Doesn't it figure that the one time I want my period, the darned thing decides not to show up?! I'm on day 28 today and no period. Nothing. Not even a spot. And I've been little Miss Clockwork for over a year. I can only think of one cycle that wasn't exactly day 28 on-the-dot. I can usally even pinpoint the hour that it'll happen. Positive spin on this: at least I don't have to wear a pad to bed tonight! I always hate that part of it!
My RE called me this morning to chat about our cycle. I always love talking to him. He's just so, well, HUMAN. He's nice and optimistic and thorough about every question I have. So, here's what we went over:
1. He asked me if I had given any thought to how many fertilized eggs we will transfer. I told him that we would like to consider two, maybe three with the hopes that one or two will implant. He said that they try to never transfer more than two in an otherwise healthy woman and so he said that although he would rather see me with one transfer, he'll agree to do two.
2. He also asked about performing ICSI (Intracytoplasmic sperm injection) on half of the retrieved eggs. The plan is that after they retrieve all my eggs, they will divide them in half and perform ICSI in one half and allow the other half to fertilize naturally. ICSI is a procedure where they manually inject one sperm into an egg to ensure that the egg is fertilized. In cases like mine, where there is no known cause for the infertility, they tend to try ICSI because of the fact that there might be a problem with the sperm being able to penetrate the egg naturally. Since that very well could be the reason I'm not pregnant yet, I told him I agreed that we should try ICSI on half the eggs. Of course, it adds thousands to the cost of our IVF cycle, but it also guarantees that some will fertilize. Whether they grow past the two cell stage will remain to be seen.
3. I asked him about doing the 81mg baby aspirin therapy during my injection phase and he agreed that it wouldn't hurt, especially given my history of thin lining. He also agreed that, if my lining is still thin, he would recommend the estrogen tablets again to help with the lining, but only after the retrieval, not before.
So, the last piece of the puzzle is getting my period this month. He said that if I don't see it by Monday to come in for bloodwork and he'll give me something to bring it on. I just want to get this journey started... no more sitting at the rest stop for me!
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2 comments:
It's amazing how much education goes into this all. So many things to learn about IVF before you can even do it! Sounds like you have a great RE, and a great plan in place.
So the RE thinks that for sure you didn't ovulate? So is this an annovulatory cycle then? There isn't a chance that you are prego and that's why your period isn't here yet?
Crazy that of course when you want her to show so that you can literally get the show on the road, AF is MIA.
I'm so excited for you about this all. You do sound so positive, and it just sounds so proactive, ya know? I know IUI was certainly doing something, but this feels like things are really going to happen now! (Just from my perspective, of course.)
I love that your RE called you, btw. That's so great that he's that involved with his patients. It sounds like you and R have a big say in how this all is going to happen. I like hearing that.
So now we just wait for AF, eh?
Yup, now just waiting on AF. Doesn't it figure???
I do love our RE. He was one of the first in RI to pioneer IVF and he's been doing this for over 20 years. He just knows his stuff and he's seen it all. I can't explain it, but everytime I get worked up about something and then go talk to him, he calms me down. He just makes me feel better.
Now if only AF would freaking show up! Believe me, I've had the same wondering thoughts about 'what if I really did ovulate and the lab was wrong?' I mean, I'm sure anything is possible, but I really just don't think it's probable. The RE said that if I don't see AF by Monday to call him and they would schedule blood work. We'll just have to wait until then.
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