We went back to the doctor yesterday, and things seem to be proceeding as expected. I started taking estradiol on October 1 (which was actually very early on October 2 thanks to pharmacy mishaps and airline delays!), and that has been mostly fine. I was notably more tired this week than I have been lately, but I traveled and ran the Oklahoma City Memorial Marathon last weekend, so I can't fully blame the medicine. As scheduled, we upped my estradiol from two tablets daily to three, and we added estradiol patches yesterday. We're not quite 24 hours into the patches, but so far they're a non-issue. All normal life stuff (showering, taking a bath, swimming, exercising) is okay with these, which definitely makes things easier. After 72 hours, I'll take these off and put two more on the other side of my belly...and repeat every 72 hours until further notice. I guess we'll see this week if the estrogen is to blame for my tiredness this week or if I've just been trying to do too much.
I have talked a lot about injections, but I don't think I have ever said much about the oral medications/supplements I take for fertility purposes. Some I've been on for a while, others I started when we started seeing our RE. So, here's a short list of what goes into my body every day.
- Prenatal vitamin - started over-the-counter prenatals in late 2017/early 2018 and switched to a prescription prenatal in April 2019. I don't know that the prescription makes a difference.
- Folic acid - 2 mg (1 mg 2x/day) - started this in April 2019
- DHEA - 25 mg - started this in February 2021 when we started working with our RE
- CoQ10 - 200 mg - started this in February 2021 when we started working with our RE
- Vitamin D3 - 2000 IU - started this in February 2021 when we started working with our RE. I take the fruity gummy ones--this is my favorite part of the daily routine. 🙂
- Baby aspirin - 81 mg - started this last Friday for FET prep, though I also took these during the second retrieval cycle
- Estrace - 6 mg (2 mg 3x/day) - started this last Friday for FET prep.
We're also still doing 5 units of Lupron once by injection; it's not yet time for the progesterone in oil (PIO).
There's a lot of preparation involved in a process that offers no guarantees, but we're plugging along and hoping for the best. Someone I know from an infertility group just had their cycle canceled this week a few days before their scheduled transfer due to issues with the uterine lining, and that was a wake-up call that even this far in, things can still deviate from the plan. With only two precious euploid embryos, we definitely wouldn't want to move forward if conditions were not right. Still, we've been through so much this year (and in the previous years) that it would be devastating to have to abandon the mission and wait to try again. So, we hope and pray that my body responds to the medicines as expected.
We'll go back to our RE on Wednesday, and that is our last scheduled ultrasound before the transfer. I'll have labs on the 18th before the transfer on the 19th. I'm doing my best to keep calm, but I don't think it's possible to be completely at peace at this point.
Something that made today great: I usually write these at night...but so far today, it'd be sleeping as late as I wanted.
Time I woke up: 8:28 am initially, but I went back to sleep for a few hours after playing on my phone for a bit.