In the morning, my mom-in-law helped administer my Ganirelix shot at home. After lunch, we went to take the ultrasound at 2:00 p.m. then consulted Dr. Lee. It all went pretty fast. I have 8 follicles now and Dr. Lee confirmed the trigger (2 vials of Ovidrel) will be tonight at 10:00 p.m. and ER (egg retrieval) at 8:00 a.m. on day 13. Dr. Lee thinks the number of follicles is satisfactory. He mentioned that he didn't want to overstimulate as the patient will be in discomfort if there are more than 10 follicles. Honestly, I didn't feel bloated or have any other side effects due to the stims.
He also said that if the embryo is of good quality and developing very well, then they may let it develop to day 5 blastocyst stage for ET and he will only transfer one embryo otherwise he will opt to transfer 2 embryo at day 3. Hence right now, the tentative ET days are either cycle day 16 or day 18. I was then given some forms to sign and had to go pay the bill, take my blood test (E2 and progesterone) and meet the anesthesiologist to do the evaluation. The good news is that I will not have to take PIO (Progesterone in Oil) shots. The nurse mentioned that the PIO has been replaced by Crinone which is just as effective. The IVF lab will provide further instructions on this after ER. On the way out we picked up the trigger shots from the injection pick up counter and went home.
That night I didn't have to go to the hospital for the trigger shots as my mom-in-law helped with that and it didn't hurt one bit. I am getting a bit tired of the shots and was very happy that it is the last of them. Now I'm just waiting for the ovum pick up on day 13. I'm praying for the best.
The bill for this visit was NT$3,112 which is approximately US$104 or CA$113, inclusive of the fee for registration, consult, triggers shots and blood tests.
Showing posts with label Ganirelix. Show all posts
Showing posts with label Ganirelix. Show all posts
Wednesday, September 03, 2014
Monday, September 01, 2014
Day 9 - Ultrasound and Consult
Day 9 ultrasound revealed only 7 follicles only however all of them were greater than 1 cm. There is one particular follicle that was running way ahead of the group at 1.93 cm. Dr. Lee said that this bigger one may have to be forsaken as it may be too old at the time of OPU and we need to harvest the other 6 that are growing at the same pace. He gave instructions on the medications to inject for the next few days. There is a change in the medications this time. Below are the details:
Day 9 - 75 IU Gonal-F, 2 vials of 75 IU Menopur and 1 vial of 0.25 mg Ganirelix
Day 10 - 2 vials of 75 IU Menopur and 1 vial of 0.25 mg Ganirelix
Day 11 - Ultrasound and tentative trigger shot at 10:00 pm (1 vial of Ovidrel)
Dr. Lee set the tentative Ovum Pick Up (OPU) to Day 13 at 8:00 am. This largely depends on the results of my Day 11 ultrasound. He has not yet ordered any E2 blood test. As Ganirelix need to be administered before 12 pm everyday and we decided to have both Ganirelix and Menopur administered by the nurse at the injection room at Mackay Memorial Hospital.
The bill for this visit is NT$9,729 which is approximately US$326 or CA$354. This amount is all inclusive as indicated in my older posts. We paid the bill and picked up the medications from the injection counter. We then followed the blue line on the floor which led us straight to the injection room. We then drew a number from the machine and waited for our turn. When my turn came, I handed the medications to the nurse. She injected Ganirelix first which was easy breezy then came the Menopur injection. Woahh...!! Menopur SUCKS BIG TIME.......!!! It BURNS...!!! My hats off to all the ladies out there that are taking the Menopur shot everyday for their IVF cycle! I am super dreading the Menopur shot tomorrow! :(
I am also getting anxious that only 7 follicles after 8 days of stims and my mind was starting to fill with all negative thoughts. My hubby and MIL comforted me that I only need one. I feel better that they are so positive and supportive. It is interesting to note that Dr. Lee still thinks we are on track. I am hoping for the best and expecting the worst at this point.
Bring on the Menopur tomorrow...!!!
Day 9 - 75 IU Gonal-F, 2 vials of 75 IU Menopur and 1 vial of 0.25 mg Ganirelix
Day 10 - 2 vials of 75 IU Menopur and 1 vial of 0.25 mg Ganirelix
Day 11 - Ultrasound and tentative trigger shot at 10:00 pm (1 vial of Ovidrel)
Dr. Lee set the tentative Ovum Pick Up (OPU) to Day 13 at 8:00 am. This largely depends on the results of my Day 11 ultrasound. He has not yet ordered any E2 blood test. As Ganirelix need to be administered before 12 pm everyday and we decided to have both Ganirelix and Menopur administered by the nurse at the injection room at Mackay Memorial Hospital.
