Monitoring #: Too Many

I had my fourth consecutive monitoring appointment today. Several interesting things came out of it.

First, Amy the u/s tech is a lovely lady, but I will specifically request not to be seen by her in the future. It was another extremely painful u/s, which was bad. Worse, when I was done and asked about numbers, she said my lining was "almost to a 6". I told her I was disappointed that I'd regressed since yesterday's 6.18. At that point, she said, 'oh there were other measurements. One was 6.55, that was better, so we'll use that one.' And then she deleted the 5.85 she had and replaced it with the 6.55.

What. The. Fuck.

When DH and I called her on it, she said it was actually the better of the images she'd taken, so it was good. She also said "your lining can't get thinner, so it must be right."

Given that my estrogen dropped since yesterday, I have proof positive that she's wrong, but not much I can do now. I did have a long conversation giving feedback about this with the nurse when she called me with instructions later.  I don't know if it will help, but I was not going to let that pass by.

Next, I got the final ultrasound report from yesterday. Turns out that unlike Amy, who told us I was at 22 and 19 for follicles, the report showed 20.5 and 17. Which completely explains why they didn't trigger me. My irritation level is high.

So, the outcome is that I trigger tonight. Estrogen is dropping, lining probably is too. I may or may not have mature follicles (I really don't trust Amy's measurements).

18-Jul	AFC	9
	Day	4	7	8	9	10
	L follies	9.5, 8.5	15, 13.5	16, 14.5	17, 16, 10, 8	20, 18, 9, 9
	R follies	11	16	19	20.5	23
	E2	691	739	1232	1726	1634
	P4	0.1	0.1	0.21	0.36	0.55
	LH	1.58	3.03	6.2	11.54	11.25
	Lining	5.2 triple	5.6 triple	5.7 triple	6.18 triple	6.55/5.85 triple
	FSH	1000	1575	1850	2125	2350
	Menopur	300	600	675	750	825

For comparison, here was the twins' cycle two years ago this month. The difference in response is almost unbelievable.

16-Jul	AFC	9
	Day	4	7	8
	L follies	12.5, 8, 8	19.5, 13.6, 7	22, 18, 7, 4
	R follies	11, 9, 8.5	16.5, 15, 10, 8	18, 16, 10, 8
	E2	803	1294	1690
	P4	2.68	1.66	2.59
	LH	8.24 miu	1.03	0.76
	Lining	6.9 triple	6.9 triple	7.3 triple, cystic patches
	FSH	600	1050	1200
	Menopur		0	0