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Opinions on when to trigger?

This is a discussion on Opinions on when to trigger? within the Femara forums, part of the Trying to Conceive - Issues category; OK I went to the doc and here are my results: u/s lining 9 rt ovary 23.43 x ...

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  #1 (permalink)  
Old 04-03-2008, 05:57 PM
SKMagnificent
 
Join Date: Jul 2004
Location: North Carolina
Posts: 1,008
Default Opinions on when to trigger?

OK I went to the doc and here are my results:
u/s lining 9
rt ovary
23.43 x 15.53 x 18.15
15.37 x 10.67
17.9 x 12.69
lt ovary
11.66 x 9.18
So we did not trigger today. Do you think I should tonight? Tomorrow morning? At noon? In the evening? Sat? What do you think? I am thinking tomorrow night. I was kind of hoping I would have a surge on my own so I will opk tomorrow if I have not done the trigger. Thanks girls!!!
__________________
Tracie
DS#1 5/8/99 (Clomid 3 cycles, 1 50mg and 2 100mg) weaned at 27 mo pp after getting pg with ds#2
DS#2 3/25/02 (conceived while bfing ds#1(25 mo old), no ppaf) weaned at 24 mo pp to get ppaf back
3 Angels 03-2004, 06-2004, 07-2004
DS#3 7-14-05 (Clomid 2 cycles, Femara & hcg at 5dpo 1 cycle) weaned at 31 mo pp
1 Angel 12-2007
TTC#4
Cycle 1: Femara 5 mg(cd4-8), HCG 10,000 trigger cd 13
Cycle 2: Femara 5 mg(cd5-9), HCG 10K trigger cd13, 200mg prometrium
Cycle 3: Femara 5 mg(cd5-9) HCG 10K cd12, 200 mg P 11 dpo hcg 69, P 55.6
17 dpo hcg 1421



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  #2 (permalink)  
Old 04-03-2008, 07:46 PM
SKDevotee
 
Join Date: Feb 2006
Location: Pennsylvania
Posts: 401
Default Re: Opinions on when to trigger?

What does your doctor recommend? Last month I had one follicle that was 23 mm, and they gave me the trigger that same day.

Good luck!
__________________
Katie (35)
Gary (39)
TTC #1 6+ years
Polyp removed May 2008
Upcoming: IUIs with Femara
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  #3 (permalink)  
Old 04-04-2008, 07:22 AM
SKMagnificent
 
Join Date: Mar 2008
Posts: 1,338
Blog Entries: 4
Default Re: Opinions on when to trigger?

My Doc tells me when to take it so I am not sure either, but I only had 1 follie like Katie and I don't think it was that big. I took mine immediately following the U/S.
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  #4 (permalink)  
Old 04-04-2008, 10:35 AM
SKMagnificent
 
Join Date: Jul 2004
Location: North Carolina
Posts: 1,008
Default Re: Opinions on when to trigger?

My doc just said to give it today although when we talked yesterday at first he said they would give it to me today. He is not my normal doc and I was not happy with him. He just wanted to get me in and out. Soooooo I guess my plan is just to trigger tonight.
__________________
Tracie
DS#1 5/8/99 (Clomid 3 cycles, 1 50mg and 2 100mg) weaned at 27 mo pp after getting pg with ds#2
DS#2 3/25/02 (conceived while bfing ds#1(25 mo old), no ppaf) weaned at 24 mo pp to get ppaf back
3 Angels 03-2004, 06-2004, 07-2004
DS#3 7-14-05 (Clomid 2 cycles, Femara & hcg at 5dpo 1 cycle) weaned at 31 mo pp
1 Angel 12-2007
TTC#4
Cycle 1: Femara 5 mg(cd4-8), HCG 10,000 trigger cd 13
Cycle 2: Femara 5 mg(cd5-9), HCG 10K trigger cd13, 200mg prometrium
Cycle 3: Femara 5 mg(cd5-9) HCG 10K cd12, 200 mg P 11 dpo hcg 69, P 55.6
17 dpo hcg 1421



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  #5 (permalink)  
Old 04-04-2008, 10:42 AM
SKMagnificent
 
Join Date: Jul 2004
Location: North Carolina
Posts: 1,008
Default Re: Opinions on when to trigger?

