Our 2nd consultation was on PMS Day 6, I had
my internal ultrasound again to check how many follicles I have naturally (I
got 6 on the left and 6 on the right). Sizes were varied from 14mm – 7mm.
After being stimulated with 225 IU Gonal-F for 4 days,
my E2 levels were 1,514 and P4 = 0,52. I am wondering if these numbers are
promising result for IVF?
They are having me inject 225 IU Gonal-F again and
Cetrotide for another 3 days ahead, also ordered a blood test and ultrasound on
PMS Day 9. Cross my fingers, hopefully they are big enough tomorrow to trigger.
Medication Lists:
Cetrorelix Acetate (Cetrotide) is the first
and only gonadotropin releasing hormone antagonist that offers dosing
simplicity and flexibility. It is injected subcutaneously (just under the
skin). Cetrotide is available in a 3mg single dose regimen and a 0.25mg daily
dose given on stimulation day five or seven, depending the strength. Cetrotide helps control
your body’s hormonal responses, which affect the development of eggs.
Specifically, Cetrotides helps delay a hormonal event know as the LH surge. The
LH Surge is caused by a series of changes involving two hormones –
gonadotropin-releasing hormone (GnRH) and luteinizing hormone (LH). When GnRH
is present, it triggers a dramatic rise, or surge in LH levels. However, if an
LH surge occurs too early in a cycle, your eggs will be released before they
are expected. Cetrotides works by
directly blocking the trigger effect on GnRH. This blocking action stops the
premature LH surge in women undergoing controlled ovarian stimulation before they
begin. In doing so, this allows eggs to reach the level of development needed
for fertilization.
FSH (Follicle Stimulating Hormone) is used
in IVF cycles to stimulate your ovaries to produce multiple mature eggs. FSH is
taken as subcutaneous injections daily. Ie. Gonal-F Pen 900 IU