Saturday, July 16, 2011

Drug Diary

As a part of treatment you are given a 'drug diary', which is basically a sheet of paper where you mark which meds you have to take on each day.


Here is my cocktail mix: 


Cycle Day (CD) 1 - Baseline Blood test, collect meds
CD2 - Gonal F (150) - (a hormone injection that stimulates the ovaries to mass produce eggs)
CD3 - Gonal F
CD4 - Gonal F
CD5 - Gonal F
CD6 - Gonal F 
CD7 - Gonal F & start Orgalutron (another injection. This one stops your ovaries from releasing the eggs they're producing)
CD8 - Blood test & Ultrasound scan @ 7.30am. Showed 4 obvious follicles and a few others that may not mature in time. Gonal F & Orgalutron
CD9 - Gonal F & Orgalutron
CD10 - Gonal F & Orgalutron
CD11 - Gonal F & Orgalutron
CD12 - Blood test & Ultrasound scan @ 8am. Showed TWENTY (!!) suitable follicles! 8 on my left ovary, 12 on my right. Gonal F & Orgalutron - LAST DOSES! :) Egg Pick Up (EPU) scheduled for 9am on CD 15.
CD 13 - Ovidrel (Trigger injection given precisely 38 hours before EPU occurs) @ 7pm.
CD 14 - Jab-free day - woo hoo! My poor pin-cushion tummy is grateful!
CD 15 - Egg pick up. Start progesterone support, which is NOT an injection - thankfully!


My thoughts on self-injecting - it's not as bad as I expected. All shots are given into the stomach, about an inch or two beside, or slighty under, the belly button. I alternated sides each night. Gonal F is a nice easy to use 'pen', looks similar to an epi-pen and has a short, fine needle that I barely felt going in. Orgalutron was not so kind to me - the needle seems a bit 'blunter' than the Gonal pen, and stung a bit more going in. For about an hour or so after that injection I got a stinging/itchy sensation under my skin and often some redness. I only managed to give myself one bruise in almost 20 injections, and that was on my second last night!


The drugs that are going to help make a baby!

My own personal 'sharps disposal bin' - anyone that breaks in will think I'm a junkie!

Tuesday, July 12, 2011

Underway!

Our first IVF/ICSI cycle began on July 4th. I went to the fertility nurse to have my baseline blood test and all came back OK. After parting with a large sum of money I had my bag of drugs and was off! I started injecting on the 5th July with nightly injections of Gonal F (to stimulate my ovaries so they produce more eggs). The injection isn't bad at all, although the first one took a lot of mental preparation before I could actually jab myself! On the 7th the nurse called to schedule a blood test and ultrasound for Monday 11th July. I also had instructions to begin my Orgalutron injections on Sunday night. This came with a warning that 'the needle is blunter than Gonal, so expect it to hurt a little more.' Great. The injection itself didn't hurt but the injection site got red, sting-y and itchy for about an hour or so after.

So, BT & U/S Monday - there are about 5 follicles on each ovary. Three on each ovary are growing at the correct rate, whilst the others are a little small and may not mature in time for egg collection. I think we're looking at a haul of 4 (but secretly hoping for 6!) eggs. Back for another BT & U/S on Friday 15th where I expect them to tell me that egg retrieval will be on Monday 18th July....my vacation time will be a little longer than expected!

Monday, June 13, 2011

Pregnant women are smug

If you're one of my pregnant friends and you're reading this, I love you. I really do. But I also love this video and when I need to laugh, this helps.


Sunday, June 12, 2011

Crunch time

After our follow up appointment with Dr B last week we decided that our best option is to start IVF. We are hoping to be able to start in July. It is a lot to take in, and we're still getting used to the idea ourselves. But we are excited and relieved to finally have the wheels in motion.

Saturday, June 11, 2011

Things you shouldn't say to your reproductively challenged friend/family member

In the time I've been trying to conceive, you wouldn't believe the things people have to say about it. I realise that when confronted with infertility (albeit someone else's) many people aren't sure what to say and blurt out something they might think is terribly helpful. It's usually not. Here is a list of things you probably shouldn't say to me, or anyone else that's having difficulty conceiving.

1. "Just relax and it will happen." I am relaxed. Thanks. And although stress can affect fertility I can assure you that none of the invasive, expensive tests I've had to put my body through suggested I was 'too stressed out' to conceive.

