Wednesday, July 27, 2011

Here We Go Again

Yes, here we go again. I went in today for my CD2 blood work and ultrasound and I am perfectly at baseline. My FSH is 5.7, Estradiol was 30, and my antral follicle count was "in the 20s." So it is official, IVF #3 has officially started. Tonight I transitioned off of the Lupron and started 1/2 dose Ganirelix (125mcg) as well as Estradiol Valerate injections. A week from today I am scheduled for a diagnostic hysteroscopy and an endometrial biopsy and then I start stims the following day.

Here is a rundown of this protocol as it is a bit unusual:

7/27-Start 125mcg Ganirelix (given daily until trigger) and 4mg Estradiol Valerate IM injection (given every 3rd day until more than 50% of my follicles are 12mm or greater.
8/1-Start 15mg Prednisone daily
8/3-Diagnostic hysteroscopy (to quickly check my lining) and endometrial biopsy (to encourage implantation)
8/4-Start 600iu Follistim and continue with Ganirelix and Estradiol Valerate. Add in 25mg 4xday vaginal Viagra suppositories and Terbutaline 5mg 3xday and continue through trigger
8/8-Add in 37.5iu of Menopur
Trigger with Novarel somewhere between 8/13 and 8/17-apparently you stim a bit slower with this protocol

There are so many thoughts running through my head right now. This is the most intense protocol that I have done thus far. It has so many components and trying to keep it all straight is making my head spin. I am going to print out a calendar for the month of August and write down what I have to do each day. Due to the amount of meds I am on, my clinic is having me slowly transition onto them instead of starting them all at once. So instead of starting the Prednisone with stims I will be starting it on Monday. The vaginal Viagra and Terbutaline will still start the say of stims. I have never used Terbutaline before and I am a bit nervous. The nurse manager today said it is pretty much like crack but in tablet form. She said that I will be bouncing off of the walls with it. I guess it also causes tremors, headache, drowsiness, and nausea. Yippee, this should be fun!


  1. Wow, that is a pretty intense protocol. Would you mind explaining what each med does/is used for? I'm very curious, as I have never heard about some of them. 600 IU is a fairly hefty dose of stims, I do know that much! I feel for you so much as you get this IVF going.

    Sending lots of sticky vibes your way and hopes that the next few weeks just fly by!


  2. Sending lots of positive vibes in your direction. I hope that this is the magic formula!!

  3. It will be worth it for ten fingers ten toes and a healthy heartbeat!!