Infertility

ER tomorrow... freaking out... help!

On my IVF#1 last year, I was put on general anaesthesia and I just slept throughout the whole process and didn't have much issues afterwards. But tomorrow, since I only have 2 follies (left and rt), I'll just be out on local anaesthetic. We just called the clinic today and asked if we could just have the GA bc I'm afraid that I'd move too much tomorrow during the Er and dr won't be able to do the procedure well. The nurse told us that the meds won't take effect so soon, that the procedure might have finished before they start to kick in, considering i only have 2 follies. So, it's local anaesthetic for me.

Have any of you done an ER with a local a? I thought my pain threashold was high until I did an HSG last year, without anything. I'm just so worried now about the pain I'd have to go through tomorrow. 

Re: ER tomorrow... freaking out... help!

  • prudence9-2prudence9-2 member
    edited June 2018
    @tinjp78 maybe they will also have you connected to IV so if you’re in pain they can give you more pains meds?

    anyway, just wanted to wish you good luck tomorrow!!!
    TTC history in spoiler box:
    Me: 42, single
    Hysteroscopy: 2013
    IUI #1-2: 2013 BFN
    Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility)
    Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility)
    IUI  #3-5 (with Clomid): summer 2016 BFN
    IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS
    Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d.
    Medicated FET #2June 2017 - cancelled...
    Hysteroscopy #2: June 2017
    Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP.
    Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN
    ERA: December 2017 - need an extra 12 hours of PIO
    Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN
    Out of embryos.  :'(
    IVF #2: 03/2018.

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  • Yes @prudence9-2 I'm also assuming I'd have an IV as I've seen other ladies at the clinic having it while waiting for their procedure. Thank you for your support. I'm now trying to search for the best method to prepare for the worst. 
  • @tinjp78 I’ve had hysteroscopy done with only local anesthesia when it is usually performed with GA. They had the IV with more pain meds if I needed it. And it turned out to be just fine. 

    I hope it goes without too much pain! 

    Good luck!!
    TTC history in spoiler box:
    Me: 42, single
    Hysteroscopy: 2013
    IUI #1-2: 2013 BFN
    Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility)
    Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility)
    IUI  #3-5 (with Clomid): summer 2016 BFN
    IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS
    Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d.
    Medicated FET #2June 2017 - cancelled...
    Hysteroscopy #2: June 2017
    Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP.
    Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN
    ERA: December 2017 - need an extra 12 hours of PIO
    Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN
    Out of embryos.  :'(
    IVF #2: 03/2018.

  • tinjp78tinjp78 member
    edited June 2018
    @prudence9-2 I couldn't help but cry when I saw your post. It gives me strength to know that you were able to go through a hysteroscopy with a local anaesthesia. I'll try to be calm from now.
  • tosh24tosh24 member
    ***lurking***

    GL @tinjp78! My clinic doesn't use GA for ERs, only local. I had 22 eggs retrieved and survived :) It wasn't pleasant, but my ER took a long time and they had to take a break in between ovaries. I think your ER should be fairly quick so you'll be just fine!
    Me: 35 I DH: 38
    *TW loss and children mentioned*
    DD:2006 | Dx: Unexplained Secondary Infertility | DS: 2011

    TFAS since 2012

    Oct 16: Spontaneous BFP | m/c @ 9w1d (massive SCH) | D&C
    Apr 17: IUI #1 = BFN
    May 17: IUI #2 = BFN
    Jun 17: IUI #3 = Late BFP (18 DPO) | NMC 17Jul17 @ ~6w
    Aug 17: IUI #4 = Cancelled due to premature ovulation | TI = BFN
    Sep 17: IUI #5 = Cancelled due to overstimulation (10+ follies)
    Nov 17: IVF #1 = Cancelled due to non-IF related health issue | TI = BFN
    Dec 17: IVF #1 = Puregon 200, Menopur 75, Orgalutran, Suprefact trigger due to OHSS risk | 22R, 18M, 16F, 10B frozen  
    Feb 18: FET #1 (medicated) = BFN
    Mar 18: FET #2 (natural cycle) = CP (beta 1: 54; beta 2: 0)
    Apr 18: FET #3 (natural cycle) = cancelled due to missed ovulation
    Apr 18: FET #3 (natural cycle) = BFP! Beta 1: 201  Beta 2: 585 Beta 3: 3254 Beta 4: 9715 U/S 19May - one bean measuring on track with a HB of 125!
    EDD: 07Jan2019 Team Green
    My Rainbow Baby Boy born 03Jan2019 <3 

  • @tinjp78- just wanted to wish you good luck!! I hope you have no pain and get at least 2 eggs!! Thinking of you!
    History in Spoiler

