Daily Blessings

Throughout this fertility journey, no matter how much life has thrown at me, I will remember my blessings & affirmations each day.

Archive for the tag “lovenox”

Forward.

I’ve recovered from my slightly down, reflective state from yesterday. I’m now waiting for my husband to come home & grill me a cheeseburger. Mmm. AF is on the horizon, as the spotting started today. Also, the need for cheeseburgers usually means she’s coming soon.

On CD2 I’ll start the birth control pills again, for 1 month’s time. It is what it is. Not my favorite part of the cycle. Then we’ll start the lovenox, prednisone (this is a newbie) and the injectables. I’m glad that I won’t be on Menopur this cycle & that I’ll be starting with a low dose of Bravelle. My meds arrive in the mail in less than a week already. I always love getting packages in the mail, even if its full of needles.

My goal is to work on having more calm, zen time this month in preparation for the chaos ahead. My hubs will be working out of state for 3 weeks & I’ll have the alone time I need. I am planning to find a chiropractor in town and get adjusted at least once, as well as do the castor oil packs once AF is gone. I want to do everything I can to keep my blood flowing properly, since that is an ongoing issue.

Well, it’s dinner time. Always a highlight of my day…

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CD3 – Yet Another New Beginning

I realize I owe a update for where my last cycle stands. It was our first medicated / monitored cycle with the RE {Reproductive Endocrinologist}. Where I left off was in November after a few days of stimming. My e2 (estradiol) levels were a whopping 1500. My medication dosage was being backed off slowly, as to not overstimulate me. And by “overstimulate” I guess I don’t mean OHSS. Rather,  my doctor didn’t want me to produce more than 3 or so mature follicles by the end of my cycle since I said I wouldn’t “selectively reduce.”  That’s a whole other blog topic there.

So, my Bravelle was lowered & lowered again. And then my estrogen bottomed out.

It went from 1500 to 620 then to 217. Major FAIL. This all happened around a weekend. Now, I need to state that my RE’s office isn’t down the road from our house. It’s over an hour away. So for 6 days in a row, I drove back & forth to the office and the lab to figure out what was happening with this e2 level.

My medication was upped again to 1 Bravelle, then 2 Bravelle & 1 Menopur, then 2 B & 1 M. Lord Jesus, I could not wait until Monday came around to see what was happening on the ultrasound screen. Luckily, my husband was off for a 4 day weekend, so he was there to bear the brunt of the crazy with me,

Monday came & I prayed before the ultrasound (just as I did every time but once). I thought for sure that there would be nothing on the screen. That I had lost all my follies.

But they were in there!  A few huge ones & lots of other ones. I was shocked, relieved & very concerned all at once. With an estrodial level so low, how did I have all these follicles? Every mature follicle should produce about 200-300 (according to my own doctor’s stats) units of estrogen. Some doctors will say each should produce 100 units. Either way, my blood levels did not match what I was seeing on the screen. No one really had answers for me at this point, other than my e2 finally went back up to 590 & I was to trigger that night.

So my husband gave me my Lupron trigger & we did what we needed to do over the next few days, blindly hoping for the best. I started my regular supplements. A laundry list of hormones in pill forms, suppositories & patches. I had been doing my Lovenox injections every day since I started the stims, as well as my NeevoDHA, baby aspirin & folbic. It was a lot to remember. None of them I minded more than the Lovenox. It’s just such a bitch of a shot.

Well, we hoped for good news, but in my heart I sort of knew it wasn’t happening. The estrogen snafu threw me for a loop & I knew something there wasn’t right.

My hcg came back negative last Thursday, but it was expected. I had tested at home a few times beforehand, which originally I said I was not going to do. But in my heart, I needed to be mentally prepared for that news. When my nurse called, I did not cry. I was upset, but I had done my crying the days prior. I was ready to move on by this point. And I was happy to get a small break from the Lovenox to let my belly heal.

So today is CD3. AGAIN. It’s the same old song & dance, isn’t it? I wonder how many cycle day 3’s I’ve had since I started TTC? Surely there have been a lot.

I visited with my RE yesterday for a follow-up & to get a gameplan for the future. It seems like just yesterday when I was walking into their office for the first time, but over 4 months have come and gone. My next monitored cycle will happen in February, with the commencement of bcp’s after my January AF (menstrual cycle). If we want to, we can try naturally this month while we’re on vacation (mmm vacation sex), but that means dragging along the bag of goodies (progesterone, lovenox, etc).  As always, we’ll continue patience & see what the future holds.

 

 

 

CD3, RE phone consult, & the cat

Our cat has already broke 1 cable box. Its only a matter of time before her fat butt fries this one too.

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So I had my phone consult with a Las Vegas RE today. I’d say it went well, was informative, & got me motivated. So motivated that I made my very first RE appointment at a fertility clinic in our nearest large city. FINALLY.

The RE doc disagrees that a LAP (laprascopy) is needed. He suggested a sonohysterogram instead. Since I have had 2 pregnancy + 1 chemical pregnancy the likelihood of my tubes being an issue are pretty slim. I tend to agree. He gave me a few tests he suggested performing, including NK cells (natural killer cell activity), karyotyping on myself & husband (looks for genetic issues), repeating my TSH & Prolactin levels (since they were a little high on his scale), plus a few more. Again, I was totally seeing eye to eye. 

Doc was onboard with starting Lovenox at the first positive pregnancy test also, especially due to my PAI-1 mutation. Plasminogen Acitvator Inhibitor relates to forming blood clots easier. I’m on aspirin now for multiple clotting issues. He did not, however, really feel like immune or autoimmune issues + implantation issues played a big role. This surprised me. Again, there is no way to ever know 100% what is and was the cause of my losses and fertility issues. But he offered up safe & easy resolutions to most all of the issues. This was reassuring to me.

A few rounds of Clomid to help with egg quality was brought up: naturally then if that doesn’t work, maybe an IUI or two. Because he said my husbands semen analysis was so good, an IUI isn’t exactly something we need. But I am becoming more open to it.

Tomorrow, I meet with the new OB GYN to get his insights, opinions, etc. Basically I am interviewing him and his office staff to get a feel for them… I am less than thrilled with the staff at my current office. I did call & leave a message regarding his thoughts on doing the sonohysterogram instead of the LAP… so we’ll see how long it takes to get a call back. Any guesses?? I say Monday. {Bangs head on wall}.

So until next time…

Info on sonohysterogram

Info of PAI-1 mutations

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