Letrozole->Trigger Shot(Ovidrel) ->Timed Intercourse?

BlissfulWifey · August 2015

I had my second round appointment today after taking letrozole. I had an ultrasound These were my results:

Day 11

Left Ovary: 2.4 and 2.0 (i guess the 2.0 is the one we are betting on)

Endometrium: 2mm (they like it to be 8mm but i guess it can still work)

I was told to have timed intercourse at 12-24-36 (or 18 hours instead of 12) I was just curious which is best? does it really matter? I want to do what is going to make for the best chances. I know everyones DR has a different opinion . What has everyone else done? know of any success stories for one or the other?

KidShrink · August 2015

If i remember correctly, we were told to do it the night of the trigger and as often as we wanted/could for the next 48 hrs. TI was kind of awful for us though...DH just felt too much pressure to perform so much in a short period of time which always happened during stressful times at work (weekend would have been much better). Just remember that sperms can live for a few days in there, whereas the egg only has a few hours. So better early than late.

Is it the first time your lining is that thin? Has your RE expressed any concerns or offered any explanations for that? Or recommended progesterone?

BlissfulWifey · August 2015

@kidshrink

This is only our second round. the first round my lining was much better. this round my period came on its own and i actually had it for 5 days verses 4. I am still seeing my OB for these treatments. she stated they like the lining to be around 8mm but that it can still happen. I was not told about progesterone for while TTC. I took it last month to induce my period though.

KidShrink · August 2015

I would highly recommend making the switch to a RE, and hopefully they can also try to figure out what's causing your lining to be so thin, especially with Femara (that's usually an issue with Clomid, but not so much with Femara). My lining is now fine (I've had a surgery to correct the shape of my uterus which was impacting my lining), but I was on Prometrium after ovulation (still am now just to be sure as it helps to maintain the lining) and know some people take estrace or something like that to help it. I've also read that many people suggest raspberry leaf tea.

BlissfulWifey · August 2015

@kidshrink

If this round doesnt work we will either be trying once more OR going to the RE my OB is sending me to, probably for an HSG.

blsav23 · August 2015

***total lurker here***
I second going to an RE. But---in the meantime, I would strongly encourage you to discuss your lining with your doc. 2mm is incredibly thin & from what I know, it's too thin for implantation to take place. I'm not saying that to discourage you, but to give you time to discuss with your doc so this cycle isn't set up for failure. As a PP stated, you can start on progesterone or estrace to thicken your lining, prior to ovulation. It is worth running by your doc. Best wishes!!

BlissfulWifey · August 2015

@bslav23 I will call and see what my Dr says about taking a progesterone

thank you.

blsav23 · August 2015

I really hope you & your doc can find a good way of dealing with your lining. I had that problem during one of my IUI cycles & took vaginal estrace. It did thicken it but it wasn't my successful cycle. Best wishes to you!

Letrozole->Trigger Shot(Ovidrel) ->Timed Intercourse?

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