2. "I just have to look at my husband and I get pregnant." Not helpful. It's not about you and how easily you can get pregnant. It's about the fact that I can't.

3. "There are worse things in the world than being infertile." You're right. Natural disasters, war, terrorism, being diagnosed with a terminal illness, etc are all infinitely worse than being infertile. I know that because I'm not stupid. This still does not make me feel better that I can't make a baby. Sometimes, to me, it doesn't feel like there's anything else in my world worse than that.

4. "Maybe you're just not meant to be parents." This often comes from religious minded people who firmly believe God has a plan for us, and that plan might not include children. Well, my plan does include children, so I'm doing what I can to make it happen.

5. "Maybe you've got a hostile uterus (or some other condition)?" You've been watching too much Grey's Anatomy. Don't diagnose me, unless you're my doctor.

6. "Be glad you're not pregnant because you'll get morning sickness/stretch marks/back pain/can't drink alcohol." I'll take it all. I'm pretty sure having a healthy baby trumps all those insignificant 'inconveniences'.

7. "Aren't you glad you can't have a kid, you don't have to deal with poopy nappies, temper tantrums, sleepless nights etc etc etc" No. I'm not glad actually. PS - Don't ever speak to me again. The general rule would be to try not complain about your pregnancy or children to your friend that is dealing with infertility. Save it for your Mummy friends.

8. "I had a friend who got pregnant as soon as she stopped trying." I'm not that friend, our circumstances are most like vastly different, and I have less than 1% chance of getting pregnant naturally I can't see that happening. Again, it's just not a helpful thing to say.

9. "Why don't you just adopt?" If you've never had to research adoption, you're lucky. There are less than 70 domestic adoptions Australia-wide each year. It's not uncommon for a couple to wait up to 10 years to adopt domestically. Inter-country adoption wait times are around 5-7 years. It's not as easy for us as it is for the celebrities.

10. "I hope you get pregnant eventually because being a parent is the best job ever." Here's hoping I find that out for myself one day but, until then, try not to rub it in, OK?

11. "Have you tried *insert any number of things here*? That worked for me." Suggesting sexual positions, telling me to put a pillow under my butt, suggesting I eat certain foods or take certain supplements etc don't usually help people who have a less than 1% chance of a natural pregnancy. And anyway, I tried them all waaay back when I started TTC, back when I naively thought stopping the pill was enough to get pregnant.

12. "Maybe I need to take your husband aside and give him some tips." (Often followed by winking, nudging) I don't need to explain why this is inappropriate. This is often a male's response, and it just makes me want to punch something (usually the face of the person who said it).

13. "I've heard IVF is really expensive." You heard right, and I don't need to be reminded. See my running costs list to the right.

14. "I know how you feel, I took me 2 months to conceive my first baby. It was really depressing" If you felt that way after 2 months, imagine how you might feel after 2+ years. And unless you're in the exact same situation as we are you don't know how I feel.

15. "You're from a really fertile family, so you'll be fine." In most cases of infertility, genetics has absolutely nothing to do with it.

I could add more to the list, but I think I've given you enough ideas! You might be asking "Wow, what can I say?"  Say "I'm sorry to hear that. I'm here for you if you need me." It's also super helpful if you remember things I've told you...for example if I tell you I have a Drs appt scheduled, a message asking how it went is always appreciated.

Sunday, June 5, 2011

Recovering

Two weeks on from the surgery and I'm feeling pretty well back to normal. I went back to work a week after the op, made it 2 days then needed another day off!

We are seeing Dr B this week and expect to get a lot more information to help us decide on the next step.

Wednesday, May 25, 2011

Reasons I'm not rushing back to work

I am due back at work tomorrow but have decided to postpone that for at least another day for a few reasons...
  1. The only pants I can comfortably wear that don't irritate my incisions are pajamas!
  2. I came to the realisation that teaching isn't really a job that allows 'rest'. Nor does it allow you to go to the bathroom whenever you want - you're governed by bell times :/
  3. Walking more than about 20 steps at a time is tiring.
  4. I did a couple of things around the house yesterday - load of laundry, sweeping, vacuuming - and felt like I had run 3 marathons when I finished.
  5. I checked my accumulated sick leave balance and I have over 45 days, so taking another one or two won't hurt.
  6. I still need at least one nap per day.
  7. J pointed out that every day at stay home I get paid the exact same as I would if I went to work, so why would I go in and deal with teenagers if I didn't have to?