone.  4 follicles--BFP!  Beta #1=10 Beta #2=33 Beta #3=97 Beta #4=158.  M/C 11/1/14
    December 2014: IVF #1.  Microdose Lupron protocol.  9R, 9M, 9F.  3 5-day blasts transferred 12/15. BFFN.
    April 2015: IVF #2.  Microdose Lupron protocol.  16R, 15M, 12F. Transferred 2 5-day blasts 4/12 and froze 4--BFP!  M/C 5/25/15
    August 2015: IVF #3.  14R, 13M, 11F.  Froze 5 blasts for CCS testing.  3 normals.  FET planned for 10/2015.



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  • jen4nyjen4ny member
    Thanks for all of your thoughts. It helps to hear other opinions just to help us think about all the possible outcomes! DH and I talked a lot about this and the risk of multiples and we have decided to go ahead with this cycle. We realized that one of these follicles is probably still the cyst that has been sitting on my ovary for the past few cycles- so we are likely at 4 follicles. And the RE did also mention my age as a factor that he was comfortable going forward. So we are going for it and we will see what happens.
    "From the moment I first saw you, the second that you were born, I knew that you were the love of my life" Baby Birthday Ticker Ticker
    Me: 35, DH: 40
    TTC # 2 since 8/13, Dx: unexplained secondary infertility
    Clomid cycles 7/14 & 8/14= BFN
    IUI # 1 (clomid) 8/27/14= BFN
    IUI # 2 (clomid and follistim) 9/25/14= BFN
    IUI # 3 (femara and follistim) 10/23/14= BFN
    IUI # 4 (femara and follistim) 11/20/14= BFN
    12/12/14- saline sono shows two polyps
    2/15- two uterine polyps and "schmutz" (RE's words) removed
    8/15- surprise BFP! Beta #1 70 Beta #2 150 
    Report Reply
  • Jodee37Jodee37 member
    I think it doesn't matter really what you decide as long as you and DH are at ease with all the possibilities.

    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

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  • PGwithNo3PGwithNo3 member
    I was going to ask your age.  Some follicles could be empty.  Also, are you OK with selective reduction (you don't have to tell me... just some thoughts for you).
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