Monday, February 18, 2008

Pregnancy: Take 3


I really hope this one does take.

I went dress shopping for the funeral I had to attend. Of course the nurse called with my blood work results while I was in the fitting room. The poor lady next door got an earful. I had no shame.

The first thing the out of the nurse's mouth was, "Congratulations, you're pregnant!"

I'm so rude. I brushed that aside, didn't even acknowledge that she said anything. I asked for the numbers.

My beta on Monday morning was 53 at 13 DPO. I told her that seemed low. She reassured me that they were happy with it based on how early it was.

Actually it's not too bad. I would have loved to see it over 100 but hey it's in the range of normal.

My progesterone was *only* 24.8 while being supplemented. I'm definitely not thrilled with this number although I know it's a totally good level. But in my first pregnancy and the first cycle on Clomid, my progesterone levels were close to 40.

For the first time other than a CD 3 level, they checked my estrogen. It was only a 97. The nurse said it was a little low. She said that the RE would review the numbers and I would get a call back if she decided to supplement the estrogen too.

I didn't think to ask what a normal E2 level was. She caught me off guard with that. I know the beta ranges and progesterone but what do I know about estrogen? Nada. It surges briefly at ovulation and then raises quickly during early pregnancy. By googling I found that bythe 5th week of pregnancy it's commonly above 500. That makes my 97 sound puny.

I begged the nurse for supplements. I told her that I had been spotting all month from the progestin and was worried my lining wasn't thick enough.

Finally I got the call back. The RE said that this early there's no "normal" estrogen value but based on my history she would order me estrogen patches. YES! Maybe this baby has a chance. Normally she would not supplement any other patient with a 97 estrogen level. This was sounded quite different from the initial call from the nurse but I'll take it!

I started the estrogen patches on Monday night. Apparently I'm on a double dose as my insurance would only pay for one box. We'll have to work on that.

Of course the estrogen packaging and literature are covered with warnings not to use the patches if you're pregnant or could soon become pregnant.

Oh, and it can cause cancer too. Yeah, I begged for this.

So today I'm pregnant. I'm trying to be hopeful despite how crazy of a cycle this was. It was far from perfect with a late ovulation on CD 30 after 21 days of progestin to suppress my ovaries. But this is what we got. The doctor told us to have timed intercourse after catching my ovulation via ultrasound and bloodwork. And so we listened. And here we are.

Next beta is Wednesday morning.

No comments: