Friday, October 21, 2011

IVF Treatment... "Oy Vey"

Here is the skinny...

I am currently on Birth Control, I know a little bit odd but apparently it  "suppresses follicle-stimulating hormone release by the pituitary gland, blocks ovulation and thus prevents formation of the corpus luteum...".  In other words, it is supposed to better plan the cycle - I think.  I will take the birth control for 19 days and so far, not so good. These pills give me heartburn!  I have felt awful since I started taking the pills but it's fine, I only have 15 more days to go. During the birth control period I will go in for a "mock transfer".

What is a "mock transfer", you ask?  Well, prior to Dr. O doing the actual embryo transfer, he wants to measure the depth of my uterus and determine the best way to insert the catheter during the real embryo transfer.  I never thought anyone needed to know the depth of my uterus or clean my cervix,etc... Anyways, once that is done and I get the "OK" that my uterus is beautiful we move on to the next step.  More blood work and more vaginal ultrasounds.  Once that is done, on or about November 9th, I will start the injections.

In the morning, I will get a shot, by my lovely-handsome husband (please be gentle), of Gonal-F (150 IU) ($744 for about three shots) and in the evening I will get another shot of Gonal-F (75 IU) and  Menopur (150 IU) ($150 per shot).  These two drugs will hopefully help me develop a lot of eggs.  This will go on for 3 full days and on the 4th day I will get Gonal-F (150 IU) in the morning. That same day I will go in for blood work and another vaginal ultrasound.  After I get the results that afternoon they will let me know the dose of medication that I will inject and I will continue to take three shots per day.   I then go in for blood work and more exciting vaginal ultrasounds every other day until my follicles measure 14mm or larger.  Once they are the appropriate size I will add Ganirelix injections (to delay ovulation) to the Gonal-F and Menopur.  Now I get to go in for blood work and vaginal ultrasounds every day!  How exciting!!! <insert sarcasm> At this point my lovely husband doesn't need to do anything but prick me with a needle 4 times a day!  Around the 18th of November we do one last shot, the trigger shot - Lupron, and the following day I go in for more blood work and a vaginal ultrasound.  If that goes well, a day after we do the egg retrieval.

I am quite nervous about the egg retrieval.  I will be under anesthesia and Dr. O will take out as many eggs as possible.  Oh! I forgot, while this is going on my lovely-handsome husband is in a special room doing you know what...  After the egg retrieval the eggs will be mixed with my husband's sperm and the rest is up to the little cells.  The eggs will be in the dish for 2 to 4 days.  Depending on how many cells have developed we will have the embryo transfer 3 to 5 days after the egg retrieval.

By the way, if it doesn't work the first time, I get to do it all over again!

THE IVF JOURNEY BEGINS...

It's been almost a month since my last post and a few things have happened since then.

We went for our second IUI and were not successful!  We were so disappointed because the protocol yielded 3 follicles (where the eggs hang out), the uterine lining was 8.24 and the boys (12 million of them-post wash) were great! I mean how hard is it?  I have the eggs, boys are good and plenty, uterine lining on the thin side but working, and they put the sperm at the opening of the Fallopian tubes...  Apparently, the eggs are not sticking.

Dr. O recommended that we do a third IUI,  but this time use only injectables so the lining would not be affected by the Clomid.  We were ready to go but I just didn't feel it was worth it.  Again, I thought that I was responding fairly well to the protocol and still didn't get pregnant.  Our odds of getting pregnant are still in the low teens (12%) with IUI so we have decided to embark on the exciting In-Vitro-Fertilization (IVF)Journey.

Let's talk about the financial impact on our family first.  Holy shit!!!  Our procedure (up to six tries) will cost us $20K!  No, it is not a typo, IT IS $20K not including the medication.  However, if we don't get pregnant in 6 tries we get the money back! The medication will be $5,666.90!  Keep in mind that our two previous IUI, some testing, and medication was all out of pocket. Now our "rainy day fund" is more like a "very light drizzle".

You know, a friend put it best when I told her the cost.  She said, well you would pay $20K for a car why would you not do that for a baby?  She is correct.  Derek and I want to grow our family and this is what we need to do.  I am quite scared what lies ahead and the toll that it might take on my body and mind...