And the IVF Cycle Begins :O

So on Day 12 of my last cycle, I experienced my LH surge. The center nurse instructed I start wearing the Climara patch 8 days later replacing it every 2 days. So here’s what the IVF cycle looked like through Day 12:

Day 12: LH surge

Day 20: Climara patch #1

Day 22: Climara patch #2

Day 24: Climara patch #3

Day 25/Day 1: full menstrual flow

Day 2: Monitoring begins at the center. Bloodwork, Ultrasound and Consents (hubby came with me today) Results: uterine lining still requires shedding. Do not start stimulation meds yet. Instead inject 1 cartridge of Cetrotide SQ.

Day 3: Ultrasound with Dr. L. Results: uterine lining still requires some shedding. Inject another cartridge of Cetrotide.

Day 4: Ultrasound with Dr. K. Results: uterine lining looks good. Start 300 IU Gonal-f, 150 IU Menopur (2 vials) x 2 nights, SQ injections to RLQ abdomen by hubby

Day 5: 3rd Climara patch removed, no need for 4th patch. 300 IU Gonal-f, 150 IU Menopur, SQ injections to LLQ abdomen by hubby

Day 6: Bloodwork only. Results: continue 300 IU Gonal-f, 150 IU Menopur x 2 nights, SQ injections to RLQ abdomen.

Day 7: continue 300 IU GONAL F, 150 IU MENOPUR, SQ injections to LLQ abdomen

Day 8: Bloodwork, Ultrasound with Dr. K. Results: continue 300 IU GONAL F, 150 IU MENOPUR x 2 nights, SQ injections to RLQ abdomen

Day 9: 300 IU Gonal f, 150 IU Menopur, SQ injections to LLQ abdomen

Day 10: Bloodwork.Results: continue 300 IU Gonal f, 150 IU Menopur, Cetrotide x 1 cartridge. SQ injections to RLQ abdomen.

Day 11: Bloodwork, Ultrasound with Dr. K. Results: continue 300 IU Gonal f, 150 IU Menopur, Cetrotide x 1 cartridge.

Day 12: Bloodwork, Ultrasound with Dr. S. LINING EXCELLENT, continue 300 IU Gonal f, 150 IU Menopur, Cetrotide x 1 cartridge. AT LEAST 5 FOLLICLES > 10MM, 2 IN RT OVARY, 4+ IN LT OVARY!!!Low AMH levels take that!!!

My IVF Cycle #1 Meds

Here’s a list of the medications I will have to inject and take orally in my IVF cycle. My first feeling was “Yikes!!!” but after carefully reviewing all the contents, I started to calm down. It can be quite overwhelming at first glance. Always cross-check what you receive with what you were told to expect by your center provider, not to mention the dosages and number of syringes and needles. Needles should be proper guage and length for your body size. For example, I have a smaller stature so I don’t have much body fat. I requested a 22G 1 inch needle instead of the 1.5” for the intramuscular injections. This made it easier for my husband to inject with who is not an experienced injector. You can speak to your center nurse if this is an option for you.

· Climara patch – 4 patches

· Menopur – 25 vials, 75 IU each

· Cetrotide 0.25mg – 6 kits

· Gonal-f 900 IU – 6 pens

· Chorionic gonadotropin 10,000 USP units – vial

· Methylprednisolone 16mg – 4 tabs

· Azithromycin 250mg – 6 tabs

· Progesterone oil 50mg/ml – 2 vials

 

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Knock Knock, who’s there? It’s IVF arrival

As it should turn out, planningiui.com will have a new blog title called ‘what to know before IUI AND (now) IVF.’ It is now August 6, 2012 and unfortunately, our test negatives have not turned positive on our own. So as decided, our cycle hiatus is over and new cycle begins. This time around, it won’t be IUI, it will be IVF. How scary just to say the letters! In any case, it is what it is and hubby and I feel ready since breaking after our last failed IUI cycle in March 2012. (sometimes you just don’t want to think about these things! Do ya know what I mean?!)

 

I did receive my box of “goodies” I call it, last week. Upon opening the box of medications, I did feel slightly overwhelmed. After having gone through IUI, I almost wished I only had to go through IUI again. That seemed less complicated. I had one injectable medication and some suppositories for 2 weeks after IUI. Those were the easier days indeed. Remember the post ‘the unexpected happens, ya know’?, well my IVF process has started not without some minor issue. My pharmacy has actually not delivered the correct size needles for me. I have spoken to the pharmacy 3 separate occasions in 2.5 weeks and still no needles. I decided to call the IVF nurse at the center to see if she could get any further to expedite the arrival of my needles!

 

So our IVF process started. I began wearing my Climara patch over the weekend and will change it every 2 days until day 2 of my next cycle begins. Baby stork, you are comin to our house very soon! Stay tuned.

Diary of My IUI Cycle #4 (Spring 2012)

My husband actually gets credit for this page. Thank you honey! He thought it would be helpful for someone who hadn’t gone through IUI yet to see what a cycle can be like. Here is the information I retrieved from my spreadsheet. I highly recommend keeping a log or diary of some sort to note the days you go in for blood work , ultrasounds, doctor’s instructions, injections sites and dosages  (if applicable), or anything worthwhile noting. You could write down how you were feeling or even insurance notes. Keep in mind, this cycle below is an IUI cycle using injectable medication for me. Not all IUI cycles use injectable medications.

Day 1         1st day of full flow, menstrual cycle

Day 2         Bloods drawn (at center), transvaginal ultrasound with Dr. W, Inject 225 units of Gonal -f ® x 3 nights, Right lat to umbilicus, return visit Monday for blood work

Day 3         inject 225 units of Gonal-f®, Left lat to umbilicus

Day 4         inject 225 units of Gonal-f®, Right lat to umbilicus

Day 5         Bloods drawn, inject 225 units of Gonal-f® x 2 nights, Left lat to umbilicus, return visit Wednesday for blood work and ultrasound

Day 6         inject 225 units of Gonal-f®, Right lat to umbilicus, new pen used (injectable medicine)

Day 7         blood work and ultrasound with Dr. P, inject 225 units of Gonal-f®, Left lat to umbilicus, return visit tomorrow

Day 8         blood work and ultrasound with Dr. R, inject 150 units of Gonal-f®, Right lat to umbilicus

Day 9         blood work and ultrasound with Dr. M, 3 follicles, Right ovary, inject Ovidrel®  to induce ovulation, Left lat to umbilicus

Day 10       IUI with Dr. H

Day 12       Start progesterone suppositories at bedtime , then twice a day x 2 weeks, then return visit for blood pregnancy test

Questions for my RE, 1st Visit

Questions I asked my Reproductive Endocrinologist, 1st visit

Before seeing my Reproductive Endocrinologist for the first time, hubby and I came up with a few questions to ask that were important to us and our concerns. Before your first visit, sit down with your partner and write down all the questions and concerns you have. I don’t know about you but I forget things when I am nervous!

  • How common is infertility among women? Among couples?
  • What are the types of infertility treatment performed here?
  • How much experience do you have working in this field?
  • What are the current success rates for each treatment for women of different ages?
  • What are the success rates for women of my age group?
  • What is your success rate for each treatment?
  • Will there be other doctors who will take care of me?
  • What are the health risks for each treatment?
  • What are the pros and cons for each treatment?
  • What tests do I/ we need prior to starting a treatment cycle?
  • What are your recommendations and why?
  • Are there any lifestyle changes I should make? Diet? Exercise?
  • When can we start?
  • On average, how long is a cycle?
  • What is the difference between oral medication vs. injectable medication?