Thursday

We are getting close. Today's ultrasound still showed around 19 total follicles. In my right ovary I have 5 follicles greater than 12 mm, and five other ones are ranging from 14.8mm to 17.8mm. In my left ovary I have 5 follicles greater than 12 mm, and four other ones ranging from 16.7 to 18.3. I am borderline for being triggered at this point, but they would like me to do another day of stims (lower dose) to get the smaller follicles to catch up. However, if my estrogen levels come back too high, they will trigger me tonight in hopes of warding off OHSS (ovarian hyper-stimulation syndrome). OHSS can be very serious and can lead to fluid build-up in the abdominal cavity. This can sometimes force a patient to be hospitalized. So - if necessary, I will trigger tonight with fewer mature follicles, but we should still have at least eight good ones. Ideally, though, I will have one more stim shot tonight and trigger tomorrow night. This would give us the best chance of more mature follicles at retrieval.