Showing posts with label trigger. Show all posts

IVF #2 CD 12: T'was the night before retrieval

Hello everyone!

A lot has happened and, while I've been updating on IG, I haven't done the best of jobs updating on this cycle.   So, let me bring you all up to speed.  I posted on IG that my right side follicles were growing like champs, but my left was a bit more sluggish.  That didn't really concern me at first because it has always been a bit more sluggish.  But my right side started breaching 20 mm on Friday and by yesterday (Saturday CD 11), I actually had one trying to nudge 22.  The ultrasound technician actually spoke out loud that she wondered how much further "they would be willing to push it".  My nurse A. happened to be at the weekend monitoring location so after the ultrasound was complete, I went into a separate room with her to discuss trigger information.  I actually left skeptical because my left side still hadn't caught up.  There was one 19 mm on that side.  Everything else was 14-16.

Fast forward to yesterday evening while lounging with S. and the phone rings.  The nurse tells me that I was going to trigger that night at 8PM!  My retrieval has been scheduled for 8AM tomorrow and S. and I have to be there at 6AM.  Wow!  I was NOT expecting that.  I suppose I should have been though.

I am on the same protocol from cycle 1 and I triggered on CD 11 then.  So, I guess it really is history repeating itself.

Tonight, I have developed some sort of stomach bug.  I suspect it is from the burger I ate last night.  It came back immediately after I ate it (TMI).  Today, I was feeling a bit blah, but figured it was just my being tired.  I took a nap after church, had a bit to eat and my antibiotic for tomorrow, and then twenty minutes later I'm in the bathroom.

Ugh.  I am hoping it will run its course tonight.  I can't take anything after midnight and I am rapidly approaching midnight.

Here's praying tonight will calm my belly and that tomorrow will be okay.

Have a great evening.

-K


IVF #2, CD 6: New Cycle, New Symptoms, New Adjustments, and New Players

So, today is CD6, Stims Day 4. And apparently my body is just itching to overachieve. I went to my BW & US appointment this morning to see if any of my follies are starting to progress. The sonographer said she counted 13 on my right and 10 on my left! 


BUT...don’t get too excited. Only four of those thirteen are measurable right now. I have one 9.9 cm follicle on my left side. My right side, which loves to overachieve, currently has 11.5, 10.6, and 10.3. Looks like we’re trying to hit that 18mm mark sooner than later J. My lining measured at 5.3 and I’m all about making that as healthy and thick and beautiful as possible if it means providing a nurturing place for our baby(ies). I am all positive for this cycle.

If you have followed the blog for a while, then you know last cycle, my estrogen count on stims day 4 was 724. That was MUCH higher than they wanted it to be and they adjusted the amount of medication I took. Well, this time, I’m performing a bit better at 588, but still higher than the RE likes on stims day 4. So, I’ve been adjusted again.

Tonight, I will adjust my Gonal-F by 37.5 ius. I’m only taking 112.5 ius. The Menopur will remain the same dosage tonight BUT tomorrow a new friend joins the party….CETROTIDE!

(Okay, for all the nerdy people like me, I totally heard the ominous echo and had a vision of a Cetrotide transformer showing up. I love my imagination).

Anywho, I start one vial of Cetrotide tomorrow AM. Now, what is tremendously awesome is comparing my first cycle to this one and seeing the similarities. Like my last Stims Day 4, I am starting to develop a headache. I had a nasty one hit me almost immediately after taking my Gonal-F/Menopur cocktail last night. It went away but today, about 1400 (2pm), I started having one live behind my eye. It almost feels like a migraine but isn’t. Also, returning to the party, just like last time is the bloat. I guess the follies really are trying to grow. I certainly won’t complain!

Nurse A. just called and confirmed all of my meds and scheduling. I return to the office on Stims Day 6, IVF CD 8, and we’ll see what happens then. Here is today’s breakdown and I hope you find it helpful.

