Yay yay yay!! Appt. this morning with the same bitchy nurse who gave me such attitude two nights ago, but it went well. I was much more pleasant, she asked me straight out if I had raised the Bravelle so it wasn't even uncomfortable when I said yes AND she looked relieved that I had. Didn't tell her we did 4 Bravelle vials on Weds. and only that we did the 3 yesterday.
My follicles still haven't gone much of anywhere, which made me concerned at the time. Now ranging between 10-13 (almost 14). In a way that's great, none are out in front ahead of the others. But sheesh, when will they kick into gear?
My E2 levels? I've been stalking the portal...494!!! Wahoo!!! That is triple what they were on Weds. Very good. I was hoping for at least 400, secretly hoping for 500. Pretty much there. Now I need to be careful, because it still appears that my follicles are not really dispensing the E2 given their size, and that number based on the FSH I'm injecting. At some point (I'm thinking when greater than 15-16mm) the follicles will take over and start producing their own E2 and then I will need to be very careful about the amount I'm injecting.
But as for right now, this is good. I'm SO glad I didn't add merely one menopur like they originally said. I'm not even upset I did that extra vial on Weds. night. While the numbers triple, the follicles haven't "exploded" and started going nuts, far from it. It's so nice to see me actually respond to something!
I'm beginning to see this really isn't rocket science. I feel like i have a good handle on this works, and since they're giving the nurses the ability to make med changes themselves without much info, I don't feel nearly as bad changing my dosage myself. While the nurses may have seen more patients, no one has seen me for 3 cycles except me and L.
So now, I'm back to debating what to do. Things have progressed so well, they will keep me on the 3 Bravelle, 2 Menopur, but I am debating doing 3.5 vials myself (originally I debated going back to 4 if my E2 still sucked (but was at least 300) but I don't think so at this point. I'm basing this on my previous cycles, where i would get to 800 and then never double again. After around 800, I'd go to 1100 then maybe 1300, despite them upping the dosage. So since I've taken an AVERAGE of 3.5 vials of Bravelle over the last two nights, i'm half afraid taking 3 vials for the next three days (I go back on Monday morning) will actually serve as a DECREASE in the dosage.
L and I will talk about it tonight. I almost wish I was going back in 2 days instead of 3 so I would have an earlier idea on if I will take off or act like I usually do. But I'm thinking that my follies will range between 14-16mm on Monday (fingers crossed) and still won't be anywhere near trigger size. I'm aiming for my E2 to be around 1100-1200 on Monday as well.
So, leaning towards the 3.5 instead of the 3 vials, although I might compromise with myself and do 3.5 today and tomorrow and only 3 on Sunday night. We'll see. But at least I'm finally starting to get somewhere! Never thought I'd be saying that with "only" an E2 of 494 on Day 12 of stims!