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Thursday, November 19, 2009

Baseline Monitoring

Today was my baseline. This is the beginning of the actual procedure.
The baseline assessment is very important to ensure that my body is ready to start IVF treatment. It involves having an ultrasound scan and a blood sample to check my womb, ovaries and hormone levels.
The ultrasound scan was performed with a vaginal scan as it gives a better image compared to an abdominal scan. The scan is used to check the lining of the womb and ovaries. It will diagnose abnormalities such as ovarian cysts, endometrium polyps, etc.
Dr. D also took the time to show me where my eggs were and explained that we have PLENTY of eggs to work with and that my ovaries looked GREAT! He told me if he even gave me fertility drugs I’d probably turn into an Easter egg! Which, the eggs were never the problem… the reason for the in vitro is my problem with getting the egg through the fallopian tube TO the uterus where it can be fertilized. Due to all the endometriomas and the surgeries my fallopian tubes basically don’t move anymore. Your fallopian tubes basically act like a vacuum, they suck out your eggs and then like a tube of a vacuum they move or float up and down to release the egg from the fallopian tube into the uterus….


A blood sample is usually taken to measure hormone levels such as estrogen, LH, FSH and AMH to assess ovarian reserve. The levels of these hormones may give an idea about the expected response to ovulation stimulation drugs. For instance, high levels of FSH may indicate poor response to ovarian stimulation, poor pregnancy rates and high rates of pregnancy loss regardless of age when compared with women who have normal results.
So we’ve paid the large amount of $$$ today and we are on our way to making our family :)


*** I AM NOT A DOCTOR.. I’M EXPLAINING THIS THROUGH MY OWN WORDS AS I UNDERSTAND IT… SO DON’T TAKE MEDICAL ADVICE FROM ME PLEASE*** LOL





The follicles are egg-containing areas inside the ovary. There are hundreds of thousands of follicles in each ovary, but during any one stimulation cycle only a few will accumulate fluid and grow large enough to appear on an ultrasound exam. Only the large follicles hold mature eggs.
The eggs are about a tenth of a millimeter in diameter, just under a size that is visible to the naked eye, so the actual egg cannot be seen on ultrasound. The follicle is about two hundred times bigger than the egg, and can be seen clearly when it is large enough. Each follicle usually contains one egg surrounded by granulosa cells. Granulosa cells surround the egg, produce the follicular fluid, produce estrogen, and support the egg in its development. In the normal menstrual cycle, only one follicle matures, reaching about an inch in diameter. Occasionally a follicle may not contain an egg, and even more rarely there may be two or more eggs per follicle.

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