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confusion about hcg trigger shot.

This is my first time ever joining an online chat forum, and I said I would never do it, but....(smh) I have read so many different experiences but none of them have been able to answer my question despite how many key words I type in on google or youtube. Anyways, I just wanted to know can anyone answer this for me? I have Pcos and I never get AF (period) unless I take something to bring it on. Recently I have been going to a RE who put me on 200mg of clomid after that during an U/S I had 1 follicle which measured at 25mm so I was given the trigger shot and last was scheduled for IUI the next day. However, on the scheduled day of the IUI my DH... Sad could not perform ...anyways we BD the old fashion way and now I am in the 2ww. I have been testing myself out with HPT, and the funny thing is on day 3 the HPT was positive (ok I know that is from the trigger shot of course), but now 8 days past trigger I am getting a negative HPT but a positive OPK. Does anyone know why that would be? Also, if I did not become pregnant this round when can I expect to see AF if it never comes on without help from provera which I am not on at this time. I am experiencing some slight nausea and my breast are sore what does all this mean? Pleas help.
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replied September 17th, 2011
Welcome to ehealthforum,
The symptoms could be attributed to the HCG shot. A mature follicle size of 20mm or more is a good indication of impending ovulation. If you have been sexually active at the predicted time of ovulation (and if your partner has normal sperm counts and morphology) then chances of pregnancy are possible.
If pregnancy gets ruled out, consider discussing with your doctor/gynecologist about getting started on insulin modifiers for proper control of PCOS (and better response when used in conjunction with ovulation inducers to help with getting pregnant). Most common cause for PCOS is insulin resistance, so the use of insulin modifiers and hormonal contraceptive pills usually helps with treating the symptoms and regulating periods. Be in regular follow-up with your gynecologist and report any unusual/new symptoms immediately. If planning for pregnancy, when the PCOS changes are under control, ovulation inducers (like Clomid along with HCG injections in case needed) would be started to help you have more than 1 egg release from ovary to increase chances of pregnancy.
Take care.

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