Showing posts with label Menopur. Show all posts
Showing posts with label Menopur. Show all posts

Monday, June 18, 2012

Day 9 Stims Check


We returned to the RE again yesterday morning.
6-17-12:

  • e2:  2526
  • p4:  1.5
My follicles looked great and they adjusted my injections.  We only took 75 units of Menopur and 5 units of Lupron last night.


We returned again this morning for yet another ultrasound and labs. Many of my follicles are maturing, and my lining is thick at 0.8 cm!  It should be happening any day now.

I am waiting for Janet to call me and let us know if we are going to "trigger" tonight or tomorrow night.  I'm secretly hoping that we'll "trigger" tonight and have the Egg Retrieval on Wednesday.
When I say "trigger," I'm referring to the hCG injection.  Human Chorionic Gonadotropin (hCG) is the pregnancy hormone.  In IUI and IVF cycles, the RE instructs you to administer a dose of hCG to trigger the eggs to release.  
Waiting another day does not make much of a difference at this point, but I'm ready to get this show on the road.

My follicles look like they're smiling!

I will update as I know more!
Continue to check my IVF Schedule for updates as well!


Saturday, June 16, 2012

Day 7 Stims

We had another monitoring appointment this morning.  Everything looks great!

At the appointment, the nurse still saw 28 follicles growing.  As we left, they scheduled us to return on Monday morning with a plan of triggering with hCG on Monday and Egg Retrieval on Wednesday.

*They called me with my lab results around 10am.*

  • My e2  was 1842 and p4 was 1.1.  
    • 6-14-12:  e2 497 and p4 .4
They have me scheduled to return in the morning and are tentatively planning for us to trigger tomorrow night and have the retrieval on Tuesday.  To say that were excited is an understatement!  Keep your prayers coming our way!

B in the waiting room this morning
My beautiful follicles 

Another picture of my beautiful follicles


Thursday, June 14, 2012

Day 5 Follicle Check

We had our first ultrasound/follicle check today. To say that I'm progressing well is an understatement!  We have 12 follicles on one ovary and 16 on the other.  The measurements were crazy awesome!  Some of the numbers I remember were all around 2.0cm, 1.8cm, and 1.6cm.  My lining looked great and was triple stripe!

I am still awaiting more specifics about my blood work from Janet.
I will update as soon as I know more information!

This is how we roll at the fertility clinic...

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Our anniversary was lovely!

Brandon made me breakfast yesterday morning and drove me to work.  We went to dinner at Joe's Italian with Rachel, Clint, Jennifer, and Dad last night.  When they brought dessert, everyone sang happy anniversary to the tune of "Happy Birthday".  It was perfect!

Our marriage may not be perfect, but you won't get any complaints out of us!  Here a few pictures from the evening, courtesy of Jen!
A candid of us while they were singing

Posed shot

Our fabulous dessert

With my best friend


Friday, May 18, 2012

IVF for Beginners

Many of you reading actually know me (and Brandon) in real life.  Before undergoing fertility treatments, we both had limited knowledge about ART.  When my SIL, Sheri, went through IF procedures, I found myself searching google constantly to have some type of understanding of what she was going through.  This post is intended to help my friends and family understand IVF.
*How can I ask you to pray for me if you don't know what to pray for?!?*

At this point in our journey, it's obvious that Brandon and I cannot conceive on our own.  A brief rundown of our IF diagnosis:
  • Male Factor Infertility- poor morphology, low motility, and low count due to Testicular Cancer and Chemotherapy.  We do not have enough swimmers to even get pregnant via IUI at this point
  • Uterine Septum- mostly corrected, but my uterus will always have the characteristics of a septate uterus.  It has a tiny curvature at the top that makes it unique.
  • Annovulation- I do not ovulate without stimulation drugs (ex: Femara, Clomid, Follistim, Gonal F, Menopur, etc.)  I believe that I've only had 5 or so cycles where I ovulated without stimming drugs in the past 2 years.
We believe that God has led us to this place in our journey.  We have taken many factors into consideration and feel that this is our best option at the current time to have a child (children).  The likelihood of us ever conceiving on our own is miniscule.  We know that nothing is impossible with God.  We know that pursuing IVF is part of His plan.  We will listen to Him each step of the way.

We are pursuing IVF with ICSI to have a child.  

IVF refers to the process, and there are many steps along the way.


IVF with ICSI
In Vitro Fertilization is commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish. When the IVF procedure is successful, the process is combined with a procedure known as embryo transfer, which involves physically placing the embryo in the uterus. American Pregnancy Association
Intracytoplasmic sperm injection (ICSI) involves the direct injection of sperm into eggs obtained from IVF.  American Pregnancy Association

