Life with Baby K

March 26, 2008

The Plan!!!!

Filed under: prep for IVF #1 — by Jess @ 10:27 pm

Yesterday was my big appointment with my RE to sign all the consents for IVF and find out what my drug protocol will be. I went into the appointment very nervous but I am excited about the outcome. Jeff and I showed up about 15 minutes early and checked in. Our appointment was at 9:40 and it was probably closer to 10 by the time we got in there. At first the Doc went over all of our test results, which we already knew the results of with the exception of the Day 3 Labs. I was a little puzzled by this but I figured he just wanted to go over the whole situation before jumping into the big stuff. But then he looks at us and says we have two options. We can do IUIs or go straight to IVF. I was floored. I reminded him that he told us our only choice was to do IVF with ICSI based on the SA. I told him he had already given us the big IVF binder (which I held up to prove my point) and that we had already gone to the IVF class!!! The Doc looked at me and said “when did we do that” I thought I was going to loose it. So he went out and asked the nurse where the notes would be in the chart. Once the nurse found it in the chart and showed it to him, we were off to a much better start. So we went ahead and signed our names a million times to all sorts of consents. I am going to start birth control the next time I get my period (I am currently CD 22 of a 35-40 day cycle) and then I start Lupron on CD 18. Once I get my period while on the lupron I will call to schedule bloodwork and ultrasound and then start on gonal-F.

So I am wondering a few things and hoping for the wisdom of the blogosphere. First, are there are side effects or weird things which you have experienced on these meds. Second, what experiences do you have with Day 3 vs Day 5 transfers. My insurance covers Day 3 transfers but I don’t think they do Day 5. My clinic prefers Day 5 if possible but I can’t afford it if the insurance company doesn’t cover it. (Yes I know I am spoiled living in Massachusetts) So I am just wondering what experiences people have with Day 3 vs Day 5 transfers.





  1. I think you are just one step in front of me, or maybe a few steps. Anyway, I’ll be reading and am curious about what responses you get to this post.

    Maybe you can respond to my post about fertility tests?

    I don’t know about you, but I am all about getting this show on the road!

    Comment by PJ — March 26, 2008 @ 11:53 pm |Reply

  2. Re: 3 vs 5 day…
    We did a 5 day the first time. Our embryos looked great at day 3, but by day 5, the 12 had whittled away to just 2. We are now in the 2ww for a day 3.

    From what I understand – day 5s are only great if you have great embryos to make it to day 5. I’d ask your RE what determination they use to do either one.

    Comment by LJ — March 27, 2008 @ 7:47 pm |Reply

  3. Gonal-F was easier on my body than Lupron or even Clomid. I had a lot of fatigue (early nights to bed) on Lupron. It wasn’t until the trigger shot & progesterone that I had strong side effects (bloating, acne, moodiness).

    About 3- or 5-day transfer, we barely met my RE’s criteria for 5-day, so he opted for 3-day transfer of two embryos. I think it is something decided by your RE & embryologists; I’m not sure why the insurance company would have a preference (but I was self-pay so had little to do with insurance). You might ask the clinic’s secretary or financial coordinator whether they’ve had any experience with insurance declining 5-day.

    Good luck!

    Comment by ekunkelmann — March 27, 2008 @ 8:09 pm |Reply

  4. I wanted to do a 5 day, but my RE opted for a 3 day. His logic was that the embryos were more likely to do better in utero than in the petri dishes. We became pregnant with twins with the 3 day transfer. We transfered 3 embryos.

    Since your insurance company pays for the treatment, I’d only do the services that they cover!

    Comment by Kelly — March 28, 2008 @ 5:20 pm |Reply

  5. I didn’t take Gonal-F during my cycle…but as for side effects here were mine. I took Lupron, Follistim and Repronex:

    The Follistim stung going in (only a little)
    I had hot flashes from the Lupron
    I also developed large red “welts” at my injection sites on my stomach. These were the worst for me because my pants would rub on them and it made it hard to walk.
    I was also very tired and felt swollen.

    I didn’t have a great transfer, so can’t tell you much about 3 day v. 5 day.

    Good luck!

    Comment by Amy — March 28, 2008 @ 5:34 pm |Reply

  6. Me again.

    I just also wanted to say that I have found that you have to look out for yourself. I almost lost a cycle last month because I was confused, and a few months ago I called and the RE couldn’t remember what we were doing. I do sometimes feel like we are cattle, just along in the herd. I don’t know about your RE, but mine seems incredibly busy.

    I still think that we might be doing our IVF close to the same time. I’ll know a lot more around April 6th. It looks like I overracted to the tests, and that most of them can be done in one visit. We are getting the husband’s stuff going next week. I might even see if we can do the financial consult early.

    Anyway, I hate the wait, but I know I need it! 🙂 Good luck to us.

    Comment by PJ — March 29, 2008 @ 4:56 pm |Reply

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