Like Donkey Kong.
After a bit of a mishap on Monday, this injectables cycle is in full swing. On Monday, afternoon, the third day after my last provera pill, I started to feel boaty and crampy, and called the RE office to schedule my CD1 ultrasound. I was fairly certain CD1 would begin that day, and the doc had said to call "around" cd1, so I thought it was fine. The scheduling nurse that called back was a little snarky and said she couldn't get me an appt until I started bleeding. OK fine, I'll call back in an hour. But first, she asked if I knew how much clomid we were going with this time. I told her it was for an injectables cycle, and she asked me if I had taken the class.
Say what? Class? Dr K hadn't mentioned anything about a class when we saw him a few weeks ago. He told us to watch a video online. And that when I came in for the u/s we'd get all the instruction we needed for the shots. Scheduling nurse said that without having gone to the class, the cycle was a no-go. But we were more than welcome to do clomid again. I informed her that no, clomid is about as effective (for me) as relaxing, and that we would NOT be doing that again. She said that we'd probably have to skip this cycle then.
SAY WHAT??? I am SORRY, but don't tell an infertile that they might have to SKIP a CYCLE because of a stinking seminar on how to shoot a needle into your belly. I'm married to a freakin' DOCTOR. I have a strong feeling that he KNOWS HOW TO ADMINISTER AN INJECTION. And really, mixing the menopur was explained VERY clearly on the video from the drug manufacturer.
I got off the phone with her and shot off a quick email to Dr K. I also had a good loud ugly cry in the hallway at work, then a quiet ugly cry in my cubicle. About an hour later, AF showed up, so I called the scheduling nurse back. She was much less douchey, and made an appt for my u/s on CD3 and an appt with her for my "injecting class". Which was a joke. The only thing I learned that was different from the video was... ummm... wait, I didn't learn anything different. Oh well. She actually isn't that douchey in person, I think she just didn't realize that I was married to someone quite well versed in the art of injections. (Which turns out is the reason Dr K didn't make us do the class. Phew.)
I had my u/s yesterday, which (surprise) showed my usual 15+ cysts on each ovary, and a 6.5mm lining. I have no idea what that matters at this point in the cycle, but they wrote it down so I did too :) I also requested the CD3 FSH/Estradiol tests, and had the blood drawn as soon as everything else was done.
The protocol is fairly low maintenance so far:
CD3- 2 vials menopur
CD4- 2 vials menopur
CD5- 2 vials menopur
CD6 (Sat)- 1 vial menopur + blood draw for estradiol
CD7- 1 vial menopur (unless Dr K calls and decides otherwise based on estradiol results)
CD8- 1 vial menopur
CD9 (Tues)- go in for an ultrasound and see how things need to be adjusted
Pretty easy! We did first shot last night. It is my bitch. Dr Boy mixed everything while I watched like a hawk. When it came down to the actual shooting, I couldn't decide if I wanted to watch or not. Ended up not watching while he actually stuck me, but I did watch the shooting itself. It burned a very little bit, but did feel quite uncomfortable. 1cc is a lot more fluid than I thought. We might try using a little less tonight. Very little pain after, just a weird pocket where you could tell the fluid was. I couldn't stop poking it. No bruise today, no bleeding last night.
Injectables rock star. Though doing it myself? That will be a whole 'nuther story.