It’s rolled around again… I’ve been waiting so long it seems to be a slight anti-climax. I’ve started IVF cycle 2. (For the story of cycle 1, which resulted in pregnancy and then miscarriage, you can click on IVF experience at the top of the site.)
The reasons for the delay are a few… Firstly, I had to have surgery to remove a fibroid that was found during the miscarriage. Actually, I think it was highlighted earlier, but at any rate they decided it should be removed. Due to both the NHS (lovely NHS, but overrun with more urgent cases so loooong wait) and my medical insurance company (BUPA, who are possibly slightly less lovely as they refused to fund it if they thought it was related to infertility but it was eventually approved it due to my problems with heavy periods), the operation eventually took place in December 2015.
I think I first got called to schedule IVF in November time, and I asked the chap on the phone whether I should go on the waiting list or wait until after the op and he said to wait until after the op. Which put me back a few months. Really I should have just gone with it as that would have probably meant starting IVF in December last year (op was early December) but I guess being able to drink / eat soft cheese over Christmas isn’t a bad thing. As it turns out – it seems like the fibroid is still there, which means either the (private) doc did a bad job or it’s a super fast grower (unlikely it would grow back in exactly the same place within a matter of weeks). Not much I can do about it now – it’s quite small – 0.5 cm or something – so all I can do is hope.
We also sought second and third opinions. One from a private IVF clinic that does mild IVF, which we were quite open to, but even they recommended we take the free cycles (sounds like somewhere you give away old furniture) and then come back if it doesn’t work. In our area, we get three free cycles on the NHS, which is great. Although apparently the magic number is 4, as in most women with infertility which is treatable by IVF get pregnant within four cycles (sorry I don’t have the citation… I remember random facts but not names and dates). Good to know.
The third opinion was from Dr S who specialises in reproductive immunology. I know – lots of people think it’s bunkum. I’m undecided, but think it’s worth a shot. My history is not “just” one IVF miscarriage. It’s a forever (10+) inability to get pregnant, both in a previous long term relationship, a few shorter relationships (so judge me) and my current long term relationship with T. Yeah, I’d be the proverbial oopsie pregnancy person if my equipment actually worked. Anyway, with Dr S I’m following the borderline protocol which means that I have a few extra meds to take alongside my cycle. This is because I have a slightly outside normal Natural Killer pregnancy response (although I have a normal NK level).
IVF Cycle 2: Days 1-3
NHS protocol: Down regulation with Buserelin, 0.5ml
Dr S Supplements: Omega 3 (Urk), baby aspirin, Vitamin D, Pregnacare – detailed in a previous post
NHS protocol: My baseline scan is 12 April after which I may start stimming – my stim med this time is Menopur – last time it was Gonal F and I was a slow responder and did an extra almost week of stimming (stimulation – for eggs)
Dr S protocol: For the borderline protocol I am recommended to start heparin injections during day 4-6 of stims and have a one off intralipid infusion around the same time, and then prednisolone 2-3 days before transfer
So far I’m feeling fine although the injections hurt more than I remember! I do remember they hurt differently at different times during the cycle. I seem to be at peak hurty time if the first three are anything to go by!
I decided to do my hour (you can pick the time to do injections within an hour) between 06:30 and 07:30, which seems reasonable. Although I keep waking up earlier which is annoying.
I’m slightly up on weight this month but I think that is due to staycation and Easter. (Boo!) I’m hoping it will go down a bit so I can get back to February weight as I was doing much better then!
My boobs hurt a bit too but I can never quite tell if that’s my normal cycle or the drugs. It seems a bit odd that it would happen so quickly.
I haven’t stopped drinking coffee yet (one Nespresso in the morning) or soft cheese. I intend to eat a massive load of Pie d’Angloys this week and give it up by the stims phase! In theory the Nespresso should be fine but I’m not taking any chances. I might go decaf and see if it gives a placebo effect as it helps me wake up in the morning!