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grapefruit / 4045 posts
@endymion4: Since it's a frozen embryo transfer, can't you schedule it for a Friday? Then your husband would just need to take one day off.
apricot / 365 posts
@agold: We did think about that, but because of a few different factors (incl dates he's on call, conferences, etc) if we don't do it the date we're scheduled, we'd have to wait about a month. it's taken us so long to get to this point, it's hard to wait longer! and then we're into the holidays, etc, too. he's covering for a colleague earlier in the month while she's on vacation, so it looks like there's a good chance he'll be able to take a couple of days!
grapefruit / 4045 posts
@endymion4: It's so hard when our husbands work non traditional schedules. I need to have my sister do my intramuscular pio she's twice a week for me because my husband won't be home those nights. I totally understand not wanting to wait longer than you need to. I hope you get the rest you need! I'm excited for you to have that FET!
persimmon / 1132 posts
Woah. This board does move fast sometimes! Today is day 5 of stims for me. Tomorrow is my first progress us and an E2 check.
@endymion4: Welcome! GL with prepping for your FET. I'm also curious about the suppositories. I'll do 3x/day of Prometrium once I get there. Everyone just says "they're gross" but I want more info on what to expect. GL to you on everything ahead!
@Greenthumb: Yep, long Lupron or luteal Lupron is my current protocol. I did 4 weeks of BCPs, 1O days of 10cc Lupron (beginning on last 5 days of BCPs), followed by my latest routine: stims (450 IU Follistim) in evening and low-dose Hcg (diluted Ovidrel/Pregnyl) and a little Lupron in the morning. I actually feel much better today on day 5 of stims than I felt on straight-up Lupron and BCPs. I sure hope things are cooking! It has felt long already, as the name suggests!
@NorthStar: I know, right?! Quite the dose. I think it boils down to my high FSH. The RE originally thought I'd be on 300 IU to start but made a last minute change to 450 IU to ride the LH surge since my E2 was "good and low" on CD2. I was told that ladies with my FSH aren't readily put on long Lupron with BCPs because of the concern with over suppression... It seems like my follicles went from 11 to 10 between ending BCPs and CD2, so there was a bit of that happening. Anyway, just trying to remain hopeful. My body always responds really well to meds so I'm just going with this...
Oh and I did my second order of stims with WinRx. I asked my RE to throw in a few more doxycycline in order to make it a "bundle." It was definitely cheaper compared to the pharmacy quotes for the same stim amount. I'm also going to rely on drawing from the overfill, assuming I stay at this high dose.
@agold: Two in the oven, two in the freezer! I'm sure it was hard hearing that the other embies did not make it to freeze. Never easy to lose any when you just want one in your lap yesterday. That will be hard for me, too, even though I know it's all part of this process. I hope your two boys are burrowing away and growing, growing, growing!
@dookie32: Any news yet on your embies? I am feeling good! I actually don't know what the cocktail of Ovidrel/Pregnyl ("low-dose Hcg") plus a little Lupron actually does. My guess is that it suppresses one follicle from maturing beyond the rest... And maybe other stuff, too.
More tomorrow!
kiwi / 538 posts
@agold: I'm not sure if I'll test at home either. My only motivation would be so that I don't have to get the bad news in the middle of the day at work. I'm really weird with at home tests. Every time I've taken one (4 times) I've been 99% sure it was going to be positive since I had already missed my period. I'm not sure I could handle seeing a negative result!
@endymion4: OMG are you my twin?? Our stories are almost exactly the same. I have a 3 1/2 year old son and we've had 3 MCs in the past year that are unexplained. I just had my retrieval this past Friday and we are doing PGS/PGD as well. How many embryos did you start with and how many did you end up with after testing? We're waiting on our Day 5 results tomorrow- it's very scary :(. My FET will hopefully be in a few weeks- I haven't started any drugs except Endometrin so far. The suppositories are a bit groady. I suppose it's better than shots but 6 a day is going to be super annoying! I've been doing 3 a day. My only advice is that you should probably wear a liner or pad because there is some, um, leaking. Sorry- not trying to get too graphic :).
