Cyst is bigger...

.....and e2 is high. So, the word this afternoon from the nurse (via the on-call doctor) was, trigger with my HCG tonight and come back in Friday for another "lupron evaluation" appointment (their silly name for bloodwork/ultrasound on day 2/3 even for people never on Lupron --- like me). We decided not to take the instructions and didn't trigger. We decided that it probably wasn't going to make a difference one way or the other if we waited until tomorrow to trigger and I am going to call Dr.Dry tomorrow to discuss what the plan is. From our brief discussion with him on Friday morning in the ultrasound room, the plan is now (since cyst is 'functional') to trigger to pop it out and then reset on the pre-stim/retrieval month by waiting 10 days after ovulation to start Vivelle(estrogen) patch again w/Ganirelix to lead into stim/retrieval month.

But, the question I want him to answer for me first is this: we'd be triggering on CD4(today)or 5 (tomorrow) with ovulation 36 hours after (so, day 6 or day 7). Is the fact that that would be pretty early for ovulation going to make this month abnormal? And since one of the objectives with this protocol was to make the month prior to stim/retrieval as 'normal' as it can get for me, will we be putting the chance of achieving a good stim/retrieval month at risk? My strong guess is that Dr.Dry is going to say 'no' but I want *him* to say that to me, not some random on-call doctor who has not a clue about our history. And, frankly, given our experience with this exact situation over a year ago (triggering for a functional cyst) in which miscommunication by our nurse/doctor led us to trigger on a Monday night instead of the preceding Friday night....I don't think triggering one day later in this case is going to make any difference. So, I'm going to wait until I talk to Dr.Dry tomorrow.

Being very rational and calm about this this afternoon. Minor meltdown on the way home from ultrasound this morning though. It was apparent to us at the ultrasound that the cyst was measuring bigger so that was basically the 'bad news' of the day (this afternoon's call saying estrogen was still high just confirmed it.) Mr.Right and I are doing ok. My parents were still here this morning (they had come Friday for my nephew's 1st birthday party yesterday) and it was a little hard going home at 8:30 a.m. this morning with the bad news from the ultrasound on our minds.

So, we'll see what happens. In a weird twist of fate, this may be good thing. I had scheduled a trip to Atlanta next week for one of my consulting gigs (and the retirement party of my old CEO) --- albeit with lots of caveats about how I might have to cancel at the last minute (since retrieval was tentatively scheduled for next week). But it looks like I may be going now, since if we trigger tomorrow, then it will be 10 days til I start Vivelle patch and not much will be going on next week.

Thanks to all of you who left comments in the past few days. I really, really can't tell you how much your thoughts and positive comments mean to me. I realize this cyst isn't the end of the world. It just seems like we'll never get on with this. I just want to get this last attempt with my own eggs over and move on.