Green Light to Stim!

When I had my baseline appointment last week, the Dr. found an estrogen-producing cyst on my right ovary that was causing my Estradiol to be 392, which was way too high. So they kept me on Lupron (10 units) for an extra week. After spending way too much time on Google looking up estrogen-producing cysts, high levels of E2, and delayed/cancelled IVF cycles, I had hope when I read that getting your period may help the cyst disappear and E2 levels would drop. It was possibly the first time I was thanking the heavens when I got my period on Saturday. Not sure how much validity is in this, but I also tried cutting out meat/dairy products over the next few days in hopes that that would help reduce my estrogen level.

I went back for an ultrasound and bloodwork on Thursday and the Dr. could no longer see the cyst anymore! A few hours later, I got confirmation that I was good to start stimming the next day as my E2 had decreased to 91.8…woohoo!!! I am cutting it extremely close with this IVF cycle as I am booked for a hysteroscopy on Nov. 6. Hopefully all will go smoothly with this round of FSH meds and that egg retrieval will be able to happen before that date.

Since my memory is at the level of a 78 year-old, I had pretty much forgotten all of the injection training I had received at the clinic 3 weeks ago. Maybe I should have┬átaken up the nurse’s offer to borrow the teaching tools to practice at home (yes, I was that bad…!!)…Thankfully the clinic’s website has training videos on it. I don’t know if it’s just me or if others doing IVF feel the same way but I was incredibly stressed about doing these injections. I can’t believe I was worried about the Lupron injection before! Now that is the easiest one. I was to reduce Lupron to 5 units, use Puregon (350 units), and Menopur (150 units).

S and I have been on decent terms lately. Kind of being like friends. We text each day wishing each other good morning and good night and occasionally get together for a meal or movie. But other than hugs, a kiss on the forehead (from him) and the use of the kissing emoji, we awkwardly avoid any other form of romantic contact. Anyway, he knew I was feeling really anxious about these injections so he offered to come by after work to help me. My anxiety overtook any pride/independence I was feeling and I quickly took him up on his offer. As I carefully laid out each item (oh my god, so many!!) with the corresponding instructional pamphlet, he watched the training videos.

#1 – Lupron: Easy peasy!

#2 – Puregon pen: Was the second easiest. Thank god, my dose was simple so I needed one vial exactly. Hurt a little more than the Lupron syringe and bled a little bit.

#3 – Menopur: The one I was dreading as there was mixing involved. We did get confused about how much saline to use as I needed two vials of the powder. We decided to use 1 mL since the pamphlet said that is typically the dose. As I injected, it definitely felt like a lot more liquid going in and it was the most painful. With this one, I bled the most and was a bit sore afterwards. This is the only time that I was glad that I have a good amount of fat on my mid-section.

#4 – Tuxedo truffle cake that S brought: It did feel like it was a cause for celebration to get the first day of stimming injections over with. I was very relieved and also very thankful that S could be there with me to assist (mostly keeping me calm, reminding me of little things I forgot, and not letting me second-guess myself).

The whole process took about an hour, which is probably really long, but I’m sure if it was by myself that time would double. I will be attempting this again on my own in a few hours so hopefully I will get through it okay!