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Sunday, November 11, 2007

Schedule for our Cycle

MEDICATIONS:
  • Birth Control Pills - 21-day pack (1-2 packs)
  • Lupron 2.8cc multidose vial (1-2 vials)
  • FSH 175 IU (Bravelle) Sub-cu injection
  • 75 IU LH & FSH (Menopur) Sub-cu injection
  • Ovidrel 250 mcg, prefilled syrine (1) "Trigger" injection
  • Zithromax 1 gram - taken when directed evening before egg retrieval
  • Estrace 2 mg (#60) - taken when directed to start evening of egg retrieval
  • Progesterone in Oil (#2 vials) - 1 cc IM injection to start evening of egg retrieval - this is the one that goes into my ass, so Bill has to do it. The needle is so big and it can apparently coagulate upon injection, so I could end up with huge lumps all over my ass...nice, huh?
  • Prenatal Vitamins - 1 tablet every day
  • Children's Aspirin (80-81 mg) - take when directed.
SCHEDULE:

10/31 - start birth control pills
11/18 - begin Lupron (20 units) each morning. Begin 1 Children's Aspirin each day.
11/18 - 11/20 - Take birth control pill AND Lupron on days 11/18, 11/19, 11/20. Then Lupron alone thereafter.
11/24 - expect menses. Call your primary nurse with first day of full flow or if no period after 9 days of Lupron. MAKE APPOINTMENT for day 2 or 3 menses for Lupron evaluation (take Lupron that morning)
11/25 - Lupron evaluation - Bloodwork (E2, Beta) and ultrasound. You will be called in the afternoon with your results and given instructions regarding medication dosing and follow-up appointment.
At this point, I will start the Bravelle. I will be monitored with ultrasounds and bloodwork every other day until the clinic tells me to take my trigger shot. I will travel to Columbia and be late to work every other day until they tell me to stop.
12/6 - Egg retrieval (approximate date). This is the day that they put my under twilight sedation and put a large needle into my vagina to harvest my eggs. I will not remember any of it, but it's still a huge needle going into my vagina. The risks are minimal, but it's still scary. At the same time that they're doing this, Bill will be giving his sample...should be easy to keep his mind on that, huh? I will not be allowed to go to school that day because of the sedation, so that's another sick day and another round of hours making sub plans - ugh!
After they have harvested the eggs, they will take each of the and evaluate how good they are. They will take the good looking eggs and put them in a sample dish surrounded by a sample of sperm. They will monitor these samples for the next 3-5 days to figure out the best embryos for transfer. The embryos that are good, but are not transferred will go through cryogenic freezing. They will be stored for future pregnancies at a fee - of course. With the embryo that the are going to use, we're going to get this service called Assisted Hatching - they put a microscopic crack in the hard shell to ensure that the embryo will have a better chance of implantation. Since I'm on the border-line of so many possible treatments, I think this is one that I will definitely get.
12/9 or 12/11 (depending on how good the embryos look) - Embryo Transfer (approximate date) - now I get to start those ass shots...should be a good time in my house that night. I won't be in school this day either, so another round of creating sub plans - yippee!

Now we wait...I hear this block of 2 weeks is the worst because you can do nothing but wait. I can't even have a glass of wine to ease my mind because I could be carrying our child. Who knows? So, the pregnancy test will be right around Christmas...either the day before or the day after. As if the holidays aren't hard enough...oh well - this is my life!

One week before it all starts

One week from today is when it all starts. I've been on birth control pills since Halloween...what an irony. Go on birth control pills so that you can get pregnant. Oh well...I just do what I'm told. I read two books this weekend - "Nurturing Yourself Through IVF" and "An Empty Picture Frame: An Inconceivable Journey Through Infertility."

The first one was more technical and gave ideas for things that I could do while I'm going through this one. It was informative and gave me some really good ideas. I think that I'm going to try acupuncture if we can afford it. Insurance will reduce the cost by 30%, but it might be worth it. I emailed Katrina (my nurse) to see if the clinic has a list of people that they use that may specialize in infertility. It also talked about relaxation, but that's going to be tough. How do I relax when every other thought revolves around my inability to do what I should innately be able to do. The guilt that comes along with infertility is ridiculous.

The second book was more personal. It was written by a couple that was just like Bill and I. They had gotten married, bought a house, bought an SUV and started preparing their house for babies. They had a dog, he was interested in finance, and she taught middle school. It's eerily similar to us, so I really connected with it. It's also interesting because she calls us "Infertiles," like we're our own separate race or something. Although it sounds weird, I kind of like it. I am now in this group that is small and exclusive...you have to have a very unique attribute to be part of it and only 3% of couples who are trying to conceive are part of it. Doesn't it sound so cool? Hopefully you can read through the lines and feel the sarcasm that is constantly pouring out of my brain and occasionally escapes through my mouth! This book made me cry and laugh and I couldn't put it down. I haven't found a book that has hooked me like this in so long and I tried to figure out why. The reason is that since we started to try for a baby, I knew something was wrong. Bill wouldn't buy it at first, but I knew. The only thoughts that have been on my brain and the only thing that I have been truly working hard toward is a baby (I mean for God's sake...I didn't even work hard enough to get an A on my law exam)...this hooked me because it finally made me feel like I wasn't alone. If you don't know what to say to me or how to react to me, read this book. It has a whole section on how to handle Infertiles - my new race!

I am going to post the tentative schedule for our meds...I know my sister wants to see it! It's totally nuts! We start a week from today and I'm getting nervous. I don't know what these drugs are going to do to me and as much as I want to live a "normal" life, I need to realize that it won't happen while I'm going through infertility treatments. There is nothing normal about this.

If you're reading this, you either know me well or you found this randomly online while searching for your own answers. Please understand that this is my outlet...I can write things that I can't say out loud, so don't feel insulted that I haven't told you certain things. There are so many things that I can't say out loud without breaking down into sobs. I can write anything though, so no hurt feelings, okay? I am going to try as much as possible to be honest with my loved ones and to let them know how I am feeling or if I need to be alone. This blog may actually give you much more information than I can just because it's all so hard to say out loud. I act tough and like this isn't bothering me much...I act blase and talk about what I can, but I just can't say it all out loud. Thanks for your love...couldn't make it without it.