We don't have any family nearby either so I can totally empathize with the child care issue. I had to take a cab to the hospital for my transfer because it started at 7am and my husband had to drop off my son at day care. We've had to deal with the logistics of this kind of stuff for so long that it barely phases us anymore but it's really tough! These are the times that I give myself a pass and let my son play with the iPad and watch movies all day- sometimes that's the only option :).
apricot / 365 posts
@Amorini: I've also heard the "it's gross" thing, which is why I was wondering if there are any tips!! I'll be on 3 estrace and 3 endometrin per day. And I didn't see what meds you're doing the overfill on, but we had SO MUCH overfill on our Follistim! (which was great because we are totally out of pocket and had to refill Menopur 3xs bc they increased the dose!!). We did our retrieval meds through Walgreens, but doing the FET meds through Win
apricot / 365 posts
@dookie32: yes! the waiting to hear is LE WORST! We retrieved 17 eggs, 14 mature, 10 fertilized (with ICSI). 2 were biopsied on day 5 and 3 were biopsied on day 6 (so 5 total). We did PGS instead of PGD (another long wait--it took us about 2 weeks to get results), and have 3 "normals" frozen. The wait on our PGS results is why didn't make it for early October FET (which is what I was hoping for because my mom would've been able to come for a week or two to help out, but she's traveling pretty much nonstop mid-Oct-mid-Dec)
persimmon / 1132 posts
@endymion4: Yes, the overfill I was referring to is Follistim. I've brought the used cartridges in to my nurse to have her draw up / consolidate the overfills. Is that what you did? I'm not sure if the pen allows you to use the overfill otherwise. And plus it would take like 6 shots to get my dose!
Thanks for sharing about your PGS results. What is the difference between PGD and PGS? I've never heard of the latter. It's amazing there are cells left to make the baby after they biopsy! Science is cool. Best of luck to you!
pear / 1881 posts
seriously ladies! you move along too fast!! lol I'm going to have to catch up tonight, but am thinking of all of you
persimmon / 1132 posts
Quick u/s update: 22 little follies were counted in the 5-10 mm range. I was told my ovaries have "blossomed"... Good to know all that Follistim is doing something! I go back Friday.
pomegranate / 3809 posts
@NorthStar: Tell me about it! I feel so lost with where everyone's at now!
AFM, I'm on CD27 now and still no O. I'm going to schedule a visit to the RE and just have them do a US to see if there's any follicles and figure out where I'm at so I can stop trying to guess. For $2.53 coinsurance I have to pay for that, why not. Waiting for O/AF so I can schedule the ODWU at CCRM now so not much going on.
Greece was just amazing though. A much needed break.
apricot / 365 posts
@Amorini: I might be wrong (all of this information has been so overwhelming), but I think PGD is looking for one gene (i.e. if a couple is concerned about whether the embryo has Cystic Fibrosis or something), whereas PGS is slightly more comprehensive and looks at every chromosome (which is why it takes longer). But again, don't quote me on that!!
We just used the overfill in the pen for Follistim. It will only let you click to how much is in there, so in one cartridge, for example, we had another full dose and the next dose I just did two shots instead of 1 (used up the rest of the cartridge--the pen stops only at how much is actually there and then subtracted the difference to dial up the next dose from the fresh cartridge)
pear / 1881 posts
@endymion4:
@Amorini:
I've been a podcast nut as of late, so check this out - if you have an iphone, you just go to the Podcast App, search for Beat Infertility and it's bonus episode #8 - totally free and there are other gems in there too
grapefruit / 4045 posts
@dookie32: I agree about getting bad news at work. I'm trying to decide between accepting the call or letting it go to voicemail. I'm pretty tough and took all my calls regarding negative iuis while at work, but since i fell completely apart yesterday when re called to tell me only 2 of 5 made it to freeze, I'm leaning towards: leaving a little early from work and checking voicemail in the car. If it's positive, I have a little surprise box I made for my husband, oh, like two years ago, to tell him we are pregnant. I still want to give it to him to sort of "surprise" him that he's going to be a dad even though it's clearly not a surprise. And shoot - I'm so sorry you had to take a cab to the hospital! I wish I was there to drive you!
