This morning was my first ultrasound since starting the IVF meds. I've had five nights of the shots so far. I'm currently taking 225 units of Follistim, 75 of Menopur, and 5 units of Lupron. I was only on 150 of Follistim but that changed two nights ago, when my e levels were low on Tuesday's blood test.
Today went pretty well! My ultrasounds showed six decently sized follicles on the right ovary, and one on the left. That's the side I had the cyst and the endometriosis on, and I guess that ovary is still unhappy. Anyway, the six on the right side are pretty good, all ranging from 9-11 mm. There are two largest, 11 mm ones. Is it mm? I am not sure.
Dr. F says that I am not a great responder, although I am not doing poorly either. Overall he seemed quite pleased with where I am. After all, we only need one great egg (though I'd like to have more to freeze).
Right now, we're on track for only three to four more nights of stims, and a retrieval next Tuesday or Wednesday (today is Thursday). I am still waiting on my e level from the blood test this morning, but I'll probably not change my meds again. Most likely I will go back on Saturday morning and then we'll know more about a retrieval date, I think.
So, feeling relieved- I was nervous, as usual. I was so worried because of my e level being low last time. I hope it's risen- but most importantly, today I had decent follicles. And I'll only be on the drugs 8-9 days, instead of 12, which also pleases me.
More news later, when I hear back from the nurse about the estrogen level.
UPDATE: my estrogen jumped from 99 on Tuesday to 362 today! The nurse sounded very pleased. We go back in another two days, Saturday, for more blood work and another ultrasound. Feeling great!
Thursday, July 12, 2012
Wednesday, July 11, 2012
Big Medication Mess-Up
We had a pretty rough time yesterday.
First, at work I learned that my estrogen levels were too low. We bumped up my dosage of the Follistim, and I had to re-fill my prescription. Another $508, thankyouverymuch. Thanks, estrogen that didn't rise the way it was supposed to.
Then, I went to the dentist to have a small cavity filled, and learned it's actually going to need a root canal. Wonderful. And I can't get it done for two more weeks. Luckily I am not in pain.
After work, we had trouble with the new Follistim dose. The pen let us dial up to 225 units, even though according to my math there should have only been enough medication for 150 units. This caused me to freak out. I ended up calling a pharmacist, who assured me that if the pen let us dial that much, it was available. It's so weird, but apparently the vials often have overflow. 75 units worth!?!?! The whole pen was only supposed to have 600 units, but it had 675!?!? Bizarre, and utterly mind-boggling. Each vial is $508, by the way. Fun times.
Anyway, once I was calmed down after the pharmacist's reassurance, I got in the car to go to the RESOLVE meeting. And, because nothing could be easy in my life yesterday, the Engine Malfunction light went on. Screw it. I drove to Cary anyway. I made it there, and home, with pouring down rain to boot. The car is going into the shop tomorrow. Sigh. But it's my sister's car so hopefully my dad will pay for the repairs.
And just when I thought it couldn't continue on this way, I watched someone else at the meeting do their Menopur, and something seemed... different. There was also a weird reaction when I was saying how big the needle was for me. At home, before bed, I consulted the instructions sheet. I learned that we've been doing the injections with the wrong needle! Instead of switching to a 1/2 inch needle, we've been using a 1 1/2 inch needle for the last four nights! No wonder it hurt so much!!! I was really, really upset- like all out, bawling. I'd been doing an intramuscular injection rather than a subcutaneous, and I was terrified that it might have messed up my cycle or my dosage. I was angry at the pharmacy for it's confusing packaging and lack of labelling, UNC for not having a real medication class ("just watch the videos"), myself for missing the instructions, and the nurse for the terribly written instructions. HANDWRITING a 1 1/2 so that it looked like a 1/2 is really inexcusable.
Well, to finish this up, I talked to the nurse today and she just acted like I'm dumb, which infuriated me. This is REALLY complex for someone with no experience mixing and administering medications, and they really could have made this easier, for the THIRTEEN THOUSAND DOLLARS we're paying for this damn thing. You know?
Anyway, no harm is done, other than my very sore belly. For the next few nights, I've been told to let my tummy recover, and use the thigh for a while.
Tomorrow is my first ultrasound since starting the meds, and more bloodwork. I hope to have good news.
