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02-24-2013 at 4:45 PM
myshaybaby
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Joined on 05-18-2011
3,416 Points
myshaybaby is not online. Last active: 05-24-2013, 9:48 AMNewbie

OHSS vs Progesterone S/E

Hi All,

Hoping someone can help me on this board.

I had my e/t on 2/11 with 23 follies, 19 mature, 9 fertilized with ICSI, and had my e/t of 2 embies on 2/16. I had mild bloating right after retrieval, which resolved on its own, and have felt great up until the last few days. 

My abdomen is very distended, I have been measuring it daily and have had a 2" increase in size around my belly button but for me, I look about 6 months pregnant! I've gained 4 lbs total since the E/R. The bloating gets worse after eating a meal and I've noticed I have terrible stomach pain when eating, and have been taking Tums like crazy to help with the gas pains. I also notice that I'm taking shallow breaths and can't lay down to sleep. It hurts to laugh, sneeze, etc. d/t the abdominal pressure and the pressure also radiates up towards the top of my chest.

I don't want to go to the ER for fear that they will do an abdominal Xray and I'm wondering if I'm pregnant (got a clear + today on a HPT). I know OHSS can develop late and hit hard if you're pregnant. I have read that progesterone can cause gas pain and indigestion and don't want to make a huge deal of this if it's just the hormones!

Any thoughts? I'll call my doc in the AM no matter what but am wondering if I should be more concerned and call ASAP.

Thank you!

 


TTC #1 since 01/2011 Me: MTHFR C677t homozygous (on lovenox) DH: MFI (poor morph, counts, motility) Natural BFP #1: 05/2011, M/C @ 5 weeks RE consult 12/2011 01/2012-07/2012 3 IUIs all BFN 02/2013: IVF#1 23follies/19mature/9fert with ICSI/2 A grade embies trans day5/4 B grade embies frozen. First beta 10dp5dt 2/26=529! 2nd Beta 12dp5dt 2/28=1253 3rd Beta 3/8: 15,995 U/s at 5w4d 3/8 showed TWINS! Last RE U/S 3/28 still showing 2 beautiful beans. Graduated to OB 4/2, our little babies are doing great!  BabyFruit Ticker  
02-24-2013 at 4:51 PM
myshaybaby
Not Ranked
Joined on 05-18-2011
3,416 Points
myshaybaby is not online. Last active: 05-24-2013, 9:48 AMNewbie

And just updated my siggy!


TTC #1 since 01/2011 Me: MTHFR C677t homozygous (on lovenox) DH: MFI (poor morph, counts, motility) Natural BFP #1: 05/2011, M/C @ 5 weeks RE consult 12/2011 01/2012-07/2012 3 IUIs all BFN 02/2013: IVF#1 23follies/19mature/9fert with ICSI/2 A grade embies trans day5/4 B grade embies frozen. First beta 10dp5dt 2/26=529! 2nd Beta 12dp5dt 2/28=1253 3rd Beta 3/8: 15,995 U/s at 5w4d 3/8 showed TWINS! Last RE U/S 3/28 still showing 2 beautiful beans. Graduated to OB 4/2, our little babies are doing great!  BabyFruit Ticker  
02-24-2013 at 5:01 PM
Cypress82
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Joined on 05-01-2011
9,112 Points
Cypress82 is not online. Last active: 05-03-2013, 10:08 PMNewbie
It sounds like OHSS :/ You likely have fluid build up in your abdomen, and it can creep up into your chest making it hard to breathe. Oftentimes, the fluid needs to be drained if it becomes severe. Does your clinic have an after-hours nurse line or a physician on call line? I would call them right away. In the meantime, chug gatorade like it's going out of style and eat lotsa high protein. GL!

**TTC #1 since Sep 2009** Me: 31 DH: 29 (healthy, SA = normal)

DX (May 2010) = Lap #1 showed Stage I-II endometriosis. HSG normal. Tx with 6 mo Lupron (which did nothing...) Lap #2 June 2011 to remove endo, uterine fibroid, and polyp

IUI #1-#3 (July-Sep 2011): All Clomid 50 mg + unmonitored IUI = All BFN

October 2011 - April 2012: Outta $$$ (no insurance coverage) = back to tryin' on our own

May 2012 - August 2012: Mental break from trying

October 2012: New OB. Bloodwork normal aside from slightly low progesterone

November 2012: IUI #4: Letrozole 2.5 mg + Novarel trigger + monitored IUI + progesterone = BFN

IVF #1: Long Lupron Protocol,Menopur,Follistim, ER = 2/12/13 27R/26M/23F

2/17/13 Transferred 1 perfect Grade 1 blast. 17 frostbabies.