    Age: 32 (same with DH). Together since 2006, Married June 2013 and TTC since August 2015
    Diagnosis: Mild Endo, DOR (AMH of 1.5), Poor Quality Eggs/embryos, Displaced Window of Implantation (ERA Post Receptive)
    March-May 2016: 1 TI and 2 IUIs- BFN 
    June 2016- Laproscopy- found/removed mild endo and confirmed only 1 normal healthy ovary.
    August 2016- IVF #1 with Antagonist Protocol- Cancelled (2 lead follies), converted to IUI- BFN
    Oct-Nov 2016- IVF #2 with Estrogen Priming Micro Lupron Protocol, 2 eggs retrieved, day 3 transfer of 1- BFN
    January 2017- New RE, IVF#3 with Estrogen Priming Antagonist Protocol, 12 eggs, 8 mature, 6 fertilized, 2 day 5 early blasts transferred (none to freeze :(), BFN
    May 2017- Sept 2017- Starting Donor Egg process! Waiting for donor to be available... and then she is pregnant at baseline :(
    Oct 2017- Donor #2: 25R, 22M,18F, 12 blasts frozen! Fresh transfer cancelled due to thin lining with fluid :(
    Nov 2017- Hysterscopy to remove polyp
    Dec 2017- DE FET #1 on 12/8 on 2 perfect blasts- BFN and devastated
    Jan-Mar 2018- ERA #1- Post receptive by 24 hours, ERA #2 RECEPTIVE with 4 days of Progesterone
    Apr 2018- DE FET cancelled for lining issues :(
    Jun 2018- DE FET #2 of two 1AA blasts- first BFP ever! Beta 10dp5dt- 378, Beta 14dp5dt- 2840, Beta 16dp5dt- 4035, beta 18dp5dt- 10916. Due on 2/20 with one baby after a vanishing twin
    Baby Born born early @ 33.5 weeks due to Pre-e
    Back for # 2!
  • @tosh24 Thank you for lurking. Wow 22 with only a local? I'm really happy you ladies are here! It gives me more and more courage to know these things.

    @JamieH2000 Thank you for the thoughts and oh boy, I haven't congratulated you yet!!!! I've been so wrapped up with myself lately. I'm very happy for you <3<3<3
  • Whew! I'm not freaking out anymore. I survived! I'm lying down in my clinic's recovery room. The procedure ended almost 2 hours ago. The total prep time and actual procedure took about 20-30mins. And I was wrong worrying about the local anaesthesia because I DIDN'T have any at all. They just gave me a pain killer that I inserted in my anus. Here is what happened in the procedure:

    1. I was asked to pee before entering the theater.
    2. Nurse instructed me not to move and to endure the pain because it would be dangerous if I did move. They'll notify me when the needle is abt to puncture my vaginal wall to access the ovary.
    3. A nurse sanitized my vaginal area with an anticeptic of some sort- it was quite cold but was fine for me bc I was starting to sweat from my nervousness.
    4. The dr came and gave me a pelvic exam, it was rougher than the usual exams that she had given me. 
    5. Next she notified me that she'd sanitize inside my uterus with an antiseptic and it was gonna be painful.
    Yes, it was pretty uncomfortable but not excruciating. I felt warm thick fluid was being pumped inside me there, lasted for 2-3 minutes I guess.
    6. Then, dr punctured the right vag wall and I thought she got something but later on I was told that they got nothing.
    7. Next was the left side and got 2
    8. Lastly, dr put some gauze inside my uterus and informed me that it was gonna be painful and that she'll remove it after 2-3 hours later. I didn't feel that much pain, almost nothing.
    9. All throughout the procedure, one nurse held my pelvis down to keep me from moving, it helped me feel a bit at ease that someone is supporting me.
    10. I was hooked with an iv drip with antibiotics for 30 mins.

    DH is at the waiting area and dr called him to her office to discussed with him the option whether to do ICSI or conventional IVF. Dr suggested the later bc 1) his SA today was ok for it  2) ICSI stresses the egg. He decided on doing conventional IVF.

    We only have 2 eggs wherein one was from a small follicle so... the chance of fertilization is slim. We'll see tomorrow.

    thank you ladies for giving me your support during my freak out time. It really did give me courage hearing your stories and experience. I <3 you all!

  • @tinjp78 glad it went ok and wasn’t painful! FX both eggs fertilize!!

    will you get the fertilization report tomorrow?
    TTC history in spoiler box:
    Me: 42, single
    Hysteroscopy: 2013
    IUI #1-2: 2013 BFN
    Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility)
    Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility)
    IUI  #3-5 (with Clomid): summer 2016 BFN
    IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS
    Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d.
    Medicated FET #2June 2017 - cancelled...
    Hysteroscopy #2: June 2017
    Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP.
    Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN
    ERA: December 2017 - need an extra 12 hours of PIO
    Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN
    Out of embryos.  :'(
    IVF #2: 03/2018.

