Monday, April 28, 2014

Let's Get This Party Started

We are finally into our first IVF cycle and even though we are on the road it still feels like we are moving at an impossibly slow pace. I am on day 12 of birth control pills and start Lupron injections on Wednesday. I'm excited and nervous all at the same time. I'm excited to get started and starting the Lupron feels like an actual start, but I'm nervous about all this not working. My prevailing thought is that this has a greater chance of working than not working....I'm just trying to hold onto that thought.

Here's how our schedule lines up so far: 
  • April 15: CD 1
  • April 17: Start BCP and antibiotics
  • April 21: RE appointment to get calendar and have mock transfer
  • April 23: Last antibiotic
  • April 25: Meds delivered - Lupron, Bravelle, PIO, Novarel, Minocin, Zofran - plus 165 needles, plus a prescription for Xanax to be filled
  • April 30: Start Lupron 10 units every morning
  • May 1: Mandatory IVF counselling session
  • May 6: Mandatory injection class
  • May 7: Last BCP
  • May 8-10: Potential period start
  • May 15: Baseline B/W and ultrasound
  • May 17: Decrease Lupron to 5 units, start Bravelle - 1 vial in the morning & evening
  • May 20: Increase Bravelle to 2 vials in the evening
  • May 21: B/W and ultrasound
  • May 22-26: Possible B/W and ultrasounds, to be scheduled on demand
  • May 28: Probable ER - Start POI
  • June 2: Probable ET
  • June 11: Probable Beta
Of course dates there towards the end are subject to change based on how I'm responding to the medicine, so really May 15 onward it's on demand scheduling. I was told to expect to take day of retrieval and following day off, as well as, bed rest day of and after transfer. I plan to take the entire 5-7 days off work depending on how the schedule works out. I think that will just be easier to manage. 

It's hard to imagine that we are here and when I really sit down and think about it I can't believe we are to this point. This past weekend my brother and sister-in-law came to visit with their kids and I was explaining to my SIL all the medicine I had and what the schedule looked like etc and my nephew said to me "What do you have cancer or something?" And he's right there is so much to this whole process, Dr appointments, medicines, injections and treatments. I know it's been said before in this community, but I think others really don't truly understand that this is in fact a major medical event that is happening in my life. And I am by no means comparing my infertility to cancer, this is of course not life threatening. That being said it doesn't make it any less medically impactful to my life. 

I also just want to take a moment and state how grateful I am for the insurance coverage that I have. My insurance hasn't also been the easiest to work with and has processed the large majority of my claims incorrectly. I've spent a lot of time on the phone with them battling about deductibles and what is and isn't covered by my plan. But for IVF the coverage is really amazing and I have to take a moment and feel the gratitude I have for that. For this IVF cycle we've had to pay less than a thousand dollars out of pocket ($638 to the RE, $23 for B/W, $175 frozen sperm sample, $30 for non-specialty prescriptions and $120 for medication). I know a lot of couples going through this have no or limited coverage and I can't imagine having to make that decision between perusing treatment or not because of the financial impact. That shouldn't even have to be a factor. So while I may have complained about my insurance, and they certainly have caused me heartburn in the past, I am nothing but grateful for the coverage that is provided by my employer and my insurance. 

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