An IUI cycle with Injectables

One IUI cycle with letrozole and injectables looks like this:

Day 2: Transvaginal Ultrasound & blood tests
Day 3: Letrozole pills
Day 4: Letrozole pills
Day 5: Letrozole pills
Day 6: Letrozole pills
Day 7: Letrozole pills
menopur shot foronemenopurshot

Day 8: menopur shot

Day 9: menopur shot

Day 10: Transvaginal Ultrasound & blood test
hcg trigger shot foronehcgshot

Day 11: IUI

Day 13: luteal hcg foronelutealhcgshot

Day 16: luteal hcg

Day 19: luteal hcg

Day 28: Home Pregnancy Test

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IUI #2 Again!

Here we go! Day 3 of this cycle.
5mg Letrozole days 3, 4, 5, 6, 7 in the A.M.
75 units Menopur days 7, 8, 9 in the P.M.
Ultrasound on day 10, hopefully followed by HCG trigger and IUI then BFP, right? That’s how the plan goes… right?

P.S. Anybody else have night sweats and trouble sleeping leading up to a new cycle? I’m also wondering if I’m losing more hair than normal. My estrogen has been really high (95 yesterday). Maybe that’s a cause? Anybody else? Ideas? Should I be asking my doc about this? I suppose so.

IUI #2 delayed

We used the same protocol for this IUI as the last (letrozole cd 3-7) and I ended up with another no LH surge ultrasound on a Sunday morning. This time, I didn’t have one monster-size follicle that was beginning to ovulate, I had a large number of small ones. My hubby was watching the ultrasound screen I couldn’t see this time and he said he counted around 10-12. There were six larger ones, with the largest of those only being 12 mm. (4 follicles 10 mm each in right ovary; 1 follicle 11 mm and 1 follicle 12 mm in left) They want to see them at least at 18mm before triggering ovulation. With six, they are concerned about multiples, so I will continue using OPKs and will also be monitored over this next week, starting with another ultrasound on Tuesday morning.

Hopefully, a couple of those six take charge and dominate, growing nicely over the next few days so we can have the best chance at success this cycle. It feels so strange to talk about my body like this. There is so much our bodies do while we are oblivious to it all. If only I could go back to being oblivious…

Update: The ultrasound Tuesday morning showed no progress. Lining at 5.8. I get to keep testing and do another ultrasound Thursday. (left ovary: 12mm, 9mm, 9mm – right ovary: 10mm, 10mm)

First bruise – oops!

The luteal HCG shots were intimidating for me since I had never given a shot to anyone or anything before. After our training at the clinic, I felt that I would probably depend on my hubby since I stuck myself in the thumb almost immediately. Once the day for my first shot came, I decided that I needed to give myself a chance, because if we were ever to venture into IVF, I would need to have confidence in myself to do it.

First shot was just fine! No problem. No bruising. Easy peasy, yay!

Second shot, I did too fast, I think. It hurt and I ended up with a nice little bruise right where the band on all of my pants rests. I was constantly adjusting all day. 

Lesson learned! I’ll try it a bit slower and maybe a little bit further away from the previous injection sites. One more to go tomorrow morning and then progesterone checks and in a week and a half, HPT!

Luteal HCG

Anybody heard of it? I don’t see much information out there, so here is my experience so far. 

I am scheduled to have an HCG shot every three days after my IUI. I was nervous when I received the box of syringes and needles at my door, but it wasn’t all that bad. The stick was hardly a pinch and by recommendation from a you.tube video, I pushed the plunger slowly rather than forcing all the medication in quickly. I haven’t noticed any side effects from the HCG other than breaking out everywhere, but that was happening before the injection (maybe it’s from the letrozole I took on days 3-7?). 

The IUI nurse told me that the luteal HCG will encourage the corpus luteum to make all those things that support the “pregnancy” that will hopefully be happening very soon, including progesterone. They will then do bloodwork on the last day of HCG injections and three days after as well to check the progesterone level. With these injections, I am told not to take a home pregnancy test until 12 days after my last shot. Hoping for a quick trip to 20 days past IUI and a +HPT, please : )

Update: The luteal HCG gave me lots of pregnancy symptoms, of course (hot flashes, a little nausea, light-headed, super hungry, unusually tired, tender breasts/nipples, gas, mild constipation). I was worried I wouldn’t be able to wait to 17 dpiui, but my next cycle started exactly one week after my last HCG shot, no need to test (bbt fell from 98.2 to 97.3). My progesterone was quite high, so it did serve its purpose.

IUI #1

Of course, things can’t go the way that would be convenient… My ovulation tests didn’t detect a surge until I went in for an ultrasound this morning. That means a Sunday IUI it is! Excited, but I feel bad making people work on a Sunday morning.

The ultrasound this a.m. showed one follicle in my left ovary that was as big as my whole ovary! I didn’t know they did that. There was a little fluid around the follicle which evidently means that it is in the beginning stages of ovulation. We could have done the IUI today, but since we were told our best opportunity would be tomorrow morning, we’re going that way instead.

The femara/letrozole didn’t have any side effects that I could tell of other than the extremely sensitive scalp, which the DHEA caused before all on its own. I have the HCG which arrived the other day in the mail. The needles freaked me out. I’ll learn how to do that part tomorrow after the IUI and I might google for some videos just to be prepared.

I am so thankful to have met people along this journey who can share their experiences. I have also relished reading all the success stories and messages of hope. Thanking you all for sharing your journeys!