Thursday, June 18, 2009

1+1 = 3 ??

First of all thanks to you all for your wonderful support. I know each one of you understands because you have all been through this before.

Paula, Dr V said that Clomid will probably work but it is an Androgen stimulator and because my Androgen levels will already be high due to the insulin resistance he doesn't want to make it any worse. He said that it might work but not in the way we hope for. He suggested that the injectibles will give much better results much faster. I tend to believe what he says because 3 doctors have said no to Clomid already.

I just spoke to Nurse A at Vitalab and she said he was probably speaking of Letrazol which is also a tablet and they cost R290 per cycle and then they would probably give injectables as well at R240 per half amp. (Is this right???) She said the average patient uses about 5 amps per cycle. Does this sound right to you? R240 for half an amp equals R480 per amp x 5 = R2400 per cycle.

So if I've got it right the costs would be:

R980 - First consultation
R1400 - HSG
R290 - Letrazol
R2400 - Injectables depending on which one he decides
R720 - Scans per cycle

R5790.00 - In total
R2370.47 - Bloods

Thus the total cost for this first cycle would be aproximetely R8160.47?

Thats not sooooo bad, but not the kind of money I have in my monthly budget at this point in time.

Eve, I believe you have done medicated cycles at VL before, can you perhaps assist me on working out the costs involved?

Wednesday, June 17, 2009

A's to your Q's

First of all Deidre don't feel crap! Thank You!!!! This is a POA even if we will have to save for it. DH is allergic to Debt so we are going to have to save.... He hates lending money and will never ever borrow from the bank of wherever for something like this.

The test he wants to do are:
FSH
LH
Oestradiol 17-B
Prolactin
TSH
Free T4
HIV
RPR Only
HEP B
Rubella
Bloodgroup + Rhesus
Inherited trombophilia screen
Phospholipid Antibodies
ANF Only
AMH

POA is to mail him again and ask whether all these are absolutely necesarry and tell him we will be waiting a while before we would like to go ahead. Also, what should I do in the meantime? Should I do what Dr F says and go on the Climen?

My Bubble just burst!

Okay lots to tell:

After Deidre's comment I sent Dr V a long e-mail. And guess what, he phoned me back five minutes later! We had a good long chat and I must say he impressed me heck of a lot.
We decided that I should have CD2 blood tests done and then come for a consultation and HSG.
He faxed the blood tests that are required through to me and I phoned the lab to inquire about the costs involved. R5670.47!!! My medical aid will pay for R3300 but the rest would have to come out of my savings account and I have a whopping R438 left in my savings account. And that ladies and gentleman are just the blood tests. Then I still have to pay for the consultation, HSG, and meds. Firstly let me say that I almost fell off my chair when Dr V called me. I couldn't believe that a FS would be calling me! Usually I phone the Doctors Office and get told that his receptionist will speak to him and call me back, so having a Dr call me was quite a surprise, and I am not even his patient (yet).

We spoke about waiting for AF, going for the bloods on day 2 and then making an appointment before CD13. All set. I was in tears when I put the phone down. Then it dawned on me, what about the costs? We haven't planned this. I was doing natural cycles till about a week ago, and now I am booked to see a FS. An expensive FS, but also one of the best FS. He said that Climen is not the answer to my problems and that I shouldn't even consider taking it. So I can't afford Dr V right now, I cannot go on the Climen, I have an appointment to see Dr F in July. What should I do???? I have been crying over this the whole afternoon, because for a brief second Dr V and I had a plan and we were sorting all this shit out, and then 5 minutes later my world came crashing down. I could do this in six months time. But not now. I need to save money first. But what should I do in the meantime. Do I fly solo and ignore Dr F and just hope and pray for regular cycles?

What would you do?

Edited to add:

He also said Clomid will not work for me but he suggested injectibles (cannot remember the name) and then a timed trigger and timed intercourse. Guess Clomid is officially off the list then.
Have I mentioned before how much infertility SUCKS????

Please excuse my french

But I really need to swear!!!!

