busted IVF cycle - cyst turned out to be a lead follicle
Julie (no login) Posted Jun 22, 2012 1:32 PM
I was rushed in for an IVF cycle about 10 days ago and it has just been converted to IUI. Below is my experience.
I was called my RE to schedule an IVF cycle on CD2. I knew he was all booked for the month and his schedule for July doesn't fit well with my AF schedule either. So I was expecting a cycle with BCP sometime in July or even August. However, the doctor suddenly instructed that I can come in right away and do a natural start cycle and added me to his full schedule (I guess it is because my schedule won't fit with his for the next few months). So I come in on CD3 and started stipulation on the same day.
CD3: 3 antrals, 1cyst 10mm (the nurse told me it is nothing to worry about). FSH=10.5, LH=2.4, P4=0.6, E2=21
CD6: 5 follies,
CD9: 3 follies, 7mm, 1cyst 19mm. E2=450, LH=14 (the nurse called me 2 hrs after blood draw and asked me to inject Gonarelix right away. I was wondering why 3 little follies can give such high estrogen. And now we doubt the cyst is not a cyst but a lead follicle.
CD10: 3 small follies 7mm, the cyst/follicle is now 21mm, E2=460, LH=6. RE said the cyst is a lead follicle. The cycle is canceled and converted to IUI.
A few questions:
1. how to tell a cyst from a lead follicle? On CD3 is it possible to have a 10mm lead follicle(I am wondering why the nurses think it is a cyst by default)? Should I start a cycle with a cyst at all? I read on this boards that cysts can consume all the meds too and grow like crazy.
2. My estrogen is rising, how to tell if it is a growing follicle or a estrogen producing cyst?
3. Given my premature LH surge, could it be too late for Gonarelix? I am concerned that I may ovulate before IUI.