IVF details

for our december cycle, we were at princeton ivf with dr. seth derman.

all the little details…

CD Date E2 LH Menopur Notes
-1 12/9 <5.00 0.9 R: AFC 10, endo 26.5
L: AFC 8, endo 24
Lining: 9mm, monolaminar
1 12/10 4 vials
2 12/11 4 vials
3 12/12 82.4 1.0 4 5 vials R:6.5, 7, 7, 7, 7.5, 8.5, 8.5
L:6, 6.5, 7, 8, 8, 8.5
Lining: 8 mm, monolaminar
4 12/13 5 vials
5 12/14 478.8 0.9 5 vials R: 8, 8.5, 9, 9, 9.5, 11
L: 8, 8.5, 9.5, 10, 10, 11.5
Lining: 9 mm, trilaminar
6 12/15 5 vials
7 12/16 1372 1.5 5 vials R: 9.5, 10.5, 10.5, 11.5, 11.5, 11.5, 12.5
L: 8, 8.5, 8.5, 9, 11.5, 12.5
Lining: 11 mm, trilaminar
8 12/17 2127 2.01 5 vials R: 10, 10.5, 12, 12.5, 12.5, 12.5, 13, 13, 16
L: 7.5, 9, 9, 10, 10.5, 11, 12, 12.5, 13, 16
Lining: 14 mm, trilaminar
US done by Hina
9 12/18 5 vials
10 12/19 6295 2.3 R: 7, 8, 14.5, 15.5, 16.5, 18
L: 9, 10, 10.5, 11, 14.5, 14.5, 16, 16.5, 19.5, 19.5
Lining: 11 mm, trilaminar
Trigger shot at 10 pm, begin doxycycline & medrol twice daily
 11 12/20 begin doxycycline & medrol twice daily
 12 12/21 ER!  Retrieved 18 eggs
 3dt 12/24 3 day transfer: an 8-cell compacting embryo and a 7-cell, grade 1 embryo (even cell division, no fragmentation).  Three more (two 7s and a 6) frozen.
begin endometrium (three times daily) and estradiol (once daily)
 5dp3dt 12/29 Progesterone: 14.99
 10dp3dt 1/3 Progesterone: 10.43
Beta: 0.2
12dp3dt 1/5 Progesterone: 20.4
Beta: <1
Not pregnant

and our embryologist’s report:

Egg # Day 1 Day 3,
# of cells
Day 3,
grade
status
1 2pn 7 1 transferred
2 2pn 8 1 transferred
3 2pn 6 2 frozen
4 2pn 7 1 frozen
5 2pn 3 2 discarded
6 2pn 6 2 frozen
7 2pn 5 2 discarded
8 2pn 5 2 discarded
9 2pn 5 2 discarded
10 2pn 4 2 discarded
11 1pn discarded
12 & 13 0pn MII discarded
14 & 15 MI discarded
16 GV discarded
17 & 18 atretic discarded

and our successful cycle was with the doctors at IVF New Jersey:
R’s numbers improved quite a bit, so they only ICSIed 5 of the 15 mature eggs this time around (although, none of those it to transfer).

here are the details i have gotten so far.

Stim
Day
Date E2 Follistim Menopur Cetrotide Notes
1 3/31 125 150 0
2 4/1 125 150 0
3 4/2  63 225 150 0 BW only
4 4/3 225 150 0 dilapan treatment
5 4/4 225 150 0 BW only
6 4/5 225 150 0
7 4/6 700+ 225 150 0.25 right: 10, 9, 7, and 4 smaller ones
left:11, 9, 9, and 7 smaller one
8 4/7 225 150 0.25
9 4/8 225 150 0.25 lining: 7.9
right: 14, 12, 12, 11, 10, 10, 10, and 4 smaller ones, cyst 28
left: 13, 11, 11, 10, 10, 10, 9, and 6 smaller ones, cyst 21
10 4/9 225 150 0.25
11 4/10 3000 225 150 0.25 lining: 10.9
right: 17, 16, 15, 14, 12, 12, 11
left: 17, 14, 14, 14, 13, 12, 12, 12, 11
12 4/11 lining: 11.5
right: 18, 17, 17, 16, 16, 13, and a bunch of smaller ones; cysts 34 and 18
left: 22, 18, 18, 17, 17, 16, 16, 15, and a bunch of medium and smaller ones; cyst 21
trigger at 11:30pm with 20 units of Lupron
4/12 around
5400
bloodwork in am
booster at 11:30am with 1,000 units of Pregnyl
ER 4/13 18 eggs retrieved
4/14 fert report: 15 mature, 5 ICSIed and fertilized, 4 of 10 fertilized traditionally
ET 4/18 5 day transfer of two blastocysts, one grade A and one B
notes from embryologist: 4 appeared mature and did not fertilize, 3 were immature, 2 demonstrated abnormal fertilization, 2 for potential freezing
Beta 1 4/27 94
Beta 2 4/30 338.  doubling time of 39 hours
Beta 1 5/2 “almost 900.”  doubling tome of 35-ish hours

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