Wednesday, April 30, 2008
Tuesday, April 29, 2008
Everything went really well today. I signed a bunch of paperwork, basically signed my life away. They gave me an IV and then wheeled me into the operating room. Don't remember anything after that. I woke up feeling fine, but my upper thigh was killing me, felt like someone sucker punched me. The nurse took a look and found an injection site and said that must of been where they gave me a shot of demarol while I was out. About 10 mins later, I felt crampy and was having a few sharp pains. The nurse gave me a pain killer, so I'm feeling fine so far, with an occasional sharp pain. We'll see how I feel when all the pain meds wear off. Overall it was a piece of cake and everyone was extremely nice.
The embryologist came in and said the retrieval lasted 20 mins and they retrieved 10 eggs. Hubby was guessing 20 and I was guessing 15, so lower than expected but still very happy. They said they were only expecting 7-8 and were very happy with 10. I'm baffled as to why my estradiol was so high with only 10 eggs.
Kerry's semen analysis was 40 mil total with 3% motility, they said they had about 1 mil motile to work with. Hopefully they can find 10 good sperm out of that. Kerry wanted to make sure I report to all of you that he's doing well too and survived his "procedure"! LOL
They ICSI'd the eggs today. That stands for intra-cytoplasma sperm injection. Tomorrow I'll receive a fertilization report to let me know how many successfully fertilzed. I'm on pins and needles till tomorrow!
Tonight is my first progesterone injection! I'll let you know how it goes. I'm more nervous about that than the retrieval.
Here are the targets that the clinic drew on my booty.
So my clinic tells us to watch the progesterone injection video on their website to review how to give it. We watch it and as soon as they dart the needle in, I yell "Oh God!" and about fall off the bed. Advice for you future IVFers, just have your hubby watch the video, you don't want to see it. I numbed with Lidocaine for 2 hrs and iced for 15 mins. I lean over the bed, hubby touches the area and I flip out, jump up and tell him to get the needle away from me. My face starts heating up and I'm in total panic mode. Now hubby is terrified because he doesn't want to hurt me. I lay on the bed and he practices hitting the area with the needle cap still on. Then I bury my face and tell him to just get it over with. Next thing I know, his hand leaves the area and I look at him having no clue if he still needs to give the injection or is done. He was done, and I didn't feel a thing! All that panic for nothing! Now I just need my heart to stop racing.
On another note, the pain meds wore off a couple of hours ago and I'm feeling quite achy and walking around like an old lady. I'm like one level away from taking that pain pill, but I'm not much of a pill popper, so I'm going to try and tough it out. But if you saw my dining room table, you would think I have a major drug problem. Hey, weren't we just saying that maybe if we chew bcps and shoot up, we'd get pregnant? I wonder if this counts?
Monday, April 28, 2008
The dreaded progesterone shot starts tomorrow night.
Sunday, April 27, 2008
I'm still feeling achy in my ovary area, but it's really not too bad. I am very bloated and look 3 months pg.
Saturday, April 26, 2008
E2: 4245 (Yikes!!! This is only 20 hrs and 1 reduced FSH injection later!)
Lining: 11.6mm (Great!)
Right Ovary: 10.3, 12.5, 13.4, 13.9, 16.2, 16.7, 3<10mm
Left Ovary: 14.2, 15.7, 16.1, 16.2, 16.2
Developing Follicles: 11
The plan is:
Saturday evening/Sunday morning: Take my reduced dosage injections.
Sunday 10p: Trigger with one Ovidrel injection.
Monday: E2 blood draw.
Tuesday 9a: EGG RETRIEVAL!!!! with Dr. Hill (the founder of the clinic)
Today is the first day I've really felt my ovaries hurt. They are getting achy and I'm really needing to slow down. I'm enjoying every minute of it, it's just me and my 11 potential children.
I've never been so excited about surgery, lol... come on, put me out already!
Friday, April 25, 2008
E2: 3428 (Yikes!!! Really high!)
Right Ovary: 11, 11.5, 11.5, 12.5, 13.5, 14, 14
Left Ovary: 12, 12, 12.5, 16.5, 3<10mm
Developing Follicles: 11 (Wahoo!!!)
They decided to lower my FSH dosage this time from 600iu to 300iu. I think they are a little nervous about my E2 level. I have another monitoring visit tomorrow morning @ 8am. From there they will decide when to trigger me. Oh my gosh, oh my gosh!!!
Wednesday, April 23, 2008
Here are my results:
E2 (estradiol): 1640 (pretty high)
Lining: 9.3mm Trilayer (they want > 8)
Right Ovary: 8x11, 8x11, 10x12, 5 less than 10mm
Tuesday, April 22, 2008
Last night after my last injection, I started feeling nauseous and like I was going to pass out. I had to lay down on the dining room floor immediately. It passed after 5 mins. Other than that along with some bloating, I really feel quite normal. I really thought I would be a hormonal mess with all these hormones, but I feel normal. Not sure if that is a good sign or not, I hope so.