Fuck
Fuck
Fuck
Fuck
Damn
Fuck

Okay, I feel better already.

I sent BF Doctor an e-mail last week pleading with her to speak to Dr F about a Clomid perscription. BF Doctor then said she would phone him this morning. BF Doctor did so, and Dr F told her he would never ever give me Clomid because of my miscarriage history and because I have ovulatory cycles. WTF??? Why am I on Provera then??? Anycase, she explained a lot of the workings of Clomid to me and I guess it's a no go then. Apparently Dr F says the chances of multiples and over stimulation is too big in my case....Blah blah blah. His answer to my problems are 3 months of Climen. Which is like The Pill, but it is a monocyclic pill which works by regulating my hormones and making me fertile again. I was on Climen for 6 months and fell pregnant the first time straight after going off it, so maybe he is right. But Fuck, 3 months!!!! My life is passing me by here!!

Appt with Dr D - cancelled.

Friday, June 12, 2009

Lord, Give me Strength...

Lord, Give me Strength...

--To keep my cool when another period starts.
--To keep my chin up when a co-worker announces her pregnancy.
--To have a good relationship with my friend in spite of her ability to conceive easily and not be jealous of her.
--To endure my sister-in-law's comments about toilet training.
--To keep from crying when I see children begging on the roads.
--To forgive my doctor when he keeps me waiting for two hours for a consultation - and then can't remember my name.
--To make the right decision about treatment.
--To maintain a good relationship with my husband in spite of all this.

Source: FertilityCommunity.com

I Give This Up to You

'Lord, help me to know that You are enough.
Take my eyes off of myself.
Take my eyes off of the child I desire.
Help me to delight myself in You.
Mold the desires of my heart to be in line with Your will.
I don't want to need to be a mother more than I need to be your humble, obedient child.
I don't want wanting to have a baby to be a stumbling block between You and me anymore.

Lord, I want to give this desire, this drive, this ache up to You.
Help me not to snatch it back as I so often do with the burdens I place in Your hands.
Help me to be truly content with Your will and Your timing.

Lord, You know that I still desire a baby - someone to mold, teach, train, shape, guide, and help to grow in You.
But until the day You give me that joyous blessing, help me to grow in You.
Let me reach out to those around me.
Let me witness and minister to the children You place in my path.

Lord, if adoption is the path You would have us take, prepare our hearts, and prepare the child who will share our home.
If adoption is not Your will for our lives, keep me from pushing ahead of Your plan.
Help me to stay submitted to my husband's will, and to Your will.
If we are headed in the wrong direction, change our hearts.

Thank You for lifting my burden.
Help me to keep You first!
Let me seek Your face daily, and let me know that You are enough!

Source: Hannah's Prayer Ministries

POA

I have a POA! Jippie!

Okay, I phoned Dr D and spoke to his receptionist who made an appointment for me next Thursday morning at 9am.

Dr D is a GP and not my first choice of course, but he has lots of experience in pregnancy, c/sections and deliveries and he has a sonar machine!!! Apparently he specialised in Gynaecology, but doesn't specialise AS a gynae??? Don't know if it's true?

I will explain to him my long soppy story and request a Clomid cycle (or 2 or 3) and then hopefully he will be able to scan me for follicles as well. I have never been to any other Dr except Dr F regarding my girl parts, but I intend to get pregnant and then go back to Dr F. I am after all a high risk preggo. I wonder what Dr F will say/think when he hears that I went elsewhere for Clomid?

There is also Dr S, who has a sonar and delivers lots of babies and is particularly fond of the ladies, but he is just not my type of caregiver, so he is my last option.

Thursday, June 11, 2009

A Question for Paula and all the Clomid-sista's

I have a few questions regarding Clomid?

You should start using 50mg from day 3/4/5 of your cycle for 5 days, right? Is it absolutely necesarry to have scans until ovulation and then do a trigger? Or can you predict ovulation accurately and just go mad in the fertile period?

