Okay, so no big surprise they are changing things around again, LOL. Apparently, they had another consensus meeting at the IVF clinic about me. They are all baffled...I'm a mystery. I've always wanted to be mysterious, but not in this way!!! I don't think they are quite sure what to do with me at this point but I do have a new protocol to follow. My doctor said they are just looking for the right cocktail of meds that will get my body chemistry to accept the embryos. Everything looks good, the embies just aren't implanting for whatever reason. Her one big piece of advice was to try to de-stress. Ummm... yeah, okay... that's gonna happen!! LOL. Especially since this will definitely be our last go at this. We just can't afford to do it again... financially or emotionally! DH and I had a long talk last week because we were just at each other's throats (part of it, I think, was all the stupid hormones!!)... this whole TTC thing has really put a strain on our marriage Neither of us want that so we are taking steps to help correct it. We are making an appt. to go talk to someone, which I think will be really good. I know I'm not handling things very well and DH thinks he's doing okay, but I know he's not. We both just need to sit down and talk... DH and I have talked about stuff, but sometimes it really helps to have someone else there to help sort through things, you know?
Anyway, this is turning into a book, LOL. If you made it this far, thanks for reading Now for the new protocol. They are going to do a progesterone withdrawal protocol. So... I will take progesterone for 7 days and a round of Zithromax (they want me to take antibiotics in the hopes that it will clear up anything that might be there... nothing showed on my endometrial biopsy, but you never know... it can't hurt, so why not). No Lupron!!! YEAH!!!!!!!!! Then once AF shows, I'll do in for Day 2 blood work and ultrasound and start stims. They are going to do a combination of Follistim and Menopur in the hopes that it will give me better embryo quality and make my lining a little more receptive to the embryos. I will also be on Ganirelix to stop me from ovulating... so this round will be similar to my 1st 2 cycles... but with different stim drugs.
We'll still do a 3dt of 3 or a 5dt of 2. I asked about an hcg booster (I read on-line that it can help with implantation), but she didn't think that was a good option for me. Not sure why... she didn't say. Did anyone on here do an hcg booster? If so, what reason did they give for wanting you to do an hcg booster?
For the Menopur... is it a sub-Q shot?? They didn't tell me. I really, really hope it's not intra-muscular.
So, that's that... that's the game plan. I have to call and schedule a time for my drug shipment. I'm hoping to get that done today. Then we will be good to go. I'll probably start the next cycle (well, the progesterone anyway) mid-July.
DH and I have talked and we want to take a vacation after we have the ET. This way we are both stress-free (for the most part). Doctors orders (well, kind of, LOL). We won't have to worry about work and we can take day trips or a mini-vacation after ET. DH really wants to see the Perseid meteor shower (peak Aug 13), so we'll probably take Aug 8-12 off work. I'm hoping to head to Maine for Aug 12-14 so we can really see the meteor shower at it's peak. That would be awesome!!!!
We are trying to plan our ER for the 1st week of August (the 4th- 6th) this way our ET will be the week we are on vacation. I figured the first week after ET is the most important cause that's when implantation happens. I'll be so wrapped up in having fun on vacation, I won't have time to stress about if this last cycle is going to work or not. I've also decided I am NOT testing until the morning of my blood test. It's going to take a lot of will power for me to do that, but I just don't want to think about it and stress myself out if I continuously see BFNs.
That's all for now. I'm looking forward to my last cycle just for the simple fact that after this cycle I'll be able to move on, one way or the other. I just feel like I'm in limbo right now.
I hope this is it for you!! How do you feel about the new protocol?
My RE wants me to go see another RE for his opinion and unless he has really good reason for chnaging the last protocol we did, I am not really sure I want to change anything. This will be out last one too and I would be too scared to make any big changes since last round went well from a quality and # stand point. I think mine is an implantation issue. This whole process is such a mind game...I hate it!! Honestly I will be happy when we are finally done too. Yes, Menopur is Sub Q.
I am thinking of you...let me know if you need anything!!! Good thoughts, this is it!!! (I think I am saying that to myself too...)
