Ive been so tottally swamped with work I come home and crash frome stress. BUT....
CONGRATS to the surge of BFPs. Its just what this thread needed!
Megg!!! So things are looking good right? I have done some reasearch on IVF only because I wanted to know more about your situation, but its been a month or more and I only read a few pages and Im not as hip on the specific lingo.
If you wouldnt mind do you think you could give me at least a brief ( or detailed
) "rundown" if you will of whats happened and going to happen in the hunt for your BFP? Wifey likes me to update her with happy news from here.
The best I could come up with on catching up on the last week is they are measureing your uterine lining? To see if it can support a baby this month kind of thing? See..Im just a bit lost, and you have helped us so much we want to be in the loop
Sure, hun! No problem! The run down...
Friday, I had an ultrasound to check both my lining and how many follicles I was growing, along with their sizes. They were particularly interested in my lining, because I had a D&C on Oct 25 to remove a lot of polyps and "bad" tissue. So, they needed to see it was coming in again enough to support a pregnancy, and it has (13mm)! The follicle count was to see how I was responding to the meds, and the follicle sizes were to see if I was ready to do my trigger shot. The blood work (checking E2/Estradiol) was for the same purpose. They want to see follicles in the 18-22mm range to be considered "mature." And, they want to see E2 in the range of 1,000-4,000 at the time of egg retrieval.
Follicles grow at a rate of about 2-3mm per day. E2 doubles every 24-48 hours. On Friday, my follicle count was 15 follicles between 11-18mm. My E2 was 584. That wasn't good enough to be ready to go yet. So, I continued my stimulation meds on Friday and Saturday night. On Sunday, my follicle count was 20 follicle between 14-22mm. My E2 was 1299. So, they decided I was ready to go.
Here's my ovary from the ultrasound:
https://i52.tinypic.com/2nu7i10.jpg
I took a shot of HCG about 24 hours ago. It will act as a faux LH surge, which will make the follicles finish maturing. Egg retrieval is in the morning at 9:45, which is within a few hours of when I would naturally ovulate from the trigger shot. So, my eggs will be as mature as possible without risking me ovulating on my own. Here come diagrams!
Egg collection is where they knock me out via IV drugs, and then they use a long needle attached to a transvaginal ultrasound transducer. They'll be able to see the follicles via the ultrasound, and the needle will be used to aspirate each follicle and pull out all the fluid and hopefully an egg. They won't know how many eggs they got until they're done and can examine the fluid.
Egg retrieval:
https://www.fertilityalternatives.com/images/eggretpic.jpg
Better image of how egg retrieval is done:
https://knol.google.com/k/-/-/3iydfls5dt36v/yvl052/oocyte-retrieval.jpg
Then, they take the eggs they get and find the mature ones (some won't be mature). There is some way for them to tell if they're mature or not. They will then do ICSI (intracytoplasmic sperm injection) with each egg and my husband's sperm. Its done like this!
How ICSI is done:
https://www.medicaltourismco.com/assisted-reproduction-fertility/pics/intracytoplasmic-sperm-injection.jpg
They'll call me Wednesday morning and let me know how many eggs fertilized. I'll lose some each day of the growth process probably, but the ones that are lost wouldn't have been viable anyway. If we get to Day 5 (blastocyst stage), then they'll do "assisted hatching" to make them even more likely to implant. Its where they make a small hole in the outer portion of the "shell" to make it easier for the blastocyst to hatch out and implant. I'll know if it worked about 11 days later.
This is what it looks like after assisted hatching:
https://www.hamiltonthorne.com/products/lasers/zilostk/images/after-treatment-smaller&arrow.jpg
And, this is the stages of what happens from retrieval to Day 5:
https://www.geneticsandsociety.org/img/original/egg_retrieval_diagram.jpg
Feel free to ask questions. I'll answer if I know the answers!
PS...In my defense I still think Im doing pretty good trying to keep up for a guy.
You're doing amazing... for a guy or a girl!
Thank you for being interested!