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[quote=Anonymous]NP here - I agree with what all the other posters have said.  I'm the poster who posted about having been a patient at both GWU and SGFC in your previous thread.  I will say that it sounds like you are just stressed which is exactly where almost everyone going through stims is at this point.  That will not change from SGFC to GWU to any other clinic.  A follicle from 15mm - 23mm might all be in play.  Once you trigger, follicles do still grow and so for example, that 15mm on the day you trigger might very well be 17/18mm 36 hours later at the time of retrieval.  Additionally, some patients just produce larger follicles and so while 23mm is larger than normal, that may still be in play or they may sacrifice that one because the majority of your other follies will get to the average size they are looking for if they allow you to stim another day.

Regarding your question about a cyst - it is very difficult to tell the difference between a cyst and an actually follie once stims is underway.  That is something that you typically catch at your first appointment after you start stims or before at baseline, and even that can be difficult to "catch".  Cysts typically are larger than 10mm so that is something also to keep in mind. For all intents and purposes on the ultrasound they look just like a follicle but they won't produce estrogen. I had a 14mm cyst on one cycle with SGFC.  It was my first monitoring appointment of that particular cycle and the tech thought it was a dominant follie. Everything about it looked like it could be a follie but I begged my Dr. to monitor it as I was pretty sure it was a cyst - why - simply because on my previous IVF cycle, I got a cyst from the bcps.  The only way they could be sure it wasn't a dominant was by having me come in every single day of that IVF cycle to watch it and my estrogen levels.  Sure enough, we were able to establish that it wasn't a cyst around day 6/7 or so and so I did not have to start ganirelex prematurely (I was on an antagonist protocol).  I credit my doctor at SGFC for being willing to listen to my concern and use the tools at her disposal to confirm what I was concerned about.  That 10mm "cycst" may very well be just a new follie that popped up, which follies continue to do throughout stims.  It's nothing to concern yourself with as it is not in play.

Here's what you really need to be focused on during monitoring:  Your lining measurement (and note this also can change from day to day including go down towards the very end of stims depending on where they measure it); your estrogen level; your lh number; and the approximate number of follies you have that are likely to be "in play" size wise.[/quote]

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