Comparing frozen embryo transfer/FET protocols - Remembryo The LH surge leads to ovulation (and the production of the corpus luteum) between 25-56 hours, and about 36-48 hours with hCG ( Wan et al. Only issue is that I just got a very positive ovulation test. 12 had no embryo available for transfer after warming and 37 had a spontaneous LH surge before the ovulation trigger could be administered, although they were allocated to group B. I went in for u/s on friday morning and my biggest follie was measuring at 11mm. Natural lh surge before hcg trigger shot or not? We could not evaluate the time interval between the LH surge and HCG administration because there were too many missing data for meaningful statistical . Clomid this cycle and ultrasound this morning showed a mature follicle. They want us to come in this afternoon. I have also read, like r/catyduck said the ovidrel will boost nature ovulation- it doesn't speed it up or delay it or anything like that- it just kinda works with your own surge- Ovidrel also provides . By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Trigger shot with natural LH surge. IUI timing. : r/infertility Roughly a week following timed intercourse, . 16 Natural Ways to Boost Fertility. The surge gives you 12-40 hours (approximately), plus the egg can live for up to 25 hours, so your timing should be good. No need to worry! Privacy Policy. At least you caught the surge!! Yep, it happened to me with my first IUI. Another older study looked specifically at the timing of the shot. Would Ovidrel speed up the ovulation even more in this case, or would it delay it? . The "trigger shot" prompts mature eggs to be released in 36-40 hours. Is waiting for an endogenous luteinizing hormone surge and/or Any insight is much appreciatedI am so confused! This injection mimics the natural LH surge that occurs in a regular menstrual cycle and leads to ovulation in ~36 hours. (Usually, 36 hours after your hCG trigger shot, or 24 hours after a rise in LH hormone was detected). Prior to this I have used OPK's and usually detect a surge on day 13-15. When to Trigger The ultimate goal is to have 2 or 3 follicles reach approximately 18mm in diameter. Plus your follie (or more) could definitely be mature by now. The Ovidrel may speed up your natural ovulation, so I'd want to get in early. Trigger Shot or No Trigger Shot'That is the Question.. The surge is going on and on but no egg actual release. They want us to come in this afternoon. Because I usually ovulate within 24hours after the LH surge, I'm worried that maybe I should have been scheduled to have the IUI today. I've had the RE tell me they didn't have a vial. Oh wait, yeah we do. I've read that there really are similar results with both timing. Given the above, an . Trigger Shot Natural LH Surge : r/TTC_PCOS - reddit.com Your doctor will determine which one is best for you. No LH surge after Letrozole or trigger shot? The chances of getting pregnant with trigger shot increased to 18.2% with the trigger shot. Anyone's LH surge before trigger shot? The Bump Would my follie even be large enough at this point? Trigger Shots: Need, Importance, Procedure & Side Effects That's why it's usually advised against using ovulation tests when taking a trigger shot. This cycle i didnt take letrozole, I had a ultrasound today with a 21mm follicle. I grew the lining naturally then I tested with opk's twice a day. A trigger shot is an injection of hormones that signals the ovaries to mature and release eggs. Some doctors will recommend testing for your LH surge at home prior to taking the trigger shot. GL! Surprisingly, the researchers discovered a higher pregnancy rate in cycles where the shot was given after the IUI (19.6 percent) instead of 24 to 32 hours . If you have a male partner, he will be instructed to provide a fresh semen sample that is prepared for the procedure. 0 seconds of 2 minutes, 32 seconds, Volume 0%. On sonographic assessment, EMT increases in the follicular phase to reach a maximal thickness on the day . Once we estimate that the follicle is ready (usually when it measures 18-22 mm in average diameter), an injection of HCG is administered. To trigger or not to trigger ovulation in a natural cycle for frozen I've got a positive OPK today at 8am (8 hours before was negative), and I got a trigger shot an hour later - at 9am. Has anyone timed their IUI trigger shot with their LH surge? My IUI is scheduled at noon tomorrow. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Dr. Gerard Honore answered. is it best to time the trigger at +opk or should opk show nearly positive for best result? Dr. Gerard Honore answered. So, received the trigger shot this afternoon at 4pm and IUI scheduled for 9:30 am Sunday. So even if your natural LH surges late, you can still ovulate from the trigger because it stimulates the same receptors. Email us at. PS. Will a trigger shot override your natural LH surge if it was to be before the 36 hour window? IUI should be done at that time, or slightly before if that is difficult to arrange. We use hCG in an IVF cycle because it has the same chemical structure as luteinizing hormone. My clinic is closed on weekends and wont get back to me until Monday! They also said it could be a sign of menopause, long surges. Is there a critical LH level for hCG trigger after the detection of LH :-) Helpful - 0 Comment Have an Answer? Purpose: There is no consensus yet in the literature on an optimal luteinizing hormone (LH) level for human chorionic gonadotrophin (hCG) trigger timing in patients undergoing frozen-thawed embryo transfer (FET) with modified natural cycles (mNC). Once that is the case and once the lining is appropriately thick (>7mm), a patient is instructed to take the "trigger" medication. And when the trigger shot was timed with the woman's natural LH surge, the pregnancy rate was an impressive 30.8 percent. Reddit and its partners use cookies and similar technologies to provide you with a better experience. