So yesterday was Day One for me (Holly). Which means my cycle started (finally) and I had to call Dr. K's office to let them know. They called me back in the afternoon with all the instructions then had to call me back later to answer all my questions. Here's a recap:
Day - What to Do (Date)
1 - Start Cycle (Dec 3)
5-9 - Start Femara (2 pills a day every evening) (Dec 7-11)
12 - Be home between 8a-3p to sign for Ovidrel (Dec 14)
14 - Ultrasound (bring Ovidrel in case) (Dec 16)
The questions I had for them were what is Femara and Ovidrel and how would we know when the actual IUI will be performed as I need to schedule with the cryobank for pick-up plus I was going to help a friend on Dec 17th as she recovered from surgery the previous day.
Since my cycle is anywhere from 26 to 30 days now, the doctor suggested using a drug like Clomid to help ovulation become more precise since we have to do IUI to conceive and you really need to know when you are ovulating to be able to time the IUI. Well, Femara is basically the same as Clomid except better. From everything we read online, it doesn't have as many side effects as Clomid and it doesn't stay in the system as long as Clomid so it doesn't hinder conception. The next drug they mentioned was Ovidrel. The nurse had to call me back on that one but thank goodness again for the internet because by the time she called me back I had all my questions answered. In order to be able to time ovulation accurately to be able to know when to do the IUI procedure, they use Femara but the egg has to be released precisely also. That's where Ovidrel comes in. It's a shot that helps release the mature egg from the ovary.
So here's how it goes down. At the ultrasound, Dr. K will check to see if the egg is mature and ready to be released. If it is mature and ready that day, he will give me the shot there at the office. The IUI could be performed as early as the next day. If the egg is not mature and ready at the ultrasound, Dr. K will tell me when to inject the shot myself at home and then the IUI will be performed. Yes, this means I will have to give myself a shot or Roger has volunteered to give it to me. The online pharmacy that is mailing the Ovidrel shot to us has videos to learn how to inject the shot. We watched it and it seems easy. Then we got nosey and watched a few other videos for other fertility medications and almost scared ourselves.
I didn't know I had signed up for all of this, but it's what we have to do to get pregnant while Roger is on the clinical trial. Fun, fun! ~ Holly