[quote=Lynus]I had an egg retrieval, and yes - the same situation - I had 4 follicles, no egg cells retrieved. Two days before the retrieval my RE observed high LH (>40!) which was an indication that something went wrong (now I think). At the same time, I had the feeling of ovulation because all my side effects of the stim were gone (pain in the ovaries, etc). When I came to the retrieval there were only 4 follicles left (out of 6 a few days before), - no egg cells found.
I now believe I had ovulation before the trigger and that was the reason why there were no eggs left.
I am now also sorry I did not cancel the cycle, and wonder how come there is no way to see that the follicles are empty before doing the retrieval. Also wonder why my RE did not cancel the cycle and did the retrieval which was rather painful.
When your LH surged did the doctors not discuss doing IUI for you then?? It would make sense that you ovulated without the LH drug but rather on your own. (This could be due to a dozen reasons) but when the docs saw the LH surge I’d think that they would suggest IUI the next day?? hmmmm, interesting nonetheless.
To answer why they can’t see the egg. I was told by two docs and a nurse to think about how small the follicle is. Now think about the egg being attached to the inside of the follicle wall. It is so small that they just cannot see it with current ultrasound technology. And using MRI or another tool would just be too expensive.
As for what happens with the LH surge. You have your LH surge (self or drugs) it tells the follicle to release the egg from the follicle wall and about 2 days later your body pushes it out and it makes it was down the fallopian tubes.
When they go to retrieve the egg they aspirate the follicle. Which means they stick a needle in it and suck out the eggs. if the egg is attached to the wall of the follicle you end up killing it in the aspiration process when the follicle collapses after the fluid is drained from it. If the follicle already released it it’s on its way down the fallopian tubes. The third thing that could have happened was the egg disintegrated inside the follicle (this is common for women our age as the eggs are not as strong/healthy as in our 20’s). When the Doctor goes into aspirate he or she will see “floating material”. In my case and I am guessing in your case our eggs did not disintegrate but were either still stuck to the follicle wall (my case) or were released by the LH (Luteinizing Hormone) surge.
Nonetheless, do not give up on your dream to be a mother to your biological child! Educate yourself and read and read and read a little more so you can make decisions as things happen in the process. This can help you feel a little more in control of something we just have no control over.
:babydust: Sending you babydust and happy wishes for your future! :babydust: