Making a Baby, IUI 4 – Part 1

Making Baby Mettler

It’s officially go time again!

We are switching up the blog layout and decided to write basically everything up to insemination in a full blog, then follow it up with the results and all of that good stuff. This way we don’t have 17 chapters for everyone to read and follow.

CD 2: This morning we had our first Ovary scan of this cycle. It is cycle day 2, and our emotions are already all over the place! We are very hopeful this time because literally, everything has changed. Steph has been completely Gluten-free for 90 days now, the medications are almost all different. This ovary scan was the easiest and quickest one we have ever been to. So that was also great. The right ovary was completely quiet and the Left had a couple of follicles.

Steph is starting Chlomid tomorrow and for the next five days (CD3-CD8) and then adding Gonal F Injections on cycle days 5,7, and 9. We had some Gonal F leftover from our last attempt so we used that first.

Our insurance technically doesn’t cover “infertility” but DOES cover “diagnostic stuff”. CRM (Center for Reproductive Medicine) submitted a claim for the diagnostic (cost of ultrasound and bloodwork) which was $250 each time at the other office PLUS the copay, so now if insurance continues to cover it, we should only have to pay a $65 copay each time instead of $250, which would REALLY help cost wise.

Fun/Annoying fact that we learned: The regularly prescribed dosage (250mcg) Ovidrel trigger shot is only 50-70% as effective as the Pregnyl trigger shot. WHAT?!! So what is the point in using the Ovidrel at all if the effectiveness is that insignificant in comparison?!! That’s just silly… 

THE SCIENCE and RESEARCH

We also just learned that the original donor we chose (the whole donor fiasco is in our previous blogs) is suddenly no longer available for purchase. So we have to switch sperm donors again, but it’s probably for the best after that whole mix up.

We narrowed it down to a few this weekend and will be ordering it this week once we decide on one and get the all-clear from the dr.

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One Week later CD 10: 

We went for our follicle scan on Friday, there were 3 follicles growing, Two 12mm and one 10mm. Still not big enough, so they told us to do One more Gonal-F injection the next day (Saturday) and then come back on Monday (3 days later) to check on the growth.

The nurse advised us to go ahead and order the sperm now so that it was at the office in time. This office has the capability of using their own Cryo tanks to store it in case something happens to where we would need to wait until the next cycle, etc. which is SUPER awesome. Normally the “to-go” tanks that they use for shipping are only good for 7 days. We decided to go with a Donor from NW Cryobank for quite a few reasons. They had a better selection for the things we need and want. The CMV negative donors are much fewer in numbers so to find one with the qualities we were looking for was an adventure in itself.

Sam and I have different things we look at when selecting a donor – I look for whether they’re educated, whether they’re a nice, caring person, their favorite things (TV shows tell a lot about the person!), and what they do for work. Sam looks for things like how old their parents and grandparents lived to be, whether there’s been cancer in the family, how many siblings, how many siblings are girls.. (basically all the DNA things that are actually controllable as opposed to my assessment of whether they’re nice, lol). In spite of our nature vs nurture conversations, we found a donor that is amazing and fits all of our criteria.

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Monday CD 13:

Follicle scan was this morning at 7:30 am and we have LOTS of activity… One follicle is at 14.5, One is 13, One is 12.8 and one is 10. One of the things we have been doing differently now that we are at CRM, is that they take my blood each visit (yay me) to measure the amount of estrogen in my body. They use this as a more accurate way to detect ovulation. As much as it sucks getting poked and prodded each time, I know the end result will be worth it. Currently, we are waiting for a phone call to tell us what to do next based on the results, whether I need another Gonal F shot, or whether we ride it out and come back or trigger, etc. It’s looking like we will be coming in this week for insemination, we just don’t know specifically yet until we get the call. As of 3pm, we are both anxious as hell.

