So after a rough day yesterday, we will finally be taking the trigger shot tonight at 11 pm.  Friday night, they halved my medication because I was responding so well.  Well, ultrasound and E2 yesterday showed a drop in some of the follicle size AND a drop in my E2 (from around 2000 to 1800).  The doctor decided to increase me to 150 menapur and 150 follistim and bring me back in this morning.  It felt like getting to the top of a mountain and then riding a semi-landslide back down.  I made myself get a lot of rest and drink lots of water last night.  Today, another ultrasound and I prayed the whole way there it would be my last one-in a good way.  I seem to be back on track…My follicles measured: 19.8, 23, 16, 19.22, 19, 16 on the right and 21.5, 21.5, 25 (WOW–Too big) 13, and 14.5. My E2 levels rose back up to 2400.

The nurse just called with my instructions for the day.  It is officially TRIGGER DAY, which is the last step before the retrieval.  The trigger shot is called Novarel and is composed of hCG (Human chorionic gonadotropin).  Its purpose is to initiate the final maturation of the eggs in the follicles.  They also trigger the egg to release from the follicle wall and start floating around in the fluid, ready to ovulate (burst from the follicle).  I take another Ganirelix to prevent that bursting from taking place.  Trigger time is 11 pm tonight.  Then, no more medication or shots!  At least for a couple of days.  Tuesday is my retrieval day!!! I can’t believe I am already at retrieval.  In some ways this has flown by, and in some ways it feels that it has take FOREVER.  I am looking for the few days between retrieval and transfer when my body is officially off duty.  A chance to relax, rest, and ramp up for the next step.  Feeling exhausted right now…so I am off for a lovely afternoon of couch time and some Parks and Recreation watching!