I went in for my final ultrasound and blood work today. They ended up counting 20 follicles (11 in the left and 9 in the right). 8 of those measured at 18 mm or higher, which means those 8 are ready. My nurse suggested waiting one more day to see if we could get more of them to that size. So we tentatively made the plan for a Friday retrieval, pending my estradiol results (if estradiol gets too high, you're at risk for OHSS - ovarian hyperstimulation syndrome).
Later in the afternoon, I got the call back from my nurse with my estradiol levels. They want them to be no higher than 3,000. Mine were 3829. They decided to bump our egg retrieval to Thursday morning. Another day of stims could result in OHSS and we definitely don't want to go there!
So, tonight I will take one final dose of Lupron (no Menopur, Gonal-F, or HCG). Then at exactly 9:45 (it has to timed perfectly), I will take Ovidrel, which is the trigger shot that matures the eggs. In addition to this, I will start an oral medication called Cabergoline tonight to help prevent OHSS. I will have to take this for the next 7 days. My nurse informed me that it can cause dizziness and if I get too dizzy from it, I can take it as a vaginal suppository. That doesn't sound all that fun to me, so hopefully I'll do fine with taking it orally.
Thursday morning, I report to the surgical center at 7:15 AM. My husband will supply his specimen at that time. We will know before I leave the hospital how many eggs they were able to retrieve.
I'm starting to feel both excited and nervous. I kind of wish we had that one more day to hopefully get more mature eggs, but I trust my doctor/nurse know what they're doing. I obviously don't want to put myself at risk of getting OHSS by stimming one more day.
Just hoping I have enough eggs for this to be successful and hopefully have some leftover to freeze for the future!
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