IUI tomorrow - do you know anything about follicle size and lining? Analysis of 1,676 CC-IUI cycles suggested that hCG administration at a lead follicle size of 21.1–22.0 mm was associated with higher odds of clinical pregnancy. For an endometrial lining of 9 mm, which was the mean thickness in our study, the optimal follicular size was 24 mm with CC and 24.7 mm with letrozole. Am I likely to lose it? analyzed IUI cycles after ovulation induction with human menopausal gonadotropins and found that ovulation success was higher in follicles larger than 20 mm on the day of hCG administration, although there was no relationship between the size of the leading follicle and cycle outcome. IUI #2 - 1 follicle that was 23mm. the size was 24.8mm There was an interaction between follicle size and endometrial thickness such that with a smaller follicle size a thinner lining was more advantageous but when the follicle was larger a thicker lining was more likely to result in a pregnancy. Using A Trigger Shot: When the follicle is at least 20mm and the uterine lining is at least 7mm, a medication (known as a “trigger shot”) can be given to trigger ovulation. Ovulation induction drug in IUI procedure is usually started at around the 2nd day of the periods. I had my US today to check my follicle size and then got my hcg trigger shot. ... My RE instructed me to take the trigger shot tonight and we'll do the IUI 36h later, on Friday morning (CD15). 1 0. priess. In addition, I would want you to be able to ovulate both follicles so I would probably wait one extra day and use the gonal-f another day. Follicle size for getting pregnant. That way the follicle sizes should be 21 and 18 mms, so that both would be ovulatory size. Patient(s): Patients <40 years of age with ovulatory dysfunction or unexplained infertility undergoing their first CC-IUI cycle. Because follicular size is an indirect marker of oocyte maturity, the timing of the hCG trigger based on lead follicle size is crucial for the success of CC-IUI cycles ( 4 , 6 ). The primary objective of the present study was to investigate the optimal lead follicle size for hCG trigger in patients undergoing their first CC-IUI treatment cycles. what's the maximum size they could be? At the optimal follicle size there was a positive trend such that a greater Optimal follicle size at trigger? Hi ladies, Just got back from final scan, I was wondering if someone can shed some light on these sizes. A common misconception is that each follicle releases multiple eggs. I feel I was triggered too early last cycle and ended up with very few mature eggs. Today(4th feb) , Gonal F Injection day 8 and Cycle day 10. Mom to 16 month old twins from IVF. Design: A retrospective study. deleted_user 04/21/2010. Many patients ask “what is the ideal follicle size” to be able to trigger ovulation. Follicle size 28mm. Ovary follicle size. Alternatively, the IUI can be performed after the attainment of an optimal lead follicle size and administration of an hCG trigger to mimic the LH surge (4, 5). Hi, I'm 39 with low ovarian reserve, DH has high count (98 mil) but 2% morphology. Objective: To identify the optimal lead follicle size for hCG trigger in clomiphene citrate (CC)-intrauterine insemination (IUI) cycles. In HMG and clomiphene + HMG cycles for patients less than 35 years of age, the incidence of three or more implantations per cycle (but not of twin implantations) was tripled, while pregnancy rates were not significantly increased, when E2 was over 1000 pg/mL, when six or more follicles were > or = 12mm, and when four or more follicles … 100mgs of Clomid IUI #4 - 1 follicle 22mm. Objective: To determine the optimal size of the leading follicle before human chorionic gonadotropin (hCG) administration in cycles with clomiphene citrate (CC) and letrozole, and to examine any differences in the optimal leading follicle size between cycles with CC and letrozole. Hi, mine was for an IUI and at my scan on the Wednesday my lead follicle was 16mm, they got me to trigger on Thursday for IUI on Friday. METHODS: 112 OI-IUI conception cycles (multiple pregnancy rate 19.6%) were analysed retrospectively to identify factors that may be used to evaluate multiple pregnancy risk. Setting: University-affiliated center. i went for u/s and b/w today in the morning,and my one follicle was growing. I have to decide whether to trigger Wednesday or Thursday. Follicle Size -- IUI. Answered by Dr. Jeff Livingston: Around 20 mm: 18-20 mm is … i had an iui on 14 day my follicle size was 2.5 today i went for sonography still don't rupture i took an hcg on day 12 evening .will the egg rupture around 16or 17 day? And doc told me to go home and trigger shot right away. When the time comes, and the follicle has grown to the right size, it ruptures and releases a matured egg ready to be fertilised. Follicle Size At Trigger. This was on 50mgs of Clomid. After being worried they are too small, now I'm worried the 24.5 is too big? IUI #3 - 1 follicle that was 24mm. Follicle size for IUI IUI #2 coming up. What other factors are there to think about? I took 100mg Clomid CD5 to CD9. Best follicle size at time of trigger shot? relation between e2 level and follicle size In: Finding a Resolution for Infertility Hi all, I had my IUI scheduled in coming 2-3 days. If triggered, these cycles are typically triggered when follicle size is between 17-26mm (dependent of the practice and IVF lab). Analyses of ultrasound data on the day of hCG administration allowed study of the role of primary, secondary and tertiary follicle diameters (FD). Design: Retrospective cohort study. The pregnancy rate with IUI and no trigger shot was 5.8 percent. : Hi Ladies, I'm on IVF #2 and will be triggering soon. These were my stats for my 4 clomid cycles with HCG trigger: IUI #1 - 3 follicles ranging in size from 17mm-20mm. ... Follicle size for ivf trigger. That said, a 2017 study on IUI cycles compared cycles with a trigger shot to ones without it. "what's the ideal size for follicles before an iui treatment? I don't recall any details as to average follicle size for retrieval, but I do recall some size facts when we IUI'd. Lv 4. 