FET Monitoring: Part 2

And the news I’ve been waiting for…

My uterine lining is currently 8.4mm and my Estradiol is 814.

I always second guess my body, but turns out it’s right on schedule!

FET is officially scheduled for noon on Tuesday, January 27th.

Starting this Thursday, my routine will be:

Currently taking

  • Estrace – 4 mg 2x daily
  • Asprin  – 1 daily
  • Prenatal Vitamins & supplements

Add

  • Prometrium – 100 mg 2x daily
  • Progesterone in Oil – 1 ml intramuscularly daily meaning ASS SHOT
  • Doxycylcine – 100 mg 2x daily for 5 days

We fly out on Sunday night and return on Wednesday night.

My Beta is February 9th.

AHHHHHHHHHHHH! SHIT JUST GOT REAL! 

Now that I’ve got that out of my system, I’m off to do my fertility yoga. 🙂

Thanks for your support and kind words of encouragement. It’s seems almost surreal that our FET is almost here. ❤

Fertilization Report – Day 1

The embryologist called this morning. Out of our 29 retrieved eggs, 13 fertilized. 

Our protocol was half IVF, half ISCI. 

9 fertilized via ISCI

4 fertilized via regular IVF

There were a few immature eggs in the mix and 1 abnormal egg that she tossed aside. 

The embryologist mentioned that she thinks motility may have been an issue. She also said that they leave the regular IVF for another day to see if there are any late fertilizers. 

I was feeling really good this morning, but now I’m a bit sore especially when I pee or fart. TMI? Oh come on! There’s no TMI with fertility treatments. 

I’m seriously going to pick up a stool softener tomorrow as I’m backed up and I think that may be contributing to the soreness. Yes, yes, I know you all told me to do this beforehand. 

Today, I started a new medication regime to prepare for transfer: 

  • Estrace – 2 pills 2x day
  • Prometrium – 1 pill orally 2x day
  • 1 Progeterone in Oil (PIO) shot every morning until 9 weeks (my husband kindly reminded me 55 more shots to go!)

I’m still taking Doxycyline and Dostinex until they run out. 

We are aiming for a 5 day transfer.

Here’s hoping the rest of the weeks continues to go smoothly. 

Preparing for egg retrieval

All systems are a go: my egg retrieval is scheduled for this Sunday August 31 at 8:30 am. 

Today, Dr. H measured 23 follicles total between the range of 12.9-19.5 mm with the majority being in the 16-18mm range. Ouchie. My poor ovaries. 

Yesterday’s count was 31 follicles! I’m thinking he just didn’t count the smaller ones today or maybe a few dropped off. 

Dr. H gave me a small glimmer of hope that we may transfer, but it would depend on my embryo quality and if I’m showing an signs of OHSS.  I asked the nurse after he left the room what she thought and she said it’s highly unlikely. He wouldn’t want to risk it especially with us being from out of town. Sorry, I should clarify: the freeze-all cycle came from Dr. G, but Dr H runs the show at our clinic. Dr. H has not given me a definite yet as to whether or not if will be a freeze-all cycle. At this point, we understand that it’s highly likely to be a freeze-all. Wow how many times did I say freeze-all in that paragraph? Hope that made sense folks. 

We are still taking things one step at a time. We know that we won’t know for sure until mid-next week. 

In the past three days, my estrogen has gone from 5980 to 7670 to 9775. I wouldn’t say this has been much of a sleep-in vacation. We’ve been at the clinic for 7:30 am for two days in a row and will be again tomorrow for another blood draw. 

Tonight, I am triggering at 9:30 pm with 2 mg of Suprefact. The Suprefact is given instead of HCG to help prevent OHSS. I’m also starting Dostinex tonight which is also supposed to help prevent OHSS (Dani – is this what you had?). Tomorrow morning, I start the antibiotic Doxycycline twice a day.

In Canada, we aren’t completely out for our retrieval, just consciously sedated. Did any of you ladies bring an iPod or something in with you to listen to? My clinic said I could, but I had never really considered it. Thought it might make sense to listen to a meditation, but then again, I might want to listen to what’s going on. Insatiably curious, clearly. 🙂 

I’ve got Gatorade on the go and plenty for afterwards. 

Countdown is on… 

Any other tips to prepare for retrieval? 

Another curve ball on the journey to baby

As we all know too well, this fertility journey can be unpredictable. 

We had our 1st monitoring appointment at the clinic today. Turns out, I’m responding VERY well to the drugs. I expected the opposite since my AMH count showed I was low fertility and therefore considered as diminished ovarian reserve. I wish I had said more as I had a hunch I would stimulate better than they expected. 

My follicle count is 29 – 18 on the left, 11 on the right. 

The downside is my estrogen is WAY TOO HIGH and rapidly increasing. 

On CD1, I started out with an estradiol count of 183. 

On CD6 (Monday), my estradiol was 3703. 

On CD8 (today), my estradiol is 5980. 

This puts me at high risk of Ovarian Hyperstimulation Syndrome (OHSS). The clinic has advised that we do a freeze all cycle and return in 2 months for a FET. 

Sad face

This is my “I’m disappointed” face

Although this is disappointing, I know that my health and safety is not worth the risk of transferring (even with a CD8 lining of 9.6 mm). 

I’m still praying for a miracle (meaning rapidly declining estrogen levels). Since that’s highly unlikely, we are just hoping for a successful retrieval with a few high grade, beautiful embryos on ice awaiting our return. 

I’m going back tomorrow morning for another blood test and ultrasound. My RE thinks the retrieval will be Sunday. 

Right now, my biggest side effects are bloat, swollen ovaries and slow walking due to swollen ovaries. I’m still getting tired easily if I do too much. My husband is pretty adamant that I take care of myself (meaning I’m not getting many opportunities to go shopping. haha) I’m actually feeling really emotionally stable. This taking things one step at a time is really helping. 

As much as we received some unexpected news today, I am still grateful that we have a good chance at quite a few eggs. 

I’m also grateful for: 

  • Gluten-free chocolate cupcakes – a must-have after today’s news. MMMMMmmmmmm good
  • The dog park beside the ocean at the end of our street which my husband drives me to
  • Maxi dresses to hide the bloat
Maxi dresses and an ocean-side dog park = best things ever

Maxi dresses and an ocean-side dog park = best things ever

For those of you who have been through similar scenarios:

  • What do you recommend to prepare for retrieval?
  • Is there anything I can do now to decrease my chances of OHSS?
  • What other advice do you have about OHSS?