Oops!

This can get confusing at this point when they give you three drugs and only two have instructions. On Saturday I had another Ultrasound, since they found a follicle on Thursday, I got the all clear to do the HCG shot, Ovidrel, (only 1) on Sunday night to give to myself in my abdomen. Before I left though they gave me a presciption for one other drug I can pick up from CVS. The other two I was given there because they have a fertility pharmacy on site. :) The two I picked up are Ovidrel and Progestone (these are the ones that go in the umm well not orally), sorry to the guys reading this LOL. I was told the Progestrone to start that on Wednesday and the shot for Sunday night. The other prescription I thought was subsititute for the progestrone that could be taken orally. So fast forward to today (Monday) when I was scratching my head when they only gave me two pills of Estradiol. The progestrone they gave me at the office there are 20 of those. So I called the office and they just called me back at 3:00 p.m. and said I was supposed to take those two little pills, one Saturday and one on Sunday before the HCG shot. Arrgghh, they wrote only two of the meds down and every time they talked it was only regarding two meds not three. The little pill was supposed to make the lining in the uterus more receptable for a implantation. So I am already paranoid about maybe this not working and maybe miscarrying since most people that go through this you are throughly warned there is a higher risk of miscarriage. The nurse said not to worry though that since my lining was fairly good they did not forsee a problem. So no I have to make sure though that I DO NOT miss my progestrone. I was also confused because I was told to keep doing the ovulation tests until I see an ovulation. When I spoke with the nurse I expressed to her that everything I read said that I should have ovulated this morning but NOPE NEGATIVE again. She said "Oh you are still doing those, when you give yourself the shot you will ovulate there is no need to do the tests and that you should ovulate within 24-36 hours, the tests don't really work right with the Ovidrel. Also, do not do a pregnancy test for 18 days snce the shot will show you that you are pregnant with the hormones you just injected." So they were going to tell me this when, this is my first time on this particular medicine so a little more info from them would be great. :) I am supposed to take a home preg test in 18 days and if negative I go see them to do a blood test. If all is negative we start over again.

Next Phase....

Onto the next hurdle or stirup, whatever.....

So I had my appointment last week on 10-19 to go over the HSG results while AJ was there so we can all decide on a game plan. LOL
First of all I think our Dr. just came off of a all nighter at the hospital, he looked like he had not slept in 72 hours. He asked why we were there and I basically had to review with him. I guess he was confused since I they had another Dr. in the same office do the HSG because mine had a family emergency that day. (Dr. talk for a golf game he wasn't going to miss)
So back to the office talk, he said everything about my HSG went great, my tubes are no longer blocked and my uterus looks fantastic. So we scheduled another appt. for when I am on cycle day 3 for a blood test and another ultrasound. So I had my visitor visit me and I had my Dr. appt. yesterday to do the blood work and the "FUN FILLED" ultrasound. Let me tell you when you are on day three and you have an internal sonogram, not so much fun. :)
He basically went over what I already knew, I have major PCOS on both ovaries but supposedly this fertility meds they are putting me on has a greater success rate then Clomid. This medicine is called Femara and is actually used on women who have breast cancer. They have found that it helps women with PCOS get better results and less side effects.
Dr. McNichol also is having me take 4000 mcg of Folic Acid due to the fact that Spina Bifida runs in the family and I am to take it one month before and three months into the pregnancy as well.
Day 9-15 I do an ovulation kit tester to see if I have an LH surge, if I do I use these (umm how do I out this politely) inserts of Progesterone (and no I do not swallow them they go in another area) 3 days after the surge. On day 12 I go back to the Dr. for another ultrasound to see if a folical burst or did not, if there is one that has not they will help it along with another drug and 2 shots I have to do myself and only do them at night. Then I go back on day 20 for another blood test to see if it all worked. If not we do this two more months, then onto the next thing which involves a lot of shots, more ultrasounds and more drugs.

The good news is that the blood tests they did in the clinic came back all normal. The ones they set out to a lab have not come back yet, they said one week.

HSG over with, onto the next hurdle. :)

I had my HSG yesterday and there was some blockage in both tubes. They were able to clear them both, so now I go back on the 19th to see what the next route is. I am not really sure what is next, other than drugs and shots like they had discussed earlier with me. The other good news is they thought my uterus was folded in half, which would have required surgery to fix, well it is standing like it should, nice and tall. LOL So now onto the next adventure. :)

No HSG for me please :)

Ok, so I went to get my HSG yesterday. More like tried to get it done. I was supposedly still in my "cycle" and the Dr. acted suprised. Because most normal women finish on day 5. You do the test between day 6-12, I was scheduled for day 7. Well, news flash Dr. I am coming to you because I am not normal. ;P So I wasted more of my lovely "vacation" time at yet another Dr. appt. I was told if he tried to do the HSG that is would push the flow upward and cause my mild Endometriosis to go to severe, it can also flush everything into my abdomen as well. Once you go to severe you can't go back. So back on birth control I go for another two months and then schedule my procedure for day 7 during the start of the new pack. I should have named this blog site "My life in Stirups" instead of Fuller Follies. Also another fun thing I wasn't told was that it may or may not cause Labor like pains, so it would be better if I had someone drive me just in case and to take (4) 200 mg Ibprophen before I go. So I had to basically reschedule it for 35 days out from now.

For those who aren't sure what an HSG is, it is also called a A hysterosalpingogram is an X-ray of the uterus and fallopian tubes which allows visualization of the inside of the uterus and tubes. The picture will reveal any abnormalities of the uterus as well as tubal problems such as blockage and dilation (hydrosalpinx). If the tubes are not blocked by scar tissue or adhesions, the dye will flow into the abdominal cavity. This is a good sign but it does not guarantee that the tubes will function normally. It does give a rough estimate of the quality of the tubal structure and the status of the tubal lining. Some cases where the tubes appear to be blocked where they join the uterus, may in fact be normal. Often blockage at this location may be due to spasm of the opening from the uterus into the tube or from accumulated debris and mucus blocking the opening. This can be managed by passing a very thin catheter into the fallopian tube either at the time of hysterosalpingogram or during a hysteroscopic procedure.

Sometime if there is a blockage, during the procedure, the dye can force the tube open again.

Back to the Drawing Board

Well on 8/24/09 we will start with a fertility endocronologist. My OB/GYN said she has taken me as far as she can take me without a specialist. So hopefully this will help, if not we might have a house in a few months and can start the home study for adoption. Well, that is all for now, long day at work and the bed looks to inviting. :)

I love doing wedding cakes. It gives me a sense of accomplishment to come up with an idea and follow through with it. I love this cake and I think it is one of my favorite ones I did so far. Thank you so much Becca for trusting me to go crazy and do whatever I wanted. I just hope you were truly happy with it and that it tasted great. :)

Quack, Quack

 

AJ’s sister Tammy just had her baby shower this past weekend.  It was a wonderful party and she had a lot of people there.  Now granted this is not the best cake I have ever done, but it had to travel from Longwood to Avalon Park.  I swear his tail wagged all the way there and it made me so nervous.  The 3-D cakes are a little more nerve racking then anything else.  I am finding the more I do these, the more I am learning.