As I said in my groggy, blurry post yesterday, I had 23 eggs retrieved. I just got the day 1 report:
23 eggs retrieved
18 were mature enough for ICSI
The doctor said that’s a higher than average fertilization rate, so WOOT to that. Right now we’re aiming for a 5 day transfer, but we’ll (ok, they’ll) watch for the appropriate division/development over the next couple of days while we decide. A nurse told me that the average rate of drop off between fertilization and transfer is 50%, so that would leave me around 7 to mess with (1 or 2 to transfer, 5 or 6 to freeze).
I’m feeling a lot better today than I did yesterday. I don’t know why, but I fully expected to LEAP out of bed as soon as the retrieval was done. Now I’m all, HAND OVER THE DRUGS. Let me back up though, and run through the day. I found these play by plays extremely helpful before I went through it, so I hope others benefit from my reading this. If not, sorry! That’s five minutes of your life you’ll never get back!
My retrieval was set for 8AM at the fertility office 45 minutes from my house. HOWEVER, we had to be there at 6AM, and traffic in this city is absolutely ass-tacular. I wanted to leave an hour and a half to get there. Tammy’s argument was that traffic wouldn’t be THAT bad at 5AM, and we didn’t need to leave THAT much time. So she woke up at 4AM to shower and get ready, while I lay in bed (having showered the night before but woken to her alarm) and FUMED because she wasn’t getting ready fast enough. How had she not read my mind to know that we’re going back to the original plan of leaving at 4:30?!
Tammy very helpfully talked me back from the edge, and we left at 5. And then got there at 5:30. We were literally the first people in the parking lot. Poor Tammy. She asked me a few times if I was SURE the nurse said to be there two hours early. And we couldn’t go sit in Starbucks while we waited because a) are Starbucks even open at 5:30? and b) I couldn’t eat or drink anything. Boo.
Anyway, we finally went inside when a few other couples showed up, and sat in the waiting room, all nervously sneaking glances at each other. You could tell who was there for egg retrieval – fuzzy haired, bespectacled, sans makeup, etc. I’d seen plenty of these women during morning monitoring, and it was pretty funny seeing them in their natural state.
We were called back fairly quickly to the recovery room where I changed into a hospital gown, booties, and cap. DEFINITELY a good look for me, let me tell you.
A nurse came in, confirmed my identity and gave me a wrist band.
Then an anesthesiologist took my medical history (“ever had anesthesia before?”) and hooked me up to an IV bag of fluids. He said this would make me feel better later.
And then we waited. The doctor doing the retrieval came in and introduced himself (it’s a large practice, and I hadn’t met him before). I nervously went pee a few times, holding my gown closed in the back, wheeling along my IV. I felt about 200 years old doing that. Finally, at 7:45 they told me to empty my bladder once more. Then they escorted me into the OR while Tammy went back to the waiting room. I had always pictured myself being rolled in on a stretcher, but alas, I walked. Not nearly as romantic.
The OR was kind of creepy, though. A little chair type thing, laid flat, and a million tubes and wires and utensils (shudder). Also a million people. An embryologist came in and asked for my ID wrist band. I thought she was trying to shake my hand, and she laughed at me and told me she WOULD shake my hand, but she needed to confirm my identity first. So we had this weird, limp wristed hand shake while she read my badge. As she asked me to recite my social security number, the anesthesiologist said in the background, “I’m just going to give you something in your IV. It’s not going to make you fall over, but it’s going to start the process.” I remember thinking to myself that maybe they should have me recite my social BEFORE they give me a sedative.
Then an OR nurse came over and fussed with my gown, pulling it open in the back. It’s probably an indication that the sedative was working that I cared not at all I was flashing my ass to the room. Then she helped me hoist my legs into these stirrup things. They weren’t the stirrups that you place your feet onto during a gynecologist exam, but rather you place the back of your legs (the knee-pit) INTO them, feet dangling down. The last thing I remember is thinking, “maybe I should lay down”.
Then I woke up the recover room, with Tammy holding my hand. I could feel the warm blanket they had placed over me and the heating pad on my abdomen. And then I felt both a sharp pain and a dull ache. I started to cry, not because of the pain (although it DID hurt) but because I was confused and scared. I don’t remember this, but apparently the nurse came in and asked why I was crying. I told her I didn’t know. She asked if I was having pain, and I told her yes so she gave me a shot of something in the IV. I distinctly remember the feeling of the painkiller flooding my body. It was like the pain melted away. Awesome. God bless painkillers. It was just after the pain melting experience that I told the nurse I loved her (apparently. I do not remember this). I drifted in and out of sleep for a while.
When I would wake up I’d ask Tammy the same questions over and over. How long was I out. What time is it. How many did they get. I also kept telling her I didn’t remember anything, and was quite distressed about that, apparently. My Tammy was an absolute star. I think I made far more fun of her when she was waking up from wisdom teeth surgery. Still tease her about some of the things she said. Bad wife! Bad!
The nurse checked on me a few times. I got another delicious shot of painkiller. Tammy filled a prescription of painkillers to take with us. I demonstrated that I could eat, drink and walk. And then we were allowed to go home.
I slept for a few hours once home, waking up occasionally to pee. I was warned I might spot, but so far there’s been nothing. The pain is better today, but it’s most definitely still there. I’m trying to stick to Tylen0l today, so I don’t slur on the phone with clients.
I’ve also been warned to eat lots of protein and drink lots of fluids as my ovaries were “quite large”. Hopefully this will help mitigate the risk of OHSS. Also, the large/swollen ovaries explain in part why I may be having more pain than average.
To sum up: needles in your vagina hurt, painkillers are awesome. If they suggest taking an OTC painkiller, give them a withering look and hold out for the good stuff. And take it easy the next day.