Progesterone elevated - the phone call

Today, now that our surgery has been scheduled, Pablo went to seminary and made arrangements to miss class due to the surgery on Thursday. After that he went to the Department of Computer Science to pick up the final exam from his students and post the grades on-line. By the end of the day, Pablo went to the parking lot to get the car and pick up Nancy for her class in seminary.

When Pablo tried to start the vehicle, there was a problem, the electric system was completely dead. The car would not even attempt to show signs of life. It was past 5pm and most of the faculty was already out. Pablo asked a couple of faculty members for help, but they did not help, they had other more important things to do or places where to be. Pablo lost hope for a little bit, until Dr. Greg Hamerly showed up, almost by miracle. Pablo is sure that he Dr. Hamerly had other more important things to do, yet, he was willing to take Pablo back home.

Pablo called Nancy on the way home, sharing with her the problem with the car. Nancy had to wait for Pablo for a few extra minutes. Hopefully they will be on-time for seminary class. It was the last day of classes in seminary and Nancy had prepared delicious tamales. She will bring them for all to eat afterwards, celebrating the end of the semester.

Once Pablo got into a car to pick up Nancy, while he was driving, he received an urgent call from the doctor's office. They said two important things:

1. Nancy should take one last injection specifically at 8pm. The injection is called Ovidrel, and it is shown in the picture. This injection is essentially the hormone called "Human chorionic gonadotropin" (HSG), which has been neutralized by the other injections controlling Nancy's cycle. This injection will begin the process of ovulation, which prepares the follicles for extraction on Thursday. The nurse gave Pablo instructions for Nancy to be fasting and ready at the surgery center by 6:45am.
2. The nurse also said something we did not know. She said, the implantation of the embryos had to be postponed most likely due to an increased level of progesterone in Nancy. The laboratory results of that morning revealed that Nancy had a progesterone level of 2.1 and ideally it should remain 1.5 until the transference of embryos. Apparently, this increase of progesterone levels indicates that the uterus is ready to host the embryos. The endometrial cavity is mature. However, this happened too soon. It should happen until the embryos were transferred, otherwise, the uterus would be old and the embryos would not survive in the uterus. The nurse said, we will probably have to freeze the embryos once they were ready and schedule the transference of embryos until later, probably next month. 

This news were shocking for Pablo. He did not know how to tell Nancy about this, especially because they were going to a party for the end of the semester. So, Pablo told Nancy on the way home, when they were going home for the tamales. 

We asked ourselves questions about the causes. Why would this happen to us? Was it because we were stressed? Was it because something we ate? What was it? Where is God in this? Did God abandon us all of the sudden?

We agreed to focus on one thing at a time. The most important thing was to focus in the extraction surgery. And later we will worry about scheduling the implantation or transference of embryos. We have waited for seven years; we can wait one more month if necessary.

Pray for us. We don't know what is going to happen. 

Peace,

Pablo and Nancy