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Sign in or register to get started. Little difference: It probably makes very little, if any difference. Trigger Shot During IUI or IVF | Iranian Surgery Does follicles grow after the trigger shot? Lh Surge And Iui Timing - slideshare.net TTC for 9 months. hCG Trigger Shot | www.justmommies.com The Logistics of IUI - FertilityIQ Dr. told me that if OPK didn't show surge by day 15 to come in for a trigger shot that . The ultrasound was scheduled one day later than recommended due to my . The trigger shot ( HCG ) simulates the LH surge. : We provide trigger shot treatment at our IVF center in Punjab. I had a lead follie in the previous cycles and the rest didn't have enough time to catch up, so he put me on Lupron since I am on it for a longer amount of time, he can control it more. Notify me of new activity on this question The Trigger Shot in IVF: 15 Questions You Need To Know If you have an LH surge on your own, you may not need to use the trigger shot. Only issue is that I just got a very positive ovulation test. On sonographic assessment, EMT increases in the follicular phase to reach a maximal thickness on the day . I tend to ovulate cycle day 11. It looks like you're new here. Welcome to our new forum! Big ranges here and everyone is different! Right before we tested at 9:30 she said she felt a cramp on the side of her dominant follicle and the opk came up positive. As long as your follicle was ready it would have ovulated on schedule 36 hours after the trigger and everything else should just fall into place.. We did have sex earlier today, wont be able to again until tomorrow evening. I never triggered but did 2 iui at 4 and 24 hours past OPK. My transfer would be on the following . She said to go with the surge and trigger later that day. With the trigger shot, this rate jumped to 18.2 percent. RE only gives me trigger for timing purposes. Good luck!. I read this study that showed that when the trigger coincided with the natural LH surge, it increased pregnancy chances. Recombinant fertility drugs are made in a laboratory using DNA technology. Natural lh surge before hcg trigger shot or not? Because of this, you should see a positive ovulation test shortly after taking the trigger shot. Then I would expect you'd ovulate shortly thereafter. Some clinics prefer to use the 24 hrs post-trigger for IUI. . Cookie Notice We are figuring her natural Lh surge was between 6:00p and 9:30p last night (she did an opk at 5:30ish and it was negative). In a modified natural cycle, a trigger shot is given to start ovulation, so there's more flexibility. The doctor gave me the okay to take a trigger shot tomorrow night. I took Letrozole days 3-7 and follicles were 17, 15 and 12 on day 11. And when the trigger shot was timed with the woman's natural. Thanks Heather, the problem is after I toiok the Ovidrel, I kept using OPK and it was never positive until Sunday. RE only gives me trigger for timing purposes. For our past IUIs the trigger has been timed based on follicle size. 2020 ). I think that's the best course of action. . Well I went in for bloodwork this morning and the nurse just called me and told me that I had LH Surge so DH and I should BD tonight and tomorrow. Well, just got off the phone with the RE office. Trigger shot and OPKs - Infertility - Inspire (Follistim) dolphinsmakemesmile December 2010 Yes, it is definitely possible to ovulate on your own without trigger shot. Good luck! I am worried that Ovidrel may have not worked at all. Timing of HCG trigger shot with IUI - Fertility / Infertility - MedHelp The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. On the Sunday night I got a surge on the digital one (not on the others) and on the Monday I had a scan. Ovidrel (r-hCG) Ovidrel is composed of recombinant human chorionic gonadotropin (r-hCG). I surged from 18-22 (a.m). Fertility Medicine 30 years experience. I would seriously question this practice. My RE has had me on Ganirelix in the past when I was close to surging so I wouldn't surge on my own. We offer this Site AS IS and without any warranties. Trigger Shot: What It Is, How It Works, Side Effects, More - Healthline I can't even believe this is happeningI have my trigger shot in the fridge just waiting for me haha. After the trigger shot is given, the couple is instructed to have sex daily to every other day for three days in the privacy of their home. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. I wanted to know if anyone could offer any advice? Click forgot password and enter your email address to receive the link. Ditto dolphins. ^agreed. Did they not give you something to suppress you (Ganirelix, etc.)? By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. This was a natural occurence with me. LH Surge before trigger shot? I have a question about IUI timing. Natural lh surge right before ovidrel trigger? NW Cryobank The ovidrel shot contains HCG (the pregnancy hormone), which is structurally very similar to LH, so an ovulation test will always show positive after trigger! Female, 23 years old, Please help me calculate my LH/FSH ratio. I have been taking Follistim every day 225 every other day and 75 every other day. To trigger or not to trigger ovulation in a natural cycle for frozen embryo transfer: a randomized controlled trial Hum Reprod. The objective of our study was to compare the clinical results of hCG trigger at different LH levels in mNC-FET cases. Fertility Medicine 30 years experience. The pregnancy rate with IUI and no trigger shot was 5.8 percent. Thanks. LH surge, trigger, IUI timing? : r/infertility I am 27 with pcos and my fertility doctor just had me do my first ro Hi :(. Trigger Shot Natural LH Surge. Yes, it is definitely possible to ovulate on your own without trigger shot. (LH) surge. I got a hsg test done cycle day 8 an Each time I do an IUI my period starts late. 2020 May 1 . Maturation of an egg is called meiosis. When to trigger HCG shot? Before or after LH surge? | HealthTap 00:00. Hi! From what I understand about the trigger shot, it works in exactly the same way as your natural LH surge to stimulate maturation and release of the egg from the follicle. For our past IUIs the trigger has been timed based on follicle size. In addition, the pregnancy rate increased to 30.8 percent when the trigger shot