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Tuesday, January 31, 2006

Ultrasound #2 & HCG Shot

Went to see Dr. Z by myself today as J was in Arizona working. He'll be back tomorrow morning and definitely in time for the egg retrieval. I was a bit worried about being a single woman in the waiting room, but there weren't many people there today. I didn't stand out as a woman, alone, trying to get knocked up without the support of my "partner".

They took more blood for E2/Prolactin tests as well as a new NK test to see if my levels are stable. If they are not, I'll be doing an IVIg infusion this week. Test results for the NK will be in on Thursday...tomorrow...same day as my egg retrieval. TOday I start my BLue Cross PPO insuance covered by J, so I am thrilled. It will cover my IVIg at 60%. Thank god. Otherwise it would have been $2015 CASH.

Then they put me into the U/S room. I was pretty tender from all the huge follicles. 2 on the left side were at 18mm and all four on the right side were as well. So 6/12 were big enough to go. He didn't bother to look at the others, or to reverify my uterine thickness. My uterine thickness was just under 9 on Sunday so it would surely be fine today. They upped my steroid to 16mg a day, cut me off of the FSH and lupron, and told me to take my HCG shot at precisely 10:30pm tonight.

One of the nurses said that prolactin is a stress hormone and they want to see the number under 30. Mine was at 17 when they took it last Sunday so that is a good sign.

Went to RWS after the appointment and bought a stove, then to Ikea to look at draperies to warm this ice box of a house, and then to acupuncture. I pleaded with them to not make me lay on my front as my ovaries ached too much. They complied. When I got out there was a phone message from Nurse J saying that I was to do my HCG shot at precisely 10:30pm tonight. Oh, and that my E2 levels had gone up to 1886! Holy shit. If they only wanted 100 per follicle, I'm definitely in excess of that. I wonder if there are more folicles lurking about that Dr. Z did not view on the U/S today? Hmmm.... Or maybe it's just that my follicles are just productive as hell in terms of E2? Well we'll know for sure tomorrow.

So at 10:30am tonight I took my HCG shot. Very nerve wracking to have this all end in a tiny shot. I was panicked. Was it the right day? The right time? Did I use the right vial? I overwhelmed myself with doubt. But my sidekick JS was here and she photodocumented the entire momentous event. We double checked everything. We triple checked everything. It all went off without a hitch and I even sold our old washer and dryer between my heparin and HCG shots. What an evening. Glad JS was here to hold my hand like the doting buddy she is.

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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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