I had an ultrasound scan this morning to check how the follicles are developing. On Friday at the baseline scan, the nurse could see 15 follicles in total (six on the right and nine on the left ovary). As with previous cycles I respond quickly to the meds. My eggs grow quickly, but they aren’t all growing at the same speed. We had 15 at the marathon starting line. Out of those, it looks like we have ten that are still contenders and out of those we have a group of six front runners and a second group of four stragglers. The group of six are running side-by-side at great speed. The worry is that the four slower ones might not catch up, and then we would need to do egg collection “early” to avoid having over-ripe eggs*. We don’t want exhausted runners to crash out of the race before the finish line. So, we need the group of four to pick up the pace and the group of six to go steady. And, we certainly don’t want any injuries along the way…. C’mon you four!!
I don’t have any comparable stats from my first three egg races because I never had a day 5 scan on the NHS. On the NHS, they scan you for the first time on day 10. In my second
round race, I asked for a day 8 scan because I respond quickly to the stimulation drugs. Because the biggies are running full steam ahead, I have to start my Cetrotide today, a day earlier than expected. I forgot to bring one with me, but luckily the lovelyy nurse gave me one soI didn’t have to dash home…. Phew, and thank you.
I have to say that I am so much calmer this cycle. I feel like I am in great care: I trust my consultant, everyone at the clinic is lovely and the nurse who is in charge of our case is wonderful. She takes her time showing me each follicle, explaining every detail and answering my questions thoroughly. It’s so reassuring – and this is one of the main differences between the NHS and private. The nurses at the NHS clinic were all lovely too, but I never saw the same one twice. This time I feel like I am getting tailored treatment versus being one on a conveyor belt. I, of course, realise the resource and cost constraints on the NHS (and, don’t get me wrong, I am grateful that we received three rounds on the NHS). I never thought that these little things would matter, but they really do. The continuity of care and the personal approach really makes you feel more at ease. It’s the little things like seeing the same person each time, scheduling all my appointments upfront and around MY schedule. Having a scan at 8 or 8.30am is easier to fit into the work day than jumping on the tube and dashing across town for a scan in the middle of the day.
One final thing, my lining is at 4.9mm today and has a nice trilaminar pattern – not that it matters for this round as we are doing a freeze-all… but post-Asherman’s I can’t tell you how comforting it is that the endometrium is developing nicely. So, I’m doing a little happy-for-my-lining-dance!!
*Gosh, this is all such a complex business – how are babies ever made?!