(Originally posted on Mile High Mamas on June 6, 2012 – http://www.milehighmamas.com/2012/06/06/embracing-the-chaos-of-ivf-the-game-plan/)
After surgery to remove the ectopic pregnancy in early January, we laid out our game plan for our first attempt at IVF. I like calling it a game plan as much as Dr. Swanson does because it makes the process feel more like a game of flag football rather than just a legs-in-stirrups marathon, like a competition of sorts (me, competitive? Never!) It also makes me feel like we have a team of cheerleaders nearby to keep our spirits high. I imagine our Conceptions team dressed up in uniforms with shirts that say “Go Team Stone” on the front in blue waving pom-poms and yelling, “V-I-C-T-O-R-Y! Hold that V!” You can picture that too, right?
The plan was to first check my resting follicle count and AMH levels (aka ovarian reserve of quality, healthy baby-making follicles) after two menstrual cycles post-surgery. All was well there. Next, we had our 4-hour consultation to learn how the art of love-making and the science of baby-making would join forces to help us get pregnant. During the consultation, we quickly realized that we were no longer waiting for the prime ovulation time to show up on a pee stick. Instead, each step would be methodical, from when to start on birth control, where to inject the medications and when to get ultrasounds to check the follicle count. They gave us a color-coded calendar so we could keep track of everything. Clearly, they’ve done this before.
I also had to have more legs-in-stirrups tests like a sonohysterogram, Doppler ultrasound and a trial transfer to ensure my girly parts were up-to-snuff and Doc could find the right spot for the egg when it was time. The trial transfer was the most painful, not because of the process, but because I had to drink a bunch of water prior to the procedure and couldn’t pee until it was over. That was fun, really. And why is it when you have to pee all you can think about is a running waterfall?
Then it was time to get my medications. Our insurance company had approved the IVF attempt a while back so getting approvals for the meds should have been super easy, right? Not in our case. It took two weeks and daily stalking calls for Conceptions to get the green light to order the meds. During this time, our refrigerator and garage door decided to break so I had to juggle work, insurance company phone call stalking, repairmen visits and run the household since Barry was out of town. I kept thinking this was all a test of my will so I kept plugging on.
Finally, on Friday, March 9, the box of meds came. Typically, when I think of meds, I think of an orange plastic bottle with a white cap. For IVF, the box looked like I ordered several pairs of shoes and they all shipped together. I opened the box, and pulled out the first box of meds, then the second, then the third…I thought I would never get the bottom. It was kinda like Christmas except instead of shiny gifts, I got syringes and boxes of meds containing little glass bottles of powdered stuff and sterile water. The only mix up was a missing ice pack for one of the meds, but the pharmacy sent me an overnight package with a new bottle secured in an ice pack. A minor setback, but it didn’t mess up our timing.
On Saturday morning after I got the last bottle, I laid it all out on our dining room table, which seats six. I kept waiting for the DEA to show up at my door and demand a raid of our house. Thank goodness that didn’t happen, my house was a mess. I went in for a final ultrasound to ensure my lining was thin and my estrogen levels were low later that day as well. On Sunday, I got a message from the nurse informing me that “everything looks perfect” and “Congratulations, you’re on your way!”
Things felt good, things felt right. We had our game plan. I was to start the shots on Monday, March 12, one grouping in the morning and one at night. I had practiced giving myself the shots in the abdomen so I wasn’t worried about hurting myself. I even had a PRSA Western District Conference event that night, but I was prepared with the shots ever so cleverly concealed in my purse. I’m a master multi-tasker and really wanted to see my fellow PRSA Coloradoans. Yep, our game had begun, and hopefully we would only have to play four quarters with no overtime in order to win.