Showing posts with label Vivelle. Show all posts
Showing posts with label Vivelle. Show all posts

Thursday, March 11, 2010

Box O' Meds, Part Deux

Guess what the UPS guy dropped off today?

My box of meds with my Meno.pur refill and meds for the 2nd part of my IVF cycle.
From left to right:
  • Vi.velle (estrogen) patches
  • Endome.trin (progesterone) suppositories
  • Diaze.pam (Va.lium)
  • Tetracy.cline (antibiotics)
  • Refill of Meno.pur
Notice there are no PIO meds.  Yippee!!

I am hoping this is the last of the meds I will be needing until I get my BFP!

Today, my friend E and her 2 1/2 year old daughter went out for our monthly girls' lunch out.  We always go to this Sushi and Chinese buffet place.  It's a great place for $9.99 a person, and we also have a coupon for $5 off for 2 people.  But the kid eats free.  How can you beat that?

I pretty much stuffed myself silly.  Not such a good idea as I am already bloated from the stims.  Well, this was possibly the last time I could have sushi with raw fish for a very long time.  Nine months, and most probably longer.  I'm praying that this is the case, of course.  We'll probably still come here for lunch every month after my BFP, but I will just have to avoid the ones with raw fish.  But oh, I sure do love the ones with raw salmon!

Today was also fun because E and I were able to talk about baby and pregnancy stuff (She knows about my upcoming IVF).  Like how she would pass down some of her baby clothes to me (her youngest is almost 9 months), and how I may buy some of her baby stuff like the jungle gym play mat, breast pump, bouncer, etc.  All this contingent on me getting a BFP, of course.  But it was great to be able to actually talk about baby stuff, morning sickness, and maternity clothes, and know within the next month that it is a very real possibility that I could actually use all these stuff.

Today, I feel bloated.  My ovaries feel "heavy" and there are some small movements and twinges in there.  It feels like my ovaries are having a party down there, and I'm not invited.  I'm hoping that this means my follies are actually finally getting off their lazy butts, and starting to grow. We'll find out more tomorrow at my appointment with Mr. Wandy and Helga.

Wednesday, March 10, 2010

Lazy Follies

I had my date with Mr. Wandy (ultrasound) and Helga (blood work) today, day 6 of stims.

My lining was 5mm, which is good.  However, my follies are lazy.  I have 10 small follicles on each ovary. 10 small.  Small.  I would have thought by now my follicles would have been at a measurable size, especially since we double the dosage of Meno.pur.  Dang lazy follies!
I suppose the one good thing is I now have 10 follicles on each ovary instead of 8 since March 2nd.  So I grew 4 more follies in 8 days.  Yay!!  Grow follies, grow!

I will continue my regimen of 5 units of Lu.pron and 2 vials of Meno.pur in the morning, and 300IUs of Follis.tim in the evening until my next appointment on Friday.  They will decide if anymore adjustments will be needed then.

I asked Nurse Amy when she thinks my egg retrieval will be.  Most people have the HCG (trigger) shots after 9 to 12 days of stims.  At the rate of how my follicles are growing, the nurse estimates that I would need 12 days of stims.  HCG shot is 36 hours before retrieval, so I am estimating that my ER would possibly be March 18th.  We'll see.

Helga drew my blood again today.  I'm starting to think that she is the only one that will be doing all my blood draws.  Not so excited about that.  I decided to switch and have my blood drawn from my right arm instead today.  My left arm was still sore and bruised from the last couple of visits.

As soon as I told Helga I wanted my to use my right arm this time, I started to panic!  It just occurred to me that I have never used my right arm for blood draws before this, ever!  I have always been so proud of left arm as I have never had any problems with it.  I noticed that my right arm does not have a nice visible vein that pops out a little, like my left arm does.  Suddenly horror stories of people being poked multiple times in the veins unsuccessfully came to mind!  Images of black and blue arms flashed by!

Argh!!.... what was I thinking?  Of course I was too embarrassed to switch arms by then.  Fortunately, Helga had no problem with my right arm.  I noticed that it hurt more after though, since I use my right arm more.

After the appointment, I called the pharmacy to refill my Meno.pur, plus I filled the rest of my prescription needed for the rest of the cycle:  Tetracy.cline, Va.lium, Endome.trin and Vi.velle.  Total cost: $296.95.  Again, thank you insurance company!

A side note: I have been experiencing headaches in the afternoons for the last couple of days.  I think it's the double dosage of Meno.pur.

I'm praying that my follies will behave and keep growing.

Come on..... Grow follies, grow!!

Wednesday, February 17, 2010

A Good Couple of Days

Sunday was Valentine's Day and also Chinese New Year.  For my Babe and I, it was a fairly quiet day.  Though we don't really celebrate the much hyped Valentine's Day, we did have a small Chinese New Year (CNY) Celebration.  I am ethnically Chinese, so I was missing the CNY festivities at home.  After church, we met up with two other couples and their kids for lunch at a Chinese restaurant.  Being that it was CNY, we ordered a set dinner which included pork with watercress soup, Peking roast duck, pork chops in Peking sauce, steamed whole walleye with ginger and scallions, stir fried crabs with ginger and scallions, salt and pepper squid, chinese broccoli and dessert.  It's not often we get to eat like this!  Then my Babe and I came home and took a nap.  It was a nice way to just relax and eat.   Eating is a HUGE part of Chinese New Year.

