Posts Tagged ‘IVF Shots’

IVF Begins in 39 Hours

Sunday, July 12th, 2009

Say what?! This is our last weekend. Last weekend not IVFing. Last weekend not pregnant. Last weekend not as parents. Part of me screams YAY!! and the other part is like – have we really given this some thought?

Tonight Shelton and I are going to pull all of the needles and drugs out, the handbook from the clinic and make sure that we understand everything. Or that at least for the first Lupron shot on Tuesday morning we understand.

I’m going to call “M” tomorrow, our IVF coordinator, to see if I can stop by for a minute. I just want to have a last minute dress rehearsal to make sure we’ve got this.

I also need to inquire about the amount of Lupron we received. I have a bag with dozens of needles in it, but only one bottle with 2mg of Lupron. I also feel like an idiot because it says to take 5 iu of Lupron …. but I don’t know how much that is and my needles start at 10 of something. So, going to check in to that.

Shelton and I are also supposed to make our final payment of $9200 to the clinic tomorrow, so we have to sit down tonight and shuffle some things around. An unexpected car bill of almost $3,000 last week is kind of throwing a wrench into things. But we’ll figure it out, right?

I’ve reached out to a few former IVF/infertility friends. Each of whom used our clinic and each have cutie patootie babies now and war stories to prove it. I just want to know what to expect. I’m being told I’ll lose my mind with the Lupron. That I won’t know how bad it is until later, when Shelton can safely recount the events that unfolded. And most importantly that we should talk. Talk now. Talk during. Just communicate with one another. So we’re doing that now. Talking. On my best days I’m impatient, stubborn and “always right.” On his best days Shelton is two of those three things. I accept Shelton’s annoyance with this and more times than not apologize. I told Shelton that I’m not going to use the drugs as an excuse, but if I seem irrational or cry because he put the toilet paper on the holder the wrong way (and YES there IS a right and wrong way to do that) – then he can’t hold it against me.

During the next few weeks as we go through the IVF my plan is to post here each day. As promised I want to capture and share this entire IVF experience with all of you … some of whom have been waiting three long years for this, too! I’ve warned family and friends not to get too concerned if they receive bizarre text messages from me. Odds are it’s the drugs talking and I’m not hiding alone in a closet somewhere holding the dog for ransom.

Folks, it’s getting very, very close. I welcome you along for the ride and make no guarantees or promises about what you’re going to see and hear here. What I do promise is honesty, regular updates and a frankness that will make most of us blush.

Houston, lift-off in T-minus 39 hours…

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Big Box of IVF Needles and Fertility Drugs

Friday, June 19th, 2009

Earlier this week I received a phone call from the pharmacy filling our fertility drug order. I confirmed all of the pertinent details and then reviewed the order. They had the Doxycycline, Ovidrel, Progesterone in oil and Gonal-F, plus needles. I referenced the list we’d received in IVF class, and everything checked out. I had to call back with some insurance information, knowing it was really a waste of time because they weren’t going to cover any of this. Once I confirmed that I was told they would process my order through insurance and call the next day with a final total.

Yesterday, I received that call. I told the rep that if she hears a loud thump it was me falling out my chair. I think she was too busy to have a sense of humor and with a very concerned tone asked if I was OK. I laughed and told her I was just dreading the total. So drum roll please…. she ran the card and announced that we would be charged $1781.21. I didn’t fall out of my chair. In fact, I was rather relieved by that number. Don’t ask me why spending $1800 on prescriptions is relieving, but I expected an amount far surpassing that. Plus, we got our needles complimentary so that made the entire thing sound like a bargain!

I was told that FedEx would deliver the package tomorrow morning (today) between 8 and 3 and that someone had to be here so that the Gonal and Ovidrel could be refrigerated. At 8:15 the doorbell rang and our package had arrived. I signed. Walked back inside. Placed the box on the floor. And started bawling. I just kept saying “it’s here, I can’t believe we’re doing this, we’re actually doing this.” I think a part of me had just believed we were going to let time get away from us and one day it would be ten years later and there still wouldn’t be a baby. But that’s not the case. We are doing this. We are actually doing this.

So I had a good hearty cry this morning and then followed instructions and took inventory of the package. Two things were wrong:
1. My sharps container was missing. The container for the used needles. Don’t ask me why but I am so excited about that sharps container. It feels so official. I mean, how many people do you know what a needle box in their house? (If you can answer that… maybe you shouldn’t!)

2. My receipt was small. As in, a lot less than I was quoted less than 24 hours previously. $1142.66.

I called the pharmacy and I was told they would get my sharps container in the mail (damn right!), and then asked about the total. Don’t get me wrong, I’m jumping for joy over here. I saved $600 without even trying. I just wanted to confirm that a mistake hadn’t been made and which of the two charges we were actually incurring. Lucky us, it was the lower amount.

I promptly moved my drugs to the lower shelf of the fridge (behind the negro modelo) and then moved on.

I think when we have kids and we’re inevitably faced with the dreaded “how are babies made” question, I’ve got an easy answer. They come in a box. It’s like a model airplane kit. Except more expensive and more painful. The stork sends a box full of supplies and then you just make a baby. And a man, not your father, puts on the finishing touches, and wah-lah, you have a baby.

