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Posts Tagged ‘estradiol’

My first follicle check was not so great and I left sorely depressed and disappointed. As I mentioned in my last post, my initial E2 level was at 156. Even though the nurse who called me after the first test said that is right where they expect me to be, according to the RE that saw me today, 156 is pretty high for day 3 of stims, and that is why they dropped my dosage down a little bit. Today’s E2 was 402 so they are going to keep me on the same dosage but more worrisome is my follicle development and count. At baseline I had 13 antrafollicles. Today I had a 13mm, 11mm, 2x9mm, 8mm, and 4x6mm – that’s 5 follicles that are in the same range, the other 4 are probably out for the count. At this rate, I only have about 5 follicles in the running.

As you know, this is a numbers game. If I only have 5 follicles that make it to the right size by retrieval, then only a percentage of those will be mature, another percentage of those will fertilize and then another percentage of that will make it to Day 3 or Day 5 and transfer. When you start with 5 follicles, that could mean at the end of it, I could end up with ZERO embryos. My RE has said from the beginning, he would rather have fewer good quality embryos than lots of crappy ones. But I’m sure that even for him, he would consider 5 to be too low. The REs are trained to be positive in order to not stress you out. They said, “ohhhhhh well, lets just hope that the smaller ones catch up!” – “hope” being the key word here, people. My fucking hand is hovering over the red panic button. When that hand lands on the panic button, that is when I will really start to freak the fuck out and I’m dangerously close. If my RE would tell me that this is where he wants me to be at this point, then I could relax but right now, my hope is fading by the minute. The nurse who called to report my E2 levels said that this is still early and that hopefully the smaller ones will catch up by retrieval. There’s that word again – “hope”. But you know, I’ve done enough IUIs to know that uneven follicle development is not so great.

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blood

got the test results back from the Cycle Day 3 blood test. In this test, they tested the following:

1) estradiol levels: estradiol hormone levels drop when your ovaries begin to fail, which may indicate that you are experiencing pre-mature ovarian failure, i.e. menopause.

2) FSH levels: FSH levels go up if you are experiencing menopause. It’s often used to get some information on your egg quality and supply.

3) thyroid test: in conjunction with the two hormone levels above, it can help determine whether you are in premature menopause or have a thyroid disease. Thyroxine and thyrotrophin levels are checked.

To learn more about premature menopause and hormone tests, this is a good site here.

Anyway, my results on this test were normal. This one was making me pretty nervous. I didn’t want to be told that i have no more eggs left or that my eggs were shitty, so i definitely breathed a sigh of relief when the doctor’s assistant called to tell me things were normal. my husband also had another sperm analysis and the results on this one were the same as the last one. all good on the sperm count and morphology front, but again some slightly lower numbers on motility. my doc suggested that he consult the fertility specialist about what he should do about that. i think i read somewhere that improving motility is easier to work with than other male infertility factors so if anything was going to be wrong for a man, this one is the preferred one.

i also made our first appointment with the fertility specialist for january. i am excited to get there and start down that path. if we’re gonna need medical intervention then lets just get to it!

one test down and several more tests to go. not to be negative, but there are still several more things that could be wrong with me. endometriosis, blocked tubes, low progesterone levels…these are all still possibilities. i have an ultrasound this thursday which will reveal a little more about the WTF my body is doing.

(image as found on Vital Signs)

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