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Confessions of an Infertile
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Infertility Sucks...
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Mc Gill Reproductive Centre - Montreal
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Flying Pharmacy (IVIg)

Thursday, December 29, 2005

First it's APA, now it's IVIg!? WTF?

Okay, it was bad enough that my APA's tested high enough that I'm doomed to two shots of heparin a day, but hell I can top that. I just got word (just today) that my NK Assay (Natural Killer Cells Assay) came in and I'm "not normal". What does that mean? Well, on a scale of 0 to 5, 0 being normal, and 5 being the worst Dr. Z has ever seen, I am a "1".

What the fuck?

So I've done some very meager IVIg research and know that this means I have to get an injection of immunoglobulins...but damn, can't I just do this myself and skip the ever-so-expensive fancy assed clinical setting with the IV pump? This is just insane. The cost for IVIg here in trendy Los Gatos is somewhere in the neighborhood of $2000. But since IVIg is administered in units based on one's weight I am surely doomed. I weigh 162 most days, more than many women as I'm tall (5'10"), so I'm sure that they'll insist on some extra IVIG just because of that. OMFG.

There is no end in sight to this hell.

Excellent reading on IVIg here. Essentially: if you're +NKa, you have a 4% chance of conceiving without IVIg, and a 50-55% change of conceiving with IVIg. I'm sold.

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Ultrasound of a 9 week old fetus

Diagnosis:
elevated NKs, NKUs, 3 +APAs (2 borderline), heterozygous for MTHFR A1298C. Slightly low thyroid.

dq-α:
me: 1.1, 4.1
dh: 1.2, 3.1

Low LADs were treated in Mexico and elsewhere with LIT.
Anti-sperm antibodies
Article: LIT and the FDA

No: ANAs, normal TH1/TH2 Cytokine ratio, or x-DNA/Histones.

IF Treatments:
-Clomid #1: Sept 2005
-Clomid #2: Sept 2005
-HSG: Oct 2005
-Lap/Chromo: Oct 2005
-Nat'l IUI: Nov 2005
-IVF #1: Jan 2006, β1=2.0, β2=0.9
-IVF #2: May 2006, β1=<1.0
-Myomectomy (5), salpingectomy (both), & endo removed via lap on 6.6.6
-LIT#1 in Nogales: 6.16.6
-LIT#2: July 2006
-FET #1: Sept 2006, β1=2.48, β2=<2.0
-Dr. Hungarian Dx Oct 2006
-Dr. Hungarian Tx Dec 2006-Mar 2007
-IVF#3: Mar 2007 Canceled myself right before retrieval
-IVF#4: April/May 2007 Canceled due to dominant follicle
-IVF#4: August 2007, β1<2.0
-IVF#5: December 2007

Pre-ET
Feng Shui'd the House
500mg Zithromax starting with stims
4 LIT Treatments
17 Weeks of Humira or Enbrel
30g IVIg CD5 of IVF cycle (day 2 or 3 of stims)
30g IVIg 2 days before transfer
1mg Dexamethazone starting with stims
30mg Lovenox, 2X's/Day
0.0375mg Synthroid
Lexapro
Prenatal
Folguard 2.2 2x's/day
Extra 1g C (Stop at ET)
Extra 1g Calcium
Extra 400mg E (Stop at ET)
Nettle Tea & Capsules
2g Bromelain
Extra D3
Keep BMI<24
4-6g Fish Oil/Day
Baby Aspirin
Eating Loads of Protein!
Nettle Caplets
Femoral Massage (Stop at ET)
Acupuncture (Stop at ET)
TCM Diet: No cold or slippery foods
Immune Friendly Diet: No non-sprouted wheat, sugar, starches. Little fruit.
No nightshades
No caffeine
No coffee, not even decaf
No soy when in cycle
10 days Doxycycline

Day of Transfer
Light activity

Post ET Changes
Visualization
200mg progesterone capsules
Take it easy days 2&3
No sex til beta#1
Cut out egg yolks (contains immunogenic acid)






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