Multiple Risk

My scan today showed still 4 follies that were mature. On my right ovary, had some big ones, I think the two were between 18-20mm, the large one may have even been bigger. I've already forgotten the exact measurements. The left had smaller ones, one larger than the other. RE thought the smallest one of the left was a 'maybe' on whether it had a mature egg or not.

Because of all those follicles, my RE & I had a nice little chat about the risk of multiples that he had mentioned on Wednesday. He wanted me to be aware that I'd likely have to go for 'reduction' if I got pregnant with trips or quads. So we discussed the possibilities and there was a way to reduce the risk. Instead of doing an IUI, we could finish the cycle by trying at home. If this had been only my 2nd or 3rd try, he would have strongly recommended that option. However, being my 5th IUI and already having done IVF once, he left it up to us. DH & I decided to stick with IUI as it has the best chance of a pregnancy. Even though trying at home limits the risk of multiples, it also reduces the chances of a pregnancy at all. Right now we just want the best chances we can get, and can worry about multiples & reduction if we get there. You know, cross that bridge when we come to it. He didn't bother taking my e2 as it would not change either option. If this doesn't work, it will be the last IUI. RE said IVF would be the next step. That was another deciding factor but not a surprise.

So with all that in mind, we scheduled an IUI for Sunday. (Going to have to get up at the crack of dawn! Our appts are at 6:30 & 7:30 in Raleigh). So I'll take my trigger shot tonight at 6 which will have me ready for Sunday morning. Really the timing worked out well. I'm co-hosting a bridal shower tomorrow and need to shop tonight. So I'm glad we don't have the IUI until Sunday.

4 Follies

My RE said I was close to ready. He found four follicles that were almost the right size. My right ovary had a 15mm & 13mm, the left had two 10s. So, he's upped my follistim to 75IUs (from 50) and added a shot of antagon (ganirelix acetate) tonight & tomorrow night. Then return on Friday for another scan with expectation that IUI will be Sunday. Of course he did say I'm at risk for multiples due to the number of follicles. But I'm not too concerned about that right now, since my body has not been in a hurry for just a single.

Ouch... my ovaries!

This afternoon I was chatting with my MIL on the phone and we got to talking about my latest cycle news. I mentioned that I was having minor pains, just twinges really. I said 'my ovaries hurt' and she laughed. Not at my pain, but at what I had said. She really thought that was funny, and to be fair, it is a pretty unusual thing to hear someone say.

For you boys out there who don't know, women aren't usually aware of their ovaries.. kinda like your liver or a kidney. It's just an organ that you know is in there doing its job (or in my case quietly not doing it's job) and unless something specifically goes wrong, you're oblivious to it. But sometimes in fertility treatments, the ovaries become enlarged (overstimulated) and they can be downright painful. They call that OHSS (ovarian hyperstimulation). Of course, OHSS is more likely in patients with PCOS (lucky me).

It's possible that I might have a very mild case of OHSS, but even if not, my ovaries are making sure that I don't forget about them over the last few days. They've been just tender enough to make me take notice and occasionally led me to feel like lying down (more comfortable). Before IVF, I honestly could not point out the exact location of my ovaries. I knew roughly where they should be, but had never had any feeling in that area. That certainly changed this year starting with IVF. But if it means these guys (ok maybe I should call them gals) are working, then I'm all for it. No pain no gain right?

Countdown: 10 days to hpt