IVF Diary Vol II: 23-24 Jan 16

Medication(s) administered and dosage(s). Stimming phase: Days 9 & 10. PM: Saturday AM: cetrotide, Sunday PM: Ovidrel (the trigger!!!).  I did the trigger injection myself and decided to record it and post the video to my personal facebook page #thisiswhatinfertilitylookslike. (the video is at bottom of my blog post :-))

Medical procedures undertaken. Monitoring appointment – ultrasound and blood test.

What are my symptoms?  Tiredness – afternoon naps have been required!!!! Nausea that comes and goes.  Sunday, I have felt a little bit better than I have done over the past few days, but the ovaries are starting to twinge with odd pains here and there :-s These eggs are ready to go!!!

How do I feel today?  Excited.  Nervous.

Any results?  My follicles are looking great.  Randomly, in my right ovary all the follicles look the same size and shape.

“My good English eggs are ready!!!”

(The Dr’s words…not mine!!! Every single time I have seen him he makes a reference to my Englishness)

What’s next? Egg retrieval Monday 0630 AM!!!! Trying to mitigate any potential mild OHSS symptoms like I got from last time.

Weight. I haven’t weighed myself, I need to do this before the surgery so I can monitor OHSS.

Waist. My waist is 6cm larger than the same time last time!!! Whoops!!!

Boobs. NSTR.

Hours of Sunshine 🙂 None.  It’s winter.  It’s cold out there.  Oh and we were like the only city in Virginia to get a pathetic amount of snow, it was mostly rain for us! I am pleased so it hasn’t messed up any of this round of IVF.  I hope other women didn’t face problems with the snow storm who may need to travel from further way.

VB Snow Storm

The snow storm wasn’t quite so apocalyptic as it was in other parts of Virginia!

Fun Activity to keep Dani from going insane. It will be time to relax and recover, so no specific fun activities.  However, I am quite excited to watch Orange is the new black – I have a lot of catching up to do!!!!

*Notes.  I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily.  NSTR = Nothing Significant To Report.

IVF Diary Vol II: 19-20 Jan 16

Medication(s) administered and dosage(s). Stimming phase: days 5 & 6. Gonal-F 300 iu & Menopur 150 iu.  I started cetrotide this morning, day 6 (20 Jan) – this is the drug that stops me from ovulating prematurely and losing all those eggs!

Medical procedures undertaken. Monitoring appointment – ultrasound and blood test. So for my last appointment there were loads of people in the waiting room – it was like chaos.  This morning, there was no one except little old me.  It made me nervous!  I don’t know why, but it just did – I wondered if I was an odd ball with my cycle.

What are my symptoms? Tiredness – I am struggling to keep my eyes open today.  I went into work after my appointment and this afternoon I taught a 2 hour lesson as part of our staff development training.  I give a highly interactive class with practical tasks, so it is incredibly draining on the brain as the ‘students’ always have lots of challenging questions for me!!!  I am amazed I survived.  At the end, one of the organisers asked me if I was OK, was I tired?  Clearly I looked pretty rough!

I also have a headache.  It is not dehydration because I have hydrated constantly all day, carrying around my water bottle with me.

The bloat…the bloat….the bloat is on fire!  Aghhh!  How many days do I still have left? I’m just over halfway hopefully!  I am currently sat in my fluffy fleecy pyjama bottoms. They feel sooooooo good!

How do I feel today?  Apart from the tiredness thing, I’m feeling not too bad.  I am excited to be on this IVF journey still and haven’t given up hope just yet 🙂

Any results?  I have 6 follicles in the right ovary and 7 in the left, with a few smaller ones hoping to catch up!!! Last time around my right ovary was the dominant one, this time it is the left.  It looks like I am responding well in terms of follicle numbers similar to last time.  Which is good because they collected 9 last time (6 were mature, 4 fertilised) so I am hoping for some more mature eggies this time around!

What’s next? The same injections then monitoring appt on Friday morning.  The Doctor says I am currently looking good for an Egg Retrieval on Monday!

Weight. NSTR

Waist.  slowly growing 😦

Boobs. Slightly bigger.

Hours of Sunshine 🙂 None.  Snow expected soon!

Fun Activity to keep Dani from going insane. Dodgeball season starts tomorrow evening, I am not sure if I will play yet!  I am doubtful.  But I will go along anyway to support the team even if I don’t play.

dodgeball

Rahhhhh – Dodgeball is a great place to let off some steam – But not when you are in the middle of an IVF cycle!!!! :_-(

160120_IVF2_Follie

13 follicles – with a few at 3-4mm left to catch up

*Notes.  I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily.  NSTR = Nothing Significant To Report.

Don’t panic Mr Mainwaring!