@Amorini: thank you for your nice comments and understanding. You perfectly summed up how I was feeling. But "two in the oven and two in the freezer" is perfect! Thanks, again. I hope you are feeling good!! And 22 follicles!!! Woo hoo!! That's such a great number! I hope they all continue to mature wonderfully!
@endymion4: that's great you have three great frozen embryos! As for follis tin, I did the same as you - every other day I had to do two shots from two vials of follistim. It sucked, but I was happy to take advantage of the overfill. And so I'm just so sorry you don't have anyone to help you during your bed rest. I wish I could come over! Maybe you can quickly join a moms club!
@Amorini: what overfill are you talking about having your nurse consolidate? The little tiny inaccessible bit of follistim juice in the cap part of the vial? I always hated throwing that away but didn't know how to get to it.
@NorthStar: we are thinking of you, too!
@PurplePumps: your Greece pictures look amazing. I'm glad you are hanging in there and doing what you need to do.
apricot / 344 posts
@Amorini: That's awesome news!!! Congratulations! I'm a day or so behind you. We go in for the day 5 u/s and bw tomorrow morning at 9am. Hopefully we'll hear great news like you! That being said, what meds will you be taking the next few days? How did your doc adjust/not adjust what was planned (if you even had a plan...I have nothing beyond tomorrow's 150iu of Gonal F and 75iu of Menopur)?
here's a question for everyone...did the stim meds make you hungry? I swear all I can think about, especially in the morning, is food! I got up this morning and made tortellini and pasta sauce at about 9:30 because I was so hungry. Very odd for me.
@dookie32 - Good luck!!!
grapefruit / 4045 posts
@waiting4you: Stims did not make me hungry, but you talking about tortellini pasta does!!
pomegranate / 3764 posts
@PurplePumps: That looks absolutely stunning.
I'm sorry for being so quiet. It's so hard being on a mandatory break and we are about to hit the 2-year TTC mark for #2, which is now officially longer than #1... so I'm feeling pretty sad lately. *hugs*
pear / 1881 posts
@Amorini: I did two/day prometrium and it honestly wasn't that bad. I did have some discharge, so I was always wearing a panty liner and the discharge would happen a couple hours after I put it in. I have to do something else (more like a tampon) after IVF and I've heard that it's much worse.
@dookie32: I hear you on trying to arrange for care during this whole process. We have a 3 year old and live 2.5 hours away from our RE, so it's been interesting. We also have no family in town, so we have to do our best to line up stuff ahead of time (if possible).
@PurplePumps: oh my gosh!! So beautiful and much deserved for you!
@jaguar: hugs to you We hit our 2 years TTC mark for #2 in August and that was SO hard. It took a year for DD, but this one takes the cake. Hang in there. November will be here in a matter of weeks..
I'm just hanging out wait to see if AF shows up early next week and attempting to keep up with you ladies and your posts! lol.
pear / 1986 posts
Got good news from the RE - endometrial biopsy and cervical cultures all came back negative, so no chronic inflammation or anything else weird going on for me, thank goodness. I scheduled DH for another SA next week and I have an appointment with the hematologist next week to discuss my possible autoimmune issues, but otherwise, we are set to move forward. I think we might do a long Lupron cycle this time (last time we did antagonist) and I'm not sure whether the RE will have me on BCPs first (hence my question to you long Lupron ladies). Seems like it could go either way… but BCPs will delay things at least another month. I'm guessing we will do stims and transfer (FX) by late November. Seems forever away, but we're getting there…
@jaguar: I feel ya! Hugs! Waiting is the worst, and we are also coming up on 2 years since we went back to the RE after #1. But hopefully everything you've done for this cycle will be worth it!!
