This morning was my Day 3 scan. Normally a pretty uneventful scan, but today my FS discussed AMH and antral follicle count with me. I must say…my Day 3 scan will never be the same. For some reason, probably because I never asked, I always thought that Day 3 was about ensuring there were no cysts, looking at your hormone levels from Day 2 blood tests and deciding the way forward. I asked my FS to explain to me in more detail my AMH, as I had ‘google-fever’ and had convinced myself that 1.29 was a crap result. The problem with google is that you start comparing yourself to everyone else…what a ‘beginner’ mistake…I should know better, but I think it is human nature to compare yourself to everyone else. So my FS explained to me that AMH had no correlation with egg quality, it is an indicator of egg reserve and reduces with age. AMH levels are also impacted by endometriosis. So I am 37, with endo 3, so you would expect my AMH to be on the lower side. However, when we look back at my previous cycles I always produced around 7 eggs per ovary (remembering that I have a hidden ovary, which they can never retrieve from), so on average I am actually producing around 14 eggs per cycle, which is a good outcome. The more important point is that AMH is never looked at in isolation, it is also important to look at the antral follicle count which will tell you a lot more about the potential outcome of your cycle. FSH is not a good indicator of a potentially good cycle. My antral follicle count this morning was good….so all is good in the world of my ovaries! Yeah! So now Day 3 has a whole new meaning to me….antral follicle count.
We also discussed Intralipids and my FS will give me Intralipids the day of embryo transfer. If I get a BFP (crossing everything….please, please, please) then he wants to give me Intralipids weekly until my first scan! Wowzers, I thought that was a little OTT (over the top), but he explained that with my history of miscarriage and that this is now my 5th IVF cycle, he wants to give us every chance possible. As it can do no harm to increase Intralipids, I say why not! I am just so pleased that my FS is doing all he can to help me…it makes such a difference to have a FS who is always available, realistic and practical, and is truly committed to the outcome…a baby! By the way…he is also very affordable compared to others. I am so happy and I love his team! They were always great, but since the miscarriage, they really have been so amazing and it is the little extras, like all the staff knowing my name (although that is probably because I have been in the office almost every month for the last three years), asking about DH and treating me with so much kindness. It makes the process a little bit easier.
I really hope this is my last cycle….please. I start Menopur tonight. The FS said 3 amps each night, but when I was speaking to the sister we spoke of my last cycle and how we did 4 amps for the first three days. So we decided to change it to 4 amps for the first three days and she would just tell him we changed it. Now I really know I am a Veteran IVF’er! I could probably rent an ultrasound machine and do my own cycle! I am happy to do some harder stimming the first three days, I have gotten more good quality eggs using this process.
Back in for Day 10 scan on 28 July, so just need to keep on keepin on until then.