Today was our fourth scan, and man, did it hurt! When she started the ultrasound today, I winced in pain because I could feel that my ovaries were swollen from the follicles that are growing inside. I might’ve also been just hangry because I had to fast this morning so they could run some blood tests and a urine analysis for the anesthesiologist. By the time we got to the clinic by 1030am, I was pretty ravenous and asked Anna if I could get the blood and urine work done pronto so I could eat something, and she helped set it up right away.
Then we got called in for the doctor, and K stood by as she started measuring, and the largest one is 15.8mm, which is great! In the past cycles, I would usually trigger around 16 – 18mm, and wondered if this would speed up my egg retrieval, but instead she changed my protocol to decrease Gonal-f to 150, and upped the Merional to 225. She also started to put me on Cetrotide so that I wouldn’t ovulate early, which is what I was concerned about.
Next scan is this Saturday, but in the meantime, I’m hoping my ovaries will behave and relax so that the next ultrasound won’t be super painful. I am starting to look like a bloated fish, so I know the time is pretty near. She is still estimating next Tuesday, which seems far and close at the same time, haha.
We also asked if they would do ICSI, and they said they would. I also asked how long it would delay the embryo transfer to do PGD on all of the embryos. She recommended that we should do a fresh transfer with the first 3 blasts without PGD first, and if that failed, we could do PGD on the rest of the embryos that they would freeze on day 3. The doctor said that she wants to attempt doing a fresh cycle at least once before moving onto the frozen embryos. In this clinic, they really are big believers in fresh over frozen, and since we’ve never had a fresh embryo transfer because I always had OHSS, we thought this plan was a good idea.