Hola, Gentle Readers. I had a very nice weekend. We went Out, and had lunch with friends, and went to concerts, and had Sunday Brunch, and the weather was, for once, gleefully sunny (hey! It’s summer! Actual summer!). The point being, not to think about things very much and be cheerfully distracted by sun and music (H and I are both serious classical music nerds) and nice amusing people and bacon. And it worked.
We harshed the mellow a tiny bit this evening because I had my share of HFEA consent forms to fill in, which I had been procrastinating about, because, jeez, what happens to my embryos in the event of my death? Aiieeeeeeeeee.
And of course, there’s the nightly stabbing of self with the Gonal-F pen. It’s a cool pen. The needles are like hairs. I haven’t felt a single stab yet, nor left a mark above a tiny red dot that had entirely vanished by the next morning. It’s almost fun. Apart from the headache. Which could actually be caused by astonishment at the hot weather.
On Monday or Tuesday, depending on the scan and blood work, I start Cetrotide. In which the needles are considerably bigger. So, yes, tomorrow morning I go back to Riverside with my consent forms for a thorough poking.
I am going to talk about my ‘regime’ now (I have a spreadsheet! Riverside gave me one!), if for no other reason than to tidy up the inside of my head a bit.
Buserelin, from day 21 to first day of period. To squash any funny ideas Satsuma may have had about early follicles and random cysts, and to quell the endometriosis a bit. I felt nothing for the first week, and then developed a persistent bitter-sweet taste in the mouth and a very irritating headache that went on and on and relentlessly on. On the plus side, Satsuma looks angelically docile and while my period still sucked hugely, it definitely sucked rather less than the previous few.
Metformin, 1000mg – 500mg pill twice a day, at breakfast and at dinner. I find this dose, as recommended by Dr George, easier to tolerate than 1500mg as per GP’s recommendation. 1000mg makes me burp a lot. 1500mg made me constantly gassy both ends, thirsty, hungry, and tummy-achey, and I put weight on (on, for fuck’s sake. This is not how Metformin is supposed to work). So. The point of Metformin is to improve egg quality, and reduce the chance of miscarriage by keeping blood sugar level, and Dr George said it can help prevent OHSS in women with PCOS (which is me. I still have a moustache, even if Satsuma is behaving so nicely these days).
Daily multivitamin-and-mineral, with the recommended 400mcg of Folic Acid (I also eat green leafy vegetables and brown rice by the shovel).
Daily fish-oil capsule, not cod-liver oil, because vitamin A can be toxic to wee embryos (an early Arctic exploration team all died from eating polar bear liver. They thought it would be nourishing. Polar bears store retinol in vast quantities to survive months on end without food. Oops). Essential fatty acids however are good for fetii and, crucially, are good for people who have ichthyosis vulgaris (hi!) and eczema (me again!).
Gonal-F, 150 units of whatever the hell units they are, subcutaneously. This is the ‘artificial’ Follicle Stimulating Hormone that is now bullying Satsuma into growing a bazillion eggs at once. Daily until collection. Unless Sats explodes and my oestrogen levels go through the roof. Side effects, ‘premenstrual symptoms’. In practice, I am headachy and tetchy. Which could be caused by just about anything.