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Question about follicle sizes at time of trigger


Forum: Trying to Conceive with Medical Assistance

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  #1  
December 13th, 2011, 02:58 PM
Erin84's Avatar POAS Queen
Join Date: Feb 2009
Location: San Diego, CA
Posts: 3,952
I'm getting mixed reviews from Google.

My doc triggered me with four follies on the right: 21mm, 20, 16, 16. (None on the left.)

Do you think those 16s will have a chance? Most of the stuff I'm seeing says that docs like to wait until 18 at trigger to give them a real chance, but that even 15s can do the trick as long as estrogen levels are good. My levels were good, but because I was taking a supplement, so I'm not sure if what they need is body-produced estrogen or any kind of estrogen. (Like, high estrogen production is a good sign, OR simply the presence of estrogen is helpful.)

Thoughts?
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With us on earth for five short days, with us in our hearts forever.
(Thank you Natasha for this beautiful graphic of Andrew, and to the ladies of the Nov 10 PR who help me in carrying on his memory.)


Jan. 2009: Came off years of BCP and started TTC
March 2010: BFP -- finally!
Oct. 22, 2010: Drew is born, but has to stay in the NICU because of cord complications resulting in oxygen deprivation and brain problems =(
Oct. 27, 2010: I held him in my arms while Daddy, Grandma, Great-Uncle and I sang him to sleep =( Hardest thing I've ever done...
June 14, 2011: Drew's baby brother or sister waved hi to us with a BFP!
June 25, 2011: Natural miscarriage... Can we please catch a break here?
Nov. 2011: 100mg Clomid followed by 2mg Estrogen, Ovidrel trigger, and 200mg progesterone suppositories 2x/day 14 days. BFN.
Dec. 2011: 2nd medicated cycle. BFN.
Jan. 2012: Took a month off to breathe...
Feb. 2012: Same regimen of Clomid and other meds, add IUI. 2 eggs and 8.5 million swimmers. BFN.
March 2012: 75 IU Follistim CD 3-11, follie scan CD 8 showed 6 follies likely to mature. Triggered, IUI on CD 14, 4 million swimmers. BFN.
April 2012: 75 IU Follistim CD 3-10. Scan showed 2 mature follies, 2 almost certain to mature, and two not likely but possible. (All 6 evenly and perfectly spaced out between the left and the right.) Triggered, IUI CD 13 with 5 million swimmers. BFN.
May 2012: 75 IU Follistim starting CD 3. Waiting to O. Timed intercourse. Likely 5 follies to mature.




^^ Click graphic for chart ^^


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  #2  
December 13th, 2011, 03:21 PM
*JenJen*'s Avatar impatiently waiting
Join Date: Aug 2008
Location: west, but east. south, but not north.
Posts: 7,754
there is a chance for the 16's, but I'd guess a slim chance. It just depends on how quick they grow, etc.
__________________

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2006-2013 6+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #3  
December 13th, 2011, 05:19 PM
KMH KMH is offline
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Sometimes my 15-16s ruptured and sometimes they didn't...just depended on the cycle and my E2 levels I guess.

Just a heads up about the ones that don't rupture (sorry for being Debbie Downer)...they can become cysts. When mine didn't respond to the trigger, I had to take the next month off and take BCP to make them go away. Hopefully this won't be an issue for you since you'll be
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IVF babies Claire (4), Abigail (2) and George (2)

