Sunday, August 18, 2013

Protocol, going AMA and more paperwork...

So Nik and I went in last week to get my protocol, sign all the legal stuff for CRM and map out the scheduled for meds and implantation.

Now that was out of the way we ordered my meds. Continue on birth control, Loupron, baby aspirin, Delestrogen, Progertrogen in oil before implantation which should be on or around September 19th (wow, thats 1 months away, EEK!).

The meds arrived Friday during a board meeting I was hosting. (thats Sammy behind me)

Everything needs to be organized and separated. There are 6 different kinds of needles and syringes, each medication came with 2 different kinds of needles and they all get stuck in different places around my body, Oh fun!

(TMI alert!) As of right now I'm only on birth control and I've already had some weird side effects already. The first 6 days I was on it my sex drive went way up, day 7 and on the sex drive went away and I became very lethargic. Naps have been a necessity already and I'm only on birth control so far. I am honestly nervous how my body is going to handle Loupron. I've never been medically forced into menopause before so this should be interesting. I'm very sensitive to hormones so I'm glad they will be monitoring my levels and doing ultra sounds regularly.
Loupron begins in the morning (Monday, Aug. 19th) and its Sammy's first day of VPF too.

The first thing our Dr. went over was that she'd decided that I needed a hysteroscopy to remove a "tiny imperfection at the bottom of my uterus" She said that it was probably just a tiny polyp and that we should go ahead and remove it just because it makes our success rate better for implanting. Ummmm, what!?!?! After being told by the Dr., who did my HSG (in the same practice), that he "gives my uterus an A++ even with the tiny imperfection" I was a bit confused. We looked over the HSG image and talked about how with the pin head sized possible polyp, we have a "less than 10% chance it will affect the success of embryo implanting" really.... less than 10% it will even affect anything at all, thats not a very scientific statistic. I'm a facts and evidence based medicine kind of girl so you can bet red flags were going up. "its probably a polyp and less that 10%". So it may not even be a polyp. Those procedures are done while on your cycle so its possible that the imperfection (basically a spot that didn't fill in during the HSG) could have been a blood clot.
If you look closely you can see the "imperfection" look at the bottom left corner near the cervix. Its a little 
lighter than the rest. its about the size of a pin head. The procedure would cost them about $1400 out of pocket too.
With all of this information I took it back to my IP's. I gave them the "statistics" they gave me and the cost along with my concerns about how this came out of no where since my HSG was months ago and we got the all clear. I also asked the nurse at CRM to call my IPs to give them more details just so that I'm not just giving them my views on it but told them I'd be more than willing to have the procedure done if they wanted me to.
The next morning my IP's contacted me telling me they were torn over it and asked me my thoughts. I'm a birth doula so I tend avoid medical procedures and medication when I can so I  was completely honest when I told them I though it was excessive and unnecessary and as it turns out, so did they. We decided to go against AMA (against medical advice). I called Lauren, our agent, and filled her in on everything. Apparently thats common for fertility specialists to over a hysterscopy just before starting meds. Its a way to pad the bill and to get a better view of the uterus for the big day. She said no one ever goes AMA and that she was proud of us (she's a natural mama too). Apparently they were a bit surprised by our going AMA that they called my IPs just to be sure.





Wednesday, August 7, 2013

Here we go!


Started my hormones Tuesday night. I'm taking birth control to build up my estrogen levels before I start Lupron. We See Dr. Jaffe for our final IVF appointment to select and order my protocol on Monday Aug. 12th.