anyone over 35 going for fertility treatments this year? IUI, IVF etc

[sarahincanada]

daisy that is frustrating, I was hoping it would be easier this time but it seems thats too much to ask for . I know you wanted 8 mature for the study, if you only end up with 5 would you end up paying more or just not doing some of the services? I do hope the other one wakes up and if not well you could have 5 great eggs brewing so its still much better than last cycle. The 6 under 10, have their gotten a little bigger or do they not measure them when under 10. come on lil eggs, we need a growth spurt please

 

[DaisyQ]

Thanks Sarah. It is very frustrating. They don't measure the ones under 10, so I'm not sure how far behind they are, but they look very small in comparison to the ones at 11...

Also the doctor didn't say anything about my cysts so they seem to have shrunk. So two of the "follicles" may well be those two cysts, so says the doctor. Blah.

Guess only time will tell, as I continue to burn through my gonal f/follistim! Sheesh.

 

[drsquid]

went for my us today.. the biggest got bigger but not enormous and i have a ton of little ones. cause my e2 was only in the 800s yesterday it suggests a lot arent mature. if it is still going up today then we will keep stimming for a trigger monday and ER weds, if it flatlines then we will trigger for tuesday. kinda excited and bummed.. excited cause there is a chance for a bunch more eggs but bummed cause im worried that the big wwill go overripe without maturing the little ones,

 

[DaisyQ]

Honestly Squid, it sounds like it's going pretty well. It sounds like they might sacrifice the one big one to get the smaller ones.

 

[drsquid]

thanks guys.. my e2 jumped to 1400. doc dropped me to 150 gonal and go back for us monday. hopefully that means my little eggies are plumping up nicely. kinda annoyed for the delay but if it means more good eggs..

 

[hockey24]

1400 is fantastic! Can't wait to hear how Monday goes!

 

[DaisyQ]

Hi ladies... here is my update... Went to the doc this am, and I'm making progress but running into the same problem as last time. I have 2 follicles on the left at 16-17mm, then I have another at 14 mm, and a few (maybe 2?) others at 10-11. The right has FINALLY woken up, but is lagging far behind, with 2 at 11mm and 2 at 10mm. No one has said the "C" word (cancel), so I'm hopeful I will move ahead to ER, but I'm not super optimistic about how many mature eggs will be retrieved. Right now it sounds like maybe the three biggest ones. Which is suboptimal for sure. Going to ask my RN when she calls what the deal is, and I will be going back again tomorrow, and my own doctor will be there so hopefully we can discuss it a little then. The doctor today said that she thinks ER might be Thursday or Friday. So that's the deal... Not sure how to feel. Semi-excited to possibly make it to ER, but disappointed my follicles are all different sizes again, and concerned about going into ER with so few mature follicles. Really hoping the bigger ones slow down and the smaller ones catch up.

 

[sarahincanada]

so thats 9 at 10mm-17mm? I dont think thats toooooo bad of a difference in sizes....the 10 could go to 18, and 17 to 25 and still be ok?? Im not sure how long it takes to stim them to that size. I know its not ideal and you want a larger quantity but hopefully the ones you have are really good eggs. I hope you get to ER with this cycle, keeping everything crossed for you

 

[DaisyQ]

Thanks Sarah. Yeah, it sounds like 9 between 10 and 17 right now. But it sounds like I might be triggering tomorrow or Wednesday, so I'm really not sure how much the little ones might grow between now and then. I guess we'll just have to see, eh?

 

[sarahincanada]

hopefully you can ask them tomorrow, perhaps they are more interested in the larger ones. I cant really remember how much they would grow per day ...2mm per day??? its possible they become mature as your ER might not be till thursday or friday. try and remain positive, it is better than last cycle and who knows if theres a couple hiding somewhere. come on lil eggs!!

 

[hockey24]

Daisy - Fx'd for you that you are pleasantly surprised at ER with good quality eggs and more than you expect! Remember, it only takes 1 good one!!

What is your estrogen number today?

 

[DaisyQ]

Thanks Hockey - not sure yet, waiting for the call from my nurse. Will post once I hear...

 

[Flipperty]

I am starting this month and I have NO idea what to expect...... I'm anxious nervous confused excited... oh and worried about the expense of it all!

 

[DaisyQ]

WELCOME Flipperty!

Hockey, my E2 is 509. !!! ??? WTF? It's sooo low. This is after 9 days of stimming. ?

 

[drsquid]

Daisy- finger crossed for you.

Went today for us. The little ones grew and the big ones aren't enormous so we are good. Waitin to hear about trigger dose and what time I go on Weds. Of course doc had to ruin it by saying .... We don't know what the quality will be. Grr good thing I like you stupid doc and know you talk without thinking but.. He needs to work on this negative thing. Also waiting to hear from my lawyer apparbetly we got assigned a court room now I just gotta find out when I need to show up. I'm in a bit of limbo right now. Have to update him that I won't be there weds and might be iffy Thursday.

 

[sarahincanada]

my E2 is 509. !!! ??? WTF? It's sooo low. This is after 9 days of stimming. ?

what did they say about it? is it supposed to be a different level?
I wasnt told my E2 level during IVF, I remember with my IUI they said it was fine when I had 4 follicles and it was in the thousands I thought.

 

[DaisyQ]

From what I've read, most people trigger based both on E2 level and follicle size, but usually by trigger it's over 1000 at least. The don't want it going much above 3000 because then you are at risk for OHSS, but it seems that E2 of 1000-3000 is pretty normal. I think the reason mine is so low is because I have so few follicles growing.

 

[sarahincanada]

I had a bit of a google and found this

A Rough Rule-of-Thumb for Good Estradiol Levels.
Exact figures are not possible. As a rough guide, however, a level in the range of 150 to 500 pg/ml is generally considered reasonable for the eighth day of a stimulated cycle. An approximate doubling of this level every 48 hours is considered promising, as a sign of continued good follicle development.

https://forums.fertilitycommunity.com/vitro-fertilization-ivf/264820-e2-levels.html

so perhaps its not too low. if its a measure of how many mature eggs you have then its about right as you have 2-3 right now, perhaps if the other grow it will raise.

 

[DaisyQ]

Thanks Sara. I've been googling away all afternoon, and came upon that a little while ago. I'm on day 12 of my cycle and day 10 of stims, so 509 is pretty low at this stage of the game. I'm sure it's related to my 3 nearing maturity follies. Hopefully the other 4 at 11mm will have a growth spurt. I'm also concerned because the level didn't double from Saturday - it was 290 then, so it should be about 600 now. Time will tell.

 

[hockey24]

my E2 is 509. !!! ??? WTF? It's sooo low. This is after 9 days of stimming. ?

what did they say about it? is it supposed to be a different level?
I wasnt told my E2 level during IVF, I remember with my IUI they said it was fine when I had 4 follicles and it was in the thousands I thought.

I was at 800 when I was getting ready to trigger and I know they told me they like it to be above 1000. At 800, I got 5 mature eggs and they all fertilized fine.

So I'm guessing at 509, you are probably at 3 mature eggs? Which makes sense based off of your follicles. Maybe 1 more can sneak in there before retrieval at the end of the week?