IVF#2: Egg Retrieval Part II

So I laid 21 eggs today! At least, that’s how many the RE collected from me this morning.

The procedure went much better this time around. I pretty much told every nurse and the RE about how quickly I metabolize anaesthetic, and they gave me an extra dose at the beginning of the procedure. I felt my head get heavy, the room started to look blurry, and while I was aware of what was going on at a very superficial level. I didn’t feel any pain, which was really nice.

After the procedure, I recovered in the lounge with apple juice and the snacks that we packed: coconut water and homemade cornbread muffins. Since I had been fasting since 7pm the night before, I was ravenous. I basically stuffed my face as the nurse was trying to explain the discharge items to me. I felt a bit dazed, but then we had a chance to see one of the embryologists, as I wanted to discuss our choice of fertilization method.

We have decided to do 100% ICSI.

They will start the ICSI tonight and then we will get a fertilization report tomorrow.

After that, DW went to grab the car and came to pick me up from the front door of the clinic. I was feeling woozy getting into the car, and started to salivate. In that moment, I knew I was gonna puke, so I opened the door, leaned out, and puked all over the sidewalk in front of the clinic. DW hung onto me by the back of my jacket, and I was so glad my dreads were tied up, because I had four good barfs before I was empty. Goodbye apple juice, coconut water, cornbread muffins, and water!

On our way home, we make two stops. One at Whole Foods because all I could stomach was soup. Another at Walmart to grab some Tylenol for the post-retrieval pain as well as some Gravol because the Dostinex makes me so nauseous.

I’ve spent the rest of the afternoon lounging on the couch, binge watching Broadchurch on Netflix. DW has been taking very good care of me- unlimited fetches, making food, bringing me meds. She also took the dogs out while I vegged on the couch.

The anaesthetic wore off by the time we got home, as I have some pain with moving, but much worse with peeing. I haven’t pooped all day, and I dread having to do it. I finally pooped and while it was moderately painful, I survived. There may have been some whimpers coming from the bathroom.

I have been taking Extra Strength Tylenol every 4 hours, which has taken the edge off and made the pain quite mild. But from what I remember, the OHSS came on with a vengeance a few days after the retrieval, so the worst is yet to come.

Since we had so many eggs retrieved, they’ve already got us booked for a five-day transfer. We transfer on Wednesday! I am hoping and praying that we get a lot of good quality blastocysts over the next couple of days. I’ll post their progress along the way.

Thank you everyone for your kind words and well wishes. I appreciate all of your support. I don’t know how I would have gotten through the past two years without you all.

For now, here’s a picture of two of my cutest girls:

IMG_6186

Juno (the big dog) saved Clementine (the little dog) and I from a coyote that was stalking us two days ago. We were walking on a path on the side of a hill, when a coyote cut us off about 30 feet ahead. Juno chased it down the hill and across a valley, probably about 0.75 of a kilometre long. Luckily, she is bigger than the coyotes, so they are afraid of her and run away. It’s one of the major dangers of taking the dogs to this conservation area. There are deer, coyotes, beavers, and other native wildlife. We always try to go during the day time because the coyotes are more active in the evening. I feel so grateful for Juno’s protection, even though she is generally a super suck 99.9% of the time.

Anyhow, fertilization report tomorrow!

Advertisements

Natural, Cytotec, or D&C? That is the Question.

The RE’s office called today to tell me officially to stop my meds. The radiologist took a look at the ultrasounds and called it.

I didn’t speak to them. In fact, my cell phone didn’t even ring. They sent it directly as a voicemail. Motherfuckers. Clearly, they weren’t interested in entertaining any questions. They just reiterated that I had three options: miscarry naturally, take Cytotec, or do a D&C.

Option A: Miscarrying naturally sounds the gentlest of the three options, but it could take weeks for my body to initiate this, and weeks for it to fully complete the task.

Option B: Cytotec/Misoprostal freaks me out a bit, as I imagine it’s basically Option A condensed into a violent and short period of time. I’ve read of women opting to bleed it out at the hospital for the access to effective pain killers, you know, the good shit. Getting it done with in a predictable amount of time sounds attractive to me. However, sometimes remnants remain and you end up utilizing Option C anyway.

Option C: D & C is the one most people fear initially. It involves dilating the cervix, and then either scraping or vacuuming out the contents of the uterus. It is often scheduled, and while women often report some moderate pain afterwards, it isn’t usually as painful as Options A and B because you’re under general anesthetic. With this option, you can be sure that all of the remnants are removed, while with the other two options, sometimes large clumps of endometrial tissue and the gestational sac have a difficult time passing through the opening of the cervix, which prolongs the bleeding and cramping (trying to flush it out).

Right now, I’m leaning towards Option B, because I don’t think I can emotionally handle waiting for the inevitable. I also need my HCG to go down as quickly as possible so that we can start trying again with our last embryo. I have heard that this can take WEEKS, even MONTHS, for women with levels as high as mine are right now.

Anyone at around 8 weeks miscarry naturally? How long did it take to begin the process, how long did it last, and how badly did it hurt?

Anyone with HCG around 40,000 know how long it will take to return to <5?

And finally, pain control: what works for the labour-like cramps and contractions?

Thank you for helping me mentally prepare myself.

What I’m Doing to Prevent OHSS- Day One

The last 28 hours have been less than fun, given that there are holes in my vagina and ovaries. We have been doing our best to stave off ovarian hyper stimulation syndrome (OHSS), which has felt like a full-time job.

Things that we are doing to prevent OHSS:

– I have been downing coconut water, which is a good electrolyte
– I have been eating salty things like soup
– I made myself a big pot of congee (a savoury Chinese rice porridge), which is salty and very easy on the digestive system
– I am trying to maintain my protein consumption at every meal even though I don’t feel like eating it when I’m not feeling well
– I am not exercising, even though it usually makes me feel better when I’m feeling gross
– I am weighing myself and measuring my abdominal girth daily
– I am doing acupuncture on myself (I have advanced training in this) to prevent ascites
– I am trying to relax and enjoy my 2 days off at home

So far, most of my discomfort has to do with any movements that engage my pelvic floor: getting up/down from sitting/standing, rolling over or changing position on the couch/bed, coughing (still have that damn cold from my MIL!), urinating, defecating, sitting.

This morning, the acetaminophen had worn off and I had major problems trying to pee. I could not bear down, and could only “open the flood gates” and let the natural pressure differential aid in excretion. I sat there for minutes as my urine “drip drip drip drip dripped….”. It was frustrating and sad as DW stood there and stared, feeling helpless and sorry for me.

However, I’m not feeling overly bloated. Just a little maybe. I have read that the bloating gets worse with time, which scares the shit out of me because I was hoping to play hockey on Monday, and am playing in a tournament during the weekend of the 30th.

We’ll see how it goes. Will update more on this as things progress.