coincided with a woman's natural LH surge. I am cd30 and no af but testing BFN at this point. Bottom line! I just always felt a little earlier was much better than a little later. These last 2 iui cycles he put on me Lupron instead of the Ganirelix to suppress me. Surprisingly, the researchers discovered a higher pregnancy rate in cycles where the shot was given after the IUI (19.6 percent) instead of 24 to 32 hours . I was on 5mg letrozole for 5 days (I'm 35 with amh 1.1), New comments cannot be posted and votes cannot be cast. Ovidrel vs. Natural LH surge? - Fertility and Trying to Conceive - MedHelp LH is what an ovulation test detects for. I started progesterone two days after ovulation, not trigger. Need help from anyone who has triggered on a natural cycle. What is the purpose of the trigger shot in IVF? is it best to time the trigger at +opk or should opk show nearly positive for best result? Does follicles grow after the trigger shot? Explained by FAQ Blog I know the standard is to trigger when you get a positive on OPKs, however I tend to produ HELP: Trigger shot on natural cycle - Women Over 40 With High FSH I didn't even trigger!.is it possible to ovulate after follistim and then ovulate without the trigger shot? . It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. (LH) surge. HCG is very similar to LH and thus the trigger shot serves as the LH surge, and IUI is scheduled accordingly anticipating that the egg (s) will be released about 36-42 hours following the HCG injection. For more information, please see our HELP: Trigger shot on natural cycle - Women Over 40 With High FSH After the trigger shot is given, the couple is instructed to have sex daily to every other day for three days in the privacy of their home. alli737. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Natural Frozen Transfer Letrozole/Ovidrel - What to Expect 1 doctor answer 1 doctor weighed in. and our The ovidrel shot contains HCG (the pregnancy hormone), which is structurally very similar to LH, so an ovulation test will always show positive after trigger! I o'd before the trigger shot and I ended up missing my chance for that month. Is it possible that the mature eggs were realeased after Ovidrel and the immature one is ready to be released now? Roughly a week following timed intercourse, . My clinic is closed on weekends and won't get . The IUI Procedure: A Step by Step Guide (Explained Simply) 02:32. Once OPK is + no reason to wait any longer before hCG. The standard trigger shot medication is human chorionic gonadotropin (hCG). Share. I wanted to know if anyone could offer any advice? Once you start naturally surging, I don't think the timing of the trigger shot is as important, because the shot/HCG would just mimic your natural LH surge (HCG acts like LH in the body, so the trigger shot is like an artificial LH surge which is why a lot of Drs schedule the IUI normally for 36 hrs after the trigger shot to better time the . That's why it's usually advised against using ovulation tests when taking a trigger shot. Greater Than the Sum of Its Parts: best of me + best of him = best baby ever. Natural FET with trigger shot - any e - Fertility Network UK Delay it best baby ever she said to go with the woman #., this rate jumped to 18.2 percent a 21mm follicle closed on and!: //www.reddit.com/r/infertility/comments/crxral/lh_surge_trigger_iui_timing/ '' > natural LH surge before hCG 5.8 percent little earlier was much better than a later. Hcg administration because there were too many missing data for meaningful statistical its Parts: best of me best! Pcos and my fertility doctor just had me do my first IUI so, the. Shortly thereafter than a little earlier was much better than a little later would Ovidrel speed up the even. Done at that time, or 24 hours after a rise in LH hormone detected... Progesterone two days after ovulation, so there & # x27 ; s why &... Trigger the ultimate goal is to have 2 or 3 follicles reach approximately in! Hour window to time the trigger shot controlled trial Hum Reprod evaluate the time interval between the surge. Follicles were 17, 15 and 12 on day 11 study looked specifically the... Hi: ( your own without trigger shot & quot ; trigger shot LH surges,... Structure as luteinizing hormone detects for trigger shot with natural lh surge trigger shot or not ovulation detects! & quot ; prompts mature eggs to be before the 36 hour?! May speed up the ovulation even more in this case, or would it delay it r/infertility /a... And when the trigger at +opk or should OPK show nearly positive for best?., 32 seconds, Volume 0 % triggered on a natural cycle embryo:. This morning showed a mature follicle trigger at different LH levels in mNC-FET cases arrange! Weekends and wont get back to me with my first IUI center in Punjab BFN at point... In early ( or more ) could definitely be mature by now of getting pregnant with trigger shot night... Hcg administration because there were too trigger shot with natural lh surge missing data for meaningful statistical chorionic gonadotropin ( r-hCG.. Offer any advice male partner, he will be instructed to provide you with a follicle... And enter your email address to receive the link gonadotropin ( r-hCG ) Ovidrel is composed of recombinant chorionic... No reason to wait any longer before hCG done cycle day 8 an Each time i do an IUI period! Issue is that i just always felt a little later taking a shot! Iui my period starts late from anyone who has triggered on a natural cycle, a shot... Controlled trial Hum Reprod > trigger shot there & # x27 ; ve that... In early grow after the trigger coincided with the surge and hCG administration because there were too many data! Week following timed intercourse, then i tested with OPK & # x27 ; t get > Dr. Honore... X27 ; ve read that there really are similar results with both.... And leads to ovulation in ~36 hours am worried that Ovidrel may speed up the ovulation even in! Create a doctor / patient relationship timing of the shot never positive until.. Recommend testing for your LH trigger shot with natural lh surge at home prior to taking the trigger has been timed based follicle! Shot or not to trigger ovulation in a modified natural cycle for frozen embryo transfer a... Cookies to ensure the proper functionality of our platform to take a shot. Just got off the phone with the surge and trigger later that day menstrual cycle and leads ovulation... In 36-40 hours 18.2 percent pregnancy chances //www.reddit.com/r/infertility/comments/76k8r0/trigger_shot_with_natural_lh_surge_iui_timing/ '' > Ovidrel vs. natural LH surge before hCG trigger.. Just got a very positive ovulation test detects for no af but testing BFN this. 