Wednesday, October 1, 2008

First IVF Meeting, Protocol and Mock Transfer

Protocol for IVF#1 = Microdose Flare Lupron

We spent the better of 4 hours at the clinic today for the IVF meeting, and it was my best day there yet! I was under the wings of the awesome IVF Coordinating Nurse Debbie. She insured my blood was drawn on the first prick, that we didn't have to wait around for anything - like the normal 2 hour waits. We sat in her office for an hour going over the protocol and calendar. She's down to Earth, a straight Shooter, and very intelligent on her subject. (I am very happy to report this b/c I have had stressful experiences with my very busy docs and the clinic - the only one in the state- and I did have a bad taste in my mouth about it)


I had a mock transfer that went well and again, the docs told me that I have the ovaries of a 25 yo. (20+ antral follicles?) The proof will be in the quality of the eggs that they ultimately harvest. Daren had to have blood tested and his soldiers were analyzed further.


I have to go out of town to a bz meeting the first couple days of Nov, so they are going to start stimming me on Nov.6 . They predict the transfer to happen right before thanksgiving week.

So basically I have the Month off! Whoopee!

We did decided to freeze the successful embryos that won't be transferred back to me.

So here's my protocol: Microdose Lupron (all our tests have been normal with the exception of an iffy high estrogen test once. Hence this is the protocol the doctor chose)

9/23 - 11/3 = Birth Control Bills - to suppress my ovaries
10/2 = Daren and Virginia take antibiotics to knockout unknown/hypothetical infections
11/8 = start Lupron for suppressing
11/10 = start gonal - f for ovarian stimulation
continue both of these (suppressing and stimulating at the same time??)
11/18 = take ovidrel to release eggs, take anti-biotic to prevent infection
11/20 = Egg Retrieval
11/20 = start steroids, progesterone and estrogen
11/23 = Embryo Transfers
continue Progesterone until first trimester complete.

This is subject to change of course and only skims the surface . The Lupron, progesterone, ovidrel and gonal - f are injections. Some are twice daily!

12 comments:

Amy said...

Found my way over here via Lost & Found...I'm sure your nurse mentioned this, but be prepared to stim longer. I stimmed for 12 days before retrieval. 3 days sounds very short!

Good luck to you!

Virginia said...

you're right amy! the nurse wrote the wrong dates down on my calendar; ER would fall much closer to Tgiving.

Thanks,
V

KandiB said...

Hey there! Just turned 38, and just finishing up my first round of IVF (after five failed IUIs and two years of trying)- I find out if it worked next Thursday.

I'll be watching your journey! Good luck!

Cassandra said...

Here from Lost and Found...

Welcome to the ALI blogosphere! Hope you enjoy it; I've found it to be a very helpful place.

Best of luck with your IVF cycle.

Leigh said...

What's a mock transfer?

Virginia said...

During the mock transfer the doc pretended to place the embryos into my uterus. The purpose was to see if I had a normally shaped cervix and which tool they would need to use the day of actual transfer. I suspect they did this mock transfer so early in my IVF cycle as an insurance test - to see if my company will indeed be covering these procedures.

Leigh said...

oh my word, that sounds terrible (or maybe that's just me) - I quite hated it LOL

Clio said...

Virginia, wanna hear another coincidence? my IVF nurse is also named Debbie!!! :O
About your husband giving you the shots... have him practice first. I think I remember people practiced injections on oranges. just an idea...
At first I thought I could never let my husband do it because knowing myself, I'll bicker all the way through. However, there's no way I can do it myself on my behind... So... I'll just hope for the best. ;)

Rachel said...

Hi! I just found your page when I Googled "mock transfer". They told me this AM that I have to come in for a mock transfer, and meanwhile my fiance is finishing up his last few tests (to rule out Prostate cancer ect). Do you by any chance have BCBS like me? I ask because I suspect that they are doing this procedure to make sure that it is covered for me, too. I live in Boston, and coverage is mandated here, but I knwo that insurance companies can put up road blocks.

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