The estradiol is increasing, which they say is good, but at a peculiarly slow rate compared to the wild growth of my follicles. Dr. still ok’d me for the trigger shot last night, CD 10, and I left the office with specific instructions and times on when to take my last injections of menopur, follistim, ganirelix and the HCG and Lupron triggers.
I told the case manager “I think I’m out of ganirelix,” but she insisted I wasn’t. They ship in packs of 5, and it was my 5th day, so she was certain I had some. So I happily went to work and when I came home in the evening for my shots I looked in my gigantic bag ‘o drugs and guess what, no ganirelix. The case manager counted wrong, and it was day 6, not 5, and I had used up all my injections. I wasn’t sure how critical ganirelix was, but I do know that it prevents ovulation, so was I supposed to still trigger if I was at risk of ovulating?
In the next hour I proceeded to call the after-hours messaging line no less than 15 times and got disconnected every single time. I had a small meltdown. Ok, a proper meltdown. Cried, texted angry texts to Ryan, cursed the case manager and envisioned all $18K lost and a cycle canceled.
I finally got through on the answering line at 8 pm, 2.5 hours after I was supposed to do the injection. They called the doctor but couldn’t get through. I was supposed to take the trigger at 8:30, and waited until 8:45 and called one last time to see if I could get the doctor before injecting $1K worth of drugs in me and effectively ringing a bell that can’t be un-rung. No response.
So I triggered at 8:45.
The doctor called me back at 9 pm, sounding slightly annoyed, and said “you don’t need ganirelix. I wouldn’t have included that in your protocol anyway. Go for blood work in the morning and you should be fine.”
Seriously? Is the medication protocol that cavalier? Whatever. I expended enough anger prior to this call to still be irritated, so I went to sleep, got up at 5 do drive an hour, over the fog embanked Golden Gate and into San Francisco for blood work. Egg retrieval scheduled for tomorrow, CD 12, unless I get a call today regarding something in my lab….
In all honesty, the tears, the tantrum, the release of emotion last night felt pretty darn good.