Dreamed that we had a baby. I think we adopted. I was in love- sweetest cuddles. But I had to go back to work. Time passes and I realize I've forgotten to feed the baby. The whole dream is basically me forgetting about the baby over and over for long periods of time and remembering that it needs to be fed.
Wake up without alarm at 7:30. Worried about scan because estrogen levels are so high. Last cycle mimicked this same trend- estrogen levels shot up early so they decreased the medicine, but then estrogen plateaued which was probably bad for the eggs. This time they maintained the same dose of meds: 300 units Follistim and 300 units Menopur. Anyway- it leaves me worried. Hubby asks if I’m cranky as I leave the house. That question makes me cranky.
Drive to clinic. Drink water.
Arrive at exactly 8am. Door is open. Good job NCCRM.
Done with blood draw at 8:05. Sit in waiting room for the IVF nurse to show up to do the scan.
8:19 called in by IVF Nurse. Was told to empty my bladder- they've never asked me to do that before.
8:23 no pants!
8:26 Nurse comes in. I ask about the estrogen levels being so high- she says she isn't worried because that is what Lupron is supposed to do. Feeling a bit better.
Lining is a 7.7mm ??? What in the world? On estrogen and viagra at trigger I never made it past a 7mm! This looking good!
Right side first- I can see the follicles look even- no leader like there usually is.
Left side next- they look bigger, but still even.
Overall- there is a much tighter cohort than the last cycle. Last cycle my left ovary was the "slowvary" but it seems to be a champ this time around. It's interesting to me that there are the same number of follicles on the right and left from two different cycles. I'd have thought there would be some variation in stimulated follicles.
I'm cautiously optimistic. I ask the nurse what she thinks- she literally says- "I think it looks great". I'm trying not to get my hopes up. I text hubby and parents the good news: even growth.
On my way home at 8:39.
I'm too tired to be too excited just yet. We go for a walk to get coffee and I give in to happiness. It was going to be a good day.
1:21pm the nurse calls about the blood work. Estrogen comes in at a measly 1352, only 140 pg/mL increase. They like to see around a 300 step increase. Good thing they didn't decrease my dose last night. They're upping it to 400 units Follistim and 300 units Menopur. They're also adding in the antagonist- Ganirelix, which also tends to slow follicle growth and stifle estrogen increases. They have add the antagonist because there are follicles close to 13 mm that might ovulate before we get to the day they would retrieve them.
I cook most of the day to distract myself but I am pretty sad about the estrogen levels.
Evening shots are a disaster. The Ganirelix pre-filled syringe package traps the syringe and in trying to free it, it comes out of the packaging without it's cap on- Did it hit the packaging on the way out? Did it dull the needle? Who cares. Hubby goes to inject it and it was just bouncing off my skin every time like I was made of steel. I have hated doing Ganirelix in the past because I believe their needles arent as sharp as other needles. They also drag a bit going in- like they're rougher all the way up the shaft. We think about trying another syringe but cringe at the cost of wasting an entire needle. I tell him to just go for it a lot of force. It finally goes in.
We still have to inject stims but it goes smoothly.
I start to calculate how much medicine I have left in the current when I realize I didn't inject the right dose! I was on auto pilot and just wound up 300 units on the follistim pen as I did for the past 4 nights. I had to give myself another shot of 100 units. What a mess. Thinking I need to start a running tally of total needle pricks/IVF cycle.
Blood work again tomorrow morning. They're hoping to get the dose right.