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-   -   Small eggs problem (https://www.askmehelpdesk.com/showthread.php?t=795756)

  • Jul 2, 2014, 10:42 AM
    jomana
    Small eggs problem
    Hi everyone!
    I weren't ovulating,so I went to my obgyn for a consultation,she did an ultrasound and told me that I have lazy ovaries,my ovaries do not work.so, she gave me Progynova 2mg, 2pills in the evening for 10 days to get my period.I had my period on June 21st,then I took Clomid 50mg 2pills in the evening from cd2 to cd6.well,today "july 2nd" was my ultrasound to measure the eggs but they were small. One of them was 7,9mm.So,my doctor gave an oppointment for Sunday July 5th to see if they get any bigger.please please help me understand my condition I'm really in a shoc.please give me guidance and why my eggs were small even after taking a medication.I'm hoping for the best on Sunday.thank you
  • Jul 2, 2014, 01:11 PM
    DoulaLC
    Try not to despair jomana... while small, it may be that follicle size will increase when they check again. Your doctor will likely check again a few more days after that. It may also be that you will need to have more than one round of clomid, which is not unusual at all, for your body to get the message. In fact, it is pretty common. Sometimes the dosage will be changed or even change the clomid days slightly.
    Please keep us posted on your results.
  • Jul 2, 2014, 04:09 PM
    jomana
    Thank you so much for replying.I will post my results on Sunday,please wish me the best because I'm so scared.
  • Jul 7, 2014, 04:46 PM
    jomana
    Hello DoulaLC,
    I went again on Sunday and when she measured the eggs,they were small and they didn't grow in size.
    So,she gave me Parlodel to reduce Prolactin hormone,and not to stop it until she tells me.and Clomid 50mg 2 pills in the evening from cd2 to cd6.in your opinion is it a good plan for me.Thank you so much
  • Jul 7, 2014, 05:22 PM
    DoulaLC
    Hi jomana,

    I don't know what tests you may have had, but if prolactin is elevated, that can cause a lower level in one of the hormones associated with stimulating follicle growth (FSH). Parlodel is sometimes used to lower prolactin levels in order to help change FSH levels which can possibly result in follicles maturing as they normally would. Another round of Clomid is not unusual.

    It sounds like your doctor is following a normal course of action. Keep us posted on how things go for you.
  • Jul 23, 2014, 01:36 PM
    jomana
    Hello DoulaLC,
    I hope you're doing just fine
    Please help me I need an advice,
    You know my condition as I explained to you before,but the problem is that I'm 4 days late and have this white creamy discharge,is it possible that I ovulated late and it might be a sign of pregnancy or It is normal to be late.I'm really freaking out right now.

    Hello DoulaLC,
    I hope you're doing just fine
    Please help me I need an advice,
    You know my condition as I explained to you before,but the problem is that I'm 4 days late and have this white creamy discharge,is it possible that I ovulated late and it might be a sign of pregnancy or It is normal to be late.I'm really freaking out right now.
  • Jul 23, 2014, 05:14 PM
    DoulaLC
    Hi jomana,

    It can be very normal to be a little late; on occasion even quite a bit late. Certainly, since you are trying to conceive, pregnancy is going to be the main consideration.

    Give it a bit longer to see if your period shows up late, if not, try a pregnancy test, or see your doctor for a test in office.
  • Oct 4, 2014, 10:17 AM
    jomana
    Hello DoulaLC,
    I'm sorry for not updating you.
    Well,this month I got my period on September 14th,I took clomid from cd2, 2pills together in the
    Evening for 5 days.On Cd10 I went to my obgyn for my follicles ultrasound,she found a follicle size

    19mm and she told me that's very good follicle :-) I was very happy of course.so she gave Ovitrelle trigger shot that same day at 15h30,and gave me médrol 2 pills in the day me and my husband for the 3 days of having sex.
    Due to some circumstances we couldn't have sex that day,so the sexual intercourse started on Cd11,Cd12,cd13 and the sex on Cd 11 was at 14h30.(afternoon)
    Now,I'm 12 days after I took my trigger shot and having sensitive breast with an increase in my appetit.

