Showing posts with label gonal-f. Show all posts
Showing posts with label gonal-f. Show all posts

Monday, June 01, 2009

Finally baseline - start the stimming!

Dr. B's nurse finally called me back at 4:45 today, causing me to harass their office twice and ponder the merits of a nervous breakdown. Turns out she was waiting to call because she wanted to talk to the RE about my pathetic antral follicles.

This nurse is new to my case, as the doctor has 2 nurses: one for IUI/Clomid and one for IVF. Since this is my first IVF, I just started working with her. So while I knew I was a deadbeat in the antral follicle realm, she apparently did not. I like her very much, so it was nothing about her specifically, but it was like rubbing salt in the wound when she said that the RE may opt to cancel this cycle and see if the next baseline looked better. I suspected the RE would not be surprised at my scans and poor number of antrals and we would go ahead, but what would a cycle be without a little added trauma due to misunderstandings and turnover of staff?

After waiting another hour for the follow-up phone call, worrying that my already poor prognosis has gotten even worse, she called back and confirmed that my RE was not surprised at what he saw (or, rather, didn't see). So, the plan is still on and off we go!

As I've posted before, the RE will be happy if I can muster 5 good follies. Less than three and we'll convert to IUI. 150IU of Menoupur + 450IU of Gonal-f, ay caramba. If this can't stim me, nothing will. I go in on Friday morning for my next u/s and b/w to check on follie progress. Talk about TGIF!

Tuesday, April 21, 2009

Somewhat promising

CD12, when I usually ovulate so I'm starting to get a little nervous since last cycle the RE made me trigger with only a 14mm follie since my hormones were looking like they'd be ovulating on their own. No real dominant follie showing, but the nurse is optimistic because there are a "few" <12mm follies and my estradiol has jumped from 104 to 227. Looking better than last cycle, but not counting any chick yet.

Thursday, April 02, 2009

Infertility roundup

I've had a hard time starting a TTC blog, not know when and where to start. The cycles simultaneoulsy seem to zoom and crawl by and the optimstic part of me kept thinking that maybe it wouldn't be worth starting a blog because what if I get pregnant this cycle? I'm not sure if it says more about my waning optimism or my embracing of spilling my guts, but I'm diving in! I thought about trying to recreate my past successed and failures in real-time since you can post-date blog posts but the mere thought of that made me want to curl in a ball, so I'm just going to give you a bullet point list. I'm sure I'll go into more detail on some of these carnival rides below in later posts, but here are the cliff notes:

Past cycles of note
• Sept 08: Clomid 9/27-10/2. IUIs 10/7 & 10/8. BFP!
Oct/Nov 08: pregnancy progressing slowly. Early Dec 08 m/c :(
• Feb/Mar 09: Gonal-F 150 (CD2-5), 300 (CD6-8), 450 (CD9-11). Planned on Ovidrel trigger. IUI. Poor response by CD13 and had to leave town on vacation, so abandoned cycle. BFN.
• Mar/April 09: Hormones screwy, not at baseline during AF, started Gonal-F 450 on CD4 anyway. Gonal-F 450 (CD4-8). CD9 14mm follie but might O naturally, so trigger CD9 pm and IUI on CD11 am. 12 million post-wash sperm count. AF-like bleeding started on CD18 and hormones supported baseline levels, only a 7-day LP, BFN no surprise.

Tests/results
• July03: DX Graves disease, hypothyroid now.
• Sept07: HSG clear, SA great.
• Feb08: Laprascopy in Feb 08, stage IV severe endometriosis removed.
• July08: Ovarian Reserve Index worst possible score of 1 out of 30.
• Sept08: Elevated prolactin. Parlodel for a month, levels back to normal.
• Oct08: Clomid > IUI = BFP!
• Dec08: Embryo stopped developing at 6w5d. M/c. D&E. :(
• Jan 09: Genetic test (DH/me) for chrom18 abnormality from m/c. Non-inherited (yay).
• Feb 09: Hysterscopy. Ten polyps and an adhesion removed.