This morning's u/s didn't really put us at trigger mode...which I'm sort of unclear on because yesterday there were a bunch of 19s and 18s and one over 20, and of course a bazillion other ones as well. I coasted last night on GonalF because of the high estrogen.
Today, the tech (a different one than yesterday) measured a gazillion on the R: over 25 I think total, while many were 20-something by smaller (like 24X15 or whatever) when she printed out the little report it said only one was over 20, all the way at 27! and everything else was under 20, and it didn't seem like they moved much. So the nurse and tech said "Oh you won't trigger tonight." I asked if any got smaller and the nurse looked at me like I was crazy and said "they don't get smaller."
Then the nurse said that the doctor on call would review and give me my evening doses...but that of course is NOT Dr. M. When I spoke to Dr. M on Thursday she said she would personally review my numbers and chart today to make the decision on triggering (mainly on trigger dose I thought) so I tried to tell that to the nurse and she looked annoyed. I refuse to have my case handed over to a different doctor at this phase of the game.
I know maturity is an issue. But quality is an issue too. Dr. M said that stimming for 14 days (which today would be 14 days) is really the max before you start to see reduced pregnancy rates (which I assume means reduced quality, duh) but yet here I am, not a clear-cut indication for a trigger. I'm sure my estrogen fell a bit with no GonalF last night so that might give them the wiggle room to stim one more day (or coast??) but honestly I just don't know if I can get another day off of work.
Correction: I'm sure I could get it, but they won't be happy. And yes I know that at the end of this, our last hurrah, one more day off of work shouldn't make the difference. But it's more than that....
So now I sit and anxiously wait (what else is new??) for the estrogen numbers and a call from someone...already anticipating I'll have to page my doctor. If we trigger too early we risk immature eggs. If we go longer we risk crappy egg quality.
What to do?? What to do??
EDIT: So Dr. Minjarez called. She wants me to go one more day, but she was totally understanding about my work situation. So after we hashed things out, compared this cycle to IVFs #1 and #2 which had low maturity rates and likely triggered too early...I told her to hold on and let me call work. She wasn't concerned about one more day of practically no stims on quality...as technically today would be the 14th day.
I called my practice administrator who's been an angel through this. She said "Are you kidding? Chance the cycle because of work???"
Then I gulped and dialed our head endocrinologist, my big boss. I hated to bother him on the weekend but I told him what was happening and he said: "You go for it Ashley. This is big."
I nearly cried. OK I did tear up, but that's because my freaking estrogen went to 6300 despite coasting. Although as Dr. M pointed out, I really didn't coast because I'm still getting the microdose.
So, we're going one more day. We already changed our flights...again. We're about to Priceline for another hotel...one day at a time. I cannot stay beyond Tuesday, that much is decided. We will trigger tomorrow regardless.
I just want to go home, but with some good eggs staying behind in the lab!
2 years ago