Today is day four of stims! I am feeling great. I went in for my blood work this morning. I was in the office for less than 5 minutes which pleased me very much. I have been worried about my E2 since last cycle. After 10 days of stims last cycle my E2 was 137 which caused us to cancel. I am happy to report that after 3 days of stims this cycle my E2 this morning was 217 !!! I am ecstatic! My nurse told me that this is a great increase and they are very pleased. I received some more information for my calendar as well! Tonight we add 75 units of Menopur, decrease the Follistim to 150 units and keep the Lupron at 10 units. Three injections...we are definitely in full swing! My next appointment is Wednesday for more blood work. Most of us have seen the chart below, for those who haven't this is what estradiol should do as stimulation proceeds(my body missed this memo last time-I barely got off the bottom line!) I added my canceled March cycle in orange and this current May cycle in blue to the chart! My E2 this cycle doesn't look as high as the chart but I am hopeful that it will increase more as these next few days pass.
Important E2 notes (Source):
- Estrogen hormone blood levels are important. Estrogen (actually estradiol) levels are usually under 60 pg/ml at cycle baseline and rise significantly as multiple follicles develop.
- Peak estradiol levels in IVF at the time of HCG are usually between 1000 and 4000 pg/ml.
- The stimulating process usually takes about 8-10 days