Tuesday, April 13, 2010

Straight injectables cycle

Buzzbuzzbuzz...snooze...dream that I was late to my injections/down regulation class this morning...aaack! What a way to wake up.

5:45 came awfully early...that is when working 2nd shift really wears on me. Warning: please stay way from me today I will probably be very grumpy!

So I was utterly confused about the huge packet of information that arrived on Saturday. I was so worried about what drug I should pick...then I had the classes today. They helped so much! The nurses at Dr. Corfman's office are great. So I was a little confused and thought that I was going to be on a similar drug to Clomid (Femara) and then injectables to help get those follies growing. Nope. I am going to straight injectables. The first step is to get my monthly "gift", then I call the nurses, and that is when they give me "the plan". So (from what I understand) I will be taking Lupron and Norethindrone, they will overlap each other. During that time I will go in for an ultrasound and E2 levels (estrogen level). This ultrasound is to check and make sure that hormones are suppressed (down regulation) and once that happens the follicle stimulating meds can start.

Out of the list of injectables I have on the prescription list to choose from, I decided on the premixed pens. There are 2 meds that have the pens and I am hoping that insurance covers them, but if not I will have to pay out of pocket. At this point I am not too concerned, but I am sure that will change when I hear the total...;) I am also hoping that insurance gets billed as trying to induce ovulation and then all the appointments and ultrasounds will be covered. We'll see...

The nurses went over a lot of additional things with me, OHSS which is ovarian hyperstimulation syndrome, cancelling of a cycle either because of poor response (been through that enough times already) or too way too many follicles, multiple gestations, and multi fetal reduction (MFR). OHSS is pretty rare, but you never know with me...there are quite a few things that I have or have experienced that are rare (G6PD deficiency/allergy to many medicines including aspirin, post partum PUPPS <- I was allergic to my own milk or the hormone involving milk). There is a 25% chance for multiples, most of the time the result would be twins, if there are too many follicles then the doctor will have a talk with us about it and MFR could come into play if we end up pregnant. Not a big fan of MFR, and I don't want to think about it right now. I need to get to the point where I ovulate and then I can worry about the next step...

So, I am guesstimating that down regulation will start in about a week...keep you fingers crossed!


  1. Keeping my fingers and toes crossed for you!!! xoxo, Casey

  2. Congrats on starting a blog. Advice, you ask? Just be yourself, Erica, and tell your story. It is one that many women need to hear.