Thursday, February 25, 2010

Appt. Update

I just got back from the dr. and things are looking pretty good. I have 8 follicles ranging in size from 5cm - 7cm and 1 big one that is 12cm. The dr. was happy with the way things were going, but was a little concerned about the 12cm follicle. She said when one big one forms they tend to steal all the hormones needed for the other ones to develop and grow. Once they get the results back from the blood work, they'll adjust my meds accordingly. She said they might increase my meds a little so the other follicles can keep growing. My next appt. is Sunday morning and hopefully things will keep progressing the same way.

So far, I feel pretty good. I was a little worried about going in today because I haven't felt anything. I've been reading blogs and forums from other people and most of them all mentioned feeling their ovaries getting bigger. I was afraid there wouldn't be anything developing. I guess they're either more sensitive or just a bunch of babies.

It caught me off guard by how uncomfortable the ultrasound was. They're usually pretty uneventful, but today's was noticeably more unpleasant. I would imagine that they're only going to get more uncomfortable as my ovaries get bigger and bigger. Yeah.......

Monday, February 22, 2010

Here we go

I went to the dr. this morning and today we did the baseline ultrasound, uterine measurements and checked for cysts. (I must say how much fun it is to get an ultrasound done while your currently on your menstrual cycle.) Luckily for me, Dr. Hansard is amazing and super quick about it. I really like that the doctors do all their own ultrasounds because they're really quick and efficient. Everything looked good, no cysts and nothing out of the ordinary. So tonight I get to start taking Gonal-F, the ovarian stim. drugs. Due to some annoying issues with the insurance company, we had to switch from Follistim to Gonal-F. The meds still haven't arrived, so the office is giving me one of theirs to use until mine finally decide to arrive. This med is a little different then the one they trained me on, so I had to go through injection training all over again. I am a little nervous because it's a pretty high dose and if I already find 10cc of Lupron to be uncomfortable, how am I going to react to all this?!! And now I have to give myself a shot in the morning and one in the evening.........my stomach already looks like a pin cushion, I can't imagine how it's going to look and feel after 2 shots a day. I'm seriously thinking about having Chris give me the Gonal-F injection in back of the arm and I'll do the Lupron in my stomach. I just have a hard time trusting someone else to inject me, especially since I have to relinquish my control. Any way, so I start that tonight and then I go back on Thursday for a blood draw and another ultrasound. Hopefully everything will be moving along nicely and we can hurry up and get these injections over with!!

This isn't my picture, but it's almost identical to what I have to take:



If you're really bored, here's the video they recommend I watch:
http://www.fertilitylifelines.com/resources/gonal-frffpen.jsp

Wednesday, February 17, 2010

A little background.....

I guess it would be helpful if I added a little back ground about how we got to this point. This can get kinda boring so I'll just give the bullet points.

• ’98 first unofficial endometriosis diagnosis, started on birth control pills

• April ’01 had first laparoscopy, official endometriosis diagnosis
o Start 6 months of Depoe Lupron injections, alternate with 6 months of birth control pills

• Oct. ’01 got married

• ’03 came off all meds, started trying to get pregnant

• Oct. ’05 first positive pregnancy test
o Miscarried at 7 weeks
o Unknown reason for miscarriage

• Oct. ’06 second positive pregnancy test
o Miscarried at 6 weeks
o Unknown reason for miscarriage, suspected progesterone issues

• Nov. ’07 sent to infertility specialist
o Diagnosed as ‘unexplained infertility’
o No insurance coverage

• Dec. ’07 start Clomid, first IUI

• Jan. ’08 Clomid with IUI

• Feb. ’08 Clomid with IUI

• March ’08 Clomid with IUI

• May ’08 2nd Laparoscopy
o Stage 3 Endometriosis confirmed

• July ’08 Clomid with IUI
o Determine that IVF would be our only chance for successes
o No funds available

• Dec. ’08 Start birth control pills

• Jan. ’09 Start researching adoption
o Attend multiple orientations

• Feb. ’09 Start adoption process with LDS Social Services

• Oct. ’09 Get health exams for adoption stuff
o Diagnosed with Hypothyroidism
o Start daily meds

• Oct. ’09 Husbands insurance change
o Added to his plan
o Some infertility coverage

• Nov. ’09 Confirm details of insurance coverage
o Schedule with fertility clinic again
o Adoption stuff put on hold

• Dec. ’09 Meet with fertility doctor
o Stop birth control pills
o Start IVF cycle as soon as I get my first period

• Jan. ‘09 Attend IVF seminar

• Feb. ’09 First official IVF appt.
o Base line ultrasound
o Mock transfer
o Start meds


*And this concludes my history with infertility. =)

Lupron - the 1st shot

Saturday morning finally arrived and I was a little annoyed I had to get up early on a Saturday. The Luron must be taken in the morning and at the same time every day. Since I leave my house for work at 6:50am every morning during the week, I now have to get up at that time on the weekends. I gathered all my supplies, Lupron vial, alcohol wipes and syringe and headed back to the bathroom. The funny thing was that I was actually a little giddy about this and was really excited to finally get this going. I picked my spot on my stomach where I would be injecting and wiped it with an alcohol wipe, wiped the top of the vial with a wipe and took the cap of the needle and stared at it for a few moments. Then I inserted the needle and drew up the meds, 10cc worth of hormone goodness. I pinched my stomach and got ready to insert the needle, but I found myself just staring at it in the mirror. The stupid thing is I had to pump myself up and say out loud, I can do this, I can do this. After chanting that a few times, but quickly jammed the needle in my stomach and injected the meds. And surprisingly, it didn't hurt! I spent some much time dreading and worrying about it and it wasn't even that bad! I CAN do this!!!

