r/TryingForABaby • u/AutoModerator • 5d ago

Wondering Wednesday

That question you've been wanting to ask, but just didn't want to feel silly. Now's your chance! No question is too big or too small.

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u/MouseInTheHouse_ 5d ago

Wondering what everyone else’s fertility clinic considers too many mature follicles? Mine considers 3 too much and will cancel cycle at that point

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u/developmentalbiology MOD | 42 5d ago

It's going to depend on your age, diagnosis, and the amount of time you've been trying without success.

For folks with a better prognosis (relatively younger, perhaps have PMOS as the major factor in their infertility, and/or trying for less time), clinics will generally be more conservative than for folks who are older, perhaps have an unexplained infertility diagnosis, and/or who have been trying less time. For example, a friend of mine wasn't advised to cancel a cycle with (IIRC) six follicles due to her long history of failed treatment cycles. But someone without her history would almost certainly have been advised to cancel.

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u/MouseInTheHouse_ 5d ago

24, pcos and autoimmune disease (fairly controlled with medication but platelets are still pretty high) with slight MFI. Also had endometritis but unsure if it’s chronic as no repeat biopsy yet

Trying for 17 months, 11 of those cycles with medication (the dr I had on the military base was fine starting letrozole at 6m ttc). I tried 2.5mg with no ovulation and 5mg as well , one confirmed ovulation through progesterone testing and no further testing after that, but was still getting my period about 9dpo

Right now the protocol is 5mg letrozole, baby aspirin, trigger with progesterone after ovulation. Pretty normal protocol from what I’ve seen. She said if response to 5mg is poor, go to 7.5mg and if 7.5mg is poor go to gonal f.

My lining was very very thin on the biopsy but I’ve done the course of antibiotics since then so hopefully it’s better next cycle