    So,I wanted to ask you when to expect my period?

    And when can I test for pregnancy?

    Because I read that period should arrive 14 days after taking the trigger shot? Is that true?
    I'm very anxious and I really want to test as soon as possible
    So please can you guide me
    Thank you so much
  • Oct 4, 2014, 12:58 PM
    DoulaLC
    Hi jomana,

    Good to hear the follicle size went up considerably. Your timing is fine, even without being able to have sex the same day. While ovulation can happen about 24 hours after the injection, it usually takes a bit longer, so timing should be on the mark even if ovulation did occur a bit earlier than the norm.

    Your period arriving 14 days after the trigger is an average as it will depend on when ovulation occurs, just as it would for someone not needing medical intervention. If your ovulation occurred 24 hours after the trigger, your period would likely show up sooner than for someone whose ovulation happened to occur later, for example at 48 hours after the trigger.

    You could certainly test now, as women do sometimes get a positive as early as about 10-12 dpo, but if the result were negative, that doesn't necessarily mean that you aren't pregnant and would just need to test again several days later. A later ovulation would usually mean a later implantation, so it would require a bit more time for a possible pregnancy to show, and just a few days can make all the difference. Tests are relatively inexpensive, so if it would give you some peace of mind, test. I know the waiting can be difficult!

    Are you temping as well? Many women like to keep track of their temp in hopes that it will remain elevated up to and passed the time they would have expected their period.

    Fingers crossed!!
  • Oct 4, 2014, 02:01 PM
    jomana
    Thank you so much for replying this soon,
    Yes I started temping about 3 days and it's always the same 36.6 and this degree for me is high because the norm of my temp in under 36.
    I'm hoping for the best
  • Oct 7, 2014, 10:45 PM
    jomana
    Hello,
    So I tested this morning at 6.05 and got a faint positive,
    Is it possible that I'm pregnant?
    I'll test again on Saturday and hopelly it gets darker.
  • Oct 8, 2014, 03:31 AM
    DoulaLC
    About 13 dpo, yes, it's possible. If you followed the directions carefully, and read the result in the time specified on the test, then it's promising. Fingers crossed it is more evident when you test again!
  • Oct 8, 2014, 04:51 AM
    jomana
    Please tell me that it's not because the Ovitrelle injection is still in my body.
    Because yeaah I got excited but then I remembered the injection!!
  • Oct 8, 2014, 04:47 PM
    DoulaLC
    It will depend on how much you had. Do you know the amount used? Lower amounts will be out of your system sooner.
    At 15 days passed the injection, it would be unusual for it to still be in your system if a common dosage was used, but testing again on Saturday will let you know for certain.
  • Oct 8, 2014, 11:36 PM
    jomana
    It's Ovitrelle 250 microgramme/0,5ml ( 6500 )
  • Oct 9, 2014, 03:37 AM
    DoulaLC
    The 6500 usually would be out of your system. Did you read the test result within the time stated on the pregnancy test? Reading it later, for example coming back to take another look 30 minutes later, may sometimes result in what appears to be a faint positive.

    If the light positive showed within the first 2-5 minutes, it would be difficult not to get your hopes up. Hope it turns out well when you test again! Wishing you much joy on Saturday!
  • Oct 9, 2014, 03:43 AM
    jomana
    Well,I still have the test of yesterday and it always show a faint line
    I cheked the test about a million time.
    And yes it took about 5 minutes for the faint line to appear.
  • Oct 9, 2014, 01:46 PM
    DoulaLC
    Once you see a line, it will remain. What you don't want to have happen is that there is no line within the first few minutes, but then you see a faint one when you check later on. That would not be an accurate result. Having a possible line, or obviously a definite line, show up in the first few minutes is what you would want to see.

