I title my post "The Junkie is Back" because in every sense, I am. Back from Yellowstone and, significantly, back to elbow crook track marks and pinpoint belly bruises. For the first time in quite a while, the universe did me a solid and held off my period until I returned from vacation. (The park ranger first aid cabin surprisingly does not provide ultrasounds and blood work unless a rabid bull elk stabs you in the uterus. Fortunately, I did not incur this wrath.) On Monday, the flood gates opened, the angels sang, and I got a real, normal period for the first time since the longest miscarriage ever. That's just shy of three months since confirmation of fetal demise if anyone is counting. I was due for some bleeding. Yesterday I went in for my baseline ultrasound and blood work. All normal, good to go. I started stims last night.
This cycle, my meds are wildly switched up. For my first IVF, I was on a very standard protocol: 3 weeks of birth control pills, followed by Lupron, then Follistim & Menopur before trigger. The results were solidly meh: 11 eggs, 7 mature, 5 fertilized, 2 sorta-kinda-decent embryos, 1 frozen blastocyst, 1 lackluster BFP and 1 miscarriage. Let's do better, shall we? This go round, no birth control pills so as not to over-suppress my cranky reproductive system. Yay! Day 2 of my cycle started with stim drugs Follistim and Menopur. I'll shoot up with those for the whole cycle. Next Monday I add in Human Growth Hormone. I expect to get taller and more beautiful. Then, when my follicles reach 14mm or so, I add in Ganilrelix to prevent premature ovulation. Soon after, it's party time. This protocol makes so much more sense to me. In the long Lupron protocol, you shut down your hormones (Good morning, menopause!) until you no longer have the will to live. I slept through my days, typically in a pool of sweat. Then you kick your hormones directly into high gear until you're ready to burst. Apparently this works well for people. Not my cup of tea. With the Ganilrelix protocol sans birth control, you take your natural hormonal low point - onset of period, progesterone dropped off, estrogen just beginning to climb - and add in the stimulants then. At least conceptually, I like this. We'll see if my body likes it too. Dear God, pleeeeaaaase. Mama's getting tired of all this shiz.
This cycle, my meds are wildly switched up. For my first IVF, I was on a very standard protocol: 3 weeks of birth control pills, followed by Lupron, then Follistim & Menopur before trigger. The results were solidly meh: 11 eggs, 7 mature, 5 fertilized, 2 sorta-kinda-decent embryos, 1 frozen blastocyst, 1 lackluster BFP and 1 miscarriage. Let's do better, shall we? This go round, no birth control pills so as not to over-suppress my cranky reproductive system. Yay! Day 2 of my cycle started with stim drugs Follistim and Menopur. I'll shoot up with those for the whole cycle. Next Monday I add in Human Growth Hormone. I expect to get taller and more beautiful. Then, when my follicles reach 14mm or so, I add in Ganilrelix to prevent premature ovulation. Soon after, it's party time. This protocol makes so much more sense to me. In the long Lupron protocol, you shut down your hormones (Good morning, menopause!) until you no longer have the will to live. I slept through my days, typically in a pool of sweat. Then you kick your hormones directly into high gear until you're ready to burst. Apparently this works well for people. Not my cup of tea. With the Ganilrelix protocol sans birth control, you take your natural hormonal low point - onset of period, progesterone dropped off, estrogen just beginning to climb - and add in the stimulants then. At least conceptually, I like this. We'll see if my body likes it too. Dear God, pleeeeaaaase. Mama's getting tired of all this shiz.
Finally! You are back. I was stalking your blog waiting for new posts. So glad to hear you had an amazing real vacation and finally you get to start round two! It sounds like this round will be much more successful. Did your doctor mention freezing then thawing the embryo or two embryos? I have heard of studies saying that it can be quite successful...
ReplyDeleteBecause I have only 1 frozen embryo, my doc won't do a frozen cycle. They wait until there are a few frozen because the embryos don't always survive the thaw. I could get all drugged up and ready to go and then have my one and only embryo poop out. My goal is definitely to stockpile some primo embryos in the freezer.
DeleteFingers crossed your will need to buy a new freezer to store them all!
DeleteNext time you go, take me with you.
ReplyDeleteYou know, I find it so interesting when I read about WHAT Lupron and all these other drugs actually do. I went through my protocol totally unaware of what I was actually inflicting on my body and perhaps I'm better off that way. Ignorance is bliss, right?
Is it crazy that I totally pictured you luring a rabid bull elk to come stab you if necessary? I wouldn't put it past a desperate infertile. Hell, I'd do it.
No, it's not at all crazy that you pictured that because I ACTUALLY WROTE IT. It came from the insane recesses of my mind. If it wouldn't have actually made things worse, I probably would have smeared my pelvis with honey and grass and lured the shit out of that elk.
DeleteDuring IVF #1, I emailed my med schedule to my dad who is a doctor (a pediatrician). His written response, copied and pasted, "It's like they're firing your hypothalamus, pituitary and ovaries, and taking over! Yow!" That pretty much sums it up.
I fantasize about a retreat for my fellow infertiles where we bitch and bitch and laugh. Yellowstone sounds like a good place to start.
fantastic post - well, except for the nefarious infertility part of it which, you know, totally blows. but you made me laugh out loud. so there's that. cheering you on this cycle!
ReplyDelete