@PurplePumps: Stunning photos! I'm so glad you were able to get away to such a beautiful place! Hope the u/s proves useful and you can get moving onto the CCRM stuff soon!!
apricot / 344 posts
Just got back from 1st monitoring appointment after 4 days on stims. Us started on right side and looked excellent (8 or 9 follicles)! Then the left side.... 1. 1 follicle that was moving along. So total of 10. Honestly, I'm disappointed. Given my great response in the past to 50 mg of clomid for my IUI's, (4 and 5 follicles), I was optimistic that these numbers, with all the meds, would be higher. I know it takes only one, but knowing the attrition factor, 10 has me worried.
The other thing...ICSI. I was apprehensive about this. REALLY wanted to avoid if possible. Well, due to the lower follicle numbers, they said they'll be doing ICSI for sure. That not doing it would be like "doing another IUI in a dish instead of inside". Don't know why I'm upset about this, but I am (I can blame it on the drugs right?)
I guess there's some good news...they said ER will most likely be on Tuesday and transfer Sunday. This is a shorter timeframe than I had expected, which is great! (No extra meds. Ended and fewer days of shots!! Win win) Most likely starting gannirelex (spelling?) tonight. Any feedback on this shot? Does it burn? Any side effects?
Hoping some of these "lazy" follicles get their butt in gear and pick up the pace, but not getting my hopes up.
Back for another US and BW tomorrow morning.
pear / 1986 posts
@waiting4you: I'm sure you'll pick up more along the way! You've got time . And don't worry about the ICSI at all. We did ICSI with our first fresh cycle due to MFI. Just another tool to make the most of your cycle. Good luck at your next appointment and I hope that those follicles grow, grow, grow!
grapefruit / 4045 posts
@jaguar: I'm so sorry you are feeling sad. IF, and especially IVF, is so tough. I feel like the waits involved with IVF are the ultimate of TTC waits. I'm well past the two year TTC mark so I feel your pain. You have such good knowledge and input so please come on here and share anytime you want. Everyone will appreciate it. But of course be sad in any way you want. I've been so ridiculously sad at some points during the last week and I'm only a few days into my TWW. IF is ridiculous at some points. The days are long but the weeks/months are short. Your time will come up quick!! Hang in there!
@GreenThumb: Congrats on the good news!! I hope you get set on the right cycle and have minimal delays.
@NorthStar: Or maybe you are waiting for AF to not show up at all!!
@waiting4you: I'm so sorry you are feeling worried. I was in your exact same spot just a couple of weeks ago. I was expecting about 18 follicles based upon prior personal experience, and then had 10 throughout the monitoring process. I was devastated. But at retrieval, I did end up with 11, so you could get a few more. Did your RE tell you that you have additional smaller follicles that he isn't really counting at this point??
I've had to significantly reign in my expectations because when they haven't been met I've been crushed and that's no good on one's body. I don't think that the stim meds make you produce more follicles. They just help grow the follicles that are there. (Correct me if I'm wrong, ladies.) So there's nothing you or anyone could have done to give you more or less follicles. As for ICSI, its standard procedure at my RE. Like @GreenThumb: said, ICSI just helps make the most of your IVF cycle. Why leave anything to chance if you don't have to? It's great you will have a shorter than expected stim cycle. I remember ganirelex being an easy needle - tiny like the follistim. And it didn't burn like menopur did. You will do great and get through it!! Tuesday will be here before you know it!
kiwi / 538 posts
@waiting4you: The needle on my Ganirelix was sort of thick so it made that shot kind of annoying. It was just harder to get in than the other ones. I didn't notice any side effects though. That's great they already scheduled your ER! There's a lot of time between now and Tuesday- those follicles can still make some progress :).
