I reached hospital about 7:15am and I saw many patient is already waiting. Today might be a long day I presume. I have lunch appointment with my dear friend. I just wanna chill out to relax my mind. I saw Dr Erda is back from her leave but unfortunately she will be around only until coming week since her practicing will be over and she will be back to Kuching Hosp. She has been so lovely and helping us through with the appointment and check ups. I managed to see Dr at 8:45am and this time they called my full name since the patient before me is having the same first name. once I enter the room, Dr Erda asked me about my husband and also who has accompanied me for the visit. I told her hubby only will be joining me this sunday, 30/6 and i took a cab alone to hospital. She then said am very independent. The scan shows my lining is 8.1mm and Dr Erda said I am over stimulated. What?? Really??? I will confirm the size with Dr later once she done with the scanning. Then Dr kannappan came in and Dr Erda updates him the number of follicles and the size. Then Dr Kannappan asked me to see him outside. I was blur and worried whats going on. He told me that my OPU will be on coming monday and he asked about my husband. I told him about DH plan to come down on sunday and therefore he will be there during the pick up. he needs to be there anyway to produce semen. Dr reminded me about the possibility of OHSS and advised me to drink 2-3 liter of water and have high protein diet such as white egg 3 times a day, fish & chicken. If it is not treated, the fluids may effect the lung. He then advised me to do blood test tomorrow on D10, 29/06/13 to check on E2, LH & Progesterone. OHSS happen if high in Estradiol. Estradiol is the hormone boosting the follicle development. I hope I don't overstimulate but get worried also since Dr Erda said I have lots of egg. The Estradiol level will determine whether i should be taking Pregnyl 5000IU or 10000IU dosage of HCG injection. I need to do my blood test at Lablink again but not today but tomorrow. I asked Dr what was my follicle count and size. He came back with a piece of paper and mentioned there were 8 follicles on the right side with 3 follicles measuring 16mm. There were one extra follicle seems had appeared but left side reduced to 6 follicles which measuring 15.8mm and the rest are catching up. He said he is hoping for the 5 good size follicles to grow and mature. Dr reduced Menopur dosage to 75IU only and Suprefact to 0.1IU which I need to take for another one day only. He then asked me to fast from 12pm on 30/06/13 for OPU on 1st July. He then get me signed the concern form for pick up. Then I waited for nurse to prescribe me Pregnyl of 10000IU just in case if I need to use 10000IU depending on my Estradiol level. After I collected the medicine from pharmacy, nurse asked me to go for breakfast first then come back at 10am. when i return back at 10am, nurse asked me to go to O&G unit to meet Anesthesia. My height and weight details were taken and waited for an hour and half before meet the Anesthetist. Then I went back to Reproductive unit to be briefed by nurse on the procedures as follows:
29/06/13, Saturday
9am: to take blood test at Lablink and inform results of Estradiol, LH & Progesterone. Nurse then will inform Dr for advise.
10pm: to go to nearest clinic and get Pregnyl injection.
30/06/13, Sunday
10am: do UPT test to check for Progesterone level and inform nurse on the outcome.
12pm: start fasting
1/07/13, Monday
7am: register at O&G and go to ward and inform reproductive unit which ward no.
9.30am: OPU
After everything has been informed, I saw Dr Erda was there and she wished me luck and asked me not to be stress at all. Now am late for my appointment with my friend and I postponed my appointment at 1pm. Met her at Pavilion and had a short good time with her. I bought her jacquard printed pure Italian silk as her belated birthday gift and soft crepe material for her mum too. I went to supermarket and get some raw walnut as its contains omega 3 fatty acids and vitamin B that helps implantation. Bought olive oils as I normally use for cooking and i found out avocados has monounsaturated fat which could improve fertility by lowering inflammation in the body. After shopping, I left about 3:30pm since my dry ice is melting already because its only last about 8-10hours. Then i rushed back home. I am having difficulty to walk since having bloated stomach and abdominal pain. I need to have good rest over the weekend. Can't wit for tomorrow's blood test. Hope everything will be fine.
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