follistim without trigger shot

iVillage Member
Registered: 02-04-2008
follistim without trigger shot
3
Fri, 01-20-2012 - 10:25am
not sure if this is the right place to ask this but my RE's nurse said next cycle we may do follistim without a trigger shot. i though you always needed a trigger shot with this med. i O on my own but RE has been using this and or femara mix to promote more and stronger follies . anyone know if this can be done without the trigger? if so will it delay my normal O time frame? my cycle is usually like clockwork 28 dyas O pon CD 12-14. with meds its been pushed to 30-32- days with O on cd 17-19. going by u/s and blood work. TIA
Me -- 33 DH -- 42 DS1 01/13/01~ after almost 2 years TTC, 5 losses, and a diagnosis of MTHFR = DS2 01/19/10 ~
meds while pregnant : Lovenox 40mg 1x day ~ 5 mg folic acid ~ 100 mg each of B6 & B12 and of course progesterone inserts 200mg 1x a day
iVillage Member
Registered: 02-29-2000
Fri, 01-20-2012 - 11:46am
Follistim is a drug that encourages more follicles to develop and grow eggs, it doesn't do anything to inhibit ovulation. I would assume that this protocol would not include taking a drug like lupron or ganirelix to suppress ovulation? In that case, you might not need a trigger shot. The trigger shot just tells your follicles they are done so that they will release the eggs. Again, just an assumption, but I would think that they would have to be monitoring you through your blood levels to determine ovulation on a protocol like this.

Definitely ask your doctor or nurse about the protocol! I highly encourage asking questions of anything you don't understand or want to know more about!!

I would love to know how this kind of cycle works, so if you get more info from your RE, please update!!

Thanks, and good luck!!
iVillage Member
Registered: 08-27-2008
Fri, 01-20-2012 - 11:47am
I have heard of using follistim without a trigger for IUI sometimes but not for IVF. I thought the trigger was mostly used to assist with final maturation of the follicles during IVF. Did your nurse say why they are thinking of not using it? If not you might want to ask. KUP, I'm interested to hear their reasoning.

Caryn
iVillage Member
Registered: 02-04-2008
Tue, 01-24-2012 - 9:58am
ok so i asked my RE's nurse and she said because i O on my own we don't need the trigger. and because we are not doing IUI so timing isn't "essential", b/w will stillbe need and u/s to tell us when to do TI. i just didn't wan to start it and then not O and not have the trigger either.
she said that i will do 300 starting cd2 for about 8 days then see where we are. does that make sense.
i know its not for IVF and that i'm probably in the wrong board but since its nout for IUI i figured you ladies would know more about these protocols.... everything looks good i don't know why i'm not getting pregnant and its so frustrating! it used to be that every 3-4 months it would happen albeit it would end in a loss. since i started with the RE back in july last year nothing! i get that because i'm minus a tube my chances are diminished especially because it seems my body like to O in the same place for 2 months then switch over to the other side...i'm sorry i'm just venting, and this follistim cycle is our last medicated cycle before going back to just us. can't afford more OOP since the insurance change.
Me -- 33 DH -- 42 DS1 01/13/01~ after almost 2 years TTC, 5 losses, and a diagnosis of MTHFR = DS2 01/19/10 ~
meds while pregnant : Lovenox 40mg 1x day ~ 5 mg folic acid ~ 100 mg each of B6 & B12 and of course progesterone inserts 200mg 1x a day