Hmmm, confusing. Single egg IVF?

The confusing part comes at the end, the vitals stats are pretty expected at this point (single, greedy follie).

The gory details:

• E2 level: 401
  
• Nubile Rightie: 18mm, 7mm.
  
• Ol' Leftie: Abdominal gas blocking, sigh...
  

Reaction?

• Good rise in E2. The highest I can recall in my testing days, yay for small things! Still points to no more than 2 follies, though there's no sign of that potential 2nd follie. It probably points more to this disgusting, crusty estrogen patch that is rotting on my stomach after 8 days of wearing it (I'm to remove at trigger or when it falls off of its own, after my body effectively curdles itself away from it)
  
• Greedy bully still gobbling all the FSH.
  
• I've been eating well, trying to drink lots of fluids. But the combo of "abdominal gas" and an anitsocial ovary gives us nary a glimpse.
  

Next check: Monday a.m., continue stimming (gonal-f 450 + menopur 150) + ganirelix through then.

Recap: OK, here's the surprising development, and of course it has to happen on a Saturday so I get the Nurse Weekend who knows nothing about me and, though the nurse stuck with weekend duty rotates every week, always seems to be borderline drunk. At least that's the best explanation I can come up with for the constant errors and lack of knowledge. These are nurses who are completely competent during the week but whose brain cells are off-duty over the weekend. The best anecdote I can give for this is when I had a beta only 8 days after my April IUI, due to spotting. So, it was 10 days after trigger, when HCG could still be in my system from the trigger shot. So the nurse calls me and offers condolences that I do have a positive beta but it's only 11, so she thinks I'm going to miscarry. Um, no, you dumb fuck. It's the trigger shot (which I explained to her and she said she'd never heard of causing this kind of false positive), but thanks for the pro-bono kick in the gut.

Anyway, she gives me all my numbers, which of course include errors. She tells me that I've got 2 follies on my left at 18mm and 16mm and that they couldn't see rightie, but assume there's nothing. I clearly knew that she had gotten left and right confused (annoying) but I really had to question the 18/16mm because I know we didn't see two good follies on u/s. She looked at her paperwork and apologized and said, "Yes, you're right it's the right ovary and it's an 18mm and a SIX-point-nine mm". Gee, thanks. For an IF woman having a totally crap response to IVF, there is a HUGE difference between having one or two good follies. Grrr...

But to make a long story even longer, on to the confusing part. So then she says "The doctor wants to know if you want to do it with just one." Huh? What the hell is she talking about? Do what? Do the IUI to which I'm assuming we're converting? So I stammer "Well...yea....I want to at least do an IUI." And Nurse Weekend says "No, he wants to know if you want to go through with IVF with just one." Now where the hell did THIS come from?? Dr. B had clearly told me that 2 or less follies and we'd convert to IUI, and 3 would the minimum for IVF. Though I really, really like Dr. B, I've often wished I went to a clinic where the doctor actually called you for important events like miscarriages or a complete change in everything he had laid out for your cycle. I want to know why he's willing to do IVF with just one. Did my regular Nurse D pass on that I'm going to be charged with a full IVF by my insurance even if it's converted, so why not? Or does he think this totally crappy response is the best I'm likely to ever get?? (Weep)

I was on the spot because whether I triggered or continued stimming tonight was on the line, so I took the plunge and agreed to do the IVF. So I'll likely be one of those crazy, desperate women going into ER with a single follie. My brain is having a hard time wrapping itself around the wisdom of this right now. Is it such a long shot that IUI would probably have the same chance? I'm not worried about the surgery, I used to be terrifed of it, but after having 4 surgeries in the past 12 months, I now regard it as a nice nap. I figure since I'm being billed for it -- and by this I don't mean $25k but rather wonderfully mandatory-coverage-state co-pays. But it counts as one of the limited cycles they'll cover -- I want to have the best chance for this follie even if it's miniscule. Plus, at least we'll know get the cool science part of IVF and know for sure whether the eggie fertilizes and all that. Finally, I'll know earlier if the cycle is a bust (if the egg doesn't fertilize or doesn't make it to Day 3), which will allow me to get back to my meth and prostitution hobbies all the earlier.

She's heeere....

So, AF showed up this morning on what was supposedly CD19, which is a good week early for me. Since I've been on injectables, my cycles have zigzagged from a week too short to a week too long. I'm guessing now that the "too long" cycles were an example of what I wrote about below, that I was actually baseline before I had my period, so the cycles are probably, at least hormonally, most consistent than I thought.

I'm going to try not to obsess about a short luteal phase, since that's never been an issue with me before and just start getting excited for my first - FINALLY after 2.5 years of being told I 99% would need IVF to conceive - IVF. I'll be going in for my baseline b/w and u/s tomorrow morning. My antral follicle count is usually a depressing event (most likely due to scarring on my ovaries from stage IV endo), so I'm not thinking at all that I'll hear anything different. But I'm praying they see more than 7 or so, for the hope that we can get at least 5 eggs at retrieval. I can feel myself getting stressed out as I type this, despite my determination to be all zen this cycle, so I'm going to stop typing and go take a shower so I can log on to work by 9am!