    What brand of test did you use?
  • Oct 9, 2014, 10:52 PM
    jomana
    We're on Friday morning and I honestly I couldn't wait till Saturday,I'm not the kind of person that can wait,
    So I took the test about 6.15 and guess what happened,
    I got my BFP!!
    I'm very happy and I truly thank you from the bottom of my heart for replying to my concerns,
    I'll keep updating you,I think I'll visit my doctor soon.
  • Oct 10, 2014, 02:39 AM
    DoulaLC
    That is wonderful! I'm very happy for you... very exciting! Updates would be lovely.

    Feel free to ask questions along the way; we'd be happy to help!
  • Oct 12, 2014, 06:54 AM
    jomana
    Hello again,
    So I went today to my obgyn,I told her that the test was positive.
    She said that she'll see by an ultrasound, but the thing is she shocked me by saying that there's no sac.
    She told me to have a blood test and come back to her.
    So I went to have a blood test and thank god was positive,It was 640 mUI/ml
    And the estimated weeks on the blood test were 0-2 weeks.
    So please tell me is it normal for the Sac not to appear now? Or is there a problem
    Is my Bhcg level good?
    She told me to comeback in 10 days to see if the sac appeared.

    Hello again,So I went today to my obgyn,I told her that the test was positive.She said that she'll see by an ultrasound, but the thing is she shocked me by saying that there's no sac.She told me to have a blood test and come back to her.So I went to have a blood test and thank god was positive,It was 640 mUI/mlAnd the estimated weeks on the blood test were 0-2 weeks.So please tell me is it normal for the Sac not to appear now? Or is there a problemIs my Bhcg level good?She told me to comeback in 10 days to see if the sac appeared.
  • Oct 12, 2014, 07:12 AM
    DoulaLC
    Hi jomana, There is a wide range on what the hcg will suggest, so you will know more when you have the blood test repeated. In 10 days time, it should be substantially higher. At 640, you are definitely pregnant, but more will be known when you have the next scan. This early on, there wouldn't be anything to see on an ultrasound. Often not much is noticed until about 4 or 5 weeks. I know the waiting is hard... sending good thoughts!
  • Oct 12, 2014, 08:09 AM
    jomana
    I totally forget to tell you that she gave me some medications
    "Gestagyn plus" that contains Omega3 ,folic acid and other vitamins,
    Utrogestan (progesteron) through vagina,
    Spasmodyl
    Are these medications necessary?
  • Oct 12, 2014, 11:13 AM
    DoulaLC
    I'd go with what your doctor has suggested for you. She knows your medical history better than anyone.

    The Gestagyn Plus is merely a prenatal/multivitamin, which is wise to take during pregnancy, especially the folic acid early on. The Utrogestan is a progesterone, which many doctors and midwives will use to help maintain progesterone levels in the early weeks of pregnancy. This is more common if a woman has had a history of miscarriages that were thought to be due to low progesterone levels. Medications and herbal supplements, similar to Spasmodyl, are sometimes also used when there has been a history of miscarriages with the idea of quieting the uterus to prevent spasms or contractions.

    It appears that your doctor is being proactive in trying various ways to help you maintain this pregnancy, especially since it has been difficult for you to become pregnant.
  • Oct 13, 2014, 12:36 AM
    jomana
    Hello,
    I can't thank you enough for helping me,and I'm sorry for disturbing you every time.
    I have another question,I asked my doctor how many weeks I'm I in my pregnancy,
    She told me that she can't do that until she sees the sac,why is that?
    Aren't the weeks counted from the first day of last period?
    It's been 10 days since my husband and I didn't had sex,because I was afraid and I'm still afraid,
    Is it okey to have sex with my husband or not?
    The problem is my doctor doesn't explain so much,she always leaves me with so much concerns.
  • Oct 13, 2014, 02:38 AM
    tickle
    Quote:

    Originally Posted by jomana View Post
    I totally forget to tell you that she gave me some medications
    "Gestagyn plus" that contains Omega3 ,folic acid and other vitamins,
    Utrogestan (progesteron) through vagina,
    Spasmodyl
    Are these medications necessary?

