Guess who is spending their birthday waiting for the FedEx truck to get here with lots of boxes of meds? This girl is! I'm really ok with this because we think we figured out what was making me so sick (the antibiotic they had me on) so I'm feeling MUCH better and not like I'm on the verge of death today. Woohoo! Apparently Doxycycline and I just don't get along. We'll have to figure something else out for my retrieval, but she said it's not a big deal at all.
I learned some very interesting things yesterday at my appointment that I want to write down simply so that I can keep track of things. My memory has become awful with these hormones so I find that I'm having to write everything down. First, they think I'm a very high risk for OHSS (ovarian hyper stimulation syndrome) because my AMH number is only 4 (very excellent..I have a lot of eggs) and I have reacted perfectly up to this point. My lining was 7 yesterday, no cyst on my ovaries, and I had several follicles. He said he would estimate 20-40 eggs possible at ER!! That's an insane amount of eggs. 20 would be pretty average, but he said I have more follicles than he could easily count and my ovaries are "beautiful" and he "loves them." Yes, it's a little weird and creepy to hear such words out of context, but I get it. But this also means we have to be really careful with my protocol because they can't just turn on my body and put it into stimulation with that many ready follicles. I'll have to do the Lupron longer than most people to even out the stimulation meds. I'll start with 10U of Lupron, but then cut down to 5U and continue it until retrieval. My Menopur dose is starting at 75IU and my Gonal-F is 112.5. He said we will decrease the amount of Gonal-F most likely towards ER. He also moved my ER up to the 10th or 11th because he thinks I will stim very quickly. I know this doesn't mean much to anyone but me that reads this, but if I have to do this again I want to be able to look back at my protocol. Just for perspective, I have 3000 IU's of Gonal-F on hand and I will use nowhere near that amount. I will use just over 1100 IU's. I was fortunate enough to get the pre-loaded pens so I don't have to mix them and they are supposedly a lot easier to use.
I don't go back until the 27th so the next 2 weeks are just Lupron injections, but then everything will move very quickly after that. I'm beyond ready for this. I think a lot of this process is just mental and I am very mentally prepared for everything. I trust my doctor and I trust the science. I know this could fail due to things out of our control and I may have to do it again. I know I could miscarry because I have before. I know there is an 80% chance of multiples if we put back 2 embryos for me personally. I know I could have OHSS and my cycle could get canceled at any point because of this. But you know what? I can't do a damn thing about any of these things and neither can my doctor. We just have to work together to minimize the risks and do what we can so that we end up with the desired outcome.
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