In case you are wondering, I'll explain how the days work with a frozen transfer when they are trying to grow the embryos to blast for a day 5 transfer. I had to have the nurse explain it to me because I was a bit fuzzy on how it compares to a fresh cycle. Normally with a fresh cycle, the day of the retrieval is considered Day 0 and they try to grow the embryos to blasts and do a 5 day transfer, meaning a transfer 5 days after the retrieval (Day 5). They check the embryos 3 days after the retrieval and if they aren't doing as well as you would hope, they would call you in and do a Day 3 transfer based on the theory that the embryos might do better in their natural environment (the uterus)-(have I explained this before? it feels like I have). If they are doing well, they keep growing them until Day 5 and do the transfer then. By this time the embryos should be at the blastocyst stage and may even be starting to hatch out of their outer shell.
In a frozen transfer where the embryos were frozen the day after retrieval (Day 1 or at the 2pn stage), standard protocol at our clinic is to thaw and transfer the next day, which is the equivalent of a Day 2 transfer. I'm not sure why this is their standard protocol. To get to a 5 day transfer in an FET like I am doing, Day 0 is the day of ovulation (which corresponds to the day of retrieval in a fresh cycle), which should be tomorrow. The trigger shot was given yesterday evening and it triggers ovulation in 36 hours which means I should ovulate tomorrow morning. So, if tomorrow is Day 0, counting 5 days with Saturday being Day 1, Day 5 is Wednesday. Make sense?
So after I told my boss I was going to be out Tuesday through Thursday next week (or maybe Monday and Tuesday if the transfer ended up being Sunday) I had to go back and revise that to Wednesday through Friday (or Monday through Wednesday). I'm sure I thoroughly confused him. Oh well. And B, my mom and my friend Rhonda have all been rearranging their schedules to make sure I'm not alone on bed rest days. Shucks, I feel so special!
Today's photo is one of my favorites from our trip to Great Britain in May 2005. It was taken at Sterling castle in Scotland while I was walking behind B with the camera. Again, shadow contrasting with light. I think I must be obsessed.
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Today's song is "Gronlandic Edit" by Of Montreal. For some reason I love the line "physics makes us all its bitches."
8 comments:
I didn't actually know the difference with what was day 0 vs whatever (frozen vs fresh I mean) so cool to know! Good luck:-)
This was really interesting, thanks for all the great detail. I can undestand an uneasy feeling with those two scheduling errors together; I'm sure it was dumb coincidence.
And imagine my suprise when I opened your blog and awesome music came out. Normally I check the blogs on my work machine, which doesn't have sound. Gaaawly-- you mean that purple iPod is always playing music and I never even knew it?
So was last transfer a day 3 or a day 5 then? I'm fuzzy on that. And the whole 2pn thing is crazy too.
But no matter how confused I am, I do know that I wish you all the best!
I think the last FET was actually a day 2 transfer based on what was explained to me today. I originally thought it was considered day 3, which is why transfer on Tuesday originally made sense. This stuff is so confusing!
It all seems so confusing with a FET. I really didn't know there was a difference with counting the days. Thanks for the info.
Love the pic! I've been to Sterling Castle too!
Thank you so much for all the detail. I am new at this and do not have the first clue! I do now! :) I'm crossing my fingers!
Thanks for the explination of the day 5 transfer stuff, with the FET. My embryos were frozen on day 3, so we will wake them up and then grow them another day i think or maybe 2, who knows anymore.
WEll glad that its full steam ahead for you, have a great weekend.
How exciting! You are getting closer now! I'm a big fan of 5dt, but I'm a bit biased as it worked for me. Good luck!
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