    If your doctor gave them to you, why are you wondering if they are necessary. Sounds to be extra vitamins and hormone, which are proably necessary to achieve what you want.
  • Oct 13, 2014, 03:42 AM
    DoulaLC
    No bother at all, we are happy to help when we can. It would be a good idea, however, to be sure to ask your doctor your questions as well as she is overseeing your pregnancy. We can help with offering additional information or explanation.

    I know that sometimes doctors don't always remember that their patients are not going to be as familiar with the terminology or medications that they commonly use, and they may not always remember to offer more information or see if their patient has additional questions. I also know that it can be easy to forget what you want to ask, so it might help to write down questions as you think of them and then bring them to your next appointment.

    Pregnancy is often counted from the last period, this is partly why there is a window of time at the end of pregnancy that is considered normal for giving birth in, as most women are not aware of when they ovulate, so an average is used. Many women are not actually pregnant in the first couple of weeks when pregnancy is counted using gestational age. A better gauge is to use fertilization age. Ultrasound does this by observing what is seen and taking measurements. In early pregnancy, babies will follow a pretty predictable pattern of growth. This does not hold true for ultrasounds late in pregnancy as growth patterns can be more varied. There are several markers that are used in the early weeks because they occur at common times, such as seeing the gestational sac. For example, what can be seen at 6 weeks will be different from what would be seen at 5 weeks. It is not exact, but it is accurate enough for dating a pregnancy and it will sometimes change a due date a bit from an original date using the last period. Even before baby is seen, your doctor can get a very good idea of how far along your pregnancy is just by seeing the gestational sac. That, along with knowing the date of your trigger injection, will give you a very good indication of how far along you are.

    In regard to sex, give your doctor a ring to find out. Generally, as long as a woman has not been told to refrain from having sex, such as might be the case for repeated miscarriages in early pregnancy, sex is fine. However, since your doctor has you on Spasmodyl, it would be wise to check with her as she may want you to refrain until after your next exam. Best to be safe; check with your doctor.
  • Oct 22, 2014, 09:06 AM
    jomana
    Hello again,
    I went today and we saw the gestational sac and the yolk sac,I'm very relieved now.
    She told me to comeback in 15 days to see the heartbeat but I honestly want to go back in a month.
    I think it's so much radiation for the baby,don't you think?
    She gave me Aspégic,she told me that it helps with the blood circulation.
    I don't want to take it,I'm very concerned,if everything is going well why do I have to take it?
    Please give me your opinion!

    I forgot to ask if there's identical twins,do we see one yolk sac or two?
    I'm hoping for twins.
  • Oct 22, 2014, 03:30 PM
    J_9
    Congratulations! No, there is no radiation in an ultrasound. It's based on sound waves.
  • Oct 22, 2014, 05:05 PM
    DoulaLC
    Quote:

    Originally Posted by jomana View Post
    Hello again, I went today and we saw the gestational sac and the yolk sac,I'm very relieved now. She told me to comeback in 15 days to see the heartbeat but I honestly want to go back in a month. I think it's so much radiation for the baby,don't you think? She gave me Aspégic,she told me that it helps with the blood circulation. I don't want to take it,I'm very concerned,if everything is going well why do I have to take it? Please give me your opinion! I forgot to ask if there's identical twins,do we see one yolk sac or two? I'm hoping for twins.

    Did your doctor explain to you why she thought you would benefit from taking aspegic? Why she felt you needed something to help with blood circulation or prevent clotting? Do you have a medical history, either yourself or family, of clotting problems? Are you taking a small dose, such as 75mg a day? Again, if you don't have a history of concerns, it is likely just a precaution. I would ask her for more information since it concerns you.

    I always wanted twins, until the fourth pregnancy, then I wasn't so sure anymore! Most often you would see two yolk sacs, but on occasion there could be just one.

