I have never been so busy in my life, and I haven't even gone back to full-time work yet!! (Last week I took off from clinicals, and this week the Dr's office is closed.)
I start my injectables tomorrow- apparently the RE's office ran "follistim" through the system under my insurance and it was accepted (I don't think this means it's covered in full, but it means they're covering at least part of it???) - anyway, Freedom Pharmacy is the pharmacy they called the script in to, and now I'm waiting to see exactly how much it costs. If by some act of God it is actually covered in full, I'll be getting it for sure (even though I have 2 boxes of 900 ius in my fridge right now)!
Even better news is that the Intralipids are cheaper at Freedom Pharmacy, too!! They don't have any 100mLs in stock, but they will be shipping 250mLs to the Dr's office in NY where I'll be getting the first infusion (of 100 from the bag of 250)TUESDAY, JAN 5th!! And I am paying a whopping $34 for the meds, and a $30 co-pay for the infusion!!
Seriously, can this get any easier??
I went to the Drs today and had the injectables class. Those dang pens are so darn easy! I wish the Lovenox was that simple. When I told the nurse I was on CD 2, she said, "We assumed from your blood work that you were close, so you can actually get your baseline ultrasound done now." It was, I shit you not, the QUICKEST ultrasound I have ever had. He just basically looked for any large fluid-filled cysts on either side, and that was it! So much for asking to see if that endometrioma/hemorrhagic cyst was still on the right... I guess I can ask my colleague at work to check for it on Thursday.
So, here is my protocol for Follistim (starting out):
100 units Follistim CD 3 - CD 7
Transvaginal U/S and Estradiol check CD 8 (due to New Year's, this is just 1 day later than he would normally do it, but he thinks it will be ok)
Continue Follistim, possibly at an adjusted dose, until follicles are mature
Administer hCG trigger shot
BD like bunnies
(I asked the nurse if we could put some days leading up to the trigger to use, particularly in the presence of good cervical mucus... she said this would be ok, but they prefer that you don't use any days too close to the trigger day, because you want to "save up" all the good sperm to meet the egg. I'm thinking this is why a lot of IUIs fail, actually. Knowing what I know about the cm, and my DH's sperm (astronomical count, but poor morphology), it's better to have some of the good ones up there and waiting for O day. I may take the day before trigger off, though.)
Protocol for Intralipids:
Intralipids 100mL on CD 9, and upon 2nd beta hCG (to continue about once per month through pregnancy)
Protocol for Lovenox:
Lovenox 60 mgs 2 x day starting CD 6
I am putting so much faith into this cycle... but I'm still guarded. I'm worried about my ovaries (possible endometrioma) and fimbriatic cyst interfering with conception/ovulation.
I really have to work on that trust in God. He has brought me this far, and I can honestly see His hand in all of this (I seriously cannot describe how insanely easy and inexpensive this has all been, and that is NOT normal for me!!!) I guess since Archangel Raphael is my patron Saint for 2010, this is a perfect time to start praying again for his healing power and his intercession.