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Wednesday, June 20, 2007

Defiant Ovaries

I had my first face-to-face with Dr. Generous which included an U/S and catheter check. I'm totally thrilled with Dr. Generous so far. I hate to totally fall for my REs as I did for the last two for when the honeymoon was over I felt like the carpet had been pulled out from underneath me.

Before heading in for the U/S I met with Dr. Generous in her office. She went over my latest CD3 FSH/E2 values. My FSH just two weeks ago was a mere 5.6. Sweet Jesus. It has NEVER been than low since I started testing 2 years ago. Never I say. My E2 was a bit elevated at 72 or 73, but hell, it's been as high as 90 when my FSH was 9 point something, so this is something to be excited about.

My mind quickly started to spin. "Is it the weight loss? The DHEA? I started drinking again. Maybe not worrying about the wine and relaxing is working? I've been eating dairy even though I'm allergic. Could that have helped? Hmm, I haven't been eating carbs. Maybe keeping my glucose down is working? Hmmm, it's been five months since my treatment with Dr. Hungarian. He DOES say to wait 4 to 6 months for the full effects of the treatment to show. Is that what explains it?"

You can see how my mind works and churns out idea after idea. It's actually quite exhausting. I wish I could turn it off, but I can't. I just can't.

So back to my meeting with Dr. Generous. There I was, on the U/S table, and Dr. Generous says to me, "Okay...1, 2, 3, 4, 5 follicles on the right ovary. And let's look at the left...oh, wow...that's a big one. Hmm...yes you've got a cyst on the left side."

FUUUUUUUUUUUUUUUUUUUCK!!!!!

After 10 days of birth control pills you would think my ovaries would have the sense to just quiet the hell down.

But no. Not MY ovaries.

Dr. Generous' brain quickly went to work. Paraphrasing...the next words out of her mouth went something like, "Maybe I'll take you off the pill. Have you trigger with HCG and then we'll add in estrace...wait...before I get carried away I'll confer with Dr. S and we'll put our head together and figure out what's best."

All I could do was lay there, my black socks in the fuzzy blue stirrups, thinking, "Shit, is this the same cyst that just won't go away?"

I sauntered back to the waiting room after my vitals were taken and waited with my mom to meet with the clinical coordinator. She called me in and proceeded to go over what the two doctors had concluded.

As it is, I'm to cease my birth control pills right away. I'll be back on Friday for another U/S to see if the cyst is large enough for a trigger. If yes, I'll trigger right away, start estrace 6 days later, and then wait for my AF to arrive. Then I'll go straight to lupron and stims. No BCPs as they're evidently useless as far as my body is concerned. If not, I guess I'll wait a day or two and then trigger. No doubt they'll want me in for another $220 U/S to make sure it's gone. Ugh. It just never ends.

We're not slated for ICSI and they want me to grow my embies to day 5 but ONLY if we have 7 or more. If we have 6 or less, we'll do day 3 transfers with assisted hatching. I'm sort of confident we'll have 7 or more so I'm a bit relieved that we'll save the additional $600 cost that is assessed for ICSI, and the $600 for AH. Every bit helps, you know? I'm also going to buy my meds on FGS unless anyone has anything spare to sell (eg, menopur, gonal-f, vivelle, estrace, etc). Shoot me an email if you have meds to sell. :-)

So, all I can say is that it sure will be interesting to see what happens with this cycle. I'm being primed with estrogen: something that hasn't been done before. Supposedly it's supposed to help with egg quality from what a friend tells me. It's not something I've researched before so I'll be up late tonight with Dr. Google trying to find out if that's true or not.

All in all, I'm feeling quite comfortable with my new slew of doctors. I hope that the honeymoon doesn't end, ever.

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Blogger Mary Ellen and Steve said ... (8:27 AM) : 

That sucks Linda. I hope that the cyst goes away by your next appt. Thinking of you.

 

Blogger Donna said ... (12:19 PM) : 

I'm exhausted just reading that. I really really really hope this is it for you.

 

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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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