Infertility

Cancelled IUI, follicles that have now turned to cysts

Hi there, am new to this forum and looking to hear about other experiences. My IUI got cancelled in February due to a high dosage of clomid that created too many follicles. I also never got a positive ovulation test after that.

This month I went in and the follicles are now cysts 41-44 mm, 4 of them on my right ovary. My new dr. has recommended birth control to help resolve them, but I’m unsure of what to do.

I’ve never taken BC and am wondering if my body just needs to naturally ovulate and hopefully resolve on its own. Or if it would be better to take it? Time is of the essence as I have stage 4 endo and already coming up on a year post op. Any insight is appreciated.

Re: Cancelled IUI, follicles that have now turned to cysts

  • That would be a great conversation to have with your doctor- basically pros and cons of birth control vs waiting, and what to expect either way. Plus why he's recommending birth control and if there are any alternatives to consider. 

    Personally I've had occasional natural cysts that have been identified on annual exams. My cysts tended to take a few months to resolve on their own, and that's with only one at a time. Given that yours were induced by medication and there are 4 of them, I'm not sure what the prognosis or treatment may be. A conversation with your doctor is going to be your best bet to figure out the best treatment plan.

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  • I can understand your concerns about taking birth control pills (BCP) to resolve the cysts. The decision of whether to take BCP or not can depend on various factors such as your age, medical history, and fertility goals. One of the potential benefits of taking BCP is that it can help to shrink the cysts, as well as prevent new cysts from forming. This can help to reduce the risk of ovarian torsion (twisting of the ovary), which can be a medical emergency. However, BCP can also delay ovulation and potentially impact fertility.
    If you are trying to conceive, it may be worth speaking with your doctor about alternative treatments such as ovulation induction with medications such as Clomid, or natural cycle IVF if the cysts do not resolve on their own. It's important to work closely with your doctor to determine the best course of action for your individual situation. If you have any concerns or questions about the recommended treatment plan, it's important to discuss them with your doctor. Additionally, if you have stage 4 endometriosis and have been trying to conceive for a year, it may be worth considering consulting with a fertility specialist who can provide more specialized treatment options and help monitor your condition more closely.
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