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  #4  
December 14th, 2011, 06:15 AM
kayakr's Avatar Persuaded by POAS’ers
Join Date: May 2011
Location: Midwest
Posts: 3,751
My RE doens't trigger until one is atleast 20. I am not sure about the minimum requirements to make one viable... sorry.
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Gretchen
Me (43) DH(33) 12 years together - ttc our first together-I have 14yr old DS
Cycles 1-6 = BFN
Cycle 7 SA results abnormal morphology 2%, 50 mg clomid = BFN
Cycle 8 sonogram normal 50 mg clomid + trigger = BFN
Cycle 9 SA results abnormal morphology and motility. Count 200 mill, 100mg clomid + trigger = BFN
Cycle 10 natural = BFN
Cycle 11 hsg tubes clear, natural + trigger+IUI = BFN
Cycle 12 repronex + trigger + 2 IUI = BFN
Cycle 13 natural ovaries to stimulated for more meds = BFN
Cycle 14-22 natural cycle with Acupuncture and planning ivf/icsi/DE = ALL BFN
Cycle 23 Clomid 50 mg & Progesterone = BFN
Cycle 24 Natural = BFN
Cycle 25 BCP, SA result 7% morphology = BFN
Cycle 26 BCP and Lupron preparing for IVF
Cycle 27 IVF Acupuncture, DE Retrieval April 7, Transfer April 12 =
7 eggs retrieved, 3 fertilized, 2 transferred - zero snow babies
BETA # 1 16DPO or 11dp5dt = 569
BETA # 2 19 DPO or 14dp5dt = 1078
BETA # 3 22DPO or 17dp5dt = 2414 TWINS!
BETA # 4 30DPO or 25dp5dt = 12,685 6weeks 3days 2 heartbeats! 114 & 116
Clayton and Colton Born @ 34 weeks 11/22/13
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  #5  
December 14th, 2011, 10:46 AM
Erin84's Avatar POAS Queen
Join Date: Feb 2009
Location: San Diego, CA
Posts: 3,952
Quote:
Originally Posted by KMH View Post
Sometimes my 15-16s ruptured and sometimes they didn't...just depended on the cycle and my E2 levels I guess.

Just a heads up about the ones that don't rupture (sorry for being Debbie Downer)...they can become cysts. When mine didn't respond to the trigger, I had to take the next month off and take BCP to make them go away. Hopefully this won't be an issue for you since you'll be
Do you HAVE to do a BCP cycle? What happens if you don't and you just let the cysts be cysty? I have a friend who was on Clomid and never had follicular ultrasounds, she was on it for 5 months I think. She never did a BCP cycle, also never knew if she had any cysts from Clomid/follies not rupturing. She does have PCOS though. Have another friend who developed a cyst for no apparent reason (not ttc or anything) and the doc told her she just had to wait for it to go away on its own. That wasn't an RE though, just a normal OBGYN. I don't want to take a month off -- we only have four tries to get a 2012 baby! Fingers crossed...
__________________



With us on earth for five short days, with us in our hearts forever.
(Thank you Natasha for this beautiful graphic of Andrew, and to the ladies of the Nov 10 PR who help me in carrying on his memory.)


Jan. 2009: Came off years of BCP and started TTC
March 2010: BFP -- finally!
Oct. 22, 2010: Drew is born, but has to stay in the NICU because of cord complications resulting in oxygen deprivation and brain problems =(
Oct. 27, 2010: I held him in my arms while Daddy, Grandma, Great-Uncle and I sang him to sleep =( Hardest thing I've ever done...
June 14, 2011: Drew's baby brother or sister waved hi to us with a BFP!
June 25, 2011: Natural miscarriage... Can we please catch a break here?
Nov. 2011: 100mg Clomid followed by 2mg Estrogen, Ovidrel trigger, and 200mg progesterone suppositories 2x/day 14 days. BFN.
Dec. 2011: 2nd medicated cycle. BFN.
Jan. 2012: Took a month off to breathe...
Feb. 2012: Same regimen of Clomid and other meds, add IUI. 2 eggs and 8.5 million swimmers. BFN.
March 2012: 75 IU Follistim CD 3-11, follie scan CD 8 showed 6 follies likely to mature. Triggered, IUI on CD 14, 4 million swimmers. BFN.
April 2012: 75 IU Follistim CD 3-10. Scan showed 2 mature follies, 2 almost certain to mature, and two not likely but possible. (All 6 evenly and perfectly spaced out between the left and the right.) Triggered, IUI CD 13 with 5 million swimmers. BFN.
May 2012: 75 IU Follistim starting CD 3. Waiting to O. Timed intercourse. Likely 5 follies to mature.




