How does ovulation work if there are multiple dominant follicles or multiple follicles over 18mm? Is this related to my miscarriage?
Long story short - I recently had a miscarriage about 3 weeks ago - I went in for my confirmation ultrasound to make sure everything passed (which it did) and briefly met with my dr. to discuss things. He said there's not a reason to wait to try again if we're ready and that they saw a dominant follicle on the ultrasound.
I've struggled with the retention of pregnancies, but we seem to get pregnant relatively easily - typically within the first 1-2 months of trying. But this was my 4th miscarriage (first 3 are believed to be due to low progesterone that wasn't discovered until after the third, most recent due to a random, rare genetic condition with one live birth in between the first 3 and most recent. They're also now testing me for autoimmune disorders and clotting dysfunction.)
I just got my LH peak today, and we bd last night... but I also just looked at the results of the ultrasound myself out of curiosity...
They noted on my left ovary there was a dominant follicle present - but then down at the bottom noted that there were 3 mature follicles measuring 16mm, 19mm, and 20mm - my dr didnt mention these.
My scan was 2 days ago - so operating under the assumption that they all continued to grow at the 1mm/day rate they supposedly do according to web references.... that would make them 18, 21, and 22 today when I theoretically ovulate (I usually do within just a few hours of the surge)...
I'm seeing conflicting/confusing answers online. Many medical journals say that dominant follicles prevent others from growing past 11mm unless there are multiple dominant... do I have multiple dominant? Does that mean all 3 will ovulate? Does that increase the chance of getting pregnant? Does it mean we could end up with multiples? Or is it more likely only the largest will ovulate and the others will remain behind?
Im terrified of a twin+ pregnancy situation with how hard it is for my body to manage a singleton... I'm confused why that wouldn't have been mentioned by my dr. and I'm trying not to be anxious about the idea that there could be a heightened risk for multiples now.
I guess a lot of my questions are because I see a lot about multiple follicles before trigger shots in medicated cycles and the fact they'll all likely release but not a lot of info about what happens in natural cycles and how LH is different from a medicated cycle.
I'm also curious if having multiple eggs mature is related to the miscarriage and hormones being wacky or if I potentially hyperovulate every month with the statistics of how quickly we've been able to get pregnant 5 times now. We've never really looked into anything earlier than how to help my body with progesterone since things seem to go well up until that point.
Unrelated note - LOVE that they renamed PCOS for my mama friends who have struggled with this. It's so much more than an ovarian issue.... but can we also petition for them to relable the medical term for those of us struggling with recurrent miscarriages - because seeing the term "Habitual Aborter" on my charts kind of sucks.
*additionally - obviously any child/children would be a huge answer to prayer - and im not scared of the possibility of raising multiples... we'd figure things out. But the idea of going through the loss of multiples or dealing with the high risk potentials during pregnancy is terrifying and unfortunately with our history I have a hard time trusting a pregnancy will be successful essentially until I'm holding our little one earthside. With our son I had a hard time bonding and had severe PPD/Anxiety about the idea of losing my newborn even though we'd been told he was perfectly healthy. Pregnancy loss is such a mental block to try to get past.