Monday, later(4:52pm):

The nurse called. Tonight we have to do another Gonal F shot, but just a half a dose of only 37.5 because they are trying to slow down 1-2 of those follicles. If there are 4, they will cancel the cycle and that is NOT what we want. We go back on Wednesday morning to check up on them and then we will decide what our next step is.

Wednesday CD 15:

Last night, we lit some incense, and put our fertility stones around the fertility statue that our best friend got us for some extra luck with slowing down that extra follicle! We felt like it surelyyyyy couldn’t hurt anything.

This is a statue of the Celtic triple goddess of the Sun, the Moon, and Childbirth.

We had our next ultrasound to see what our follicles are doing at 7:15 this morning, And they slowed down all right! Maybe a little too much. We are down to 2 possibly 3 follicles and those ones haven’t really grown much at all…One is 15 ish, one is 14 and one is 13 (They were 14, 13, 12, & 10 respectively before). Butttt Steph has cervical mucus, which is a sign of ovulation, so they added a progesterone check to her bloodwork to check her progesterone levels, which are able to tell us if she’s actually ovulating or not.

And nowwwww we wait for that phone call again to let us know what our next steps are going to be. This waiting game is going to be the death of us. Whyyyy does it have to take allllll day to get our results. (We are working on this patience thing…)

(Progesterone levels peak a week after ovulation. Measuring progesterone levels at this peak time gives us a way to assess ovulation. A progesterone level above 3 generally indicates that ovulation has occurred and a level 10 or higher suggests adequate production to maintain a pregnancy.)

Wednesday Later (3:30pm):

GOOD NEWS! Steph is not ovulating! Progesterone is only at 0.3! So tonight we will do another Gonal F half-dose shot of only 37.5 units. And we go back in Friday morning at 7:45 am to see what our follicles are looking like.

Come on babies, GROW GROW GROW!

Friday CD 17:

Follicle scan this morning! We have two mature follicles. One is at 19, one is at 14, we also have an 11, but that one won’t end up releasing. They said that the 19 and 14 will grow a little more over the next 24-36 hours, and we should have the two eggs when we inseminate. Hopefully the 14 is able to get to at least 16 to increase our chances way more! Tonight between 6-8 pm we will use the Pregnyl trigger shot to force ovulation (this can take anywhere from 12-36 hours to happen). And then Sunday morning at 10:30 am we will inseminate!

We feel very excited about this cycle. Everything feels so positive and just.. different. Sunday night is a full moon and will be exactly 90 days (that we’ve been counting) of Steph being gluten free. All of our fingers and toes are crossed for babies!

Steph’s been having some headaches and hasn’t been super hungry but we’re chalking it up to the Gonal. She’s been super tired too, but that may be due to the crazy math and Engineering homework… This is the most hormones she’s had in a given cycle and I think this is the longest we’ve gone without triggering as well. Average ovulation is between CD 14 and CD 21 depending on the length of the cycle (28 day vs 35 day) so CD 17 is right smack in the middle which would be roughly the same as our “natural” ovulation date. The fertility clinic basically helps the follicles grow and mature so we aren’t ovulating with eggs that are too small to be able to conceive. They of course also control ovulation so we can pinpoint when exactly to inseminate since we only have that one shot.

We will end this blog post here and pick back up for our next post which will be all about the insemination and our Two Week Wait. Pray for us to have some semblance of patience!

Cost:

CD 2:
Ovary scan: $65 (co-pay)
Progesterone: $44
Chlomid: $14.79
300 pen of Gonal F: $170
Pregnyl trigger shot: $154.89

CD 10:
Follicle check #1 and bloodwork: $65 (copay)
Sperm from NW Cryobank: $525 for IUI Sperm $310 for shipping.

CD 13:
Follicle check #2 and bloodwork: $65 (copay)

CD 15:
Follicle check #3 and bloodwork: $65 (copay)

CD 17:
Follicle check #4 and bloodwork: $65 (copay)

Total baby-making cost to date: $6907.39

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