Scan this morning revealed ovaries doing exactly what they should be doing. Yay! This means no needle aspiration for me (at least not today).
Because of an upcoming long weekend trip, we are manipulating my cycle. . . I'll continue the BCPs until Wednesday. Then on CD3, I will start injections of HMG Lepori (generic Menopur/Repronex). We will do a step down protocol. . . 3 vials (225iu)/day for 3 days, then 2 vials (150iu) on the 4th day and a scan on the 5th day (or CD7). Depending on that scan, we will decided to go up or down on the dosage. If things go according to the norm (and when do I ever follow the norm?), we may be back at the clinic for hopeful baby making on Christmas day.
Dr. Awesome said, "remind me again how you feel about twins or triplets?". :-) And reassured me that even with 6 mature follicles the chance of conceiving high order multiples (and staying pregnant to the magic 10 week mark) was slim to none given our history. However, we are slightly increased risk of triplets due to our past proven fertility but also have the fact working against us that getting and staying pregnant has been difficult. . . So, in a way we have a higher risk of being in that 10% triplet group and in another way we have a lower risk, especially of making it to the magic 10 week mark. He said to not be surprised even if we initially conceive three, if they don't all stick.
So, our plan is to proceed with up to 6 mature follicles at trigger (which reminds me, I need to order a refill!). If I have more than 6, Dr. Awesome will do a needle aspiration to remove the extras (to reduce risk of high order multiples and NOT cancel this cycle).
That photo above. . . that's my life for the next couple of weeks. I'm so excited to give myself injections. . . NOT. But, if it gets us a baby or two (heck, I'll even take three), then it's all worth it!
I feel really good about this cycle (ask me a week ago and I was ready to bag it all!). If this one doesn't work. . . well, then we are out of the medical route for a while. . . if it does, I'll have conceived just under the 35 year mark.
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