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Who are the lucky bloggers this month?

Working on it:
Mad Hatter
Ambivalent Womb
Stirrup-Queens
Delinquent Eggs
Wishing For One
I Can't Whistle
Hell Hath No Fury Like a Woman Barren
Everyone Else But Me
TTCNSLC
Endo-A-Go-Go
It Takes a Village
She's Back!: Manana Banana
Music Maker Momma

On other paths:
Fertile Soul
MLO Knitting
Pamplemousse
Out, damned egg! Out I say!
Holding Pattern
Hummingbird Chronicles
LAF
Try Whistling This
TTC Journey
Torrefaction
Velvet Cage

Success:
Adventures in Baby Making
Not According to Plan
Barren Albion
Barren Mare
Dead Bug
Due Dates
Fertility Shmertility
Flotsam
Fumbling Towards Eggstacy
Great Good Fortune
Healing Arts
Hopeful Mother
IF & the City
The Infertility Times
It Only Takes One Egg
(Non)Conception Confessions
Waiting for Baby Orange
Barefoot and...
It's So Not About You
...and Black Coffee Blues
Jenny From the Infertility Block
Smarshy Boy
Stella and/or Ben
Thin Pink Line
Tinkering with the Works
TKO, More or Less
Twisted Ovaries
UtRus
When Eggs Go Bad...

Other Good Reads:
Dr. Licciardi's Infertility Blog

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Mc Gill Reproductive Centre - Montreal
Georgia Reproductive Specialists
Jinemed Hospital - Turkey

Cooper Center - NJ
Conceptions - Colorado
Red Rock Fertility - Dr. Eva Littman
Pacific Fertility Center
Zouves Fertility Center"
Nova IVF
SIRM

IVF Meds - UK
Free Garage Sale
Flying Pharmacy (IVIg)

Blastocyst Grading Criteria
How much hCG is Left After Trigger?
POAS Ratings
More POAS Ratings
The Beta Base

Friday, January 02, 2009

My day with Dr. Italian

Day 2 of my UTI. As of 9pm last night it seemed to be on the retreat. Thank god for Cipro. So now I'm nervous that taking this humira is really going to fuck me up. But how the hell else do I get my FSH down? How? I just cut out caffeine, alcohol, sugar...and I'm off to WF's to get fish oils tonight. I have two weeks to try to make a dent. I doubt I'll make it but, hell, you never know. I can get in two shots before the next CD3 FSH and maybe it will help. I'm also doing Cipro and Dr. Hungarian was convinced that infections would make ovaries work harder and require more FSH to get things a'movin'.

Oh crap. If I've blown my chance the second I get IVF insurance I'll just freak.

So this morning I'm laying in bed with the new man...and his 4 year old crawls into bed with us and promptly starts sneezing and says, "I'm feeling a bit sniffly today." Fuck. From UTI to pneumonia in a few days? Seriously folks, I'm not over reacting here. Last December I tested positive for pneumonia after coming off of humira, so it CAN and DOES happen. So I grabbed a roll of TP for his nose and tried to keep the green stuff off of his pillowcases best I could.

So today was my big day at the new clinic. It totally blew my mind that the fees for today would be a freakin' COPAY! $25. I am so used to being raked over the coals from each RE. All day long I found myself freaking out because I wasn't sure how I was going to afford all these payments...and then I'd reel myself in with, "But it's covered!!!! Stop it already!" I'm not sure how long it will take for it to sink in that I have insurance at last.

So the clinic isn't impressive when you walk in the door. It's a bit shabby actually. But it's a satellite office so I'm sure the main place is much more impressive. My initial impressions: upbeat, a bit on the conservative side, realistic. He has a funny habit of talking fast and not looking at people in the eye...I'm not sure if that bothers me or if he's just quirky.

So the meeting went as such: vitals, meeting 1, u/s, meeting 2.

Vitals: OK, so I weighted with my clothes on. I'm 8 pounds heavy from my top shape in NYC over the summer. Ugh. BP is normal, slightly low as usual.

Meeting 1: He said I had a 5% chance of taking home a baby and asked if I was prepared for that bit of realism. Yeah, of course I am. We chatted for at least an hour. I had to reign myself in from asking him his thoughts on every single piece of IF research.

U/S: Dr. Italian fires up the dildo-cam and goes for the ovary on the right. He looks rather surprised and tells the nurse that there are 5, yes five, follicles on the right. One of them (or in addition to the 5, I'm not sure) is forming a cyst. He moves the cam to the left and tells me, "If you thought the right side was good, you should see the left!" Four follicles plus 2 small cysts. 9+ follicles on CD12. I can't tell you how pleased all of this makes me. I also realize that today being CD12 means that on CD2 or CD3 we might have found even a few more as it's hard for the U/S to "see" all the follicles once the cysts start to form.

Meeting 2: Dr. Italian explains that, at my age, he would have expected a single follicle on one ovary and basically nothing on the other side. He does a lot of smiling and fills out a lab slip for me to test my FSH/E2 on my next CD3. He's a bit optimistic. He said he doesn't think my FSH will be much higher than it was in my last IVF (it was somewhere between 7 and 10.5, heck if I can remember anymore). All I know is that if you've been following these posts...I have my doubts. He said he'd only let me cycle if it comes back lower than 12.

Crap.

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

dq-α:
me: 1.1, 4.1
dh: 1.2, 3.1 we parted

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.

SMA Carrier

IF Treatments:
-Clomid #1: Sep 2005
-Clomid #2: Sep 2005
-HSG (tubes barely open): Oct 2005
-Lap/Chromo (cyst removed; tubes clogged): 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: Jun 2006
-LIT#2: Jul 2006
-FET #1: Sep 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#3 Take 2: Apr/May 2007 Canceled due to dominant follicle
-IVF#3 Take 3: Aug 2007, β1<2.0
-IVF#4: Mar 2009 - Canceled due to my flipping out over donor sperm
- Hysteroscopy - Jul 2009 -IVF#4 Take 2: Jul 2009 - Canceled due to fibroid found during hysteroscopy - Myomectomy: Jul 2009
-IVF#4 Take 3: Aug 2009 - Canceled due to ovarian cyst
-IVF #4 Take 4: Oct 2009 - Antagon Cycle β1<1.0
- HSG, Cyst Aspiration on Left Ovary, Sclerotherapy on Endometrioma on Right Ovary: 29 Oct 09
-IVF #5: Nov-Dec 2009 - Adding in HGH one way or another

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
40mg Lovenox, 1X's/Day, 2X's a day if BFP
0.0375mg Synthroid
Lexapro
Prenatal
Folguard 2.2Methyl folate
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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