What you need to know about IUI | Nurse Linda (Fertility Expert) Secrets for Maximum Pregnancy Rates

[@kailyrevels1436]

Thank you so much for sharing this video!!!!! I watched it several weeks ago, and then I watched a few videos from Dr. Victory. My fertility clinic was not having me use trigger shots because they supposedly wouldn’t make a difference since the letrozole was causing me to ovulate. Months go by with no luck. This video changed everything. I explained the study to my provider about how chances of pregnancy are higher when you take a trigger shot when you get a positive ovulation test, and she said she never heard about that before. She prescribed me the shot for the first time, and guess what happened. After a year and a half of trying to conceive our second baby, I’m pregnant!!! 😆💗 She wanted me to trigger (based on my follicle size) the day of my ultrasound, but I didn’t get a positive ovulation test until a few days later. I trusted my body and triggered then. I’m so thankful to the Lord, and I’m wondering if He led me to this video. 🤰🙌

[@premomfertility]

Congrats!

[@rbaz0804]

Hi, did you have your IUI 36 hours after your peak/the trigger shot as well?

[@kailyrevels1436]

@@rbaz0804 I had the IUI roughly 24 hours after the trigger shot.

[@lazylhaddi498]

I am so grateful for finding this video. I have wanted to try my first IUI unmedicated and definitely got a negative vibe from the fertility doctor. I want to stick to what I feel is best. Thank you for supporting this

[@premomfertility]

I’m glad you found the video helpful! It’s great that you’re following what feels right for you. Thank you for your kind words!

[@paigebaker8798]

I’m so thankful this came up on my feed because I have been worried about this! I’ve been prepping for IUI. Thank you so much for this info it really helped me to understand!

[@michellebechard373]

Thank you so much for explaining this. As a woman and a nurse it always shocks me how much ppl myself included dont know about this stuff. Im a single mom by choice and about to do medicated iui with only 1 functioning tube due to adhesions and i have been very nervous about the process and you explained it all so beautifully THANK YOU

[@premomfertility]

Glad it was helpful!

[@cvijet22]

Also SMBC and nurse, and doing medicated IUI in a few weeks. Good luck 🥰

[@TheRealCrystalReid]

Thanks for this information. It makes total sense about the body talking. We need to have more trust in that. For me, In June, I did a medicated cycle with Letrozole and HCG trigger. My ovaries hurt so much when I triggered at 24mm. I had two “mature” follicles and still was unsuccessful. I’m 28 years old. This month, I did Letrozole and planned to trigger but my day 14 revealed 1 30mm follicle. Many say it’s too big. Bloodwork same day, showed a huge natural LH surge, so I did not need to trigger and did the IUI the next day. I’m currently 8DPO. Maybe my follicles are larger when they mature! And in June we triggered too early. Hoping this is my month

[@premomfertility]

Baby dust!

[@missld6856]

@TheRealCrystalReid, Did that result in a pregnancy?

[@jessicab3182]

Thank you for your kind explanation. TTC can get a little gruff and I needed this in a kind manner. 🥰

[@premomfertility]

Glad it was helpful, baby dust!

[@LeandraRammMusic]

So helpful! Thank you for this information!

[@premomfertility]

You're welcome!

[@cherithprince6570]

Thank you for this. I had been looking for this information.

[@premomfertility]

Glad it was helpful!

[@vtaheem]

Thank you for your video

[@premomfertility]

You are welcome!

[@kassandramiller8845]

I would love to know more about how the medicated with trigger and natural lg surge works. On my 2nd iui (2 week wait).

[@premomfertility]

I am sorry that I'm not very knowledgeable about this question. I suggest you join the webinar through the Community Calendar or check out our Ask An Expert service to get the experts' insights.

[@iamministry8287]

I started testing my lh surge on day cd5. By cd12, at 430am it was low .22 but higher than the rest of my surges. That same day i had my ultrasound and bloodwork done at 9am. The nurse called me at 130pm and said trigger asap and also my blood work showed i was in a surge. At 4:05pm i took my shot and at 4:10pm i tested my surge and it was high 1.4. So my thinking was I was already surged like the nurse said around 930am that morning, because the trigger shot was administered 5 mins before i tested again it couldn't have raised that high, that quick. So we we're scheduled the next day at 930am for our IUI. I had two follicles, one on the right was 19, left was 18. It's been 24hrs since my IUI and slightly cramping but a little bloated. So from your video, you said %30 chance. Im 41, so ill bring that down to %10. But I've never been pregnant in my life so %10-%30 chance of pregnancy is great! It's in God's hands, he has the final say.

[@premomfertility]

Hello, Thank you for sharing your journey. You've done a great job monitoring your cycle and timing your IUI. It's understandable to feel hopeful and uncertain right now. Just be sure to take care of yourself, as we wish you all the best!