The bill for this visit is NT$9,729 which is approximately US$326 or CA$354. This amount is all inclusive as indicated in my older posts. We paid the bill and picked up the medications from the injection counter. We then followed the blue line on the floor which led us straight to the injection room. We then drew a number from the machine and waited for our turn. When my turn came, I handed the medications to the nurse. She injected Ganirelix first which was easy breezy then came the Menopur injection. Woahh...!! Menopur SUCKS BIG TIME.......!!! It BURNS...!!! My hats off to all the ladies out there that are taking the Menopur shot everyday for their IVF cycle! I am super dreading the Menopur shot tomorrow! :(
I am also getting anxious that only 7 follicles after 8 days of stims and my mind was starting to fill with all negative thoughts. My hubby and MIL comforted me that I only need one. I feel better that they are so positive and supportive. It is interesting to note that Dr. Lee still thinks we are on track. I am hoping for the best and expecting the worst at this point.
Bring on the Menopur tomorrow...!!!
Saturday, August 30, 2014
Day 6 - Ultrasound and consultation with Dr. Robert Kuo-Kuang Lee
I had to wait around 30 minutes for the ultrasound. Once done, the technician completed the follicle monitoring sheet and returned it to me. I then took the sheet to Dr. Lee's clinic which is on the same floor as the ultrasound lab. Within minutes I was called and after around 5 minutes in the waiting area, it was my turn. Dr. Lee looked at the form and started prescribing the doses of the stims for the next couple days. He prescribed the below doses:
Day 6 - 150 iu Gonal-F
Day 7 - 225 iu Gonal-F
Day 8 - 225 iu Gonal-F & 0.5 ml Orgalutran/Ganirelix
I am to return to the hospital to do another ultrasound on day 9 and follow up consult. Actually I was rather disappointed to see the current ultrasound result as it showed only 5 follicles. I asked Dr. Lee if this number was a little too low, he said this number is good. Ahh well...as long as he thinks so!
After that, I was passed to Lisa, the doctor's assistant. She drew the remaining Gonal-F from the 2 used pens for the previous stims into a traditional syringe and gave it to me as day 6 stim. The nice thing about doing ivf here is that they do not like to waste any medication and don't want the patient to incur any additional expense than necessary. I asked her if it is possible to just use the pen to inject instead of drawing the meds into a single syringe. She said that's also possible but that would mean the patient will have to inject twice (75 iu remaining per pen). I was pretty touched that they care enough to ensure that the patient's anxiety and discomfort is minimized!
After I came out of the clinic, I visited Annie at the international medical services center and had a nice chat with her. Then on my way out of the hospital, I picked up the medications from the pharmacy injections pick up counter and went home. I spent only around 2 hours and was all set for the weekend.
The cost of this visit was NT$8,288 which is approximately US$277 or CA$302. This includes the fee for registration, consultation, ultrasound, pharmacy and medications for day 7 & 8 (Gonal-F & Ganirelix). Note that the medications accounts for the major portion of the cost (meds cost was NT$7,580).
In the evening, my mother-in-law helped me inject the 150 iu of Gonal-F as it was in a traditional syringe and I am lucky that my mom-in-law used to be a nurse. With her administration, I did not even shed one drop of blood whereas, I always bleed when I administer the injection myself. I also requested her to help administer the Ganirelix injection for me on day 8. Phew! I feel less anxious now. Praying that I grow more eggs!!
Day 6 - 150 iu Gonal-F
Day 7 - 225 iu Gonal-F
Day 8 - 225 iu Gonal-F & 0.5 ml Orgalutran/Ganirelix
I am to return to the hospital to do another ultrasound on day 9 and follow up consult. Actually I was rather disappointed to see the current ultrasound result as it showed only 5 follicles. I asked Dr. Lee if this number was a little too low, he said this number is good. Ahh well...as long as he thinks so!
After that, I was passed to Lisa, the doctor's assistant. She drew the remaining Gonal-F from the 2 used pens for the previous stims into a traditional syringe and gave it to me as day 6 stim. The nice thing about doing ivf here is that they do not like to waste any medication and don't want the patient to incur any additional expense than necessary. I asked her if it is possible to just use the pen to inject instead of drawing the meds into a single syringe. She said that's also possible but that would mean the patient will have to inject twice (75 iu remaining per pen). I was pretty touched that they care enough to ensure that the patient's anxiety and discomfort is minimized!
After I came out of the clinic, I visited Annie at the international medical services center and had a nice chat with her. Then on my way out of the hospital, I picked up the medications from the pharmacy injections pick up counter and went home. I spent only around 2 hours and was all set for the weekend.
The cost of this visit was NT$8,288 which is approximately US$277 or CA$302. This includes the fee for registration, consultation, ultrasound, pharmacy and medications for day 7 & 8 (Gonal-F & Ganirelix). Note that the medications accounts for the major portion of the cost (meds cost was NT$7,580).
In the evening, my mother-in-law helped me inject the 150 iu of Gonal-F as it was in a traditional syringe and I am lucky that my mom-in-law used to be a nurse. With her administration, I did not even shed one drop of blood whereas, I always bleed when I administer the injection myself. I also requested her to help administer the Ganirelix injection for me on day 8. Phew! I feel less anxious now. Praying that I grow more eggs!!
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