Stim Day 5 Update

So, after stimming for 5 days, I have 4 follicles on my right and six on my left. My lining is 7 mm. The biggest follicle is 14mm so I’ve been told to start the antagonist this afternoon.

 

The nurse said her best guess, that I can’t hold her to at all, is that I’m going to need to stim for 3-4 more days. So we’re looking at a Tuesday or Wednesday retrieval (and potentially a transfer on mother’s day!).

 

I’m just relieved that the nurse sounded happy with everything, like I’m an easy case.

 

This is good, I was hoping to not need to order more meds, and there’s a correlation between stimming more than 12 days and having abnormal chromosomes (aneuploidy).

 

Also I’m working from home today almost exclusively for the ability to wear yoga pants.

 

Edit: they bumped me down to 75 IU follistim

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Baseline

So I had my baseline ultrasound today:

Right Ovary: 12 follicles (wow, that’s almost non-PCOS levels! Maybe inositol is helping?)

Left Ovary: 17 follicles (again, pretty low)

Lining was close to 3 mm (which I would hope given how I’ve basically been bleeding constantly since 3/12 when I started on the pill – except for two weeks).

I start meds (75 IU Menopur in the morning, 150 IU follistim at night) and have a follow up u/s and estradiol on next Thursday (then Saturday, Monday and Tuesday).

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Obligatory IVF medication picture

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I have all the meds (a huge acknowledgement to twoladiesmakingbabies who gifted me some follistim, and endometrin, and estrogen patches – btw anyone who is curious, they had twin boys a month ago, but had no interest in blogging after their first loss).

 

Here’s my schedule

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I really hope we don’t go to day 16 with stims. I read a paper that said that going more than 12 days of stims increases risk of aneuploidy (an embryo having an abnormal number of chromosomes).

If anyone is interested, I can write a long post about PGS and aneuploidy. We had considered doing PGS and I read everything on pubmed from the last two years on it.

And for looking at all of this crap, here’s a bonus picture of the puppy:

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We had a nice long walk today because the weather is so nice. 🙂

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The long and the short

Hey guys. I stopped blogging for many reasons over a year ago. I don’t know if anyone’s still following me, but I figured I want to record this anyway.

Anyway. Since then: I did a Femara 2.5 + follistim cycle October 2015 and then switched doctors and did Femara 7.5 + Follistim cycle in January 2017 (each ovary only had one follicle). And am now about to start IVF.

Here’s my schedule so far:

4/18 mock transfer — done

4/19 “nurse appointment” AKA, IVF get prescriptions/etc time

(4/20 – performance review at work)

4/25 Stop birth control (honestly the first month was horrific, the second cycle has been fine, no random crying or feelings of rage)

4/28 Baseline U/S

4/30 Stim day 1

5/4 Follow up U/S 1

5/6 Follow up U/S 2

5/8 Follow up U/S 3

5/9 Follow up U/S 4

(etc until trigger)

36 hours after trigger – Egg retrieval

We had considered doing PGS testing, but decided against it. I can do a long post as to why (cliff notes version: PGS seems to have a 1/3rd false positive rate, abnormal embryo have yielded normal babies, PGS normal embryo fail all the time, and it’d add a lot to the cost).

Ideally we’ll transfer two blasts at 5 days.

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Pertussis Vaccine

I’ve seen a couple people post about wanting adults who will be around their precious bundles of joy to get the vaccine, and I found this and so it may be helpful to some with family members who aren’t on board.

TDAP is covered as preventative care for adults under Obamacare under the recommended schedule (1 shot ever 10 years to boost immunity).

All Health Insurance Marketplace plans and most other private insurance plans must cover the following list of vaccines without charging a copayment or coinsurance when provided by an in-network provider. This is true even for patients who have not met a yearly deductible. Doses, recommended ages, and recommended populations for these vaccines vary:

  • Hepatitis A
  • Hepatitis B
  • Herpes Zoster
  • Human Papillomavirus
  • Influenza
  • Measles, Mumps, Rubella
  • Meningococcal
  • Pneumococcal
  • Tetanus, Diphtheria, Pertussis
  • Varicella

Source – http://www.cdc.gov/vaccines/adults/find-pay-vaccines.html Also http://obamacarefacts.com/obamacare-preventive-care/

I hope people find this helpful.

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I have the worst insurance ever

It picked up the tab for only $122 dollars of that surgery. WTF?

I’m beginning to seriously think that I’d save money by just not having insurance…

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Post op

So my ob seems to think IVF is my only hope. I will call the RE and get her opinion. IVF isn’t covered by my insurance at and certainly isn’t affordable out of pocket. My company may be changing insurers soon, I really hope that the new stuff will cover fertility stuff.

Here’s the pictures of the inside of my uterus. The top left is before the d&c. To right is by the opening for over of the tubes, middle left the other tube, then the fibroid or something. Bottom left is the after picture. I don’t know what the last is.

image

No structural abnormalities. The fibroid is by the cervix, so it shouldn’t cause any problems, it couldn’t be removed.

Anyway, not sure what’s going to happen, I’m guessing foster care classes are in my future.

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Surgery recap

Okay so I’m writing this before surgery.

1.) Apparently I wasn’t supposed to take my fish oil supplements. Nice of anyone to tell me that before yesterday. Yes it was on my chart that I take them.

2.) Nervous about anesthesia, also the code I committed that isn’t reviewed yet (my code reviewer apparently has car troubles today and isn’t in yet).

3.) Worried about how my lovely wife will cope with my impending uselessness. Juggling taking care of me and the puppy will be a bit much for anyone.

When I got home from work yesterday I did the 30 day shred (just starting the 3rd cycle, since I’ve been doing it only about 5 days a week), it kicked my ass. Then I took the puppy on a two mile run. Exercise has become key to handling anxiety lately. The only reason why I haven’t done any this morning is because I can’t eat or drink anything and already feel very hungry. Exercising just exacerbates that.

I hope to finish this post when I get home….

So good news, I feel awake and fine, no drunk-feeling or anything. I mean, I feel like I could take a nap, but not like I’m about to randomly fall asleep. I don’t remember the procedure at all, I just remember them getting me ready on the table and then waking up after everything was done (sorry Speck!).  On the plus side, I got to see pictures of my uterus!

Bad news – there was no polyp. It was just a fibroid that was under the endometrium. So, my infertility is officially unexplained. That makes the prospect of trying again not appealing enough to spend any money on. :-/ I was kind of hoping they’d find something that would explain it at least. At least I had only felt this was a hail mary and not anything that’d be a definite stepping stone to a baby, so my disappointment isn’t as bad as March’s cycle not working out.

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Doctor’s visit

So, I talked the doctor into a D&C and polypectomy. It’ll either be a week from Thursday or the following Thursday (the advantage of having a male gyno is less wait time). So, that’s good.

I *still* feel oddly ambivalent about trying again. Maybe I’ll call the RE at some point and figure out my what all my options are. The earliest we can try again is in June.

Also, veggie sushi is yummy.

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Clear as mud….

thanksff

This is new and different.

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