See, I am doing a new thing! Now it springs up; do you not perceive it?

I am making a way in the wilderness and streams in the wasteland.

Isaiah 43:19

Friday, 2 November 2012

Egg Collection

So on the Friday (what would have been day 11 of stims) I had what is known as "oocyte capture" or "ovum retrieval" - egg collection in layman's terms!

The consultant retrieves the artificially stimulated eggs by passing a fine needle through the vaginal wall and into each follicle in turn. Some UK clinics perform this under general anaesthetic but most under sedation. It also varies as to whether this procedure is performed in theatre or not, I believe.

At Care, egg collection is performed under sedation in theatre. We were booked in to start at 8:30am and needed to arrive at 8:00am to prepare. I didn't get a wink of sleep the night before; I felt physically sick with nerves, it was horrible. So much of our chance of success at IVF depended on the outcome of this procedure and how many and what good quality eggs were removed. At 4am I gave up trying to sleep and came to watch TV downstairs with the dog!

Our clinic ask the patient not to wear perfume, not to eat after midnight, and not to drink after 5am. I was asked to bring a dressing gown and socks as theatre can get cold. I think the dressing gown is more to protect the ladies' modesty as it is removed in theatre and a blanket is given instead.

Hubby and I arrived early and had an identity card produced - with cheesy mugshots! - that allows us onto the ward area. We were shown into a small private room containing a small cupboard and two chairs and I was asked to change into a hospital gown. I've never worn a hospital gown before, it was quite exciting (despite the nerves)! A nurse went through various questions - what I am allergic to and so on - and then collected me and we walked into theatre. Hubby was left behind and collected to produce his 'sample' once egg collection was underway.

The next bit is a bit of a lovely blur due to the sedation... I lay down and was arranged on the bed.  The various members of staff - nurse, ODP, embryologist, anaesthetist, and consultant (who was the only consultant at the clinic we already knew, thank goodness - I had prayed specifically for her). The anaesthetist then inserted a canular into my hand, he was a very nice man. He explained to me about the medication and said I might fall asleep or fall in and out of sleep, and that if I had any discomfort, to let him know and he'd increase the dose. He then said, 'You will start to feel sleepy over the next couple of minutes.' I looked around, and that is the last thing I remember before waking up in recovery.

I was vey nervous about the idea of sedation and had prayed I would sleep through the whole thing... Praise God this happened; I slept deeply according to the nurse and was not best pleased when she woke me up! I think my lack of sleep the previous two nights helped achieve this :D. Waking up was the worst part (in fact the only uncomfortable part of the whole thing); I was in a lot of pain. The nurse said, "Do you want to know how many? You've had 23 eggs removed!!" I was overjoyed. She then explained that this is why I was in so much pain - the higher the number of eggs, the more the pain. Paracetamol had already been given through the canular while I was asleep but she said they could give me more drugs and to let her know when I wanted them. She was the nicest nurse (the same nurse who saw me through the whole thing and then again through embryo transfer).

I was wheeled on the bed back to the little private room and there was my lovely hubby. He was very tender and protective of me, it was really sweet. The nurse left us alone and I told him how many eggs, he was amazed too and we shared our joy! Another nurse then returned (equally lovely) and offered me a choice of Codeine or a painkiller that goes in a pessary up the bum (sorry TMI and I forget the name). Anyway she recommended the latter so I went for that and it worked like a dream, in about 20 minutes all the pain had gone. I had low blood pressure from the sedation and couldn't go to the loo for about an hour; this was not good as I was immediately given lots of sweet tea and water by the lovely nurses!!! Had a scary moment when I first tried to go to the loo - the room span and I felt sick - but half an hour later it was ok and I was able to relieve myself.

Both the embryologist and the consultant who performed the procedure visited us in our private room after egg collection. The embryologist told us that hubby's sperm sample was great! The consultant said I would feel very sore as she had not only retrieved 23 eggs, but also 'popped' all my smaller follies not containing eggs in order to prevent OHSS. She also said that due to my large number of follies, she felt unsure as to whether we should go ahead with transfer this cycle or freeze the embryos for transfer at a later date, but she said she was happy to monitor me over the next few days and see how things go before making any decisions. She said that during EC my ovaries had shown no signs of OHSS (i.e. there was not excess fluid), despite the large number of follies. (I had a nurse phone every day between EC and ET to check how I was doing with OHSS symptoms. Luckily I never had any more than very, very mild symptoms - a small amount of bloating, abdominal discomfort, and nausea... And we were able to do the transfer this cycle.)

We drove home and I rested on the sofa the rest of the day. Pain wasn't too bad at all and although we had bought some Co-Codomol in preparation, I didn't need to take more than Paracetamol once I got home, and I took Paracetamol for four days following egg collection. I felt pretty nauseous so treated myself to some favourite foods. It was quite sore to wee, but I didn't have any bleeding or spotting after I left the hospital (there was quite a bit of bleeding immediately after egg collection that went onto the clinic pad, I think they're called Chux pads). And I still haven't had any bleeding or spotting from egg collection and this is now 3dp5dt.

So that was it, my egg collection experience... It was an amazing experience full of answer to prayer - I had prayed for sleeping through the procedure and no signs of OHSS. Next came the really hard part - waiting.


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