Below I’ve added links to my recaps of the major components of an IVF cycle with CCS testing, Depot Lupron treatment, and an FET. I thought having these links in one spot might provide a clearer picture of what to expect from cycling at CCRM, but you can also click one of the Categories on the right pane of this page to see more.
Archive for the ‘FET Calendars’ Category
Posted by auntiem10 on February 3, 2011
Posted by auntiem10 on December 24, 2010
Yesterday I talked to a nurse at CCRM (not my regular nurse since she was out), and after talking, we decided that I don’t need to have bloodwork drawn today after all. The nurse said any bleeding after two months of Depot Lupron is a good thing, and it’s been consistent enough that she’s confident calling it AF. The spotting was heavier for a while yesterday, and I’m 99% sure at this point that it’s AF and not breakthrough bleeding. So we’re calling Wednesday Cycle Day 1, otherwise known (hopefully!) as the first day of my pregnancy.
Since my previous calendar listed 12/24 as the estimated day on which AF would arrive, the dates going forward had to be adjusted a bit. I expressed a desire to move up our FET date by two days if possible, since AF had cooperated a few days early, but it turns out that they are booked. So I will have to stick with the 1/13/11 FET date and simply add in two extra days of Vivelle patches. No big deal.
Patients are supposed to begin sticking on the Vivelle patches on CD 3, so I’m starting them today instead of Sunday as originally scheduled. I also start taking 81mg aspirin every day from this point forward, and I reduce my daily Lupron dose from 10 units to 5 units. And instead of having my estradiol level checked on New Years Day as originally planned, my first check will now be next Thursday, December 30th. Everything else stays the same, and you can check out my FINAL FET calendar below (click to enlarge).
Posted by auntiem10 on December 8, 2010
This morning while looking at my newest calendar, I realized that it was going to be difficult for me to have my estradiol level checked on New Year’s Day as scheduled, because my local clinic will be closed. I spoke with the main lab at my local hospital, and they would have to send out my blood to check estradiol–in fact, with the holiday, they thought it may take up to a week to receive the results! So I e-mailed my IVF nurse at CCRM to ask her if they could adjust the dates by a day or two to avoid this issue.
Lo and behold, she responded and asked whether I would prefer a 1/13/2011 FET date! Many surgery dates in January are already full, but apparently there was one opening left on that date. She let me know that they had originally added extra days of Vivelle to my calendar because of their packed schedule, but they could fit me in on 1/13 if I wished. Initially I was concerned that this expedited schedule might not give my body the time needed to build up enough estradiol, but my nurse reassured me that they’ll add extra patches after the first week if my level is a little low. After hearing that, I replied with a resounding YES!!! So all of the sudden, my wait has lessened to only 5 weeks from tomorrow! I feel very lucky.
My nurse said my first estradiol level can be checked on 1/2 or 1/3, so that no longer poses any issue. The only potential barrier is that AF has to show by 12/24 in order for this date to stick. I’ll be on 12 days of BCPs starting Friday, after which time I will impatiently await AF, so hopefully my body will cooperate. It should, since it will be a medicated period. I’m ecstatic about moving up the date again! Even better, our beta will take place on a Saturday (1/22), so the hubby and I can be together when we get the news, good or bad. And also great is that the Monday after our FET is a work holiday at my company, so I can take it easy one additional day and have a shorter work week while waiting for beta #1. This really feels meant to be!
Posted by auntiem10 on December 7, 2010
When you receive your FET calendar at CCRM, the typical schedule lists Endometrin (a suppository) as the main source of progesterone. Apparently most patients prefer to insert these yucky things three times per day instead of injecting Progesterone in Oil (PIO) once per day. At my former clinic, the RE instructed most IVF patients to use PIO instead of suppositories, on the basis that it supposedly does a better job of supporting life inside the uterus.
My original FET calendar included instructions for Endometrin, but I decided early on that I wanted to use PIO as my primary source of progesterone. It wouldn’t have bothered me too much to insert the morning and nighttime suppositories, but I didn’t know how I would find time during my busy work day to lie flat for 20 minutes. I find suppositories to be messy and yucky and just generally a bigger pain in the rear than a once-daily injection.
Plus, I’ve seen plenty of scary bleeding and low hormone level stories resulting from using Endometrin. The suppositories aren’t reflected in bloodwork as definitively as PIO, so your levels may look lower than they really are. And they can irritate the cervix, causing spotting/bleeding. No thanks.
Add to this the fact that PIO is much less expensive through my insurance plan than Endometrin, and you have a pretty easy decision made. So yesterday, my wonderful IVF nurse sent me a new calendar with the instructions for daily PIO injections, so I’m posting it below. No dates have changed or anything, only the instructions relating to Endometrin and PIO. I still have to insert one Endometrin at nighttime as a supplement to the injection, but my main source of progesterone will be through the huge PIO needle. And my lucky DH gets to continue refining his injection administration into next year. : )
Posted by auntiem10 on October 30, 2010
We were able to speed up our FET calendar by four days–not much, but better than nothing! The new calendar has me taking 12 BCPs instead of 19, so the FET date just moved up a bit. She wrote in an extra two days of four patches on 1/9 because otherwise the FET date would have fallen on the weekend (and CCRM only does FETs Mon-Fri). I think she forgot to change our beta date to reflect the new timeline, but our beta should occur on January 26, I believe. Eleven weeks and two days to go!
Posted by auntiem10 on October 19, 2010
Our CCRM nurse sent us a Frozen Embryo Transfer (FET) calendar a few days ago that details how the rest of this process will unfold (click to enlarge below). It’s wonderful to know what to expect, since this will be our first FET.
My birthday present to myself in December will be starting a pack of BCPs. : ) And my Christmas present to myself will be jabbing myself with lupron beginning on Christmas Eve. And lastly, around New Year’s Eve I’ll be celebrating my first AF in 60 days which, I’m assuming, will be terrible given her two-month absence. It’s funny how the dates on our calendar occur on holidays, but I guess that’s what we get for scheduling all of this around Christmas.
Our actual embryo transfer is scheduled for Friday, January 21, 2011. What’s ironic about that day is that if IVF #1 had worked, our EDD was January 20, 2010. So we’re kind of coming full circle by having the FET occur on January 21 next year. If this FET date sticks, our first beta will occur on January 30, and our first ultrasound would occur right around Valentine’s Day. This will either be the happiest or saddest Valentine’s Day of our lives.
Only twenty-five days stand between me and my second Depot Lupron injection. And thirteen weeks and three days until our FET! Our weekends are pretty filled up through December, so I’m optimistic that the time will pass pretty quickly even though right now January 21 seems so very far away.