You know how I said third time round means I must be expert on IUI and I felt at ease with this round of treatment?  Well today is Cycle Day 11, everything had been going to plan so far…..But this morning I had my CD11 Ultrasound to check how my follicles are doing.  (By the way, you know you are in serious business when they send my actual doctor to do the ultrasound – they were obviously sending in the big guns for round 3!  It was good to see her.)  Back to my follicles, they are looking good.  I have two maturing, one in the left ovary and other in the right.  Both are 22mm – perfectly sized!  My doctor commented on how good my uterine lining was – 7mm.  She pondered on why the eggs hadn’t wanted to make a home in this nice uterus already!  She knows all the right things to say 🙂 I told her that I thought I was about to ovulate in the next 24hrs because this morning I had a 0.53 degree drop in my body basal temperature and my Ovulation Predictor Kit came up with an almost positive line.  She thinks I will probably surge on my own, but I should take the Ovidrel shot, just in case.  But this would mean I would have to take the shot now for an IUI procedure tomorrow pm (Weds).  OK….sounded good! Just one problem – I’ve got to go home, get the shot out of the fridge to bring back to room temperature – and I’m going to have to do this thing alone! Oh and I’m supposed to be back at work too. Cue panic attack.

I furiously attempt to call Chris to see if he can come home to give the shot, because I really don’t want to have to give myself a shot for the first time under pressure.  Chris must be busy. So here I am, sat here with my Ovidrel shot warming up next to me, whilst I wait for Chris to call me back. I’m freaking now because it’s either do it myself or nothing. And nothing is not a valid option.  You’d have thought stabbing myself with a needle is a very small price to pay to have this chance of having a baby and my logic would take over my fear.  But no logic does not dictate in this case.  Come on Chris!  Call me back!!!!!

For those of you who have not heard of the ‘saying/quote’ “Don’t Panic Mr Mainwaring”, here is a little video excerpt….

Cycle Day 11 Ultrasound – its’s go go go for IUI #2

Today I went in for my Cycle Day 11 Ultrasound to check my uterine lining and follicle maturation.  The doctor was a little more smiley today than the last time she performed the ultrasound.  I felt a little more at ease this time around.

So here are the results from my ultrasound:

8mm Uterine lining – that’s apparently very good

3 follicles in total: 2 in the left ovary, 23mm & 16mm in size and 1 in the right ovary, 25mm.  All three looked good.  So more of a chance of multiples than last time :-s, but it is a risk we agreed to take.

Chris asked the doctor about the last cycle where two of my follicles were a bit bigger, were we too late and missed our chance?  But the doctor said that with letrozole, follicle size can be up to 28mm.

Tonight we get to do the ovidrel injection and then IUI is scheduled for 0800 Saturday morning. Woohoo!!! (but not woohoo to the injection though, that stuff is just mean).

My what big follicles you have – all the better for inseminating with!

Today is Cycle Day 11 and I attended the first ultrasound for my first ever Intrauterine Insemination (IUI).  The clinic were very efficient today, I was in and out within 15 minutes.  I sat waiting in the examination room for the doctor to arrive, and there on the wall was a poster explaining the differences between fraternal twins and identical twins – A handy guide or perhaps more of a handy reminder of the increased risk for multiples with IUI.  Today, the doctor had a student shadowing her, I had no problem with this, but I think he looked a bit awkward throughout – bless his cotton socks.

The doctor showed the student my good uterine lining – apparently three lines is good.  This is all new to me, so I appreciated her explaining everything.  I had two follicles in the right ovary (as I had predicted) one 20mm and the other 28mm.  I also had a teeny tiny one in the left ovary, only 6mm, but she said it might be nothing.  So I am ready to go.  They don’t open on a Sunday, so my appointment is on Monday 16th Feb.  As a romantic Valentines day gift, I get an injection of Ovidrel at 1130pm.  Not looking forward to this given my phobia of needles.  I am undecided yet whether I will do it myself or get Chris to poke me in the abdomen.

This is all assuming my medication arrives tomorrow as freedom fertility pharmacy have promised me.  Today I called them to check the status of my order with regard to my insurance approval.  They had the approval for the Ovidrel, but not yet negotiated the progesterone.  I don’t understand how this system works in the background, but from what I understand, it is crazy.  So I said I would go ahead and pay full price for them rather than wait for the insurance company to do its thing.  If it is covered, then I can just try to claim it back later….but I needed my meds ASAP!

The progesterone was $49 and the Ovidrel was $123 full price, with the insurance agreeing to pay up, my 10% copay made it only $12.30.  Not too bad.

Cost of this IUI cycle, full price:

  • Meds inc. letrozole, ovidrel & progesterone: $311
  • Ultrasound: $225
  • Sperm Wash:$140
  • Insemination:$225

Total: $901

Expensive stuff!! Chances of success? Our doctor told us our chances were about 20%.  Advanced Fertility.com breaks down the success rates even further depending on age, sperm mobility and treatment options. Apparently there is a 7.6% chance of success with one follicle, and an increase chance to 26% with two follicles. Wooohooo!  But those numbers are still pretty small. there is almost a 4 in 5 chance that we won’t conceive.  Putting it like brings you back down to earth.

Fingers crossed for a Valentines baby (Just like Chris is!).  Happy Valentine’s day everyone!