Thursday, November 18, 2010

Two days post ER

2-day/2-cell embryo

Well, it's been an interesting few days. We are thrilled with our five embies (hopefully there are still five of them now, I hate not knowing), but can't help but be somewhat disappointed that with this our first/last/only insured/all bets in round of IVF that we don't had a little more room for error. I'm feeling guilty that I'm having a stage mother moment, that our short term financial situation counts of the success of these embryos. That's not fair to them, but that's where we are. Hopefully they are overachievers like their parents. ;)

I really hate being a worst case scenario Katie, but I have to manage my expectations from this to the best case, and recalibrate where we likely are on this spectrum as we get more information. On my last follie check (where I got measurements), we had 14 measurable follies. Of these, 10 were retrieved, only 7 were mature, and only five fertilized with ICSI. As much as I cringe when I hear about other IFer's having dozens and dozens of eggs retrieved, these numbers don't bode terribly well for what we are dealing with, though I've never had any test come back reflecting DOR or low quality, actually quite the contrary. Hopefully I was just under-stimmed and they are high quality/low quantity.



I realize that we could very well be successful (and maybe still doubly so), but I have to wonder the likelihoood of us ending up with even one to freeze. Meaning the probability that we would need to do another fresh cycle is greater now than it was just a few days ago.

My clinic's success rates are really good, that's why we are going there...

AF's 2009 IVF Pregnancy and Live Birth Success Rates
Clinical Pregnancy Rate Per Egg Retrieval(Sac in uterus on ultrasound): 66.9%
Live Birth Rate Per Egg Retrieval: 62.9%


But the potential impact (cause/effect) of a possible 3dt rather than being able to wait to 5d is dramatic. I will not know what we are doing until tomorrow. I have to keep reminding myself (w/the help of my IRL friend, whose first round of IVF (5dt) was BFN, but her second (3dt) was successful and she has a beautiful 9 mo. old daughter) that it may not matter for me. But my clinic typically does 5dt, unless there is reason not to.

Female Age Under 35
Day of Transfer/ Number of Embryo Transfers Clinical...
Pregnancy Rate Per Embryo Transfer/Live Birth Rate Per Embryo Transfer
Day 2 or 3/ 305... 45.9%/36.7%
Day 5 or 6/ 565... 72.4%/65.8%



I was feeling great post ER, until I realized that I was not going to have a BM in any reasonable amount of time. I was getting really uncomfortable yesterday and finally broke down and went and bought a "gentle" laxative. I don't think I've ever taken a laxative. Needless to say, last evening after class was not pleasant. Hopefully, my body will right itself and I will not need anymore of that anytime soon. Ugh.

I took my first shot of PIO last night, which DH administered after some extensive icing. I didn't really feel a thing, but it is the creepiest thing, that huge needle. I'm not that big across, so it seems to border on impaling to me. Hopefully these will get even easier, and I will be able to do them myself, when needed. My sweet sister (who has finally moved back to MN, now that my grandma is in WI) has graciously offered to come stay with me (and little does she know, give me my shots) when she found out my DH will be going back to India next month and I will be alone. This is of course assuming I get pg. See I really am an optimist. :)

Off to spend the day in Evanston with my dear friend and her nearly four year old daughter, and go see my acupuncturist for what may be my pre-ET visit.
* All images from www.advancedfertility.com

2 comments:

Rachael said...

I love the charts and I am am sending you all the well wishes and good luck I have for this cycle to work for you! I have been meaning to tell you that DH and I decided that come cycling time, we're headed down to Gurnee for a consult. It will be a lot of driving but hopefully worth it. Of course that was pre-car fiasco I've got going on now so we'll see, lol. Hope your day went well and everything goes well at ET if we don't talk before then. (((hugs!!!

Lindsay said...

Step away from the statistics.

I've been sending lots of T&Ps to you! ((hugs))

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