The reason I ask this is because my gynae is so busy that he sees this as a waste of time.
We only have a Medi-clinic in town and he is the only gynae (1 of only 2) I would trust enough to go to. The other one is ancient and the rest are GP's delivering healthy babies. Some don't even have sonar machines!!

Also, if you had this dx would you also insist on a Clomid/Femara cycle:

Age: 29
TTC for 2 yrs 6 months
PCOS and Insulin Resistant
History of prolonged vaginal bleeding after stopping birth control
Treated with Cyclocapron and Provera and then 6 months of Climen
and Metformin 500mg 3 x per day.
First pg: (May 2008) Bleeding since 6 wks then m/c at 9 weeks
Second pg: (Sept 2008) Bleeding from 7 wks until 16wks then m/c at 24 wks (Jan 2009)
Prolonged use of Cyclogest and Utrogestan during both pregnancies.

History after 2nd miscarriage:
1st Period - 6 weeks after labour - lasted 4 days
1 official cycle - 34 days
2nd official cycle - 31 days
3rd Official cycle - 36 days
4 Official cycle - non existent - now at CD42

Do any of you see any reason why I cannot use Clomid or Femara?
And which is the best to use?

I have sent an e-mail to my friend who is a doctor, but I am not sure she will be able to help me.

Tuesday, June 9, 2009

Q on doing a Clomid cycle

Paula asked whether I have ever considered doing a Clomid cycle. The answer is YES YES YES!

I have asked my doc plenty of times but he always says no, without giving me a reason. He just states that it will not work for me, and that I should keep up with the Metformin. (I think he is just too busy with the pregnant gals than to be monitoring infertile patients and their follicles every second day, and so he hopes that nature will do it's own thing - or that I will get sick and tired and move onto a FS)

Well, I stayed on the Met, got pregnant, miscarried, got pregnant again, miscarried, and now I have no cycle!!!

Clomid is definitely on my list of questions. Hopefully he will give me some.

Just as I thought


I could have been a doctor. I just knew Dr. F was going to put me on ten days of Provera.
He perscribed 5mg three times per day for 10 days. After 10 days you stop the meds and the progesterone levels will drop rapidly and bring on your long awaited period. It's almost like sending a taxi to fetch aunt flo from wherever she is residing. The only thing that I hate about taking progesterone is the pimple outbursts and the sudden urges to eat everything in sight.


Oh well... bring it on.

Ps: did I mention how fucking hard it is to try and see your gynae when you are not pregnant?

The first appt available for me is on 27 July!!!!

Monday, June 8, 2009

CD39

IF you read my other blog you will know that we had a great time in Clarens. I took 2 HPT's with and tested both mornings because we were having lots of wine and unusual food, and AF still hasn't shown so I wanted to make sure. Well no prizes for guessing the result: NEGATIVE.

At this point I have abandoned all hopes of a BFP and I am totally fine with it. I just want AF to show up so that we can get going with the next cycle. Will probably wait till Thursday or Friday, to do a beta (to make 100% sure) and the start 10 days of Provera to bring AF on.

Other than that my TTC life has been pretty boring, but at least we had fun sex instead of baby making sex over the weekend.

Hope you all have a wonderful week, and may there be lots of BFP's all around for those of you testing this week.

Wednesday, June 3, 2009

CD34 - Flopped cycle, I guess.

I am beyond the point of hoping for a BFP, and I just wish AF would show up. I did another test yesterday which was negative again, so obviously if I was pregnant it would have showed some kind of positive by now?? The breast tenderness has also disappeared, so there aren't any symptoms to speak of anymore. I just hope AF is on her way so that I know my ovaries aren't giving up their normal functions. Missed periods and irregularly long cycles is what usually happens to PCOS sufferers , so I guess I shouldn't be surprised. I know I haven't been taking exactly 3 x 500 mg of Glucophage each and every day, but usually it wouldn't affect my cycle too badly.
So from today on I will start behaving and take my meds correctly. I am also going to go back to my old baby making recipe which includes:
- Femtron (2 per day)
- Staminogro (2 nightly)
- Glucophage (3 per day)
- Folic acid (1 per day)
- Ecotrin (1 per day)
- Cilift (1 per day)
- Dilinct Cough Syrup (3 times per day during my fertile period)
LOL, DH says since he has known me, not a day has gone by in which I didn't pop a pill.

