The good news:
Dr. A did my ultrasound this morning and he seemed pleased with the results. My lining was 8.2 mm, which he said was "great." The largest follicles were a 10 mm follicle on the right side, and an 11 mm follicle on the left side. There were many follicles on both sides that were near that size, but he didn't measure them. He also didn't bother to count exactly how many were there, but said, "about 12" on each side. He said that they might not all continue to develop, so there is no reason to count them now. He explained that the purpose of today's ultrasound was to make sure that I wasn't developing a lead follicle. (My interpretation is that a lead follicle might lead to suppression of the growth of other follicles, which would be bad). Since I had many follicles, all about the same size, this was considered to be good.
I asked the nurse when she thought ER would be, and she said that it looks like we're on track for Tuesday (the original estimated date). It's still too early to know for sure, though.
The anxiety-provoking news:
Today my E2 level was up to 575, and it's making me nervous. My results for the last few days are: 47 -> 110 -> 255 -> 575. This is more than doubling each day. If this trend continues, I would think that my E2 will be (more than) 1100 tomorrow, 2200 Friday, 4400 Saturday, 8800 Sunday, 17600 Monday....ummm...HELP! Damn, I hate exponential numbers. I've read (pubmed and google) that high E2 levels (above 4000) are highly associated with OHSS and cancelled cycles. I've been instructed to continue my current dose of meds, but I'm definitely going to ask them about this tomorrow. I don't want them to feel like I'm a demanding/pushy patient, and I don't want to be my own doctor, but I just want to make sure that they have noticed that my numbers are more than doubling every day. I don't want to be cancelled! nor do I want OHSS! I just want my E2 to keep going up, but a little bit slower maybe (?), and for me to have nice mature eggs by next week.
On the other hand, my ovaries are not really bothering me today, and that seems like a good thing. Bloodwork again tomorrow (and every day), and my next ultrasound is on Friday.
I am so glad that I have a lot of work to do right now. It's the only thing that is keeping me sane.