Proceed with egg collection or cancel?

[Pittapatta]

Only have 1 follicle at 1.5, 2 at 1.1 and four tiny ones. What are your thoughts should I proceed with egg retrieval possibly Friday or Monday? Or cancel if only 1 follicle is at size? Anyone get follicles to grow enough ? I am on long protocol have been on stims for 16 days.

[Ivfgotadream]

If you hadn’t been stimming for 16 days I would have said go for the egg collection but in my mind that’s too long to be on medication and just isn’t likely to yield a good quality egg - they just aren’t designed to “cook” for that long?

I’d cancel and look at changing to a more natural IVF - if you are only going to get one egg anyway then go with natural/natural modified IVF which targets one good quality egg Without forcing loads of drugs on your body

[Lilly12255]

1.5 or 15mm? Normally, clinics do not even measure when the follicles are 1.5mm

[Ivfgotadream in reply to Lilly12255]

I read it as Cm - 15mm one and 2 at 11mm

[Pittapatta in reply to Ivfgotadream]

Just an update ladies my 15mm egg grew to 23mm in 2 days, the other two are 12mm and 13mm so am probably going to try for egg collection on Friday. I am doing double trigger tonight. Wish me luck!!

[PenguinBlue in reply to Pittapatta]

Good luck!!!

[PenguinBlue in reply to PenguinBlue]

Great news how they have progressed in two days xx

[Pittapatta in reply to Lilly12255]

Sorry ladies yes it's 15mm and 11mm!

[Lilly12255]

I would proceed to egg collection. It’s almost ready. You can get 1 mature egg from the 15mm one and possibly from the others with a few more days of stimulation

[Lilly12255]

If you wait for the perfect cycle, you might lose precious time and that perfect cycle might never come. I personally go ahead with one egg only.

[Pittapatta in reply to Lilly12255]

Just an update ladies my 15mm egg grew to 23mm in 2 days, the other two are 12mm and 13mm so am probably going to try for egg collection on Friday. I am doing double trigger tonight. Wish me luck!!

[Lilly12255 in reply to Pittapatta]

Good luck!!

[Lilly12255 in reply to Pittapatta]

Incredible it grew so much in just 2 days! What meds dosage are you taking?

[Pittapatta in reply to Lilly12255]

I am 43 so the kitchen sink! 450gonal f, 75mg luveris, testosterone cream, melatonin, coq10, and supplements: fish oil, prenatal, vitamin e and d that's it.

[Pittapatta in reply to Lilly12255]

I am on ultra short flare protocol so also did bcp for 21 days.

[Lilly12255 in reply to Pittapatta]

What does the word « ultra short » refer to?

[Pittapatta in reply to Lilly12255]

It's just a name of a type of protocol I guess as this is a really long protocol and I wouldn't call it short at all. Not much of an explanation sorry!

[Pittapatta]

Just an update ladies my 15mm egg grew to 23mm in 2 days, the other two are 12mm and 13mm so am probably going to try for egg collection on Friday. I am doing double trigger tonight. Wish me luck!!

[jengi]

Yay! Go follicles! Hopefully the other two will catch up by Friday. Great news you will be doing double trigger. Are you doing IVF or ICSI? Xx

[Pittapatta in reply to jengi]

I am doing IVF, I haven't ever had a follie that size before last round only 16mm -17mm, my clinic only does 5 day transfers so hopefully it all goes well.

[jengi in reply to Pittapatta]

Was IVF successful last time round for you? With me my eggs had thickened zona pellucida preventing sperm penetrating so we did ICSI on next cycles to increase chance of fertilisation even though my husbands sperm was fine. It’s a real shame your clinic doesn’t do day 3 transfer. Probably doesn’t matter too much if you have had success getting to day 5 before. Best of luck for Friday Xx

[Pittapatta in reply to jengi]

No, no success last round I had 5 follicles retrieved 3 eggs, 2 fertilized but 1 stalled day 3 and the other day 4. Have never been pregnant. Fingers crossed this time 🙂

[jengi in reply to Pittapatta]

Everything crossed for you! I had similar experience, only every managed to get one 3 day embryo transferred, didn’t work. You are getting much higher egg numbers than me! Best of luck Xx

[Pittapatta in reply to jengi]

Thanks jengi!! I hope your going well too!

[BBHH1]

For older woman is better to trigger when follicles are 16-18 because they have premature luteinization. You should go for whatever you have, it’s unlikely another cycle will be much better. Better to do ICSI. Also, to transfer fresh day 3 embryos when you have 2 or less high quality day 3 embryos. Good luck!

[Pittapatta in reply to BBHH1]

Thankyou for your advice. Wish my clinic did 3 day transfers but they don't.

[Lilly12255 in reply to BBHH1]

Premature luteinization refers to a rise in progesterone, not LH, is that right?

[BBHH1 in reply to Lilly12255]

luteinization is a process that occurs in the granulosa of the follicle

[Lilly12255 in reply to BBHH1]

So it has nothing to do with LH hormone?

[BBHH1 in reply to Lilly12255]

its a process in the follicle stimulated by LH, but is not a problem related to hormone itself but how the follicle reacts to it

joe.bioscientifica.com/view...

[Pittapatta in reply to BBHH1]

Thankyou you are very helpful.

[Pittapatta in reply to Lilly12255]

Hi Lilly12255 thanks for findingout more info for me, helps to put things into perspective.

[Pittapatta]

Hello ladies, so did egg collection but no eggs. I am out this round but I have hope maybe in the new year! I am sad but I know now is not my time surely next one I hope I wish you all well on your journey and will check in, goodluck!

[Hidden in reply to Pittapatta]

Oh no I am so sorry to read this, I was so hoping you would get at least a couple. Take time to chill and I am sure next round will be completely different - it really can be xx

[Pittapatta in reply to Hidden]

Thanks Daisy1245 yes really unfortunate, this IVF rollercoaster is tough!, it may sound crazy but I just know one day I will be a mum in whatever form it comes, so am positive, I have hope! Thanks again!

[Lilly12255]

I am very sorry to read this Pittapatta. Have you asked your clinic if they flushed the follicles? My understanding is that there are always eggs (otherwise your osterogen would not rise) but sometimes, the eggs do not come out easily/do not come out at all. For next time, you could ask the doctor to flush several times to get the egg out. Lots of hugs and I hope you get pregnant as a Christmas gift before your new round xx

[Pittapatta]

Hi Lilly12255 thanks for your kind words. I didn't know that they are always eggs I will follow that up with them. My next cycle will be after Christmas as the hospital shuts in December for theatre upgrades. But I am so hopefull. Thanks again. Baby dust to you!!!

[BBHH1]

Sorry to hear, good luck next time!

this systematic reviews says there is no advantage in flushing...

ncbi.nlm.nih.gov/pmc/articl...

this one shows is better to trigger earlier

ncbi.nlm.nih.gov/pmc/articl...