25 mm follicle at trigger, 0.25 mm Vegetal pole Blastula (cross section) Animal pole Blasto- coel Blastula (at least 128 cells). Dr. Timmreck offers, “The maturity of an egg in the follicle is in part reflected by the follicular size; on average, the ideal follicular size is 18 to 20 millimeters or larger, … The IUI is scheduled 36 hours after the trigger medication is injected. Source(s): https://shrink.im/baLFy. Back to back IUI was performed at 24 and 48 hours following the HCG. Because of unequal cell division due to the large amount of yolk in the vegetal hemisphere, the blastocoel is located in the animal hemisphere, as Thanks! had RE appointment this morning and at CD12 my one and only follicle is 14mm he said that he wants me to trigger tomorrow and do the IUI on friday. I have 9 follicles: 24.5, 19.5, 16.5, 16, 13.5, 12.5, 11.5 and 2 at 10. Usually, I trigger the night of the U/S and get the IUI 36 hours after the trigger shot. July 2014--IUI#4 Follistim 225 2-12, 3 mature follies at trigger, Peak E2 8/12 841, BFN Breaking till after Christmas, t hen IVF...taking 4000 mgs daily Inositol and Melatonin 3mg Report 0 Reply 12-18-2013, 03:04 PM. Source(s): Been through 4 rounds of Clomid, 3 with IUI and HCG trigger, 3 with IUI and injectibles and 1 IVF cycle. Anything over 15mm was considered viable and offered potential trigger was offered when the lead follicle(s) were between 18mm-21mm During a natural cycle, a folicle normally will reach 22-26mm before releasing. I NEVER trigger without knowing the follicle size for sure. Hi, I'm wondering if anyone has had success Gonal-F with IUI. But I think, as others have said, that there's time for them to grow, and I believe trigger shots do help that final maturation process. Silverberg et al. The more research i do the more it seems like 14mm is kind of small. If triggered, these cycles are typically triggered when follicle size is between 17-26mm (dependent of the practice and IVF lab). This medication is an injection with a small needle in the abdomen. Morning I went to the RE office for ultrasound & Blood work, My follicle size was around 10 mm and they call me on Thursday for next ultrasound and blood work. As cleavage continues, a fluid-filled cavity, the blastocoel, forms within the embryo. I'm on CD9 (clomid on CD4-8). In a gonadotropin cycle, mature follicle size … That is sloppy care. In a gonadotropin cycle, mature follicle size … This was on 100mgs of Clomid. 100mgs of Clomid. #1 IUI on Dec 12/14 on CD15 - 50mg clomid CD 5-9, Gonal F @ 75iu cd 7-12, beautiful 25 mm follicle,Trigger cd 13, 12 mil swimmers post wash2ww Dec 12 - 24/14 -->>> 10-16 dpiui - HPT all negative; 15 dpiui - went for beta - waiting for results - - > Beta less than 2 #2 IUI - Jan 17/15 on cd 17 - same protocol, 2 follicles at 21mm each! my wife has 2 follicles at 22 and 23 mm." Then we would do IUI tomorrow afternoon (~26 hours from trigger). I also have a 21mm, so my RE had to kind of split the difference. Follicles are small sacs of fluid found on the outside layer of the ovaries, which contain immature eggs (oocytes). Today's US showed 3 follicles 16-20mm. Follicle number. I had my u/s yesterday, and one follicle was 13mm, another was 14mm, and I'm triggering today too, for IUI on Thursday morning. Does your doc trigger at a particular follicle size or uterine lining thickness? Hi everyone! 4 years ago. I was so stressed about the size I asked to be scanned again the morning of the IUI, it was 20mm. Hi All, I have been on gonal F for the last week. I had an ultrasound this morning and had one follicle at 18mm (yay!) Just wondering what your follie sizes and E2 levels were at trigger. This cycle, multiple follicles (3) were measured a day before the HCG shot was administered to trigger ovulation. I was wondering what the likeliness of that would be. Table 3 shows that at the optimal follicle size … Setting: University hospital-based reproductive center. (6 Posts) Add message | Report. 0 0. crichton. At that time, my u/s revealed the following follicle sizes: 11.7, 15.8 and 16mm. This time, she made me take my trigger shot right on the spot because she was worried that 1- the 36mm follicle would end up becoming a cyst if not triggered asap and 2- she thought that I may already be ovulating. Follicle size 16mm. and some other smaller ones at 10mm and 8mms. lucylookout Fri 13-May-11 19:30:07. sociated with an increase in the optimal follicular size by 0.5 mm (Table 2). I think they will trigger me tonight but was wondering if there was a chance that the smaller ones could keep growing prior to my IUI on Sunday. In a natural (unstimulated cycle) or Clomiphene Citrate cycle, mature follicle size is between 18 - 30 mm. - BabyCenter Canada I am so excited and the doctor said everything was on track but the more I read (that's the worst thing we are supposed to do, right?) What is a follicle? Size … follicle number doc told me to go follicle size at trigger iui and trigger shot by 0.5 mm ( 2! Whether to trigger Wednesday or Thursday success Gonal-F with IUI and no trigger shot right away your doc trigger a! For my 4 clomid cycles with HCG trigger in clomiphene citrate ( CC ) -intrauterine insemination ( ). 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