Sunday, May 31, 2009

The mystery continues...

AF is still missing in action and the Boobs are very very sore, but the HPT still shows only one line. What the hell is going on? We did some baby dancing on Friday night and afterwards I noticed some light spotting. I thought AF had finally arrived, so I was a little disappointed but got into bed and forgot about it. The next morning I expected to to see a full flow, because I felt some cramps during the night, but I was quite surprised to see that there was no blood whatsoever. So this morning I did a HPT and it still showed negative. I don't know what to think anymore. I am a bit scared that my PCOS has gone haywire again and that my cycle is totally out of whack again. I guess I'll wait and see for another week and if AF hasn't arrived I'll go and see Dr F. again. Any of you have any better suggestions?

Friday, May 29, 2009

In His plans, In His Time, By His Grace

Did a HPT this morning on CD29 and got a very definite negative, I know it still early days, because I had a 31 day cycle last month, but then I got to work and had this e-mail in my inbox and it made me it all clear to me again:

At the Appointed Time

TODAY'S SCRIPTURE
"For the vision is yet for an appointed time…it will surely come; it will not be behindhand on its appointed day"(Habakkuk 2:3, AMP).

TODAY'S WORD
God is looking for people who have a made-up mind; people who will trust His timing. You may not see His promises happen overnight, but they will happen. In the Bible, Abraham waited 20 years to have a son and see his promise come to pass. Moses waited 40 years to fulfill his purpose and lead the children of Israel out of captivity. You might say, “I’ve been waiting for a year, and I don’t see anything happening.” No, something is happening. Right now, God is working behind the scenes in your life. He is arranging the right people, the right breaks, and the right opportunities.

Today’s scripture tells us that at the appointed time, the promise will come to pass, and it will not be one second late! When is the appointed time? It’s when God knows the timing is best for you. When you understand and accept this principle, it takes all the pressure off. It’s a very freeing way to live knowing that as long as we stay in faith, God will release His favor, His increase, His restoration, and His healing at exactly the right time in our lives!

A PRAYER FOR TODAY
Father in heaven, thank You for working behind the scenes in my life. I trust that the appointed time for me is on its way. I am content in You, knowing that You have a good plan for my future. I bless you today and always. In Jesus’ Name. Amen.

Thursday, May 28, 2009

CD28


AF still missing in action - Check

Boobs still sore - Check

Extreme Fatigue - Check

Slight Twitching in the Uterus - Check

Nausea - None

Mood swings - not really

All these symptoms seem to indicate either bad or good news. The good news being a BFP, the bad news being that I have imagined all them all and I am therefor certifiably crazy.

Will POAS on Saturday, have not done a HPT since Tuesday morning. Hopefully I can abstain from PAOS hell until Saturday.

Will keep you updated!
PS: Thanks to all you wonderful ladies who have been praying and hoping so hard for me. You girls keep me going. Here's to plenty of BFP's all around.


Tuesday, May 26, 2009

In waiting


As most of you know I am CD26 today. Nothing in the world can prepare you for a 2 week wait, I tell you. I don't know how you IVF girls do it? It astounds me. But then again at least you girls know that ovulation and fertilisation have taken place. I worry about ovulation, timing of intercourse, fertilisation and then the implantation. These thoughts can be bloody scary if they swim around in your mind all day. And I am NOT a patient person. I am actually quite impulsive and I just cannot sit around and ignore things until the time has gone by and it actually happens.

I have been experiencing a few symptoms like sore boobies (but I had that last month too), I've had the slight bit of implantation bleeding, I am very very tired lately (but it's also the start of winter and I usually hibernate during the colder months), I was nauseous last night after eating a chocolate log (could be my blood sugar that's too high) etc. I've also dreamt that I am pregnant, but that happens a lot. So all in all, I don't have a conclusion. I have to wait. Have I mentioned to you before how I hate to wait? I hate to wait.

