Tuesday, July 27, 2010

THE CALENDAR IS HERE...YIKES THIS IS REAL!

So it was a tough weekend, I have all these feelings about this process and as I mentioned before it didn't feel real yet anyway.. well, the "calendar" came last weekend accompanied by a full page of prescriptions that need to be filled. I felt really guilty about my feelings about it. All of the ladies on the support board were all rejoicing and excited when they got their calendars and are so excited to get started, all I could see was "NEEDLES" and lots of them. I knew these were coming but looking at the prescriptions and all the different orders for syringes with all the specifics of "this guage for this type of injection and that guage for a different type of injection" made me nauseous. I broke down and cried at the intesity and reality of this whole process. Jeff and I decided that instead of staying in and working on the basement like we should, he recognized that I was overwhelmed and needed to get out of the house, so went to see the movie Despicable me... it was just what the doctor ordered..lots of laughter :o)

Here's my calendar:

Continue on the BCP through 8/17.
On 8/18 I start the medication Norethindrone for 10 days
I now have a decision to make : on 09/1 I need to choose which medications I want Group A includes Follistim, Gonal-F RFF Pen, Gonal F Multi-dose, Bravelle (these are FSH only) Also I need to choose one of Group B: Repronex, Menopur (these are FSH and LH)
starting 9/1 I need to do the group A injections in the AM and Group B injections in the PM for five days.
09/04 internal ultrasound and blood draw to check on Estradiol levels
Egg retrieval tentatively scheduled for 9/12-9/13...
We have chosen to do the ICSI which means that the RE will cut into the egg and inject the sperm then it is either 3-5 days until egg transfer ....
After the transfer there will be either suppositories of Progesterone three times a day or one IM injection a day for around 30 days.

Next step is a sonohistogram which I need to schedule today....

On another note, there is a pressure, that I know is only in my mind, to get this right because I have the most supportive and incredible family, and last weekend a check arrived from my father-in-law that without it we wouldn't be able to even think about this whole process. I can't say enough about how grateful I am that he is helping us out with this, but there is also an added pressure, since we don't get a second chance and it's a LOT of money.

anyway, that's my post for today....

Wednesday, July 21, 2010

Hmmmm

So Jeff asks me if the new drug is pill form.. no clue... but fear grips me and I start to sweat, worrying that it may be my first injections. I do some research and here's the first thing I find....



Side effects of Norethindrone, Leuprolide Acetate (Lupron), Ganirelex Acetate (Antigon)
and Synarel may include hot flashes, vaginal dryness, headaches, changes in mood, and
decreased interest in sexual activity. Other less common side effects include dizziness,
depression, arrhythmias, angina, peripheral edema, nausea and/or vomiting, increased liver
enzyme levels, pulmonary embolism, and transient bone pain.



HMMMMMMMM! At least it's not an injection...

Received a phone call from MCRH today...

OK, so this week has included some appointments that should have made me feel like this process is actually going to happen... but it still doesn't seem real to me...

Monday I had that wonderful experience that women are required to have each year...a pap smear. New doctor, since my OBGYN takes about three months to get an appt with. She was nice. Might decide to stay with her if we get this process right.

Tuesday I had to have a bunch of blood tests done, 4 vials taken, and the lady doing it reminded me that next time I should eat some breakfast first, as I guess I looked like I was going to fall over during the blood draw. I keep telling myself that at the very least at the very end of this whole process I will no longer be deathly afraid of needles.?!?!? Needless to say, I ended up almost passing out (like always) and had to sit there for 15 minutes with a washcloth on my face, and eat a bag of pretzels before she would let me leave. Fun Fun...

Today I received a call from MCRH about the protocol that will be used.. finally some information about this process. I am on a wonderful fertility support board and it's been so frustrating because I read all the other ladies posts and they are "in the know" about what medications they will be using, when they will start etc. I feel really clueless when I read their posts, but luckily they are all really wonderful and supportive and help the "newbie" along. SO I was so excited today when the RE nurse calls me, I am to continue taking birth control pills (BCP) through this cycle and call in on day one of my Aunt Flo (AF) so they can schedule a Sonohysterogram. Then I start my second pack of BCP and take those through Aug 18th, on Aug 19th I start the down regulation cycle medication norethindrone (Aygestin). The nurse said I should be receiving a timeline and very detailed instructions before that....

here's the 411 on the medication

Norethindrone Acetate (Aygestin) is a synthetic hormone similar to progesterone. It is a
tablet given to shed the endometrial lining prior to initiating stimulation medications.


Here's the 411 on the procedure


Sonohysterogram (within one year of IVF cycle or if a pregnancy lost has occurred since last test
was performed)
A procedure in which sterile water is inserted via a catheter into the uterus. By then placing an
ultrasound probe into the vagina, this allows any potential abnormalities to be outlined and identified
on an ultrasound monitor. If a defect is found and a follow-up procedure is necessary, this may alter
the timing of your IVF cycle.


So that's all I have for today.. I remain on CoQ10, Royal Jelly, Prenatal Vits, Folic Acid and Wheat grass shots and I'm trying to cut back on caffeine (not going well since I'm still unemployed).
Oh and I am looking into starting acupuncture (my friends swear the needles don't hurt.. we'll see). The first place I called has a 6 month waiting list.. not going to work.

Tuesday, July 13, 2010

The Adventure begins....

A little background first

6 failed IUI's two with clomid, 1 with stims.
ttc- approx 4.5 years
no positives yet,
me=low egg counts, high day three FSH (12.1)Kim
hubby= low counts and motility (Jeff)

We decided to begin the IVF process last year but due to many life changes, including my internship and graduation, Jeff's mom's illness and passing, and at the time a proposed move out of state, we postponed the process

Jump to current date: July 13th 2010.
Met with RE today. I really like him.. he's very real and down to earth and takes the time to explain things and answer any questions that we have. Of course I always think of more things to ask after I am no longer in the room with him.. hmmph.

Today we found out what our protocol will be:
Birth control pills for 1.5 months, then stimulation with Antagon (short needle injection) until E2 levels reach 400 or greater and they see 4 or more nice follicles. Then HCG shot of ovidrel and 36 hours later they retrieve the eggs. The transfer will be either on day 3 or day 5. Day 3 has 56% delivery rate with 40% chance for multiples, day 5 has 68% chance and 60 % chance of multiples.

Ok that's the scoop.
Here's the plan so far, Birth control started on July 2nd, blood tests needed, pap scheduled for next Monday and then Sonohysterogram scheduled for day 5 of this cycle.. so in about 15 days. *sigh* so much waiting....