When is iui after trigger shot

Here, the goal of IUI is simply to get sperm to the right place at the right time. This ultrasound sets the schedule for the cycle. This medication is an injection with a small needle in the abdomen. The IUI is scheduled 36 hours after the trigger medication is injected. Awaiting Natural Ovulation: Blood work or urine-based ovulation predictor kits OPKs can predict when a woman will naturally ovulate. In this case, the IUI occurs either later that day or the next morning. Anovulatory Patients: Can start medication at any time.

In this case, a 7 to 10 day course of progesterone like provera or aygestin can be given to cause the onset of a period and clomid or letrozole would be started thereafter. Unexplained Patients: Can start medication on day 3 or 5 of the cycle.

If the patient is having her treatment cycle monitored, she will come in on day 3 for bloodwork and an ultrasound. On ultrasound, the doctor will be checking to make sure that no follicles have already started the process of growing because once one follicle is already growing, it is unlikely that others will also start growing in response to clomid or letrozole. The doctor will also look at estrogen levels through blood work to confirm this.

Once the patient has started taking clomid or letrozole, they continue for 5 days, and 4 days thereafter the woman may return to the office for monitoring and blood work. Increase dosing if no follicles are growing or switch to gonadotropins if no follicles are growing and the patient has reached the maximum dose for clomid mg or letrozole 7.

Continue waiting if the cycle looks promising. I had 5 decent sized follicles 5 days ago, all between 10 and 12mm. Today during my ultrasound only 2 follicles were visible, one at 14mm and one at 15mm. I have been using a ClearBlue Easy fertility monitor, which said 3 days ago I was reaching peak fertility.

Is it possible I already ovulated one or more egg? Thank you so much for your time. My doctor is a good doctor, but very busy and I often don't formulate my questions until after I have left the office. The optimal size for a follicle at ovulation is mms.

Using Follistim, your cycle should not be timed based on a calendar, but on the growth and size of your folllicles. In addition, at your age, the maximum number of ovulatory follicles should be no more than 3 because of the significant increased risk of a super-multiple if there is more than 3. So, the proper way to do this is daily ultrasound, if necessary, as your follicles reach closer to the 18 mm point.

The optimal timing of an IUI is at the time ovulation occurs; therefore, it is important to be able to accurately predict that time frame.

Ovulation is triggered by a surge in luteinizing hormone LH , which is released by the pituitary gland, when the ovarian follicle or follicles become mature. The egg is released from the follicle about 36 hours after the LH surge. When we plan to use an HCG trigger shot, the patient is monitored via transvaginal ultrasound and hormone blood tests at intervals until the ovarian follicle or follicles are determined to be mature.

Once we estimate that the follicle is ready usually when it measures mm in average diameter , an injection of HCG is administered. There's been a lot of talk lately about sea moss and fertility. But can this seaweed actually help you or your partner get pregnant?

IVF can be a tough road, but it's not one you need to walk alone. Here are 6 books that can support your IVF journey. Health Conditions Discover Plan Connect. Medically reviewed by Carolyn Kay, M. What is a trigger shot? What does the trigger shot do? Who gets the trigger shot? How is the trigger shot timed? Side effects of the trigger shot. When to take a pregnancy test. Success rates when getting a trigger shot as part of your protocol. The takeaway. Parenthood Infertility. Read this next. A Look at Your Fertility Timeline.

Medically reviewed by Debra Rose Wilson, Ph. Medically reviewed by Amanda Kallen, MD. Medically reviewed by Fernando Mariz, MD. Inside the World of At-Home Insemination.