Follicle Watch: The Finale

Estrogen: 2876

Right Side: 9 follicles
Left Side:10 follicles no sizes mentioned but at the ultrasound the tech said I had some 21’s and 19’s and 17’s.

We finally made it… I trigger tonight at 8:30pm. I’ll be doing the following: 150iu Gonal F and 150iu of Menopur and the hCG. The hCG shot is the one with the thick needle that goes into my ample booty. For once I’m happy about my giant bedonkadonk. The nurse says it was a great cycle and I’m crazy excited. Retrieval is on Friday morning so I’ll have a nice long weekend too. Thanks little baby follies for playing along. So proud.

happy-dance- My heart melted a little when my husband said he was excited too. He’s emotions are difficult to gauge most times but I have written proof on my phone now so that’s nice :).

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Proof!

Now if only this day would end, so I can go home. 40min left. tick tock!

Follicle Watch: Episode 4

Estrogen: 1968

Left side: 9 Follicles measuring 10-17mm
Right side: 6 Follicles measuring 12-15mm

Medication: 300iu Gonal F, 150iu Menopur, 1 pre-filled syringe Ganirelix

Now we’re cooking with fire. The nurse mentioned possible Lupron triggering coming soon. I think we’re finally nearing the end. It’s certainly flown by. I must say I was really down about 8 follicles on Sunday. I know, I know 8 is not that bad a number but I read a blog entry by The Sky and Back where she mentions visualisation and how she used it to shrink a cyst. If you’re reading this, can I share the Coocoo award with you? :)… I talked to my follicles and pictured them growing inside me. I’m not saying it worked but they did grow. Just sayin’ :).

So I go back tomorrow for another ultrasound and blood work. My veins are starting to feel the strain. And I was expecting to be bloated but It’s not a normal period bloat maybe more like a food baby? My tummy feels harder to the touch and I was pretty nauseous last night. Taking it in my stride.

In other news, a dear friend of mine announced a pregnancy today. I am rocking these pregnancy announcements, lemme tell you. lol. Her text to me was beyond sweet and, I could tell, really well thought out. I feel bad that my friends feel a sense of dread or sadness amidst such happy news, where my feelings are concerned. I’m flattered that they thought of us and told us first but I hate this our infertility has affected everyone so profoundly. It’s cruelty really knows no bounds.

Follicle Watch: Episode 3

Estrogen: 1369
LH: 9.61
Progesterone: 0.762

Left side follicle sizes: 15, 14, 13, 10, 8 (mm)
Right side follicle sizes: 12, 10, 8 (mm)

The dildo cam hurt a lot today. I think my uterus is starting to not enjoy the poking and prodding. My tummy is really sensitive to the touch and I’ve been feeling sharp/dull pains on my left and right side but I know that’s just my potential kiddos growing so I’m kinda relishing the pain. The nurse seems very happy with these numbers we just need the little guys to catch up with the rest of everyone else.

We added Ganirelix to the party too. That was a nice surprise. I was warned that the needle was blunt but N and I both had a really good laugh when he tried to jab it in and it just bounced off my tummy. The laugh turned a bit hysterical when the second jab didn’t work. We got it in on the third go at least. Not cool. The nurse said my estrogen should drop at the next check because of the ganirelix but we’ll see.

I did, of course, have a mini meltdown with my low follicle numbers but after talking to some lovely ttc sisters I’m back to being grateful for my lot in life. The best part about this lonely ass journey is that it’s not really that lonely if you know where to look. I’ve met some really awesome ladies here, on fb and instagram and I’m so thankful to each and every one of you. Thank you for reading and commenting and following my journey.

Babydust to everyone. Hope you’re all having a great Sunday. How bout that snow today, huh? Geez! I took a picture of it then I realised my back yard looks like an episode of hoarders. We’ll just keep that one to ourselves.

Follicle Watch: Episode 2

Quality over quantity… Don’t focus on the goal and enjoy the journey… Must remember these words.

Today we’re on 6 follicles measuring between 9 and 10mm. Still no symptoms to speak of. They’re upping Gonal F from 225 to 300 until Sunday. My clinic is over an hour away but thankfully there’s a satellite office 30min away on my way to work, but they’re closed on a Sunday so I’m going to be making that trek in the early hours this weekend.

Was feeling a little down trodden with the numbers, I thought this was gonna be a breeze because I had 20 antral follicles at my very first ultrasound. Anyway, I had a giant burrito at lunch to make up for all the alcohol I can’t drink so I’m feeling sleepy and happy again.

