Update from my morning appointment - Now with PM update

So I spoke to the nurse this AM when I went in for blood work. I asked her why I had to decrease my dose of gonal-f and come back in again today when I was there yesterday for blood and sono. She said my estrogen went from 76 to 153 from Saturday to Monday. I have lots of small follies but nothing significant yet. She said they decreased the dose because the doctor doesn't want my estrogen going up too quickly because I might wind up with too many mature follies.

Can someone explain this again to me in simple terms? I sort of get it, but she confused me a bit...

Message edited 5/20/2008 3:40:28 PM.

Re: Update from my morning appointment

I believe when your estragen jumps up a lot in a short period they become concerns with OHSS. They probably lowered the doese so as not to risk it.

Re: Update from my morning appointment

Re: Update from my morning appointment

Should I be concerned about OHSS at this point? Or do you think it's just a precaution?

Re: Update from my morning appointment

Re: Update from my morning appointment

I am so paranoid - Today I have a cramp on the left side of my stomach - almost like a knife pain. Now I am analyzing everything

Re: Update from my morning appointment

It's totally normal to be paranoid - I was too. Just be cautious and call your dr if you're worried about pains that may develop. That's what you pay him for- so utilize that phone!!!
And of course we're here for you!!!!

I felt pains also- it's taking your body which usually only produces 1 (sometimes 2) follies a month, and making your ovaries work harder to produce more- so you can expect to feel twinges, pain, stuff... HTH!

Re: Update from my morning appointment

Thanks so much for all your information and reassurance!!

I just got a message that I am to go back up to 75iu of gonal- f tonight and tomorrow and return to the doctor on Thursday AM for blood and sono. I wish I knew exactly why he had me come back down and then go back up with the dosage. I HATE that it's a voicemail system and can't talk to someone directly to ask exactly what's going on

Re: Update from my morning appointment - Now with PM update

Your estrodial number is directly related to your follicles.
It means that the follicles are either multiplying in quantity or there is one that is growing more rapidly. In your case, they are starting to multiply.
Because you are at risk for hyperstimming they will monitor you closely and reduce the dosage periodically to slow down stimulation. They want the follicles to grow together, but they don't want too many.

If your estrodial number is in the 3000 range, then you have to worry about OHSS...at 200/300 you have no fears.

When I ended up in the hospital my last estrodial was 4600...my last stim cycle it was around 2500 and I didn't have OHSS that time.

HTH

ETA: in your case the doubling is a good sign. It means the follies are starting to grow slowly.

Message edited 5/20/2008 3:45:49 PM.

Re: Update from my morning appointment - Now with PM update

Posted by Gertyrae

Your estrodial number is directly related to your follicles.
It means that the follicles are either multiplying in quantity or there is one that is growing more rapidly. In your case, they are starting to multiply.
Because you are at risk for hyperstimming they will monitor you closely and reduce the dosage periodically to slow down stimulation. They want the follicles to grow together, but they don't want too many.

If your estrodial number is in the 3000 range, then you have to worry about OHSS...at 200/300 you have no fears.

When I ended up in the hospital my last estrodial was 4600...my last stim cycle it was around 2500 and I didn't have OHSS that time.

HTH

ETA: in your case the doubling is a good sign. It means the follies are starting to grow slowly.

Re: Update from my morning appointment - Now with PM update

I don't know about any of this, but I just wanted to send you some good vibes