Sometimes a dominant one does take over and the rest halt their growth but the injectibles can really help them all to keep growing. If you have more than one of 18-22mm at the time of trigger they can all ovulate. This is why the REs are good to go to. A regular gyn will probably never give out injectibles as they require a lot of monitoring. The REs know these drugs well and can tailor your treatment even during the course of the cycle. The clomid and letrozole just kick start the follies into action but the injectibles really keep them growing. Best of luck!!
Kristin...So, If even if you have more follicles won't one dominant one still take over and you will only ovulate 1 egg? And just wondering, are you seeing an RE? Did he suggest IVF for you?
I'm real similar to Hopefulcb. I'm 39, unexplained infertility. No kids, my DH is 35.
We have done clomid, then femara, now were added injectables and IUI to the femara. We also always did HCG injections to trigger ovulation and followed it up with progesterone after ovulation and baby aspirin from the beginning of my cycle.
The clomid and femara (essentially the same thing), are meant to grow the follicles, to make them bigger, with the idea that that might help you ovulate a better quality egg. It is also meant to help you ovulate more than one, potentially.
The Injectables (I use Bravelle) is to REALLY make sure you grow those follies and ovulate more than one. It's a numbers game. IF you ovulate more than one follie and you grow them ahead of time, then you might get pregnant with a better quality egg. More follies= More chances.
The IUI speaks for itself. They take your DH sperm, spin it and wash it then inject it high up inside you, right next to the ovulating eggs. It takes out the swim. And it takes out the gunk that surrounds the sperm. Trying to eliminate as many obstacles as possible.
Let me know if you have any other questions. I really wish I had educated myself a lot more before I got started on all this fertility stuff.
Good luck :)
I have unexplained fertility and started on the works - letrozole pills and Gonal F injectable, then when follicles big enough Ovidrel shot, then IUI then Progesterone pills. This us our first cycle of trying anything and I'm 39.
Hope this helps!
It all depends on your results, Clomid is not good for women over 40 because of how it affects the uterine lining, it is not good for implantation. I am 42 and doing back to back retrievals (getting my eggs out and fertilizing them). I am on Clomid and Menopur. I am doing a semi natural IVF. Once that is done they wait for my uterus to get back to normal and then implant the embryos at the optimum time.
Usually REs will start you out on clomid or letrozole. If they don't work they move you on to injectibles (which are basically LH and/or FSH) such as menopur, follistim, gonal-f, bravelle, etc. Just depends what your RE prefers to use and what is right for your situation.