Ready to trigger

My dears, I didn't have a second today to update the blog. Did you notice the new look? I thought I needed a change so after various attempts at changing things I'm happy with the result!

Anyway, I had my final scan today, I think they counted over 14 follicles above 14mm and 4 around 10mm. Lining looks good at 10.4 mm which I think it's the best I ever got. Now, they took blood also for E2 with the agreement that if I didn't hear anything I would have triggered with 10000 Units of Pregnyl, otherwise they would phone me.

And sure enough...

E2 is quite high, around 10000 (thankfully I lowered the Puregon!) so I'm to trigger with only 5000 U of Pregnyl this evening at 9.30.
ER is on wednesday at 9.00. I better be the first one!! And hopefully the moron won't be there to take pics of us!! They hope in this way I won't hyperstimulate as I'm borderline for OHSS with these values and number of follicles.

So strange how I responded much more to a lower dose this time around. Ah well, we just take it one day at a time and see how it goes.

Day 8 scan and a bonus intralipid! UPDATE

Yesterday it kind of came to my mind that this cycle there was no mention of the intralipid infusion. I decided to call the clinic because according to my schedule if it's going to happen it should be on day 8! And sure enough...I was told that yes I had to have it done, millions apologies for the oversight and please come in early so that I can get out in time for my first lecture.

The great thing is that now the intralipid it's done at the clinic. You may remember my ordeal with the intralipid at the prvious cycle, so I definitely was not looking forward to it.

This morning I went in prepared with patches everywhere with the anesthetic gel, but first things first.

The scan was very good, confirmed 14 follicles, 8 on the left and 6 on the right between 17 and 10, we hope that the smallest ones will pick up. My E2 on day 6 was very good, in fact better than the last time at 2,560 and my lining is now at 8.5 mm which is also a little better than the last time. I am pleased with the fact that this time, on the same dose of Puregon (150U per day) I'm actually doing better number-wise. Again, as of today things should go ahead as scheduled with ER next wednesday.

I was then brought down to the theatre for the intralipid. My Favourite Doctor came down to put the cannula in. I warned her that I'm not a great veins holder, but she took a look at my harm, she asked the nurse for a smaller needle (they do exist!!) and I felt absolutely nothing. She was in within seconds, took the blood for the E2 check and there I was with the drip going.

What a dream. Honestly. I am so grateful i can do it there, a part from the fact that it's two minutes from home, they actually know what they are doing!

I have to go ahead with the injections as I've done so far, same dose. I have already stopped the aspirin and hopefully I'll trigger on Monday!! Woohooo! I'm very happy.

On a sad note, I overheard one of the doctors talking to one of the embryologists saying something like "The patient from yesterday, the one who only had two eggs and none fertilised, must be called by a doctor not the lab..." Gosh...whoever she is...I am thinking of her.

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Update:

Ullallahh I got a call from the Favourite Doctor, I have to reduce the Puregon from 150U to 100U as my E2 is increasing steadily and has reached 5000! She said it's perfectly safe but they don't want me to hyperstymulate. She said she can practically confirmed that ER will be on wednesday. On monday they will recheck E2, but I should be on the safe side of the upper limit. Let's hope so, as I don't want to trigger with decapeptyl!!

Day six scan

Wow, I'm already on day six! I've been so busy with work that I didn't post much at all in the last couple of days, but I'll catch up today for sure.

I love you my friends, thanks for stopping by, your support is worth gold at this stage.

So this morning I went in for my second scan. Things look good I'm told. I've about 6-7 follicles per ovary varying in size from 14mm to 8mm. They are checking my E2 also, but if I don't hear anything I'll be staying on my current Puregon dose of 150uL and I have started the antagonist today too. So whatever I have done with that injection on day 2 didn't matter too much! Thank you for reassuring me nonetheless! Next appointment is for Friday, the nurse said I am on schedule and ER should be on the 3rd of February. Lining also look good at 7.2 mm and already trilaminar! Go lining go!

Also I reminded her about the possibility of doing the transfer with a smaller volume (I have read that ectopic pregnancies with IVF could correlate with the volume of medium used to transfer the embryos). Well, I got a call from the chief embryologist, lovely Scottish guy, always very helpful and understanding. He said he was going to make sure no more than the minimum volume was going to be used for my transfer. Let's get there first!

Overall I feel well, a bit tired, but that's normal, I'm really working hard these days. I'm going to yoga again this evening and I can't wait! Meditation should start soon too!!

Final scan, checked!

Day 11 scan was today and it also went well! Follicles are basically ready to be retrieved!! I have 6 nice follicles on the right (3x20mm-3x16 mm, plus 2 more around 14mm) and 5 good ones on the left (3x18 mm, 1x17mm, 1x16 mm, plus 2 small around 12mm). So I got the goahead for ER on thursday!! My E2 levels on friday were at 2020 so nice and easy, they are giving me a call this afternoon after they get today's E2 to decide if I'll be doing Pure.gon tonight or not. So the plan now is to have the last Orgal.utran tomorrow morning, the last Clex.ane tonight, possibly Pure.gon tonight and trigger with 10,000 units of Pregn.yl TADAAAAHH tomorrow night at 10pm European time! ER will be at 9.30 am on thusday morning.

I am excited...and I have to be calm!! Booking in with my reiki/acu/massage girl for wed night just for the little extra help!

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Update

the clinic called, E2 up nicely to 5642! so only 100U Pure.gon tonight and I'm good to go!! Thanks for your support girls, hopefully this will work for us!

Go follies go!!

Day 6 scan today and although I was quite nervous (too many?? to few??) it was just right. I have 6 follicles on the right side and 6/7 on the left. They are all nice sizes between 10mm and 7mm. So I am responding well, like the last time but a bit more controlled. Last time on the same day I had a few more follies and a little bit bigger, I was on a higher dose of Pur.egon too.
Good news on the lining front too. Already trilaminar pattern and increased to 5.3mm. The nurse was very happy and so was I!

She took my blood for E2 check but she doesn't expect any surprise and I have been given the green light to start my Orgalu.tran tomorrow (unless of course blood says otherwise). I'll be back on friday (Day 8).

I had a very nice chat with this nurse, I was quite puzzled by the fact that the doctor had suggested intralipid infusion just as a precaution given my ANA borderline and the nurse last week said I didn't need it. Well, it turns out I will get the infusion and it has to happen this friday!! Just as well I asked for clarifications.

I am also happy to report that my enthusiasm is back on track, all going according to plan I'm only a week away from EC!

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Update

the clinic called!! Would you believe it, I lost three years when I saw the caller ID on the screen....they never call if things are going well (and I complained about it after my failed FET the last time). Well, it was just to say my E2 level were great (1269 so very safe and just go on as planned) and that yes the doctor confirmed I should have the intralipid infusion done on friday!