Infertility

Triggered tonight...meds tomorrow?

Hey y’all...so I triggered tonight at 8pm. ER is scheduled for Tuesday at 8am. 
Ive been taking Cetrotide every morning for 4 days. It prevents ovulation. Should I take it tomorrow (Monday) morning as well? Isn’t that counterproductive? I can’t get a hold of my RE office today so I’m bringing the shot to work in case I have to take it. 
Me: 36     DH: 37
TTC #1 since 2017
Dx: MFI + Mild PCOS (AMH 6.9)

IVF Journey:
ER #1: 6/18/19; 15R/11M/9F/6 FROZEN 👶🏼 un-tested
FET 1: 8/01/19, Beta 8/14 = 9...Chemical pregnancy (transferred 2)
FET 2: 12/19/19...Negative Beta 12/30 (transferred 1)

Changed Clinics
FET 3: 3/9/20, Beta #1, 37, Beta #2, 26, Beta #3 51 - Chemical pregnancy (transferred 2)

ER #2: 6/2/2020; 31R/26M/18F/13 sent for PGS Testing
6 PGS Normal Embryos - 3 girls👶🏼 + 3 boys👶🏼
FET 4: 7/30/20, Beta 1:66    Beta 2: 110...Ectopic pregnancy @ 6 weeks with Male (transferred 1)
FET 5: 11/18/20, Beta 1: 97 Beta 2: 384 Beta 3: 1010....Miscarriage @ 7 weeks with Female (transferred 1)
FET 6: 3/9/21 - Canceled due to poor lining response
FET 6.5: 7/28/21 - Beta 1: 21.5  Beta 2: 31.4   Beta 3:  28 - Chemical pregnancy, Female (transferred 1)
FET 7: 12/8/21 - Beta 1: 9   Beta 2:        - Chemical pregnancy, Male+? (transferred 2)

Re: Triggered tonight...meds tomorrow?

  • The day I was told to do the trigger shot they said to discontinue all meds and inject only the trigger. That was my protocol anyway, but I wasn't using Cetrotide.

    The answer might also be in the packet of information they gave you regarding your IVF timeline.
    *TW* History:
    Me: 34 DH: 36 | Together since 2007 | Married July 2016

    TTC #1 since 7.2017
    Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies

    IUI #1-3 all BFN
    IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
    FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
    RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
    FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
    2nd Opinion with another RE | 8.20.20 | Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
    Surprise natural BFP! | 9.22.20 | MC 10.23.20 at 8 weeks
    TTCAL naturally | starting 11.22.20

    Initial consultation with Reproductive Immunologist | 9.14.21
    Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
    Saline sono | 10.15.21 | normal
    Bloodwork | 10.21.21 high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
    BFP! | 11.3.21 | EDD 7.14.22 B) | biopsy provided same effect as endometrial scratch; added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
    DS born 7.19.22 after induction


    TTC #2 begins 6.2023
    Consultation with RI | 6.6.23
    Saline sono, endometritis biopsy, skin & eye check | all normal
    Labs | high TSH, Factor XIII mutation, high %CD56
    Follow up | 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
    Repeat labs after 3 weeks on meds
    Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
    Repeat labs in 8 weeks
    Follow up | 1.16.24 | Green light continues
    TTC put on pause
  • Hey!! I was taking cetrotide and after the trigger you don't take it because you want the trigger to work to get your follicles ready to be removed!! Hope you get those answers today! Good luck with the retrieval!!!
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  • I always triggered in the evenings and my last cetrotide was always that morning. After the trigger I never took any more meds other than an antibiotic the night before retrieval. I would keep trying to get in touch with your RE just in case though. It doesn't make sense to me to do any more cetrotide after you trigger, but who knows, every protocol is always different.
    History in Signature 
    Me & DH: 33
    September 2015: Chemical pregnancy/Miscarriage
    October 2016:  1st IUI - BFN
    November 2016: 2nd IUI - Cancelled due to cyst
    December 2016:  3rd IUI - BFN
    January 2017: 4th IUI - BFN
    April 2017: 1st IVF Retrieval - 3 embryos (1 transferred, 2 frozen) - BFP 
    May 2017: Missed miscarriage @ 7 weeks, D&C
    August 2017: 1st FET - BFP & Miscarriage @ 6 weeks
    November 2017: Hysteroscopy to remove adhesion 
    December 2017: 2nd FET - BPF & Miscarriage @ 6 weeks
    February 2018: 2nd IVF Retrieval - 1 embryo, PGS tested normal 
    August 2018: 3rd FET - BFP & Miscarriage @ 5 weeks
    September 2018: DX with blood clotting disorder
    November 2018: 3rd IVF Retrieval - 2 embryos, both abnormal 
    February 2019: 4th IVF Retrieval w/TESA for DH - 2 Embryos, both PGS tested normal
    April 2019: ERA test
    June 2019: 4th FET - BFP & Miscarriage @ 5 weeks
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