Throughout the past few weeks, the Clinic has been monitoring Susie and Jane. We've been advised that:
- Suzie continues her Lupron treatments which are used to suppress the pituitary gland’s secretions of luteinizing hormone (LH). Normally LH is secreted in high amounts by the pituitary gland just before ovulation. In fact, it is this rapid release of LH (the “LH surge”) that triggers egg release (amazing!). Lupron suppresses the LH surge and prevents ovulation so that Suzie does not release the eggs prior to the retrieval (which would be BAD).
- Suzie began her Gonadotropins (which stimulate the ovaries to produce multiple follicles) within the past two weeks. The Gonadotropins have been adjusted according to her hormone levels and ultrasound results, as her follicles have been produced.
- Suzie's regular monitoring suggests that her ovaries are "plump" and that her eggs appear to be "maturing nicely." Suzie will be further monitored on Tuesday and Thursday of next week and into the weekend. This last portion of the monitoring is focused on determining when to "pull the trigger" by injecting the hormone that causes all of the eggs to be released. When the largest follicles reach a critical size (approximately 20 millimeters) the eggs within them should be mature. Human chorionic gonadotropin (hCG) is then given, which causes the egg to undergo a final stage of maturation. The retrieval then follows precisely 34-36 hours later.
- Jane's "uterine lining is nice and thick and ready".
- Us potatoes need to get the final FDA-required lab work (yes, from the FDA) completed on 7/24 (this is a follow up to the blood work taken over a month ago for comparison purposes). Since we are both essentially considered to be donors (according to the FDA), the FDA requires all sorts of analysis work be completed to ensure that we are healthy and don't carry any contagions that could be passed along to Jane (certainly reasonable enough).
The next steps include Fertilization, Embryo Development, Pre-Implantation Genetic Diagnosis (PGD), and Embryo Transfer - More on that later!!