Update: HCG Trigger shot hurts! Not the shot itself but almost immediately afterwards I feel like I've been punched in the shoulder! No one told me this, I was not prepared!
A lot of people not familiar with IVF have asked me, "so what's next"? So here is it is
Today (2/20):
- Trigger with HCG shot at 9pm exactly
- HCG is the hormone produced when you are pregnant, in this case you get 10,000 units in one shot in the arm to cue the eggs to finish maturing and to prepare for retrieval. This trigger shot is done approximately 35-36 hours before egg retrieval
- Start antibiotic (Clyndomicin) vaginal suppository as a secondary prophylactic measure to prevent infection (already on z-pack)
Friday (2/21):
- No meds except antibiotics, folic acid and dexamethsone. This will be my first day without an injections since January 22nd.
- No food or drink after midnight
Saturday (2/22):
- Egg retrieval
- Be at the clinic at 7:45
- Meet with anesthesiologist
- Get put under
- Doctor uses ultrasound and inserts a needle through my vaginal wall into my ovaries to remove the fluid and egg from each follicle (so a dozen times or more)
- I wake up
- Husband gives fresh sperm sample but expect to be using frozen vials, Embryologist will examine and make this call
- Embryologist examines eggs and determines how many eggs were retrieved (not all follicles have eggs) are mature (not all eggs retrieved are mature)
- Embryologist fertilizes each mature egg using a procedure called Intra-cytoplasmic sperm injection (ICSI). Pronounced Ick-see and its where one sperm is injected directly into each egg
Sunday (2/23);
- Fertilization report from clinic
Monday (2/24):
- Nothing
Tuesday (2/25):
- Day 3 growth report
- How many are continuing to grow
- What are their grades, cell sizes, etc
Wednesday (2/26):
- Nothing
Thursday (2/27):
- Day 5 growth report
- Biopsy for PGD (Pre-Implantation Genetic Diagnosis)
- This could also be moved to day 6 depending on growth
- If we have only a couple of embryos/blastocytes at this point we may decide to forgo genetic testing and go straight to implantation but the plan is to do the PGD
- Biopsies are sent to genetics lab to make sure they are chromosomal normal
- Embryos are frozen
Depending on how long it takes to get the results of the genetic tests and how long it takes my normal cycle to return we will do what is called a Frozen Embryo Transfer (FET) in either March or April, more on that later but it involves much less drugs!
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