I’m sitting here right at the beginning of my very first (hopefully only!?) IVF cycle. This post may perhaps be slightly boring if you are not super interested in exactly what protocol I am using and what led me to IVF. If that doesn’t sound fun to you, feel free to read something else. I can recommend a couple hundred lesbian romance novels if you’re interested.
SO IUI #12 was a bust (which was actually a relief, because can you imagine if it worked on the last try before insurance kicked in?! And then I got to start all over again with the out of pocket bullshit when we try for number two?!) – got my BFN at the beginning of November and immediately submitted for IVF prior approval. Having done this twice already, I felt like a champ at urging my RE to get the paperwork in, etc … and I also felt very certain they were going to deny it for no good reason again. Miracle of miracles it was approved! As I mentioned in my last post, I was traveling a lot during the month of November so knew it probably wouldn’t work with the constant monitoring that IVF requires. That said, I was hell bent on not waiting until the new year to get this started.
My RE’s initial plan was to wait for my next period and then start IVF. But I can do math, so I knew that that was never going to happen without running straight through Christmas. I spend Christmas several states away in Ohio with my family, so trying to do a retrieval or transfer around the holiday is a no-go. I have a friend who is also starting IVF this week and her RE had put her on birth control as a way to both suppress her ovaries as well as allow them to time her cycle as soon as insurance approval came through. I asked my RE if I could do the same and she agreed (without even any discussion which makes me think … how do you make these decisions? … but whatever), so I started birth control in early November on day 3 of my cycle. So birth control is fun times, huh? Also, it’s free?! Thanks, Obama!
I had a suppression check (baseline ultrasound as well as bloodwork) yesterday and they told me that after that they would know whether we could start my stim meds in the next couple days. So then I get the results voicemail and they’re like “okay so you are going to start your gonal-f tonight, and inject 300 IUs for the next 4 nights until you come back on Friday for another ultrasound and bloodwork.” I totally didn’t expect to start that day! I haven’t even gotten my period yet but apparently that doesn’t matter. I assume I’ll still have a period this cycle? I don’t even know. Ah!
So last night was the night! I took one of my Gonal-F pens out of my refrigerator and dialed the handy-dandy dose dialer thing to 300 and went for it! I have to say that all of the syringes and needles and putting the needle on the pen and everything is fairly overwhelming. How have y’all tracked your IVF meds? Right now I’m using Fertility Friend but I let my subscription expire so it doesn’t give me the whole grid with my custom meds on it. Should I pay for that subscription again or is there another/better way to keep track?
The plan from here … Gonal-F every night through Thursday night, ultrasound and bloodwork again first thing Friday morning and I’ll have further instructions. My protocol from there as I understand it is:
- Ganirelix in the AM to keep me from ovulating
- Gonal-F in the PM still
- Add Menopur in the PM
- Keep going until I’m ready to pop
- Novarel to trigger ovulation
- Retrieval
- Fresh transfer?
- Crinone after transfer (ugh I hate this damn goop)
- Vivelle patches after transfer
IF I don’t hyper stimulate (oh! another poll – how many of y’all hyper stimulated and had to wait and do a frozen transfer?), we’re hoping for a fresh transfer on day 3 or 5 post-retrieval. I opted NOT to do ICSI because it was not covered by insurance and my doctor seemed to think it was better to try without. I’m really hoping we get more than enough embryos so that we can freeze some for baby numero dos. I feel so lucky that insurance is covering this all at 100% other than my 10% co-insurance and my medication co-pays. I think I ended up having to pay around $700 for the co-insurance (I have an out-of-pocket yearly maximum that I was almost at, so I just had to pay that and not the whole 10%) and $130 or so for the medication co-pays. Of course, that’s after we sunk $18,000 into IUIs and sperm over the past almost 2 years, so we could have just paid for IVF out of pocket up front. But now that I qualified for fertility coverage, I am automatically already qualified when we try again.
Things I am anxious about now that I don’t have to be anxious about ovulation and timing:
- That my body won’t respond well to the stimulation
- That my body will respond slowly and it will fuck up my Christmas travel plans
- That I won’t have any viable eggs
- That none of the eggs will fertilize
- That we won’t have any good embryos
- That we won’t have any embryos left to freeze
Well, I have to be anxious about something right? Here’s to new adventures and to being back in the blog-o-sphere!