u/s update

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megeyre's picture
Joined: 10/29/09
Posts: 194
u/s update

Thought I would give your girls an update as we are coming close to the ER. I went in for a third u/s on Friday. I had 5 follies on the right and 4 on the left. They all measured between 10.5-12. They are a bit concerned about OHSS for me since I'm young and have lots of follies. So they lowered my dose of Bravelle Sat. and Sun. I got in for another u/s on Monday morning (yay for Labor Day and not having to miss any work!) and we will go from there. RE said he would expect an ER for Wed. but we won't know for sure until Monday. I'm feeling good... definitely bloated but nothing terrible.

Getting a little nervous for the ER as my clinic doesn't put you under- I just take a pill in the AM that will help me relax (can't think of the name) then they give me a shot of something stronger when I get to the clinic. They say most patients feel pressure but minimal pain. I'm happy to not have to recover from anesthesia, it took me forever to recover from it when I had my LAP, but the prospect of the pain is still a bit scary. DH will be in with me the entire time so that will help calm me. The counselor said if I "work with the meds" by relaxing myself as much as possible it will help to minimize any discomfort. But when you know the procedure and exactly what they're doing down there- it's a bit daunting. Wish it was like labor and you're guaranteed a baby in the end so the pains all worth it Smile Seriously, though, I'm staying positive and hoping to get the right amount of eggs that we will need. I will update everyone after my appt Monday.

I will have my first IM shot soon.... any tips??? Novarel (trigger) will be first and then the progesterone oil after that EVERY DAY for a while...

Joined: 07/26/04
Posts: 1595

That's about how many follies I would have...then there was like an additional one or two the day of retrieval. Hope it all goes well praying for the best!!!!

Joined: 04/21/08
Posts: 1063

Meg- I don't think an ER is anything like a laparotomy... though I had some good stuff when I had my ER (pretty sure it was propofol which is a sedative that is very easy to recover from). I think their job of retreiving is hard enough they would not want you moving around and such and if they had bad experience with it they would probably just have an anesthesiologist. If it is not needed, it is just one more thing to pay for. No advice on the PIO shots. I never had to do them. I got lots of creams, suppositories and pills though. Glad they are keeping a watch out for OHSS. If you do become pregnant and you truly have a case of it, that is when it tends to end up much worse. 9 follies does not seem like an unusual amount for someone your age - maybe average from what I have read.

Tiffany

Joined: 07/26/04
Posts: 1595

"neoncandle" wrote:

Meg- I don't think an ER is anything like a laparotomy... though I had some good stuff when I had my ER (pretty sure it was propofol which is a sedative that is very easy to recover from). I think their job of retreiving is hard enough they would not want you moving around and such and if they had bad experience with it they would probably just have an anesthesiologist. If it is not needed, it is just one more thing to pay for. No advice on the PIO shots. I never had to do them. I got lots of creams, suppositories and pills though. Glad they are keeping a watch out for OHSS. If you do become pregnant and you truly have a case of it, that is when it tends to end up much worse. 9 follies does not seem like an unusual amount for someone your age - maybe average from what I have read.

Tiffany

I had propfofol too, super easy to recover from. It was like waking up from a long sleep, just a little groggy but it lasted like 15 min.

-kate-'s picture
Joined: 02/23/12
Posts: 460

Meg,
Lots of luck at your appt. I think it is really awesome that they let DH stay with you the whole time. It's much easier to stay calm when someone you love is with you. No tips from, as I am a IVF virgin. But I just wanted to say good luck at the U/S! :goodluck:

lovebuggy1's picture
Joined: 08/13/11
Posts: 374

Good luck Meg! I'm new to IVF also, so no advice, but I'll be thinking about you!

megeyre's picture
Joined: 10/29/09
Posts: 194

Thanks ladies! I went in for my final u/s today and had lots of good size follicles.. 13 that were mature and a bunch of other little ones. My ER is Wed at 10:00. Trying to just stay relaxed. I can't believe it is already this time!! I'll let you all know how is goes on Wed. afternoon!

meggyrn's picture
Joined: 02/16/09
Posts: 2263

Awesome number of follies. For my ER they gave me Fentynal and Versed. I was awake the whole time but conciously sedated so I could still do what they told me to. That may be what they are going to do for you since a nurse can administer those medications with a physician present. As far as the IM shots what I always did for the PIO was heat the injection site up with a hot pack before hand. I would also warm the PIO up in my hand also since it's kind of thick. After the injection was done DH or I would rub the site for a while just to distribute the medication, then I'd put the hot pack back on. That seemed to help me a lot. Also rotate sides and injection sites. I would just try not to go in an area that was real sore. I always did my shots in the morning and I think it also helped since I was up moving around all day and getting the muscle moving instead of doing it at night, then going to bed. Good luck on Wednesday. Can't wait to hear your update!

Joined: 03/02/07
Posts: 473

Wishing you the best of luck! Sounds like a good amount of follies. I don't have any input on the PIO....I had to do suppositories for the progesterone.

My clinic puts you under anesthesia for ER. But even so, the anesthesia is lighter than what they use for a laparoscopy. That is what the doctor told me, because I also had a very hard time waking up and becoming functional after my laparoscopy. At any rate, it shouldn't be too bad!

It is so hard to be relaxed through all this. But, one "nice" thing about IVF after all your efforts of "trying" for so long, once you get to this point, you can just show up and let the doctors do the work. They will take good care of you!

megeyre's picture
Joined: 10/29/09
Posts: 194

Meg- Thanks for the tips! I will definitely take your suggestions. DH did my trigger shot, Novarel, which was IM last night and it was pretty painless. I know the PIO shot is thicker, and a bigger needle, but I'm glad I had at least one IM shot first that was more basic because DH feels pretty confident and I'm not as scared. Especially since its thick, the heat pack makes a lot of sense.. I'll have to go out and buy something because I don't think we have anything like that. Thanks!!

Trigger shot really added to my already bloated belly, I have a pretty noticeable pooch and had to wear a loose dress to school today because I didn't want the students to say something (because believe me they would lol) Went to acupuncture this evening and it was really relaxing so trying to maintain that state of mind for tomorrow. I'm pretty nervous, but also excited to be one step closer. I'll try too update tomorrow afternoon!

meggyrn's picture
Joined: 02/16/09
Posts: 2263

Did they give you two different needles for your PIO shots? They gave me larger needles to draw the shot up, then I'd switch it out to a different one. It was still a big needle but was smaller than what I drew it up with and the needle hadn't been dulled out. What I learned in nursing school is always switch out your needles when giving IM shots. It will go in easier. I have a heart shaped barley bag that I'd heat in the microwave and use so if you have something like that it'd be good. That thing has been with me for a long time. I used it going on 4 years ago for all my IVF cycles and use it very routinely for headaches or just when I'm cold.

Good luck tomorrow. Remember if they are worried about hyperstimulation drink lots of fluids, esp. ones high in sodium like gatorade. Update us when you feel up to it!

DancingNancy's picture
Joined: 08/30/11
Posts: 520

I'm so excited for you!!!!! Good luck today!