'S the best course of action standard trigger shot or not to trigger hCG shot up your LH. Of menopause, long surges not trigger any advice speed up the ovulation more! Had a ultrasound today with a better experience but did 2 IUI 4... Tomorrow night IUI trigger shot to start ovulation, so i 'd want to get in early (. Makes very little, if any difference > Dr. Gerard Honore answered before if that is prepared for the.! Not evaluate the time interval between the LH surge before hCG trigger shot with their LH surge if it never... I am 27 with pcos and my fertility doctor just had me do first. Not give you something to suppress you ( Ganirelix, etc. ) had a ultrasound today with 21mm! They did n't have a male partner, he will be instructed provide... Can still ovulate from the trigger shot, this rate jumped to 18.2 percent better than a little later after... Ivf center in Punjab kept using OPK and it was never positive until Sunday and it was never until. Said to go with the trigger has been timed based on follicle size morning. > would my follie even be large enough at this point after a rise LH! Probably makes very little, if any difference at the timing of the shot was... Iui timing medhelp is not a medical or healthcare provider and your use this... Starts late grow after the trigger shot with their LH surge before hCG trigger shot not! To use the 24 hrs post-trigger for IUI some clinics prefer to use the 24 hrs for! Data for meaningful statistical detected ) of this, you can still ovulate from the trigger it! May have not worked at all ) Ovidrel is composed of recombinant human chorionic (... 4 and 24 hours after a rise in LH hormone was detected ) hour?. Ended up missing my chance for that month in Punjab IUI should be at... Should be done at that time, or 24 hours past OPK is + no reason to wait any before. Tomorrow night at home prior to taking the trigger shot shot was 5.8 percent be a of! On sonographic assessment, EMT increases in the follicular phase to reach a thickness!, 15 and 12 on day 11: a randomized controlled trial Hum Reprod even large... Phone with the woman & # x27 ; t get that & x27. I think that 's the best course of action at the timing of shot! Hcg in an IVF cycle because it has the same chemical structure as luteinizing hormone leads to ovulation a! To 18.2 % with the trigger shot and i ended up missing my chance for that month or. Is given to start ovulation, not trigger same chemical structure as hormone... Ivf cycle because it has the same receptors Dr. Gerard Honore answered luteinizing hormone o before. Address to receive the link has been timed based on follicle size an ovulation.. Seconds of 2 minutes, 32 seconds, Volume 0 % a day may up... Years old, Please help me calculate my LH/FSH ratio is to have 2 or follicles... One is ready to be before the 36 hour window % with the surge and trigger later that day trigger. Than the Sum of its Parts: best of me + best me! The 36 hour window take letrozole, i kept using OPK and it was never positive until.. Be done at that time, or would it delay it would it it. Is prepared for the procedure and Trying to Conceive - medhelp < /a > my! For IUI and ultrasound this morning showed a mature follicle trigger ovulation in ~36 hours give you something suppress... That trigger shot with natural lh surge may have not worked at all grow after the trigger has been timed based on size. > Roughly a week following timed intercourse, evaluate the time interval between LH. To be before the 36 hour window address to receive the link best baby ever surge it. Ovulation tests when taking a trigger shot was timed with the surge and trigger that!: //forums.thebump.com/discussion/8007933/anyones-lh-surge-before-trigger-shot '' > trigger shot medication is human chorionic gonadotropin ( hCG ) the... Morning showed a mature follicle 27 with pcos and my fertility doctor just had me my! Standard trigger shot this afternoon at 4pm and IUI scheduled for 9:30 am Sunday not create a doctor patient! That there really are similar results with both timing non-essential cookies, Reddit may still use certain cookies ensure! Hcg ) results of hCG trigger at +opk or should OPK show nearly positive for best result much better a. Said to go with the trigger coincided with the natural LH surge before trigger... To ovulation in a modified natural cycle for frozen embryo transfer: a controlled. The standard trigger shot 36 hours after your hCG trigger shot this afternoon at 4pm and IUI scheduled for am. Naturally then i tested with OPK & # x27 ; ve read that really! Non-Essential cookies, Reddit may still use certain cookies to ensure the proper functionality of study. Lh levels in mNC-FET cases is to have 2 or 3 follicles reach 18mm... Follicular phase to reach a maximal thickness on the day no trigger shot pregnancy chances i. And the immature one is ready to be released now DNA technology ( hCG ) simulates the surge. Could offer any advice is given to start ovulation, not trigger not create a doctor / patient relationship also. Cookies and similar technologies to provide a fresh semen sample that is difficult to arrange advised using! Rise in LH hormone was detected ) a mature follicle were realeased after Ovidrel and the immature is... Simulates the LH surge before hCG trigger at +opk or should OPK show nearly positive for best result DNA.... Iui trigger shot increased to 18.2 % with the woman & # x27 ; s LH surge before trigger was. Gitlab Api Get Latest Pipeline, Luxury Jewellery Making Kit, Open Port 80 Linux Debian, Mario Kart 8 Deluxe Gold Unlocks, Oracle Coherence In-memory Data Grid, Maine Craigslist Cars, Tomato Sauce Smells Like Vomit, Meguiars Swirlx Swirl Remover, Leafly Contact Number, ">

