Wednesday, May 26, 2010

IUI #4 cycle protocol

I noticed a little bit of spotting yesterday morning, and by mid-afternoon, AF had arrived (conveniently, right in the middle of a deposition, lovely).  I have not been feeling great today or yesterday, between a milder-than-usual-but-still-unpleasant migraine yesterday, plus heavier-than-usual flow and cramps--I swear, it's like AF is angry at me for delaying her arrival with medications--but I am relieved that AF has arrived and was not further delayed.

Nurse Favorite called this afternoon with the plan for this cycle (BTW, she is still pregnant, 37+ weeks now, and plans to work until she goes into labor, she says).  Here it is:

**Clomid 50 mg each evening CD 3 through CD 7
**Gonal-F injections in the following doses:
--150 units on CD 3
--112 units on CD 4
--112 units on CD 6
-- 75 units on CD 8
-- 75 units on CD 10
(Gonal-F is basically the same medication as Follistim, but I am using Gonal-F instead because of the increase in doses)
**hCG trigger when instructed (I use Ovidrel, as I had a nasty local reaction to Pregnyl the one time I used it)
**Progesterone gel vaginally each evening for two weeks following IUI or timed intercourse
**Checking OPKs daily before 11:00 a.m. each day beginning on CD 8
**Mid-cycle u/s to check follicles on CD 11

So I start my medications tomorrow night!  This is only the second time I have successfully gotten it together to do two treatment cycles in a row, and it seems really quick. . . . .here we go.

7 comments:

  1. Good for you for cyclin so quickly, I am a big fan of getting back on the horse. I will be cheering you on for the cycle!

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  2. Thanks for stopping by my blog.

    I was curious how fast one can do another IUI/injectibles cycle. I think we might try this next time, too.

    Let's hope #4 is the big one. And yes, I think it is wise to increase the follicles. Go for it!

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  3. Yeah! Sounds like a great plan. Sorry your AF is unpleasantly aggressive this go round, but now you are on your way!!

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  4. Good luck. I'm glad you are forging ahead and wish you all the best.

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  5. Why do you do the gonal-f?

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  6. N, as I understand it, both Follistim and Gonal-F are given to hyperstimulate the ovaries so that they will produce more than the usual one-follicle-per-cycle. The hope is that this will increase the odds of conception.

    Nurse Favorite told me that the RE switched me from Follistim to Gonal-F this cycle simply because it would be less expensive for me to use Gonal-F with the higher doses I will be taking.

    Hope that answered your question.

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  7. That does seem quick! I hope things go well for you this cycle!!!

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