Well, here we go again- Mr. T has his trigger finger ready for the start of injections tomorrow morning. I’m feeling happy and relaxed- hopefully I can manage to keep at least some of that zen going over the next few weeks.
Here’s the game plan I received from my clinic:
First day of Menses: 3/6/11
Begin oral contraceptive pill on: 3/9/11
Last dose of oral contraceptive on: 3/22/11
You may experience initial nausea or intermenstrual bleeding on the oral contraceptive pills. After you stop the pills, you will have a period.
Day -1 ultrasound and estradiol blood test is scheduled for 3/23/11. You need to bring in your payment and all consents on or before this date. If you do not bring in your payment and consents, your cycle may be delayed. (Of course, nothing starts without the $$)
You will begin your stimulatory medication 3 days later on 3/26/11. You will begin taking Follistim 225 IU’s in the morning and Menopur 3 powder vials in the evening, about 12-hours apart. You will mix the vials with the total volume of 1 cc diluent. (Lucky me to have a chemist for a husband. He mixes beautifully.)
Side-effects may include: Abdominal fullness and discomfort, Breast tenderness, Headaches, Visual changes (temporary), Irritability and insomnia. (Fun, right? I try not to read these or think about them.)
You will be on the stimulatory medication for approximately 8-14 days prior to your egg retrieval. You will be seen in our office for monitoring about 4-6 times during that time. We will first want to see you back on the 4th day of your stimulation medications, on 3/29/11. After this visit, we will want to see you again every 1-3 days, depending on your egg development. All visits are scheduled before 10 am. (This is when my coworkers start to wonder if I’m interviewing for other jobs- they don’t know about my secret IVF double life.)
Once your largest follicle is between 12-14 mm in size, we will instruct you to begin one subcutaneous injection of the antagonist medication, GANIRELIX ACETATE every evening until your day of HCG (Ovidrel). You will continue taking the stimulatory medication as directed. (Three shots a day! Whooo-hoo!)
When your eggs are at appropriate maturity, we will have you stop all medications, and administer the Ovidrel injection (trigger shot). We will give you a specific time for this injection. Your egg retrieval will occur exactly 36 hours later. (The most stressful part with work- not knowing what day it will be and praying I don’t have any important meetings that day.)
Your retrieval will probably occur sometime between 4/4/11 and 4/10/11, with your embryo transfer occurring 3, 5 or 6-days after the retrieval, depending on individual circumstances. (I really appreciate that my clinic provides individual assessment of the embryos instead of a one-size fits all for the transfer date, but this is stressful for scheduling. Last time I planned on a Day 3, then a Day 5, but all 7 embryos were in such a tight race for the lead that they wanted me to go to Day 6 to pick the winner. Little good it did me though.)
Two days after your egg retrieval, you will begin Progesterone-in-Oil, 50 mg or 1 cc daily intramuscular injections to help support your uterine lining. You will be on this medication through the date of your pregnancy test. If you are pregnant, you will continue taking progesterone supplementation for several weeks. (Ah, that hopeful thought- becoming pregnant- and this time graduating from my RE to an OB. And finishing PIO. Happy thoughts.)
If you have any questions or concerns regarding your schedule, please do not hesitate to call us. (They know I will!)
I’m trying not to look backwards or too far ahead. Just taking it one day at a time. Come on eggies- please make us a baby this time!