{"id":1391,"date":"2008-12-12T21:22:16","date_gmt":"2008-12-13T01:22:16","guid":{"rendered":"http:\/\/lunardreams.net\/baby\/?p=1391"},"modified":"2008-12-12T21:22:16","modified_gmt":"2008-12-13T01:22:16","slug":"the-best-news-of-the-cycle-and-ohss","status":"publish","type":"post","link":"http:\/\/lunardreams.net\/baby\/?p=1391","title":{"rendered":"The best news of the cycle&#8230; and OHSS"},"content":{"rendered":"<p>This cycle has been a completely hellish roller coaster. I walked into work this morning feeling very&#8230; small. My boss excitedly asked me how it went yesterday, and I shrugged. I told her it went okay, but it wasn&#8217;t looking promising. How do you explain to people who have no concept of IVF just how dire things looked? How do you possibly try to illustrate that 38 is a fucking lot of eggs, and to have only 1 good one is beyond bad. It&#8217;s depressing.<\/p>\n<p>I kept my cell phone close at hand and checked for any voicemail. I was very surprized when at 10:30 there was a missed call and 1 new voicemail. I excused myself and ran into the back to listen. It was the nurse. She said that they were ablet to inject 3 eggs (!!) and that two of those had fertilized. She said that she knew we had all hoped for more this time, but that we had &#8220;two good eggs and the lab was very happy this morning.&#8221;<\/p>\n<p>Tears welled up in my eyes as I listened, pacing the small room. I was reminded of the day I got the news we were approved for insurance &#8211; same room, same pacing, same rush of relief and gratitude.<\/p>\n<p>I&#8217;ve been thinking about how it could have gotten from one &#8220;could be mature&#8221; to them doing ICSI to three (presumably mature) eggs and getting 2 to fertilize. Obviously some eggs matured after their initial evaluation right after retrieval. Yesterday at the bad news it seemed obvious to me that those extra two hours before retrieval hadn&#8217;t done a damn thing. But now I&#8217;m looking at these numbers, wondering&#8230; What if those extra 2 hours did help enough for the eggs to be able to mature after retrieval? What if 2 hours just wasn&#8217;t enough, they need maybe 3 or 4? I know 4 would be pushing the limits of spontaneous ovulation, but it might be worth pushing to 3 hours next time. I also wonder, all those extra eggs, did they hinder the process? Would the numbers have been even better if the original 10 follicles had been the only ones? I&#8217;ll probably have a discussion with the doctor again later.<\/p>\n<p>I will note here that I am <i>very<\/i> pleased with this doctor. He has displayed a willingness to try different methods of attack on my immature eggs, as evidenced by his on-the-fly plan yesterday of combining conventional IVF with ICSIing immature eggs on the off chance that <i>something<\/i> would work. He also has showed me he&#8217;s continued to research this subject and keep trying in future cycles. He has also impressed me with the way he speaks to me. He doesn&#8217;t talk down to me at all. Ever since I approached him with that research paper and plan he has seemed to share tidbits of research with me, speaking to me directly. I really, really appreciate that. I feel like he&#8217;s not just treating me like a patient, a number. For him to call me directly and offer up sympathy and possible things to try&#8230; well that means a lot.<\/p>\n<p>It occurs to me that this is the first time we&#8217;ve had 2 embryos at the fertilization report. Remember that in my first cycle we didn&#8217;t find out about the second one until transfer &#8211; it had fertilized late. So the previous two cycles I spent the time between retrieval and transfer feeling very hopeless, wondering if our one solitary embryo was going to kick the bucket before we got to transfer. We&#8217;ve never had a spare. I&#8217;ve never felt like we had options, backup. Oh it feels wonderful!<\/p>\n<p>To answer the question that everyone is asking: we are only putting back one. Den would probably put two back, but I am not willing to risk twins &#8211; not after ending up with a stillbirth after a very low risk singleton pregnancy pregnancy. You can tell me twins are low risk all you want, but I am far too aquainted with how &#8220;low&#8221; risk does not mean &#8220;no&#8221; risk. I&#8217;ll be terrified enough as it is next time without adding more to it. But beyond that, we know transferring just one embryo has a very good chance of working for us, as it worked before. I am pretty confident at this point that the reason for our infertility is entirely my egg maturity problem &#8211; in other words, it is NOT an implantation\/lining issue. One embryo is all I need. Especially if it&#8217;s a really good looking one, like Devin&#8217;s embryo was.<\/p>\n<p>We will be freezing the second embryo, so if this time doesn&#8217;t work we can just thaw out our frosty and do a frozen egg transfer &#8211; much easier on my body, especially given my body&#8217;s tendency to overstim. And that is very exciting to me. I feel positively giddy at the very real possibility of having a frosty. After last cycle I really never thought I&#8217;d ever get one &#8211; it seemed like I was doomed to doing a fresh cycle every single time. Plus statistically it actually makes more sense. I believe the last statistics I saw for my clinic was the pregnancy rate for single embryo transfer was a little more than 50%, the success rate for 2 embryos was 66%. So you have a higher overall chance of success by doing two consecutive single embryo transfers than doing one transfer with 2 embryos.<\/p>\n<p>I am so looking forward to Sunday. I&#8217;m excited to put one little jellybean back inside me and begin the dreaded two week wait. I feel like we really have a chance now&#8230; and I know anything can happen and it does come down to pure luck, but oh my wouldn&#8217;t that be a fantastic christmas gift?! Going by the same pattern of my last two cycles, my beta should be exactly two weeks after my retrieval&#8230; which would be&#8230; Christmas day. Yeah. I&#8217;m assuming they will schedule it for the day before or day after.<\/p>\n<p>I feel like celebrating, but unfortunately I don&#8217;t think I&#8217;ll be doing much celebrating the next couple days. My ovaries are <i>pissed<\/i>. I am so sore&#8230; I was walking very slow at work today, very gingerly getting up onto and off of my chair. They just feel so huge, so tender&#8230; it&#8217;s like they finally realized what was done to them and they&#8217;re throwing a fit. I&#8217;m incredibly bloated &#8211; I look quite pregnant, lol.<\/p>\n<p>If it is OHSS it&#8217;s very mild for the time being. I&#8217;m wicked bloated and have some aching pain, but that&#8217;s not very surprizing given how many eggs they got out of me. I did gain a couple of pounds as of yesterday evening, but that can probably be attributed to the fluid I received via IV. I have no nausea, no further weight gain since yesterday, no trouble breathing, peeing or eating. So I&#8217;m okay with this. I&#8217;m just taking it easy and getting friendly with my heating pad.<\/p>\n<p>And when it comes right down to it I would <i>gladly<\/i> suffer for a few days &#8211; hell, even a few weeks &#8211; to get some good embryos. So I&#8217;m far from miserable&#8230; it&#8217;s just another price to pay to get closer to our goal.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This cycle has been a completely hellish roller coaster. I walked into work this morning feeling very&#8230; small. My boss excitedly asked me how it went yesterday, and I shrugged. I told her it went okay, but it wasn&#8217;t looking promising. How do you explain to people who have no concept of IVF just how [&hellip;]<\/p>\n","protected":false},"author":71,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[76],"class_list":["post-1391","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-ivf-3"],"_links":{"self":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts\/1391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/users\/71"}],"replies":[{"embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1391"}],"version-history":[{"count":0,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts\/1391\/revisions"}],"wp:attachment":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1391"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}