I had an Endometrial Biopsy done on Tuesday, November 25th. I was kind of nervous going in there because I had read online about women saying it was the most painful thing they ever experienced in their life even worse than labor, so I didn't know what to freaking expect. But it wasn't that bad, uncomfortable yeah, kind of a bite your lip moment then its all over. I won't find out the results for about a week I think.
AF started on Friday and I'm supposed to start Depot Lupron within five days of starting to be on Lupron for 2 months before attempting my next IVF cycle. However, I'm waiting on my OB/GYN doctor to confirm that its covered by insurance and the lady didn't call me back Wednesday and I guess they have been closed every since because of the Thanksgiving holiday. So I will have to call on Monday to see what the deal is with that.
Other than that nothing much else going on. I may have to order the Lupron from Canada if my insurance doesn't cover it because it costs over $600 here and only $199 in Canada. So we shall see what happens with that.
Sunday, November 30, 2008
Thursday, November 20, 2008
Failed IVF Consult
Okay, back from my appointment, which I think, went fairly well.
First thing is that I will be getting an Endometrial Biopsy completed on Tuesday at 9:30 (When a woman is having a hard time becoming pregnant, an endometrial biopsy may be done to see whether the lining of her uterus can support a pregnancy) at which time I will also give blood to have a Karyotype test done for DH and I. (Karyotype is a test to identify and evaluate the size, shape, and number of chromosomes in a sample of body cells. Extra, missing, or abnormal positions of chromosome pieces can cause problems with a person's growth, development, and body functions. Karyotype can be done to determine whether a chromosome defect is preventing a woman from becoming pregnant or causing miscarriages. Determine whether a chromosome defect is present in a fetus. Karyotyping also may be done to determine whether chromosomal problems may have caused a fetus to be stillborn.) If this comes back and shows either of us have an unbalanced chromosome which causes frequent miscarriages then we would need to get PGD done to make sure we are only transferring embryos that prove to be normal.
I will also start Depot Lupron for 2 months on day 3 of my upcoming period. She don't want to start the cycle on that first period after being on Lupron because she wants my body's hormone level to get back right and allow my endometrium to get back right so that my lining is nice and plump for the next IVF. But I will be out of town at the time that period should be starting so she is going to start me on Provera Feb. 23 - March 2, once I stop that AF should start on March 5th and we're going to try Micro-Flare again.
She stuck to her guns about no Bravelle. She said they initially started with it because they got a butt load of it for free, but she had such horrible responses from it that she stopped using it even when she had a lot of the free meds left over. I expressed to her how I dislike Follistim and the response it gives me and she just said that she wanted to start me out on the max dose of meds on day 1 of stims instead of bumping me after 4 days of stims like they have done in the past. She said with this she is still trying to get the Flare effect from the lupron but by maxing out my meds in the begging she is hoping to get them growing quicker and faster in the beginning than at the end. She said last cycle I really didn't start getting a response till around the 8th day. So she hopes by maxing me out at the beginning that we can have a lot start to come up and then gradually reduce the meds and allow them to continue to grow. I asked why my E2 was so high last time and I only got 3 mature and she said the word for the day is PUSH. She said that's why I want to change it up and push you hard in the beginning so we can get a good response going instead of pushing you at the end. She said last time they triggered me when my largest was around 18 which normally works great for someone my age, and I was like yeah, but we've learn I don't respond like women my age and she said yes we have. The she said she really couldn't push me anymore at the end because my E2 was so high and she was afraid I would get sick. So she said next time she want my largest to be around 21 or 22. She then reiterated the push idea because she want big and fat follies when its time to trigger. Last day day 1-6 of my cycle I was on 225iu Follistim in the a.m. and 225iu Follistim in the p.m. So this time I will be on 300iu in the a.m. and 300iu in the p.m from the very beginning. So I lost the battle on the Bravelle thing. But we're going to try Gonal-F instead of Follistim. My nurse said they are basically the same exact things, but made by different people, so we can try that. Gotta do my research on that too.