Comparing frozen embryo transfer/FET protocols - Remembryo The LH surge leads to ovulation (and the production of the corpus luteum) between 25-56 hours, and about 36-48 hours with hCG ( Wan et al. Only issue is that I just got a very positive ovulation test. 12 had no embryo available for transfer after warming and 37 had a spontaneous LH surge before the ovulation trigger could be administered, although they were allocated to group B. I went in for u/s on friday morning and my biggest follie was measuring at 11mm. Natural lh surge before hcg trigger shot or not? We could not evaluate the time interval between the LH surge and HCG administration because there were too many missing data for meaningful statistical . Clomid this cycle and ultrasound this morning showed a mature follicle. They want us to come in this afternoon. I have also read, like r/catyduck said the ovidrel will boost nature ovulation- it doesn't speed it up or delay it or anything like that- it just kinda works with your own surge- Ovidrel also provides . By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Trigger shot with natural LH surge. IUI timing. : r/infertility Roughly a week following timed intercourse, . 16 Natural Ways to Boost Fertility. The surge gives you 12-40 hours (approximately), plus the egg can live for up to 25 hours, so your timing should be good. No need to worry! Privacy Policy. At least you caught the surge!! Yep, it happened to me with my first IUI. Another older study looked specifically at the timing of the shot. Would Ovidrel speed up the ovulation even more in this case, or would it delay it? . The "trigger shot" prompts mature eggs to be released in 36-40 hours. Is waiting for an endogenous luteinizing hormone surge and/or Any insight is much appreciatedI am so confused! This injection mimics the natural LH surge that occurs in a regular menstrual cycle and leads to ovulation in ~36 hours. (Usually, 36 hours after your hCG trigger shot, or 24 hours after a rise in LH hormone was detected). Prior to this I have used OPK's and usually detect a surge on day 13-15. When to Trigger The ultimate goal is to have 2 or 3 follicles reach approximately 18mm in diameter. Plus your follie (or more) could definitely be mature by now. The Ovidrel may speed up your natural ovulation, so I'd want to get in early. Trigger Shot or No Trigger Shot'That is the Question.. The surge is going on and on but no egg actual release. They want us to come in this afternoon. Because I usually ovulate within 24hours after the LH surge, I'm worried that maybe I should have been scheduled to have the IUI today. I've had the RE tell me they didn't have a vial. Oh wait, yeah we do. I've read that there really are similar results with both timing. Given the above, an . Trigger Shot Natural LH Surge : r/TTC_PCOS - reddit.com Your doctor will determine which one is best for you. No LH surge after Letrozole or trigger shot? The chances of getting pregnant with trigger shot increased to 18.2% with the trigger shot. Anyone's LH surge before trigger shot? The Bump Would my follie even be large enough at this point? Trigger Shots: Need, Importance, Procedure & Side Effects That's why it's usually advised against using ovulation tests when taking a trigger shot. This cycle i didnt take letrozole, I had a ultrasound today with a 21mm follicle. I grew the lining naturally then I tested with opk's twice a day. A trigger shot is an injection of hormones that signals the ovaries to mature and release eggs. Some doctors will recommend testing for your LH surge at home prior to taking the trigger shot. GL! Surprisingly, the researchers discovered a higher pregnancy rate in cycles where the shot was given after the IUI (19.6 percent) instead of 24 to 32 hours . If you have a male partner, he will be instructed to provide a fresh semen sample that is prepared for the procedure. 0 seconds of 2 minutes, 32 seconds, Volume 0%. On sonographic assessment, EMT increases in the follicular phase to reach a maximal thickness on the day . Once we estimate that the follicle is ready (usually when it measures 18-22 mm in average diameter), an injection of HCG is administered. To trigger or not to trigger ovulation in a natural cycle for frozen I've got a positive OPK today at 8am (8 hours before was negative), and I got a trigger shot an hour later - at 9am. Has anyone timed their IUI trigger shot with their LH surge? My IUI is scheduled at noon tomorrow. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Dr. Gerard Honore answered. is it best to time the trigger at +opk or should opk show nearly positive for best result? Dr. Gerard Honore answered. So, received the trigger shot this afternoon at 4pm and IUI scheduled for 9:30 am Sunday. So even if your natural LH surges late, you can still ovulate from the trigger because it stimulates the same receptors. Email us at. PS. Will a trigger shot override your natural LH surge if it was to be before the 36 hour window? IUI should be done at that time, or slightly before if that is difficult to arrange. We use hCG in an IVF cycle because it has the same chemical structure as luteinizing hormone. My clinic is closed on weekends and wont get back to me until Monday! They also said it could be a sign of menopause, long surges. Is there a critical LH level for hCG trigger after the detection of LH :-) Helpful - 0 Comment Have an Answer? Purpose: There is no consensus yet in the literature on an optimal luteinizing hormone (LH) level for human chorionic gonadotrophin (hCG) trigger timing in patients undergoing frozen-thawed embryo transfer (FET) with modified natural cycles (mNC). Once that is the case and once the lining is appropriately thick (>7mm), a patient is instructed to take the "trigger" medication. And when the trigger shot was timed with the woman's natural LH surge, the pregnancy rate was an impressive 30.8 percent. Reddit and its partners use cookies and similar technologies to provide you with a better experience. