Fun with injectables

Okay, on to my RE appointment yesterday.

The reason I am not sure whether my HSG is tomorrow or two weeks from now is because I am scheduled for stupid jury duty tomorrow. I am hoping my name will be on the list tonight when I call, so that I don’t have to go. If I don’t, the doctor put me in for an HSG in the afternoon. If I do have to go, they only do HSG’s on Wednesday afternoons – and next Wednesday is the 4th of July, so they are off. It would have to wait until the Wednesday after that. I hate to wait another two weeks.

However, the good news there is that he is letting me start injectables at the same time – rather than having to wait a whole other cycle. I am fairly certain my HSG will come back clear.

As for the injectables – well, it seemed to me my doctor was leaning towards IVF, but he wasn’t pushy. N and I decided to do one or two cycles of injectables with IUI, and then take it from there. I found these stats interesting:

% of success getting pregnant per month: (in my age group – under 30)

-No drugs: less than 5%

-Clomid with IUI: 12%

-Injectables with IUI: 20%

-IVF: 55%

% of multiples per month:

– No drugs: 1-2%

– Clomid with IUI: 1-2%

– Injectables with IUI: 20-25%, with 5-8% being more than two babies

– IVF: 30%, mostly twins. 1-2% more than two babies.

This seemed to be why the doctor was pushing for IVF. He seems to think the risk of many, many babies is decently high, and according to those stats, I’d have to agree. However, we’re going to see what happens. He won’t even do the IUI if I have any more than 3 follicles past like, 15 mm. He said as an example, if I had 1 or 2 big follies at 18-20 mm, but then I had 6-7 little ones, no way. He wouldn’t do it. I’m fine with that. I am a little curious/concerned that my body will produce too many, and we’ll have to cancel the cycle, which would suck. But he’s starting me on a low dose (50 IU) and I will be monitored like…4 or 5 days out of 10. So a lot.

I just want to be pregnant with a healthy child. However, I would do mental back flips if there ended up being two babies in there. I would love to have twins. Triplets – and I start to freak a bit. I’m just worried about the risks. After triplets I can’t even think straight. However, none of that is worth thinking much about at this point, as I no longer get my hopes up for anything. Let’s just see if my follies will even grow – that would be a good place to start.

The other interesting thing is that my doctor will not be putting me on Provera, even though this is CD 47. He claims the latest research says getting my period now might actually hinder my ability to get pregnant from injectables, because it takes such a long time for my lining to build back up, or something like that. He’s either crazy or a genius, but I’m going to go with it. Between this and my stair-stepping Clomid cycles – I really never have a period! But I guess I can’t complain.

I also feel I should mention that it probably sounds like I am just bouncing around from treatment to treatment without a financial care in the world, and considering some of you go through such hardships to get the money, I probably sound like an ass. I can only say that I am so, so freaking lucky, beyond lucky, that my town just switched last summer to new insurance, and this new insurance fully covers just about everything. I am lucky enough to pick my treatments like it’s nothing. I have yet to see a bill since I started with my RE in December. I don’t take this for granted, believe me, but I am so happy money isn’t an issue.

With that said, my to-do list now has watching these “teaching packet” videos on my RE’s website (as in, how to shoot yourself up in the stomach, no big deal), calling the drug company up in Maine to schedule a delivery date for my lovely box o’ meds, and then, once they arrive, calling my RE to schedule my baseline ultrasound, to check out what’s happening in there. Then, we start. The HSG is a separate, lovely addition to all of this. It’s hard not knowing exactly what the timeline is – not knowing exactly what day I start. But it is a good thing it’s summer, and I’m home, so I can just go with it. My second round will be coinciding with the start of the school year, which is going to be one giant pain.

Or maybe I won’t have to go a second round? That would surely be nice.

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2 thoughts on “Fun with injectables

  1. queenelizabethi says:

    I, too, am extremely thankful to have excellent insurance that covers a lot of stuff. My HSG was covered, I only had a $25 co-pay, and almost any other type of appointment is just a co-pay; plus 6 IUIs. It makes such a difference. Good luck with your new plan!

  2. Emily @ablanket2keep says:

    I felt the same way when I started the injectables. I was scared I would produce too many and the cycle would be canceled. I know it is difficult, but you shouldn’t worry. All the monitoring they do with U/S and bloodwork shows a lot if info and they can adjust your dose accordingly. The 2 times I did it we got 2 or 3 beautiful follicles with no worry of more. They did a really good job adjusting my dose. I hope you get some beautiful follies and the spermies find an egg!

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