^^ Click graphic for chart ^^


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  #6  
December 14th, 2011, 10:58 AM
KMH KMH is offline
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Join Date: Sep 2008
Location: right of center
Posts: 19,127
The way I understand it (someone jump in and correct me if I'm wrong), if you feed those cysts with more hormones (Clomid) they can rupture and/or disrupt the next medicated cycle. I know other ladies on here that have had cysts and just had to take the month off...no BCP. I think my doc just wanted to be absolutely sure that they were gone asap so that we didn't have to take more than one month off.
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Melissa & DH
IVF babies Claire (4), Abigail (2) and George (2)

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  #7  
December 14th, 2011, 11:06 AM
*JenJen*'s Avatar impatiently waiting
Join Date: Aug 2008
Location: west, but east. south, but not north.
Posts: 7,754
I had to take a month off after each clomid cycle back in 2008, because I was always developing cysts and had to let them rest and I am allergic to BCP so it was just a rest month.

This time around, I've not had to rest, but my first clomid cycle was a BFP(ectopic loss), second cycle got canceled because I had an LH surge when my dominant follicle was only at 13, third cycle was another BFP(chemical), and we've not had another ultrasound since.
__________________

My Blog
2006-2013 6+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #8  
December 14th, 2011, 11:34 AM
Erin84's Avatar POAS Queen
Join Date: Feb 2009
Location: San Diego, CA
Posts: 3,952
So how do the Clomid cysts differ from, say, PCOS cysts? Should a woman with PCOS be advised to do a cycle of BCP before starting Clomid?
__________________



With us on earth for five short days, with us in our hearts forever.
(Thank you Natasha for this beautiful graphic of Andrew, and to the ladies of the Nov 10 PR who help me in carrying on his memory.)


Jan. 2009: Came off years of BCP and started TTC
March 2010: BFP -- finally!
Oct. 22, 2010: Drew is born, but has to stay in the NICU because of cord complications resulting in oxygen deprivation and brain problems =(
Oct. 27, 2010: I held him in my arms while Daddy, Grandma, Great-Uncle and I sang him to sleep =( Hardest thing I've ever done...
June 14, 2011: Drew's baby brother or sister waved hi to us with a BFP!
June 25, 2011: Natural miscarriage... Can we please catch a break here?
Nov. 2011: 100mg Clomid followed by 2mg Estrogen, Ovidrel trigger, and 200mg progesterone suppositories 2x/day 14 days. BFN.
Dec. 2011: 2nd medicated cycle. BFN.
Jan. 2012: Took a month off to breathe...
Feb. 2012: Same regimen of Clomid and other meds, add IUI. 2 eggs and 8.5 million swimmers. BFN.
March 2012: 75 IU Follistim CD 3-11, follie scan CD 8 showed 6 follies likely to mature. Triggered, IUI on CD 14, 4 million swimmers. BFN.
April 2012: 75 IU Follistim CD 3-10. Scan showed 2 mature follies, 2 almost certain to mature, and two not likely but possible. (All 6 evenly and perfectly spaced out between the left and the right.) Triggered, IUI CD 13 with 5 million swimmers. BFN.
May 2012: 75 IU Follistim starting CD 3. Waiting to O. Timed intercourse. Likely 5 follies to mature.




^^ Click graphic for chart ^^


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  #9  
December 14th, 2011, 12:06 PM
*JenJen*'s Avatar impatiently waiting
Join Date: Aug 2008
Location: west, but east. south, but not north.
Posts: 7,754
It really depends. I have PCOS, and when we started clomid originally I had horribly cystic ovaries and was anovulatory. We'd tried BCP to suppress my cysts and that was when we discovered my allergy to them. I've since made major lifestyle changes and my PCOS is under much better control, though I still have cystic ovaries. As long as my cysts are small and my e2 is under control, my RE will let me cycle with cysts. Anything over 10mm would cause him to want to wait a cycle to see what the cyst does. That hasn't been an issue so far, because I've yet to have any cysts that large while actively cycling
__________________

My Blog
2006-2013 6+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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