Transfer a day late?

[dormicumema]

Hello! I have a question regarding my upcoming modified natural FET (we are unexplained, first was medicated and it was CP) Monday evening I triggered with HCG and am due to transfer on Monday (so hcg +7). However, i was doing opks (not instructed to do but did anyway haha) and i got what seems an lh surge on Sunday at 11am. Monday morning still wasnt dark enough. My dr didnt really say anything just that usually it is done 7 days post hcg. On ultrasound there was 18.2mm follicle, 8.5mm endometrium and small amount of fluid in cul de sac (ovulation already maybe??)
I didnt do any more opks because am stressed, bbt this morning still low. This morning i felt like i ovulated (12h post hcg shot)
Do you think transfer will be too late due to surge?
In photo there is what seems to me surge sunday 11am

Hmmm. I don't know but I'm doing natural and the whole thing is stressing me out. I'm worried mine will now be the other way. They are testing this morning to see if i ovulated before they expected (progesterone test) and if so they can't do it. If not they plan for Monday but I'm a bit like- but what if i haven't and don't yet? Then technically you are doing it too early. 🙈

Have you told the clinic you think you might have ovulated early? What day did they scan? They say you don't ovulate until 24 hours or more after the surge though, don't forget?

@paintfairy yeah very stressful isnt it! At least you are doing the blood work, mine are doing everything based on ultrasound and the trigger, they are not looking at surge!
If you still havent ovulated/surged or peaked you should convince them to rethink.
I think embryo can survive day or two because it hatches, however endometrium is only receptive for 48h or so...
I am pretty confident i ovulated early morning tuesday, and Wed morning is when bbt was higher. That means I will be doing transfer LH surge +8 days rather than 6 or 7...so if it fails my suspicion could be right. I am really sad i havent done bloods privately if I had known...

@dormicumema they might be checking but the results aren't back until tomorrow. So I'm taking progesterone already regardless. I asked the question today- how do we know i will ovulate going forwards and it seems it doesn't matter as I'll trigger tonight anyway. 🤷‍♀️ Just got to trust the process I guess? And yeah mine doesn't check LH either. They did yesterday but only because they thought I'd ovulated. It was feint though so I'm not sure that really told them much, other than them thinking I'm going to ovulate early but we've no idea which end of the surge the test was. I wish I'd checked myself in hindsight so I had a clear idea.

If you truly did ovulate yesterday then it should go in Sunday. I feel that might still be ok if it went in first thing Monday and you didn't ovulate until later on the day. Having said that my clinic won't do it late so I've no idea.

They seem to have more success with natural (so they say) but it does feel like a gamble from where I'm sat, i have to admit. And if this cycle does get abandoned due to me ovulating earlier, I think i might push for medicated next time! This is my first one though and we've only got one. So there'll be no next time, if it doesn't work.

@paintfairy im really sorry bc you have this one opportunity. Is there no way if it doesnt work to do another retrieval?
I am supposed to start pessaries today evening! You are doing progesterone before trigger? Thats odd!
Maybe they have their own nc transfer protocol that has proven good.
Fingers crossed it works for both of us!

@dormicumema no, we won't look to start again as we can't justify the cost. I need to add though that I do have a DD from previous IVF. So my circumstance is different. I don't want to blindly throw money at something that might not work (I'm also almost 42) as it doesn't seem sensible for our personal set of circumstances. If we didn't have her already then I'd maybe have 1 more go.

Yeah the whole thing is bizarre and I've questioned it more than once. 🤣 I didn't sleep well last night with it all going around in my head. They recommended natural as being more likely to work (unofficially) but I'm wondering if it was the best option. Because my brain just can't make sense of the way they are doing it. I think i would have felt calmer doing it in a more controlled way.

@paintfairy I understand... well it is nice you have a child from previous ivf. I think natural way is better in terms of luteal support and reduced chances of complications later. But without daily bloods monitoring makes it really stressful

Hi @dormicumema I've had two natural FETs with a trigger shot and both of mine were 7 days after trigger. I wouldn't worry too much, there is a window of endometrial receptivity so it's not an exact science. My last FET worked and I have a 12 month baby and my second FET has been successful so far and I'm 24 weeks pregnant. Wishing you the best of luck x

@browneyedgirl626 thanks for fesponse! So glad to read success story like yours!
Have you done opks for surge or any blood monitoring prior trigger?

@dormicumema I was only told to do opks when my dominant follicle looked like it could ovulate, it was over a weekend and my next appointment was on the Monday. I didn't surge so I got the trigger injection. No blood tests to monitor ovulation , only scans x