  • Thank you @prudence9-2 Yes, we'll get the report tomorrow. Today's hurdle is done and tomorrow would be another one. DH and I decided not to expect much so as not to get too bummed out and stressed. 
  • @tinjp78 I’ll keep my fingers crossed for you!
    TTC history in spoiler box:
    Me: 42, single
    Hysteroscopy: 2013
    IUI #1-2: 2013 BFN
    Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility)
    Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility)
    IUI  #3-5 (with Clomid): summer 2016 BFN
    IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS
    Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d.
    Medicated FET #2June 2017 - cancelled...
    Hysteroscopy #2: June 2017
    Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP.
    Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN
    ERA: December 2017 - need an extra 12 hours of PIO
    Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN
    Out of embryos.  :'(
    IVF #2: 03/2018.

  • @tinjp78- you are a warrior!! honestly, I think they should have given you meds!! My clinic doesn't do general anesthesia, just twlight, so its easy to wake up from. But regardless- good for you!! They better be charging you alot less! So many prayers for two good fertilized embryos today!
    History in Spoiler

    Age: 32 (same with DH). Together since 2006, Married June 2013 and TTC since August 2015
    Diagnosis: Mild Endo, DOR (AMH of 1.5), Poor Quality Eggs/embryos, Displaced Window of Implantation (ERA Post Receptive)
    March-May 2016: 1 TI and 2 IUIs- BFN 
    June 2016- Laproscopy- found/removed mild endo and confirmed only 1 normal healthy ovary.
    August 2016- IVF #1 with Antagonist Protocol- Cancelled (2 lead follies), converted to IUI- BFN
    Oct-Nov 2016- IVF #2 with Estrogen Priming Micro Lupron Protocol, 2 eggs retrieved, day 3 transfer of 1- BFN
    January 2017- New RE, IVF#3 with Estrogen Priming Antagonist Protocol, 12 eggs, 8 mature, 6 fertilized, 2 day 5 early blasts transferred (none to freeze :(), BFN
    May 2017- Sept 2017- Starting Donor Egg process! Waiting for donor to be available... and then she is pregnant at baseline :(
    Oct 2017- Donor #2: 25R, 22M,18F, 12 blasts frozen! Fresh transfer cancelled due to thin lining with fluid :(
    Nov 2017- Hysterscopy to remove polyp
    Dec 2017- DE FET #1 on 12/8 on 2 perfect blasts- BFN and devastated
    Jan-Mar 2018- ERA #1- Post receptive by 24 hours, ERA #2 RECEPTIVE with 4 days of Progesterone
    Apr 2018- DE FET cancelled for lining issues :(
    Jun 2018- DE FET #2 of two 1AA blasts- first BFP ever! Beta 10dp5dt- 378, Beta 14dp5dt- 2840, Beta 16dp5dt- 4035, beta 18dp5dt- 10916. Due on 2/20 with one baby after a vanishing twin
    Baby Born born early @ 33.5 weeks due to Pre-e
    Back for # 2!
  • @tinjp78 wow, just wow.  good job girl!!!  totally understand you guys intentionally setting your expectations low, but I'm going to be optimistic for you.  come on 2 fertilized embryos!!! 

    TTC History in Spoiler
    Me: 29  DH:34
    TTC 21 cycles
    All TI cycles BFN (with letrozole, ovidrel, prometrium)
    Hysteroscopy + Polypectomy + D&C on 1/3
    IUI #1 February 6, BFP 2/21, CP 2/26
    IUI #2 March 14, BFN
    IUI #3 April 11, BFN
    IUI #4 May 11, BFN
    July 2018 IVF, developed lead follicle, converted to TI, BFN
    August/September 2018 IVF converted to freeze-all: 7 mature eggs; we fertilized 3 and froze 4. 3/3 fertilized and 1 blast!
    October 2018 FET-BFN
    November 2018 FET-TBD

  • The ER is my biggest fear of this process too (other than it not working!). Congratulations on getting through it and Fx for fertilization!
  • @tinjp78 - keeping FX for your fertilization results! Thinking of you!
  • @JamieH2000 I still consider myself a baby warrior especially when I see all what you and others have gone through. I still haven't experienced a PIO shot yet :smiley: My dr gave us a 45% discount since we just got 2 eggs, we appreciated this gesture.

