Need support.. :(

iVillage Member
Registered: 06-21-2003
Need support.. :(
2
Mon, 12-03-2007 - 12:18pm

So I finally decided to do another month of treatment. I started last Saturday on Menopur. The dr. saw me on Tuesday and my lining was good and I had 3 follicles.  One ws 9 x12, another 8x9 and the left was 12x12.  I went again on Thursday and they grew to 12x12, 9x11 and 13x13. My Estradiol was 267 and my lining went from 5 to 9.9.  He said to continue 150 of the Menopur and come  back in today. Well, this morning the dr. could not locate the follicles. This leads me to believe I ovulated on my own. He wouldn't say yes or no but that we have to wait for the bloodwork to tell for sure.  He said it could also mean that my follicles need more time and more medicine but how do you go from seeing them to not being able to find them?!?


I am just upset because he was saying it is trial and error. Well, I don't have thousands of dollars to spend to just wait and see. I feel he should have monitored me closer than every 3 days and dropped the ball.


Has anyone else experienced this? I know that it is not an exact science but I am just feeling angry, sad that we may have done all this for nothing.

iVillage Member
Registered: 10-19-2004
Mon, 12-03-2007 - 9:45pm

Sorry you are dealing with this. I would probably be angry and wondering the same things. It seems odd that they would go from visible to invisible...yet it also seems like they were not big enough at the last sono for them to have ovulated naturally 3 days later. When I did my IUI cycle with stims I think my biggest follie was 21mm on trigger shot day. On my IVF cycle (all out of pocket for us), it looks like my meds dose was tio high and I got too many eggs, most immature, and have very high estrogen (4,565) which is not good. I felt that was why the embies didn't stick. But getting the meds right is a bit of trial and error. Unfortunately that was a really expensive trial run for us (failed). I know it is very frustrating and stressful, especially when it is all out of pocket. However a sono 3 days later seems reasonable, especially based on the growth rate you had from the last 2 sonos. For me I pay $255 for each sono and I get 4 in an IUI/stim or IVF cycle. Sometimes I feel like, do they really need to do that many sonos? Can't they do one less? But it helps them see how you are developing and if they should adjust your meds. I think it was about every 3 days, except when you get sizes close to ovulation.

I think it would be very unusual for you to have ovulated in that time based on those sizes and growth rate. Of course, everyone is different and our bodies do things that can be unpredictible. For example at my IVF I went from them telling me I'd have 14-18 eggs to getting 35 at retrieval. My re said that it appeared I kept recruiting new follicles during my stims, so ended up with many "extra" small ones and poor efficiency. They also told me that 39 year old women "don't get 35 eggs"- it just "doesn't" happen. But it happened for me. It's unusual, but every woman is different, and if you fall really far outside the curve, unfortuntely it can be hard to predict that in advance.

I don't know if it helps or doesn't help, but it doesn't sound to me based on my limited experience like the RE made any protocol errors in the timing of the sonos. Your follies were growing very slowly and they didn't increase the meds. I don't know what happened to the follies or why they couldn't find them- they shouldn't shrink. They wouldn't be expected to have accelerated growth that quickly without an increase in meds, and they wouldn't be expected to have ovulated at the size they'd be expected to be in three days at that growth rate. BUT--- every woman is an individual and sometimes our bodies do things they wouldn't be expected to. The only other explanation I can think of is that maybe they were deep follicles- that is, if 13x13 in a one dimensional view, could it actually have been 16mm in the third dimension? Maybe the second set of measurements was not good? I hope that your bloodwork sheds some light on what happened and they can get you some answers soon.

Good luck.

- Jenna
iVillage Member
Registered: 09-11-2006
Mon, 12-03-2007 - 11:53pm

(((HUGS)))


I'm sorry, I have not gone through this, but I'm sure you are not alone.