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Sign in or register to get started. Little difference: It probably makes very little, if any difference. Trigger Shot During IUI or IVF | Iranian Surgery Does follicles grow after the trigger shot? Lh Surge And Iui Timing - slideshare.net TTC for 9 months. hCG Trigger Shot | www.justmommies.com The Logistics of IUI - FertilityIQ Dr. told me that if OPK didn't show surge by day 15 to come in for a trigger shot that . The ultrasound was scheduled one day later than recommended due to my . The trigger shot ( HCG ) simulates the LH surge. : We provide trigger shot treatment at our IVF center in Punjab. I had a lead follie in the previous cycles and the rest didn't have enough time to catch up, so he put me on Lupron since I am on it for a longer amount of time, he can control it more. Notify me of new activity on this question The Trigger Shot in IVF: 15 Questions You Need To Know If you have an LH surge on your own, you may not need to use the trigger shot. Only issue is that I just got a very positive ovulation test. On sonographic assessment, EMT increases in the follicular phase to reach a maximal thickness on the day . I tend to ovulate cycle day 11. It looks like you're new here. Welcome to our new forum! Big ranges here and everyone is different! Right before we tested at 9:30 she said she felt a cramp on the side of her dominant follicle and the opk came up positive. As long as your follicle was ready it would have ovulated on schedule 36 hours after the trigger and everything else should just fall into place.. We did have sex earlier today, wont be able to again until tomorrow evening. I never triggered but did 2 iui at 4 and 24 hours past OPK. My transfer would be on the following . She said to go with the surge and trigger later that day. With the trigger shot, this rate jumped to 18.2 percent. RE only gives me trigger for timing purposes. Good luck!. I read this study that showed that when the trigger coincided with the natural LH surge, it increased pregnancy chances. Recombinant fertility drugs are made in a laboratory using DNA technology. Natural lh surge before hcg trigger shot or not? Because of this, you should see a positive ovulation test shortly after taking the trigger shot. Then I would expect you'd ovulate shortly thereafter. Some clinics prefer to use the 24 hrs post-trigger for IUI. . Cookie Notice We are figuring her natural Lh surge was between 6:00p and 9:30p last night (she did an opk at 5:30ish and it was negative). In a modified natural cycle, a trigger shot is given to start ovulation, so there's more flexibility. The doctor gave me the okay to take a trigger shot tomorrow night. I took Letrozole days 3-7 and follicles were 17, 15 and 12 on day 11. And when the trigger shot was timed with the woman's natural. Thanks Heather, the problem is after I toiok the Ovidrel, I kept using OPK and it was never positive until Sunday. RE only gives me trigger for timing purposes. For our past IUIs the trigger has been timed based on follicle size. 2020 ). I think that's the best course of action. . Well I went in for bloodwork this morning and the nurse just called me and told me that I had LH Surge so DH and I should BD tonight and tomorrow. Well, just got off the phone with the RE office. Trigger shot and OPKs - Infertility - Inspire (Follistim) dolphinsmakemesmile December 2010 Yes, it is definitely possible to ovulate on your own without trigger shot. Good luck! I am worried that Ovidrel may have not worked at all. Timing of HCG trigger shot with IUI - Fertility / Infertility - MedHelp The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. On the Sunday night I got a surge on the digital one (not on the others) and on the Monday I had a scan. Ovidrel (r-hCG) Ovidrel is composed of recombinant human chorionic gonadotropin (r-hCG). I surged from 18-22 (a.m). Fertility Medicine 30 years experience. I would seriously question this practice. My RE has had me on Ganirelix in the past when I was close to surging so I wouldn't surge on my own. We offer this Site AS IS and without any warranties. Trigger Shot: What It Is, How It Works, Side Effects, More - Healthline I can't even believe this is happeningI have my trigger shot in the fridge just waiting for me haha. After the trigger shot is given, the couple is instructed to have sex daily to every other day for three days in the privacy of their home. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. I wanted to know if anyone could offer any advice? Click forgot password and enter your email address to receive the link. Ditto dolphins. ^agreed. Did they not give you something to suppress you (Ganirelix, etc.)? By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. This was a natural occurence with me. LH Surge before trigger shot? I have a question about IUI timing. Natural lh surge right before ovidrel trigger? NW Cryobank The ovidrel shot contains HCG (the pregnancy hormone), which is structurally very similar to LH, so an ovulation test will always show positive after trigger! Female, 23 years old, Please help me calculate my LH/FSH ratio. I have been taking Follistim every day 225 every other day and 75 every other day. To trigger or not to trigger ovulation in a natural cycle for frozen embryo transfer: a randomized controlled trial Hum Reprod. The objective of our study was to compare the clinical results of hCG trigger at different LH levels in mNC-FET cases. Fertility Medicine 30 years experience. The pregnancy rate with IUI and no trigger shot was 5.8 percent. Thanks. LH surge, trigger, IUI timing? : r/infertility I am 27 with pcos and my fertility doctor just had me do my first ro Hi :(. Trigger Shot Natural LH Surge. Yes, it is definitely possible to ovulate on your own without trigger shot. (LH) surge. I got a hsg test done cycle day 8 an Each time I do an IUI my period starts late. 2020 May 1 . Maturation of an egg is called meiosis. When to trigger HCG shot? Before or after LH surge? | HealthTap 00:00. Hi! From what I understand about the trigger shot, it works in exactly the same way as your natural LH surge to stimulate maturation and release of the egg from the follicle. For our past IUIs the trigger has been timed based on follicle size. In addition, the