OK. I’ll admit it. I feel asleep Friday night at like 9:30 p.m. (WHAT?!? I am an old geezer) instead of writing my Friday blog post. So here we are on a fresh and sunny Saturday instead.
AF showed up exactly on time, so yeah, I didn’t even have to POAS because hey, I could never be pregnant for even maybe a day on my own. No anxious “maybe maybe crossing fingers” hope for me. Perhaps my contribution to IF Haiku was a premonition for the month? Feh. Anyway, a week ago Friday was the day that I headed off for playing in the waves at Huntington State Beach. I’m riding shot-gun when my phone rang. Caller ID showed it was my RE’s office.
Me: Ummmmm, hello?
IVF coordinator: Hi. I wanted to talk to you about your next cycle schedule.
IVF coordinator: The team decided to put you on the micro-dose lupron protocol for your next IVF cycle. I was looking at the potential calendar and we may have some issues between your schedule and the embryology lab closure**. Normally you take BCP for about 10-14 days, if we push it to the max of 14 days, we’ll then have you start stims. We estimate you will be ready for egg retrieval on the day the lab opens. When do you expect day 1 of your cycle?
Me: Friday the 17th or Saturday the 18th. It sort of depends on the time of day things kick off.
IVF coordinator: Oh. Um, do you think you may be a little late?
Me: I’m typically never late. But who knows, now that I’ve said it out loud. So let me understand this, you’ll be pushing me to the edge of your protocol and expect that I will be available on the day the lab opens. What if I am a day early, or 2 days early?
IVF coordinator: Ahhhh, good point. Well how about we chat again when you start cycle day 1 as this may be a moot point depending on the day you start.
**Oh, by the way, I forgot to write in my post IVF WTF meeting that we were taking one month off due to Dr. recommendation and then planning to do IVF #2 in late July/Aug. It was estimated that the RE’s office embryology lab being closed for a month for cleaning wouldn’t be an issue for our schedule, but GUESS WHAT? How lucky can one girl get? Murgdan’s post, Frozen in Time explains she has the same thing going on this month. Her FET was delayed another month due to lab closure. I understand why it is necessary…really I do, but AAARRRRRRGGGGHHHHH!!!
Fast forward 1 week
Friday comes and it is for sure cycle day 1. I call the RE’s office leave a message at 11:30 am saying it’s CD1. At 3:45 pm the IVF coordinator (who is a really nice person BTW) calls me back.
IVF coordinator: OK. I’ve developed a plan and sent the calendar to you via email. We’ll have you come in for a baseline bloodwork and ultrasound on Sunday, then you’ll take 14 days of BCP starting on Monday. We’ll have you start stims and I have you expected for egg retrieval on 8/17 which is the day the lab opens back up.
Me: Great, um…well. We’re back at the same place aren’t we? What if they find (like last time) that I am ready for egg retrieval early? I understand that they do not expect to have the same problem with LH surge since I am not on Cetrotide, but what if something else happens and I am a day early? Do one of your other offices in the area have an open embryology lab?
IVF coordinator: No, those offices do not have labs.
Me: OK. Well. Honestly this makes me a little nervous. I have never been on this protocol and have never taken Lupron. It’s not just the time and the emotional issues, but we’re talking like $12,000 here. Maybe I should wait another month if things seem too close.
IVF coordinator: (very nicely) I thought you told me that you didn’t want to wait another month before starting the next IVF?
Me: I don’t. Believe me. I have been waiting for one thing or another, complications, etc. for 5 years. I am very very tired of waiting. I want to do this, but I am scared that something may happen. I don’t understand all this stuff. I don’t know if pushing the protocol to the edge is routine or not. I have my expertises, but this is not one of them. Do you think I can talk to the Doctor to answer my questions? It will help me to decide whether to go forward this month or not.
IVF coordinator: I’ve got an idea. I’ll talk to the IVF lab folks and see what they plan to do if there are any early emergencies. Also DocO will be there for your baseline bloodwork and ultrasound. We need to see how you are looking and we can develop a plan. I’ll schedule your appointment as the last one of the day and he can talk to you, answer questions and help you decide what is best. OK?
Me: Oh, thanks so much. I really do appreciate it, even if I sound a little insane.
So now I have an appointment for blood draw tomorrow at 8am and a baseline ultrasound/consult at 9:15 am with DocO (he wanted to have the bloodwork results). I’m sure these guys will put me at ease and I’ll be glad to have MrBeep along to help decide but why, WHY does it have to be so complicated?
Anyone else do the micro-dose lupron protocol? How many days did you take birth control pills? How long did your stims last? Anyone else have good questions I should ask DocO? I really don’t want to wait another cycle, it’s a bad idea when you are an older patient. Should I go for it? Should I wait? I am stuck in a Clash song from the 80’s.
Should I stay or should I go now?
If I go there will be trouble,
And if I stay it will be double,
So you gotta let me knohoooow
Should I stay or should I go?