@purplepumps: I'm so jealous- your trip looks awesome. The most exotic vacation my husband and I have been on since we got married was Dewey Beach in Delaware :).
@amorini: That's good info about the extra in the pens. I'm going to ask our nurses about combining them. I have a little left in one of my Gonal pens and then 3/4s of the other one. I'd hate for that little amount to go to waste especially if there is someone I can help out by donating it. Glad things are moving along for you- hope tomorrow's results are good as well!
@northstar: Wow hugs to you- 2 1/2 hours away! That must be super tough. Are you able to do your monitoring somewhere close by?
@greenthumb: That's great- November will seriously be here before you know it! I don't know a lot about autoimmune stuff and fertility- if they find something wrong, are there ways to "fix" it?
We got the results from our PGD folks- 10 of our 14 embryos were able to be biopsied! I'm so relieved- there have to be some good ones in there, right?! We should find out the testing results tomorrow so we know the total amount of "normal" ones we have. They said yesterday that they were all "very good quality"- no actually grades but at least that sounds promising. I'll be calling over to my dr today to get our transfer date. They wanted us to schedule a post-retrieval consult and the soonest we could get in with my dr was 10/8- so I'm guessing that it won't be until the week of 10/11 at the earliest.
nectarine / 2192 posts
@PurplePumps: What a trip!
@jaguar: each year mark is so hard! We're a little over two years for #1, and I keep thinking about how some women who started TTC at the same time are pregnant with #2. I'm glad your embryos are better quality- did you do anything different this cycle?
@NorthStar: I hope you get your last-minute miracle!
@GreenThumb: why do they think you might have autoimmune issues? (Sorry, hard to remember everyone's details.) I have elevated NK cells, so this is my fourth cycle On prednisone after ovulation.
@waiting4you: did your RE have any idea why one ovary was much better than the other? My right ovary seems to make two follicles each month on femara while my left ovary seems lazy. Let me know if they have any insights.
@agold: wishing you a quick 2WW!
@dookie32: 10 is great, hoping for good results.
I heard about someone doing IVF who had 15 eggs, none fertilized. They tried ICSI after they realized but it was too late. Has anyone heard of this? I'm already worried about so many IVF things, and hadn't considered this. DH has low morphology at 5%, but great counts and motility, so RE isn't worried about him.
pear / 1881 posts
@waiting4you: Don't be apprehensive of ICSI! It's such a normal thing and honestly, it might even bring more success. It's $1,000 more at my RE, but I'm not sure if that is standard or not.
@GreenThumb: Looks like we will be close IVF buddies! I will be doing a Lupron cycle as well, so once (or if) AF shows next week, I'm sure that I'll start BCP's soon after. I start Lupron on 10/20 and stims on 10/30, with a retrieval around 11/11. I'm also glad to hear that your tests were painless and that they results were great! Every step we take gets us closer to our goal.
@agold: I would agree that the meds don't produce more follicles, but grows those that are there. Since we are born with as many as we will ever produce, we cannot really create 'more'.
@dookie32: During my IUI cycles, I was doing most of my monitoring locally. For the IVF cycle, I will have the first ultrasound locally, but all the others at my RE. The plan we will pay for includes monitoring, so anything done locally is completely over and above that, which at $500/each isn't worth it. Gas is so much cheaper. I even have to go down there only for a lab test one weekend. ugh.
@AmeliaBedilia: oh jeez - that would scare me - none fertilizing! So, did your period actually show up or not and have you tested? I swear that AF was due for you last Friday, but I thought that I read somewhere that it hasn't come yet? (or am I wrong)?
pear / 1986 posts
@AmeliaBedilia: I had some bloodwork (twice) that showed elevated anticardioplipin antibodies (sometimes diagnosed as antiphospholipid syndrome). Apparently this can lead to early MC (I had chemicals during 2 of the last 3 FETs). So I think the treatment might be daily injections of heparin or Lovenox and baby aspirin to prevent blood clots (per one RE, but not another one) but we are going to the hematologist to get a better understanding/diagnosis/treatment - for my own health and for a potential pregnancy. It is unclear to me whether I really have an issue here or not.