Hope everyone’s having a good Halloween and you all have fun plans. We have a party tomorrow but tonight we’re not entertaining trick or treaters. I didn’t get anything or even decorate so we’re turning out the lights and hiding in the bedroom. We rented Deliver Us from Evil. Hope it’s a goodie. I love me some scary movies.

xxx

Follicle Watch: Episode 1

So I had my first follicle check this morning bright and early at 6am. Right now, I’m on 150iu of Gonal F and 75iu of burny Menopur. I feel pretty normal, a little dizzy right after injections and I’ve been sleeping like a champ, it’s awesome! No other symptoms but I’m on 3 days of shots in so…

The tech said I have a bunch of little ones and she was smiling so that was good. I was on lunch when the nurse called so couldn’t write everything down. Let’s see if my old battered brain can remember what she said.

So, my estradiol  is at 104, I have 5 on my left and 4 on my right but I don’t remember the sizes (shocking). They’re upping my meds to 225iu of Gonal F and 150iu of Menopur until my next check on Friday.

*** I wrote the above yesterday… Here’s the rest after taking the first increased dosage ***

The increased dosage I took like a champ. It’s starting to get easier. Still no symptoms just headaches I guess, but I always have random headaches. I can feel stuff on my left and right side on and off but I am starting to freak out a little.

Anyway, so I have to refill my prescription, obviously, since I’ll run out of Menopur on Saturday. I’m on the phone with the insurance and as we stand now, they have my order but have to put approve it first. It’s extremely time sensitive and I’m on tenterhooks right now and can’t really concentrate on anything else and we’re pretty busy at work.

Other than that, so far so good. I go back tomorrow for a second follicle check. I can’t believe how fast this is going. The 10 days of stimulation will be over on Tuesday. Really? This is nuts, guys.

Shots fired!

We are well on our way here in IVF land. Did my first set of injections last night. As was stated in my next set of instructions after my suppression check came back with the all clear.

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It was quite a production. I wish I’d video taped it but I was too preoccupied. My husband had to take the reigns because I simply couldn’t. All in all it wasn’t a huge train smash. The needle going in is easy peasy. I couldn’t even feel it but the Menopur burns, people. It burns like hell. That’s going to take some getting used to. Afterwards, I felt a bit dizzy but I wasn’t sure if it was in my head or not. While I was laying on the couch it dawned on me that I really have no idea what I just injected into my system. So I did some Googling. Here’s what I have and what Google says it does.

Gonal F:

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I have to do 150 units of this every night from the beginning. The pen already has the medicine in it and has to be stored in the fridge. Very simply, this guy provides the follicle stimulating hormone (FSH) that helps stimulate healthy ovaries to produce eggs. It should be used with another hormone to help with growth of health eggs. I’m using it with Menopur. Gonal F and Follistim are the same thing, essentially. I inject this into my belly (subcutaneoulsy)

Menopur:

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This one has the follicle stimulating hormone and the luteinizing hormone (LH) also to help the ovaries make eggs. It’s also used in combination with another hormone medication. It burns going in. Be warned. I got 10 units. 20 vials. 1 has a powder (or what looks like a little urinal cake) and the other has a clear liquid. I have to dissolve some liquid into the powder which makes me feel like and evil scientist. It gets injected into the tummy too.

Ganirelix Acetate:

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These guys come in pre-filled syringes. I have 4 of them. It blocks the release of LH to delay ovulation and increases the chance of producing fertile eggs. From that I gather that I would start taking this towards the end of stimulation. Another one for the tummy. That’s going to be fun!

Leuprolide Acetate:

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Also known as Lupron. This is used to treat advanced prostate cancer in men… Wait, what? It is used to stop early puberty in children… Hang on… oh, here it is… It may also be used to treat disorders of the uterus. In females, leuprolide reduces the amount of estrogen that the body makes. It is used to decrease the amount of hormone you make for a short time and to prevent ovulation. Now, it looks like it can be used before starting stimulation meds to suppress the ovaries. However, I haven’t used it yet. Not quite sure how it’ll fit in. Watch this space.

And last but not least,

Chorionic Gonadotropin:

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Also known as hCG. Also known as the trigger shot. This is a shot that has to be taken in the butt (awesome) at a very specific time at the end of your stimulation when you’re at your most bloated and uncomfortable. It causes ovulation, I believe, within 36hrs of taking it. Hence the strict timing. It looks like the Menopur with the liquid and powder mix.

And there you have it. These are the meds I have. I’m still pretty clueless as to what I’m doing since this is my first time but I hope this helps if it’s your first time too. If you’re a vet and you’ve noticed some stark inconsistencies in my information, please let me know or give me some other info I can add on.

I hope all your cycles are progressing smoothly and have a great day. I’m at work and I’m pretty sure my lunch hour is over.

Happy Monday!

