After Rachel cried on and off for 2 hours last night, I peeled myself out of bed this morning before 6 am and gave myself my Follistim injection and then took a shower. Hubby’s Dad kindly arrived at 7 am to watch the kids and I fought traffic for an hour before making it to my appointment this morning. Got my estrodial level drawn and then had an ultrasound. Things didn’t look as great this time around – follicle growth is somewhat slow so far, and only 8 are responding to the medication. It could be worse (much worse!), but still not as great as my last ultrasound (12-13 follicle last ultrasound). There are always bumps in the road when traveling down the IVF path. The follicles ranged from 7-9 mm. My lining was looking good at 6 mm, and thankfully I’ve never had an issue with that aspect in the past.
Another hiccup is the Follistim. When I went through IVF #1, I figured out (at some point, can’t remember how far into the process I was) that my Follistim pen was under dosing me. I believe I was using 600 IU Follistim cartriges at the time, so I probably figured it out after a couple of days (my dosage was 300 IU per day). Because of that, I switched to Insulin syringes and drew up the medication using a dosage conversion chart. It worked great. So this time around, I told my nurse that I didn’t want to use the Follistim pen, because I didn’t trust them. She didn’t bat an eye at that and immediately brought me Gonal-F syringes. She said the volume was same as Follistim and told me to draw up to 300 IU labeled on the syringe. Perfect. So I did that, and after 2-3 days this time around I figured out that I was OVER dosing myself with Follistim- arrgh!! So I called the clinic and spoke to a different RN, and she told me that Gonal-F syringes DO NOT work for Follistim and that I needed to use Insulin syringes and use the conversion chart (like last time). She was profusely apologetic over the other RN’s mistake and said that she would be educating her on this ASAP. As far as overdosing myself – well, it’s not really a big deal because one only responds a certain amount to Follistim and then that’s it. If I didn’t have DOR (diminished ovarian reserve) and was more sensitive to the Follistim, then I could have easily overstimmed on the increased dosage and caused the follicles to mature too quickly. But thankfully I was already on the maximum dosage, so it won’t cause me to be over-stimmed (as evidenced by this morning’s ultrasound and slow-growth follicles). HOWEVER – the mistake is very costly and will probably cost me (or insurance, not sure if it will be covered) $300-$600 because I will need to buy more Follistim. Each dosage of Follistim is $300! Overall it was a frustrating experience, but it is what it is and people make mistakes, myself included.
As my IVF Dr was walking out the door this morning he laughed and said, “Don’t worry, you don’t want 5 kids, do you?” I almost made some comment about how we’d need to buy a huge minivan, but held my tongue. There wasn’t any part of me that wanted to respond with “no way!” The fact is, kids are a blessing and if God gives us 5 children my hubby’s eyes might glaze over for several consecutive years, but I think I would love to have the opportunity to raise a large family.
Hubby is out of town right now to attend a really awesome Christian conference in Minneapolis. I wish I could be with him! So grateful for this opportunity for him to go. My family is helping me out by just spending time with us, which is a real help. My Dad mowed our backyard yesterday! And friends have been visiting also. God is so kind and gracious to care for me in this way while going through IVF and having hubby out of town.
Thank you for your continued prayers! They are greatly appreciated!