I just had my suppression check appointment. This visit is set up to see if the Lupron injections are doing their job of suppressing my follicle-stimulating hormones, which is checked by blooddraw and ultrasound. My bloodwork showed an estradiol level of 29, which is right on track and shows that I am fully suppressed and ready for the next phase of IVF. My ultrasound showed a favorable tri-layer lining and no ovarian cysts. We were surprised to already see 20 antral follicles -- way above average! Our nurse was very, very pleased with this number. The antral follicle count, along with my age, is the best tool for estimating my ovarian reserve, the expected response to ovarian stimulating drugs, and the chance for a successful pregnancy with IVF.
This appointment also included a trial embryo transfer. With this procedure, the Nurse Practitioner passes a small catheter, much like the one that will eventually have embryos in it, into my cervix and injects a small amount of saline into the uterine cavity. Measurements are taken and notes are made -- basically, drawing a road map for the Dr. to have on the official transfer day to ensure that it goes quickly & smoothly. In cycles past, the trial transfer was very painful. But, my new Nurse Practitioner is a rockstar and it was easy-peasy this go 'round.
I will decrease my Lupron dosage to 5 units, starting tomorrow. Then, on Saturday, I will be adding injections of Gonal-F and Menopur, 75 units each. Originally, they had prepared me for the possibility of 4 injections per day. So, it's a bit of a relief for it to be dropped down to just 3. Never imagined I would be giddy about only having 3 shots a day. It's become sort-of routine by now. I don't cringe at the sight of a needle anymore. Not even the "Mac Daddy" Progesterone ones. Oh my, that will be one that I will definitely post a picture when we get to that step again. Think of it as a straw being pushed into a lemon. Yikes!!
Really feeling positive and calm, despite the madness that the next few weeks will bring. Praying that the good news keeps coming!