Archive for January 6th, 2009

I had my mock embryo transfer. I now have a mock embryo on board. I will love him, and hug him, and call him George. I hope he will grow into a perfect little mock fetbryo some day.

But seriously, folks. It turns out, I still have a uterus. Go figure. And ovaries. And hey! My ovaries? They’re stiiiiiiill perky! Who knew? And I once again got called meshuga by SuperDoc. He told the nurse who was there that I wanted to put back 5 embryos, but he talked me down to 4. Yeah. Something like that.

Anyway, if I can get my test results transfered over to Ye Olde Fertility Clinic from The Hatchery right quick, I should be able to get this show on the road really quickly. It’s incredible how quickly YOFC moves.

I didn’t ask SuperDoc about not doing the Lupron protocol – Dr. McB at The Hatchery was planning on using an antagonist protocol instead of a Lupron protocol to avoid OHSS. Dr. McB’s belief is that Lupron is partly responsible for OHSS issues in patients with my profile. I thought about mentioning this theory to SuperDoc, but he is confident that he can keep my risk under control, and I am confident in his experience, and I don’t feel like playing back-seat-doctor in his office right now. I am all set to start Lupron as soon as the doc gives the go ahead, which will be as soon as I have my pap smear, ID blood work, and HSG report all sent over from The Hatchery. Whoo Hoo.

Oh, and I confirmed financials with the insurance company last night. No preauthorization required. SuperDoc is an authorized in-network doctor, so I can just go ahead and do whatever I want. Copay is ridiculous – $40 per visit, $1500 coinsurance for the IVF, etc. But it could be much, much, much worse. I could have no coverage at all. Drug coverage is $50 per prescription, so my nurse is going to call in a LOT of medication, rather than making me get refills as I go along. I love her. 🙂

That is all. Love to all, from the perky one.

Read Full Post »

…and all I have to show for it is a picture of a plastic uterus:

Okay, so I have a little more to show for it than THAT.

I met with Ye Olde Fertility Clinic this afternoon. SuperDoc called me back with a bit of a smirk on his face. He looked… bemused. I said, “I’ll bet you never expected to see me again!” “No, no I most certainly did not!” I told him that if he could see the gorgeous smiles on my babies’ faces every morning, he would know why I have to make more babies.

“Well,” he said, “I’ll tell you for sure, if you’re serious, all I have to say is IVF with SINGLE embryo transfers; no discussion.”

“You think??” I retorted. “Hello? I begged for IVF the last time around. I swore to you I’d end up with HOMs if I did IUI and from the looks of my ultrasound report from that day, I’m lucky I didn’t end up with three or four more!”

He pulled up my charts on the screen and said that it was really out of the realm of possibility – my estrogen level was very low, so low, in fact, that the possibility of HOMs hadn’t even been on the radar. This was also why they weren’t concerned about me hyperstimming when I triggered – with estrogen that low, it wasn’t a factor. This made me feel significantly better about what I’d found in the report, at least with regards to the risk of hyperstimming. I still maintain that if I’d ended up with HOMs, given the follicles that I had, low estrogen or not, I’m lucky I didn’t end up with a few more.

Anyway, I told him I’d met with The Hatchery and that they’ve never done elective single embryo transfers – I’m petrified of that. Ye Olde Fertility Clinic does ~15% SETs in their cycles (and has a 67% pregnancy rate in those elective SETs – but that’s because with elective SETs, generally you’re dealing with a population of women who have lots of very high quality embryos to choose from. He predicts that my chances of pregnancy in an elective SET cycle are closer to 40%). I do have a 2% chance of having monozygotic twins in an SET. It does happen. But then we’d just know G-d has a sick and twisted sense of humor and that would be the end of that.

I’m doing my mock embryo transfer/sonohystogram tomorrow at 7:45am. I’ll be starting on Lupron injections either this week or in a couple weeks, depending on what my nurse tells me in the next couple days. Then 125IUs of Follistim injections and 37.5 of Luveris (I have no experience with Luveris whatsoever – do any of you?). We’ll likely be aiming for a 5 day transfer since with SETs they try to go to blast.

I have to send my HSG results from The Hatchery and my ID bloodwork from The Hatchery. My nurse is calling in my drugs to the pharmacy downstairs from their offices ASAP. We’ll get everything rolling as soon as we can. My husband and I have a notary public coming over this week to get our consent forms signed (if they’re not signed in the office, they have to be notarized. Since my husband and I are never in the office at the same time to sign the consents – a notary it is. Sigh. Big pain in the tushie.

And that’s all the interesting news there is. Now I need to go to bed.

Read Full Post »