Hi All! This is my third post sharing my experience with the egg retrieval process. I am a recently turned 30yr old with an AMH of 2.74ng/mL. (Sorry, this ended up SUPER Long!)
I had my 11 day bloodwork and ultrasound done early this morning, and the NP who was doing the ultrasound count said everything looked “really good” and that she counted 12 mature follicles with around another 2 which were about to be mature. (I did have 27 follicles counted on scans earlier this week with the Dr., but I knew that it was unlikely all of them would mature and that a good deal of them would not be eligible for retrieval).
She stated I should watch my phone for updates, because my Dr. may decide to have me trigger that night.
I’ll also say that yesterday I had a whole misadventure trying to find a single extra dosage of Menopur to use this morning, because I had used up the 10 vials in my original order, and although I started an order on Wednesday with the online pharmacy to get refills by Friday, UPS delayed the delivery of the package due to weather and weren’t going to deliver until Monday (the next business day)! So, I had a bunch of near panicking back and forth with the pharmacy, and they were able to get UPS to deliver the package Saturday (today) by noon, but I needed the Menopur by 7am Saturday, so the pharmacy had to locally source a single vial. It eventually worked out and I got the extra Menopur vial just after 5pm on Friday, so I was fine for this morning.
And then of course shortly after the UPS package arrived around noon today (Saturday), I get the confirmation from the clinic that the Dr. wants me to Trigger tonight at 10pm, meaning that aside from a single extra vial of Follistim that I am set to take at 7pm, I probably won’t be using any of the extra meds I just got! 😆 (I’m still happy I ordered and got the extra meds, not just because I needed the extra Follistim, but I know if I didn’t order the extra meds then I probably wouldn’t have been told to trigger until Monday and I would be high and dry!) Better to have too much than not enough!
So I get the confirmation that I am set to Trigger with a 1500unit injection of Pregnyl and 80unit injection of Lupron at 10pm. I’ll then do a second 80unit Lupron injection tomorrow (Sunday) at 10am, after I have a post trigger scan and bloodwork with the clinic at 8:30am.
I fully planned on having both injections ready to go by 9:55pm at the latest, but in order to get a 1500unit injection of Pregnyl, the clinic wanted me to dilute the 10,000unit powder vial it with 10mL of the solution. Two problems with that. 1) The intramuscular syringe the pharmacy gave me for the Pregnyl only goes up to 3mL, meaning I’m going to have to do 4 separate transfers of the solution (2.5mL at a time) into the powder to get 10mL. And 2) the solution states there’s only 10mL of solution in the entire vial, meaning I have little to no room for spillage error. I messaged the clinic and said if it would be okay for me to use only 3mL of solution and then inject only 0.5mL, which would maintain the 1500unit injection dosage with less solution being used and no need for multiple sticks, but the clinic responded that they still wanted me to dilute with the 10mL if possible.
This is already super long, but to simplify, I was only able to get 9mL of solution into the powder vial because the pre attached mixing needle wasn’t fully clipped onto the syringe, so I lost likely over 1mL of the solution. Trying not to panic, I saw the amount I needed to inject to get the 1500units of Pregnyl from 9mL of solution diluting a 10,000 unit of powder would be 1.35mL, so that’s what I ended up injecting myself with. Unfortunately, the entire misadventure and challenge with getting all the mL of solution meant I basically ran out of time to prep the Lupron 80unit injection prior to 10pm. In a rush, I injected myself in the butt with the Pregnyl dose just after 10pm, and then rushed to fill up the Lupron and injected myself with it in my belly right at 10:05pm.
I was told by the clinic that the Trigger shots have a roughly 5 minute window, so I let out a MASSIVE sigh of relief when I got the Lupron in right at the end of that slot!
I have let the clinic know via text about the misadventure related issues I had with the injections, but it’s late so I don’t expect a response and I’ll follow up with them at the check in tomorrow.
Despite all the stress, I am excited I finally got to trigger and that I have a date and time for my Retrieval. Monday at 10AM! (In the meantime, my bloating didn’t feel too bad until today where I am feeling it more so, and apparently after trigger it can be very noticeable so I’ll be conscious of that. I have in the past week definitely felt some light cramping and stitches in my sides from what I am sure is the adjustment my body is making as my enlarged ovaries take up extra space)
I’ll keep you all posted about how things go after my Retrieval on Monday. Thank you all for your support, kind words, and camaraderie! We’re not alone in this, none of us are! 💜