Anyhow, let me talk about something else. We had our Wellness day at work last week Friday, and they did some screenings of our overall health as a means of keeping the staff educated and in touch with their health status. I had the following tests done:

HIV: Negative (Sjoe! Sigh of relief, for a moment I was a bit scared!! BTW this was done with a smart check test which works like a HPT but with blood. Never in my life have I been so glad to see only one line)

Blood glucose: 8.0 (Okay-ish)

Blood Pressure: 130/80 (Normal)

Blood group: AB+ (Positive is good - rules out the Rhesus factor in pregnancy)

Cholesterol: 3.4 (very low!)

BMI: Slightly Overweight (Damn!!)

So, it seems that I am healthy. Hopefully healthy enough to carry my own baby to term. And if this is our BFP, all smoking will be brought to a very definite halt. I have stopped very successfully before, so this time, if I am pregnant, I will stop immediately and never touch it again. DH has also promised me that he will stop, and it seems like he is very serious, so now we just wait for the BFP.

Tuesday, May 19, 2009

Comments - Deidre and Angie

Deidre, thanks for your comment. I don't mind at all, but I don't think that's how she got it? I would actually like her to read my blog because that way perhaps someone can get through to her.

Angie, thanks for your comment. I haven't gone password protected yet, because frankly I have nothing to hide, but I have been meaning to and then changed my mind. I just don't want my mom to read the blog and then bring it up in conversation, like she sometimes does. I believe if I needed to discuss any of the blog posts with her and the rest of the family, I would freely do it without having to first write it here. But, thanks for your comment, I really appreciate your gesture.

With regards to Roadkill, well, it's not that I hate her, or don't like her or have any kind of agenda towards her. It's just that she takes a thing like infertility and milks it. To me it seems like she loves being infertile because it defines who she is and it ensures her a lot of attention. It's like a veil she can hide behind, without having to face the dirty facts and get on with it. I believe life is full of obstacles but if you get stuck, then you should at least make an effort to build a bridge and get over it (and yourself). I have truly felt the need to pray for her because she is so lost, but it's something I need to feel right about first. In the meantime, if I need a laugh, I visit her blog.

Monday, May 18, 2009

Hehehe!!!

I cannot help but to laugh at the latest post on Roadkill's blog. Is it just me or is she pitying herself AGAIN? Just get over yourself lady. It's also not very surprising to me that people are always bullying you. Maybe you should see a pattern? You seem to think you are always the hardest hit when it comes to a beating with the infertility stick. For some reason you always suffer the most. You eat the most, cry the most, sulk the most, nag the most, question it all the most, cry some more, and brag about how idyllic your life could be with all the money you have spent on infertility, blah, blah, blah. And whenever you do something good, you brag about it on your blog with pictures and payment confirmation screen prints of how much money you donated to the cause. To me you just seem so immature, but, as I said before, I think it's because there is something BIG missing in your life. I know what it is , but you have to figure it out for yourself. And guess what, if it feels like a judgement, then maybe it's because you are guilty as charged?

Friday, May 15, 2009

Learning how to twitter

As you can see I have registered at twitter and my twitter updates will now be updated on my blog. I have sent some of you twitter invites but I do not have all the addresses of my readers. So if I skipped you, please go to twitter and register yourself there. Once you have registered you can follow each other. My twitter Username is MandyErasmus so you can search for me directly. You can use your cellphone to update your twitter, so it makes a bit easier when you have something quick to say but you aren't able to log onto your internet connection.

http://twitter.com/

Sorry for the confusion

Hi girls. Sorry for the confusion. The pregnancy ticker I added was not intended as a means of sharing some wonderful BFP news, but it was just me trying to be positive. I made the ticker to see what would happening inside my body if I got my BFP this month. My CD1 was on 1 May so I am on CD15 today, which means if conception takes place during this cycle, I would already be 1 week and 5 days pregnant. That means almost 2 weeks of the forty are almost over. Now we just have to wait and see if my egg/s and DH's sperm were obedient.