Money Shot.

When I finish typing this I will take my first two Letrozole pills. They are the tiny orange tablets in the picture above—the most diminutive looking drug in my protocol, and yet the one expected to do the brunt of the work. I am skeptical, but then I have never gotten used to the idea that nickels are worth less than dimes.
This morning I was at the clinic for my day three ultrasound and blood draw. I didn’t see Dr. Doctor, but rather the nurse practitioner who will be handling my monitoring. She was perfectly nice, but seemed mournfully unaware of how brilliant and delightful I am. She treated me, it must be said, like a patient.
Dr. Doctor had waved off the idea that I needed to complete the clinic’s injection training for the trigger shot.
“You’re a bright girl,” she’d said, “You don’t need formal training. We’ll have someone walk you through the process while you’re in for monitoring, and you’ll be fine.”
The nurse practitioner turned her nose up at this idea.
“Oh no, no, no,” she clucked, “Everyone gets injection training. You’ll have to schedule yours within the next week.” Then she made me take a sheaf of information on Letrozole, information citing studies I have already read, studies Dr. Doctor and I once reminisced about fondly as the sun set in the motivational poster on the exam room wall.
I miss Dr. Doctor.
But despite my kvetching about having to take time off work for Needle U, a little instruction might not be such a bad thing. When I picked up my meds this afternoon, I was slightly taken aback by the 22 gauge needles. I am not afraid of needles, as a rule, but these are awfully thick. And pointy. Probably that is best, what with the whole muscle-piercing part of the shot—I wouldn’t want a dull needle, I suppose. But neither do I fancy having a steel coffee stirrer plunged into my backside by my new husband. Truthfully, there is a part of me (the nerdy part) that is jealous of Scott for getting to do the actual injecting. I’ve never used a syringe, having eschewed heroin as a youth. I fully intend to mix the shot myself, at least. A girl deserves to have some fun. It will be like a science experiment, a science experiment involving expensive drugs and my ass! I feel like Mr. Wizard.
The pharmacist at Target was a boy of twelve or so who took over an hour to fill my many prescriptions, called my doctor twice to ask why I was being given a medication usually prescribed for breast cancer (the Letrozole), and then blushed when he handed me my bag.
“I don’t know anything about…all of that,” he said, gesturing at my Lady Medicines, one of which, to his probable horror, is to be inserted vaginally. “But if you have any questions, you could look them up online. Or ask Mary,” he finished, pointing to the female pharmacist.
Then he divested me of two hundred dollars and sent me on my way.
So here I am, on the precipice of my first IUI. A little nervous, actually. That it won’t work, of course, but also that it will. That is the most hateful thing about the cocktail of infertility and recurrent miscarriage—nothing terrifies me more than pregnancy, except the idea of never getting pregnant at all.


18 Comments
all those people wishing you well on the nuptials??? same people. wishing you well on this.
i still have faith that you are going to be a fantastic, wonderful, brilliant mom.
with hope!
amanda
Dunno who you’re seeing, but we just got a letter in the mail today from Dr. Ted N., congratulating us on the birth of our second. Both were IUI, using injectables.
Good luck, and be nice to the new hubby. The Gonal-F made the Mrs. a bit crazy. But then again, so did pregnancy. Now I’m all snipped.
Anyway, you go, grrrl.
I had a couple of Letrozole cycles as well. WHYBAML was a trailblazer, what can I say…
Good luck dearest. May your vagina be mucuousy, your uterus accommodating, and ovaries compliant.
Oh, Alexa… what a lovely little honeymoon you two are going to have.
You can always give yourself the IM injection in the rear. I had to do it a couple of times way back in the day and managed to give our little dog quite a fright with my contortions in front of the mirror. Despite understanding the nerdy desire to give an injection, I can’t recommend it.
Now, gooooooooo ovaries!
I had to go to a special pharmacy to get my meds, and they were old hats at the fertility stuff. Didn’t blink twice at the $600 price tag, not covered by insurance of course.
Good luck - it is completely scary that it MIGHT work or that it MIGHT NOT work. Here’s hoping that it works.
It seems we are indeed life twins, difference is I married 7 years ago but apart from that and the ballet recital :)!
So many things going on for you too it seems, may I ask what the Letrozole is for? I wasn’t given any of that.
Regards
Artblog
Oh, that last sentence. I couldn’t agree with you more.
Those trigger shots sound nasty. I always had sub-cutaneous trigger shots.
Good luck!
We’re thinking of you & Scott, Alexa.
Congratulations and best wishes on your marriage. Keeping everything crossed and praying that it works for you.
One of my 22 gaugers was defective — as in blunt. When it didn’t go in the first time, my husband said, “huh! Guess I didn’t do it HARD enough!” So he wound up and tried to harpoon me with the thing.
Go to the classes, is what I’m saying.
Good luck on your first IUI - I hope its all like the wedded bliss
Just wanted to wish you the best of luck. My daughter is the product of Gonal-F, Estrace [for estrogen levels], parlodel [for prolactin levels], Cetritide [to keep me from ovulating too soon], hcg trigger shot, 2/day prometrium - inserted vaginally of course. It’s the best absorption, and you actually have fewer side effects from it that way. Oh - and my daughter is also the result of an IUI along with all these good meds.
And just FYI - I did my shots in my stomach with slightly smaller needles - but two a day for 12 days…good times I tell ya! And I understand the bizarre feeling of wanting to do the injections… I was rather proud of myself for being able to do it - DH sure couldn’t…
Will be thinking of you - good luck!!!!
There are very few things in this world other than trying to have a baby that would make ANYONE willing to stick 22 gauge needles in their ass. You are SO brave! Loads and loads of luck for this cycle!
Wishing you the best of luck with this cycle. What a honeymoon indeed.
And it must be quite a comfort knowing you have Mary at Target for any questions!
Good luck with this cycle Alexa!
Kind of bizarre that Doogie thinks he gets a pass on knowing about drugs just because it’s Female Stuff and/or that he assumes Target Mary will know all about cycling just because she’s female. What’s up with that?
Go ovaries, go!
Seriously though, good luck and best wishes as you start your journey.