I mean when the doc and I talked yesterday they were going to give me the shot yesterday. Then he asked if I could do it myself and I said yes--then he changed his story to giving it today.
__________________
Tracie
DS#1 5/8/99 (Clomid 3 cycles, 1 50mg and 2 100mg) weaned at 27 mo pp after getting pg with ds#2
DS#2 3/25/02 (conceived while bfing ds#1(25 mo old), no ppaf) weaned at 24 mo pp to get ppaf back
3 Angels 03-2004, 06-2004, 07-2004
DS#3 7-14-05 (Clomid 2 cycles, Femara & hcg at 5dpo 1 cycle) weaned at 31 mo pp
1 Angel 12-2007
TTC#4
Cycle 1: Femara 5 mg(cd4-8), HCG 10,000 trigger cd 13
Cycle 2: Femara 5 mg(cd5-9), HCG 10K trigger cd13, 200mg prometrium
Cycle 3: Femara 5 mg(cd5-9) HCG 10K cd12, 200 mg P 11 dpo hcg 69, P 55.6
17 dpo hcg 1421



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  #6 (permalink)  
Old 04-04-2008, 10:43 AM
SKMagnificent
 
Join Date: Mar 2008
Posts: 1,338
Blog Entries: 4
Default Re: Opinions on when to trigger?

That's what I think you should do as well. Then make sure you BD tomorrow night and Sunday night. Have FUN!
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  #7 (permalink)  
Old 04-04-2008, 10:47 AM
SKMagnificent
 
Join Date: Jul 2004
Location: North Carolina
Posts: 1,008
Default Re: Opinions on when to trigger?

Thank you--where in NC are you?? We are in New Bern. Anyway I appreciate your help--even the bd suggestions!!! I was not sure what to do but I think your plan is definitely the best!!!
__________________
Tracie
DS#1 5/8/99 (Clomid 3 cycles, 1 50mg and 2 100mg) weaned at 27 mo pp after getting pg with ds#2
DS#2 3/25/02 (conceived while bfing ds#1(25 mo old), no ppaf) weaned at 24 mo pp to get ppaf back
3 Angels 03-2004, 06-2004, 07-2004
DS#3 7-14-05 (Clomid 2 cycles, Femara & hcg at 5dpo 1 cycle) weaned at 31 mo pp
1 Angel 12-2007
TTC#4
Cycle 1: Femara 5 mg(cd4-8), HCG 10,000 trigger cd 13
Cycle 2: Femara 5 mg(cd5-9), HCG 10K trigger cd13, 200mg prometrium
Cycle 3: Femara 5 mg(cd5-9) HCG 10K cd12, 200 mg P 11 dpo hcg 69, P 55.6
17 dpo hcg 1421



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  #8 (permalink)  
Old 04-04-2008, 11:55 AM
SKMagnificent
 
Join Date: Mar 2008
Posts: 1,338
Blog Entries: 4
Default Re: Opinions on when to trigger?

I am in Raleigh. I've been to New Bern for work, when I used to work.
As for your trigger and BD, I'm going off what my doc tells me to do and mine are usually smaller. If you don't have a male factor, I'd suggest tonight as well just in case you O early. (Which is known to happen!)
I go for my u/s on Monday morning and they will probably tell me to trigger that night and then BD the following two nights. Last month was my first month and they triggered me in the am (since it was my first time and I didn't want to give myself a shot) and then told me BD the following two nights. I didn't listen very well though and BD the night of and the following night. I just read so much about how it is better to have the sperm there waiting than to try to get it there at the same time or later. I think this month I'll BD starting tonight until next Wed, but I have a feeling my DH is the problem and not me. (He won't test!)

GOOD LUCK> I'll be right around the corner in the 2WW with you!
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  #9 (permalink)  
Old 04-04-2008, 11:56 AM
SKMagnificent
 
Join Date: Mar 2008
Posts: 1,338
Blog Entries: 4
Default Re: Opinions on when to trigger?

