We met with our doctor yesterday to finalize the plan. We knew big topic of discussion and the decision to be made would be if we were doing a fresh transfer (take the eggs, fertilize them, and put them back 5 days later) or if we would freeze them all and do a frozen embryo transfer after 9 weeks of meds. I was anxious. Our clinic does almost ALL frozen cycles now and has great success with them. But in my heart of hearts, I feel my body does best with a fresh cycle. I was nervous the doctor wouldn't agree and that we would be forced to do a frozen - something that takes more time and isn't in my heart what I feel is best. He started the conversation, "what do I need to say to convince you not to do a fresh?" I gulped. I explained my position - even conceded that frozen transfers at his clinic have higher success rates. But I told him I just felt for me, based on our past successes and failures, a fresh was what my body needed. The conversation went on for a long while. But in the end, he said, "you know, this isn't actually a terrible plan. It's not the craziest thing you've brought me." Ha! I love our doctor. He will give you his opinion, but usually lets it fall back onto the patient. He also knows that Ronnie and I are informed, rational (well Ronnie is) people. So he allows us to help make decisions. In the end it was decided that we would do a fresh transfer as long as I am not showing any serious warning signs of severe OHSS being possible. OHSS is really the only (scary) side effect of IVF where you are so overstimulated that your ovaries leak fluids into your abdomen and chest cavity. The fluids settle all over in your body. It's uncomfortable and can (in really rare cases) lead to hospitalization and in even rarer cases death. I have had mild-moderate OHSS with each retrieval. It's not ideal, but there are worst things. I am not really worried about OHSS, but he, of course, needs to be. So as long as I am looking good, we are a go for a fresh transfer.
What does that mean? It means this could be a short process!!! YIPPEE!
I started meds around lunchtime yesterday. We had to wait for Aunt Flo to visit, she showed up, and we were off to the races. We started our first dose of Human Growth Hormone (no, I'm not 'roiding up for a body building competition! Ha!). We will stay on HGH for a first several days of the cycle. On cycle day 3, I start my two stim medications to grow tons of eggs - 4 amps of HMG in the morning and 4 amps of FSH in the evening. When my biggest follicle reaches 12mm, we will start Antigon (to keep me from ovulating on my own). Somewhere between cycle day 9 and 13, we will trigger with HCG to make me ovulate, and 36 hours later, they will take all my eggs.
The day before my egg retrieval, Ronnie will go in for a sperm aspiration...OUCH. We have frozen sperm left, but they feel fresh is always better, and my loving, dear, willing husband is happy to go in and have them take a fresh sample.
They will combine our baby batter the day they take my eggs and 5 days later we will put 2 back.
Because we have had 2 miscarriages at this point, in addition to being on progesterone post retrieval through 8-10 weeks (like most women are with IVF), I will also be on Heparin and low dose prednisone, in the hopes to preventing another miscarriage.
So there you have it. The full scoop up to this point. Our first scan will be Monday to see how my eggs are developing. We will keep you posted.
- Thank God for a perfect appointment with our doctor and a good ultrasound to make sure I was ready to start meds.
- Ask that my body responds well to the meds - making healthy, high-quality eggs, that will make healthy, high-quality embryos.
- Ask that God provides exactly the number of embryos that He wants our family to have.
We cannot thank everyone enough for the support we have received after yesterday's blog. We are so thankful for this community and the love and support you show our family. God is always good and He will provide!!