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Antral follicle count -- Left ovary vs. right??
Hey Guys, I'm confused about something and hoping someone can shed some light. I know we are born with all the eggs that we have and our antral follicle count is a way of telling how many years we have left.
But how come I have almost double on my right side than my left? Is this normal? why aren't they spread out evenly to both sides? For example, my last antral follicle count, I had 6 on my left side and 11 on my right. Similarly, when I stimulate, they always exract more from my right side than my left. Last cycle I had 18 eggs extracted and 12 were on my right and 6 came from the left. What gives?
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Lisa Me -- 33 hypothyroidism, ASAB DH -- 35 MF IF (low mot, 1% morph) ** Poor embies. None ever make blast. 2 yrs TTC - 6 mths Clomid - 12 IUI's - IVF#1 - 17 retrvd, 12 mature, 7 fertilized w ICIS. Trsfed 2 good day3 embies - No frosties - none made blast.IVF#2 - canceled due to cyst. IVF#3 - 18 retrvd, 15 mature, 10 fertilized w ICIS. Trsfred 2 day5 morulas -- 2 morulas frozen. None made blast.FET - Cnxld. Embryos survived thaw, arrested b4 transfer. ![]() **Consult w SIRM & CCRM. Started adoption papers. Chose CCRM! IVF#4 - After 12 days of lupron and not supressed, switched to Antagonist. 28 retrvd, 14 mature, 11 fertilized w ICSI. 5 more eggs became mature on day 2, and fertilized with ICSI --for a total of 16! Transfd 1 advd blast, 1 early blast (AH), 1 morula (AH). BETA 1(9dp5dt)-151 BETA 2(11dp5dt) - 375 BETA 3 (16dp5dt) - 3805 U/S - It's TWINS!! http://waywardstork.blogspot.com/ |
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I have the same thing and it's very common. My right is also the active player. The left never seems to respond to the meds, but the right does great. My RE (yesterday in fact) was just going over this with me. There are ways to stim the left to join the party, but likely it will never produce like the right does. A lot of times this is the case that one ovary will respond much more than the other.
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____________________________________ Me = 31 (no known issues) DH = 45 (V reversal didn't work) IVF#1 - 9/17/08: 5 Day ET - transfered 2 blasts (2 snowbabies) - 9/29/08: Beta! ![]() FET #1 - 12/16/08: ET both frozen embabies - 12/31/09: Beta! IVF#2 - 4/22 5dt ET - transferred 2 blasts -5/4 Beta ![]() IVF #3 - 8/4/09: start BCPs - 9/4/09: ER estimated - 9/9/09: ET estimated
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Interesting.
What did your RE say could be done to help the left side along?
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Lisa Me -- 33 hypothyroidism, ASAB DH -- 35 MF IF (low mot, 1% morph) ** Poor embies. None ever make blast. 2 yrs TTC - 6 mths Clomid - 12 IUI's - IVF#1 - 17 retrvd, 12 mature, 7 fertilized w ICIS. Trsfed 2 good day3 embies - No frosties - none made blast.IVF#2 - canceled due to cyst. IVF#3 - 18 retrvd, 15 mature, 10 fertilized w ICIS. Trsfred 2 day5 morulas -- 2 morulas frozen. None made blast.FET - Cnxld. Embryos survived thaw, arrested b4 transfer. ![]() **Consult w SIRM & CCRM. Started adoption papers. Chose CCRM! IVF#4 - After 12 days of lupron and not supressed, switched to Antagonist. 28 retrvd, 14 mature, 11 fertilized w ICSI. 5 more eggs became mature on day 2, and fertilized with ICSI --for a total of 16! Transfd 1 advd blast, 1 early blast (AH), 1 morula (AH). BETA 1(9dp5dt)-151 BETA 2(11dp5dt) - 375 BETA 3 (16dp5dt) - 3805 U/S - It's TWINS!! http://waywardstork.blogspot.com/ |
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My Right Ovary always produced more than the left. My sono lady said the Left one looked a little smaller than the right so maybe that's why it doesn't produce as much.