OH....by "mine are smaller" I meant that my follies were smaller than yours last month AND I only have 1-2.
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  #10 (permalink)  
Old 04-04-2008, 12:27 PM
SKImpressive
 
Join Date: Aug 2007
Location: B.C., Canada
Posts: 2,683
Send a message via MSN to Constance_13
Default Re: Opinions on when to trigger?

Good luck!!! My doc told us when to trigger so I really do not have any suggestions. As for BD'ing: We did the night I took the shoot (I took it first think in the morning) and then for the following 3 days just to make sure we caught my eggie!!!

Sending you lots of
__________________
Amanda, James & Sweet Mackenzie

7/17 -3rd Laparoscopic Surgery for Endometriosis
8/07 femara & ovidrel First Cy..... 8/24/07
(After trying for 6 years on and off)



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  #11 (permalink)  
Old 04-04-2008, 12:30 PM
SKMagnificent
 
Join Date: Mar 2008
Posts: 1,338
Blog Entries: 4
Default Re: Opinions on when to trigger?

Constance, looks like whatever you did...it did the trick!
I'm very happy for you and good luck with your delivery next month! I pray it goes very smoothly! (if you don't go early!) =)
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  #12 (permalink)  
Old 04-04-2008, 01:58 PM
SKMagnificent
 
Join Date: Jul 2004
Location: North Carolina
Posts: 1,008
Default Re: Opinions on when to trigger?

So do you girls know what size your follies are when you trigger? Maybe I should start a new thread asking that???

KLB--do you think I have too many eggs?? I was feeling pretty good about having more--more targets thus more likely I will get pg. With my first ds when they did my first us at 8 weeks there were 3 sacs--only one had a heartbeat. My theory is that I have bad eggs--so I need lots of targets. I am sorry that your dh won't get tested. Mine has not been tested but with my usual cycle being so wacky and me getting pg in the past my dh somehow has gotten out of having to do the test!!
__________________
Tracie
DS#1 5/8/99 (Clomid 3 cycles, 1 50mg and 2 100mg) weaned at 27 mo pp after getting pg with ds#2
DS#2 3/25/02 (conceived while bfing ds#1(25 mo old), no ppaf) weaned at 24 mo pp to get ppaf back
3 Angels 03-2004, 06-2004, 07-2004
DS#3 7-14-05 (Clomid 2 cycles, Femara & hcg at 5dpo 1 cycle) weaned at 31 mo pp
1 Angel 12-2007
TTC#4
Cycle 1: Femara 5 mg(cd4-8), HCG 10,000 trigger cd 13
Cycle 2: Femara 5 mg(cd5-9), HCG 10K trigger cd13, 200mg prometrium
Cycle 3: Femara 5 mg(cd5-9) HCG 10K cd12, 200 mg P 11 dpo hcg 69, P 55.6
17 dpo hcg 1421



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  #13 (permalink)  
Old 04-04-2008, 02:24 PM
SKImpressive
 
Join Date: Aug 2007
Location: B.C., Canada
Posts: 2,683
Send a message via MSN to Constance_13
Default Re: Opinions on when to trigger?

I can not remember what the sizes where for me....I know I had one mature and one that "might" be by the time I triggered. I do NOT think you have too many at all. 2 seem small and I think even if all were released they are not all a viable size.

GOOD LUCK!!!! I feel bad you seem to be NOT getting the support you need from your doctors. I hope that changes as they should be going over every and all options with you.
__________________
Amanda, James & Sweet Mackenzie

7/17 -3rd Laparoscopic Surgery for Endometriosis
8/07 femara & ovidrel First Cy..... 8/24/07
(After trying for 6 years on and off)



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  #14 (permalink)  
Old 04-04-2008, 03:15 PM
SKDevotee
 
Join Date: Mar 2007
Location: Florida - Originally from England
Posts: 400
Default Re: Opinions on when to trigger?

