Questions regarding your treatment

[gonna_be_dad]

We are on our first ivf cycle and currently at (fsh) day 10. Our nurse mentioned DW estrogen levels are very high.

We asked for the figure and I think I heard she mentioned 23000. Is a figure this high possible? I am hoping I misheard and it is really 2300. If it was 23000, won't the clinic already cancel our cycle? We will most probably trigger tomorrow night and do the egg collection on tuesday. Is 10units of lucurin the morning of the trigger day normal? We thought the trigger day would be the HCG shot only.

The nurse mentioned that at the egg collection, the doctor will decide whether to freeze or something to that effect. We are not sure what this means. We are looking at about 10 follicals (1.5cm - 2.0cm) from the u/s this morning...

Otherwise DW is feeling fine, slightly bloated, sore nipples and sleepy (from the early bloods & u/s appointments from the last few days).

Sorry for all theses questions...

[briggsy's girl]

GBD - unfortunately, levels of 23000 are possible - and can pretty much guarantee a case of ovarian hyperstimulation syndrome. given that they are not reducing or cutting your wifes puregon/gonal-f shot for tonight, i would lean toward thinking that it is 2300, which is still on the high side.

i would play it safe, and act as if your DW has OHSS - keep up fluids (at least 2-3L per day), include powerade/gatorade type drinks if possible. rest up, and be prepared that things may get a lot worse before they get better. the trigger shot includes HCG, and the response of your wife to that injection will be what guides the FS as to whether they freeze all embryo's or not

a freeze all cycle is a LOT better than a cancelled cycle - or a fresh cycle with severe OHSS, as pregnancy can result in the severity of OHSS getting much much worse.

[gonna_be_dad]

Hey briggsy's girl,

Thanks for the advise. Will make sure DW is keeping up with those fluids.

We are just reviewing our blood reports (symbion) and wondering if the units used was different which is freaking us out as the nurse did not mention anything about ohss.

Our previous results use pmol/L while alot of other references (ie. US sites) use pg/mL.

Conversion: Estradiol pg/mL 3.671 pmol/L

If this is correct, then 23000pmol/L divided 3.671 works out to about 7200pg/mL which is still high but lower than 23000. What is the average range for Estradiol (E2?) should be looking for?

No more puregon shots for DW during this cycle (last one was early this morning).

[worrywart]

Hi there,
Bit new to posting, so hopefully someone reads this. I just got a negative blood test at 19 days post-IUI (#2). It's just odd, because I still haven't started my period, and I've never been this late. I did have Pregnyl (1500) on days 4 and 8 (post IUI). But last cycle, I got my period bang on 15 days post-IUI, with the same protocol.
I just have no idea when my next cycle will start now. Has anyone else had their cycle delayed and by how much? The nurse was very non-specific, like "just wait". It's not very comforting. Any advice?

[anney]

Hi Worrywart, Unfortunately your nurse is probably correct - you do have to "just wait". the hormones impact everyone's bodies to a different extent and things can vary with one person from one cycle to the next, so really no-one can predict when Af will arrive. Were you having progesterone as well? that can often delay AF.

[worrywart]

Hi Anney,
Thanks so much for your reply. I'm sure you're right. I've never had a really delayed AF (even on clomid) so this is a new experience for me. Nope, I wasn't on progesterone. Sometimes it's tempting to speculate on "Why?" etc but I guess I am just looking forward to the start date of a new cycle.
Anyway, thanks again and best of luck for your own treatments.

[happymel]

I am not sure where exactly this post belongs, so i will try here and hopefully not offend anyone. I was wondering, for those going through ivf second time round, are you allowed to BF whilst doing a FET?? I am thinking not, but have a FS appt in a couple weeks. If the FET doesnt work then we will wait for another 18 months or so before doing a full cycle again and it will be disappointing to stop BF'ing.
Thanks Mel

[butterfly_warrior]

Everything I have seen, read and heard is a resounding no. The drugs used in FET cycles aren't safe while breastfeeding. Even if you are having natural cycles, they believe that the BF hormones will act against implantation.

BW