Day 11 of Stims 2nd U/S & E2

I went in again today for my 2nd U/S and E2. Things were looking A-Okay. RE said I had lots of follies and said that in order to trigger at least half of them have to be at leas 14mm and we're not quite there yet. He measured 15 follicles (right: 15, 14 x 2, 12 x 3, 12++ (nurse said ++ means they are higher than 12 but not quite 13), 11; left: 16.5, 15.5, 13 x 3, 14 x 2).

He said he doesn't want to put the brakes on too soon because then I will have them collapse and/or become/stay immature just like when you take a cake out of the oven too soon. What a great analogy!

When I left, Jodiann said to continue on the same dose and to see him again on Saturday morning for a 3rd U/S and E2. Otherwise, everything looked good but if not careful I could hyperstimulate and I could get OHSS.

Well, Jodiann had called and left me two messages to call her (silly me I still had my phone on vibrate). When I finally called her around 3:30 pm, she said that my E2 was over 8,000! Oh my! I knew at the time that it was way too high! She said to stop Gonal-F and continue with the Menopur and everything else the same.

Well, I e-mail RE and he said:

Your risks of hyperstim are real. Maybe 10%. But that has not occurred. We
have to be careful mot to lose the eggs while avoiding hyperstim at the same
time. That will depend on how your ovaries respond. I have enclosed a pamphlet
to explain.

He also said:

The repeat was 6000. You are certainly sensitive to the meds as you were on only
2 amps.

Then I asked some other RE's on the message boards and these were the responses I got from two of them:

I think the timing is pretty good. We sometimes do have to let the level
rise high before we start in order for the follilces to be mauture. You will
probably be ready for hCG in about 3 days. --Jeffrey Fisch, MD

The level of E2 when the coast begins is not important but it MUST be <300
when the trigger shot of hCG is given.--Geoff Sher

I guess I just overanalyze things. I am trying so hard to keep faith and pray as much as I can that this will be it, but those doubts still terrify me. I really want this to work b/c this will be our last try at this, so when I hear bad news I can't help it.

My meds are the same I'm just dropping the Gonal-F:

• Lupron 5U SQ QAM
• .75 mg dexamethasone
• Heparin 5000 units BID
• Menopur 1 vial PM (FSH/LH)