Since my last post a lot has happened! so many test, needles, and information! All of my blood work came back normal. All of my hormone levels were in normal range, thanks to the Metformin I have been taking since October. I had my HSG test to make sure there were no blockages in my tubes and the Dr.’s exact words were “they are wide open”. I had an ultrasound to check my egg/follicle reserve; I have 78 total between both ovaries! That is huge! Austin had his semen analysis done and everything was normal there also. So far we have left every visit with good news and high hopes.
Since all test have come back positive I was cleared to start my first cycle with Letrozole and a trigger shot (Ovidrel). Letrozole is a medicine that I take on days 3-7 of my cycle and it is supposed to make my follicles grow and the trigger shot is a shot that is administered at home that forces the mature follicle to release (ovulate). The Dr. started me on the lowest dose of Letrozole to see how my body responds. A lot of times the lowest dose is not strong enough and none of the follicles will grow but if you start at a dose that is too high it can cause your ovaries to over stimulate which can cause major issues that can lead to an ER visit.

I went into my first round of Letrozole honestly thinking the lowest dose was not going to work. I just knew I was going to need a higher dose in order for my body to respond. It’s not that I was being negative but I just kept telling myself the first month is the “trial” month, to see what is going to work for me. I’ve read so many stories of the first month just not working so I kept my guard up and my hopes down.

On cycle day 11 I went in for an ultrasound to check on my follicles since taking the Letrozole. I had one follicle measuring at 11mm. In order to do the trigger shot a follicle has to measure at 18mm. They told me to come back 3 days later for another ultrasound to check again. If growing properly, follicles will grow in size anywhere from 1mm-2mm a day. So I woke up early on a Sunday morning and drove to Emory for my tracking ultrasound. The clinic was so busy. It was the first time I have ever had to wait longer than 5 mins and I waited for an hour before I was seen. The techs that perform the ultrasounds do not tell you anything. They send the scans to the doctor to review and then the nurse calls you later the same day to give you the results and instructions. From my past experience the call has never happened past 3:00 in the afternoon. It was 6pm and I had still not received a call.

I was super anxious and getting frustrated. The trigger shot has to be administered at an exact time and if I was supposed to take it that night how was I supposed to know? NO ONE was calling me. I tried calling the office myself and I got the answering service… “blah blah blah the office is closed, if this is an emergency please hang up and call the emergency line.” Y’all I really considered calling the emergency line lol (this wasn’t an emergency). 2 hours later at 8:00pm on the dot! my phone rings! My follicle has grown to 17mm and my uterine lining is perfect! They want me to trigger the next night (Monday) at 10pm. They are confident that my follicle is growing and by the next day it will be at least 18mm. I hung up the phone and screamed with excitement! God’s plan is always greater than our own! I told Austin “Even if we do not get pregnant this first cycle, I am so excited that my body has responded so well to the medicine!” that in itself is a blessing! I had a hard time sleeping Sunday night knowing “tomorrow is trigger day!!”.
TRIGGER NIGHT…aka Monday night. We were so nervous, like a lot more nervous than expected, about administering this shot at home. We watched the “how-to” video a stupid amount of times and as easy as it seemed I was still freaking out about Austin sticking me with a needle, those who know Austin understand how that could be scary lol. The needle was so tiny, I didn’t feel a thing. We did it! Phewww no big deal at all! Now we wait the dreaded two weeks before we test. We have a trip planned with our friends one weekend which will help keep our mind off things. We will sit back relax and let God do his job (easier said than done but I’m going to try)!We know everything is in his hands and his plan is greater than ours. As I said before even if this cycle does not end in pregnancy, I will chalk it up as a successful cycle and I am thankful!

