Friday, November 5, 2010

A change in the game...

Ok everybody! We have moved on to injections instead of the clomid! We are going to start using the follistim pen this evening, it seems pretty easy to use and I think that lots of people use this system when moving on to injections. Our goal on the injections is the same as our goal on the clomid, we want to get 2-3 mature follicles and then we'll do the trigger shot and then IUI. Why move to the injections when I was (sometimes) getting those results with the clomid? Well, because I'm not pregnant! :) For starters the clomid didn't always work as we wanted it to and the injections are much more potent so I should for sure get 2-3 follicles each cycle, and also because as the lovely KB explained to me, with the injections the doctor has much more control over the actual ovulation.

The clomid tells your body to produce more FSH, with the injection we are cutting out the middle man and just injecting in straight FSH. Instead of butchering what KB told me, I'm just going to cut and paste so you can all read her exact words when explaining why we use the injections.

"So, here is how the injections were described to me and how they are different. My dr. said he thought the problem was in my brain. Basically there is a "path" our bodies follow. Menstruation, Ovulation, then back again. But with lots of ups and downs of hormones in between. Usually most women's cycles follow this on a similar path each month. He said your pituitary gland and hypothalamus work together to make this work. Some women, like myself, have a problem with the hypothalamus that causes this path to get off track, hormones to be different and basically for the cycle not to work the way it should. My path gets lost! So my brain loses signals which causes hormones not to rise like they should which causes me not to ovulate or to have late ovulation or a weak one. Well clomid worked to try and get that signal working with fsh. And I did ovulate but not strong. Well, with using injections, your Dr. is your brain! He told me my brain could stay out on vacation because they were now going to give me the hormones, control their levels and basically function as my brain. Clomid was a pill you took and then you had to sit back and have ultrasounds to see what happened. With these, he can monitor your ovaries, your hormones and your cycle. He can control how many eggs are produced and what your ovaries and hormones are doing by adjusting levels of the injections. So nothing is up to your body anymore, its up to the Dr.! So everything is off of your back!"

Thank you KB! Now, obviously every woman is different, and even KB and I are different. So, my dose starting out will be 75 on the follistim pen but for KB I'm sure it was different because we have slightly different ovulation issues. The basic idea of controlling the cycle and controlling the ovulation is the same for every woman, but the dosages will be different. And that 75 is just our starting out number, which may need to be adjusted as we continue on which is why your blood work and ultrasounds become more frequent on the injections. Also, because they need to monitor you for safety reasons, so you don't over stimulate your ovaries, it is rare but it happens.

So that is where we stand, we are moving on and we are bringing out the big guns! It is time to make this baby!


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