Also, I think it is so weird how different REs think about low morphology… of the 3 REs we've seen, all have recommended IVF w/ ICSI because of DHs really low morphology (<2%, counts/motility are good). But I've definitely heard of other REs who don't think low morphology is even an issue if the other measures are good. Kind of crazy how there is all this science to get us pregnant, but they don't always agree on even the basics.
nectarine / 2192 posts
@NorthStar: AF came Thursday. This puts my trip from CD11-15. I o day 15 on my own prior to RE intervention, so I'm hoping that the synthroid and cabergoline don't make me ovulate early. We will BD CD10 and when I get back. RE said to do OPKs to know when to start prednisone. This will be challenging since my trip is crazy busy and will have to do them in public bathrooms. I have this fairytale dream of getting a BFP while doing a natural cycle, so I'm extra disappointed the timing is so bad. The plan is for my third IUI next cycle. Hoping for the best.
nectarine / 2192 posts
@GreenThumb: your history is similar to mine in terms of labs, except I've never been pregnant at all. RE tested NK cells which were very high at 34%. Normal is under 10%. The treatment he has me in is prednisone 20mg plus aspirin. I start after O, and wean off if not pregnant. He will probably do that most of the pregnancy (if it ever happens).
apricot / 344 posts
Question: Does anyone remember their Estradiol levels from their day 4/5 ultra sound/blood work? Also, what was your lining at this point? Just trying to get a feel for where my numbers are falling.
Thanks!!
grapefruit / 4045 posts
@dookie32: 10 embryos is a great number to be working with!
@AmeliaBedilia: Thanks, lady. I think ICSI is a no-brainer. What am I missing on this subject? Why would someone consider skipping it?
@GreenThumb: My husband had a small morphology issue, but the RE said no issue at all. Since they wash the sperm and pick out only the number of sperm needed to match the number of eggs, then surely our guys will have 10ish outstanding sperm to contribute amongst all their other oddly shaped sperm. I always think its crazy that there is so much science to get us close to being pregnant, but there is nothing science can do to get the embryo to implant and continue to grow.
@waiting4you: my cycle day 1 estrogen was 36. My cycle day 6 lining was 7. That's the closest numbers I could give you to what you requested! After cycle day 1, i was never given specific numbers for blood work. I actually didn't even get any calls regarind my blood work unless the doctor wanted me to change my medicine dosages.
apricot / 344 posts
@agold: thanks! My doc doesn't discuss, but it is posted on my patient portal flow sheet. (And I'm a total numbers person so this is probably bad that they do this!) saw that E2 was 12.3 at baseline and now at day 5, it's 1685. That seems really high from what I've read. But I only have about 9-10 follicles (5 more that are less than 7mm). Lining was good at 13. But this seems high for day 5. Next appointment is Sunday morning. Starting tomorrow they lowered gonal f from 150 to 112 and upped the menopur from 75 to 150 and added ganirelex. Starting to get nervous.
apricot / 344 posts
@GreenThumb: agree, the differences in thought are crazy! Like you discussed, my husband has low morphology at just under 2%, however because of the quantity the doc says that the morphology doesn't matter. We had conflicting info today too. RE says to ...how do I say this... "Clean the pipes" on Friday for a Tuesday ER. Yet the embryologist says Sunday. Who do you trust? Who's advice do you take?
grapefruit / 4045 posts
@waiting4you: I would have LOVED for my blood levels and numbers and whatnot to be posted online. That's amazing. Just try to trust that your doctor is looking at your numbers and he will know what is best for you to do. I thought that the menopur medicine was the worst of all of them, even including progesterone in oil. And the lupron needle was the worst needle ever, also still considering the PIO.
