Saturday, December 8, 2007

IVF #2/ Final Stim Check

These are the stats from my last stimulation monitoring: estrogen 3,905 and my follicle measurements were 2 at 23mm, 1 at 20mm, 1 at 19mm, 2 at 18mm, 2 at 17mm, 1 at 16mm and 1 at 14.4mm.

I am pretty amazed by these measurements. The "iffy" ones caught up. All except for one (14.5mm).

This is a comparison chart from IVF #1 to IVF#2:

IVF #1 IVF #2

stim day 4 - estrogen 80 stim day 4 - estrogen 154
follicles all <10mm follicles all <10mm

stim day 6 - estrogen 160 Stim day 6 - estrogen 362
follicles all <10mm follicles btwn 10-11mm (some <10mm)

stim day 8 - estrogen 452 Stim day 8 - estrogen >800
follicles btwn 10-13mm follicles btwn 10-12mm

stim day 10 - estrogen 950 Stim day 10 - estrogen 1222
follicles btwn 12-18mm follicles btwn 9-17mm

stim day 11 - estrogen 1150 Stim day 11 - estrogen 1830
follicles btwn 16-20mm follicles btwn 9-18mm

Trigger day - estrogen 1821 Trigger day - estrogen 3,905!!!
follicles btwn 16-21mm follicles btwn 14-23mm
trigger time 1:15am trigger time 2:45am

Egg Retrieval - 6 eggs retrieved TBA
4 mature
2 fertilized
3 day transfer of 2 embryos
Negative pregnancy test

Friday, December 7, 2007

IVF #2/Stim check 7

Here are my stats: estrogen at 1830. Follicles - 2 at 18.9mm, 1 at 17.9mm, 1 at 16.9mm, 1 at 15.7mm, 1 at 14.5mm, 3 at 13mm, 1 at 12mm, 1 at less than 10mm. Based on this, it looks like 5 at good, 1 is "iffy" and the rest are not likely viable. I have one more night of stim meds tonight and it looks like I will trigger tomorrow and have my egg retrieval Monday.

BECAUSE....I said that I wasn't feeling much of anything yesterday....today, I began to feel uncomfortable. It wasn't too bad...just a bloated, achiness, pressure. My doses are staying the same tonight...which is 6 vials of meds! I made the menopur more concentrated by putting two vials into one shot. However, that still leaves me with 5 shots.

My thighs are so sore and bruised. I don't like using my belly because I have concerns about the absorption due to the excess skin post gastric bypass. It isn't too bad but still notable.

I look forward to removing all of that after having a baby.

Thursday, December 6, 2007

IVF #2/ Stim check 3-6

Stim check 3 : my estrogen was greater than 800 and my follicles were measuring between 10-12mm. There were some still under 10. I am returning everyday now for monitoring. This where it kind of becomes a pain in the butt and you begin to want it over.

Stim check 4: Their computers were down and I was unable to get any information. The nurse called me with my dosing information which was decreased to menopur 112 and gonal f at 300 due to my estrogen level rising. There was concern because my estrogen level was rising quickly but my follicles weren't catching up.

Stim check 5: My estrogen level was at 1,222 today. These are my follicle measurements - 1 at 17mm, 1 at 16.8mm, 1 at 15.8mm, 1 at 15mm, 1 at 14mm....Then I have the "iffy" group - 3 at 12mm.....and the "probably won't make it group" - 1 at less than 10mm and 2 at 10mm.

My dosing was increased to 300 of menopur and 3o0 of gonal f. I started the ganirelix yesterday and will take it every night until I trigger.

I was told that I will have one or two more days of stimulation (counting today)...then trigger day. So, it looks like these eggs are coming out Sunday or Monday. There is not a good chance that the 3 smaller follicles will be mature. The "iffy" group might have a chance at being mature. The first group is looking pretty good. This, again puts me at a lower egg count....so, I am feeling some disappointment set in. However, I do realize that it only takes one good one.

The clinic that I go to uses this as a rule for egg retrieval....3 follicles measuring 18mm and appropriate estrogen level (100-200 per follicle). Follicles grow one to two mm per day. Mature follicles measure between 16-22mm. They are using ICSI and assisted egg hatching this time. This will increase my chances at getting pregnant, giving me the most opportunities.

