Thursday, September 29, 2011

Egg retrieval for cycle #2

Today was my egg retrieval at Shady Grove for my second IVF. I was so eager to get in and get it over with :)  i woke up at 2:15 and was able to sneak in a granola bar before the cut off for eating (3:00am). i was feeling a little full but really not as full as last time  or nearly as uncomfortable. not a lot of twinges or pain or anything :)

i drove us to rockville because i hate traffic and like being "in charge" when we have to get somewhere by a certain time. we had an 8:30 arrival time, so left at 6:00 just in case we had another bay bridge snafu. luckily we had no major issues at all. the beltway was slow, though, so we got there at 8:10!!!

they took us right back when we got there and it was the same routine: change into gown and hair net, sign consents, meet the anesthesiologist, go over his consents. then my doctor for the retrieval came back-- a new doctor-- Dr. Esposito from Frederick. she was really nice! then Steve the anesthesiologist came back to get me set up. he is a psu fan (i learned about that from the SG facebook page) so we were talking psu football during the whole IV set up. I really don't mind the needles all that much at all and i actually like having fluids put in me, for some reason it's oddly relieving :)

matt goes and does his thing, i continue to wait & read a magazine, then it's go time! steve walks me back to the OR and i meet my nurses, get set up on the table, thank them for taking care of me and then steve says "we are" i say "penn state", he puts the nose mask on me and i am OUT. then i wake up in recovery, the nurse tells me i had 11 eggs, and next thing i know mattie is in the room with me! i was really woozy this time afterwards; i just wanted to sleep! my nurse told me that when i woke up i was telling steve what an awesome job he did, but i don't remember any of that!

we were home by 1:15 and i was in bed by 1:19. had a nice nap in the afternoon and now i am typing my blog for the day! luckily i have had very little pain all afternoon! hoping for a great fertilization report in the morning!!!

Tuesday, September 27, 2011

Trigger happy

Today I went in for monitoring: I trigger tonight at 10:00! So excited!!!

Sunday, September 25, 2011

GBMC office & Day 8 monitoring!

this morning mom and i drove down to GBMC in Towson. I was super excited to be able to have mom with me for my appointment! Sometimes i see women go in with their mothers for appointments and I am always jealous :) I want my mommy, too!

we were at my mom's house for my high school reunion this weekend, so we knew we'd have to make a plan for the monitoring appointments. at first i planned on going to rockville but mom thought that GBMC would be much closer, which it was. and what a beautiful campus GBMC is! it is absolutely beautiful! you turn off of Charles St into the entrance and you are in a wooded wonderland-- beautiful trees, landscaped walkways, so peaceful. i really loved it there. i would have liked to have explored it more!
for my monitoring a doctor came in with me, Dr. Katz, and was telling me a little more about the follicles, etc. he didn't think i'd need monitoring the next day and said everything was progressing nicely. i had 15 follicles on the right and 4 or 5 on the left. the left ovary is definitely really lazy!!!

on our way home from the appointment mommy and i stopped at target and got some clothes :) nothing like retail therapy!

the nurse called int he afternoon with my instructions. start ganirellix, increase menopur to 225 iu. My estrogen was 635 which is kind of high but I think it's okay because of my number of follicles :)

yayyyyy!


**i just read something that said e2 levels average about 200 per mature egg at retrieval.






Tuesday, September 20, 2011

IVF #2: First follicle count

Today was my first monitoring appointment on the stims. I had 11 follicles-- 7 on the right and 4 on the left. My estrogen level was 118.

My nurse Sarah called me and increased my Bravelle to 150 iu. So I am on two vials of Bravelle and two vials of Menopur. Easy enough :)

Just did my injection and I swore there was a little air bubble in there and it was driving me crazyyyyy!

Our Story So Far

I have been typing up my list of dates so that I can eventually make myself a treatment bracelet based upon all that went into this first baby. So, here are the dates:

Okay in order to preserve this for our posterity, and for future understanding of this road, in case we need to travel down this road again-- I fully believe I WILL get pregnant with a child and hope we'll go for a 2nd, and anticipate that in order to do so, we'll have to explore this option again-- here is a summary of our time at Shady Grove:
6/22 - Consult #1 with Dr. K
7/7 - 1st bloodwork & ultrasound
7/12 - Matt's semen analysis
7/14 - HSG in Rockville
7/23 - Followup with Dr. K. Decide to try IUI
8/2 - Bloodwork & ultrasound
8/10 - Bloodwork & ultrasound
*started Clomid, 50 mg/day days 3-7
8/19 - Bloodwork & Ultrasound (1 egg right, 2-3 left-- need to grow!)
8/21 - Bloodwork & Ultrasound (2 Left 19mm & 21 mm, 1 Right, small) Trigger?
-9:30 pm trigger Ovidrel (shot)
8/23 - IUI #1 @ 12:40 with Dr. Mottla
9/7 - Blood test (pregnancy) negative :(
9/13 - Day 3 bloodwork & ultrasound *start Clomid 50 mg/day
9/22 - Day 12 bloodwork & ultrasound (1 follicle on right at 19mm, 2 on L @ 13mm)
9/23 - Bloodwork/ultrasound (still only 1 follicle, others didn't grow!)
9/24 - Trigger shot ovidrel
9/26 - IUI#2 (1.5m pw)
10/14 - Dr. K suggests we move onto IVF
10/20ish - IVF consult, postpone IVF until after Africa trip
12/16/2010 - Start new cycle for IVf, decide to postpone after travel snafus
1/25/2011 - start new cycle, but have to postpone due to MSA
3/6 - start new cycle!
3/22 - Mock transfer
3/29 - Bloodwork & ultrasound
3/31 - MRI in Easton
4/2 - Dr. K calls to cancel cycle, tells me about the uterine septum & need for surgery :(
4/21 - Hysteroscopy in Rockville. Have to rest a natural cycle before starting again

6/16 - HSG to make sure everything is good & healed. it is! :)

6/25 - Pre IVF bloodwork & ultrasound -- good to start shots on Tuesday!
6/28- start stimming: 75u of Bravelle 75u of Menopur!
6/29: 2nd round of injections, same amounts!
6/30: 3rd day of injections, same amounts-- 8:30 each night :)
7/1: bloodwork and ultrasound-- 7 follicles, bloodwork all good. 4th day of injections, increased dosage to 1.5 vials of Menopur, same level of Bravelle.
7/2-5th day of injections
7/3: bloodwork & ultrasound-- 12 follicles, 6th day of injections, increased meds & started Ganirelix
7/4 - 7th day of injections
7/5 - bloodwork & ultrasound, injections
7/6 - bloodwork & ultrasound, injections
7/6 - Urgent Care for Cellulitis :(
7/7 - bloodwork & ultrasound - 9 follicles above 18mm! Ready to go!
- Trigger Shot 11:30 pm (HcG 10,000 units of pregnyl)
7/9 - Egg retrieval: 11 retrieved
7/10: 1st Fertilization Report: 9 mature, 8 fertilized!
7/15: Day 6 transfer-- transfer on perfect 5AA embryo!!! Hopeful
7/21: Positive hpt! (positive 7/21, 7/22, 7/23, 7/24, 7/25)
7/27: Beta: negative :(
8/? - Post IVF consult with Dr. K

9/14 - Pre-IVF Evaluation: bloodwork & u/s okay! (small cyst right ovary)
9/17 - Day 1 Stims: Start stimming! 75iu of Bravelle & 150iu of Menopur
9/20 - Day 4 Stims: Bloodwork/Ultrasound - 7 Right, 4 Left, E2 117 - raise Bravelle to 150 iu
9/22 - Day 6 Stims: Bloodwork/Ultrasound - 11 Right, 3 Left, E2? -raise Bravelle to 225 iu
9/24 - Day 8 Stims: Bloodwork/Ultrasound - 15 Right, 4 Left, E2 635, raise Menopur to 225iu
9/26 - Day 10 Stims: Bloodwork/Ultrasound - same follies, E2 1325, same meds
9/27 - Day 11 Stims: Bloodwork/Ultrasound - same follies, TRIGGER!          
        - Trigger: Novarel @ 10:00 pm (great job, Mattie!)
9/29 - Egg Retrieval: 11 eggs
9/30 - Day 1 Fertilization Report: 9 mature, 7 fertilized
10/ 1 - Back to Rockville for fluid aspiration (from lining)
         - Day 2 fert: 6 embryos (1 6 cell, 1 4 cell, 4 2-cells-- but 2 are multinucleated)






Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well-preserved body, but rather to skid in sideways, champagne in one hand,strawberries in the other, body thoroughly used up, totally worn out and screaming "WOO HOO - what a ride!

Saturday, September 17, 2011

i have decided that for this blog i will not worry about capitalization and punctuation. i have been wondering why i don't like to write as much in here, the thoughts come so easily but getting it out feels so disjointed. so i will stop worrying about caps on here and type as i think. if you don't like it, don't read it :)

tonight i will start the shots for this cycle. i am going to do bravelle and menopur-- 75iu of bravelle and 150iu of menopur. the menopur should stimulate more eggs this cycle. last time i had up to 8 follicles that were visible and had 9 mature eggs retrieved. anything over that will be icing on the cake this round! i am just hoping the cycle works out-- the cyst they found isn't a problem-- my eggs grow nicely and not too much or too little-- and that the ICSI works as well as it did last time.

i am also going to do measurements of my chest and tummy b/c last time i really got bloated. i want to track it for my own peace of mind (and so i don't convince myself it's all in my head!).