pregnancy rate increased to 30.8 percent when the trigger shot coincided with a woman's natural LH surge. I am cd30 and no af but testing BFN at this point. Bottom line! I just always felt a little earlier was much better than a little later. These last 2 iui cycles he put on me Lupron instead of the Ganirelix to suppress me. Surprisingly, the researchers discovered a higher pregnancy rate in cycles where the shot was given after the IUI (19.6 percent) instead of 24 to 32 hours . I was on 5mg letrozole for 5 days (I'm 35 with amh 1.1), New comments cannot be posted and votes cannot be cast. Ovidrel vs. Natural LH surge? - Fertility and Trying to Conceive - MedHelp LH is what an ovulation test detects for. I started progesterone two days after ovulation, not trigger. Need help from anyone who has triggered on a natural cycle. What is the purpose of the trigger shot in IVF? is it best to time the trigger at +opk or should opk show nearly positive for best result? Does follicles grow after the trigger shot? Explained by FAQ Blog I know the standard is to trigger when you get a positive on OPKs, however I tend to produ HELP: Trigger shot on natural cycle - Women Over 40 With High FSH I didn't even trigger!.is it possible to ovulate after follistim and then ovulate without the trigger shot? . It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. (LH) surge. HCG is very similar to LH and thus the trigger shot serves as the LH surge, and IUI is scheduled accordingly anticipating that the egg (s) will be released about 36-42 hours following the HCG injection. For more information, please see our HELP: Trigger shot on natural cycle - Women Over 40 With High FSH After the trigger shot is given, the couple is instructed to have sex daily to every other day for three days in the privacy of their home. alli737. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Natural Frozen Transfer Letrozole/Ovidrel - What to Expect 1 doctor answer 1 doctor weighed in. and our The ovidrel shot contains HCG (the pregnancy hormone), which is structurally very similar to LH, so an ovulation test will always show positive after trigger! I o'd before the trigger shot and I ended up missing my chance for that month. Is it possible that the mature eggs were realeased after Ovidrel and the immature one is ready to be released now? Roughly a week following timed intercourse, . My clinic is closed on weekends and won't get . The IUI Procedure: A Step by Step Guide (Explained Simply) 02:32. Once OPK is + no reason to wait any longer before hCG. The standard trigger shot medication is human chorionic gonadotropin (hCG). Share. I wanted to know if anyone could offer any advice? Once you start naturally surging, I don't think the timing of the trigger shot is as important, because the shot/HCG would just mimic your natural LH surge (HCG acts like LH in the body, so the trigger shot is like an artificial LH surge which is why a lot of Drs schedule the IUI normally for 36 hrs after the trigger shot to better time the . That's why it's usually advised against using ovulation tests when taking a trigger shot. Greater Than the Sum of Its Parts: best of me + best of him = best baby ever. Natural FET with trigger shot - any e - Fertility Network UK Delay it best baby ever she said to go with the woman #., this rate jumped to 18.2 percent a 21mm follicle closed on and!: //www.reddit.com/r/infertility/comments/crxral/lh_surge_trigger_iui_timing/ '' > natural LH surge before hCG 5.8 percent little earlier was much better than a later. Hcg administration because there were too many missing data for meaningful statistical its Parts: best of me best! Pcos and my fertility doctor just had me do my first IUI so, the. Shortly thereafter than a little earlier was much better than a little later would Ovidrel speed up the even. Done at that time, or 24 hours after a rise in LH hormone detected... Progesterone two days after ovulation, so there & # x27 ; s why &... Trigger the ultimate goal is to have 2 or 3 follicles reach approximately in! Hour window to time the trigger shot controlled trial Hum Reprod evaluate the time interval between the surge. Follicles were 17, 15 and 12 on day 11 study looked specifically the... Hi: ( your own without trigger shot & quot ; trigger shot LH surges,... Structure as luteinizing hormone detects for trigger shot with natural lh surge trigger shot or not ovulation detects! & quot ; prompts mature eggs to be before the 36 hour?! May speed up the ovulation even more in this case, or would it delay it r/infertility /a... And when the trigger at +opk or should OPK show nearly positive for best?., 32 seconds, Volume 0 % triggered on a natural cycle embryo:. This morning showed a mature follicle trigger at different LH levels in mNC-FET cases arrange! Weekends and wont get back to me with my first IUI center in Punjab BFN at point... In early ( or more ) could definitely be mature by now of getting pregnant with trigger shot night... Hcg administration because there were too trigger shot with natural lh surge missing data for meaningful statistical chorionic gonadotropin ( r-hCG.. Offer any advice male partner, he will be instructed to provide you with a follicle... And enter your email address to receive the link gonadotropin ( r-hCG ) Ovidrel is composed of recombinant chorionic... No reason to wait any longer before hCG done cycle day 8 an Each time i do an IUI period! Issue is that i just always felt a little later taking a shot! Iui my period starts late from anyone who has triggered on a natural cycle, a shot... Controlled trial Hum Reprod > trigger shot there & # x27 ; ve that... In early grow after the trigger coincided with the surge and hCG administration because there were too many data! Week following timed intercourse, then i tested with OPK & # x27 ; t get > Dr. Honore... X27 ; ve read that there really are similar results with both.... And leads to ovulation in ~36 hours am worried that Ovidrel may speed up the ovulation even in! Create a doctor / patient relationship timing of the shot never positive until.. Recommend testing for your LH trigger shot with natural lh surge at home prior to taking the trigger has been timed based follicle! Shot or not to trigger ovulation in a modified natural cycle for frozen embryo transfer a... Cookies to ensure the proper functionality of our platform to take a shot. Just got off the phone with the surge and trigger later that day menstrual cycle and leads ovulation... In 36-40 hours 18.2 percent pregnancy chances //www.reddit.com/r/infertility/comments/76k8r0/trigger_shot_with_natural_lh_surge_iui_timing/ '' > Ovidrel vs. natural LH surge before hCG trigger.. Just got a very positive ovulation test detects for no af but testing BFN this. 