Monitoring appointment #2

Today’s appointment was at a different office than I normally go to. It was busy. My appointment was supposed to be at 8:30 and they didn’t even take me back for blood work until about 9:40, which I have to say they did a terrible job. I am so bruised on that arm and under the tape I had blood everywhere on my arm. Then I waited again for them to call me back for the ultrasound. I sit on the table with a paper sheet over me waiting for the technician to open the door. My nerves were already climbing up the walls, the wait didn’t help.

The technician finally comes in and she does what she does. She said they are still very small. I still only have four. I felt defeated.

I went home and curled up on the couch and slept for a while. I was so tired – like I was drugged or something. Stressed much? I snapped out of it and did some spring cleaning. I was like a tornado – cleaning out closets, under cabinets, putting winter things away, etc.

I hear my cell ring. I high-tailed it to the other side of the house, jumping over piles I have to give to Goodwill and another pile to throw out. The nurse told me my estrogen levels. 57.2. Everything in my gut says it should be much higher. She said it appears I’m a slow developer. There’s a 50/50 chance this cycle could get canceled or they could switch me to an IUI. Not sure why they’d do that when I had three unsuccessful IUIs. They are keeping my injection schedule the same. Why? Can’t they adjust them to give me a fighting change? She suggested that on Monday I talk to my doctor and see what she has to say. But I don’t want to. She’s negative about this whole thing. I wish I had a positively realistic doctor instead of a negative realistic doctor.

How can I stay positive when I get news like this? I hate sitting here alone with my thoughts. Today will be better. It has to be.

 

Day 4 Ultrasound and Blood Work – Results

My nurse just called and gave me my schedule of injections for the next couple of days. I am to continue the same dosage and same schedule as I’ve been doing. The break-down looks like this.

Morning:

  • Lupron – 20 units
  • Gonal-F – 300 units

Night

  • Lupron – 20 units
  • Gonal-F – 150 units
  • Menopur – 150 units

I have an appointment scheduled for Saturday morning for another ultrasound and blood work. I anticipate this happening every other day, maybe every day if needed (they say).

My estrogen level is 44.9. I asked if that’s good or not and they said everyone responds differently but the numbers was good enough to continue with the same medication schedule. I’m not sure how to take that – “good enough”. I thought they might up the night Gonal-F to 300 instead of 150 but they didn’t.

Pray that more follicles develop by Saturday morning. đŸ™‚

First Ultrasound on Injections. Day 4.

This morning I had my first ultrasound for this first IVF cycle. The technician called it Day 4 which I’m assuming means the 4th day I’ve been on the stimulating injections, since I started Lupron two days before that. They informed me that the follicles would be small at this point but they still want to see where I’m at.

The technician found the right side and took a picture and she went to the left side, which always takes a bit longer. For some reason my left ovary likes to hide. The nurse came over to apply pressure while the technician moved the wand around to find it. Left ovary found.

I asked how many and they only found four. Two on each side. I’m bummed because I don’t know what this means. They said my nurse will call me later today with the results from my blood work and we’ll go from there. I’m nervous. Scared. Sad.

Can I stimulate more as the days go on or is what they see what I’ll be left with?

Medication Part 1

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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!

Insurance Approved, Authorization Finalized

Finally.

I know insurance has never been something quick, but I had a nice window to get this approved and it took close to six weeks. Maybe that is quick in the insurance world, but it’s not in the world of a waiting mother-to-be. So insurance was approved last Tuesday and Shady Grove had to submit an authorization which took another week but that was finally approved yesterday. Things are looking good I might say!

The financial coordinator reminded me that my insurance only covers 80%. I knew that but forgot about it when HR said I’d be covered 100%. Well 100% doesn’t equal 80%. So I was taken back a bit. I’m so grateful that I have help from insurance because otherwise I wasn’t sure how I would pull this off. Fundraising was moving slow and I did receive one hateful email regarding what I was doing. Whatever.

Because I kept thinking 100% 100% 100%, I made plans for my tax return money. I had three trees in my backyard that were dying and I wondered during each and every wind storm, or snow storm, which tree was going to come down. So they are all removed and stumps were grinded out. Then I’ve been having problems with my one dog escaping my chain link fence chasing feral cats. The chain link around my backyard is terrible. It curls up at the bottom and I’ve tried placed poles through the fence mesh and pounded them into the ground to better secure the fence. But she still managed to escape. I knew I had to get a new fence. I contemplated replacing it with a new chain link fence, but it’s only three feet tall. My puppy could jump that if she wanted.

Plus my biggest thing was thinking of is that when I do have a baby, I’d want privacy. So I called a few fence guys and got quotes. Long Fence came in at the lowest so I signed a contract with them. I’m getting a six foot shadowbox fence, wooden, with a double gate for unloading my car in the backyard if I ever need to. I live on a busy road and people walk up and down this road daily and all day long. I want my child to be able to play in the backyard in private, where no one can see them. So the fence project has begun, but the building of it has not yet. They called Miss Utility out and they have to submit paperwork for a building permit. They estimate 3-4 weeks so sometime mid-April they should begin replacing my fence.

This is just bad timing now that I know insurance doesn’t cover 100%. But I’ve looked at my budget and I can make this work. I will make this work. And without using my credit cards.

Back to the baby making process. Tomorrow I go in for a Lupron Evaluation, which is blood work and ultrasound. I’m assuming this will tell them if I can begin the Lupron injections this Saturday. I’ll be giving myself these injections every 12 hours for roughly 5-6 days. I’m ready. Let’s go!

More frequent posts as I begin the IVF process!!!