Follicle question

posted 3 years ago in TTC
Post # 3
Member
1033 posts
Bumble bee
  • Wedding: August 2012

@wowweddings20000:  Hi! Sorry to hear it still hasn’t happened for your daughter. What cycle day is it for her?  Depending on where she is in her cycle, lots of little ones could be fine and there is a chance that some will mature in the upcoming days.  Follicles grow something like 1-3mm/day. 

 

Post # 5
Member
1033 posts
Bumble bee
  • Wedding: August 2012

@wowweddings20000:  typing on a kindle, so apologies in advance for any typos. I certainly don’t think this month is a wash, sometimes the follicles are ready to go at cd16, sometimes not. Every cycle is different, sometimes on meds you get multiple follicles sometimes only one. Do you know the size of her follicles? There is  chance they’ll ripe in couple days. For me, this cycle, I had one large follicle with meds and in two days it grew from 18mm and not ready based on blood work to 25mm and ready to trigger. The other follicles did nothing in that same time period. As for whether she should go to new clinic and push iui, that’s a choice she needs to make. If iui is what she wants to do then she should definitely push for it. Lastly, I don’t know advice to give for what to say. You obviously care a lot about your daughter and I’m sure she appreciates all of your support. 

Post # 7
Member
2190 posts
Buzzing bee
  • Wedding: June 2011

@wowweddings20000:  what cycle day was the latest ultrasound where they said ther were several small ones on both sides? I did follicle u/s when going through treatment and had them done often. Usually in the first few days of my cycle I’d have a very similar diagnosis and they would steadily increase in size through the cycle days. I did need Clomid mind you, so that helped.

Did they give you a measurement of the lining? They expect the thickness to increase through the cycle as well, so just because it’s thin now, doesn’t mean it can’t/won’t thicken up.

Could be a number of things – early in the cycle, a wonky cycle… hard to say. If there was a mature follicle last time and it just didn’t “catch” resulting in a BFP, it’s a good sign that at least the body is doing/attempting to do what it’s supposed to. I wouldn’t say this cycle is a wash yet – depending on what cycle day it is perhaps?

Post # 9
Member
2190 posts
Buzzing bee
  • Wedding: June 2011

@wowweddings20000:  well, I think it depends. Given that she/you are already on CD15 (further now, of course) if the follicles were all still very small, it could go either way. She could have one or two that have matured since, or they could all just be maturing very slowly possbily resulting in another annovulatory cycle.

I believe most RE’s like to see a follicle in/around the 20mm mark (again, this likely varies from clinic to clinic-  some bee’s on here triggered around 18/19 and wouldn’t go over the 20 mark, others I’ve heard can get up to 25!). I believe my biggest was around 22mm and I ovulated on my own. I think that if you had one/two mature/big follies last cycle that you DID ovulate, but there was obviously no BFP.

I’d say if there are one/two that are over 18mm or around that size, it’s worth inquiring about the trigger. My clinic wouldn’t do it unless the follicle remained large for a couple days without doing it’s thing on it’s own or if there were problems with ovulation in the past, which is obviously the case here. Given that you’ve had only a few ovulatory cycles, I’d probably ask about the option for sure.

If you want to PM me more about it, feel free. 🙂 Hope this helps.

Post # 10
Member
3153 posts
Sugar bee
  • Wedding: September 2011

@wowweddings20000:  Okay, I hope what I say doesn’t discourage you or your daughter, but I’ll put it out there as a reality of what can happen.

Three months ago my husband and I ventured onto our first IUI round with Clomid, FSH injections, trigger, etc. That cycle ran smoothly, at my cd11 u/s I had an 18mm follie that looked good but they wanted to wait one more day before I triggered for it to grow to a 20 (they grow on average of 2mm a day). Well, long story short I triggered and had the IUI, but BFN.

Two months ago, IUI cycle #2. They changed my protocol by increasing my Clomid and FSH dosage. On CD11 I didn’t have any follies over 11 (Also, at my clinic, if they are under 10 they don’t even measure, so that might be why they didn’t give her a size). I was told to go home and do more FSH injections. Next u/s, same thing, they didn’t grow at all! Again more FSH injection, u/s, no growth. I was devastated. We had to go out of town for a family function and when I came back my follies were gone without ovulation (basically, they shrunk back down)! I was even more devastated, but mostly confused. How could this cycle be so different when the 1st one worked perfectly (well almost)? Well, I asked my nurse and as others above have said, every cycle is different. I know, that’s something we don’t want to hear and it doesn’t really help us truly understand why.

My theory: I have been diagnosed with PCOS. I feel I have one polycystic ovary that is really lazy and one that’s just mildly lazy. The first cycle I know I O’d from the not so lazy one because obviously that’s where my follie was. This past cycle I feel confident in saying my body was trying to O from my lazy one. Sorry for lack of better words here, but I’m sure you get the point.

But, just because mine never grew and “disappeared” doesn’t mean that will happen with your daughter. Every cycle is different and they just might be moving slowly. Is your daughter seeing an RE? If so, ask them about trying injectable FSH, it’s “supposed” to make them grow faster. Regarding the lining, because of the slow growth in the follicles, it might be developing slowly, which is a good thing. You don’t want her lining to build thick by time she has matured follies.

There is still hope, just keep faith. Good luck to you and your daughter. I think it’s a great thing what you’re doing and that you understand what she’s going through.

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