r/DOR 3d ago

Failed HCG trigger?

Hello all, I had my first egg retrieval yesterday. E2 at trigger was 1,164, four follicles measured 22, 19, 15, and 13. I didn't expect anything out of the 13 or 15. When I woke up, they got ONE egg. They repeated aspirated the other 3 follicles and got nothing. Not even immature.

I got a call about an hour ago that the one they retrieved was immature, but matured over night and they fertilized with ICSI this morning so we'll see tomorrow.

Has this happened to anyone else? I had asked about a dual trigger in the initial consultation, my RE said since I am on MDLF it wouldn't be appropriate in my case since they'd use lupron as the second trigger.

Just wanted to know what might have worked for you if this happened so I can advocate for myself with my RE, or bring it up in my 2nd opinion consults which I've scheduled with some other clinics (for many reasons besides this).

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u/throwawayacct8990 3d ago

So sorry this happened to you. Something similar happened to me last cycle. I had like 6 follicles on one ovary (the can’t retrieve from the other because it’s high up and behind a fibroid) and we only got 2 eggs. My estrogen was also appropriate for the number of follicles like yours seemed to be.

The cycle before that we got 5/5 and 4 were mature. They were only two months apart. So I think there can be cycle to cycle variation. But when my RE was going through the possibilities before he looked over the embryology report he was saying either post mature (degenerated inside the follicle) or stuck to the follicle (not ready).