So I got cleared for my IUI after the HSG, and we went to Disney World with my family (Happy Birthday sis!) As I mentioned, with IUI everything is planned. You go to the doctor the second day of your cycle, they do a baseline follicle* check and then they give you the medication you are going to be on (if you do a medicated cycle..I do). Well, I was in Disney on the second day, so on my third day, I went in and Erica did my check. I had 7 follicles on the left and 9 on the right. All was fine in the world and I met with Yolanda (LOVE HER!) to get my medication protocol.
* Letrozole* 2.5 mg for 3 days
* 2 injections of 150 mg Bravelle*
* 1 injection of Ovidrel* (only to be given when I am ready to trigger ovulation
* Progesterone suppositories (SEE…I TOLD you they would be coming!!)
The trick with IUI is that you have to plan the insemination around the ovulation. You really only have a couple days a month that you can get pregnant.Learning Point: Don’t ever let your teenagers know this. I am fairly certain that we have escaped an even larger teen pregnancy epidemic bc people think it is WAY easier to get pregnant than it really is!
I hate shots. I definitely hate shots that I have to give myself. Luckily J has become a pro and he became my personal nurse. The Letrozole gave me insane headaches. I finished my meds and went in for my second follicle check. They were looking for the follicles to grow, and mine did…I had two that were 18 mm. All looked good!! They took my blood and I left looking forward to triggering that night or the next…until Yolanda called and said my blood tests came back and didn’t make sense. So after all of that work on Jesse, I was now the one who had the problem. They were looking for my estradiol* levels to be over 100, they were 25 :(. They added another shot (great) and I had to go in the next day for another ultra-sound and blood test. Same results. Another shot…back the next day…levels were normal. And it was on!
Did I tell you that Jesse and I are never normal?
I triggered that night and 36 hours later we went in for our first IUI! How exciting. April 30th was going to be OUR day! J had to do his work in a room and then we would do the procedure. He went off to some obnoxious words of encouragement from his lovely wife and that was that. Fast forward an hour and let’s just say that HCG and follistim definitely work. Our nurses wanted to give him a super man shirt! Now it was up to me. With Dr. Perloe’s talk of a shakey-handed uncle at Passover (he makes me laugh), within 1 minute, I had just gone through artificial insemination.
That started the longest two-week wait of our lives.
*Follicle – where the egg grows and is released from
*Letrozole (Femara) – medication that is used for ovulation stimulation (off-label use. labeled for use after surgery for breast cancer)
*Bravelle – used to stimulate egg maturation
*Ovidrel – HCG — triggers ovulation
*Estradiol – In the female, estradiol acts as a growth hormone for tissue of the reproductive organs, supporting the lining of the vagina, the cervical glands, the endometrium, and the lining of the fallopian tubes.