I went in for my day 8 monitoring appointment on Friday and also had my pre-op exam for the egg retrieval. Dr. Jam was running behind and so we ended up having to rush the ultrasound, so that I could get going for my dentist appointment, kind of a bummer. She was cheery and quickly measured my follicles, the largest one was around 12.5mm and I think she said there were about 6 good ones on each side. Her goal is 10-15, which means I'm right on target. My next appointment is Sunday with a different RE and Dr. Jam estimated that I will be ready to trigger on Monday, which would put me at a Wednesday egg retrieval. Of course, she added it could be a day earlier or later too. I cleared my schedule for Wednesday and Thursday, but not Tuesday. Eeeek! Anyhow, before I left the clinic they had me do my first Ganirelix injection to prevent ovulation now that the follicles have reached ~13mm. That brings me up to three injections a day, one in the morning and two in the evening. The afternoon call informed me my estrogen is at ~370 (I didn't write it down).
Afterwards, I rushed off to the dentist for a routine cleaning and I was a little anxious about if I would have to reveal I was in the middle of an IVF cycle. To be super cautious, I didn't want any x-rays and it turns out that I wasn't due for them anyway. I lied and said that I wasn't on any medications, since it was only a cleaning, why do they need to know that? Just when I thought I had made it through all the potential awkward spots, the super chatty hygienist starts telling me about all the weddings and babies due in her family. Ugh, and then she goes on and on about how she doesn't regret not having kids. Of course, she is working in my mouth, so I can't really respond, but come on! Shut up! Somehow I made it through until the end when she asked if I wanted a fluoride treatment. I know people have some strong opinions one way or the other on this one. I lean towards no fluoride and better nutrition and hygiene (Dr. Weston Price anyone?). But then I thought about morning sickness and barfing and carb overload that happens to many women during pregnancy and thought that maybe it was a good idea to get the fluoride. Then I panicked for a minute about if it would somehow reach my giant batch of eggs and somehow harm them. Sigh, too many thoughts. I ended up getting the fluoride, but then spit every couple minutes for the next 20 minutes until I could rinse my mouth out. Thankfully, I've got no cavities and was able to go for a nice walk afterwards to unwind after all the scraping.
Ok, so onto our injection routine. I try to be organized, at least somewhat, and so first I'll give you a run down of all the supplies and how I've been keeping them organized.
A basket containing (moving clockwise): a sharps container with a post-it on it and a pen to write down the date and location of injection (to help us track and rotate the injection sites), green zipper case that containing the Follistim pen, needles and alcohol wipes, the blue boxes are the Ganirelix that I just added yesterday (they can be stored at room temp), empty glass jam jar for trash (needle covers, alcohol wipes, cotton balls), plastic bag of insulin syringes (used for the micro-hcg), polka dot canister that holds clean cotton balls (sterile gauze would be better but I was too lazy to go buy any).
A storage bin with lid (for the refrigerator) containing: unopened boxes of Follistim, one bottle of mini-hcg and a small container to hold all the used Follistim vials. If I end up needing more than 10 days of Follistim, my clinic is going to help me consolidate the leftover ~100IU from each vial to make up a few additional days supply and save me from ordering more Follistim, which costs ~$260 a vial.
Additionally, I still have the original shipping box (at room temp) and it holds all the surplus syringes, needles, Novarel (trigger shot), the dreaded bottles of progesterone in oil and estradiol patches.
|From left to right: Annoying Follistim packging that J deals with, Follistim pen in the case with supply of alcohol wipes and needles, bottle of min-hcg and insulin syringe.|
|Slow progress, but you can see E.T.'s face now! I use my yoga ball to navigate in between the maze of tables, to work on different parts of the puzzle. I have a section that is just eyeballs. Sorta creepy.|
|Spicy peanut tofu stir fry with Bok choy and soba noodles|