[@ChasingDestiny22]

The risk is that a natural ovulation could happen over the weekend when your clinic is closed and miss your IUI window

[@missld6856]

But can’t you still have intercourse in days before and after IUI to cover your bases if they’re closed during weekend when you would have needed IUI?

[@croatiankpopfan7709]

@@missld6856wait a month don’t clinics open if someone needs to have their iui/ivf on that particular day??

[@linahatieno3386]

💞💞💞💞💞💞💞💞You are best!!! God bless you

[@kristin9740]

39 y/o F. amh .25, male factor lower sperm, lower testosterone. I had follicle size 17 on cd12 and was advised to trigger cd 13. Premom LH SURG was on evening of CD12. RE office closed and I still triggered as advised. Monday cd15 11/6 I had Iui. RE specialist said my own LH surg didn’t matter. I am in tww. Medicated Clomid, trigger shot, and IUI CD15.

[@premomfertility]

Hello, getting pregnant after the age of 40 is possible, but fertility may decline. If you've missed your period and are trying to conceive, consider taking a pregnancy test. If you're not pregnant but want to conceive, consult with a healthcare provider as they can offer personalized guidance and care. Good luck!

[@fosterthelife5342]

Does this mean that you would give yourself the trigger shot at the time of your peak lh?

[@premomfertility]

The trigger shot is typically given when a significant LH surge is detected, signaling that ovulation is imminent, usually within 24-36 hours. Howeverm, the precise timing is guided by your healthcare provider to optimize fertility treatments.

[@SM41790]

my cycle was cancelled due to too many follicles that might mature. One was 17.9, 2 at 16 and like 2-3 at 14 and the rest were 10 and under. I went home and thought about it for a day, we didin't trigger and waited 2 days and baby danced. I took the risk because we tried 17 times with no luck. I figured if we have more than 2 i came to terms that i would do reduction but hopefully it doesn't get to that. I dont think my follicles were too mature anyway, maybe the 17.9 and 16 ones which are 3 total. Hope it works 🤞 Would love to know the stats for each number of follicles without trigger shot. Any studies on this?

[@premomfertility]

Unfortunately, we do not have information on this topic.

[@Scarlett_84]

And? Pregnant?

[@rachellovesit]

Okay, hopefully you see this comment lol. We are thinking about IUI with donor sperm as my hushand is older. I do not know of any issues with myself. Trying to decide what may be our best shot. 32yo F never been pregnant.

[@premomfertility]

Hello, It's good to explore options! IUI with donor sperm might be a good choice. Since you're 32 and haven't been pregnant before, talking to a fertility specialist could help find the best option for you. Take care!

[@MayAllYourStarsAlign]

What about if you don’t always surge but you do get a positive LH naturallyV

[@premomfertility]

Tori, irregular LH surges don't rule out ovulation and pregnancy. Getting a positive LH result occasionally means you can still release an egg and conceive. Track other signs like cervical mucus or basal body temperature for ovulation. Good luck!

[@Kitskacat]

Interesting at the end about immature follicles causing the body to trigger sooner. I have PCO, but I ovulate regularly, so I wonder if despite that, the eggs are just always immature. I've been TTC for over 2 years. I'll have to bring this up with my doctor. Thank you!!

[@premomfertility]

Send you best wishes and positive vibes to your TTC journey! ✨✨✨ Leyla Premom Support Team

[@MayAllYourStarsAlign]

I had two mature follicles 22mm and 27mm on cycle day 12 with taking letrozole. We triggered that night and I still hadn’t gotten any positive LH tests by that point. We did IUI next day. I don’t think I’d be able to wait til a natural LH surge since my follicles were already so by???

[@premomfertility]

Hello, monitoring follicular development helps determine the right timing. It's crucial to follow your healthcare provider's guidance for the best chance of conception.

[@jemmacowan5136]

So you should get thr hcg trigger shot when you have upur LH surge?

[@premomfertility]

The hCG trigger shot is usually given before your natural LH surge during fertility treatments to control ovulation timing. It's best to consult with your healthcare provider to determine the right timing for you.

[@jessicadiaz2223]

Well my body is broken! I have pcos and i dont ovulate on my own. I need meds for that. !

[@premomfertility]

Wish you all the best!🧡

[@user-yi4wv5ek9g]

Hi nurse Linda. Thank you for this vid, and for educating women to TRUST the power of their bodies! I'm an RN BSN, looking for a video of an IUI in case our midwife is delivering a baby when my wife ovulates and we've got $1K worth of washed sperm waiting to be infused into her uterus. I've got a speculum, good knowledge of sterile procedure, and a fair bit of experience inserting catheters through small holes. Would love to watch it done before doing it myself though. Do you know of a place I could find a vid like this. Thank you again for your work!

