Friday, April 11, 2014

IVF #4 Day by day.

BCPs started March 28th with my period.  Last BCP April 10th.  Baseline on April 11th, everything is quiet and the lining is thin.   

Saturday, April 12, 2014 - CD 1 - Period starts

Sunday, April 13 - CD 2 - Microdose Lupron 10 units AM & PM

Monday, April 14 - CD 3 - Microdose Lupron 10 units AM & PM

Tuesday, April 15 - CD  4 - Microdose Lupron 10 units AM & PM, 2.5 mg Letrozole in the AM, 225 Follistim, 225 Menopur, .3cc Saizen, .5mg Dexamethasone in the PM

Wednesday, April 16 - CD 5 - Microdose Lupron 10 units AM & PM, 2.5 mg Letrozole in the AM, 225 Follistim, 225 Menopur, .3cc Saizen, .5mg Dexamethasone in the PM

Thursday, April 17 - CD 6 - Microdose Lupron 10 units AM & PM, 2.5 mg Letrozole in the AM, 225 Follistim, 225 Menopur, .3cc Saizen, .5mg Dexamethasone in the PM

Friday, April 18 - CD 7 - Microdose Lupron 10 units AM & PM, 2.5 mg Letrozole in the AM, 225 Follistim, 375 Menopur, .3cc Saizen, .5mg Dexamethasone in the PM 

         Ultrasound and Bloodwork - Quiet.  12 follicles all less than 10
         E2=65, P4=0.473, LH = 5.06
         They upped my Follistim to 375 because my E2 was so low. 

Saturday, April 19 - CD 8 - Microdose Lupron 10 units AM & PM, 2.5 mg Letrozole in the AM, 375 Follistim, 225 Menopur, .3cc Saizen, .5mg Dexamethasone in the PM

Sunday, April 20 - CD 9 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM

Monday, April 21 - CD 10 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM 

          Ultrasound and Bloodwork - 14 total follicles, but one was large at 16 :( 
          All the rest 10 and under. 
          E2 = 145, P4 = 0.379, LH = 2.58

Tuesday, April 22 - CD 11 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM 

Wednesday, April 23 - CD 12 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM

Thursday, April 24 - CD 13 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM

          Ultrasound and Bloodwork - 16 total follicles!!!  Lining at 11. 
          The biggest are: 16, 15, 14, 14, 13, 12, 12, 11, 10, 9
          E2 = 502, P4 = 0.418, LH = 1.8

Friday, April 25 - CD 14 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM 

          Ultrasound and Bloodwork - Still growing.  Lining still looks good
          They are: 19.5, 16.5, 16, 15, 14.5, 12.5, 12, 12, 11, 9
           E2 = 775, P4 = 0.6

Saturday, April 26 - CD 15 - Microdose Lupron 10 units AM & PM, 375 Follistim, 225 Menopur, .5mg Dexamethasone in the PM 

          Ultrasound and Bloodwork - Still growing.  Lining still looks good
          They are: 18.5, 17, 16, 15.5, 15, 14.5, 14, 13, 13, 13, 12.5, 11.5, 10.5, 9.5, 8.5
           E2 = 1030

Sunday, April 27 - CD 16 - Microdose Lupron 10 units AM, 375 Follistim, 10,000 iu Trigger

          Ultrasound and Bloodwork - Still growing.  Lining still looks good
          They are: 22.5, 21.5, 18.5, 18.5, 16.5, 15.5, 15.5, 15, 13.5, 13, 12.5, 12, 11
           E2 = 1295, P4 = 0.7

Monday, April 28 - CD 17 - I tested my FMU in the AM and it was very barely positive. This worried me, so I decided to take a 5000 iu Booster Trigger and also 100 Follistim and 150 Menopur

Tuesday, April 29 - CD 18 - Retrieval Day: 13 Eggs!

Tuesday, April 1, 2014

IVF #4 Plan for April / May

So for our fourth and final IVF we'll do a Microdose Lupron Flare.  I'm perfectly OK with cancelling if this doesn't seem to be going well.  But, my understanding is that the Lupron Flare tends to give higher Estrogen levels overall, so hopefully this will reflect on good quality embryos. 

We'll do 2 weeks of birth control with a hysteroscopy on Thursday, April 3, 2014 just to check and make sure everything is ok and to do an endometrial scratch.  Then somewhere around the 11th-ish, we'll stop the BCP and start the microdose Lupron and then we'll throw in 225 iu Menopur and 225 iu Follistim.  Here goes..... 

Update:  The hysteroscopy went fine.  My uterus looks normal as expected.  I guess the uterine scratch was successful because I'm still spotting 4 days later.  :$  I hope that'll stop soon.  I'm still not sure how Letrozole will figure into all of this.  I tried to ask while drugged after the hysteroscopy, but I don't think I was too coherent!  :P 

I'm just standing by to stand by......