Posted by Jessica R. Brown, MD on August 09, 19100 at 21:38:26:
In Reply to: ? for MD-Small Follicles-WHY?! posted by mich369 on August 08, 19100 at 19:47:25:
Dear Mich: Even if you are surging on your own with Follistim you need the HCG shot to get pregnant. If you consistently have premature LH surges you should talk to your doctor about adding another medication to prevent the premature surge. We've long used GnRH agonists such as Lupron and Synarel for this purpose. More recently GnRH antagonists (Antagon) have become available which require fewer additional injections. Talk to your doctor and good luck!
: As you can see, I am trying to figure out why I cannot make a follicle over 14-16mm before I have my LH surge.
: I have just used Follistim for 8 days and stupid me goes and has an LH surge on my own. No HCG injection needed now. Why did this natural surge happen? My 2 follies this AM measured 14.5 and 12.5. What gives? AM I GOING BAD? My Day 3 was good and my E2 today was 500 something. I am having insems. tom. and Thurs. Are these eggs immature? I never seem to make them like the "regular" population.
: Any input will be greatly appreciated.
: Many thanks, Michele