    As J_9 said, you don't have to worry about radiation with ultrasound. Seeing the heartbeat will be reassuring to both you and your doctor as the odds of miscarriage drop once the heartbeat is seen. This would also help your doctor confirm how far along you are.
  • Oct 22, 2014, 11:47 PM
    jomana
    No,I don't have family history or myself in clotting problems.
    It's just precaution,the most thing that concerned me was when she told me if I experienced any brown spotting I need to stop taking it.
    That's why I don't want to take it.
    I'm not experiencing any bleeding or spotting,pain or cramps.
    I feel good and I don't feel nausea and I eat very well.

    The dose is 100mg on the box is written that it's for babies
  • Oct 23, 2014, 03:15 AM
    DoulaLC
    With the small dose, it's not likely to cause a problem for you or for baby. I've seen several doctors recently start recommending a low dose as a precaution, but most often if there was a blood clotting concern, when an actual blood thinner was not required.

    Glad to hear that you are eating well and feeling well! Hope your entire pregnancy continues to be smooth and easy!
  • Nov 5, 2014, 07:55 AM
    jomana
    Hi,
    Well I went today to my doctor,I'm finally relieved,we saw the heart beats.
    The problem is I have a short cervix.I need to have a cerclage.
    She told me to come back in a month to give me a letter to go to the hospital and have it done.
    Is cerclage dangerous or painfull,I'm really scared now.
    Please give informations
    About it?
    She found out that I have a short cervix by touching with her fingers and not with ultrasound?
    It is a good technique to know with?
  • Nov 5, 2014, 03:34 PM
    DoulaLC
    Did she tell you what the measurement was? How far along are you right now? Do you know if she used a long stick looking device or just her fingers to determine that you have a shorter than expected cervix? A transvaginal ultrasound will be a better measurement tool, so you may ask her to check again through ultrasound when you get closer to the next time that you go in. You can then know if the ultrasound agrees with her findings through an exam.

    There are different sorts of cerclage, your situation is not likely one to need the most invasive sort. A common cerclage is relatively quick, you will have anesthesia for the procedure, and can take pain medication after as needed. There is risk with any procedure, so all the more reason to have her check again... which she will anyway prior to the procedure, but even sooner than that could give you some peace of mind.
  • Nov 10, 2014, 09:30 AM
    jomana
    I am 8 weeks now, she used only her fingers to determine and she told me that I have a very short cervix and you'll need a cerclage at 12 weeks.
    I went to mid-wife that I used to know and she has 50 years of experience.
    She also did the touch with her fingers and told me everything is fine with my cevix.
    Now I'm really comfused,I'm thinking of going to another obgyn to take another opinion.
    What do you think?
    Please give me guidance
    Thank you
  • Nov 10, 2014, 04:12 PM
    DoulaLC
    Since you have conflicting advice, I would definitely get another opinion, especially since a cerclage is an invasive procedure. While it is beneficial and necessary for some situations, it does carry some risk to it.
  • Nov 26, 2014, 02:41 PM
    jomana
    Hello,
    I hope you're doing just fine
    I went to another obgyn that a lot of people advised me to go to,
    She's a very sweet doctor and explained everything to me,
    She told that I have a long cervix and that I don't have any problems of any kind.
    So,I'll continue with this doctor and no more going back to the other one.
    Thank you very much but I'll keep updating you for sure.
  • Nov 26, 2014, 02:55 PM
    DoulaLC
    That is great news! I'm glad to hear that you like your new obgyn as well. Thank you for giving us updates as it is always nice to hear back from people who have asked questions.
  • Dec 14, 2014, 09:30 AM
    jomana
    Hello,
    I think I'm having the flu because I feel the symptoms,I'm 13 weeks now and I'm afraid from the fever.I have an appointment with my doctor until Wednesday so I don't know what to do.please tell me.
  • Dec 14, 2014, 09:57 AM
    J_9
    Tylenol/pandaol is okay to take for fever.

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