We had another follow up appointment with Dr. V yesterday afternoon. I was happy to have it in the afternoon, in case I was feeling emotional after and wouldn’t want to go back to work. However, as it turns out, if you have to go to work before your appointment, you’re just too nervous, excited, and stressed out waiting for it, so it’s six in one, half dozen in the other. Oh well.
I wore all my good luck stuff for the appointment.
The anchor strength bracelet my husband gave me a few weeks ago, and he, I mean- the Easter Bunny, put the elephant earrings in my Easter basket after I told him elephants are a sign of good luck and maternity.
I got this great elephant scarf from Amazon for $8.99! You can’t tell from the picture, but it’s really a great quality, I was surprised. I think all my wishing worked because:
Since I’m only 3 pounds away from where she needs me, she gave us the green light to start the process!!!! I couldn’t believe it. Even though I wanted to start as soon as humanly possible, she had said we would be starting around June, so I was shocked to actually get the go-ahead. She joked “what’s wrong, you don’t want to start yet?”, and I told her of course I did, I just wasn’t expecting to start until June, and she joked again “well, we could always wait…”. So she handed me a prescription for BC and explained the process. It was all essentially what I’ve learned from all of you in Blog Land, so it was kind of nice to be able to follow along and understand just what she was talking about.
I started BC last night (it was CD3, so pretty good timing). I’ll be on it for at least 14-21 days. But I’m guessing it might run a little longer. There are a couple things that need to happen in that time that could push me back a bit. First, I need to continue to lose weight so that I’m able to actually continue. I’d like to lose a few more than absolutely necessary (wouldn’t we all?) because I don’t always want to be right on the target and be worried about going slightly over and having to stop or something. Plus I know from you guys that energy is going to be low during IVF and I’m guessing there will be a bit of takeout food that won’t be helping matters, and also the meds themselves can cause weight gain. So I’d like to feel safe in how much I’ve lost. Secondly, during this time, they will be submitting to my insurance for approval for IVF coverage. And in my experience, insurance companies (even though I apparently have a great one) aren’t really on the same timeline as us infertiles. What’s another week to wait for approval? Umm, a week is like forever.
After that all gets sorted out, I’ll stop BC, and on CD2 I’ll have an US and start stims. Sounds like I’ll be using a Gonal-F pen, and then add Menopur, and then add either Ganirelix or Cetrotide. These come with refills in case I need to stimulate longer. Then a trigger shot (Novarel, Pregnyl my sheet says…), progesterone in sesame oil (I read about progesterone in ethyl oleate, which is much thinner and therefore much more comfortable to be shot into your ass. Dr. V said she actually preferred it because of that, but the insurance companies don’t cover it anymore because of a problem they had a couple years ago. Pain in my ass, indeed!) and oral Estrace. If anyone has any tips or tricks for any of these meds, please let me know (I’ll need time to ask my care team if I can follow the words of strangers on the internet! haha)
I have so much information to read through:The first and second papers are actually packets, the first with 17 pages, the second with 6 pages. Good thing my job is slow on Thursdays! One thing I’m glad to have is the paper for my fertility pharmacy, which has videos online to show you (again and again and again) how to do the shots. They also included online resources. The nurse that was going over all the info with us said they recommend certain sites because they know we’re going to look online, but they want to ensure that we’re getting legitimate info. I’m sure she wasn’t referring to Blog Land! 😉 I’ll include them here for anyone interested:
Is anyone else around the same time as me as far as starting stims? I’d love to be able to support each other and compare notes.
The nurse actually asked me while going over everything if I felt ready to start. I was still just sort of shocked and I guess it really showed. Maybe they expected all my happiness and excitement to show. And I would’ve thought it would too. But I guess I was just too nervous. I did start crying in the parking lot with DH. It just feels too crazy to be real. I was fine the rest of the night, but I was trying not to think about it too much. Today I woke up in a pretty happy mood about it. I also just got a call from the clinic letting me know I needed a different kind of referral from my primary care Dr. before they could submit to my insurance for approval. Strangely enough, this made me super happy. I guess you assume the office is on top of what they need to do for you, but I couldn’t help thinking yesterday “ok, so they’ll let me know in a couple weeks if insurance was approved. But what if I fall through the cracks, and they forget to check. Then I’ll call in like 3 weeks to find out what’s going on with it, and they’ll realize they never checked on me, and then they’ll do it at that point, but then, again, it’ll be a couple weeks for it to be approved…” So it was great to get that call today because it reassures me that someone actually opened my file today to start the task of submitting to insurance. It doesn’t even take a few days for that to happen. My appointment was less than 24 hours ago and they’re already doing it!
Now I’m just sitting tight, taking my BC, Metformin (upped my dosage a bit), prenatals, and Vitamin D every night like clockwork, waiting for the next part to roll around. In the meantime, I will be enjoying a glass of wine here and there since I can’t once I start stims. And DH and I have set a tentative date for going to Tia’s (the restaurant I told you about with the amazing mojitos!) towards the end of the BC time, before stims start. Can’t wait!