so went from my ultrasound, the 1.5 is now 1.6 and the 1.2 still the same
so I have to take gonal f this morning, then tomorrow morning take an LH stick, if negative take gonal f and go back on thursday and if positive call the clinic and IUI will be on thursday. I think it will be negative as its pretty early, so that means 2 more days of gonal f....I dont think the 2nd follicle is going to grow but hopefully the larger one will be a little larger.
so only 1 follicle but it could be a good one. Im not upset though as I had an amazing meeting with a nurse after....she was young and sooooo nice and listened to all my rambling questions....we were there an hour and got a $30 parking fine!! I told her its annoying to spend $668 in medications for only one follicle, and she was saying they always start off people slowly on the injectables just incase. She said I responded well to the Clomid so thats probably why I was on the lower dose and the first cycle is unfortunately a difficult one. but the good news is this is great prep for IVF as they will have a couple of months info to be able to be correct about IVF dosage first time.
dew I got the info you were asking about:
so my day 3 in june before medications were as follows:
Resting Follicle count: 11 one side, 7 the other for a total of 18 ( she said that was very good for my age)
FSH: 5 (they like under 10)
Estradiol: 150 (they like under 200)
she said I could go for my AMH but as these numbers are great theres no huge need, but I can order it and its $100.
I got to ask all my questions and she laughed at a lot of the things Ive read on the internet and said I should stop reading. She was so nice and I feel so excited about the next few months and really hope I can start IVF if this doesnt work. Dew I will try and write everything I talked about incase you find it interesting but its all a bit random so bear with me:
last night I decided to work out and went on the treadmill doing a fast walk for about 45 mins. towards the end i started to feel a little lightheaded, and when I got off I was dizzy....but in a way Ive never felt before. It felt like being really drunk. It was horrible and it continued even after I was lying in bed. Anyway the nurse said it was probably my hormones, blurry vision is a side effect but they are more concerned if it happens to someone when they are sitting and doing nothing rather than after exercise. She said it was probably too much and so I said Im not exercising anymore while on the gonal f, just some walks with the dogs. She said how often people come in having started a new exercise regime and she wonders why, and so I said well I did want to lose some weight for IVF as Im in the overweight category. She kinda looked me over and said believe me you have nothing to worry about, dont worry about you weight (I take that as a compliment that I dont look overweight as I carry it well on my 5'10 frame!!). anyway I felt some relief especially as hubby was there....he was saying the other day how I havent been exercising and I was annoyed as I have been feeling nauseous with the drugs and felt he didnt care.
so I asked her about the IVf thing....can I switch in november and she said only the doctor can say for sure, but I dont need anymore tests and its very likely. she said there was 3 options: birth control pill month before the IVF to 'silent' everything before stimulation, estrace before the IVF (same thing as BC pills but usually less harsh for my age, birth control can silent things too much she said) or no gap and straight to IVF. She said my doctor will say what she recommends and why, and to tell her if I really want to do an IUI the next cycle with no gap as she will take that into consideration. Im in 2 minds...some of me wants to skip next month and put the $1500 towards IVF. but I think a larger part of me wouldnt mind another month of the gonal f to see how I react (so more data for the IVF) plus its another chance towards not spending $12,000.
we talked a little about IVF and eggs, and I mentioned how Ive read of people having 20 eggs collected but only 1 ends up implanting and she said they had someone have 40 eggs and only 1 fertilized. She feels that when the body is concentrating on making so many eggs the quality may not be as good as when it produces say 10 eggs. she said they do day 3 and day 5 transfers, and they prefer day 5 transfers as the blastocysts are so much more stronger and more likely to succeed. I mentioned how Id read if you have a smaller amount of eggs then they often put back on day 3. but I would prefer waiting to day 5, as putting them back on day 3 they can easily fail, so why not keep them to day 5....sure you may lose more but wouldnt they have failed in the body already so you might as well wait and see what happens outside body. then if all fail you dont do the transfer, you might save some money and save the heartache of thinking your day 3 embryos might take. thats my thinking anyway.
She also said we can choose to have ICSI where they inject the sperm into the egg on the first day, or you can wait and see if they fertilize on their own first then do it. She said some people do 50/50 where half are injected. I think I would pay the extra $1500 and just have it done, as often eggs my age have a hard coating. Im so excited to do IVF as I feel I will finally be able to see how my egg quality is, and how they react to artificial fertilization, it will be so interesting. So thats why Im not too sad about my 1 follicle as Im focusing on this now!
They do the pgd testing but rarely, and dont tell the sex to someone unless theres a genetic reason (gave the example of a family where boys had disabilites due to a chromosome and so they needed to put back girls). You can pay to have it done for downs syndrome for example but its expensive and they dont encourage it. I also think that some of the embryos dont survive the testing even though they could have been fine without it. She mentioned that private clinics looking to profit from it usually suggest it.
she said hubbies count of 5 million and 50% motility was excellent under normal circumstances, let alone for 1 day abstainance (I tapped hubby on the back when she said this). I quizzed her about the BD'ing before my IUI and she said it doesnt really matter and wont make any difference as its basically for pleasure...not for TTCing! I was mentioning about the sperm being up there before and she was saying the shelf life of how long sperm lives is not that long and the IUI timing will be the most successful so it doesnt matter. I quizzed her some more about what if I surge earlier but she was saying the 36 hours after trigger is perfect and even if you ovulate the day before the IUI the egg will be there for 24 hours and the IUI sperm will still meet it. I also asked about back to back IUIs and she said its definitely not needed and I asked what if I wanted to do one the day after the trigger could I. She said they had a client who every cycle insisted on that and every cycle the doctor would tell her she is wasting her money and its not needed. They are so very confident about this! she was saying how a lot of private clinics have protocols that benefit them not the patient. She said believe me if it was proven to be effective we would do it, but it isnt. So basically you can choose to have a 2nd IUI but in their eyes its a waste of money and being a hospital they only suggest things they know work.
phew sorry its so long and Im amazed if you are still reading!!!
dew did your full flow come tomorrow and is your CD3 tomorrow?