Here is a brief explanation of how the process of IVF works (in our scenario):
  • A new cycle begins
  • A baseline u/s and bw appointment is scheduled to check hormones and the uterus and tubes.
  • Suppression is started.  In my case, we are beginning with BCP.
  • After so many days of BCP, injectable medication is added as well.  
    • In my case, I am prescribed Lupron injections for 12 days in addition to taking my BCP.  
  • A suppression check is scheduled to ensure that there has been no follicle growth or thickening of the uterine lining.
  • Begin stimulation drugs for ovulation induction.  
    • In my case, we are taking Follistim and Menopur for at least 10 days.
    • Many office visits are scheduled to monitor and observe the follicles (that produce the egg).
  • Once the follicles reach the desired measurement, the HCG trigger shot is administered, and the Egg Retrieval is scheduled.  
    • On average, 70% of follicles aspirated will provide one egg
    • There are no guarantees that every follicle will contain an egg, and that every egg will fertilize.
  • After the retrieval, the eggs collected are then fertilized with Brandon's sperm
    • This is where ICSI is performed.  
  • After fertilization takes place, the embryos are closely monitored.  
    • The plan is a 5-day transfer.
  • When the embryos are five days old, they select the best, which are then transferred via vaginal catheter with ultrasound guidance.
    • We are planning on transferring 2 embryos.  
    • If we have more good quality embryos remaining, we will freeze them for later use. 
    • At this point, I am PUPO!
  • I will try and remain as calm and peaceful as possible while we wait.
  • Nine days after my ET (14dpo) and (9dp5dt), we will go in for our beta to see if we are pregnant
There is much stress involved in IVF.  I'm praying for peace as we go through this process.  Once we get results, I will update here.  Within my blog, I have created a page outlining our IVF attempt.  If we have great beta numbers, I will want us to tell our families before posting.  If our numbers aren't promising, it will be easier to post here so I don't have as many people to tell.  

For now, I'm praying for God's will in our situation.  Whether IVF gives us a child or not, we will give glory to Him.  God is the ultimate healer and giver of live.  
Please visit my Lingo page for further explanation about any acronyms used in this post. =)  The coming posts will begin to contain more and more as we continue to move forward.

Tuesday, December 27, 2011

No response to Menopur

I did not respond to the Menopur.  Dr. Bates called and said that we should abandon the cycle.  At our ultrasound this morning, my follicles had barely grown.  My lining was still at 7mm (the same as Friday).  I had small follicles growing on both ovaries, but nothing even close to maturing and releasing an egg.

His plan is for me to wait 3 weeks and if AF hasn't arrived to start Provera.

On my way to work this morning I made an appointment at ART with Dr. Allemand.  Our appointment is next Tuesday at 9am.  =)  I must stay positive and find the good in this cycle.....

Saturday, December 24, 2011

Still...

At our ultrasound yesterday morning they saw that I'm "slow to grow."  They did bloodwork which confirmed that my follicles were growing, just not as fast as we would hope.  They've increased my dosage of Menopur.  Brandon gave me 150iu last night and will again today.  They I will do 75iu on Sunday and Monday evening.  My next ultrasound is on Tuesday morning.  From there we hope to have good news.

This cycle has been crazy and I haven't even ovulated yet. 

Thursday, December 22, 2011

Still not growing

At our ultrasound yesterday morning, they still saw little follicle growth.  I am on 5 more days of 75iu of Menopur.  My belly is literally a pin cushion now.  I'm trying to stay strong and positive, but work is getting crazier and I haven't had an off day this week so it's tough! 

Brandon had to give me my injection at work last night.  Rachel laid beside me and held my hand and then prayed over me with Brandon.  =)  It was nice because Brandon can't hold my hand and do the shot at the same time. 

Last night my belly felt hard to touch.  Maybe I was just full from dinner or something.  Today it's just tender from all of the injection sites.  Please keep me in your prayers this week. We have yet another ultrasound tomorrow morning!

Monday, December 19, 2011

Great Monday

I just had my 2nd Menopur shot. It burned even more than the first one, but it only lasted about a minute.  It helps that I keep my eyes closed and Brandon talks me through the entire process.  I don't like needles, and it usually doesn't hurt if I'm not watching.  The actual stick doesn't hurt as much as him pushing the medicine in. 

I had a GREAT day at work today.  This particular medicine has awesome side effects, or maybe it's just all the prayer! =)  My energy level was definitely up today.  I sold a LOT of pretty jewelry! 

My ultrasound in at 7:30am on Wednesday, and they said that I can come in at 7am on Friday for my IUI since I need to get back to work.  I'll have to make sure and send a sweet card after the holidays for all that they've done for me this cycle!  =)

Sunday, December 18, 2011

Ultrasound and More Medicine in God's Hands

We had another ultrasound this morning after church.  My lining was only 5mm and my largest follicle was only 11mm.  My body was not responding well to the Femara this month.  Dr. Bates was there (along with Dr. McLain) and gave us some options:
  • A:  give up and wait for the next cycle
  • B:  try using Clomid (for 5 days)
  • C:  try using Menopur (for 3 days)
We chose to use Menopur.  Brandon gave me my first injection at 7:30PM.  It BURNED!! This option was the most aggressive approach and Dr. Bates felt that it would give us our best chance scenario for a successful IUI.  With the injectable medicine, I may respond with more mature follicles rather than just one. 

Brandon prayed over the shot as we will the next two.  We prayed for God's will.  We prayed to Him and are leaving it in His hands.

This morning before worship I talked briefly with our pastor.  During the service, Brandon asked God to speak to him.  During the last prayer, Terry (our pastor) spoke our names and asked us to come to the front of the room.  He told everyone about situation and asked them to come and pray for us.  I know that the Holy Spirit was with us.  I felt God's presence with me for the duration of the day.  Brandon and I have promised to stay more positive about our situation and be happier with each other.  It's been easy to become discouraged with one another.  God is using this current situation to bring us closer to one another and for our love to grow even greater.

I am so thankful that I have had such great people in my life throughout this journey.  I feel much more positive about this cycle that God will cover and protect me.  He ultimately knows when we will have our child and I will trust in Him.