Yesterday I got a call from Nurse Mary that did my annual exam.  The lab had found that some traces of blood and protein in my urine during my appointment last Thursday.  She asked me if I had experienced any increase in frequency in peeing, or any burning sensation, etc, symptoms of of UTI (urinary tract infection).  I said no, in fact I don't even remember if I've ever had UTI.  So she sent those my urine out to the lab to be cultured anyway, just in case.  So yesterday (Monday) I got a call from Mary, they found that I had a mild grade UTI or bladder infection.  She called in my prescription and I picked those up last night.  Talk about great timing, because by the time I picked up my drugs, I was starting to feel discomfort in pelvic area, nothing serious but just kind of an icky feeling.  I have been told that I am lucky that they found my UTI early and and did not have to suffer severe symptoms.  I am on antibiotics for 5 days.  I'm glad it was found now before I start my IVF.  What great timing!

Today, I had 2 appointments at the Dr. Hopeful's clinic,  a shots class and a nurse's consult.  There were just 2 couples, we first watched a video on how to do the shots for Follis.tim, Lupr.on, Men.opur and HCG.  Then the nurse went over our syringes and pens to show us how to do the shots hands on.  We didn't actually inject anything, but it was nice to be able to touch and feel the actual "hardware" before we got them from the pharmacy.  The nurse also showed us where to inject intramuscular (IM) shots so our hubbies don't stick us in the wrong spots!  The other gal that was there found out I am not doing progesterone in oil (PIO) shots, and using Endome.trin suppositories instead.  She was not happy, and wanted to switch!  I felt bad for her and I am so glad I am not doing the PIOs!  I guess she is planning to talk to Dr. Hopeful to see if she can switch too!  I have to say I think my Babe is kind of looking forward to the opportunity to stick a big-a$$ needle in my butt!  I am doing the rest of the shots myself!  We left the shots training with a Follis.tim pen kit.

After the shots class, we met up with Nurse Stacey who did our consult.  My Ovarian Assesment Report (OAR) results came back.  
  • I had an Egg Retrieval score, or "chance of successful retrieval" of 9, which was "fair" .  This score indicates that there is a fair chance of obtaining 5 eggs or more through ovarian stimulation.
  • Compared to other women 36 to 40 years old, my egg retrieval score is average.
I'm not really sure what this really means.  All the nurse would say is that they would not be changing my protocol.  So I'm hoping that this does not mean bad news.  Ughh.... I don't really like the sound of "fair" and "average".  Why can't it be "good" or "excellent"?

We then went over all our meds, dates of shots, ultrasound and blood work appointments.   I start Lup.ron on 2/21, Meno.pur and Follis.tim on 3/5.  Depending on how my stims go, I could have my egg retrieval on the week of 3/15.  We'll see how it goes.  We also went over instructions for HCG where timing is crucial.  And of course my Babe will make his "butt sticking" debut.  I am expected to do a Day-5 blast transfer and I am hoping that we will have some embryos to freeze for future use.

Before we were done, Nurse Stacey also gave me my "goodies" bag, a bag with 4 boxes of FREE 300 IU Follis.tim AQ samples!  Woo hoo!  Free meds!  That's about $1,000 worth of free meds!  I was so excited!

In a packet that was sent to me earlier, it was indicated on the drug list that it was possible to get Vi.velle and Endome.trin samples too.  Stacey said she would check into it as they don't always get those samples to give out.  I asked if I should wait to order those, to see if they get any in later since I wouldn't need those till later in my cycle.  She said she would check another spot to see if they had any.  She later came back with 3 boxes (6) of Vi.velle patches and 2 boxes (12) Endo.metrin samples for me.  Score!!  More free drugs!  My Babe was quite impressed with the way I was able to "finagle" more free meds.  See, I told him, ask and you shall receive!  And I did ask nicely =)

After the consult with Nurse Stacey, we met up with Melissa, our financial coordinator.  We put down our prepayment of around $7K.  We had decided we were not doing the shared risk program and would be paying by the cycle.  We thought we would be paying for everything out of pocket.  But there was a surprise waiting for us!  

We were told we had a lifetime maximum coverage for infertility treatment of $5K!  We will have out-of-network coverage of 60/40 for the actual IVF procedure (egg retrieval and embryo transfer), but the follicle monitoring (ultrasounds and blood work) will be covered by in-network 80/20 coverage.   Plus we also had a $5K lifetime coverage for infertility drugs!  Oh, such awesome news!!  Even though it is not a huge dollar amount, it makes such a huge difference.

We didn't realize that when I left my job last year, and switched our insurance to my husband's company, the benefits started all over.  We had maxed out our infertility coverage at my old company, but now we start afresh!  If I had not left my old job, we would be paying out of pocket for everything!

I am having a pretty good couple of days.  Early detection of infection, unexpected insurance coverage and free meds!   I am praying that this is a sign of more good things to come!

Saturday, January 16, 2010

Making Some Progress



Today I received two packages from Dr. Hopeful's clinic in the mail.  The first was from Melissa, the financial contact.  Included in the packet were some brochures on how to finance the IVF, payment information, comparison between paying by the cycle vs. the AttainIVF (shared risk) program, estimate of charges, etc.  Boring but important stuff.  I can't believe we have to put down a prepayment of almost $10K by the middle of next month!

The second package was from a nurse, which included an IVF handbook, letter with list of testing required and estimated dates, consent forms for IVF and cryopreservation of embryos, a list of medications that I will be taking, and a prescription for my BCPs.  It's been years since I've been on any kind of birth control.  Hmm..... I have to take BCPs, which are meant to prevent pregnancies, to help me get pregnant.  Feels weird.....

I'm excited though, I found out I 'm getting Folli.stim, Viv.elle and Endome.trin free from the clinic!  I'm not sure how much this is going to save me yet, but either way, I'm pretty happy.  Anything free is super at this point!

Next step, research the cheapest place to get my meds.  Any suggestions?  I heard Freedom is the cheapest?

It feels good to finally be making some progress.