Infertility

Egg Retrieval meds used?

Do different clinics have different procedures when it comes to medication/sedation during egg retrievals? Do some use local anesthesia and others general? My clinic uses "Twilight Anesthesia", can anyone explain what exactly this is and what you feel/how alert you are during the procedure? Thank you.

Me: 37 | DH: 41
TTC Since 2011 DX: Unexplained 
IUI's #1 - 3 = BFN
IVF August 2014: FSH 4.1, PRL 15.3, TSH 2.1, W/ AFC 8.
 08/03 ER 5R, 4M, 3F. 08/08 5DT of 1-3AA0, 2 frozen :) bfp @9dp5dt. Beta on 08/20 = 414.
So excited to have one little bean on the way!!
 
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Re: Egg Retrieval meds used?

  • I had no anesthesia, just an I'm shot of dilaudid and a tiny dose of oral Xanax before mine. I was awake the whole time but felt a little loopy. It wasn't painful for the most part. The only time I really cringed was when he was moving my ovaries around to egg all the eggs. But it wasn't terrible. If I had to do it over and I got to chose, I would do it with the same drugs again. Anesthesia makes me sick so I'm glad it wasn't an option.
    Twilight anesthesia is basically conscious sedation. You will be awake but pretty out of it and probably won't know what's going on. You will probably have iv sedatives. With regular anesthesia, you are completely out. It is a lot harder on your body than just sedation.



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

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    March 15 Siggy Challenge: You had one job

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  • I was given IV anesthesia. I'm guessing maybe twilight because I fell asleep for maybe 10 minutes. I fell asleep shortly after the anesthesia went in and then I remember waking up while the RE was saying that he got 9. He was talking to someone else though, not me. It was all really fast and I felt nothing during the actual ER. After is another story! Keep on top of the pain meds for that day for sure.

    Me: 30  DW (aka C): 29

    Together since 2/15/11 ~ Legally married in NY on 9/29/12

    ***CP mentioned***

    We've been working on baby #1 since July 2013 using Open ID donor sperm.  8 IUI attempts with 5 actual IUIs and one chemical pregnancy.  We have one fresh IVF cycle under our belts as well as a FET.  I have endometriosis and a uterine septum that was corrected via surgery in November 2013. 

    11/14/14 -  Second HSG shows that tubes are still clear and ute is looking good. 

    12/6/14 - Started BCPs in prep for IVF #2

    12/22/14 - Saline u/s and endometrial scratch (All was clear and OUCH!)

    1/2/15 - Began stimming for IVF #2

     ****All Welcome!****

    We are Mommas to four fur babies - 3 dogs and 1 cat.

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  • Mine does twilight as well and I have asked so many questions and am still confused LOL. I was told that in terms of what I knew happened though that it would be similar to when I had surgery and was completely out.

    @StacyLH24‌ Does that mean that your entire procedure lasted maybe 10 minutes?

    Me: 32  DH: 33  Married: March 2004

    July 2006: started TTC
    2008: HSG (normal), couple rounds of clomid through gyno
    2008 - 2010: dragging my feet out of fear and procrastination
    October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
    Oct. 2010 - Dec. 2012:  In DENIAL! avoided the issue because I was scared of surgery
    January 2013: returned to RE, fibroids grew significantly
    February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
    March 2013: MRI to determine what type of surgery may be necessary

    July 29, 2013: fibroids (5) removed via robotic laparascopy
    August 2013 - Nov 2013 : benched due to recent surgery

    IUI #1, Dec. 24, 2013, BFN 
    IUI #2, Jan. 25, 2014, BFN
    IUI #3, Feb. 25, 2014  BFN
    IUI #4 canceled due to lack of response to letrozole
    IUI #4.1 April 28, 2014, BFN

    May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
    IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis

    May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
    June 11, 2014: consult, approved to move on to IVF because the hydro is not completely blocked therefore allowing fluid to move through slowly rather than backwards
    IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
    September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
    October 2, 2014 - started metformin treatment
    November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5

    November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
    December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
    December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)

    IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN

    We are done with treatment unsuccessfully. :(


    PAIF/SAIF/All Welcome!

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  • @jencity9 - The actual ER, yes. It took some time before that, I had to sign more paperwork and the IV was put in. They made me try to pee right before to make sure my bladder was as empty as possible. Then I got on the table, my legs went up and were strapped in and they got ready. The anesthesia went in and I promptly fell asleep. C says I wasn't out for long. She could hear it all happening. C just agreed that the actual procedure was about 10 minutes.

    Me: 30  DW (aka C): 29

    Together since 2/15/11 ~ Legally married in NY on 9/29/12

    ***CP mentioned***

    We've been working on baby #1 since July 2013 using Open ID donor sperm.  8 IUI attempts with 5 actual IUIs and one chemical pregnancy.  We have one fresh IVF cycle under our belts as well as a FET.  I have endometriosis and a uterine septum that was corrected via surgery in November 2013. 

    11/14/14 -  Second HSG shows that tubes are still clear and ute is looking good. 

    12/6/14 - Started BCPs in prep for IVF #2

    12/22/14 - Saline u/s and endometrial scratch (All was clear and OUCH!)

    1/2/15 - Began stimming for IVF #2

     ****All Welcome!****

    We are Mommas to four fur babies - 3 dogs and 1 cat.

    image   

  • If you've ever had an endoscopy or colonoscopy...it's like that. They set me up with the IV and then I waited for my turn. I walked in the retrieval room. I remember them starting to strap my legs in and then I was out. You can feel it fall over you. Next thing I remember was waking up in waiting room and my husband was in there with me. The RE had already been out to see him and he could tell me about our crappy retrieval. Some people are made really chatty by the meds which is fun for all the others in the waiting area.
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




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