[@premomfertility]

Dear, this is intended for educational and informational purposes only. It is recommended to find the videos on platforms like KZbin, medical websites, or educational websites related to fertility and reproductive health.

[@denisebohorquez132]

What if you get the LH surge late and follicle is over 20mm at that point? Should I still wait for the LH surge before doing the trigger shot?

[@premomfertility]

When your follicles have reached around 18-20mm in diameter they are deemed ready for egg collection. And we'd recommend you consult your physician for a more professional advice.

[@maxix3786]

If a trigger shot is given when the follicle is at 18mm, could it be that the follicle is not ready? What are the chances of ovulation not happening?

[@premomfertility]

When a follicle reaches around 18mm, it's typically considered mature and ready for ovulation. While there's a chance that ovulation might not happen despite the trigger shot, this likelihood is relatively low. The decision to administer the trigger shot takes various factors into account, such as the growth rate of the follicle, hormone levels, and the overall picture of the ovarian follicles. If you have concerns about the effectiveness of the trigger shot or if you suspect any issues with your fertility treatment, it's best to discuss them with your healthcare provider. They can provide personalized guidance and adjustments to your treatment plan as needed. Best regards, Leyla Premom Support Team

[@maxix3786]

@@premomfertility Thank you Leyla. I had a failed IUI so just questioning what could have gone wrong. Hopefully the second round works.

[@misskiana81]

What if your ovary is releasing the egg before it’s mature enough?

[@premomfertility]

If an ovary releases an egg before it's fully matured, it's referred to as premature ovulation or premature ovulatory failure. This may affect fertility by reducing the chances of successful conception. When the egg is released prematurely, it may not be fully developed or capable of being fertilized by sperm. Additionally, premature ovulation can disrupt the timing of intercourse in relation to ovulation, making it more difficult to conceive. If you suspect that you may be experiencing premature ovulation or if you're having difficulty conceiving, it's essential to consult with a healthcare provider or fertility specialist. They can conduct tests to assess your ovarian function, hormone levels, and overall fertility health.

[@erikambroad]

Hi, thanks for the video! I had a question: would it make sense to take an hgc trigger shot during LH surge before IUI WITHOUT taking Letrozole or Clomid? I am 38 and doing IUI at home with (expensive!) frozen sperm (IUI is being done by a friend who is an experienced NP). We already had one round which didn't work. I ovulate normally and don't want to do medicated IUI in the clinic yet (mostly because of cost) but would love to try anything that would up my chances from 9% if possible!

[@premomfertility]

It's possible to use an hCG trigger shot to time ovulation more precisely during an LH surge before IUI, even without using Letrozole or Clomid. The trigger shot can help ensure that ovulation occurs at the optimal time for insemination. However, it's essential to discuss this option with your healthcare provider to determine if it's the right choice for you, especially given your specific circumstances and preferences. They can provide personalized advice based on your situation and help you make an informed decision.

[@appetizerssushi7121]

Where do you purchase LH strips?

[@premomfertility]

Hi there! You have the option to buy LH strips directly from our website, premom.com. They're also available on various sales platforms such as Amazon, eBay, Walmart, Target, and more. Simply search online to find the best avenue for your needs.

[@appetizerssushi7121]

Thank you 😊

[@bdebbieh1]

Why I can't find the app on playstore?

[@premomfertility]

Hi Deborah, Thank you for reaching out to us for assistance. There is a known issue with the app not showing up in the Google play store. The app is available on the Apple app store if you happen to have an Apple device you can use. Please message [e-mail] to assist you in getting the app for Android.

[@marya7862]

Wow! Wow! Makes perfect since now to me!!! Sucks because I’m medicated this cycle and i had a natural surge PEAK and by the next day i went to the doctor and had already ovulated!! VIA BLOOD TEST and ULTRASOUND!! No time to trigger! I’ll make sure to remember this next cycle if this time doesn’t work!! We are doing timed intercourse! As of now😊

[@premomfertility]

Certainly! It's crucial to be aware of the natural surge and the timing of ovulation, especially when medication is involved. Best of luck with your timed intercourse, and feel free to reach out if you have more questions or need further support! 😊

[@luv2model2007]

Our last medicated IUI we triggered 2 days before my natural LH surge was suppose to happen based on the app. I had 2 mature follicles at 17 & 21mm. Was this wrong? How can you wait for your natural LH surge if your follicles are too big too soon?

[@premomfertility]

When the follicles have reached around 18-20mm in diameter they are deemed ready for egg collection. We'd recommend you consult your physician/OB for more professional advice.

[@luv2model2007]

@@premomfertility so then how would I ever be able to reach the 30% rate when my natural LH surg and HCG trigger shot happens like you recommend in this video if my eggs are “deemed ready “days before the surg?

[@premomfertility]

Please know that everyone's LH can vary. This process may require additional monitoring and testing. We'd recommend you consult your physician/OB for more medical advice.