The question
Hi Dr. Sher,
I am writing to you because I am extremely upset at the negligence of my clinic and am looking for some insight. The clinic upped my meds of rekovelle and menopur and decided to wait 3 days to monitor my follicles. I emailed the nurses asking if I could come in earlier for bloodwork and ultrasound and that was declined. Well now I have around 11 follicles in the 24-28 mm range. Do these follicles for sure contain an overmature egg? Is there any chance that there could be a good egg in any of them or should I just not get my hopes up? Please advise. My egg retrieval is on Friday morning. I have another 9 or so that are in the 16-23 range. I trigger tonight with Decapetyl.
Please advise. For reference I am 39.5 and have pcos.
Answer from Dr. Geoffrey Sher
Of course I cannot say with certainty, but in my experience follicles >22mm will commonly produce poor quality eggs. I believe in triggering when several follicles reach 20-22mm.
After this cycle is over, I suggest we talk. If interested, please contact my assistant Patti Converse at 702-533-2691 and set up an online consultation with mew to discuss in detail.
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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General information only, not medical advice for your own situation. For that, book a consultation.