Thursday, September 27, 2012

IUI first Puregon Injections and blood work readings

After seeing my doctor on Tuesday, she suggested to start my IUI injectibles on Thursday, today!

I have always been terrified of needles and the idea of poking myself does not appeal to me. Still, a woman got to do what she has to do.

After a 10mins briefing and demo by the nurse, I gave myself my first jab. Despite not being a fan of needles, ( who is?!) , it wasnt as bad as I thought.

The idea is to know where to jab yourself. Area below the belly button, and half the index finger segment away from the belly button on bother sides are the ideal spot. Learnt something new, when rubbing the antiseptic, go circular motion outwards. That is to wipe the germs away and outwards. Going to and fro apparently only move the germs to and fro. Doesnt help. Lesson Learnt.

I was to do a 75mg Puregon jab each time for 6 days.
Unfortunately for me, there is a consecutive holidays in HK on Monday and Tuesday.
My doctor couldnt do much and so the earliest she can review my progress is Wednesday, longer than she like.

I had rem in July, my nurse had told me the "worst least ideal situation" that can happen is for me to get hit by this Oct holiday in the middle of my IUI. Then she commented "What are the odds right" trying to convince me not to worry. I should have told her, I am THAT unlucky, anything that shouldnt happen to others always seem to find its way towards me.

My blood work result came back, but that was on my version of Day 2 period, not Day 3 the ideal day.

The results came back Estradiol(E2) at 82, FSH 3.5, LH 6.1.

I am still concerned that my E2 reads so high.
Even though the last time it was 96, but that was day 3. This time it is at the start of my period and it still reads over 80.

Wish me luck...
I dont even know the quality of my egg, that is if I have any eggs even to begin with.

I am honestly not hopeful.
Keep my hopes down and the less disappointed I am.

Unsuccessful reaction to Clomid 5mg

July.

Finally my period came and went to start on Clomid at the lowest 50 dose..
I dont know if it was my miscalculation or what but my body didnt react to the dosage.

When I said miscalculation, it meant the way I was counting the period days. Normally, when the bleeding start, I would count it as Day 1. I mean, isnt that so? So I started clomid on Day 2, or my version of Day 2. However, only much later, I realise the nurse at the hospital count it different.

Apparently it makes a difference if my period came in the morn or night. If it came at night which was in my case, the following day is counted as Day 1 and not my layman version of Day 2.
Annoying. Why didnt they tell me that when I was prescribed the medicine?

August
I went back on Day 10-12-15-17 for scan.
No luck.

My blood works report report also came back.

- Estradiol level was at 96 and FSH at 4.2 on day 3 of my period

The doctor seemed okie with it thought further internet research indicated that high level of Estradiol level like mine may be suppressing my FSH level instead of indicating the true ovarian reserve level. Ideally, it should be below 80 on Day 3. Having a high Estradiol means my eggs dont have time to mature while the follicle grows. Have PCOS also contributes to high Estradiol etc. I had a good long read on this topic. It was depressing.

There was only 1-2 follicle and no eggs spotted.
The follicle was at size 10mm or so.
And apparently, only one side of the ovary produced the follicle.
Now, we dont know if I have a block fallopian tube (yet).

Really?!
As if I havent had enough bad news.
There was an option to check for fallopian tube failure but I had to decide if I want to do it next cycle. However, that means I cannot do my drug treatment for IUI. What? Missed another cycle?
So no, I opted for injectibles next and not clomid. I dont think my body will react well to clomid and reading all the internet IUI experience, most women react better to injectibles. I dont have alot of time on hand, so I made the choice. Afterall, if there are still no eggs after injectibles, I will know if I have blocked tubes I supposed. Plus there is a risk of infection for tube inspection so I thought let's skip the risk if we can.

However, before the injectibles, I had to induce my period since the window is too far apart.
It was early mid August when I know Clomid failed. So I had till end of August to wait for my period to come. As expected, it didnt and so I started on Norcolut 5mg meds to jump start.

Sept
Again, it took forever. After a week, my period STILL didnt come. It was already September for heaven sake! I am really racing with the clock and my body is not helping.

Just when I was going to make an appointment to find out what is the hold up, yeah  my period came. On the 10th day this Monday, instead of within the week after I stop Norcolut. The injectible treatment cycle begins.