I am trying not to come to any conclusions but I can't help it.
I talked to one of the other RE's and he explained prolonged coasting to me. As it turns out he said:
At hCG we like the E2 to be between 1200 and 3000. It correlates about 150-200
per mature follicle.
Since my follicles at yesterday's appointment for not at least 1/2 at 14mm or more, my RE just reduced my dose (actually I stopped one of the stims) so that they wouldn't all grow too fast or at the same time or as he put it:
At this point your follicles aren't ready. We need half to be 14-15 mm before we
can start coasting. It is reasonable to lower the dose, but you have to keep
going for now.
When I questioned him ab0ut the E2 being so high and coasting he said:
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 mature. I bet today it
will be around 10,000, tomorrow 11,000 and then it will start to drop. It can
drop fast. You will probably be ready for hCG in about 3 days.
Now that I understand prolonged coasting (PC) I feel so much better about this entire thing. I was really worried. I also asked about the fertilization rate of the eggs, since it says in the pamphlets that it appears to be reduced by using this method, but the actual pregnancy rate does not appear to be compromised. He said:
We find the fertilization rate is fine, if the eggs are mature, but you will
need ICSI.
Then I asked about how I had read that men that are TTC and were a result themselves of ICSI can have difficulty conceiving. He answered:
There are not many men conceived through ICSI that have reached reproductive
age, since the procedure was invented in 1993. This a potential concern.
I don't want to worry about this, but it does concern me. I hate to say we'll have to cross that path when we get there, but for now I guess that's what I'll have to settle for.
We'll see what happens tomorrow. I had the most beautiful dream today when I took a nap. I put on my relaxation CD and I fell into a deep sleep, like always. Well, I dreamt that I had this beautiful blonde baby with blonde hair. I remember I was holding him but I kept asking mom my if she was sure he was mine. She would tell me to just look at him because he looked just like me. When I looked at him in my dream he was the same face and I didn't doubt for a second that he was really mine. It was the best dream I've ever had, yet so real.
No comments:
Post a Comment