1. Double lumen needle (sheers eggs off the follicle walls that might not have been removed in the first wash of the follicle).
2. Stims (menopur and follistim) given in the morning and evening I think leads to more even egg growth.
3. I'd been on DHEA and CoQ10 for over 6 months.
4. Started swimming regularly in addition to my normal exercise routine (I think it reduced my stress levels and increased blood flow to the uterus).
Below is a graph comparing my 4 egg retrievals from 3 different clinics.
Below is the history of my lining to date.
Not only has my lining been improving, but my AMH has been increasing (marginally) or at least not going down. My first antral follicle count showed 12 follicles (8 and 4 from the slow ovary). When I went to Dr. Levy at Shady Grove, he measured 19 follicles and was sure that my AMH would be over one. But it only came back a little bit higher than my test a half a year prior. Who knows whether it was the DHEA and the CoQ10 or just general improvements in lifestyle....
We transferred a euploid, grade AB embryo with assisted hatching. Honestly- I didn't think that it looked like what it should have looked like :( but the embryologist was really happy with it so we are going to trust her (Kristine thank you again for taking care of our embryo). I don't know why they didn't give us a number like 4AB or something... but.. Anyway- ours is the one on the left and the one on the right is what I thought it would look like- more defined cells, looking like tiles or something.
I'm worrying a lot. I can't help it. The whole 5 hour car ride home from Shady Grove to NC- every bump made me think it was ruining implantation. That night and the next day, I really just tried to take it easy and watch movies. I took a moderate walk today and am just lounging. I have 4 more days off to just take it easy.
I just wish I could know that it was working- that this little embryo is still growing- that it is implanting and doing well. I hate the not knowing. I hate worrying I'm doing something bad for the embryo- if the embryo didn't take in the first place. I guess it is because this is my 4th IVF, going on 4 years of trying- I am prone to think that it can't work for me. But I hope that this is the one that works for us, as I do every time- as all of us infertiles aways hope. Beta is scheduled for October 6th (13 days post 5 day transfer). I'm not usually a POAS person, but I'm thinking I will around 7dp5dt! (today is 2dp5dt).
Thinking of all us in the struggle- and hoping a good outcome for everyone.
I'll write more later about Shady Grove Fertility- but everyone was so skilled, meticulous, professional and smart. Thank you Dr. Levy, our nurse Jordan, financial counselor Reinette, our embryologist Kristine, our ultrasound nurse Sue and doc for the transfer Dr. Doyle, and everyone else. So much gratitude to the Shady Grove team.