Sunday and Monday were pretty much the same. I find that I have to pump myself up before I can inject the needle. Sunday's injection didn't feel very good, but I think it's because I'm still figuring out the technique. I do alternate between the right and the left side and I the right hurts more then the left. Hopefully I'll get better at this over the next few days! And the excitement has defiantly worn off. This isn't 'fun and new' anymore and I'm counting down the days until I don't have to be a pin cushion. Sadly, I know that next week is going to be even worse; 2 shots a day, blood draws every couple of days and v. ultrasounds. The fun is just beginning.........

The first official appt.

On Friday we went back in to the dr. and had our official first appt. We did another ultrasound (which I should be used to by now, but I'm already sick and tired of having those done!) to make sure the girls looked good and were ready for this crazy ride. After that quick visit we meet our IVF nurse face to face and she was going to do our injection training, go over all the legal paper work, talk about our schedule for the next few weeks and go over all the meds. I first have to say that I love my nurse Kelly! She understands my obsessiveness and the fact that I call her all the time to clarify things doesn't bother her.

Today she brought us good news about the the dreaded intramuscular injections. Apparently as of last week, the entire clinic has officially stopped using progesterone injections and has moved solely to a gel. Yeah, no shots in the butt!!!! The alternative is kinda gross and apparently really messy, but who cares, no shots!! I was so overjoyed when she told us that and I really felt much better about the whole thing. The other good news is that the other injections for the Lupron (hormone suppression), the Follistim (ovarian stimulation) and the Ovidrel (ovulation trigger) are all going to done with an insulin needle, so they'll be really small. She showed us how to draw up the meds and to properly measure it out and she let me practice on this weird thing that was supposed to represent skin. Overall, it doesn't seem to hard. I found myself feeling my better about everything and can hopefully put my big freak-out from last night behind us. The doctor also decided to move up our schedule 2 days and we're going to start the Lupron injections on Saturday instead of Monday. Yeah!

That afternoon, half of the meds arrived via FedEx. It was a little overwhelming to see all those syringes, especially since I was going to be sticking everyone of those in my stomach! But I have to remind myself that thousands of people have to inject themselves with insulin everyday, heck even kids do it. If they can do it, I can do it.

Here's my tentative schedule for everything:

Feb. 13 - start Lupron injections
Feb. 17 - stop birth control pills, continue with Lupron injections
Feb. 22 - Dr. appt., base line ultrasound, mock transfer, start Follistim injections, continue Lupron injections
*while taking Follistim, come into the office every 3 days for blood work and v. ultrasound
March 4 - Ovidrel trigger shot, stop Lupron and Follistim injections
March 6 - egg retrieval
March 8 - start Progesterone gels, start oral meds
March 9 or March 11 - embryo transfer
March 20 - pregnancy test, stop oral meds, continue with Progesterone
April 2 - if positive test, first ultrasound and depending on lab work, continue with Progesterone

Tuesday, February 16, 2010

The dreaded injections!!!

When I first found out we were actually going to be doing IVF, to say I was over joyed is an understatement. I never in my life ever thought I would be able to say "I'm doing IVF" and I still get butterflies in my stomach just thinking about it. But, there was always this awful word that scared me to death; INJECTIONS! To be honest, there have been times when I thought I wouldn't be able to do this because I hate needles!! In doing some research about IVF, I found out that there would be daily injections and half would be subcutaneous (just under the skin) and half would be intramuscular (in the muscle, in the butt!). On average, most people's IVF cycles are around 6-8 weeks long and during that time, you have to give yourself multiple injections everyday. I did a little math and calculated I would have to give my self around 55 shots!!! That really freaks me out!!!



Most people dread coming home from their vacations, but I was really dreaded coming home from our cruise because that next day we were meeting with the dr. again and getting injection training.

The first few days

I'm starting this a little late, but it's better late then never. In January, we meet with the fertility doctor again and sort of ironed out our plans. The first step was to wait for my monthly visit before we could start any meds. The clinic had found that women who come off all their meds and have one 'natural' cycle before starting treatments, have a higher success rate then those who don't. And for the first time in my life, it was late! We were a little pressed for time because we were going on our first cruise Feb. 6 and I did not want to worry about any of that while on vacation! She finally showed up 2 weeks before the cruise and we were finally able to get started. The next step was to start birth control pills..... I know that sounds a little counterproductive, but they want to make sure they control your hormones and you didn't spontaneously ovulate. So I started my pack on 1/25/10and will take them for about 3 weeks. We scheduled another appt. to meet with the dr. again the day after we get back from our cruise to go over more dates and to do the injection training. The more I think about it, the more our cruise was well timed. It was wonderful to relax and enjoy our time together before I become a hormone enraged psycho-path!

Welcome

I started this blog so I can write about what it's like for me on this crazy journey through IVF. I wanted to create a separate blog so I can get a little more detailed about things and not worry about who was reading it. I also felt is was important to document all my thoughts and feelings so I can look back on them and remember what we went through. Plus it's always nice to be able to express yourself and sometimes it just feels good to let all of your emotions out. I hope you enjoy.....