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Can someone help me w/questions about HCG trigger?  

post #1 of 8
10/22/05 at 10:17pm
Thread Starter 
I took clomid on CD5-9 and went in for an U/S today, CD14. There was only one follicle 18mm. Anyway, the doc wants me to come in for an IUI on Tues at 1:30pm and so I have to trigger on Sun morning 1:30. Well, yesterday I got a neg OPK, but today, early afternoon I got a positive OPK, which is supposed to mean that I'll ovulate sometime within 24-36 hrs. Wouldn't that mean that I would have already o'd by the time I give myself the trigger??? I realize that the doc wanted to give my body another day for that follicle to grow, but I have this feeling that the timing is off. I virtually always O on CD14, but the one other time I took clomid, I O'd on CD 16, so I would expect O to be delayed about the same. But now I got this pos OPK...What are your thoughts?

Also, this is my first experience w/an HCG injection and the dr's assist told me to inject it in the abdomen below the belly button. But the pharmacists instructions say that it's "usually the upper thigh or buttocks". Your thoughts on that one? I'm gonna be doing this all by myself at 1:30am Sunday and it doesn't sound painless. The thigh wouldn't have sounded so bad--but jabbing myself in the belly-- ouch!

Thank you for any input and wisdom!
post #2 of 8
10/22/05 at 11:41pm
I can't really comment on the timing thing, although I would tend to believe the RE and what he sees in the US, vs. the OPK, which are not nearly as accurate as actually looking at your ovaries. I only had one follicle after my first round of Gonadotrophin injections a couple of years ago and I ended up with my naughty little girl as the result, so you never know! As far as the HCG injection, I just give them to myself in the "saddlebag" part of the side of my upper thigh. Reconstitute the powder with 1ml (1cc) of the diluent for the injection. It will burn for a bit after you're done, and you'll bruise, but that's nothing in the ultimate scheme of things.

Good luck!
post #3 of 8
10/24/05 at 1:01am
hmm--usually belly shots are with sub-q (smaller) needles. I've always done hcg in the buttock, but it's been a few years, so maybe things have changed. I guess it's too late to confirm the instructions with your doc now, but it does sound a little strange, since hcg is supposed to be a muscular injection. I would trust your doctor over the pharmacist (and me, of course!) no matter what.

no advice here on the timing. doctors don't worry about opks too much, but opks always stressed me out too. I do remember my RE telling me that the first IUI (and even IVF) is usually "for practice," to see how your body responds to the meds, and it might take another cycle or two to tweak your regimen. oh--and even if you have ovulated, it's still a good time to do the IUI--the egg will just be there waiting for that sperm to swim up!

in any case, good luck! One big follicle is all it takes. 18 mm sounds perfect.
post #4 of 8
10/24/05 at 12:52pm
How did it go this morning? Hope all is okay.
post #5 of 8
10/27/05 at 1:22am
Thread Starter 
Thanks, ladies! I appreciate your help.

All went well. I had to set my alarm for 1:20am and had everything all sprawled out on the bathroom counter. Before DH and I went to bed, though, I freaked out b/c I wasn't sure how much I was supposed to inject in me! This info was not written down anywhere and the pharmacy info just said, "as directed" : But I did recall the nurse saying something about 1ml, so that's what DH and I decided was probably correct. I figured better to do too little than too much! Oh well. The needle was very small and I think it was 18 gauge so very thin. It turned out fine. Funny thing, I once was a lab tech and needles never scared me at all...I've drawn blood from people many times. But, when it came down to *me* injecting *myself*...well, that was a little unsettling for me.

So I had the IUI on Tuesday and am on the 2ww now. Feeling a little crampy/bloated and keeping my fingers crossed and : that a little sibling is being created as I type this!

cindi
post #6 of 8
10/27/05 at 3:32am
+++++ thoughts!
post #7 of 8
10/27/05 at 6:56am
Good luck! I'll be looking for your +++++ results!
post #8 of 8
10/30/05 at 1:21am
Thread Starter 
Hey Jennifer, I'm in cold, damp WA too! We just moved here in Sept. from warm, dry, sunny Colorado!

cindi
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Mothering › Forums › Pregnancy and Birth › Fertility › Infertility › Can someone help me w/questions about HCG trigger?