1/9: 1 vial Menopur bid, 75 Follistim bid, and 10 units micro dose Lupron bid
1/10: 1 vial Menopur bid, 75 Follistim am only, and 10 units micro dose Lupron bid
Ultrasound 10 measured follicles on right 13-20 mm + several smaller, 6 measured on left 13-19 mm. Estrogen 3249.
I had my monitoring ultrasound and the doctor said the follicles looked packed in! (I believe in a good way, as in there were many.) She said I might be ready to trigger tonight, but was also willing to let me stim one more day based on my estrogen result. I saw quite a few 13 mm sized follicles on my ultrasound today, and I want to give them a chance to reach 15 mm - the minimum size for maturity - so I asked to stim for one more day. Since follicles grow about 2 mm per day one more day should be perfect for us to hopefully get a few extra eggs. The largest follicle was only 20, so it would only reach 22, and follicles don't get over mature till over 24 mm, so we should still be safe there. I voiced this to the doctor, who agreed. Even though my Estrogen ended up coming back at 3249, she said it's ok to stim one more day, but we will hold Follistim tonight and tomorrow and just do Menopur. She thinks that's enough hormone not to deprive the follicles, but decrease my chances of OHSS. My estrogen will likely be above 4000 at trigger tomorrow, which they like to keep it below due to OHSS, but she is ok with that since we are not doing a fresh transfer (getting pregnant with a fresh transfer worsens OHSS due to beta-hcg.) So our plan for the next few days is:
1/11: 1 vial Menopur and 10 units micro dose Lupron in am, HCG trigger at 7 pm
1/12: Blood draw to check HCG level to ensure adequate level
1/13: Retrieval. Show up at 6 am.