We had our second IVF consult last Friday and made a plan to move forward. We were able to get all our MANY questions answered and I’m feeling excited and optimistic heading into this cycle. Our protocol is High Responder Antagonist. From what I’ve read, the antagonist protocol is very common, and my doctor is choosing to use Lupron for the trigger because he feels I’m at extra risk of Ovarian Hyperstimulation Syndrome (OHSS) due to how well I’ve responded to small doses of meds during my IUI cycles.
One big thing we discussed is whether to do intracytoplasmic sperm injection (ICSI) or not. Our RE recommended it for us, but said as long as we get a decent amount of eggs (8+), he would be comfortable doing 2/3 ICSI instead of all of them. This will help us to know if our problem is with fertilization, and we also like the idea that some of our eggs/sperm have the possibility of meeting “naturally” and making an embryo. I completely understand why couples with low morphology choose ICSI, and I think it is a great option. Since this is our first IVF, we think doing partial ICSI is the right choice for us.
We also expressed our desire to do a single embryo transfer (eSET). Our RE agreed that this is the best option for us, based on age and diagnosis, as long as we have quality embryos. This will be a decision we make together after we see how everything is progressing.
So I’m on birth control for 2.5 weeks and then will start stimming. The fun has already started as I’m feeling nauseous and breaking out after five days on the pill. Lovely. I have a feeling that is just the beginning of the IVF fun. Below I’ve listed a breakdown of my meds and timing:
-Birth control (Alyacen 1/35): Sept 13-Oct. 1
-Pre-IVF ultrasound and bloodwork: Oct. 2
-Start stims (175iu Gonal F, 75iu Menopur): Oct. 5-? (10-12 days, typically)
-Add in Ganirelix when instructed
-Trigger (Lupron): ~Oct. 15-17
-Retrieval: ~Oct. 17-19
-Start estrace after the retrieval
-Transfer: ~Oct. 20-25
-Start progesterone after the transfer
-Beta test 14 days later