I must confess that I’ve been napping lately. After lunch, I fall into some sort of food coma, and nap on the couch with the dog, or retreat to the comfort of our bedroom. I just feel so tired. I’m not sure how much energy goes into growing and developing 32 follicles, but hot damn it’s draining me. And I’m doing pretty much no exercise right now because of the wobbly wobbly going on in my abdomen. I needed assistance from my wife last night to get my underwear on after a shower. I’m sure she loved the view, but when you can’t lift your knee up and balance on one leg because it squishes your ovaries, well, it just sucks.
My breasts and nipples are super sore, and have been for three days now. Looking at my bloodwork, it seems that my LH and progesterone have increased a bit, probably because of all the mature follicles. I have read that increased progesterone levels near trigger can yield a poor prognosis for implantation in a fresh cycle, but if a woman has high follicle counts, these levels are to be expected. I am trying not to think about this too much, lest my anxiety start to soar again.
I have also lost my appetite. I’m hungry, yes, but nothing appeals to me. Our local Costco sells organic free-range whole chickens, so I bought some last week and have been eating them for almost 5 days straight, and am so sick of chicken right now. Everything tastes bland and flavourless to me. Yesterday, I polished off a bag of HardBite chips because I needed to eat, wanted the salt, but didn’t enjoy them that much. Being a person very much ruled by my stomach (and on a whole whack of injectable hormones), you can imagine the kind of existential crisis I am experiencing right now.
Today’s monitoring went well. My favourite phlebotomy nurse took my blood, I joked around lots with the reception ladies, and my favourite ultrasound technician dildo-wanded me. She even printed off a photo of my right ovary because it was pretty:
I’ve actually begun to find the dildo-wanding rooms to be relaxing. The lights are low, it’s always warm, there’s a place to take off your clothes and lie down. There’s someone else there, but they don’t talk to you. You just lay there in silence. It’s almost meditative. I just focus on breathing in, and breathing out.
Anyways, apparently lazing around all day yesterday was good for my follicle growth. Here are today’s stats:
As you can see, I have a total of 32 follicles (last year was 36). Of those, 17 are 15mm or larger (last year at trigger there were 18). My estrogen levels from yesterday are higher than those on a comparable day last IVF. I think trigger may be tonight, but I’m waiting to hear from the nurse. If we trigger tonight, egg retrieval will be on Thursday, which will mean a very early appointment (like 4 or 5am), because my RE has a standing OR day on Thursdays at the Hospital (he’s actually an OB-GYN so he does operations every Thursday).
So by the phone I will wait, all day. I will post again if we trigger tonight!
Look at all those follicles! It’s no wonder you’re so uncomfortable!
Yup. And that’s my right ovary. My left has waaaay more follicles.
Yowzers! It’s like you have a bee hive in your lady business!
Haha so true. Nice observation!
what a gorgeous and totally packed ovary! Take care of yourself!
Thanks Andie!
So excited for you! (And I may steal “Dildo-Wanding”…) š
Go for it!
Wow! That’s a lot of follicles!! Your ovary looks so nice and full! (I don’t know why this always interests me!) sending you lots of luck!!
Thank you š
Love the ultrasound pictures! I hope you get to trigger pretty soon, and in the meantime enjoy your naps. š
Thanks. I do too! Everyone at the clinic was so nice today. I hope trigger is soon too!
Any word yet? (as if my nagging you is somehow helpful)
Nope. Nothing. They have until 8pm to call though…. That’s their cut off time.
The latest our RE clinic would ever call was 3 or 4pm, so I assumed you’d be getting close to hearing from them. But, I guess not.
Hopefully you hear from them soon!
Thanks! I’m watching trashy TV – the Bachelor, to pass the time š
Yikes that’s a lot of huge follicles in those ovaries. I hope you get to trigger soon. š
Yup. Fingers crossed that I don’t get OHSS!
Did you get it last year?
Yeah, I did. Though probably mild-moderate. Definitely not severe. I have slightly less follicles this year though, which means less OHSS hopefully.
Holy frig you must be feeling awfully sensitive in your ovaries! I’m totally in awe! Wow mother load of follicles!
Hopefully this haul contains a future baby or two!
For sure!!
What’s your protocol exactly? Do you always produce this many or was this the goal of your doctor?
Long Lupron protocol- Lupron daily from CD21 of previous cycle until trigger, Gonal-f stims starting CD3 of treatment cycle until trigger. Last year, I was on the same protocol, and had a similar response. RE said my response was great, so he did the same again.
Interesting. I’m going to discuss this with my doc if I do IVF again. I’m still totally blown away at how many you have!
Yeah, it’s a lot! If you need any more details, feel free to email me: mamaetmaman at gmail dot com. I do a summary of my doses of each drug at the end of my stims (you can search January 2014- the end of the month in my archives), and I’ll probably post another summary at the end of this cycle too.
Ok great, I probably will. Thanks!
Look at all of those follicles! I can imagine you must feel SO full and tender down there. So glad to hear you’re napping and getting the rest you need!
PS – Meant to say I’d love company for our next excursion! Nothing planned as of right now b/c my parents are coming in this weekend for Evie’s birthday, but I’ll keep you posted!
Awesome! Looking forward to it.
Thanks Linds š
Eeeep!
You’re so close! I hope you trigger tonight! Take care of your poor belly. I’ve found that eating soup and cheese and crackers works when I have no appetite, although I’m not sure if you eat dairy. I’m thinking of you!
Thanks friend. Unfortunately no trigger today. It will probably be tomorrow (I hope). Yup, cheese and crackers have been my go-to’s too!
Are they worried about OHSS? Are you doing a freeze all?
No word about OHSS concerns yet. Last time I had 36, and didn’t get it too bad. My recovery was uncomfortable but I was feeling better by 6 days after retrieval. How many follicles did you have, and did you get OHSS?
29 retrieved. I think 32 upon last scan. I was on watch for OHSS and took Dostinex. I had some major bloat and swollen ovaries but didn’t end up with much else. My estrogen wasn’t as high as yours so that’s why I wondered.
Wow. You had an insane amount retrieved! Were they all mature? How many blasts did you get from that? Can you take that medication if you’re doing a fresh transfer?
Definitely not all mature. Quite a few were not. 13 fertilized. In the end, we only had 3 blastocysts. That being said, we did half ivf and half ISCI. Next time will be all ISCI or most ISCI for sure. Yes you can take Dostinex for a fresh transfer. It made me puke though.
Thanks for the info. They didn’t mention anything, but I might suggest it since I really really want to to a fresh transfer. How are you doing?
I’m hanging in there. Thanks for asking. āŗ
I’m thinking positive thoughts for you.
I’m surprised that they didn’t give me Dostinex last IVF, as I had 36 follicles then. Hmm….
It’s not a nice drug. Perhaps you just handle the high estrogen differently. That isn’t a bad thing!
True. The high estrogen is giving me mad headaches right now though!
Aw man! I can only imagine. I was fortunate I didn’t get that. I just had softball sized ovaries and mad nausea from the drug combos.
Wowzers!!!! Look at those ovaries! Holy!! I’m excited for you! Hopefully that trigger will be today so you can finally have some relief…i remember what C felt like after a few days of stims, and she had about half of the follicles you do. Thinking of you ladies…
Thanks! Unfortunately no call to trigger tonight, so it’ll probably be tomorrow (I hope!). Callie must have some amazing fertilization rates to get so many five day embryos!