Reviving this thread because I'm facing the dominant follicle issue now--after slow growth days 1-5 of stims, which I took as a good sign, since three were the same size and there were many antral follicles "waiting" to be stimulated (I thought), on day 7 one has jumped ahead to 15, and the others have either died or not grown. We are upping the dose over the weekend and will reevaluate Monday.

First cycle, I had dominant follicles on the antagonist, second, EPP, responded beautifully, got pregnant but m/c (ectopic) and even had two frosties--BFN.

This is the third and last.

I want to accept what happens, but if there is a fightinig chance that the other follies around 10 will catch up, I want to give them my hope.

Any encouraging words appreciated.

Anonymous wrote:I second (or third) the suggestion to get a consult from Dr. Owen Davis at Cornell. You can do it over the phone, but I'd go up to NY if I were you. Good luck! I wish you the best as you sort all of this out. It is so hard.

OP, I would also recommend Dr. Davis, even for a consult. They tend to tweak protocols at Cornell much more carefully than at any of the local clinics. If nothing else, a second set of eyes to look at your situation is worth it. i know the money/time invested in this all sucks when you keep getting cancelled, but before you completely throw in the towel, see what this guy has to say.

I wish you nothing but the best.

Hello
I wife have a dominant follicle problem, she is in here early 40's. Can some please recommend a doctor in Virginia, DC and Marlyand Area . We are desperate find a good clinc.

I second (or third) the suggestion to get a consult from Dr. Owen Davis at Cornell. You can do it over the phone, but I'd go up to NY if I were you. Good luck! I wish you the best as you sort all of this out. It is so hard.

I think it depends (whether you can let lead go and continue with others). If the dominant is too far ahead, your estrogen is rising and you will begin to ovulate - well before any other follicles are big enough to contain mature eggs.

Anonymous wrote:This is odd - I'm at SG, and they told me if I get a dominant follicle that they might let it go in favor of getting the rest of the follicles. Am I wrong to assume that they (SG) could do this with OP's issue too? Why not let the dominant go and wait for the followers?

The egg from the dominant follicle, if left go too long, is beyond peak maturity. The other eggs are often of suspect quality.

This is odd - I'm at SG, and they told me if I get a dominant follicle that they might let it go in favor of getting the rest of the follicles. Am I wrong to assume that they (SG) could do this with OP's issue too? Why not let the dominant go and wait for the followers?

Hey, shout out to anonymous who went to Cornell...
Hi Im 43 yo with great labs but dominant follicle problem. One failed IVF that had 5 follicles but only 2 eggs, only one fert. So, what did the Cornell people do for the dominant follicle problem. I just sent my chart for setting up an appt. with Dr. Rosenwax at Cornell.

I'm the previous poster who also had a dominant follicle problem. Natural cycle didn't work for me. I probably have crummy eggs as well as diminished reserve so simply fertilizing one didn't result in a pregnancy. I had 5 eggs retrieved and only one (not the dominant one) made it beyond 2 days (all the other embryos died within 48 hours).

I find it interesting that Widra recommended Lupron stop as that (combined with SUPER high dose stims) did work for me. I was at SG as well but with a different RE (Dr. Osheroff at the Columbia office).

As to whether you should proceed at all--that is a really hard question that of course, only you can answer. I wish you the best with your decision.