Friday, October 29, 2010
Thank you so very much for all of your thoughts and your stories of cramping and progesterone. They have been such a comfort to Will and me. We have been, as you know, a little bit beside ourselves.
We had the ultrasound today.
And guess what? There's some hope here.
There is a gestational sac! It is small, measuring about three days behind, but it is there.
There is also a yolk sac!
Squint hard at the picture below (yes, we're back to squinting again, just like with the pee sticks at the beginning). If you look really, really hard, you'll be able to see...well, probably absolutely nothing.
But trust us! There is something there!
Our NYC RE was much more optimistic than I expected. He basically said that everything could turn out ok. That the small size of the gestational sac doesn't worry him so much because it is from a frozen transfer. "Think about it," he said. "If some of the cells die during the freeze and thaw and have to grow back, of course the embryo will be measuring behind." (We didn't even get into the fact that this embryo was also biopsied and therefore lost a chunk of trophoblast cells in addition to whatever was lost in the freeze/thaw). My RE said he's done a study of FET pregnancies and the curve of growth for the FET pregnancies was often 2-3 days behind where you would expect.
So we might be fine. Can you believe it? We might be fine. Wowza.
The NYC RE said that betas are meaningless at this point, now that we are visible on ultrasound. I think they are supposed to continue to rise, but the rate of rise is unimportant.
He also wasn't so concerned about the progesterone. He said the vaginal progesterone doesn't show up as much on bloodwork, so could be ok. He thought it was possible we have a bad batch of PIO, so we will switch vials (ok, to be honest, I came up with that unlikely notion, but he didn't say it was unreasonable). And we will be doing the 3xs a day suppositories plus 1 cc PIO daily from here on out.
He wants to check hormone levels on Monday and offered to do another ultrasound on Tuesday to see if the gestational sac is larger (he'll be out of the office the rest of the week after Tuesday). "Would that make you feel better? Why don't you come back in if it would make you feel better?" I love this man. And you guys know us by now - of course we jumped at the chance to peek inside again. It will be too early to see a fetal pole or a heartbeat on Tuesday, but the gestational sac should be larger.
So the main take home message from all of this?
It's not over yet. Things could turn out ok.
THINGS COULD TURN OUT OK.
Repeat to self again and again, as needed.
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