Stims Day 4
  • Gonal-F 112.50 ius
  • Menopur 75.00 ius
Stims Day 4 Symptoms/Side Effects
  • Headache behind right eye
  • Felt first “tugging” of ovaries. Never knew what my #ttcsisters were talking about until I felt it
  • Short stabby prick in right ovaries
  • Bloated
Stims Day 4 New Developments
  •  Estrogen count is 588
  •  Gonal-F reduced by 37.5 ius
  •  Cetrotide to be added 29 Nov AM
Next Appointment
  • Bloodwork and Ultrasound-IVF CD8, Stims Day 6

I will update you tomorrow!

-K

IVF #2 CD 4: IVF #2 has officially begun (Stims Day 2)



Hello everyone!  Happy belated Thanksgiving.  I should have written a couple of days ago, but it has been so busy in my household that it was next to impossible to do so.  I have my IVF #2 Baseline blood work and ultrasound on 22 November.  Everything was quiet and "beautiful" per the sonographer and I left with my new medication calendar and follow-up appointment scheduled.

While at the RE's office, I met a young woman who was just starting her IVF journey and she and I were sharing experiences as her husband has male factor infertility numbers similar to S.  The young woman seemed appreciative of the fact that I was willing to talk to her and it reminded me of our IG community.  It's nice to have people who understand and can relate to what we're walking through.  I told her she was more than welcome to talk to me about it in the future as well.

Fast forward past the 30+ people in our home and the controlled chaos of the Thanksgiving holiday (not to mention the gratitude of God) and yesterday found me at the start of ovary stimulation.  The first dosage was a bit tricky logistics wise because I had to excuse myself from all of our guests to take the dosage.  I also had a couple of changes from our first IVF cycle.

And so it begins...
Last cycle I was started on 225 iu of Gonal-F and 75 iu of Menopur.  I responded much quicker than expected and the RE ended up reducing my Gonal-F to lower my risk of OHSS.  (My estrogen numbers were high!). This cycle, I have been started on 150 iu of Gonal-F and 75 iu on Menopur.
I'm interested in seeing how my body will respond though I have to admit I have already felt ovary twinges and I'm familiar enough with them by now that I know it's not my mind playing tricks on me.

Here's my breakdown for the Stims Day 1:

Stims Day 1
  • Gonal-F    150 iu
  • Menopur     75 iu
Stims Day 1 Symptoms
  • Definite recognizable twinges in my ovaries, particularly right side
Stims Day 1 Developments
  • N/A
Next Appointment(s)
  • IVF CD6:  Bloodwork (Monday, 28 Nov 2016)

I'll see if I can post again tonight with an update on stims posting today.

IVF CD11: I'm triggering today!

Hi everyone.

I woke up this morning and made an early morning trek to the weekend monitoring location.  The sonographer told me that she was fairly certain I wouldn't be seeing her again. She said my follicles were beautiful, uterus looked perfect, and I looked ready to go.

Great news and I went on to church not even thinking about it any more.  I enjoyed a good service even though the church didn't have power after an area outage, came home and did some follow-up bible discussion with S.  Incidentally, it is such a wonderful thing to have a husband loves God as much as mine does.  We spent a few minutes discussing topical questions and scriptures from today's sermon.  My father-in-love is a reverend and taught his children the Word of God very well.  When I need help with interpretation or just want to discuss the Word, I know I can count on S.

Anyway, right after we'd finished the last conversation and had turned on the DVR for Sunday football, the phone rang and, per the ID, I knew it was our fertility center.  She told me my estrogen count is 4528.  My lining is 13 today.  I also have 13 measurable follicles with the largest being 22.4 mm.  I trigger tonight at 10:00pm.  I'm usually in the bed or going to be about that time, but trust and believe this is one appointment I will not miss :)

I'm fortunate that my trigger is subcutaneous, which means I can just slip it in the skin under my belly like my other shots.  I go to the doctor for blood work tomorrow at 7:45 a.m.  I take my zithromax with dinner tomorrow and then show up Tuesday at 8:30.  I am so excited and so nervous.

But I'm ready!  I'm also stopping on the way home for pineapple.  Got to get this core!