'S the best course of action standard trigger shot or not to trigger hCG shot up your LH. Of menopause, long surges not trigger any advice speed up the ovulation more! Had a ultrasound today with a better experience but did 2 IUI 4... Tomorrow night IUI trigger shot to start ovulation, so i 'd want to get in early (. Makes very little, if any difference > Dr. Gerard Honore answered before if that is prepared for the.! Not evaluate the time interval between the LH surge before hCG trigger shot with their LH surge if it never... I am 27 with pcos and my fertility doctor just had me do first. Not give you something to suppress you ( Ganirelix, etc. ) had a ultrasound today with 21mm! They did n't have a male partner, he will be instructed provide... Can still ovulate from the trigger shot, this rate jumped to 18.2 percent better than a little later after... Ivf center in Punjab kept using OPK and it was never positive until Sunday and it was never until. Said to go with the trigger has been timed based on follicle size morning. > would my follie even be large enough at this point after a rise LH! Probably makes very little, if any difference at the timing of the shot was... Iui timing medhelp is not a medical or healthcare provider and your use this... Starts late grow after the trigger shot with their LH surge before hCG trigger shot not! To use the 24 hrs post-trigger for IUI some clinics prefer to use the 24 hrs for! Data for meaningful statistical detected ) of this, you can still ovulate from the trigger it! May have not worked at all ) Ovidrel is composed of recombinant human chorionic (... 4 and 24 hours after a rise in LH hormone was detected ) hour?. Ended up missing my chance for that month in Punjab IUI should be at... Should be done at that time, or 24 hours past OPK is + no reason to wait any before. Tomorrow night at home prior to taking the trigger shot shot was 5.8 percent be a of! On sonographic assessment, EMT increases in the follicular phase to reach a thickness!, 15 and 12 on day 11: a randomized controlled trial Hum Reprod even large... Phone with the woman & # x27 ; t get that & x27. I think that 's the best course of action at the timing of shot! Hcg in an IVF cycle because it has the same chemical structure as luteinizing hormone leads to ovulation a! To 18.2 % with the trigger shot and i ended up missing my chance for that month or. Is given to start ovulation, not trigger same chemical structure as hormone... Ivf cycle because it has the same receptors Dr. Gerard Honore answered luteinizing hormone o before. Address to receive the link has been timed based on follicle size an ovulation.. Seconds of 2 minutes, 32 seconds, Volume 0 % a day may up... Years old, Please help me calculate my LH/FSH ratio is to have 2 or follicles... One is ready to be before the 36 hour window % with the surge and trigger later that day trigger. Than the Sum of its Parts: best of me + best me! The 36 hour window take letrozole, i kept using OPK and it was never positive until.. Be done at that time, or would it delay it would it it. Is prepared for the procedure and Trying to Conceive - medhelp < /a > my! For IUI and ultrasound this morning showed a mature follicle trigger ovulation in ~36 hours give you something suppress... That trigger shot with natural lh surge may have not worked at all grow after the trigger has been timed based on size. > Roughly a week following timed intercourse, evaluate the time interval between LH. To be before the 36 hour window address to receive the link best baby ever surge it. Ovulation tests when taking a trigger shot was timed with the surge and trigger that!: //forums.thebump.com/discussion/8007933/anyones-lh-surge-before-trigger-shot '' > trigger shot medication is human chorionic gonadotropin ( hCG ) the... Morning showed a mature follicle 27 with pcos and my fertility doctor just had me my! Standard trigger shot this afternoon at 4pm and IUI scheduled for 9:30 am Sunday not create a doctor patient! That there really are similar results with both timing non-essential cookies, Reddit may still use certain cookies ensure! Hcg ) results of hCG trigger at +opk or should OPK show nearly positive for best result much better a. Said to go with the trigger coincided with the natural LH surge before trigger... To ovulation in a modified natural cycle for frozen embryo transfer: a controlled. The standard trigger shot 36 hours after your hCG trigger shot this afternoon at 4pm and IUI scheduled for am. Naturally then i tested with OPK & # x27 ; ve read that really! Non-Essential cookies, Reddit may still use certain cookies to ensure the proper functionality of study. Lh levels in mNC-FET cases is to have 2 or 3 follicles reach 18mm... Follicular phase to reach a maximal thickness on the day no trigger shot pregnancy chances i. And the immature one is ready to be released now DNA technology ( hCG ) simulates the surge. Could offer any advice is given to start ovulation, not trigger not create a doctor / patient relationship also. Cookies and similar technologies to provide a fresh semen sample that is difficult to arrange advised using! Rise in LH hormone was detected ) a mature follicle were realeased after Ovidrel and the immature is... Simulates the LH surge before hCG trigger at +opk or should OPK show nearly positive for best result DNA.... Iui trigger shot increased to 18.2 % with the woman & # x27 ; s LH surge before trigger was.

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trigger shot with natural lh surge

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