    @wishing-and-hoping thank you dear! I'm also rooting hard for you and already stalking you at the July thread.

    @bakerstreetboys I'm sorry if my post added to your fear. But I think this procedure I just went through here in Japan is not often or not at all performed there in the States or Canada. Last year my ER with GA was no biggie. Just watch out for OHSS, drink lots of water from now. 
  • @tinjp78 No, your post didn't add to my fear!  I've been dreading it since signing the papers for IVF ;)  My clinic doesn't do GA either, which is why I'm anxious about it.  All worth it in the end if it works though!  Congrats on your two embries fertilizing! 
  • Congrats!  Did you get your fertization report yet?
    Pregnancy TickerAbout me: *TW*

    Me: 34, DH: 38                                                                                                                                                                                
    TTC #1 June of 2014  9/14 BFP, baby boy EDD 5/18/15. Elias (Eli) born 5/13/15 7lb0oz, 19 inches.                                      
    Surprise BFP 10/15, live ectopic, lost ruptured tube on 11/5/15 at 8 weeks                                                                              
    Started TTC #2 2/16                                                                                                                                                                   
    HSG 1/18 after no BFPs- diagnosed w/ tubal infertility and referred to RE                                                                     
    3/28/18 remaining tube removed                                                                                                                                              
    IVF 5/18: 15 retrieved, 11 fertilized, 8 blasts -- (3) 4aa, (2) 5aa (2) 4ba frozen -- fresh transfer of 1 day-5 4aa blast, BFP, EDD 2/4/19

  • @bakerstreetboys Thanks. I couldn't stop crying when I heard the news today. I'm hoping that when it's your turn to have your ER, you'd feel more at ease and everything will go smoothly. I'd be cheering you on. :smiley:
  • @tinjp78 wow! hats off to you for doing an ER without GA. I don't think I could bear anything without a lot of medication. FX for your embries to keep growing <3
  • @rara_avis_8 Thanks. I also thought I wouldn't pull through but the nurses at the clinic were supper supportive and showed such confidence that it would be all alright. It helped me much. Plus I thought this procedure won't be tougher than the actual delivery of the baby. Here in Japan, they don't give any meds at all during the labor up until the delivery. So I thought, that ER would be my pain practice. :smiley:
  • funkykey said:
    @tinjp78 - keeping FX for your fertilization results! Thinking of you!
    @funkykey I just saw your post. I'm also thinking of you and stalking you at the September thread. <3

    @mayflower513 Thanks. Yeeessss, our two eggs were fertilized!!! I'm still praying so hard that they develop more and more. I have a scheduled fresh transfer tomorrow. 
  • @tinjp78 hope both make it for tomorrow!!! Good luck!!
    TTC history in spoiler box:
    Me: 42, single
    Hysteroscopy: 2013
    IUI #1-2: 2013 BFN
    Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility)
    Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility)
    IUI  #3-5 (with Clomid): summer 2016 BFN
    IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS
    Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d.
    Medicated FET #2June 2017 - cancelled...
    Hysteroscopy #2: June 2017
    Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP.
    Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN
    ERA: December 2017 - need an extra 12 hours of PIO
    Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN
    Out of embryos.  :'(
    IVF #2: 03/2018.

  • Good luck @tinjp78, I hope they both make it!!
    Pregnancy TickerAbout me: *TW*

    Me: 34, DH: 38                                                                                                                                                                                
    TTC #1 June of 2014  9/14 BFP, baby boy EDD 5/18/15. Elias (Eli) born 5/13/15 7lb0oz, 19 inches.                                      
    Surprise BFP 10/15, live ectopic, lost ruptured tube on 11/5/15 at 8 weeks                                                                              
    Started TTC #2 2/16                                                                                                                                                                   
    HSG 1/18 after no BFPs- diagnosed w/ tubal infertility and referred to RE                                                                     
    3/28/18 remaining tube removed                                                                                                                                              
    IVF 5/18: 15 retrieved, 11 fertilized, 8 blasts -- (3) 4aa, (2) 5aa (2) 4ba frozen -- fresh transfer of 1 day-5 4aa blast, BFP, EDD 2/4/19

  • Thanks @mayflower513 I'm also praying hard for it. DH and I are on our way to the clinic.... my heart's pounding so fast....
  • Good luck today @tinjp78 <3<3
  • Just saw this thread now, what an ordeal!  Glad you made it though so bravely! ❤ I saw something in the main thread that maybe they decided to wait to transfer? @tinjp78
  • @BusinessWife Yeah, we're scheduled for a tentative fresh transfer tomorrow 7/2 at 11am. We don't have any updates on the embies after last Friday's appt. so still very nervous.
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