Wednesday, January 17, 2007

Medical Math

Update from the IVF front:

We have officially unleashed the hounds. I'm injecting myself three times a day: 300 IU of Follistim in the morning and, in the evening, 150 IU of Follistim and 150 IU of Menopur. The shots don't really hurt, and the little gizmo they give you to shoot the Follistim is really cool.

The Menopur is much less high tech, much more mad scientist. I have to pop a huge-ass needle on the end of the syringe, draw the fluid in from the vial, squirt it into another vial (this one filled with the powdered medication), draw it all out, squirt it into yet another vial (also with powdered meds), switch to a smaller needle, flick out all the air bubbles, and then inject it.


Since I'd already done an IUI cycle with injectable meds, I went into this just brimming with confidence, despite the fact that I had to start the injections on Sunday and the injections class wasn't until Tuesday. Oh, sure I know how to mix and inject the Menopur -- no sweat! And the Follistim pen? I'll just figure it out. I'm pretty good a following directions.

Hubris, hubris, hubris.

I'm really glad I didn't skip the injections class, and not just because they gave out Follistim pens in swanky zip-up cases. It turns out, I was, um, doing it wrong.

My doctor had instructed me to inject 150 IU of Menopur each evening. On the little vials of Menopur, it says "75 IU FSH, 75 IU LH." I assumed that 75 + 75 = 150, and thus I should inject one vial.

I assumed wrong. For reasons that are not quite clear to me, 75 IU of FSH and 75 IU of LH = 75 IU of Menopur. I was supposed to inject two vials each evening.

My doctor said not to worry, I probably hadn't messed things up too badly. My pride, however, is quite sorely wounded. I guess we'll see on Friday when I have my next ultrasound how well things are going.

In the meanwhile, I've got a nasty cold and a fever and I feel like dog poo.

Did I mention that this was fun?


Anonymous said...

You're still a superstar and the center of the universe around here...


Monkeybird/Georgia said...

And here we go! Very exciting.
Thinking of you!

Anonymous said...

Determining the dose is an art not a science. Let's just say you get to take credit for part of the "art" of medicine!

I did something similarly stupid myself, so have faith. A few doses won't matter.

I'm thinking of you!