Friday, February 27, 2009

Getting caught up

After my last blog, I got a call from the RE saying that my HCG beta was positive and that I was pregnant. He said that for the level it was at that the pregnancy was at least from my previous menstrual cycle. I had no clue! I was on the pill for crying out loud!

I went in the next day for more blood work and u/s. There was nothing in my uterus (of course!) and they found a large mass in my right tube. Here we go again! So, the doctor said that the tube would need to be removed. He said that my chances were extremely high for having another ectopic pregnancy, so we could remove my right tube only or remove both of them. Being that we are doing IVF, he recommended removing them both to increase our chances of success.

My appointment was at 9:00 in the morning. By 12:30 that afternoon, I was in the ER at HCHC. I waited around in the ER until 4:30 PM. They finally admitted me and took me to a private suite until the surgery. C and I watched TV until it was time to go to the OR. The surgery was at 10:00 at night. I was beyond exhausted.

Overall, the surgery went well. I now have zero tubes which makes me feel slightly less than a woman. Woman tie their tubes all the time, but they make that choice after having the kids they want. I am now severly infertile and have to relie on IVF to have anymore biological children. After all I have been through, I don't want to do IVF anymore, but I feel like all that I have been through will be for not. Maybe time will change how I feel. I feel like as long as I am in this TTC game, the longer I will have this weight on my shoulders. If I get out now, will it or will it not help me move on from this.

We are teed up to do IVF in April. If it will actually happen or not, I'm not sure yet.....

Wednesday, February 11, 2009

Scratch that plan

I will post the new drama of C&C's journey through infertility when I get more information.

IVF Kick-off is here!

I went in this morning for my initial/baseline ultrasound and blood work appointment. Both of my ovaries were quiet and we have the green light to start IVF#2! I received my medication schedule with when to take what. The first day of meds will be on 2/14. Looking at the amount they have me taking, this time, it is a real step up in the amount of medication. Hopefully, we will have plenty of eggs to fertilize!

My first monitoring appointment is on Tues. 2/17. Can't wait to see how we respond to the new protocol!

Tuesday, February 10, 2009

Glass is half full...isn't it?

1 Day until the start of our cycle! I am trying to be a glass is half full kind of girl. I really feel good about this cycle. With eating right and exercise, even if I'm still not my ideal weight, I am sure that I am keeping my hormones in check with the healthy habits.

I got my meds in the mail this morning. I'll post a picture for memories sake later.

First appt of the cycle is 9AM in the morning for bloodwork and u/s. I'll post the results after they call me in the afternoon.

Monday, February 09, 2009

2 days until IVF #2!

IVF round #2 starts in 2 more days!

If we are sucessful our EDD (Estimated Due Date) would be around 11/22/2009.

We planned on waiting until after our cruise in April to start IVF, but my nurse called me and said that because I am on the refund plan, I need to initiate a cycle at least once every three months. They can kick me out of the program if I don't. I was suppose to start a cycle in January, but just didn't call to initiate it. I understand the reasoning behind this. We have six cycles of IVF plus all of the resulting embryo transfers from those cycles. They could have me as a patient for years if I didn't complete a cycle at least every three months. That is 4 cycles a year.

So, here we are. Two days until the start of IVF #2. Unplanned, but we are up for it.

My meds are coming in the mail today. We switched to a new insurance provider for 2009. The total cost of all the meds came to $96! That is a big change from the thousands we paid last cycle.

Goals for IVF#2
1. Walk, on an incline, for one hour a day.
2. Eat 1500 calories
3. Do pilates for at least 15 minutes a day
4. Stay positive and relaxed
5. Get pregnant!

Wednesday, February 04, 2009

New Protocol

My IVF nurse emailed me my new protocol. Here it goes.....


This protocol is a method for administering medication designed to optimize ovarian response to gonadotropin stimulation. This protocol may be adapted based on your individual response.

· Birth Control Pills - 21-day pack (1-2 packs)
· Ganirelix syringes.
· Gonadotropin FSH (Follistim, Gonal F, or Bravelle) and 75 IU FSH&LH (Repronex or Menopur) or 75 IU LH (Luveris)
· hCG (hCG, Pregnyl, Novarel) 10,000 IU # 1 vial - “Trigger” intramuscular injection.
· Zithromax 1 gram - taken when directed evening before egg retrieval.
· Estrace 2 mg (#60) - taken when directed to start evening of egg retrieval.
· Endometrin vaginal insert (#60), as directed to start the day after egg retrieval.
· Children’s Aspirin - 80-81 mg. as directed. (Purchase over-the-counter).
· Prenatal vitamin 1 tablet every day.

Date Protocol Day Instructions

1/19 Start Birth Control Pills - 1 tablet each day for 24 days. Begin 1 Children’s Aspirin each day. (~Was already doing....)

2/11 (Day after last birth control pill)
Evaluation Blood work (E2, Beta and ultrasound. You will be called in the afternoon with your results.

2/15 If blood work & ultrasound are within normal limits, gonadotropins are usually started on the 4th day after your last birth control pill. Your nurse will give you the date to start along with dosing instructions and date to return for follow-up monitoring. * Continue your daily Children's Aspirin* ¨ Once follicles are >14mm (or per physicians orders) you will be given instructions for continuing gonadotropins and beginning Ganirelix.

~2/27 Egg retrieval (approximate date).
~3/2-4 Embryo transfer (approximate date).

*Protocol will be individualized hereafter.

**infectious disease bloodwork must be current for patient and partner (within the past 12 months) and all consents must be signed and given to primary nurse BEFORE OR at this office visit or cycle cannot begin.

Revised 1/09 md.