HPT 7dp5dt: BFP!!! Beta #1 9dp5dt: 108 Beta #2 11dp5dt: 368

U/S #1 3/19: One little bumpkin with a perfect HB!! EDD: 11/5/13

Daisypath Anniversary tickers Lilypie Trying to Conceive Event tickers  IAmPregnant Ticker 
02-24-2013 at 5:12 PM
myshaybaby
Not Ranked
Joined on 05-18-2011
3,416 Points
myshaybaby is not online. Last active: 05-24-2013, 9:48 AMNewbie

Cypress82:
It sounds like OHSS :/ You likely have fluid build up in your abdomen, and it can creep up into your chest making it hard to breathe. Oftentimes, the fluid needs to be drained if it becomes severe. Does your clinic have an after-hours nurse line or a physician on call line? I would call them right away. In the meantime, chug gatorade like it's going out of style and eat lotsa high protein. GL!

Oh, yuck!!! I have to 3-12 hour shifts in the next 3 days and was really hoping not to miss work tomorrow. I'm just going to feel so silly if they say everything is ok, and am terrified of getting any treatment with 2 maybe babies growing in there! 

Cypress-thanks for responding to me, looks like we're cycle buddies! I'm jealous you're getting your beta in 2 days, they're making us wait forever it feels like. 


TTC #1 since 01/2011 Me: MTHFR C677t homozygous (on lovenox) DH: MFI (poor morph, counts, motility) Natural BFP #1: 05/2011, M/C @ 5 weeks RE consult 12/2011 01/2012-07/2012 3 IUIs all BFN 02/2013: IVF#1 23follies/19mature/9fert with ICSI/2 A grade embies trans day5/4 B grade embies frozen. First beta 10dp5dt 2/26=529! 2nd Beta 12dp5dt 2/28=1253 3rd Beta 3/8: 15,995 U/s at 5w4d 3/8 showed TWINS! Last RE U/S 3/28 still showing 2 beautiful beans. Graduated to OB 4/2, our little babies are doing great!  BabyFruit Ticker  
02-24-2013 at 5:17 PM
Cypress82
Not Ranked
Joined on 05-01-2011
9,112 Points
Cypress82 is not online. Last active: 05-03-2013, 10:08 PMNewbie
The way you are feeling is not silly at all. It's pretty serious. So please call and get some help!! I am at high risk for OHSS as well. Avoided it with my ER thankfully, but now am nervous (got a BFP on FRER this morning), so...trying to do everything I can to avoid it. Doc said it would present exactly as you are describing...I would look 7 mo pregnant, have a lot of abdominal discomfort, possibly difficulty breathing. Some women on this board have had to go in for multiple abdominal taps. I hope you don't have to go that route. Just take it easy...the more you move around the more it can get aggravated. You may have to call in sick - you need to do what's best for you and those lil' embies!! If you have to go to the ER, just tell them you are an IVF patient and that you may be prego. DON'T let them do a pelvic exam on you. Have them get in touch w/ your clinic and they can guide them. GL to you!!!

**TTC #1 since Sep 2009** Me: 31 DH: 29 (healthy, SA = normal)

DX (May 2010) = Lap #1 showed Stage I-II endometriosis. HSG normal. Tx with 6 mo Lupron (which did nothing...) Lap #2 June 2011 to remove endo, uterine fibroid, and polyp

IUI #1-#3 (July-Sep 2011): All Clomid 50 mg + unmonitored IUI = All BFN

October 2011 - April 2012: Outta $$$ (no insurance coverage) = back to tryin' on our own

May 2012 - August 2012: Mental break from trying

October 2012: New OB. Bloodwork normal aside from slightly low progesterone

November 2012: IUI #4: Letrozole 2.5 mg + Novarel trigger + monitored IUI + progesterone = BFN

IVF #1: Long Lupron Protocol,Menopur,Follistim, ER = 2/12/13 27R/26M/23F

2/17/13 Transferred 1 perfect Grade 1 blast. 17 frostbabies.

