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.
Tuesday, February 10, 2009
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!
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.....
GANIRELIX ACETATE PROTOCOL
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.
Medications
· 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.
GANIRELIX ACETATE PROTOCOL
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.
Medications
· 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.
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