Tuesday, June 21, 2016

Side Effects of Progesterone

About five days after ovulation (when it occurs), I have to start taking progesterone. I've never really been told why and I suppose I've never thought to ask since it's so much of an after thought to actually ovulating, but based on some googling, I think it helps to prevent miscarriage in the first trimester. Regardless of its use, it has some fun side effects, such as:
  • Nausea
  • Fatigue
  • Headache
  • Breast pain and enlargement
  • etc..
If those side effects look familiar, it might be because they are also symptoms of pregnancy! When you get pregnant, your progesterone levels increase causing these early pregnancy symptoms. So every (ovulation) month, I get to enjoy the early symptoms of pregnancy without ever being pregnant (yet)! It's very frustrating. My level of symptom-spotting is way down from where it used to be, but the hope never really goes away ... which inevitably leads to hopes being crushed. Not a fun cycle month after month.

I'm not out just yet, but I'm trying to temper my expectations.

Monday, June 6, 2016

Total Shit Show

As predicted, today was a total insurance shit show. I needed one prescription today and I need the other on Wednesday. Regarding the one that I needed today and for which the doctor sent in a prescription on Friday, "Yes, I see the prescription, but there was no ORDER placed for the medication. The doctor can send in a prescription, but you have to call in and order it. It's for your own protection since you are the one paying for the medication." ARE YOU FUCKING KIDDING ME?! Excuse me for thinking that you work like every other pharmacy I have ever used in my life which fills a prescription upon receiving it. Seriously?! The doctor's office actually sells this med since insurances in general are stupid, so I went ahead and bought it there ... it was double my co-pay, but I don't even care. And the other prescription? "The preauthorization on that medication is still pending. We can't place an order until then. You can call your doctor and have them call and check on it." I did this. The nurse told me that the insurance told her that it could be up to 48 hours FROM TODAY for the PA to go through. Well, isn't that convenient. It will be approved on Wednesday right when I need it! Oh wait ... silly me ... THEY CAN'T GET IT TO ME SAME DAY. I'm predicting another shit show on Wednesday.

End rant (for today).

Actually, the doctor's appointment went really well and I hate insurance for ruining my day. He said everything looked good. We have a few follicles in the running and my lining is ready. The only bad thing is that Mike is out of town (Mike, if you are reading this, the doctor would prefer if you came home early!), so our timing could be slightly off. I am stimulating for two more days and then triggering on Wednesday night. The doctor wanted me to trigger tomorrow, but life and annoying work conferences happen. Regardless, he was still very positive about everything, probably since I looked so skeptical. He said something like, "Start your progesterone on Tuesday and then you'll keep taking it until you're 13 weeks pregnant." And then he sent me off with, "We'll see you after you have your positive pregnancy test to see how many babies you're having!" Ha! Well, fingers crossed that this is our month, but toes crossed that we don't have more than one!

And in case anyone is stilled enraged about insurance (*raising my hand*), here is a video of my favorite kitty :)

Saturday, June 4, 2016

Back in the Saddle

I had my baseline ultrasound for this cycle on Wednesday. Everything looked fine (no large cysts), so we started our last try with injectables that night. I did have a good talk with the doctor while I was in there. The doctors at this practice rotate who covers infertility patients, so I often see a different doctor each time I go in. I hadn't seen this particular doctor since 2015 sometime. He opened with "Looks like you've been through a lot lately" which I actually really appreciated because half the time these doctors are so busy that I feel like they are catching up on my chart while they are in the room with me ("Now what cycle is this for you?", "Have we tried this med on you?", etc). Anyway, I told him that this would be our last cycle before moving to IVF and he agreed that that was the right decision. It was a bit of a relief to have someone affirm this path since I often wonder if I'm just being impatient and should give meds-only more tries. He did say that maybe having the polyps removed will make all the difference for us since sometimes polyps can act like IUDs. I'm not holding my breath.

So once again, I left their office with prescription in-hand needing medication same-day. Can you guess what happened? That's right ... me sitting in the car for an hour in the Walgreen's parking lot on the phone with insurance. This happened despite the fact that I called insurance several weeks prior to try to get everything sorted out so I wouldn't have to go through this again. I talked to someone who sounded very young and I guess he was, and inexperienced as well, because he had assured me that I had an unlimited override which, come to find out on Wednesday, I did not. Ugh. (To give him some credit, though, he did manage to get me reimbursed for that $1K I paid out of pocket). After having a meltdown on the phone, I was finally able to get my meds and go home. I had to call them back again, however, because I know I will be in the same situation on Monday. I eventually got someone from Fertility on the phone and they said that "Most doctors will just send in prescriptions beforehand." So there you have it ... they have built a system that requires doctors to write prescriptions for patients before they have even seen them. I am honestly out of words for how stupid this is. I called my doctor's nurse and asked if she could get him to write me a prescription for more medication and send it in by Friday so that they could ship it to me and it would arrive by Monday (my next appt). Supposedly, this occurred.  "Supposedly" because I tried to log in to the specialty drug website and my account could not be found. Monday might be another shit-show.

Another wrinkle to this cycle is that Mike is out of town for work from Sunday until Thursday evening. Last cycle, it took them two weeks of injectables to get my follicles ready, so I wasn't too worried at first, but the doctor is using what they know about how I reacted last time to speed things up this time. He said that it is better for the follicles to mature faster. I told him that Mike is out of town, so he is going to try to drag things out until then. A house without Mike also means that I will have to give myself shots for the first time. I am quite nervous about this. Mike said we will practice tonight while he's here and hopefully, it won't be as bad as I think. Regardless, I'm going to have to just suck it up and do it.