Tomorrow is the big day, or shall I say one of them. First monitoring visit! I'm terrified of getting cancelled as I would have done all these shots for nothing and would be out $3000. But that's not going to happen, it's going to be good news!
Saturday, April 19, 2008
This is one dose worth for a total of 300iu.
Friday, April 18, 2008
This morning, I put the wimp cream on my upper arm and Kerry injected for me an hour later. The needle was fine, but again, the stinging was so bad!!! I didn't think I would be feeling this through the lidocaine. I feel like the lidocaine only numbs the surface. I had blood running down my arm with this one.
So much for this getting easier! I'm so NOT brave! I just keep telling myself, it will all be worth it in the end!
Thursday, April 17, 2008
Today I start 20 units of microdose lupron 2x/day. Nicknamed "menopause in a bottle". It literally shuts you down and puts you in menopause so they can take complete control of your reproductive hormone system. It also keeps you from ovulating when they start stimulating you.
Would you like to see my first injection??? Here ya go! I had no prep or practice time as my meds had just arrived and I needed to get it injected asap, so you'll see that I take a minute to figure things out. I cheated and used numbing ointment, or wimp cream as my husband says. Tonight's injection will be without so I can prove to hubby that I'm not a wimp. Judging by my technique, I'm quite confident that my calling was NOT a nurse.
Tuesday, April 15, 2008
Next was the intra-vaginal u/s. My uterine lining was 5.8, a little more than they wanted, but ok considering I haven't started my period yet. I had a 12mm cyst on my right ovary, which could delay/cancel me, but I had to wait for the IVF nurse to discuss it with me. Next was the history and physical, passed that with flying colors. We discussed the cyst and she said it most likely won't be a problem, but we'll have to wait for the estradiol level to know how to proceed. It needs to be below 50 to be suppressed. Anything above that and I probably have a functioning cyst that will cause problems and will cancel me.
Next was the trial embryo transfer where they thread a catheter through your cervix and to the top of your uterus. It wasn't too bad, but I did say ouch a few times, it was a crampy feeling. She measured the depth at 6.5 cm. I'm relieved it's over and then she goes, I always check this twice, so in it goes again, ugh. It was way more scary than painful. This trial is to make sure there will be no problems during the real deal and to know how deep to go.
The lab director came in and showed us some really cool photos of eggs and explained the entire egg/sperm/embryo process. At my age, they will transfer 3 embryos if I have to do a day 3 transfer and 2 if I make it to a day 5 transfer, which is the goal.
The IVF nurse came back in and taught me how to prepare the meds for injection. They set me up with a voice mailbox and told me to go home and check it later for my estradiol level and how to proceed.
So I left having no clue if I was going to start, be delayed or be cancelled. I start reading about cysts on the internet, big mistake! This had me panicking with things like, you have 50% more chance of failure with IVF if you go into it with a cyst. The cyst can really take control and mess up everything the meds are trying to do. I start preparing my mind to be cancelled and convince myself it's for the best because if I'm going to be cancelled, now is the time, not after I'm way into it.
I finally get my voice message and my estradiol is 23!!! The IVF nurse talked to Dr. Hill (the founder of the clinic) and he doesn't think the cyst will be a problem since my estradiol is low. Errr, time to switch gears, OMG, I'm still on. I call to discuss my fears and she said that there is a chance that the cyst could cause problems, but there's a bigger probability that it won't. So I'm going for it and I can't help but be terrified that it will become a road block for me. I feel like I'm already starting with something against me.
Next was time to order the meds asap because my first injection is Thur morning, OMG! Let the emotional roller coaster begin!
Monday, April 14, 2008
A little bit about suppression for those who are unfamiliar with this process. Every cycle, our ovaries recruit so many follicles and one will become dominant and suppress all others so that you release only one egg at each ovulation. With IVF, they want multiple eggs to be able to give you a better chance of success. Therefore, allowing a dominant follicle to start is a bad thing as it will not allow any other follicles to mature. The other thing is that you want all of your eggs to mature at the same time and rate. This is where bcp and lupron come in. The bcp quiets your ovaries, prevents a dominant follicle and hopefully gets rid of any cysts. The lupron continues this process and also prevents ovulation before egg retrieval.
People with high FSH are at risk of being over-suppressed, meaning the stimulation drugs won't be able to kick the ovaries back into high gear. Originally they were putting me on 3 weeks of bcp, and I suggested 2 for fear of being over-suppressed. I hope that was the right decision for me. We'll see!
Today is my annual pap, so I'll be getting lots of speculum action today and tomorrow, oh yippee!
Stay tuned, I'll post my suppression check results tomorrow.
Friday, April 4, 2008
Well on the bright side, I was told it would be around $20k, and so far I'm thinking more like $14k! Funny how I started thinking, wow, we're getting a deal!
Tuesday, April 1, 2008