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  1. #1
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    Default UPDATE: Can your lining shrink AFTER ovulation? Anyone had this?

    Hi Ladies,

    I'm a first timer here, but have been on the TTC/IVF rollercoaster for 2.5 years now. I'm preparing for an FET, which is supposed to be tomorrow. It took a lot to get me here. After a couple of cancelled rounds because of lining issues (my body didn't respond well to HRT), we used injectables this month.

    I got up to 6.8mm on the day of trigger and started to think maybe it would happen this month.I went back for a scan on Tuesday morning (2dpo) to find my lining had shrunk to 5.8mm. The scan was performed by a different nurse on a different machine, but she insisted the reading was accurate. My doctor rang me later and was like 'this is not possible! It doesn't make sense'.

    I am going back in tomorrow morning to see how it is looking. My FS will be scanning me this time. If it's ok we'll transfer in the afternoon, if not then it's another month of feeling sorry for myself I suppose.I have spent all week trying to find information about what happens to lining after ovulation to no avail.

    I was wondering if anyone has any insights here? Have any of you gotten to transfer only to find your lining was no longer ok? Help!
    Last edited by lozzylou; 13-03-2015 at 08:57.

  2. #2
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    I also had difficulty with getting a thick enough lining so I can empathise with you there. Unfortunately I can't help with an answer but I think the nurse probably just measured incorrectly. I was never measured after my lining was thick enough so I don't know what happened later. Plus I was always scanned by a sonographer so I know they had the required skills whereas a nurse may not be as skilled in this area.

  3. The Following User Says Thank You to Leafy For This Useful Post:

    lozzylou  (12-03-2015)

  4. #3
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    I have trouble getting my lining to be thick enough pretty much every cycle. This month it was just 7mm but then after trigger I bled for 2 days. I had a check scan the day before my 5dt and it was still 7mm?? SO I think it is highly debatable unless the same person does it but even then with a slightly different angle... Different measurements are possible did you have any bleeding T all?? If not I would say its user error with the scan. We still went ahead with my transfer and I haven't had any bleeding since. I have had pregnyl as my trigger and have my fourth booster on sat to help with the lining during luteal phase.

    Good luck

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    lozzylou  (12-03-2015)

  6. #4
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    Gosh, thanks so much for your replies ladies. I am not feeling positive about tomorrow but there is always that small glimmer of hope inside. I hope you are right and that the measurements were just off. It also sounds like it's not really the done thing to check lining after the trigger, which probably explains why there is so little info around.

    No bleeding to speak of, Excited1. I triggered with Ovidrel and had a booster of Pregnyl this morning, so feeling a little flushed and tired. Best of luck with your cycle - when do you test?

  7. #5
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    Hi ladies,

    Quick update from me. Had a bizarre morning - short story is that my transfer is not going ahead.

    My lining had bumped right back up to 6.7mm, which FS said was 'borderline' but she doesn't want to risk it (disappointing but ok - I had mentally prepared for it). The weird part is that they also discovered a whole bunch of maturing follicles on my ovaries. They counted 7 in total. They were noted as 'smalls' right before the trigger, but appear to have kept growing even after the trigger and booster shot.

    So basically my body is a mess hormonally. Doctor still at a loss to explain it all, haven't had a proper chat with her yet and not really sure what to do or say at this point, is all a bit confusing! Part of me feels like I need to take a few months off to let my body recalibrate, but mentally I don't think I can cope with any more waiting - I had my egg pick up in October!

    So again I guess I should ask - anyone had this before? Developing follicles after the trigger?

  8. #6
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    Sorry to hear that your transfer was cancelled. You must be very frustrated. Could you ask to do a medicated FET, so no trigger and no ovulation? It might take the variation out of your cycles.

  9. #7
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    Default Can your lining shrink AFTER ovulation? Anyone had this?

    I'm a thin lining person too. Maybe we should start a support thread?

    I've had lining get thinner after trigger, same machine, different sonographer. It makes a difference where they measure it and whether they record average or maximum thickness.

    I've conceived on some pretty bad cycles. But to put it in context, 6.8mm would have my specialists shouting "don't move" and thawing and embryo to stuff into me ASAP before the lining had a chance to look any worse :P

    I don't want to put up too much personal/identifying stuff on here, but feel free to message me and I'll give you more details about what happened to me. It might make you feel better. Do message me if it's getting you down. I know it used to worry me a lot, and talking to someone who's been there (and graduated) would have helped.

    It's possible this was just a dud cycle and a one off. Especially with the follicles that didn't respond to the trigger shot and are hanging around. Have you had better lining thickness on other cycles? My specialists told me some people respond better to medicated, hrt or natural and it varies from patient to patient. Maybe trying a different dose of FSH during stim, different trigger or switching to HRT might be enough to do the trick for you. Then there's sildenafil, gCSF, vitamin E to talk about. One specialist I see also talks about exercise and diet, but I think his suggestions about that vary based on your starting bmi, so best to talk to your specialist about what changes to lifestyle may or may not help in your specific circumstances.

    But in saying all that, my advice is don't panic just yet, especially if you haven't done many cycles. There are lots of options that may help and my experience shows that it's possible to grow a great baby on a dodgey lining, so maybe it doesn't even really matter
    Last edited by clbj; 14-03-2015 at 14:38.

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    lozzylou  (15-03-2015)

  11. #8
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    Thank you so much for your reply. I have been feeling pretty low about everything. I'm on my phone so will keep it short, but I wanted to say thanks and that you reminded me about viagra. I asked about it in my HRT cycle and my doctor said it was pretty 'out there' and that we should try other things first. Given we're back at square one I think it's time to ask again and push a little for it.

    Does anyone know what the cost is? I've read lots about it and it sounds like suppositories are the way to go.

  12. #9
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    Default Can your lining shrink AFTER ovulation? Anyone had this?

    Viagra is given as suppositories, and it's quite expensive. Not as expensive as growth hormone, but in the ball park of $200-500 per cycle, depending on how long you stim for. I was prescribed to take it from about day 3 until transfer. Your specialist will give you a script and you'll need to get it made up at a compounding pharmacy. Private health cover may not cover it on the extras policy because it's not a "normal" fertility drug. Drop me a PM and I'll look up my last invoice to give you a ball park idea. There isn't a lot of studies published on it, but then there aren't a lot of studies on treatments for thin lining patients in general because it's not a common problem so isn't a particularly "sexy" research area.

    I've seen a few specialists and they all tell me that they don't really know how important lining thickness is. The stats show that for IVF/FET the conception is higher when lining is in the "good" range, but obviously pregnancies routinely occur with thinner linings. And there is very little data on pregnancy rate for "normal" conception when lining is thin, so it might not be as important as the stats suggest. There is a lot more to receptivity of the lining for a blastocyst than we know at the moment, but it's probably more to do with the cellular and biochemical profile of the lining than it's ultrasound appearance or thickness. So it seems you can have a good receptive (but thinner than average) lining.

    If you got to 6mm+ on a dodgey cycle, then that's a good sign I have a very healthy and cheeky toddler that was a "surprise" on a lining that was less than 7mm at trigger, and the pregnancy was all pretty routine after the palaver leading up to it. Hang in there!
    Last edited by clbj; 15-03-2015 at 22:25.

  13. #10
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    Thank you, that is great to know. I will send you a pm now!


 

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