Questions regarding your treatment

[briggsy's girl]

i think ideally you're looking at somewhere around 1000-2000, anything higher than that MIGHT be a problem - it really depends on the individual. a couple of other girls have ended up with OHSS on around 10000 to 15000. i would assume most AU clinics would use the same measurements. just keep an eye on your wife - maybe get her to weigh herself now, and then daily if she is feeling more bloated. keep up fluids etc...

[butterfly_warrior]

Have you normally been doing the lucrin/puregon shots in the morning? Is the trigger shot coming in the evening? If that's the case, that could be the reason for the lucrin only shot on the morning of the trigger. Part of the reason my clinic liked us to inject in the evenings is because triggers always happen in the evenings and it means we can just have the trigger that day and not have to worry about extra shots in the morning.

I've had OHSS in varying degrees of severity with all three stim cycles. One had me off work for three weeks, another had me in hospital for a week and off work for a month - both of those had no transfer. The third... we'd finally managed to keep levels low enough to have a fresh transfer, but the OHSS developed mildly with a positive pregnancy test. At 13 weeks I still had quite enlarged ovaries... BG has given you the run down on what to do to reduce the severity of OHSS, if it does develop, do not be afraid to take your wife to hospital, it really is the best place for her. It is important to keep eating protein if OHSS develops, I'm not sure why, but it does help things resolve quicker.

Also, because my levels take off so quickly and get so high, it's normal for me to only have lucrin the day before trigger. My puregon shots are gradually reduced, and I'll have a day or two with lucrin only before triggering. It's a normal thing to have happen in cases of OHSS.

My nasty OHSS cases developed with E2 levels of around 15000, I have PCOS which also makes me more prone to developing it. I've heard of other women with E2 levels much higher who have gone on to have a transfer and not develop any symptoms of OHSS. For me, the trouble is more the PCOS rather than the actual E2 numbers.

BW

[Kaydee78]

Hi, hoping anyone who's already been through ivf can help..

I'm starting my first cycle of ivf and had to ring the clinic on day 1 - which was Saturday. The nurse has told me to start on the pill that night. I was told to start on the "Saturday yellow pill" which is the start of the yellow hormone pills, not white sugar ones.

I am confused because I was initially told by the fs that the pill ensures a 28 day cycle so that theatre can be booked well in advance for egg collection. By starting on the yellow pills on day 1 - doesn't that... 1). make this period super short and, 2). make my next period start when I get back to the white sugar pills which will be day 22? How does that work?

Hoping someone can help...

[butterfly_warrior]

Kaydee, it's entirely possible that being on the pill will change AF. It may make things super short, it may make things lighter but dribble on longer. It's really hard to say. Either way, it won't really worry your clinic even though it will be freaking you out!

As for the 28 day cycle or the 21 day cycle - your clinic may keep you on the active pills for longer than just one strip in the pack. You'll get instructions as to when to stop taking the active pills (if you don't, make sure you get them!).

For my first cycle, my clinic kept me on the active pills for over 4 weeks. When we discovered that being on the pill causes me to bleed constantly even while on the active pills, things were done differently for later cycles and I never had more than a week on the active pills before starting the down regulation drugs.

Don't be afraid to ask your clinic if you are unclear on something. Chances are you won't come up with a question they haven't heard before, and it's best to ask and be sure than to do what you think is right and end up doing the wrong thing and messing up the cycle.

BW

[Nicole S]

Hi Ladies I hope someone can shed some light as I am about to embark on my second IVF Short cycle.
Last Night my FS rang to discuss our options. He is happy to maintain the current Protocol of 125 Peregon and using Orgalutran however the only thing he would do differently is to slow down the egg pick up.
Meaning that he would like me to be put under (last time I was awake just twilight sedation)and when they draw up the fluid in the follie he then wants to wash the follie to check that no little eggies were left in there?!?!? Have any of you heard about this??
His main concern that with my levels (E2 14, 000 2 days prior to pick up)and the amount of follies I had prior to pick up (I think 13+) he would have thought that there would be more eggs.
Thanks in Advance

[gonna_be_dad]

Originally Posted by butterfly_warrior

Have you normally been doing the lucrin/puregon shots in the morning? Is the trigger shot coming in the evening? If that's the case, that could be the reason for the lucrin only shot on the morning of the trigger.

Hi BW,

Thank you for sharing your experiences.

We have been doing the shots in the morning. Just had egg pickup this morning (~20). Will get our initial fertilization report tomorrow... I have asked DW to keep drinking water and just relax on the sofa for the next couple of days. DW is scheduled for some bloods on the Sat to check hormone levels. She has done well today but I am ending up being the nervous wreak!

I hope DW does not get OHSS but we will take it a day at a time, keeping the fluids up, try a higher protein diet, fingers crossed and praying...

regards,
gbd

[LuckyStrike]

Hi Kaydee

Glad to hear that AF finally arrived and you are starting your 1st IVF cycle now.
As you know this is my first one also, so all I can tell you is what I know.

I was told to start the pill on the 5th day not the 1st like yourself, but I dont think that matters b/c they keep you on the pill until they are ready for you. Nurse said that they cant have everyone starting injections at the same time, so depending on how many people are starting a cycle you may be on the pill from 2-4 weeks.

I am supposed to take active pills until I receieve a letter from the clinic telling me when to stop them, an when to start with the syneral and when to book my U/S with the FS.
As far as I know, you should not be taking any sugar pills, you only take the active pills and stop when instructed. You better call up the clinic and get it all confirmed. I have already called then many times on various issues , I am sure they are sick of me already but I desperateley want this to work and am paranoid of doing the wrong thing.


Good luck with it all - its so confusing, esp for 1st timers like ourselfves!

[Kaydee78]

BW and Luckystrike,

Thank you for your replies... I really appreciate the time you took to respond. I ended up ringing the clinic because it was starting to do my head in. They clarified what I should be taking and the date of my next nurse visit which would be when the synarel starts. I then received a paper copy outlining the whole cycle and expected dates of when things should happen. It's put my mind at ease. I guess I was just so worried about doing the wrong thing and mucking up the cycle.

Thanks again. Best wishes Luckystrike for your first cycle. Looking forward to chatting with you in the other AC thread soon.