How long after trigger should iui be done

Effect of time interval between human chorionic gonadotropin injection and intrauterine insemination on pregnancy rate. Kamel A M, et al. The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate. Weiss A, et al.

A randomized trial comparing time intervals from HCG trigger to intrauterine insemination for cycles utilizing GnRH antagonists. In the general population…. Read more. Described as a low-grade chronic…. Save my name and email in this browser for next time. This medication is an injection with a small needle in the abdomen.

The IUI is scheduled 36 hours after the trigger medication is injected. Awaiting Natural Ovulation: Blood work or urine-based ovulation predictor kits OPKs can predict when a woman will naturally ovulate. In this case, the IUI occurs either later that day or the next morning. Anovulatory Patients: Can start medication at any time. In this case, a 7 to 10 day course of progesterone like provera or aygestin can be given to cause the onset of a period and clomid or letrozole would be started thereafter.

Unexplained Patients: Can start medication on day 3 or 5 of the cycle. If the patient is having her treatment cycle monitored, she will come in on day 3 for bloodwork and an ultrasound. On ultrasound, the doctor will be checking to make sure that no follicles have already started the process of growing because once one follicle is already growing, it is unlikely that others will also start growing in response to clomid or letrozole.

The doctor will also look at estrogen levels through blood work to confirm this. Once the patient has started taking clomid or letrozole, they continue for 5 days, and 4 days thereafter the woman may return to the office for monitoring and blood work.

Increase dosing if no follicles are growing or switch to gonadotropins if no follicles are growing and the patient has reached the maximum dose for clomid mg or letrozole 7. Continue waiting if the cycle looks promising. Patients may return the next day for insemination if the follicles are large 18mm or in 2 - 3 days if follicle growth is slower. The patient comes in on day 3 of her cycle for blood work and ultrasound to make sure that all of the follicles are resting none have started down the developmental path toward ovulation and that the lining of the uterus is thin which means the lining is ready to start growing in preparation for a possible pregnancy.

She will begin the injectable medications later that night. She will continue the same dose of medication for 4 nights and then come back to the office for an ultrasound and bloodwork to monitor her progress. Specifically, the doctor is looking for the rate of estrogen growth to inform what to do. In this case, the doctor has three choices:. Increase the dose: Estrogen levels are not climbing and follicles are not growing.

Decrease the dose: Estrogen levels are rising too fast e. I have written extensively regarding timing and doing IUI's in my blog. I would recommend you review that material and discuss your concerns with your physician. Though there are many reasons you might consider reducing or eliminating your ability to get pregnant, if you later decide to start a family, you have options available.

Read on to learn more. Protecting your health is protecting your fertility. Choosing to get regular check-ups can protect you from issues later down the line, or prepare you for any possible issues.

Read on to learn more about the importance of wellness exams. Is there even a difference? In this blog, we explain the difference between perimenopause and menopause and how you can get relief from your less-than-pleasant symptoms. Learn more about how your fertility changes with age. In-vitro fertilization is a confusing or sensitive topic for some people. Understanding how the process works removes the mystery surrounding it and clarifies how IVF can help you. Learn more about what you can do to promote fertility.

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