Greetings from Colorado, the land of eternal wandings and blooddraws.
So you know I was worried about the LH being 2.5 yesterday...so I held off on my Menopur this morning. I called my nurse and she encouraged me to take it but I reminded her I would be seeing my doctor today and could we just discuss it then?? She said that while she recommended it, I know my body best, etc. That was nice.
Fast forward to this afternoon, meeting with the doctor. Did I mention I really do like her?
E2 came in at 2300+, P4 at 0.9 (I think) and LH had gone to 3.0.
I confessed that I hadn't taken the Menopur and asked why my LH was continuing to rise? She said it was a natural part of the process, that as the estrogen rose and the FSH receptors were stimulated, the LH receptors were too. I tried not to agonize that many other fellow patient's haven't had this rise...and she also said that it is better to go up rather than to start high and fall (which I have read several times). So, I breathed out.
She said she would hold off on Menopur for now...and only add it back in if the E2 plateaus or (horror) drops. She's keeping me at 150 units of GonalF and nothing else but Lupron for now.
The follicles are growing kind of slowly...so we're going to see what tomorrow's u/s brings and if they're still poking along, we'll add microdose Hcg to help mature them. She also recommended I go to acupuncture (not for blood flow, my poor uterus is already lining at 15 mm!) but for follicle stimulation. Luckily I got in for tonight at 6 pm. Whew.
We had a great conversation. She really does seem to be on top of my case, as it stands. Maybe I'm a challenge to her? No matter, she wants to regroup with me again on Thursday. I love love love having all these face-to-face conversations with her, and I told her so. She treats me...almost like a colleague. She recognizes I'm at least in healthcare, in regular endocrinology, so maybe she doesn't think of me as a total dolt.
She guesses a trigger on Thursday or Friday, though I would be surprised if it was Thursday. She also suggested doing a higher dose of Hcg trigger--and wouldn't you know we goofed up and ordered TWO Novarel triggers. She said "Perfect." We're all set.
So...exhaling again...looking forward to acupuncture in a couple of hours...and then a nice work out at the hotel....and then tomorrow's report.
Thanks for reading and supporting guys. It really does help.
3 years ago