Trial and error

So today we had the “big scan.” It’s no big deal actually. Let me try to explain:

Because I have PCOS, my ovaries have eggs, but don’t release one each month. Sometimes the ovarian follicles (where the eggs mature and come to the surface of the ovary), still grow eggs but don’t release them. When that happens over time, several of them can be seen on an ultrasound — they look like a “string of pearls.” That grouping is the hallmark sign of PCOS. Poly-“cystic” (egg) Ovary Syndrome.

At times, these “cysts” can rupture. Last year, after my first round of Clomid (a fertility drug used to stimulate these follicles to release eggs) one egg got super big, but sadly never “ruptured” or released. When that happens to a woman, a doctor might prescribe birth control (Can you believe it? How counterproductive!) to help shrink the cyst. Then fertility treatment can begin again.

The goal of many fertility drugs is to (as noted above) cause several eggs to grow to a certain size. At that point, a “trigger” injection of fertility drugs is given to help the ovary actually release eggs. Sometimes several eggs develop — too many — and that round of fertility meds is cancelled b/c of the risk of multiple babies. With PCOS, that can be a big risk factor for miscarriage and unhealthy pregnancies.

Sometimes the eggs haven’t quite “cooked” enough and they are a bit too small to “trigger.” That’s what we found out today. I’m looking good, but the eggs are just a bit too small yet. So I’ll get another injection tomorrow then go on Friday for another scan to see if it’s time.

Then we do our thing and “try” to get pregnant. Then another test next week to see if I actually ovulated. Then 2 weeks of waiting to see if I’m pregnant. And on …..

I’m happier than I expected to be after this scan. I was worried there wouldn’t be any eggs or there would be too many. My doctor made a good choice to start me out on less medicine. I’m hopeful about Friday’s scan. This thing might actually happen!


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