I'm just trying to get an idea of about how often I'll have to be going in/taking off work. I'm thinking every 2-3 days during the first 7-10 days of my cycle. Does that sound about average?
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Right now I'm doing oral meds and my RE has me come in on CD3 for baseline, then CD13. After that depends on my response to the drugs. I respond terribly so I typically go again 2-3 days later (CD15ish). All 3 cycles I've done I haven't responded to the first dose so then they have me try a higher dose for another 5 days and come in on the 6 day (CD20ish). Then it depends on again on response. If I do start responding it's every 2-3 days until I get to at least 1 follicle at 17 or 18mm. If I didn't respond and there's another dose I can take we might do it all over again, but that hasn't happened yet (I either responded or had maxed out already).
But the dr said monitoring is much more intense for injectables. Approximately every other day :-S.
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@MrsCB: Good to know! We are going to do injectables so I'm guessing it will be a little more often. And I'm curious what 'monitoring' will mean for us. Blood draws? Ultra sounds?
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Yeah, I'm sure it'll be a little more intense. And I know with my clinic it's both blood work and ultrasound every time (except for the beta draw after O). IDK about you, but my arms have gone through a lot with all the blood work I've had done. I highly recommend you bend your arm up for a while after (like they have you do after you give blood) to put pressure on the draw site. That'll help with potential bruising. And use an icepack later, for swelling. Even if your arms don't hurt at first, believe me they probably will after a couple weeks of getting poked so do both even if you don't think you need it.
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@MrsCB: Thanks - those are really good tips!
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When we did ivf, we had to be there every day for the two weeks we did injectibles. Most days were blood tests but we did have a few ultra sounds. I don't think this is normal but I think it helped us be successful.
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This was my schedule for my first IUI cycle with injectibles, I was a slower repsonder though so this could be different for you.
CD2 - U/S
CD3 - Start 75iu Follistim
CD7 U/S
CD10 U/S and B/W – Raise dosage to 100iu
CD12 U/S
CD15 U/S and B/W
CD18 U/S – Raise dosage to 125iu
CD20 U/S – Follicle is at 12mm
CD22 U/S – Finally have a follicle at 15mm
CD24 U/S – Follicle is 18mm, trigger at 9pm that night. Lining is ~10
CD26 IUI (6/14)
CD28 – Start progesterone suppositories 2x a dayAnd my schedule for IUI #2, we got our BFP with this one:
CD3 U/S Start 125iu Follistim
CD7 U/S – 4 follicles: 2-8mm on RO, 1-10mm and 1-8mm on LO. B/W, keep dosage at 125iu
CD9 U/S – No change, B/W
CD11 U/S – B/W shows E2 dropped, biggest follicle is now 9mm. Raise dose to 150iu
CD14 U/S – 9 follicles between 7mm and 11mm. Keep dose the same, hope cycle doesn’t get canceled.
CD16 U/S
CD 18 U/S –B/W, Cut dose in half to 75iu
CD 19 US – 3 mature follicles, lining is great
CD21 IUI (7/20)
CD 23 – Start progesterone suppositories 2x a dayHope this helps!
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@sweetkate: That's awesome thank you!! Did you O on your own before starting injectibles? I'm praying that we won't have to do a TON of shots or monitoring before we can do IUI. I O on my own, usually about CD 17. I'm not sure if the injectibles will cause me to O earlier, or if they do that!
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I didn't have a cycle at all before starting with an RE. Hopefully you don't have to do as many injections as I did! They do monitor you pretty closely, between the ultrasounds and bloodwork the Dr. will have a very good idea of when you are about to O. It all depends on the dosage and how quickly your follicles develop. My second cycle almost got cancelled because of how many follicles I had. Luckily only one stuck!
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@sweetkate: Well, that is good news - for me at least
Hopefully that will cut down on the amount of injections/monitoring appt, and $$! I'm hoping we only have to do one round, but I'm realistically expecting more.
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I'll keep my fingers crossed for you! I know how expensive it is. Luckily when I was converted from a contractor to a full time employee my benefits changed and IUI was covered. But with my old insurance each IUI would have been a few thousand.
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On injectibles (both IUI and IVF), I've gone in on CD2, then CD7 and every other day after that. It's worth finding out what time they have you come in, because if your clinic does it early in the morning like mine, you shouldn't have to miss any work at all for monitoring. On my IUI cycle, by CD11 they told me to trigger and come in the next day for the IUI so I didn't actually have that many monitoring appointments. Hope this helps!
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@spaniellove: That's encouraging - thanks! I got the price list yesterday and.... wow.... I'm hoping I don't have to be monitored TOO much! I'm starting to wonder how much my injectibles will be.
@sweetkate: That's great! I'm about 99% sure ALL of our costs will be out of pocket. Ugh.
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@Mrs.VW: That really sucks. I think for baby #2 we will have to pay out of pocket as well since I'm pretty sure we used up all of our benefit. I really wish insurance companies would pay for this stuff!
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On my IUI cycle they just had me come in cd3 for b/w and u/s, then I did clomid cd3-7 and came in cd 11 for u/s, had the trigger that night and IUId on cd 13. I think how often you go in really depends on how regular your cycles are and how well you react to the drugs they give you. Best of luck!
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I am in the middle of my first IVF cycle, and I've been going in every day for monitoring since Monday. I started my shots Friday evening. Today is my first day off, but I have to return tomorrow. My visits always consist of bloodwork and vaginal ultrasound. Unfortunately for me, my RE is 45 minutes away, so I've had to tell my boss and get an adjusted work schedule. Good luck with
yours! Best wishes! -
@marionberry: Thanks! Hopefully I'll respond well! I ovulate on my own so I think that helps me a lot too. I do my CD 3 bloodwork a week from now so that will tell us a lot.
@derevival: Oh wow! I bet that's a lot of work!
Hopefully you only have to do one cycle! Luckily ours is in town and fairly close to us. They do monitoring from 7-9 every morning and depending on what days you need to go, it's first come first serve so I fully intend to be there AT 7 every morning -
CD 3: b/w (only for first cycle)
CD 3-7: Femera dose (don't need to go into office)
CD 10: u/s (I get my u/s earlier than normal)
CD 11-12: trigger shot
Day after trigger shot: IUI
Process starts over when I get AF.If there are any complications, I might be asked to come in to get an ultrasound. Things like weird side affects from HSG and unknown O date (wondfro test failure).
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For an IUI, how often you go in depends on how you are responding to the Meds. I've always had to go in on either CD 2 or 3 for a baseline us and to check for cysts. After that I usually go in between CD 8 and 10. Then it really depends on how you are responding to the meds. Twice now I've already had mature follicles or follicles that were almost mature so we have scheduled the IUI. Other times I've had to go in a few more times for US. My last cycle I was on menopur injections. I went in on CD 3 and CD 9. At CD 9 I had 3 follicles, size 18, 16 and 14. She instructed me on when to trigger and I had the IUI on CD 12. Each cycle and different and will require different monitoring.
Hopefully you only have to do one cycle! Reply
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