Before I jump into all the details that is the trigger shot, a quick update:
I had what will "hopefully" be my last ultrasound Monday morning, we had MULTIPLE measuring at 20mm and larger. Think back to Saturday when I only had ONE follicle measuring 18mm! I am definitely feeling it, and the nurse even said my ovaries are practically touching, they are so enlarged.
I am happy to report that other than waddling around from swollen ovaries, and some cramping, most of my side effects have eased. Cramping is normal at this point, I checked because I was so worried. I still get nauseas when I don't eat, however thats an easy fix that I get to enjoy. And headaches are gone!
My estrogen level came back normal, but high. Because of this our doctor gave us a different dosage/medication for the trigger shot. The trigger shot is usually a really high dose of HCG that gives the eggs one last boost of maturation and allows the follicles to release them so that they can be picked up at the retrieval! So we were given a low dose of HCG along with a medication called Lupron - these two together should help prevent OHSS. This is the only shot that to be done at an exact time, 35 hours before your retrieval. We got lucky and didn't have to wake up in the middle of the night to do this. We just had to stay up until 9:30pm.
I wasn't sure what to expect from this shot - I had been experiencing the same medications for over a week now. I was used to the way they stung, the way I felt afterwards. Then a friend told me that the trigger was actually her easiest to take. It eased my mind, and i'm hear to tell you that this is true! The initial poke from the needle hurts (of course) however, these guys were slow to push in and I still didn't feel that much discomfort afterwards! Definitely the easiest one.
There is also a medication that I will be prescribed to take after the retrieval that is also supposed to help prevent OHSS. It will just be a couple of pills, luckily no more shots! *For now*
The retrieval is scheduled for Wednesday morning - the retrieval is probably one of the biggest things I have not been looking forward to. It is an invasive procedure, i'll go under a light anesthesia and be down for the day. However, they do not make any incisions to retrieve the eggs so I'm seriously thankful for that.
To retrieve the eggs a needle is passed through the top of the vagina under ultrasound guidance to get to the ovary and follicles. The fluid in the follicles is aspirated through the needle and the eggs detach from the follicle wall and are sucked out of the ovary.
Once the eggs are retrieved they are rinsed and placed in small drops in plastic culture dishes. Then the eggs will then be fertilized.
We will know at the end of the procedure how many eggs i've been cooking!
Like I said in my previous post, the trigger shot is when most women develop OHSS. I am taking every precaution, taking it easy, drinking SO much water and I have another blood draw today to ensure everything is doing what it is supposed to and safely.
We still do not know if we will be doing a fresh transfer or a frozen transfer - this will all depend on how my body reacts after the retrieval.
We have received so many messages of love, positivity, and support. We cannot express enough how amazing the group of people around us are, that have truly carried us through. You're all incredible.
Next post will be the details on the egg retrieval - see you Wednesday!