This morning, we headed to Nashville for my first monitoring appointment of this IVF cycle. They took me straight back to phlebotomy for my bloodwork to check my estradiol level (E2). This test gives a baseline to track how well I am responding to the follicle-stimulating hormone injections, which are used to stimulate multiple follicle growth during IVF.
As I had mentioned in a previous post, our Dr. has tweaked my medication protocol for this cycle -- combining FSH & HMG, versus FSH only. The goal is that I will not become hyperstimulated this time. After 3 days of follicle-stimulating medications, my estradiol level is 52. This is MUCH lower than our first monitoring appt of our earlier fresh cycle, which was 294. Although it shows that I'm far from being hyperstimulated, they would now like to see this level higher. So, for the next two days, I will increase my Gonal-F dosage to 150 units per day and will remain on 75 units of Menopur. Hoping this does the trick without causing my E2 to skyrocket like before. High estradiol level = Sick Amy. For comparison, a typical morning sickness during pregnancy is caused from an E2 around 2000. In my previous fresh cycle, I topped out at a whopping 10,858. Even the word "food" made me want to hurl.
After bloodwork, I had an ultrasound to measure my lining, as well as to count & measure follicles. My lining is 4.0 mm. Looking at 25 follicles altogether so far. Starting to feel more uncomfortable as each day passes. There's only so much room in there! Doc was happy with these numbers. If he's happy, so are we.
I am scheduled to go back on Thursday morning to see how I am responding to the dosage change. Lots of prayers for a favorable follow-up.