Next thing is that I will be going on Heparin instead of baby aspirin. Gotta do more research on this to figure out why and why this would be beneficial to me.
That's about it for now...sorry so long.
First thing is that I will be getting an Endometrial Biopsy completed on Tuesday at 9:30 (When a woman is having a hard time becoming pregnant, an endometrial biopsy may be done to see whether the lining of her uterus can support a pregnancy) at which time I will also give blood to have a Karyotype test done for DH and I. (Karyotype is a test to identify and evaluate the size, shape, and number of chromosomes in a sample of body cells. Extra, missing, or abnormal positions of chromosome pieces can cause problems with a person's growth, development, and body functions. Karyotype can be done to determine whether a chromosome defect is preventing a woman from becoming pregnant or causing miscarriages. Determine whether a chromosome defect is present in a fetus. Karyotyping also may be done to determine whether chromosomal problems may have caused a fetus to be stillborn.) If this comes back and shows either of us have an unbalanced chromosome which causes frequent miscarriages then we would need to get PGD done to make sure we are only transferring embryos that prove to be normal.
I will also start Depot Lupron for 2 months on day 3 of my upcoming period. She don't want to start the cycle on that first period after being on Lupron because she wants my body's hormone level to get back right and allow my endometrium to get back right so that my lining is nice and plump for the next IVF. But I will be out of town at the time that period should be starting so she is going to start me on Provera Feb. 23 - March 2, once I stop that AF should start on March 5th and we're going to try Micro-Flare again.
She stuck to her guns about no Bravelle. She said they initially started with it because they got a butt load of it for free, but she had such horrible responses from it that she stopped using it even when she had a lot of the free meds left over. I expressed to her how I dislike Follistim and the response it gives me and she just said that she wanted to start me out on the max dose of meds on day 1 of stims instead of bumping me after 4 days of stims like they have done in the past. She said with this she is still trying to get the Flare effect from the lupron but by maxing out my meds in the begging she is hoping to get them growing quicker and faster in the beginning than at the end. She said last cycle I really didn't start getting a response till around the 8th day. So she hopes by maxing me out at the beginning that we can have a lot start to come up and then gradually reduce the meds and allow them to continue to grow. I asked why my E2 was so high last time and I only got 3 mature and she said the word for the day is PUSH. She said that's why I want to change it up and push you hard in the beginning so we can get a good response going instead of pushing you at the end. She said last time they triggered me when my largest was around 18 which normally works great for someone my age, and I was like yeah, but we've learn I don't respond like women my age and she said yes we have. The she said she really couldn't push me anymore at the end because my E2 was so high and she was afraid I would get sick. So she said next time she want my largest to be around 21 or 22. She then reiterated the push idea because she want big and fat follies when its time to trigger. Last day day 1-6 of my cycle I was on 225iu Follistim in the a.m. and 225iu Follistim in the p.m. So this time I will be on 300iu in the a.m. and 300iu in the p.m from the very beginning. So I lost the battle on the Bravelle thing. But we're going to try Gonal-F instead of Follistim. My nurse said they are basically the same exact things, but made by different people, so we can try that. Gotta do my research on that too.
Next thing is that I will be going on Heparin instead of baby aspirin. Gotta do more research on this to figure out why and why this would be beneficial to me.
That's about it for now...sorry so long.
Saturday, November 15, 2008
Awh....for me....
I must say that I was very overwhelmed in the response I received from my post. I had no idea that so many people were thinking about me and waiting to hear from me. You know sometimes you post just to get it off your chest more like journaling (is that a word).....not really thinking that anyone is reading or really cares about what you're writing, but you ladies proved me wrong and I'm very thankful for all of you and very thankful for your thoughts and prayers!
Well I wish I had something interesting to write, but I don't....so hopefully I will have some good updates from my appointment on Thursday.
