I met with my IVF coordinator a week ago. She went over the new meds that I would be taking this round and gave me all of my paperwork to get filled out. I learned that if I took the wrong med (I have two that are similar...one for now and one for later in the cycle) that it would cancel my cycle! I left a little overwhelmed, but ready to tackle this new challenge. The next day, I got a call my from nurse and she said that at their "lab meeting" where they discuss all of the patients for the upcoming cycle, the doctor had decided that he wanted to bump up my protocol and that she would be sending me a new calendar via email. Since this was the first one that I had gotten through email, I thought that I would share it with you all:) My calendar is my bible during a cycle. It tells me what I should be taking when...starts out pretty simple, but can become complicated by the end! It is very pretty to look at though, so that makes it nice too!
I have 3 new meds this time around. One is Ganirelix...I start that next week. It replaces the Lupron and does basically the same thing....but in a different way chemically-very scientific explanation I know:) My second new med is the E2V suppository--not really looking forward to that one! This is the one that if I accidently take my other suppository (the other one has progesterone in it, which is not good pre-pregnancy) instead it will cancel my cycle! My third new med is the E2V IM shot. This is a booty shot that Tony will have to give me...those hurt! So a different med to help with the suppression, but hopefully not too much so that I still respond to the meds and then 2 new estrogen support meds to help the eggs that I do make better. Also, he bumped up my Follistim from 450 to 600! Now that shot will have to be 2 shots instead of one since the pen only dials up to 450:( Lots of changes this time around.....here's to hoping that it works:)
Sher Institute for Reproductive Medicine
Cycle Prep - Stimulation for Jennifer (Chart #:) created on Thursday, November 10, 2011
Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
11/20 | Aspirin 81 mg daily | BCP 1 tab daily | | 11/21 | Aspirin 81 mg daily | BCP 1 tab daily | | 11/22 | Aspirin 81 mg daily | BCP 1 tab daily | | 11/23 | Lovenox 30 mg daily | Lupron 10 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | BCP 1 tab daily | Dexamethasone 0.75 mg in AM | Cycle Start | | 11/24 | Lovenox 30 mg daily | Lupron 10 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | BCP 1 tab daily | Dexamethasone 0.75 mg in AM | | 11/25 | Lovenox 30 mg daily | Lupron 10 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | BCP 1 tab daily | Dexamethasone 0.75 mg in AM | | 11/26 | Lovenox 30 mg daily | Lupron 10 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | BCP 1 tab daily | Dexamethasone 0.75 mg in AM | |
11/27 | Lovenox 30 mg daily | Lupron 10 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | BCP 1 tab daily | Dexamethasone 0.75 mg in AM | Last BCP | | 11/28 | Lovenox 30 mg daily | Lupron 5 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | Dexamethasone 0.75 mg in AM | Note change in dose | | 11/29 | Lovenox 30 mg daily | Lupron 5 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | Dexamethasone 0.75 mg in AM | | 11/30 | Lovenox 30 mg daily | Lupron 5 units in AM | Prenatal Vitamins 1 tab daily | Aspirin 81 mg daily | Dexamethasone 0.75 mg in AM | Baseline E2 | Expect Period | | 12/1 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | Expect Period | | 12/2 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | | 12/3 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | |
12/4 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V supp 2 mg in PM | | 12/5 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V supp 2 mg in PM | Follistim 600 units in PM | | 12/6 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V IM 4 mg 0.2ml/pm | E2V supp 2 mg in PM | Follistim 600 units in PM | | 12/7 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Menopur 0.5 vial in PM | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V supp 2 mg in PM | Follistim 375 units in PM | Note change in dose | | 12/8 | Ganirelix 125 mcg in AM | Intra Lipids 20 % | Lovenox 30 mg daily | Menopur 0.5 vial in PM | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V supp 2 mg in PM | Follistim 375 units in PM | | 12/9 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Menopur 0.5 vial in PM | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V IM 4 mg 0.2ml/pm | E2V supp 2 mg in PM | Follistim 375 units in PM | | 12/10 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Menopur 0.5 vial in PM | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V supp 2 mg in PM | Follistim 375 units in PM | |
12/11 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Menopur 0.5 vial in PM | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | E2V supp 2 mg in PM | Follistim 375 units in PM | | 12/12 | Ganirelix 125 mcg in AM | Lovenox 30 mg daily | Prenatal Vitamins 1 tab daily | Dexamethasone 0.75 mg in AM | US & E2 | CD 9 | Expect Further Instructions | | | | | | |
| 12/19 | Prob Embryo Transfer | | 12/20 | Prob Embryo Transfer | | 12/21 | Prob Embryo Transfer | | | | |