Trying Again…

I owe everyone an update since my last blog. I blogged about a friend offering to be the donor. Well I decided not to go that route. It’s nothing against him but more on what I felt was right for me. He lives 1200 miles away. If I were to have a friend donor, I’d want him to be local, so he can be part of the child’s life. Not sure my friend understands but honestly that’s not my problem. I appreciate the offer though.

I’m in the middle of IVF #2. I’m on a different protocol – Antagonist. The way the doctor explains it is that in the aggressive approach, there are two protocols. I did the first one before, so this time we are trying the second protocol. Basically in a nutshell, this one doesn’t suppress my ovaries the entire time. I use the stimulating injections and then when the follicles reach 14mm, I add in another injection that suppresses ovulation.

My doctor visit this past Sunday showed that I had one follicle at 12mm, so they had me start suppressing ovulation Monday morning. Not a fan of this injection. It’s a slightly thicker needle and when I went to inject it, I couldn’t for some reason. Only the tip penetrated my skin. And it hurt. So now I’m shaking and light-headed. Needless to say I had to have my mom do it for me. I thought today would be easier but I couldn’t bring myself to do it. Mom to the rescue again.

If all goes well, I hoping for retrieval to be this Saturday. I also hope that the other follicles catch up to the dominant one which measured 15mm this morning. I’m on daily monitoring until I Trigger.

More later on…

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. 🙂

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!

Cycle Day 9 – Injection Time

A couple of days ago, I finished the fertility pills. Tonight is another big night in that I have to give myself a fertility injection. Now in my mind I think this should be easy. But I do wonder if I’ll be able to do it myself or if someone else will have to do me the honor. I’ve watched the video tutorial and it seems straight-forward, but when it’s time to push the needle into the fatty part of my belly…hmmm – we’ll see!

Later that same day…

I got home and was all pumped up to give myself the injection. I watched the online video again just to make sure I was doing it correctly. I get the supplies out and in place, mix the solution into the powder, draw out the correct amount, wipe off a place on my belly and hold the needle in my hand, inches away from my pinched belly area – and I couldn’t do it! My hands were shaking so badly that I couldn’t bring myself to push the needle into my skin.

I cap the needle and go and get a drink and relax on the sofa. I try to calm down while talking to my inner self. I know if anything, it’s just going to feel like a pinch. I know it’s not going to be anything too bad. I also told myself that I would be so mad at myself if I couldn’t do this. I’m 38 yo and I should be able to do this, right?

So I get pumped up again and head back into the bathroom. I loosen the cap on the needle and wipe off that same area on I wiped before to make sure the area is clean. I hold the needle up once again and I hesitate. Finally, I push the needle in and OMG, it didn’t hurt at all! In fact I didn’t feel anything. After I injected the meds in I went to pull the needle out and saw that it was pulling my skin. So I looked up so I wouldn’t watch that and just pulled. I would say that maybe 5-10 mins after the site did burn a little bit, but nothing bad at all.

I was so relieved that I was able to do this myself and didn’t have to rely on someone else to do it for me.