Well I wish I had something interesting to write, but I don't....so hopefully I will have some good updates from my appointment on Thursday.
Tuesday, November 11, 2008
Thank you.....
Thank you all very much for your well wishes and words of comfort. I know I just kind of disappeared and some of you were worried about me, so I decided to come on here and post an update. I haven't forgot about any of you and think of you often, just had to give myself time to get my head right.....ya know?
Well an update with me. I'm still feeling pretty anti-baby. I guess that was my way of dealing with my last disappointment. I've been totally okay with it being just DH and I and I'm not sure how long I will feel this way or if I will get bombarded by the intense desire to be a mom in a couple of months, couple of years or never. On Sunday I was looking at DH's benefits plan as he is in open enrollment now (we've been with my plan for the last 3 years) so I was looking at his plan to see if they had added anything new. They have. They added 4 IVF attempts and 6 IUIs. They had the IUIs before but not the IVF attempts. So we're going to switch to his insurance which starts up in January and my insurance ends in March. Now when I read that about the IVFs I can't lie, the itch to try again did come back so DH and I talked about it and he was like if we're going to do it we need to do it ASAP because we never know when the contract might change up. He is Army contractor so their contracts can change at anytime. So what I plan to do is go on Lupron for 3 months for my Endo then jump right into a cycle. So this should put me cycling in March 09 time frame. I called my nurse yesterday to tell her I wanted to go on Lupron and didn't want to get another surgery. Not sure if you remember but my doctor wanted to do another surgery after my last chemical. I don't think I need one yet because my periods are not painful like they have been in the past. But my nurse said I had to come do my failed IVF talk with the doctor first which I had been avoiding because I wasn't sure if we wanted to go any further with the IVFs, but when I got 4 free to use its kind of hard to pass that opportunity then always play that what if game in my mind if I didn't do it. So I scheduled the failed IVF consult for next Thursday. I plan to stick to my guns about no more Follistim and if my doc doens't want to put my back on the meds I was on the very first time, then I think its time to switch docs. We tried her way with the Follistim um....like 4 times so obviously my body doesn't like the Follistim and doesn't respond very well to it. So thats me and thats my update. (((hugs)))
Well an update with me. I'm still feeling pretty anti-baby. I guess that was my way of dealing with my last disappointment. I've been totally okay with it being just DH and I and I'm not sure how long I will feel this way or if I will get bombarded by the intense desire to be a mom in a couple of months, couple of years or never. On Sunday I was looking at DH's benefits plan as he is in open enrollment now (we've been with my plan for the last 3 years) so I was looking at his plan to see if they had added anything new. They have. They added 4 IVF attempts and 6 IUIs. They had the IUIs before but not the IVF attempts. So we're going to switch to his insurance which starts up in January and my insurance ends in March. Now when I read that about the IVFs I can't lie, the itch to try again did come back so DH and I talked about it and he was like if we're going to do it we need to do it ASAP because we never know when the contract might change up. He is Army contractor so their contracts can change at anytime. So what I plan to do is go on Lupron for 3 months for my Endo then jump right into a cycle. So this should put me cycling in March 09 time frame. I called my nurse yesterday to tell her I wanted to go on Lupron and didn't want to get another surgery. Not sure if you remember but my doctor wanted to do another surgery after my last chemical. I don't think I need one yet because my periods are not painful like they have been in the past. But my nurse said I had to come do my failed IVF talk with the doctor first which I had been avoiding because I wasn't sure if we wanted to go any further with the IVFs, but when I got 4 free to use its kind of hard to pass that opportunity then always play that what if game in my mind if I didn't do it. So I scheduled the failed IVF consult for next Thursday. I plan to stick to my guns about no more Follistim and if my doc doens't want to put my back on the meds I was on the very first time, then I think its time to switch docs. We tried her way with the Follistim um....like 4 times so obviously my body doesn't like the Follistim and doesn't respond very well to it. So thats me and thats my update. (((hugs)))
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