follicle update #3

Or, the flip-flop.

E2: 2860
Lining: 9.6

R: 19.5, 19, 18, 17.5, 16.5, 15.5, 14, 13.5
L: 20, 19.5, 17.5, 16, 15.5, 14, 14, 14, 12.5, 12

He came in today knowing we would be making a decision about triggering tonight or tomorrow night. He flipped and flopped back and forth for about 5 minutes about which day we should do. He was mildly concerned about my E2 level, and thinks it will probably be 4000 tomorrow. However, he was slightly concerned that on prior cycles I’ve only ovulated follicles that were over 20 the day of trigger, possibly indicating something about when/how my eggs mature.

J’s “definite ICSI” sperm was the deciding factor. I think he was about to go with tonight, until he remembered we are doing ICSI, and he decided to be “greedy” and aim for more mature eggs vs. lower risk of hyperstimulation. So we are going with trigger tomorrow night. I’m taking a dose of Gonal-f tonight, but barely – just 37.5 units (almost coasting?).

I go tomorrow for more b/w and another u/s. Barring any disasters, retrieval will be Saturday morning.

So experts who read here…how at risk am I for OHSS? What can I do about it???

Vent of the day: I am an easy blood draw. I didn’t know it until we started all this stuff, but I’m in and out in a snap. I’ve got one great vein on my right arm. This morning was a different story. I offered my beautiful vein and the blood-sucker accepted. Then she ruined it. It bled profusely, and I now have a quarter sized LUMPY bruise that HURTS. I can’t even see the beautiful vein. So I have to sacrifice a different vein tomorrow. Sigh.

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~ by Larisa on March 22, 2006.

7 Responses to “follicle update #3”

  1. Not that I’m an expert by any means, but I don’t think you should worry too much about OHSS. Not just because there’s nothing you can do about it, but because of the following:
    1. If I remember correctly my E2 hit 2800 or so the day my doc decided to coast me for the one night, with trigger happening the next night. Since this is so close to what your doc is doing, I think you don’t have to worry too much. The next day my E2 rose only slightly to 2900 or so.
    2. You’re being monitored so closely, and it’s only one day more, that I think it’ll be okay.
    3. From what I’ve read, many clinics routinely allow the E2 level to go over 3,500. Even if you did hit 4,000, that doesn’t mean you’ll develop OHSS.

    Mrs. Hope, It all looks really good! Lots of follicles around the same size. I’ll be thinking of you Saturday. Try to post before I have to get on a plane Sunday morning! (‘cuz you know, this is all about ME and MY schedule).

  2. Not that I’m an expert by any means, but I don’t think you should worry too much about OHSS. Not just because there’s nothing you can do about it, but because of the following:
    1. If I remember correctly my E2 hit 2800 or so the day my doc decided to coast me for the one night, with trigger happening the next night. Since this is so close to what your doc is doing, I think you don’t have to worry too much. The next day my E2 rose only slightly to 2900 or so.
    2. You’re being monitored so closely, and it’s only one day more, that I think it’ll be okay.
    3. From what I’ve read, many clinics routinely allow the E2 level to go over 3,500. Even if you did hit 4,000, that doesn’t mean you’ll develop OHSS.

    Mrs. Hope, It all looks really good! Lots of follicles around the same size. I’ll be thinking of you Saturday. Try to post before I have to get on a plane Sunday morning! (‘cuz you know, this is all about ME and MY schedule).

  3. Thanks, Mellie. I appreciate the info – I really haven’t read up on OHSS – just preferring (for once) to trust my dr on this one. I’ll post before Sunday, just for you. 😉

  4. I really think you’ll be ok in the OHSS department if you’re triggering today. Two of my four fresh cycles had E2’s that made me worry about the risk of OHSS. For one my E2 was in the 4500 range on trigger day and the other was in the 7500 range at trigger. Yeah, I was definitely nervous with that last one. I didn’t get OHSS with either one, though. Pushing the Gatorade and protein are both supposed to help with the OHSS stuff if you’re worried. Good luck!!!

  5. Good luck!

  6. My vote is that things will be fine. you have a good number of follicles but not a scary too many. Heh but what do I know right? I get nervous about it myself. Good luck.

  7. I agree with Alex. You got a good number, but not a really scary number. I’ve heard an E2 over 3000 at trigger puts you at risk, but I don’t know if that is with PCOS only or not.

    Either way, Good luck!

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