First, at work I learned that my estrogen levels were too low. We bumped up my dosage of the Follistim, and I had to re-fill my prescription. Another $508, thankyouverymuch. Thanks, estrogen that didn't rise the way it was supposed to.
Then, I went to the dentist to have a small cavity filled, and learned it's actually going to need a root canal. Wonderful. And I can't get it done for two more weeks. Luckily I am not in pain.
After work, we had trouble with the new Follistim dose. The pen let us dial up to 225 units, even though according to my math there should have only been enough medication for 150 units. This caused me to freak out. I ended up calling a pharmacist, who assured me that if the pen let us dial that much, it was available. It's so weird, but apparently the vials often have overflow. 75 units worth!?!?! The whole pen was only supposed to have 600 units, but it had 675!?!? Bizarre, and utterly mind-boggling. Each vial is $508, by the way. Fun times.
Anyway, once I was calmed down after the pharmacist's reassurance, I got in the car to go to the RESOLVE meeting. And, because nothing could be easy in my life yesterday, the Engine Malfunction light went on. Screw it. I drove to Cary anyway. I made it there, and home, with pouring down rain to boot. The car is going into the shop tomorrow. Sigh. But it's my sister's car so hopefully my dad will pay for the repairs.
And just when I thought it couldn't continue on this way, I watched someone else at the meeting do their Menopur, and something seemed... different. There was also a weird reaction when I was saying how big the needle was for me. At home, before bed, I consulted the instructions sheet. I learned that we've been doing the injections with the wrong needle! Instead of switching to a 1/2 inch needle, we've been using a 1 1/2 inch needle for the last four nights! No wonder it hurt so much!!! I was really, really upset- like all out, bawling. I'd been doing an intramuscular injection rather than a subcutaneous, and I was terrified that it might have messed up my cycle or my dosage. I was angry at the pharmacy for it's confusing packaging and lack of labelling, UNC for not having a real medication class ("just watch the videos"), myself for missing the instructions, and the nurse for the terribly written instructions. HANDWRITING a 1 1/2 so that it looked like a 1/2 is really inexcusable.
Well, to finish this up, I talked to the nurse today and she just acted like I'm dumb, which infuriated me. This is REALLY complex for someone with no experience mixing and administering medications, and they really could have made this easier, for the THIRTEEN THOUSAND DOLLARS we're paying for this damn thing. You know?
Anyway, no harm is done, other than my very sore belly. For the next few nights, I've been told to let my tummy recover, and use the thigh for a while.
Tomorrow is my first ultrasound since starting the meds, and more bloodwork. I hope to have good news.
Tuesday, July 10, 2012
Day 4, and Bloodwork
I went in this morning, after three days of the shots, to get my bloodwork done. I had the blood drawn at 8 am, and the IVF nurse called just before 1 pm. My estrogen is low- around 99, and they like it to be 150 or higher at this point. So, I'm upping my Follistim, but leaving everything else the same. I need to order another Follistim this evening. Wonder how many hundreds and hundreds of dollars this will run me. Sigh. Oh well.
Anyway, my next visit is in two days- Thursday morning at 7:30 am. Another estrogen check, plus my first IVF ultrasound. I wonder what will be growing by then. This is all exciting!
In other news, tonight is the monthly RESOLVE support group meeting. I've been attending it since January, and it's been so helpful. B doesn't really like it- he feels reticent to talk to much about his feelings, and he has such a sunny outlook that he doesn't seem to need the support. But I find it very helpful to be able to recognize my feelings in what others say, and to get practical advice, and to learn about the different options and paths people are pursuing. I took over as facilitator recently, and put up a bunch of flyers at my clinic last week. Today someone new emailed me, as a result of the flyer, and I'm giving her a ride to the meeting tonight. I'm looking forward to the meeting this evening.
Anyway, my next visit is in two days- Thursday morning at 7:30 am. Another estrogen check, plus my first IVF ultrasound. I wonder what will be growing by then. This is all exciting!
In other news, tonight is the monthly RESOLVE support group meeting. I've been attending it since January, and it's been so helpful. B doesn't really like it- he feels reticent to talk to much about his feelings, and he has such a sunny outlook that he doesn't seem to need the support. But I find it very helpful to be able to recognize my feelings in what others say, and to get practical advice, and to learn about the different options and paths people are pursuing. I took over as facilitator recently, and put up a bunch of flyers at my clinic last week. Today someone new emailed me, as a result of the flyer, and I'm giving her a ride to the meeting tonight. I'm looking forward to the meeting this evening.
Monday, July 9, 2012
Day 3
Tonight will be the third night of injections.
Last night's shots weren't as bad as the first night. I still hate the "pen" for Follistim and the way it isn't a nice clean injection- B has to sort of jiggle it to inject all the medication, and it feels like the needle is moving around in me. And the Menopur is still such a huge needle that I can't even look at it, but the burning sensation last night wasn't as bad as the first night. Maybe I just knew what to expect.
After only two nights, my belly is already sore. I'm nervous about this. I still have 6-10 more nights! I am hoping that some of the soreness might just be from a hard workout at Body Pump last night. Maybe the abs work is contributing. In any case, last night was my last night at the gym for awhile. I am going to try walking at night when it cools off, but stay away from the strenuous classes that I enjoy so much at the gym. It's sad, but I don't want to take any risks. I'll ask the ladies at tomorrow night's support group about their experiences and how long they kept exercising.
Tomorrow is my first bloodwork, and I'm curious to see how my dosages will change. Hopefully they will give me an update, like to say if everything is proceeding as expected. I'll report back again tomorrow.
All of this feels very surreal. I can't believe it's really happening. Can you imagine just having sex and getting pregnant?? Crazy that it's all it takes for most lucky ducks.
Last night's shots weren't as bad as the first night. I still hate the "pen" for Follistim and the way it isn't a nice clean injection- B has to sort of jiggle it to inject all the medication, and it feels like the needle is moving around in me. And the Menopur is still such a huge needle that I can't even look at it, but the burning sensation last night wasn't as bad as the first night. Maybe I just knew what to expect.
After only two nights, my belly is already sore. I'm nervous about this. I still have 6-10 more nights! I am hoping that some of the soreness might just be from a hard workout at Body Pump last night. Maybe the abs work is contributing. In any case, last night was my last night at the gym for awhile. I am going to try walking at night when it cools off, but stay away from the strenuous classes that I enjoy so much at the gym. It's sad, but I don't want to take any risks. I'll ask the ladies at tomorrow night's support group about their experiences and how long they kept exercising.
Tomorrow is my first bloodwork, and I'm curious to see how my dosages will change. Hopefully they will give me an update, like to say if everything is proceeding as expected. I'll report back again tomorrow.
All of this feels very surreal. I can't believe it's really happening. Can you imagine just having sex and getting pregnant?? Crazy that it's all it takes for most lucky ducks.
Saturday, July 7, 2012
First Night of Shots
So we did the first night of shots, about an hour ago. It was not
fun. The Lupron is just little diabetic needles and I find those easy, but
these two new shots were a whole 'nother story.
The Menopur has to
be mixed- you have to combine two vials into one, and replace needles, and it
all has to be sterile. The Follistim comes in a "pen" which has to be
loaded and then "dialed" to the correct amount. The Follistim wasn't
too scary but the Menopur had a HUGE needle! The needle hurt, and the liquid
burned as it went in. It bled for several minutes afterwards, though just a
little bit.
But I survived, and B is doing all the mixing and giving me the
shots (except the Lupron, I can keep doing that one). Only 7-11 more nights!
Although none of this is fun, I am so relieved and grateful that
we made it to this point. Last time around, when I had to have the surgery, was
such a disappointment. I am full of hope that in 3-4 weeks, I could be pregnant.
Off to get ready to go out to dinner with friends now. Looking
forward to the evening out.
Thursday, July 5, 2012
Crazy Raging B*tch
Sorry for the bad language, but that's really how I've been feeling for the past few days.
When I last wrote, on Monday, I reported one crying episode in the airport, but said that otherwise I was feeling fine. That didn't last long. By Monday night, I was angry, sad, and irritable. That was after 7 nights of Lupron shots. I had a huge fight with my husband and said all kinds of mean things, even threatening to not continue the IVF cycle. Tuesday night we fought again. I really FELT mad, but with a little distance, I realize that my emotions are pretty out of control. I cried inconsolably Tuesday night, even missing the movie we'd planned to treat ourselves with since yesterday was a day off from work.
Yesterday, the 4th of July, I did better. We stayed out most of the day, doing things with friends- an outdoors festival, and a cookout in the neighborhood, and then saw the movie that we missed on Tuesday night. Keeping busy gives me less time to listen to my Lupron-induced hormonal mess, which is definitely a good thing.
The positive news is that I only have two more nights of the full 10 units of Lupron. On Saturday evening, I cut the dosage in half, while adding the Menopur and Follistim. I don't know how those will make me feel, but I don't think they have the same emotional effects. I hope.
Other than my hormonal induced craziness, I'm feeling pretty okay. I'm getting excited for Saturday, to start the "real" IVF drugs. Not that I want the drugs, but after a year and a half of infertility, and a year of being in treatment, and a false start to an IVF cycle over three months ago, I'm just so ready to get the show on the road. I just want this all to speed up, to get over with, and to come out on the other side with a happy result.
When I last wrote, on Monday, I reported one crying episode in the airport, but said that otherwise I was feeling fine. That didn't last long. By Monday night, I was angry, sad, and irritable. That was after 7 nights of Lupron shots. I had a huge fight with my husband and said all kinds of mean things, even threatening to not continue the IVF cycle. Tuesday night we fought again. I really FELT mad, but with a little distance, I realize that my emotions are pretty out of control. I cried inconsolably Tuesday night, even missing the movie we'd planned to treat ourselves with since yesterday was a day off from work.
Yesterday, the 4th of July, I did better. We stayed out most of the day, doing things with friends- an outdoors festival, and a cookout in the neighborhood, and then saw the movie that we missed on Tuesday night. Keeping busy gives me less time to listen to my Lupron-induced hormonal mess, which is definitely a good thing.
The positive news is that I only have two more nights of the full 10 units of Lupron. On Saturday evening, I cut the dosage in half, while adding the Menopur and Follistim. I don't know how those will make me feel, but I don't think they have the same emotional effects. I hope.
Other than my hormonal induced craziness, I'm feeling pretty okay. I'm getting excited for Saturday, to start the "real" IVF drugs. Not that I want the drugs, but after a year and a half of infertility, and a year of being in treatment, and a false start to an IVF cycle over three months ago, I'm just so ready to get the show on the road. I just want this all to speed up, to get over with, and to come out on the other side with a happy result.
Monday, July 2, 2012
Good News!
I was so nervous that I laid in bed for over an hour after B fell asleep, worrying about today's appointment. We got in bed at 10:30 pm and I remember looking at the clock and it was 11:30 pm and I was still awake. This morning I woke up at 6:10 am and I was a bundle of nerves and stomach pains.
BUT: it all went well! My ultrasound showed quiet ovaries and a good endometrium lining. My estrogen is fine too, although I wasn't as worried about that part. The good ultrasound has calmed me down. I received my list of medication instructions and am scheduled to start the new shots this upcoming Saturday, July 7th. My husband starts his pills then too, and I go in on Tuesday, July 10th for bloodwork. Retrieval will fall sometime between Sunday, July 15th and Thursday, July 19th. Transfer will be 3 or 5 days after that. Pregnancy test sometime the first week of August.
Feeling a sense of relief after many days/weeks of being on edge, hoping and wondering.
Also, feeling okay on the Lupron so far. It's only been 6 shots but I am doing okay. I had one small freak-out in the airport last night, after I messed up my injection (which I then corrected), but overall it's been fine. However, I felt okay till after day 6 or 7 last time and then I crashed down and became a hormonal, crying mess, so there's no telling what awaits me.
But for now, relief.
BUT: it all went well! My ultrasound showed quiet ovaries and a good endometrium lining. My estrogen is fine too, although I wasn't as worried about that part. The good ultrasound has calmed me down. I received my list of medication instructions and am scheduled to start the new shots this upcoming Saturday, July 7th. My husband starts his pills then too, and I go in on Tuesday, July 10th for bloodwork. Retrieval will fall sometime between Sunday, July 15th and Thursday, July 19th. Transfer will be 3 or 5 days after that. Pregnancy test sometime the first week of August.
Feeling a sense of relief after many days/weeks of being on edge, hoping and wondering.
Also, feeling okay on the Lupron so far. It's only been 6 shots but I am doing okay. I had one small freak-out in the airport last night, after I messed up my injection (which I then corrected), but overall it's been fine. However, I felt okay till after day 6 or 7 last time and then I crashed down and became a hormonal, crying mess, so there's no telling what awaits me.
But for now, relief.
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