HPT 7dp5dt: BFP!!! Beta #1 9dp5dt: 108 Beta #2 11dp5dt: 368

U/S #1 3/19: One little bumpkin with a perfect HB!! EDD: 11/5/13

Daisypath Anniversary tickers Lilypie Trying to Conceive Event tickers  IAmPregnant Ticker 
02-24-2013 at 6:08 PM
Gr8te
Not Ranked
Joined on 08-18-2012
10,106 Points
Gr8te is not online. Last active: 05-24-2013, 9:09 AMBronze

Ticker Warning

I had moderate OHSS. It was extremely painful and I had some of the symptoms you're describing. RE was most concerned about me gaining more that 3lbs in one day and twisting an ovary. If you decide to go to the ER, tell them you want a u/s. I hope you feel better soon. GL


~ Everyone Welcome ~
TTC: 05/2011 Me: 32, All Clear DH: 38 Dx: MFI Low Testosterone & 1% Morphology
IVF #1 w/ICSI & IMSI, 12/03/12: ER: 27R, 20M, 15F
4 blasts frozen (3BA 4BA 4BB 5BB) b/c of moderate OHSS
FET #1: 02/08/13 Transferred 3BA & 4BA | HPT 5dp5dt BFP!
10dp5dt Beta #1 - 810 | 12dp5dt Beta #2 - 1843
 BabyFetus Ticker 
02-24-2013 at 6:36 PM
spinch
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Joined on 04-18-2010
3,524 Points
spinch is not online. Last active: 03-09-2013, 8:08 AMNewbie
I feel like this, i am super bloated and still a bit achy from my ER that was 4 1/2 days ago. I have had a racing heartbeat at times, warm body temperature and constipation.

Life is best shared with the ones you love.  
02-24-2013 at 7:33 PM
myshaybaby
Not Ranked
Joined on 05-18-2011
3,416 Points
myshaybaby is not online. Last active: 05-24-2013, 9:48 AMNewbie
Thanks ladies. I am going to see how I feel in the morning. DH just ran out and got me some gatorade and I had some high-sodium foods. Chugging and resting and will call doc in the AM if I don't feel better. @Spinch-feel better too! GL to all :)

TTC #1 since 01/2011 Me: MTHFR C677t homozygous (on lovenox) DH: MFI (poor morph, counts, motility) Natural BFP #1: 05/2011, M/C @ 5 weeks RE consult 12/2011 01/2012-07/2012 3 IUIs all BFN 02/2013: IVF#1 23follies/19mature/9fert with ICSI/2 A grade embies trans day5/4 B grade embies frozen. First beta 10dp5dt 2/26=529! 2nd Beta 12dp5dt 2/28=1253 3rd Beta 3/8: 15,995 U/s at 5w4d 3/8 showed TWINS! Last RE U/S 3/28 still showing 2 beautiful beans. Graduated to OB 4/2, our little babies are doing great!  BabyFruit Ticker  
02-24-2013 at 7:57 PM
heath04ang...
Not Ranked
Joined on 02-21-2008
Ohio
6,774 Points
heath04angel is online. Last active: 05-24-2013, 10:27 AMNewbie
I had mild OHSS when I did my injectable cycle and it sounds just like what you're saying. I know once you're pg it does usually get worse so I would def contact your RE and get it checked out.  Drinks lots and lots of Gatorade and just get to the docs...feel better :(


Married March 2010.
Me 26 and DH 29.
08/2008 - Surprise BFP ended in chemical pregnancy
01/2011 - Dx with annovulation/unexplained IF-DH borderline low morph
03/2013 - DH strict morph .5%
02/2011- HSG= all clear
05/2011 - 100mg clomid + IUI = BFN (thin lining)
06/2011- 9/2011 - Femara + IUI = BFN
11/2011- 125iu Follistim + IUI = BFN
12/2011- 03/2012- TTC naturally
03/2012- 125iu Follistim + IUI = BFN
04/2012-10/2012- TTC naturally
10/2012- 125iu Follistim + TI = BFN *cycle resulted in mild OHSS*
10/2012- DH dx with minor varicocele
11/2012-2/2013- TTC naturally preparing for IVF #1
02/2013 IVF # 1~antagonist cancelled due to premature ovulation *moderate/severe OHSS*
04/2013 IVF 1.2- Start Bcp for Long Lupron
 
02-24-2013 at 8:26 PM
Cypress82
Not Ranked
Joined on 05-01-2011
9,112 Points
Cypress82 is not online. Last active: 05-03-2013, 10:08 PMNewbie

myshaybaby:
Thanks ladies. I am going to see how I feel in the morning. DH just ran out and got me some gatorade and I had some high-sodium foods. Chugging and resting and will call doc in the AM if I don't feel better. @Spinch-feel better too! GL to all :)

I was confused about high sodium foods, because a nurse told me NO but then I saw it all the time on Bump for OHSS. I confirmed with one other nurse AND the doc that said "NO HIGH SODIUM DIET FOR OHSS". They said it would make it WORSE.  So...FWIW. I just stuck to gatorade and high protein.


