After six nights of stims, at what the nurse tells me is the highest dose they are willing to prescribe for me, my lining is at 5.7mm and I now have an underwhelming seven follicles brewing:
(L) 8mm, 7mm, 8mm, 8mm
(R) 9mm, 9mm, 7mm.
My estrogen is an equally underwhelming 75.
This leaves us in a quandary. I am making progress, seeing increasing number and size of follicles. My estrogen is increasing. Just enough to keep the RE from giving up, but not enough to be particularly promising. So we continue stims at the same dosage and re-check on Monday. At which point we will either see definitive progress or the cycle will get cancelled. At least, we hope it will be one or the other. I'm not sure how long I can stand to be caught here in Limbo.
After less than a week, I've had to refill my Menopur already. I have been on the phone with the specialty pharmacy three times this week trying to sort out billing errors that go back months. The woman I spoke with today told me that due to the complexity and frequency of the errors made on my account, I would be dealing with her exclusively from this point forward on any billing questions. That's right, I now have my own personal billing rep. She does seem to know what she's doing, and she did make one really nice comment at the end of our call.
She said, "I'm looking at the medications you're taking and you really shouldn't have to be dealing with all of this on top of what you're going through. I'm sorry."
In answer to the many inquiries that came up on Twitter, it seems that I was over-suppressed. Four weeks of BCP, no Lupron. They already have me on the highest combo-dose of GonalF and Menopur that they would give me, so not really any room to tweak or add meds. Insurance was only covering meds for this one cycle. I had one unused medicated IUI left in my coverage, so they let me use the meds credit toward this IVF cycle. Otherwise IVF expenses are not covered. We are burning through the meds and I'm worried that if we cancel, I'm going to have to come up with thousands of dollars to replenish the vegetable crisper.