Also, do you get to talk directly to the embryologist? That is awesome too! But I would trust your RE over the embryologist. But assuming "clean the pipes" means "empty a load" (bahaha), my husband did it Sunday before the Wednesday ER.
And girls, I'm on modified bed rest today and going crazy on day 4! Sucks!
persimmon / 1132 posts
@agold: Did I miss that you were on bed rest after ET? Are you feeling ok? Sorry about that! No better way to go TWW-stir crazy than having to be on bed rest!
The little end of the Follistim juice is the overfill I was talking about. My nurse drew it up in an insulin syringe and I think there are about 1000 IUs in there. Unfortunately, I haven't used it yet because I'm not confident I'm reading the syringe scale correctly. The pen makes it so easy! I'm going to ask when I'm in tomorrow. It's over $300 of stim juice and I wanna use it!
ETA: I don't know if IUs and ml and cc are the same. I tried googling but it was inconclusive. Thus my confusion over reading the syringe! So I have 1000 somethings to use up!
@endymion4: Thanks for your explanation for how you used the overfill. I should've done it like that from the beginning... Also thanks for sharing about PGS. Best of luck to you!
@PurplePumps: Your photos are amazing! That's exactly how I would want my Greek holiday to look, plus lots of feta and dolmas and lamb chops! Hope O comes soon! How great (like "great" within the scheme of things) that you can have a u/s for less than a cafe latte! The coffee would be more enjoyable, but the u/s will get you some answers.
@jaguar: I'm sorry this has been so hard ... All of this waiting is such an ordeal. There doesn't seem anyway around not getting sad about IF. It just completely sucks. Sending giant hugs!
@NorthStar: I have a 2-hr drive to our RE, so we're in the same boat, but I do my monitoring and labs locally which helps so much. We also got a plan of sorts (not as great as your, more like a "bulk discount plan" with no guarantees or refund). Anyway, the local monitoring and labs were reduced from the price because I'll pay the local stuff directly... I'm hoping that difference is similar to the price I would've paid, if I'd gone directly to the RE. I wouldn't have been able to afford the time off for those drives!
@GreenThumb: Always great to get positive reports from the RE, huh?! I hope the further visits and SA give clear answers and direction. FX-ed for health specialists that actually agree with each other on what's best for your health and fertility!!
@AmeliaBedilia: I really hope you get your fairytale dream BFP au naturale, but if not, you have a fabulous plan mapped out for getting that LO!!!
@dookie32: Wonderful news about your PGD results. I'd say that's super promising that you only lost four in that process, when quality is the issue! Hooray! Yes, there must be some good, sticky ones in there! How long is the ramp up for FET? Once you have your consult, do you have everything you need to "go"?
persimmon / 1132 posts
@waiting4you: Wow, your E2 sounds high only because I thought it wasn't supposed to get over 1000 to avoid OHSS. But maybe I'm wrong or maybe you're in CAN or AUS and the units are different! Don't listen to me! My day 4 E2 was 79 and my day 6 was 273.5. I never got a lining number, but I'll ask tomorrow.
ETA: Okay, I thought 1000 was the danger zone for E2, but this website makes it sound like between 1000-4000 is normal range. I was way off! http://www.advancedfertility.com/ivfstim.htm
So great that you have a good number of follicles and are already preparing to do ER! As everyone has already said, it's about quality and 10-ish is an ideal number according to so many girls' REs. Those of us ladies with potential quality issues (like moi) do benefit from having more to choose from as attrition will be high. (I keep telling myself to expect to lose a lot, but I know I'll be disappointed when it happens.)
About ICSI, we definitely are doing it because severe MFI (very low everything) is the main reason we are doing IVF to begin with! Why are you tentative about it? After learning it was our only option (and clearly deciding that, yes, we are going to do it), I read about some super slight increases in birth defects and pregnancy risks. It worried me some, but it's clearly not an option to NOT do it in our case.
