u/1992Crumbs

After multiple ERs, we've finally made it to the FET stage! While I'm eager to transfer one of our embryos in ~2 weeks, I'm not feeling confident about doing a modified natural cycle, as I have lean PCOS/PMOS (note: PMOS is the new diagnostic name for PCOS) and my cycles are very long/irregular (35-50 days).

I expressed my concerns to our RE, and she explained that we're doing a modified natural cycle b/c I have a blood clotting disorder, and taking estrodiol would increase my risk of forming blood clots. Fair enough.

As this seems to be our only path forward, I'm wondering if there's anything I can do in the next 2 weeks to help thicken my edometrial lining, and increase our chances of having a successful transfer. Thank you in advance!

TW: high # of eggs retrieved

I had my 2nd ER this morning and they retrieved 30 eggs (suspected lean PCOS). I felt significantly worse after this ER -- 8/10 on the pain scale, had to be given narcotic pain meds and stay at the clinic for a couple hrs for monitoring, nearly fainted when going to the bathroom. Now, I’m back at home and ~8 hrs post-retrieval. The pain is mostly manageable, but I am SO swollen and uncomfortable. I weighed myself and I am 4 lbs heavier than I was this morning (weight fluctuates throughout the day, I know, but mine usually only goes up/down 0.5-1 lb).

For additional context, my estradiol was > 4000 halfway through stims, and they stopped measuring it after that. I also have lower body weight and am under 35 yrs (33). Apparently, these can all be risk factors for OHSS.

My 1st ER was back in Jan and they retrieved 28 eggs. I felt mostly fine after the retrieval, but did develop mild OHSS ~3 days post-retrieval. This time around, I feel so much worse, and I can’t believe how distended my stomach is already. I didn’t think OHSS symptoms could appear this quickly, but maybe I’m wrong? I will mention this to my clinic when they call tomorrow, but in the meantime, I’m hoping this community can give me some guidance.

TYIA!

Note: I’m already loading up on electrolytes, protein, high sodium foods, and trying to keep moving. 🤞