It's really nice that your RE consults with the other REs in th clinic. That way they can all put their minds together and figure out the best option for you. Have you ever done prednisone after your ET? My first and second cycle they had me to prednisone, it was the clinics protocol. The thinking is it suppresses your immune system so your body has a lesser chance and rejecting the embryos since it is a foreign object being put in your body. The Zithromax makes sense because not everything can be picked up on a biopsy and it doesn't hurt to take it. I've did follistim and Menopur for my last two cycles. The Menopur stings a bit but it is sub-q. What's a hcg booster? Is it an hcg shot you take after your initial trigger? I've never heard of it, so I can't answer your question.
I can completely understand the stress and problems you and your DH are suffering. That is honestly one of the biggest reasons why we decided we couldn't continue on doing anymore cycles. I'm glad you've made an appt to talk to someone. Even though you can talk things out by yourselves it's good to have a "professional" there to give you some advice how to get through things.
Sounds like a good plan to take a vacation around the time of your transfer. Are you one that is scared of doing too much after ET for fear of not letting the little ones implant? It is going to take a lot of will power from you to not test because I know you are a POAS addict.
Best wishes to you and keep us posted on how you are doing!
IVF #1-cancelled d/t embryos arresting before transfer (3/09)
IVF #2-BFP 9wks-7/30/09 (6/09)
IVF #3-BFN (5/10)
I understand the stress. Good luck I will be lurking!!
WOW! That's a complicated protocol, and one that I've never heard of before. Good luck - I really hope this is it for you!
And just so you know, IF was a huge strain on our marriage as well, and we started going to couple's therapy about halfway through the process. It was amazing and really helped, so good luck with that as well!
I did Follistim and Menopur my 2nd and 3rd cycles. Just like Meg said....stings a little, but it is sub-q. Have you asked them about assisted hatching? I had that done on my last cycle and now I have the twins. I really think that made a difference in implantation for me.
Sounds like a great idea to take a vacation!! I will be thinking of you and praying for you
Rachel: they think my issue is implantation also. My RE said that the endometrium is one area they still just don't know enough about... that's why they are messing with the drugs to get me the right "cocktail" so that my lining is receptive to the embryos. At least you and I can be cycle buddies again YEAH!!!
Meg: yuppers... hcg booster is usually done right after 3dt transfer. Not sure how it works if you are doing 5dt. My RE said that they don't do that because they don't see any evidence that it really helps. I wouldn't say I'm scared of doing too much after ET, it's more that my job is a little stressful so I think taking vacation and relaxing will help. It can't hurt, right? LOL. I just want to pull out all the stops for this one. I wanted to take time off last cycle, but just couldn't because of things going on at work. I know, I'm a POAS addict. I just can't help myself, LOL... but this time I'm really,really going to try not to POAS.
Christi: Thank you for sharing. I didn't realize how much of a toll it was taking on our marriage until this last cycle. IF sucks! I know we will be much stronger after all of this. I figured we made it through DH attending law school and studying for the bar (twice)... so we can make it through anything!!!
Tamika: They did assisted hatching last cycle and they will be doing it again for my next cycle. I definitely think it helps... and like I said, I want to pull out all the stops for this one!!!
Ashlee: I've been following your blog and can't believe the girls are almost ready to come home!!! YEAH!!! That's so exciting! Be sure to KUP!!!
Amanda- GOTCHA!!!! I felt the same way on my last cycle. I was asking for any and everything lol. Then I got careless bc I just knew it wasn't going to work AGAIN....you know the helpless woe is me feeling....forgot to do my meds on time and often lol....
IF and IVF also took a huge toll on us. We were fighting more often. He doesn't show his feelings very well so I felt like he wasn't being sensitive to me and didn't care. You name it, we fought about it. You are definitely not alone in this boat.....
Christi- Was it you or Beth that called this place 'Last Resort Island'? LOL.....
Anyway!!!!! I am so stalking you
I don't remember who called it that, but that's totally where we all got stuck, on "Last Resort Island". Too bad it wasn't a nice tropical destination near Tahiti or something...
But Amanda - we have all left the island, so I know that you can and WILL too!