It should also be noted that two of my drugs are missing from the above list – Lupron and Menopur. We found out this week that our entire doses for both are being donated. I can’t even tell you how excited we were to learn this news. I’m not sharing specifics because I honestly don’t know what the disclosure parameters are with this and I don’t want to disrespect or cross a line I shouldn’t. But the parties responsible are likely reading this and we just want you to know that we are incredibly grateful. I’m not sure how those two items would have impacted our total Rx bill, but I am so very thankful that they didn’t. Hopefully we’ll have a fast cycle and we’ll be able to return the favor!!

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IVF Class and Our Big Bag of Needles

Wednesday, June 3rd, 2009

Well, folks, we’ve decided to get a goldfish. They’re like 35 cents, don’t come with any needles, or severe hormone shifts.

It wasn’t ALL that bad, but definitely overwhelming and quite sobering. After spending the past five years talking about it (and talking and talking), the whole thing slapped us in the face today. My stomach rolled over the moment we walked through the doors. During one portion while our coordinator “M” (she’s reading this… hello!) was giving her presentation, I thought I was going to have to leave. Tears started welling in my eyes and I was shaking my leg so hard I thought my sandal was going to fall off. Because rapidly shaking your leg is the cure for public crying.

We took our seat at the tables and there was a pink bag at our place. Shelton got really excited and thought it was a goody bag – full of drug-branded sticky notes, clicky pens and even candy. There was no candy in that bag. It might as well have been a goody bag from a Halloween party at Hansel’s and Gretel’s witch’s house. It was full of NEEDLES!!! Giant needles. Probably the same ones used to give elephants and humpback whales tranquilizers. There it is, my needle phobia (trypanophobia).

I literally shuddered. And used all self-restraint not to ask “M” if we could just get a topical cream or some sort of flavored Dimetapp-style liquid. Give me a pill the size of an Oreo cookie if you must. But needles? Most are tiny, I admit. The ones for Lupron, Gonal F, Menopur all seem to be relatively approachable. I’ll probably cry and throw a fit the first couple of times and then I’ll get over it. That progesterone needle? It’s the one that’s seven and a half feet long. It’s the one I’ll do daily injections with for SIX WEEKS! In my butt. Which will apparently bruise and be sore.

We also learned that despite my constant theory that we’d get ONE DRUG throughout our entire fertility preparedness project, that there will be multiple drugs. Administered BY NEEDLE multiple times a day. The Lupron, Gonal and Menopur will last up to 12 days. The progesterone starts at egg retrieval (Day Zero) and continues through what will hopefully be my sixth week of pregnancy.

The entire three hours did not consist of the needle parade. “M” thoroughly walked us through the ins and outs of this upcoming cycle. There were points where she’d make a little joke and the room would laugh and I would be so thankful. We’re in there with 18 other infertile couples and it felt like the most awkward first day of school. No one looking to their sides, straight ahead. I could feel the class-clown tension between Shelton and I; each of us constantly wanting to make some uninvited wise ass comment. Because we decided to wear our mature adult clothes today, we kept quiet.

She explained that due to the drugs our estrogen level on the day of egg retrieval would be close to 4000. Any other time of ovulation it would be about 300. That is ludicrous. She gently suggested to the husbands that they remember this estrogen spike and act accordingly.

We also heard from one of the clinic’s doctors. She explained some of the risks associated with the drugs, and risks and statistics for multiples. I still REALLY want twins, as in, does Shelton’s opinion count since he doesn’t?? However, since I was wearing my mature adult clothes, the ones that say you can trust me with a newborn baby and that I pay my taxes on time, I decided to hear out the doctor. Because of all the drugs we’re on, the likelihood of multiples skyrockets. I asked if family history of twins plays any role and she said that what we’re doing overrides genetics. Fair enough. So if we implant two embryos, there is a 50% chance we’ll have twins (or more!). If we implant a single embryo, there is a 5% chance will have twins. I felt like Jim Carrey in Dumb & Dumber – “so you’re saying there’s a chance!” It would be the responsible and safe choice to opt for the singleton. After all, I’ve decided we’ll have more than enough embryos to freeze and come back later.

Then we heard from the embryologist, described as our first babysitter. She takes the eggs, and the sperm, and waves her magic wand, or rather pipette, over the petri dishes and builds our little babies. The only concern I had with her was, how do we know my egg didn’t get matched with guy B’s sperm? Before I could ask she more than reassured me that that isn’t going to happen.

Finally, we signed so many forms that I honestly thought someone was going to hand me the keys to a new house. We consented to the IVF, embryo transfer, ICSI, embryo freezing and more. We signed off that the living spouse gets custody of the frozen embryos if one of us should die (I had to promise Shelton I wouldn’t make his “ghost” babies). If we both die then we selected to have our remaining embryos donated to research.

I have to call “M” tomorrow to get my birth control and prenatal vitamin prescriptions filled. I hadn’t even thought about the vitamins. I’m no good, NO GOOD AT ALL, with daily pills. So keep your fingers crossed for me. In college I used to tape my birth control to the bathroom mirror so I wouldn’t forget… maybe I’ll try that again.

Afterward, I made Shelton take me for ice cream. Not because the doctor hurt me, which was always my mom’s rule growing up, but because of the impending promise of pain.image

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