The world’s worst presents.

The day has finally come (tomorrow). The day I start my third type of fertility treatment – injectables with an IUI. Let’s see – I haven’t had a period since, (hold on, let me check a calendar) May 11th! That’s a long time! Today is CD 54, but I only know that because I just checked. I haven’t kept count since the day I found out 150 mg of Clomid was going to do nothing but cause me to go insane, and that was somewhere around CD 25.

Sidebar – I was at a thyroid appointment the other day (which is looking lovely, by the way -0.9 TSH is damn near perfect) and my doctor asked if I have been getting my periods regularly. I almost burst out laughing.

Anyway, I’ve been going through the proper steps to ensure a great time with my first set of shots. I watched the videos, asked a few clarification questions with the nurse, got a fantastic HSG completed successfully, and had my baseline blood work and ultrasound this morning. Oh yeah, and Christmas came early:

Kidding. These would make the world’s worst presents. The best thing about that picture is the watermelon I plan on consuming over the next few days.

Now, this morning’s ultrasound wasn’t exactly routine. I must say, first of all, that the wonderful condom-covered probing camera (known affectionately as the dild0-cam to most of you) was a comforting delight compared to whatever was shoved up there with the HSG last week. When we started, the nurse said, “You have a full bladder. Did you go to the bathroom?” I felt like a kid. Yes – I did! Like, 20 minutes ago! I can’t help the fact that I chugged a protein shake right before I got there…

Then, as he’s looking around in there, he discovers what I’ve known for a while – I have tons of little baby follicles in each ovary. Like, a lot. Like, he stopped counting and said, “Let’s just say there’s 30 in each one”. That’s a total of 60 follicles. That’s a lot of maybe-babies. Then he found one (I swear it’s that pesty cyst, back to say hello) and he says, oh, this one could be developing. If that happened, the cycle would have to be cancelled. But rest assured, there’s no way in hell I’m ovulating on my own. I would know it if I was. Anyway, I didn’t get any calls this afternoon regarding my blood work (which would have shown it), so I’m not concerned. After that was all over, I met with a nurse who went over the plans for tomorrow. She commented that it’s a good thing the doctor is starting me on a low dose (50 IU), because of the amount of follicles I’ve got in there. This leads me to an unpleasant thought – I feel like, if I’m going to have 60 follicles, I should’ve ovulated on my own. Or at least with Clomid. Maybe I’m not the typical type of person that does injectables with IUI, or IVF if it should come down to it. Clomid should have worked. But it didn’t. And my new fear is that even on the low dose, I’m going to produce too many eggs, and the cycle will have to be cancelled. I just really don’t want that to happen. I guess what I’m saying is simply that I want this to work. I really, really do.

With this type of treatment being so drastically different from what I’m used to – a simple pill for a few days – I hope I do it right. Not to mention the fact that I’m going to Maine tomorrow for a 3-day mini-vacation, and the drugs are coming with me. My first shot is tomorrow night, up in Maine. It can’t be that complicated – but I think I need to watch those videos again. My doctor commented last week that the first shot will take me 45 minutes, but 44 of those minutes will be the anxiety leading up to it. After that, it’ll be quick. I don’t think it’ll take me 45 minutes per say, but I can’t say I’m thrilled about doing this. In my stomach.

Also, different from many others is the fact that I don’t have my period. My doctor didn’t put me on Provera. So many nurses are asking me when my period has started, and I always have to explain I’m not getting it. So I’m not even sure what cycle day tomorrow is supposed to be – 1? 3? If you get your period, when are you supposed to start the shots?

And another question – approximately how long after the last shot do most of you trigger/ovulate? I know with Clomid you were supposed to ovulate about 10 days after the last pill. Is it similar for follistim?

Ugh. So many questions on this first round of injectables. Whether you’ve gone through injectables with an IUI, or IVF, is there anything you think I should know about any of this? Giving the shots, ovulation times, words of advice?

I’ll be back for another post once I return, and by then I should be an old pro.

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4 thoughts on “The world’s worst presents.

  1. Brave IVF Girl says:

    One question to ask is about the possibility of converting to IVF if too many follicles respond. I know other people have done that instead of cancelling.

    When I triggered, usually I did stims until the morning of the trigger shot, and did the trigger shot at a specific time in the evening based on when the transfer would be 36 hours later.

    For doing the shots, the first one is the hardest, simply cuz it’s such a weird thing to stab yourself with a needle. I ice beforehand, then pinch the skin, and exhale when I jab myself (and do ‘jab’ – skin is pretty tough and I bounced off the very first time I tried to do my own injection – cue hysterical laughter…)

    You’ll do great!

  2. TheStorkWhisperer says:

    There are so many different protocols for IUIs. I really didn’t know this until recently. The last couple of IUIs, I didn’t start shots until CD7, but this time I am doing it CD3. Your situation is really tricky since you haven’t started your period. The best advice I could give you is to take your time doing the shots. If you have a question about anything, stop and address it, even if you think you’re right. You’ll save yourself the stress of what-ifs. The whole insemination process is very simple and take just a few minutes. Good luck to you.

  3. Emily @ablanket2keep says:

    I know you already started the shots and I am late to the party, but I will still answer. I was on the same thing, follistim. The day you start the shot is day 3. When you trigger all depends on how you respond to the shots. I started with 75UI and they increased after about 4 or 5 days and I did my trigger around CD 10 or 11. I did 2 cycles with that so far if you wanna look at my timeline it’s all there. Don’t worry about maturing to many follicles. I was scared of that too, but the Drs know what they are doing and they are monitoring you a lot through U/S and bloodwork and they can adjust your dose perfectly.

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