A una settimana dall'operazione, aspetto con ansia di incontrare la dott.ssa Greenseid il prossimo giovedì.
La mia attività principale in questi giorni è raccogliere informazioni sui vari tipi di inseminazione artificiale. Ormai faccio tutto in inglese perchè le procedure sono diverse dall'Italia e dato che la farò qui, voglio essere informata su cosa succede negli States. Questo mi serve per imparare i termini, così quando parlerò coi medici non farò proprio la figura della scema, e mi è utile anche per capire perfettamente tutti i fogli che io e Scott dobbiamo firmare, documenti che esonerano la clinica da qualsiasi responsabilità legale.
As the American health care system privatized everything, physicians protect themselves from the very risk of a lawsuit by their patients to sign a huge amount of documents proving that the patient was fully informed of everything that will happen (like sheets, "are aware that ovarian stimulation may increase the risk of cancer, which can degenerate into a hyperstimulation of the ovaries, etc. ...").
There are so many clinics for artificial insemination ... the information there. But to translate and understand them is another thing!
There are 3 different types of IVF:
1 - uses a medicine called Lupron (gonadotropin).
The steps are: Start
Menstruation
pill (optional)
At the 21st day of Lupron injections for 7-15 days
36 hours after ovarian stimulation and egg extraction
Embriocultura: fertilize my eggs, usually 4 or 5 , and are grown in the laboratory from 3 to 6 days while tests are different.
Transfer (plant) the best .. usually at least 2
Progesterone and estrogen
After 12 days a pregnancy test.
2 - use another medicine called CETROTIDE, ganirelix.
The steps are: Menstruation
pill
ovarian stimulation on day 4 of ovarian stimulation also use this medicine they call antagonist
Same as above.
3 - is the most powerful treatment, intended for those who have poor ovarian reserve. the Beach before the possibility of using a donor egg thing .. and I absolutely do not want Scott (at least for now)!
The steps are: Menstruation
pill for 10/14 days
After 3 days of the end of the pill, diskette Lupron
After 5 days of the end of the pill also began ovarian stimulation (all still do not know how many days! )
Then everything as above.
What is mine?! Good question by the Dr do.
I'm also trying to understand what values \u200b\u200bare good ... for now I know my value is too high FSH (14.7 on a good average of about 9 or 10).
So, with ovarian stimulation is trying to get from 8 to 15 follicles (eggs) that are the mark of a good quality of my eggs at the time of the explant. The success rate of IVF is related to the number of good quality eggs that fail to grub. Obviously you have to be controlled not to over-stimulate the ovaries, which can also lead to a disease of the ovaries. An eco-transvaginal 3-D (?) Measure the development of the follicles.
must obtain at least four follicles with 14-20mm in diameter. The ideal would be at least 8.
The last article I read claims saying "The women most likely to have a low response to ovarian stimulation are those with a low number of follicles, which have more than 37 years, which have a high FSH or other signs of diminished ovarian reserve."
many questions ... I remember when the Dr. gave us nice little guide for our exams, one of the things he said was his fear that I do not produce many eggs and good quality.
WISH ME GOOD LUCK GUYS!
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