Hi Tracie,
Sorry to post so late, just got online today....My RE always gets me to trigger as soon as my largest is 18/19mm because the Ovidrel actually makes the egg grow and mature more before releasing and also causes the others to grow and mature before releasing...So i do hope you were able to do the shot last night or at the latest today. GL and KUP

Sending you lots of
__________________


TTC#1 Pregnancy
Actually #3 addition
DS 6 (Adopted)
DS 4 (Adopted)
TTC since 1998
2002 Welcomed our 2 wonderful boys (Adoption is wonderful)
2007 March - Laparoscopy, Hysterocopy & chromopertubation-Femara- Ovidrel- IUI
April - Femara- Gonal F shots- Ovidrel- IUI
May - Gonal F shots- 1 Follie 18.5mm - Ovidrel- IUI CD12-15dpiui -Beta #1 312-Beta #2 17dpiui 767- M/C @ 8weeks
Sept - March '08 (with off months due to Cysts) Gonal F- Metformin- Ovidrel- IUI




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  #15 (permalink)  
Old 04-04-2008, 03:27 PM
SKVeteran
 
Join Date: Mar 2007
Location: Southwestern Indiana
Posts: 519
Default Re: Opinions on when to trigger?

I agree with Lou my Re won't do the trigger unless the follicles are 18mm or above, from what I ve been told getting the trigger allows them to grow another 2mm. When you do the trigger the eggies don't release for another 24-36 hours which gives them another day to grow around 2mm a day.
I hope this helps some!
Good luck!
__________________
Vanessa (25) DH~Matthew (26)
Six rounds of Clomid BFN!
3/20/07 First appt. RE (PCOS)~One month just Metformin 1000 mgs
First round Femara- 15.5 follicle (not big enough)
Second round Femara 5mgs/Follistim 75iu/Novarel-hcg/1000mgs met (4 follicles)-BFN!
Lap surgery August 15, 2007~NO ENDO/CYST Covered in "SCAR TISSUE" from infection? that was removed, HSG tubes cleared out again.
Waiting for post op appt with RE- "CLEAR" and ready to go again~1000 mgs Metformin, 2.5 mgs Femara 2x a day(five days), 75 iu of follistim(six days),Novarel (trigger) w/FOUR mature follicles ~ BFP 10/26!!!! Miscarriage @ Five weeks
Af 12/26-(63 day cycle-Provera induced)-40 mm cyst--Currently on BCP-
Starting Femara/follistim/Metformin 1/22/08-SIX mature follicles-BFP-2/17/08~M/C #2
April 16-HSG-ALL CLEAR! Some scar tissue on left side..but CLEAR!
Diagonsed with autoimmune disease will need Levenox and baby aspirin a day starting on cd 16...
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  #16 (permalink)  
Old 04-05-2008, 02:06 PM
SKMagnificent
 
Join Date: Jul 2004
Location: North Carolina
Posts: 1,008
Default Re: Opinions on when to trigger?

Thanks girls. It was an adventure having dh give me the shot on Friday night. I hope to not have to do that again. Although bless his heart he did suggest ice beforehand--which really did help with the pain. He said I got some welts right after the shot--I hope that is normal. They are gone now. I had to lay down right afterwards because I was feeling nauseous--lol!!! DH did it really slowly!!! Anyway I was laying in bed last night thinking bd was not necessary last night but then I thought we better bd every night--just in case the eggs decided to pop on their own--since I did NOT want to do that shot again. Of course then I see in your siggies how many months of fert treatments you have endured--and I am in awe at your perseverance and terrified that I too will have a long siggie with lots of cycles behind me.
__________________
Tracie
DS#1 5/8/99 (Clomid 3 cycles, 1 50mg and 2 100mg) weaned at 27 mo pp after getting pg with ds#2
DS#2 3/25/02 (conceived while bfing ds#1(25 mo old), no ppaf) weaned at 24 mo pp to get ppaf back
3 Angels 03-2004, 06-2004, 07-2004
DS#3 7-14-05 (Clomid 2 cycles, Femara & hcg at 5dpo 1 cycle) weaned at 31 mo pp
1 Angel 12-2007
TTC#4
Cycle 1: Femara 5 mg(cd4-8), HCG 10,000 trigger cd 13
Cycle 2: Femara 5 mg(cd5-9), HCG 10K trigger cd13, 200mg prometrium
Cycle 3: Femara 5 mg(cd5-9) HCG 10K cd12, 200 mg P 11 dpo hcg 69, P 55.6
17 dpo hcg 1421



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