IVF week 4: The follicle situation

This week started out with an ultrasound and blood work on Monday (5/20). It went well, follicles were starting to grow and no drug dosages changed. The drug regiment is the same as week 3, Lupron (thigh, morning), Follistim (stomach, afternoon) and Repronex (rear, afternoon). Tuesday morning was the same, ultrasound and blood work went well with no change in dosages.

Ideally our IVF drugs would carry us through to milestones like egg retrieval, but since Desiree has been on the lowest possible dosages we were starting to run out of Repronex and Follistim, both of which are a little over $500 a box. Unfortunately we had to order an extra box of each, over $1,000 we hadn’t planned on spending, but what choice did we have?

This was the start of the roller coaster ride that would be the rest of the week and still is even as I write this.

Wednesday’s ultrasound showed that Desiree had only produced 5 follicles which is low for this stage in the game. It’s important that our doctor has 10-15 follicles for a successful retrieval. Let me explain.

Typically there’s only 1 egg in each follicle, and it’s possible for a follicle to be empty. Beyond that not all eggs retrieved will be good, some may be too mature while others aren’t mature enough. Even beyond that not all eggs may fertilize afterwards. Basically there’s a few hurtles in the process before we arrive at 2 perfect, fertilized eggs to transfer back into the uterus. The rule of thumb is the more follicles our doctor has to work with the better our chances for success and that’s why he wants 10-15 at just the right size.

When our infertility coordinator explained the follicle situation she told us that at this point our chances for a successful round had been significantly reduced. It sounds blunt, be she explained it with empathy and didn’t want to concern us, but felt it was important to explain things along the way. We were scared and staring at the possibility of losing our money without any chance to move forward.

After that we received a huge blessing. When women finish a round of IVF they often have drugs leftover. Those drugs can’t be sold back to the pharmacy so they donate them to the clinic for couples like Desiree and I who pay out-of-pocket (as opposed to treatments being covered by health insurance). So our coordinator had us cancel the Repronex order we had placed the day before and gave us a free box. We were very grateful and hopefully we’ll be able to donate something in the end too.

That night we went home and prayed for more follicles. Desiree did some research online and read about putting her legs up on a wall, supposedly the blood rushes to the pelvis and expedites the process – we called it “the leg trick”. We knew there was no way to measure if it was working, but at that point we’d try anything. The best thing that could happen was tomorrow’s ultrasound would miraculously show that she had developed new follicles overnight which can happen.

The next day we went in for the ultrasound and, wouldn’t ya know, it did miraculously show that she had developed at least 5 new follicles overnight. We couldn’t believe it, we now had about 10 follicles for our doctor to work with. The blood work came back good and our dosages stayed the same, we were in the clear. At this point it looks like our egg retrieval, granted nothing goes wrong, will either be on Monday (Memorial Day) or Tuesday.

Since we’re at the clinic every day this week and things are happening so fast I’m trying to dole out updates in chunks. We’re still on a bit of a roller coaster ride, and I’ll write more about it soon, so please continue to pray that we’ll make it through the entire cycle and that we have a successful one at that!

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4 thoughts on “IVF week 4: The follicle situation

  1. Claire de Jongh

    Reading this blog moved me to tears. I was so blessed to read the end result. Continuing to pray to God for both of you and continued miracles in this process. Our God can do more exceeding abundantly than we ask or think. May the Lord bless and Keep you and let the Light of His countenance shine upon you and give you Peace as you continue your journey toward having a child. LOVE and Continued trust in a Powerful and Loving God!

    Reply
  2. Pingback: The lining situation | Young & Barren

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