I will talk to you all soon.

-K


Stims Day 10

  • Lupron Trigger (To be taken at 10PM)

Stims Day 10 Symptoms
  • Crampy on the right ovary side
  • Sorest nipples in ages!  I haven't felt nipples this sore since I was pregnant with my first.  I don't know where they came from, but go away!
  • Not as frisky as yesterday, but my S. looks so handsome and amazing to me today.
  • Hot flash.  This is new.  Every one else in the house is comfortable.  I feel like I'm in a sauna.  What in the world?!

Stims Day 10 Developments

  • I get to trigger tonight!

Next Appointment(s)

  •  IVF CD12:  Bloodwork (Monday, 10 Oct)
  •  IVF CD13:  Retrieval (Tuesday, 11 Oct)

IVF CD8 and CD9: Tired and Trigger?


Bringing you up to speed..

Hi everyone.

I'm so very sorry for not posting yesterday.  All of the early morning blood draws and appointments finally caught up with me and I was exhausted.  That didn't mean I got to rest, quite the opposite actually since S. and I had company last night which put me to bed at 11PM.  Combine that with my alma mater's game on ESPNU and yep...I was done.

So let me bring you up to speed.  Yesterday's estrogen level was 2025.  I had 17 follies, up three from the 14 the day before.  There were a couple very close to the magic 18mm, but not quite.  My dosage was maintained at 150 ius of both Menopur and Gonal-F, and the Cetrotide this morning at 25 ius.  I had an interesting development yesterday when my left arm decided it wasn't going to play anymore.  I developed a small bruise and irritation from the bandage and the arm generally wasn't interested in producing blood.  However, it's sibling would not produce even the hint of a vein, so after some coaxing, the left arm remained my go to.

Stims Day 8
  • Gonal F- 150 iu
  • Menopur- 150 iu
  • Cetrotide- 25iu (1 vial)

Stims Day 8 Side Effects/Symptoms
  • Cramping in my abdomen
  • Moody (I cried at every article I read yesterday)
  • Bloating
  • Fatigue
  • Bruising on the arm and leg
  • Feeling "frisky"
Stims Day 8 New Developments
  • Estrogen levels have increased to 2025


Next Appointment
  • Blood work and Ultrasound-IVF CD9

This morning was CD 9.  I woke up early and made sure to take the Cetrotide.  It's much easier now that I have had a couple of days to get the hang of it.  No new side effects that I could tell.  I went to my appointment and was expecting a small growth, nothing major.  Boy was I shocked.

Not my ovaries.  Not my follicles.  Example via: Google Search
Several of my steadily growing follicles had decided overnight to touch the magic number of 18mm.  Two left ovary follicles and three right ovary follicles.  There are three other right side follicles that are at least 15.2.  This was the number the slower ones were yesterday, so I think these will grow as well.

When the sonographer saw my follicle numbers, she told me that she believed I would be possibly trigger tonight and that she wouldn't see me again.  That shocked me.  I was not expecting to hear that at all.

My awesome nurse A. met me in the patient room with a trigger instruction packet and just-in-case instructions.  She told me that the doctor would need to review my estrogen count today before determining whether I would trigger, but that if I did not trigger tonight, it would be a given that I would on tomorrow.

A few hours ago, I received my phone call.  No trigger tonight.  So, we are pretty sure that we're going to do so tomorrow.  I'll keep you updated.  We're getting close and man, I'm getting nervous!!

Stims Day 9
  • Gonal F- 187 iu
  • Menopur- 150 iu
  • Cetrotide- 25iu (1 vial)

Stims Day 9 Side Effects/Symptoms
  • On and off again cramping in my abdomen
  • Bloating
  • Fatigue (took a two hour nap today and would have lasted longer if not for duties)
  • Feeling "frisky"

Stims Day 9 New Developments
  • Trigger shot looming
  • A prescription will be ordered tomorrow for Progesterone in Oil (PIO)


Next Appointment
  • Tentatively IVF CD10