25 November 2013

Back On {Fertility} Drugs

I finally have something going on in IF-land, and it's taken me forever to update about it.  I've been feeling extra boring lately, and I managed to misplace my motivation again, but I seem to have found enough for an update.

I think it's pretty obvious from the title that we're starting medicated cycles again - FINALLY!  I'm very excited that we're making progress again.

I went in for my CD3 ultrasound last Tuesday, and everything was all clear, giving us the green light to start our first IUI cycle.  The plan is to attempt this cycle with 5mg of Letrozole on CD3-7 (I took my last dose on Saturday), then go in for a follicle check on CD11 (this Wednesday), in hopes that I'll have some good follies growing.  If I have good follicles, I'll trigger and go in 36 hours later for the IUI.  If I don't have good growth ... I don't know what the plan is - maybe wait a couple of days to see if any follicles are closer to ready, maybe just cancel the cycle (which would really suck).  I probably should have asked about the worst case scenario, but my mind just wasn't there during the appointment.  I have to say I'm on the fence about this plan.  I'm trying to be positive, and I've been listening to my Circle + Bloom guided meditations to help with that, but I can't help but listen to that nagging voice in the back of my head that's reminding me that I didn't respond to 2.5mg of Letrozole.  And then I start to worry a little that I'm not going to respond again, and we'll have to cancel the cycle.  Sometimes the happy thoughts win, but not always.

To prepare for the best case scenario, my RE put in prescriptions for a Pregnyl trigger (my first intramuscular shot, it's a powder and has to be mixed, and if we don't trigger on Wednesday, B will have to administer the shot instead of my mom.  I'm so scared!), as well as 30 progesterone "capsules," aka hoo-ha suppositories.  This leads me to another reason why I love my fertility clinic - I didn't have to call around to different specialty pharmacies to find the best price because the RE's office did the shopping around for me!  All of their specialty prescriptions go through a popular specialty pharmacy in New Jersey (If you've had to order from a specialty pharmacy before, you've heard of this place).  B and I were a little nervous about the cost of the medications, especially  considering our limited income, but we lucked out.  My order with the specialty clinic was just over $100, and after we submit the receipt to our insurance company, some of the cost of the progesterone will be reimbursed.  Thank goodness for good insurance coverage.

So I guess that's the current state of my uterus.  I'm crossing fingers and toes that this dose of Letrozole is magic and we can move forward as planned.  Maybe we'll get a Christmas miracle ...

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