We’re a Go!

Yesterday I received the med calendar for this transfer cycle. I start my meds on Monday (8/19) eek!! I was laying in bed freaking out about the fact that I have two intramuscular injections this time and that my husband won’t always be around to do them for me. The more I thought about it the more I came to the conclusion that I won’t be able to do them myself…enter my backup plan LOL She’s a friend/coworker who lives just a couple minutes from me and she’s already agreed (in fact I think she’s looking forward to it) to come help me when I need it 🙂

The format of this calendar is not one I’m used to so it seemed a bit overwhelming. Aside from a difference in medication protocol from my previous clinic, I will be only having one lining check and it will be at the clinic itself. The last time I had a baseline ultrasound a few days into my period (and actually a second baseline about a week later) to make sure my lining was thin. Then two more ultrasounds to make sure it was getting thicker. This time I only have one on 9/13 to make sure it’s thickening. It is nice to not have to go in so many times, but this one ultrasound will require a 30min flight to Portland, a 45min train ride, and a 30min flight home. That sounds like a lot, but honestly it’s easier to do that for just one day than to have 3 or 4 different mornings that I have to try to get into the imaging clinic and have the husband go into work late so he can stay with the kids because I go in before they’re awake. This way it’s just one day that he has to do that and I actually should be able to be home in time to pick up the kids. Benefits of a close clinic!

I’ll post pictures of the calendar, but they’ll be hard to read because there is so much information. On Monday I will start taking Lupron (which suppresses the ovaries as we don’t want me trying to ovulate), baby aspirin (I believe this is to help with blood flow to the uterus, although I’m unsure why I would need to start it before my next period), and Doxycycline (this is an antibiotic to make sure my uterus is nice and clean LOL I’ll actually start another round of it just before the transfer). I take my last BCP (birth control pill) on 8/23 which should start a period. I’ll have a blood test then continue w/ the same meds (Doxycycline ends on 8/28) until 9/2 when I start the estrogen injections that are meant to thicken my lining. I do those twice a week, Mon & Fri. Those I will continue until around 10 weeks of pregnancy if the transfer sticks or until a negative Beta test (blood pregnancy test).

On 9/13 I go to ORM for the lining check ultrasound and another blood test. If my lining is thickening appropriately I’ll continue meds. If it’s not then we’ll come up with a plan. There are a lot of old wives tales out there among IVF patients about how to help your lining thicken. The only two I do are drinking pomegranate juice. There’s not scientific evidence that this helps, but it’s full of antioxidants and is supposed to be an anti-inflammatory. I did it last time and I’ll do it again, if nothing else it tastes pretty good (I dilute it with some water though otherwise it’s pretty strong). I’ll drink it from around CD 1 until the lining check on 9/13. I also do a couple yoga poses that are supposed to help with blood flow to the uterus. I came across this website during my last journey and the poses were easy enough so I decided to give it a shot. The one I did the most was the feet up on the wall pose. I would lay there for 5-10 minutes. It was nice to take a minute and relax and feel like I was doing something to help my lining. GC’s don’t have a lot of control over whether their bodies cooperate or not so it feels good to be maybe helping a little.

If the lining check goes well on 9/13 I will start progesterone injections on 9/18. These are also intramuscular injections so on Mondays and Fridays I will be getting two shots in the backside. These PIO (progesterone in oil) injections are to trick my body into thinking it ovulated so it’s ready to accept an embryo. We’ll fly up to ORM and have the transfer on 9/24 then I’ll be on strict bed rest for the rest of the day after the transfer and the next day. That means I will be in the hotel bed with just my shoulders propped up for what will seem like a long time LOL It will be a great time to catch up shows and just hang out with the husband sans kiddos (we don’t get to do that very often at all).

If all goes well (there are so many checkpoints that have to be passed) 9 days after the transfer (10/3) I will go in for a Beta test. This is a blood test where they test for HCG, which it the hormone present when you’re pregnant (that’s what at home pregnancy pick up in urine). If that’s positive I go again on 10/7 and 10/9 for the same tests. The number should be double every 48 hours to indicate a healthy pregnancy. If the test is negative it’s likely that I would stop all medications and wait for CD1 (when a period starts). Then we would try again with a transfer date either late December or early January. It takes a lot of effort and energy to even make it to transfer so of course everyone always wants it to work the first time. That’s not always the case. I’m usually a realist and tend to say “if” instead of “when”, but I’m trying to be more of an optimist. Obviously I know the possible outcomes, but why not just put the good vibes out there? So while I’m cautiously optimistic, I am being optimistic.

Let’s do this!

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