I know I'm not on to IVF yet, but it might happen in the future. I have a question though about injectibles and trigger shots.
If I do injectibles and I get a few folicles in each ovary that are ripe - if I let myself ovulate on my own, will only one "pop"? That's what I understand normally happens during your cycle, many eggs start producing but the natural LH surge causes the most ripe one to burst and the rest get reabsorbed?
But, if I use a trigger shot, will that trigger all the potentially ripe eggs to burst?
I just found out with my Lap/HSG last month that my right tube is blocked. I also have a complex cyst on my left that keeps coming back and reacting to my extremely high levels of estrogen. I'm pretty sure my right ovary is dominant as it seems to be the one always producing eggs when I've been through any cycle monitoring.
I'm still trying to decide whether I will do injectibles or not. I know they aren't the same as clomid but I'm worried about the high estrogen again and no eggs like last time (it just caused the cyst to grow a bunch but no egg).
On a side note - if my left ovary doesn't work and the RE can prove it, and with my right tube blocked, I *may* be eligible for provincially funded IVF. Usually it's with two blocked tubes only, but they do consider any case that might be applicable.
I think that if you did injectables and had multiple follies that were all in the same range but didn't do the trigger, you would probably still ovulate most, if not all of them. You are right that the follies begin to develop and then one follie becomes dominant and the others reabsorb, although that is at the very beginning of your cycle (the first 5 ish days). The injectables basically suppress the hormone that causes one to take the lead and allows a few to grow.
I'm not sure if this is the info you were looking for, but I HTHs
Not sure if this is helpful to know or not - but if you have one lead follicle that is growing faster than the rest but you have several small ones - your RE can let you coast a bit so that one reabsorbs and the others have time to catch up. It increases your chances of more for retrieval. I had to coast on my IVF cycle. I had over 30 follicles and we let some reabsorb so we retrieved 16.
Thanks girls, that does help. I just like to do research ahead of time to be prepared. I'm a little worried about my appointment on August 2. I hope she doesn't want to head straight to IVF! I want to try one injectibles/IUI cycle first to see how my body ovulates first using something other than clomid.
In my experience at the three clinics I've been to, the Drs were all really good at listening to DH and I and what we wanted to do. They were basically willing to do what we wanted. If I were you I would try a least one cycle of injectables with iui... But that's just me. Just be open with your doc about what you guys want to do KUP!!
FWIW, I would try an injectable cycle with IUI before moving on to IVF (and with any luck that won't even be necessary right! ). When we moved on to IVF it was after a year long break from all fertility treatment. I had only done Clomid cycles (both with and without IUI) before that. I would ovulate 1-2 follicles at 50mg. I asked to do an IUI with injects before going on to IVF and my RE convinced me to just go ahead with IVF. He said that because I responded so well to Clomid he wasn't concerned. Unfortunately I should have followed my gutt. Turned out, for me, that something must have changed in that year we took a break because I didn't respond at all to injects. We made 3 attempts, increasing my dose every cycle, until I was up to 600iu (I think... it's been awhile now) a day, the max my RE would prescribe, and still nothing. It was a very stressful experience, one I could have avoided both emotionally and financially. If I could go back and do it all again that's what I would do differently. Incase it matters, I was diagnosed with PCOS and Endometriosis (both tubes were blocked, had one opened by lap in 2006 and the other opened after all our IVF attempts in 2009), six months after my last lap I was then diagnosed with POF (premature ovarian failure), and my husband has male factor (low counts and motility) and was later diagnosed with a balanced translocation of two of his chromosomes. So we unfortunately are just a big old mess! *sigh* So definitely just my personal experience. The only point I really wanted to make is to follow your instincts. I also live in Ontario and I really hope that you will be granted the chance to do IVF covered by OHIP! All the best Rachel!!