You asked about meds. I have been on 450 IU Follistim since stim day 1 and it's now day 7! I also do a "cocktail" of 10cc low-dose Hcg and 5cc Lupron, which I assume is to suppress O (like Ganirilex?? I don't know what that does.) So basically my meds haven't changed at all, except before day 1 they upped my stims from 300 to 450 just based on my baseline E2 and AFC (wrote about this earlier). The RE really parses out instructions and information, too, breadcrumb-like. I assume they do this to not overwhelm folks, but it is a challenge for me because I like info and knowing next steps! (A patient portal sounds great!) But for some reason, I have been mostly chill about needing to know what is happening when. It's so out of my hands and I trust them to drive the bus... It is such a short period of time, too. (Well, that's not exactly how I felt two weeks back with the worst-everything-of-my-life Lupron period, but I feel that way now. )
Tomorrow (stim day 7!) I'm supposed to bring the Pregnyl (trigger) in for the nurse to mix up so I suppose ER will happen around the corner here. Of course, no details as to when... only breadcrumbs! While I did have a good amount of follies, they were quite small two days ago. FX-ed for us both at our scans tomorrow!
By the way, how is DH supposed to know when to "clean the pipes" if ER timing is still a mystery? I'll have to ask!
pear / 1881 posts
@Amorini: I could have paid for the all in program that excluded monitoring, but then if this doesn't work, then that portion wouldn't be refunded. Plus, they only let the first few ultrasounds be done locally and want the rest in their office, so really, I wouldn't have saved much money. I'm just trying to get the first available ultrasound for each day at 7:30 and will be getting up at 4am those days! ick! I should be able to get to work by 10am, so I'll only miss a few hours (hopefully)...
persimmon / 1132 posts
@NorthStar: Oh, 7:30 appointments would make it almost doable! Here, no one starts appointments until 9 am, so no matter what I'm cutting into work time. If I had years and years at this workplace, I might be able to get by, but I just started 3 months ago!
pear / 1881 posts
@Amorini: oh wow! yeah, if that is how my RE did it, I would miss so much work! That, or I'd have to stay in town overnight a few nights and work from our office in that town. But, I don't want to do that to DH or DD.
apricot / 365 posts
@NorthStar: thanks for the podcast suggestion! will look into it soon!
@Jaguar--I know the wait is terrible! Every delay or setback we get into, I keep thinking, we're losing x amount of months or weeks. sending hugs!
@waiting4you--10 is a great number! and it could still boost between now and retrieval. You're right it only takes one. I know someone who only had 3 and her cycle was successful and someone who had 15 who is still trying, so don't read too much into the numbers. To be honest, I didn't want to know each ultrasound update, because I didn't want to get stressed about it and knowing wasn't going to change how they were growing! We also did ICSI.
Ganirelix was fine for me (menopur was the only really painful one). I used to ice for a few minutes before injecting.
And all i know about my levels was "looks good"
And they never told us anything about "cleaning the pipes"
@Dookie32--wow! 10!! And i am completely jealous that you get your results back in a day (ours took 2 weeks, 2 days before we heard back and those were PAINFUL weeks. I was so distracted I left a whole load of groceries in the car one day and had to throw most of it out :p. I don't know how i'm going to manage the TWW!)
@Ameliabedilia--I've don't know anyone personally who had none fertilized, but have seen a couple others on some other boards. I would guess they'd do ICSI for sure if they move forward with another cycle!
@AGold--how long are you on bed rest? I think my RE said 48 hours bed rest and then taking it easy (hah!) for the 2 week wait.
We were able to speak directly to the head embryologist at our clinic bc my karyotyping showed an inversion of one of my chromosomes. according to the genetic counselor it had no bearing on my miscarriages, but the embryologist felt strongly that it did, so who knows In hindsight, I wish I had D&Cs with them (I just went through them naturally) so we had more information, but I just had no idea we'd get to this place! He was also the one who called with out PGS results. I think he's very intrigued by our case to see what could be affecting our embryos!
@amorini--hope your scan goes well today!
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