Reply to Venting about SGF

Forum Index » Infertility Support and Discussion

Reply to "Venting about SGF"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous]I'm sorry you are frustrated and that you don't seem to be getting clear information from the clinical team. What they're trying to do is to maximize the number of mature (but not too mature) eggs on the retrieval date. There's a certain window of follicle sizes--say, from 14mm to 19mm--that are statistically most likely to contain such eggs; the lower and upper limits change depending on the protocol and other factors (agonist suppression generally means the follicles will be bigger). Smaller ones might contain mature eggs and larger ones might still be fine. There might also be independent reasons to trigger early, say if E2 is getting too high and they're worried about PCOS or if the P:O ratio is skewing. Because the follicles are growing, and at varying rates, different sets of them will be passing through this window at any point in time. Each day is a snapshot and they're trying to project how many follicles will be in the optimal range for the retrieval.

So really they've been telling you incomplete, but not inaccurate or inconsistent things. An 18mm follicle is likely to contain a mature egg; a 15-16mm one less so. A 13mm might not be that likely now, but could grow and move into the optimal window of sizes with more stimulation. And once the biggest follicle reaches 21mm, that might be a good time to trigger if it turns out that all of other ones, though smaller, are in that window.[/quote]

Thank you so much for shedding some light on this question. I am absolutely unsure about every single follicle I have due to conflicting findings each day.
Can you please tell me if follicles actually grow more after the trigger?
My dominant on the right ovary is 20.3 as of today. If I have 48 more hours off stimulation plus a trigger, will it get out of the range and become unusable?
What about estrogen - is there a number range it has to be before trigger?
Can follicles shrink?
[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics