The process has officially started when I began the fertility meds, IMO. Here’s what I’ve been doing since Saturday morning.
Saturday morning – Took 20 units of Lupron. Lupron, I believe, is supposed to suppress the ovaries. Not sure what that means and how this helps, but I’ll do what I’m asked. This involves a vial of liquid that you keep in the fridge and a syringe. Stick the needle into the top of the vial and draw out what you need. The needle is really tiny and is about 1/2 inch long. This is SubQ so it’s injected into the fatty part of your stomach. Easy. Doesn’t hurt.
Saturday night – Same as the morning.
Sunday morning and night – Same as Saturday.
This is where the real fun begins…
Monday morning I am faced with two injections. One is the continued Lupron. The second is the Gonal-F RFF Redi-Pen. The Lupron is still holding at 20 units and the Gonal-F is at 300 units. This pen is pretty fancy. After you place the needle on the tip, you rotate the dial to the dosage needed. This is also a SubQ injection and the needle is about the same size and length. Both of these are stored in the fridge.
Monday night it gets even better with three injections. Lupron, Gonal-F and the newly added Menopur. By this time I have the Lupron and Gonal-F down to a science. The Menopur on the other hand had me in such a panic that I had to get a friend on the phone to walk me through this. I had a small chemistry lab at my bathroom sink. The items involved in Menopur are a liquid vial, powder vial, syringe, mixing needle (long one), administer needle (tiny one), and a Q-cap. I don’t think I missed anything. I go to mix the liquid with the powder and the panic set in. The syringe was in mL measurements where my paperwork was 150 units. So confused. After searching Google and contacting a friend on Facebook, we finally got through this injection. What I ended up doing is drawing up 1cc of liquid and mixing it with 1 vial of powder. I drew up another cc of liquid and put in the second vial of powder and then drew up both mixed vials into the syringe. I had just under 2cc of liquid that I now have to push into my body. I was told that the Menopur hurts when injected; more like burns. It did but not too bad and not for very long. What I wasn’t expecting was how hard it was to push that plunger in compared to the other syringes. Whew!
EDIT: I just spoke with my nurse to clarify what I did. I did it wrong but still got the medicine in. What she said to do is draw up 1 cc of liquid and mix with 1 vial of powder. Draw that mixed vial into the syringe and mix that with the second vial of powder, then draw up the 1cc of liquid. So what I did was have too much liquid. But the important part was I had the correct amount of powder. Good to know for tonight!
I repeat this 5-injection day tomorrow (Wednesday) and then I do my morning injections on Thursday. I go to the doctors for blood work and ultrasound and then I will be given additional instructions for more meds. I believe they said it will be about 10 total days of meds. Yikes! I can do this though!