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Me 37 (Hope)--Unexplained IF/endometriosis DH 35--Good DS 4 TTC DS for 2 years-- w/ clomid 50mg TTC #2 since June 06 08/2006 clomid 50m MC at 5 wksStage 3 Endo= Lap/Hysteoscopy April 07 #1 IUI-Sept 07 Follistim 150 #2 IUI--Nov. 1st 150 Follistim --12dpiui-- #3 Follitim 125 -5 follies 12piui. IVF #1 Stop BCP's 4/22 Baseline Sono/lab 4/25 4/18 Start meds Baby Asprin, low dose steroid). Stims start 4/27 (Follistim 300, Repronex 75) Ganarelix girl ER 5/8, 11 Eggs retrieved, 7 fertilize(ICSI)6 made it to blast. ET 5/13 :2 Blast, 4 frozen 1st Beta=5/23 = 2892nd Beta=5/27 =2,489-Prog. 191.6 3rd Beta=5/30==5,951-prog 153.7 4th Beta=6/3=13,112-prog. 145.6 1st Ultrasound 6/9= 1 bean/stop PIO 5th Beta-6/10=52,753-prog. 134.3 6th Beta-6/17=108,295-prog. 118.1 2nd Ultrasound 6/23=heartrate=174=8+weeks. 1st OB Appt. 7/28=13+ weeks Heartbeat 154 9/22/08=It's a girl!!!! Caylee Marie arrived 1/14/09 |
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I'm in the same boat. My right side is my big producer. They retrieved 6 of the 7 at my last retrieval from my right side and I always stimulate better on the right side.
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Me: 27 PCOS, my eggs are not great DH: 28 perfect DS: 2 1/2 TTC since 10/04 7/06- follistim/IUI 3/13/07- IT'S A BOY! TTC #2 since 7/07 2/08-2/09- 5 IUI's, IVF, FET- 5/09- foster/adopt process started 11/09- Should have final approval to adopt Clomid/follistim cycle (Oct)- Clomid/follistim cycle (Nov)- 11/17- follicles (10, 10, 13, 15) u/s 11/20 (18,24) 11/22-IUI |
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Interesting that this happens to quite a few of us. Is there anything that has been suggested to help the slower side maximize it's potential??
If the antral follicles are there, and we have lots left, I wonder why one side doesn't produce a lot. Is it because our uterus is shifted more to one side and there isn't enough phsyical space on that side? Anyone know the reason why? Or what to do about it?
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Lisa Me -- 33 hypothyroidism, ASAB DH -- 35 MF IF (low mot, 1% morph) ** Poor embies. None ever make blast. 2 yrs TTC - 6 mths Clomid - 12 IUI's - IVF#1 - 17 retrvd, 12 mature, 7 fertilized w ICIS. Trsfed 2 good day3 embies - No frosties - none made blast.IVF#2 - canceled due to cyst. IVF#3 - 18 retrvd, 15 mature, 10 fertilized w ICIS. Trsfred 2 day5 morulas -- 2 morulas frozen. None made blast.FET - Cnxld. Embryos survived thaw, arrested b4 transfer. ![]() **Consult w SIRM & CCRM. Started adoption papers. Chose CCRM! IVF#4 - After 12 days of lupron and not supressed, switched to Antagonist. 28 retrvd, 14 mature, 11 fertilized w ICSI. 5 more eggs became mature on day 2, and fertilized with ICSI --for a total of 16! Transfd 1 advd blast, 1 early blast (AH), 1 morula (AH). BETA 1(9dp5dt)-151 BETA 2(11dp5dt) - 375 BETA 3 (16dp5dt) - 3805 U/S - It's TWINS!! http://waywardstork.blogspot.com/ |
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There's an article that attempts to explain why most women are right ovary dominant rather than left. Most seem to think it's something to do with superior drainage of the vena cava.
Interestingly, one study suggested that dominance switches from right to left as the supply is exhausted. I wonder if this is what's happened with me- I'm 36 and have DOR - almost all of my follicles are on my left. Here's the link to the article :Your right ovary rules « Love, Sex, Attraction…and Science |
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Interesting!!!!
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Me: 34, all seems ok DH: 49, low volume/motility/morphology 12 failed IUIs IVF #1 (October 2009) day 2 FSH 7.7/ e2 55 10/21 single embryo (3-day) transfer 10/31 ![]() 11/3 (13dp3dt) beta 880! (why so high?)
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