I must say...I am still not feeling much of anything. During the last IVF cycle....at this point I felt a lot of bloating and pressure. I feel more emotional but that could be the effects of two cycles back to back. My thighs are pretty sore and have several bruises. I prefer my thighs for these subcutaneous injections.

Sunday, December 2, 2007

IVF #2 / Stim check #2

My estrogen level is continuing to rise nicely. Today it was 362. I still had 11 visible follicles. Some were measuring at 10mm, one at 11mm and the rest still less than 10mm. I return for my next stim check on Tuesday (the day after tomorrow).

I am not really feeling much of anything besides cravings. I can't remember when exactly did I begin to feel pressure and uncomfortable last time. I know that the last 3 days weren't so comfortable.

Friday, November 30, 2007

IVF #2 - Stim check #1

My appointment went better than the last time. They saw 11 follicles. They were all under 10mm at this point. My estrogen level is 154. The nurse said that is exactly where it should be.
I am staying on the same doses of meds...Gonal F 300 and Menopur 150. I have my next stim check on Sunday. I am getting excited.

Sunday, November 25, 2007

IVF #2

I had my suppression check this past Saturday and everything looked good. My estrogen level was 52 and there were no cysts. I was cleared to go ahead and start my stimulation meds this coming Tuesday. They are starting me out at Gonal F 300 and Menopur 150. My first stim check will be this coming Friday. No lupron at all this time.

I am sure that I don't need to mention that I am really really hoping that this time it will work.

Thursday, November 15, 2007

Conclusion to IVF #1

Sorry that I wasn't able to update my blog in the end of the cycle. I was having computer issues and had to take it to place for work on it! $300 later it's up and running. If I added any more money...I could have had a new system!

I had my egg retrieval on a Wednesday 10/10/07. It wasn't bad at all! They started my IV, walked me into the "OR" type room. I sat at the end of the stretcher and that is all I remember about the procedure. My husband says that I was talking in spanish in recovery. That in itself is funny. I am bilingual but my primary language is English. I think in English, translate things in my head and then speak Spanish. My husband is 100% American and doesn't speak any Spanish. I also told them I had to hurry because I had soccer practice. Well, I played soccer in middle school for ONE year.

I did have some mild cramping later on but nothing to write home about. I had no spotting. I took off work the following day because of the emotions of it all. I felt like I needed to just sleep.
When they called me the following day with my update....that only 6 eggs were retrieved, only 4 were mature and only 2 fertilized. I was glad that I got that update at home. I tried to be happy but felt disappointed.

I had a 3 day transfer. They put back one 6 cell and one 7 cell embryo with no fragmentation. The fact that they weren't 8 cell also made me sad. I know....I know....I am a perfetionist. The doctor kept telling me that they were perfect embryos for day 3.

After that...I began taking home pregnancy test on day 6 after my transfer. My thought was....I want a negative one first....to make sure that the trigger shot is in fact out of my system.....so, if I get a subsequent positive....I know that it is really a positive. Unfortunately, my test continued to remain negative up until the day of the beta which was also negative.

I was pretty heartbroken. My husband and I decided to give it one more try. Our insurance doesn't cover IVF because I had a selective tubal ligation. Therefore, it meant taking out another loan.

We met with our doctor and she changed things around for this time. She felt that I oversurppressed on the lupron and developed a cyst. Therefore, this time she will put me on the birthcontrol pills for the 3 weeks (as before) for suppression but she will not use Lupron. I will go in the day after I stop the birthcontrol pills for a "suppression check"....mostly to make sure that everything looks normal and that there are no cycsts. Then on day 4 after stopping the birthcontrol pills I will start stimulation meds. I will be adding Ganirelix to my meds when my follicles reach about 14-16mm which will prevent ovulation.

I am really hoping that this time I make more eggs, that some make it to day 5 and that I actually get pregnant. I am currently on week 2 of the birthcontrol pills. I am suppose to start stimulation meds on 11/27.