G’bye Beer… For a bit…

I don’t have an official calendar from the clinic. Just some scribbles on a post-it. All my IVF information is mostly only post-it’s. I do transfer all the information to my calendar at home and my little diary in my bag. Just so it’s a bit more official looking. Here’s my latest post-it:

20141016_143304Basically, I have to be on the pill for 12 days (whoop!) then my suppression check (where they check to see if my ovaries and uterus are quiet and ready for stimulation) is on the 23rd. Before then I have to have a  pre-op physical to check my heart and lungs. Which I did, but what a story. Apparently I have to pay for a physical out of pocket unless I got my primary care physician… which I don’t have… because my insurance plan said it’s not necessary. Well, I guess it’s more necessary than I thought. I’ll get one soon. But I had to pay $150 to have it done at the walk-in. That dr is an absolute trip. An old lady who judges you behind the closed door then walks in all smiles. I can only laugh. She had some words with the nurse about why I didn’t have a PCP then walked in and acted as if the walls weren’t made of rice paper. Oh well. At least I’m physically fit.

credit: Madagascar

credit: Madagascar

I also had to call my insurance pharmacy place to get my meds delivered. They’ll be arriving next Wednesday on the 22nd and if my suppression is good then I can start injecting myself. Maybe that’s when it’ll start to feel real.

So, I know I should have been preparing my body for this a while ago. Luckily I don’t smoke or drink coffee. And I try to limit carbs as much as I can. It’s easier than it sounds until pizza Friday rolls around :). But I did make a promise to myself to quit drinking. This has been the most difficult thing to do so far. Yes it’s only been 6 days and I hardly ever drink during the week anyway but just the thought of not being able to makes me sad. And just our luck we have at least one party every weekend for the rest of this month. But I’m hoping to go alcohol free until after the retrieval. I probably sound like I have a drinking problem. I don’t care! This is who I am. The only motivation is the thought that every beer I say ‘no’ to means 1 healthy eggy. Obviously, not at all fact based but it helps.

Come on next Wednesdayyy!! Why is this week draaaggiiiing!

Finally…

I’m just going to gloss over the fact that I haven’t blogged in over a month. I guess I had nothing of import to say. Until now… and even now I feel like it’s not really important but here goes.

CD1 has finally arrived phew… Okay lots has happened in between so I’ll do a quick blow by blow.

We had our second follow up where we signed all the consent forms and got the final tally on what this mess is going to cost. We’re very fortunate to have my insurance (hubby is starting his own business so we’re on my insurance for now) cover 80% of ivf with a 2 cycle lifetime limit. So in my mind we have 2 go’s which I’m okay with. The final cost came out to $1760 excluding the medication copay (covered at 100%) but including the biopsy for the PGD and the ICSI. That is not bad at all. I’ll pay that every day. The only other big cost now is paying for the PGD clinic to get the biopsied cells and to test them. That is also covered with a 20% coinsurance but we’ll cross that bridge when we get to it.

The next step was to get a phone consultation with the PGD clinic in Chicago. I’ve just sorted this out now. The appointment is on the 28th which is cutting it a bit fine because I will be a few days away from retrieval at this point and we need to do a few things with them before it’s approved. *nerves*

A few days after we finalized everything my clinic called me to tell me that my insurance counts an egg retrieval and a fresh transfer as a cycle. A frozen transfer is counted as a separate cycle. This means that I will have used up my lifetime limit of 2 cycles in one PGD cycle… *queue many many tears*… During this time two of my bestest friends from home announced their pregnancies…

It took me a few days to recover from the shock but I discovered Wachusett Blueberry Ale in this time as well. She helped me a lot :). Thank you, WBA!

Anyway, so I called my insurance to say “What the hell dude, this is how you repay me after 2yrs of loyal service?” then the nice lady was like “Whoa bro, you qualify for eSET.”

eSET: Basically, if you transfer 1 embryo in your first cycle and it doesn’t take, they give you a 2nd frozen embryo transfer for freeeeee!! Obviously, you have to have frosties to use from the first cycle and you have to transfer 1 on the free cycle as well.

The choice is ultimately up to us and our RE but it’s nice to know we have options. And also nice to know that a frozen embryo transfer without insurance is about $2500 sans meds and that price isn’t as awful as a fresh cycle. So we’ll let positivity reign as always. If it doesn’t work, I’ll have my WBA.

So, now I’m here. Finally. Cramping and happy. Waiting to start taking birth control pills for the first time in about 4yrs. And now that I’m relatively in the game now I’ll see if I can blog at least once a week. I mean really. I paid the $18 to get the .wordpress out of my blog name. I gotta use it right? riiiight…

PS. Sending baby dust to each and every one of you out there who’s struggling with infertility. xxx