Friday, October 1, 2010

IUI’s are scheduled - not till next week!

I went in for the final monitoring before IUI’s this morning, my left ovary still doesn’t have anything substantial, and my right ovary has one follicle at 18 mm, one at 14 mm and one at 12 mm. The nurse said the 18 mm was ready, but the 14 mm & 12 mm is not. So here are the two possibilities:
1. Do one more night of stims, plus Ganirelix to suppress ovulation, then trigger tomorrow night and do the IUI’s on Sunday and Monday. Both of these would be using frozen sperm.
2. Don’t do any more stimming. Trigger tonight, go in tomorrow and Sunday for IUI’s. Tomorrow’s IUI would be with fresh sperm.
I prefer option 1. Yes, I know that the count and motility decreases when you freeze and thaw sperm, but it’s all about odds, right? I’d rather have two eggs ready to receive millions (even after freezing) of sperm rather than one egg. I’m currently waiting to hear from the doctor – I guess he gets to make the decision.

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OK, just got the call. I love how everything gets all jacked up by the doctor, but I guess this makes sense. Do TWO more nights of stims plus Ganirelix tonight and tomorrow. Then trigger Sunday night and do the IUI’s on Monday and Tuesday. This means I have to go talk to my boss and tell him something about having to be gone Monday and Tuesday mornings – ugh. Anyway, we’re sacrificing the one follicle that is currently at 18, as it will likely be too big on Monday. And hopefully by Monday the two at 14 and 12 will be big enough to be ready. They wanted to increase the likelihood that I’ll have two follicles ready that are about the same size. So two more nights of 3 shots each (Gonal-F, Ganirelix and Lovenox – hate that Lovenox…) and then Sunday night the trigger and Lovenox, plus start the Medrol on Sunday. And then Monday until 6 weeks after delivery do Lovenox (seriously, why do they make the one that I have to keep doing for a long time so freakin’ painful!!!). Start progesterone suppositories on Friday, and then a positive beta (look at me with my positive attitude!) on 10/19.

Oh, and just to keep a record of my bloodwork, my Estradiol was 572, LH at 1.90, and Progesterone at 1.67. So this looks good – Estradiol keeps rising, and the LH and Progesterone still low appropriately. Thanks, Ganirelix!

I was really looking forward to doing the IUI’s this weekend instead of missing work, as it’s just so darn awkward. But oh well. I would feel better about the plan, if I didn’t have the sneaking suspicion that they’re f’ing with my IUI schedule because they don’t want to work the weekend… And I really wish that the hubs would be able to be there with me for at least one of the IUI’s, but he leaves tomorrow, and doesn’t get back until Tuesday afternoon. Which sucks. But I’ve done these IUI’s alone before – I can do it again.

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Oh wait, one more thing – I have amazing news that I have to share. As I’ve shared before, I have a friend who was diagnosed with Stage 4 breast cancer at the beginning of the summer. She had a 5 cm tumor in her breast, and some breast cancer in her vertebrae. She was not given a great prognosis – the doctor didn’t even want to do a mastectomy because the surgery would be too much, and they wanted to focus on her quality of life. Well, she went through 12 weeks of chemotherapy, and then she just had a bunch of tests done to see if anything changed. The tumor is half the size as it was in June!!! AND they didn’t find any evidence of cancer in her breast or her vertebrae!!! Amazing, just amazing. They’re now scheduling a mastectomy, and will continue chemo. She is no by no means out of the woods, but they didn’t even think the chemo would do much! I’m so excited for her, and her husband. Just puts it all in perspective, doesn’t it.

19 comments:

  1. Sorry they're messing with your schedule, but hopefully everything will work awesomely! I was hoping for 2 follies, too, but no such luck on my end!

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  2. Love the positive attitude.

    I am excited for your IUIs!! It stinks you couldn't avoid missing work, but, as they say, two follicles are better than one ;)

    That is such great news about your friend, and yes, it does put things in perspective.

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  3. those lazy docs! but the news about your friend, YAY! that is so wonderful, and i hope she keeps getting wonderful news like that! And I hope to see your BFP post on the 19th!