**TTC #1 since Sep 2009** Me: 31 DH: 29 (healthy, SA = normal)

DX (May 2010) = Lap #1 showed Stage I-II endometriosis. HSG normal. Tx with 6 mo Lupron (which did nothing...) Lap #2 June 2011 to remove endo, uterine fibroid, and polyp

IUI #1-#3 (July-Sep 2011): All Clomid 50 mg + unmonitored IUI = All BFN

October 2011 - April 2012: Outta $$$ (no insurance coverage) = back to tryin' on our own

May 2012 - August 2012: Mental break from trying

October 2012: New OB. Bloodwork normal aside from slightly low progesterone

November 2012: IUI #4: Letrozole 2.5 mg + Novarel trigger + monitored IUI + progesterone = BFN

IVF #1: Long Lupron Protocol,Menopur,Follistim, ER = 2/12/13 27R/26M/23F

2/17/13 Transferred 1 perfect Grade 1 blast. 17 frostbabies.

HPT 7dp5dt: BFP!!! Beta #1 9dp5dt: 108 Beta #2 11dp5dt: 368

U/S #1 3/19: One little bumpkin with a perfect HB!! EDD: 11/5/13

Daisypath Anniversary tickers Lilypie Trying to Conceive Event tickers  IAmPregnant Ticker 
02-24-2013 at 8:54 PM
heath04ang...
Not Ranked
Joined on 02-21-2008
Ohio
6,774 Points
heath04angel is online. Last active: 05-24-2013, 10:27 AMNewbie
Cypress82:

myshaybaby:
Thanks ladies. I am going to see how I feel in the morning. DH just ran out and got me some gatorade and I had some high-sodium foods. Chugging and resting and will call doc in the AM if I don't feel better. @Spinch-feel better too! GL to all :)

I was confused about high sodium foods, because a nurse told me NO but then I saw it all the time on Bump for OHSS. I confirmed with one other nurse AND the doc that said "NO HIGH SODIUM DIET FOR OHSS". They said it would make it WORSE.  So...FWIW. I just stuck to gatorade and high protein.

I was advised by my RE to have more sodium when I had OHSS because we are losing it  Through our capillaries so it needs to be replaced. Not sure though since there are always diff opinions.



Married March 2010.
Me 26 and DH 29.
08/2008 - Surprise BFP ended in chemical pregnancy
01/2011 - Dx with annovulation/unexplained IF-DH borderline low morph
03/2013 - DH strict morph .5%
02/2011- HSG= all clear
05/2011 - 100mg clomid + IUI = BFN (thin lining)
06/2011- 9/2011 - Femara + IUI = BFN
11/2011- 125iu Follistim + IUI = BFN
12/2011- 03/2012- TTC naturally
03/2012- 125iu Follistim + IUI = BFN
04/2012-10/2012- TTC naturally
10/2012- 125iu Follistim + TI = BFN *cycle resulted in mild OHSS*
10/2012- DH dx with minor varicocele
11/2012-2/2013- TTC naturally preparing for IVF #1
02/2013 IVF # 1~antagonist cancelled due to premature ovulation *moderate/severe OHSS*
04/2013 IVF 1.2- Start Bcp for Long Lupron
 
02-25-2013 at 11:26 AM
Gr8te
Not Ranked
Joined on 08-18-2012
10,106 Points
Gr8te is not online. Last active: 05-24-2013, 9:09 AMBronze
heath04angel:
Cypress82:

myshaybaby:
Thanks ladies. I am going to see how I feel in the morning. DH just ran out and got me some gatorade and I had some high-sodium foods. Chugging and resting and will call doc in the AM if I don't feel better. @Spinch-feel better too! GL to all :)

I was confused about high sodium foods, because a nurse told me NO but then I saw it all the time on Bump for OHSS. I confirmed with one other nurse AND the doc that said "NO HIGH SODIUM DIET FOR OHSS". They said it would make it WORSE.  So...FWIW. I just stuck to gatorade and high protein.

I was advised by my RE to have more sodium when I had OHSS because we are losing it  Through our capillaries so it needs to be replaced. Not sure though since there are always diff opinions.

I was told to follow a high sodium diet too and I go to one of the top centers in the USA. Maybe it's patient specific...obviously it wouldn't be good for someone with high blood pressure to be on a high sodium diet.


~ Everyone Welcome ~
TTC: 05/2011 Me: 32, All Clear DH: 38 Dx: MFI Low Testosterone & 1% Morphology
IVF #1 w/ICSI & IMSI, 12/03/12: ER: 27R, 20M, 15F
4 blasts frozen (3BA 4BA 4BB 5BB) b/c of moderate OHSS
FET #1: 02/08/13 Transferred 3BA & 4BA | HPT 5dp5dt BFP!
10dp5dt Beta #1 - 810 | 12dp5dt Beta #2 - 1843
 BabyFetus Ticker 
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