Trigger Day

OK, A quick summary of the last 3 days.  I went to the clinic every morning and this is what my number were:

Monday October 1, 2012
Right: 13,12,11,11,5@10,3@9 = 12
Left: 11,9 = 2
Total = 14
E2 (Estrogen) = 9,192

Tuesday October 2, 2012
Right: 16,15,15,14,14,12,12,4@11 = 11
Left: 13,12,12,10 = 4
Total = 15
E2 = 13,435

Wednesday October 3, 2012
Right: 21,18,17,16,16,15,15,14,14,12,11 = 11
Left: 18,17,15,14,14,14,12,11,10 = 9
Total = 20
E2 = unknown

If you remember from Saturday my numbers were:
Right: 14, 13, 12, 11, 10, 10
Left: 12, 10, 10
So when I went in on Monday and none of the follicles were any bigger I was a bit worried.  I was concerned that not only had they not grown, they appeared to have shrunk.  Yes there was more of them, but I still needed them to get bigger.

When I met with the RE Monday morning he thought he might have to increase my Puregon dose since nothing had grown.  But when the nurse called me in the afternoon, they lowered it instead!  I was shocked, but apparently an E2 level of over 9000 is really high at that stage.

Tuesday morning I felt better when I saw that there was some growth and my E2 level didn't raise too much so I was left at the the same dose for another day.  Before he had the results of my E2 test the RE mentioned that we were walking a fine line between encouraging growth and risking cancellation because of a high risk of OHSS.

This morning I was really happy when I saw significant growth over yesterday.  The RE said two things could happen depending on my E2 levels today: One, I continue stimming for one more day to try to get a few of the smaller ones (under 15) a little bigger; or two, trigger today.  It turns out that my E2 levels were high (although I don't know the number) so I am triggering today!

The trigger shot is designed to  time ovulation for between 36 and 39 hours after the shot is administered so timing is critical.  I must take the shot at exactly 9:00 pm tonight and my egg retrieval is booked for Friday morning at 9:00am.

I happy, scared, excited, terrified...

The other good news is that tomorrow is needle free!  49 needles down, 1 to go!