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  4. Sounds like a great plan, I will be thinking of you on Monday and Tuesday. Fingers crossed that the frozen swimmers do their job :)

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  5. Crossing my fingers for you...I will be finishing my last dose of Clomid tonight and then monitoring starting Mon...IUI will be approaching sometime next week. Hey, we'll both be in the 2 ww together! Wishing you all the best.

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  6. You are awesome with your positive attitude, but how annoying you don't get the weekend IUI's!! Oh well, you sound like you're going to be in a great mental place which is the important thing. I hope you're able to come up with a good excuse for your boss and will be checking back to see how the procedures went :) xxx

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  7. Alex fantastic news about your friend!!! I was so hoping in an update but didn't want to ask just in case!! So so happy!

    And I agree with the doctor plan, you may loose one follicle, but it's not a certainty so you may have 3 good follicles for the IUI next week!

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  8. woo hoo! cheering on follies 14 and 12! I know they'll make it and you'll be taking that Lovenox for a long time!! :-)

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  9. Gotta Love the constant rollercoaster ride on the IF train right? Anyways sounds like your plan is a great one:) As for the Lovenox I agree!!!! I would rather do 5 shots of whatever compared to one Lovenox shot....and I have to do two a day....and I dont know how you are but no matter where or how I do them I bruise and not little bruises usually pretty good size with a hematoma underneath the skin....I tell people I get the Lovenox Lecture every time I get a sono now....Are you icing before the shot? Yes...have you tried more to your side then your belly? Yes no matter where I do them I bruise....Do you pinch the skin or just stick the needle straight in?...No pinching just stick needle straight in....Do you rub the area?...no....Anyways I have to go through this list over and over....I have found that I do like the other brand of Lovenox....its new...not a generic but is the same as Lovenox and for us cheaper only a $10 copay...It is called Endoxaprin Sodium Injection....Another thing is it just me or does it seem as if the Lovenox shot needle is dull? Anyways I hope Monday you are ready and can get this show on the road:)

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  10. So glad to hear about your friend! That is awesome news! I'm be thinking about you on Monday and Tuesday - hope you can come up with a creative excuse for your boss.

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  11. I totally have my fingers crossed for you and this IUI. Its a bummer that you have to sacrifice a follie, but I totally get it. Its a bigger bummer that your husband won't be there. :( It will be funny when one day when your kids are older you can tell them their dad wasn't there the day they were conceived. lol

    That is so awesome about your friend! I hope she does well and is declared cancer-free after the mastectomy. It is so hard when BC affects someone we know. I'm doing a race for the cure next week in honor of my mom, who is now cancer-free.

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  12. Good news about your friend, Alex. I hope the chemo continues to kick cancer's ass.
    Frustrating about the delay but it seems to make sense. You will have two to aim for!

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  13. Great news about your friend!
    And I hope the IUI works and you get rewarded for your positive attitude :)

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  14. That is such great news about your friend! Wow! I hope her health continues to improve.

    I also hope that all goes well with this IUI. It does suck to have to tell your boss about all the time you need off, but like you said, there are more important things than your job!

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  15. I am sorry they messed with your schedule but I also waited longer with my lucky cycle and it paid off in the end so I hope it's the same for you! Keeping everything crossed for you.. you never know I might be giving birth as you are getting pregnant! So excited for you my sweet!!That is amazing news about your friend! You must all be over the moon!!

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  16. I'm thinking of you today and tomorrow and wishing very good things. I hope your follicles are looking perfect!

    And I'm happy to hear about your friend. I hope she manages to stay cancer free. So so scary!!!

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  17. So glad about your friend's news. It really is amazing how things can change. I hope she continues to do well. Hope you were able to get away from work without too many issues for your IUI's. Fingers crossed!!

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  18. Alex, thanks so much for the comment on my blog. You asked about why my OB won't let me go past 39 weeks because of the MTHFR. Since I am taking aspirin and I have to stop that at 36 weeks (in case of cesarian you can't have thinned blood), she has seen an increased risk in things going wrong because of the thickened blood with MTHFR and there are no benefits to me going any longer since things seem to be moving along normally at this point. Hope this helps.
    www.infertilityinstability.blogspot.com

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  19. I’m so glad about your friend, Alex! This is fabulous news.

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