We were back at the fertility Doctor this morning!
This was a follow up to check on my follicle growth and also do the HSG test.
I was a little nervous this morning because I’ve heard mixed things about the HSG test. They did the ultrasound first, which was a little longer than the first one because my bladder was more full than the last time (of coffee, no doubt..), but they saw about 4 follicles this time measuring roughly 11-12mm. So in the last 7 days, they went from 5-7mm to 11-12mm. This was after 5 days of taking the Femara (follicle steroid pills – I think it was 2.5mg that they started me on). They won’t trigger you for ovulation until they are measuring at least 18mm, so they were going to put me on a double dose of the same pills, but after the nurse talked to the actual doctor, they decided to go a different route.
They WERE going to have me come in next Tuesday(Day 16), but Sam had mentioned that at that point it would be getting sort of close to the date that I would have naturally ovulated. The Doctor decided to do a shot instead of the second round of pills. So now, Samantha has to inject me with 75 units of Gonal-F (Typically an IVF drug) tonight and tomorrow night. NOW we come back Monday (5 days from today) for another ultrasound. (fingers crossed)
The goal, from what I’ve understood, is to have 1-2 follicles at least 18mm before they trigger ovulation. Any more than 2 follicles that are maturing runs the risk of multiples (as in more than 2 babies), which would put me and the baby(ies) at risk, in which case they would cancel this cycle and try the next month. The steroids they are giving me are causing my follicles to grow a bit faster than normal so that they CAN trigger my ovulation in order to more precisely determine the proper moment for insemination. If the follicles get too big (more than 24mm) then they have a chance of ovulating on their own, and we definitely don’t want that, because then they could miss my ovulation. That’s why they are doing so many ultrasounds and really monitoring my follicle growth.
Okay, so I was super nervous because I’ve heard so many mixed things about the HSG test. I heard it hurts from some people and others felt mild cramping, so it was sort of a mixed bag of emotions. In my personal experience, it wasn’t any different than a pap smear. When they injected the dye, I felt a warm sensation and then slight cramping. I described it to my wife as if you have to pee really bad and then someone squeezes your bladder. It didn’t burn and wasn’t super uncomfortable for me at all.
The RN let me watch the screen as they injected the dye, which was cool. I got to see as the Doctor injected the dye, my cervix filled and got darker and then the dye spilled into my fallopian tubes (which look kind of like spaghetti noodles coming out of my cervix). I snagged a photo of the still frame once they were all done.
One of my tubes was super clear and the dye came out right away, the other took an extra few seconds but both of my tubes were totally fine. The nurse said that it’s possible it was partially blocked, but the HSG test could’ve unblocked it. She also said she’s had experiences with people having better luck with IUI after the HSG test for that very reason. I’m glad I did it for my own peace of mind. Plus it was covered by insurance. Sooooo Win-Win!
…So that’s pretty much the update for now. Sam “gets to” give me a shot tonight and tomorrow that will continue to stimulate follicle growth.
This weekend we are headed on a mini-vacation to Birmingham, Alabama to see Mumford and Sons in concert. We are SO ready. Until next week!! (See our blog from that trip HERE)
4 follicles total: 2 follicles measuring 11-12mm, 1 at roughly 10mm, and 1 at 8mm
Second ultrasound: $250
Antibiotic for HSG test: $11 (thank god for insurance!)
HSG: $65 co-pay! The actual test was covered by insurance thank god!
– – – – (or it would have been roughly $600)
Gonal F fertility shot: Thankfully we got a sample! (Otherwise, it would have been $2200)
Total cost to date: $1567