Needles and Pins.
I feel bleary-eyed and disoriented, having emerged from the least-relaxing weekend ever. It began with a 24-hour migraine, the worst I have had in several years, the sort where you are in too much pain to sleep, and even the darkest room is too bright to be borne. The cats were delighted, as I spent the entire evening in bed with ice on my forehead and my hands over my eyes, allowing them to amuse themselves by crawling over me, attacking my feet when they poked out of the covers, and licking my icepack. I managed a feeble “No!” once in a while, but I was too weak to swat them away and they knew it. I don’t start Lupron for three days, and yet I worry that Friday’s migraine was a harbinger of things to come, sort of as if Lupron had engraved a bullet with my name and left it in my mailbox.
My drugs arrived on Friday as well—fittingly, as it was the first day of Blogher and I paid for them by canceling my trip to the conference—and they were, as expected, in a box the size of Kentucky. What I had not been expecting was a second Kentucky-sized box, this one filled with nothing but bags and bags of needles and syringes. When I opened it, Scott started laughing. YES, IT’S ALL VERY FUNNY WHEN YOU AREN’T THE ONE BEING POKED. He shouldn’t have laughed. He’ll regret it someday, when he wakes up to find I’ve glued his lips together. Try laughing now, hotshot.
Obviously I knew there would be many needles involved, but the volume was alarming. On the opposite end of the spectrum were the drugs themselves. Each vial is about an inch tall and the width of my pinkie. I was expecting the vials to be larger, especially as they cost $60 apiece. Couldn’t they be encrusted with precious jewels, or wrapped in mink pelts, at least? I managed to fit $1200 worth of stimulation drugs in my refrigerator’s butter compartment, which hardly seems right. The syringes, on the other hand, displaced my hand mixer and food processor to get their own large drawer. Which reminds me: Do used syringes have to go in the (tiny) sharps container, or is that just the needles? (I’m assuming that disposing of the container, when full, will be a simple affair of driving to the city dump under cover of darkness and burying it under the sign of the cross, am I right?)
Scott has begun referring to to our yet-to-be-conceived child as “Science Baby.” As in, “We should get this book for Science Baby,” or “I hope Science Baby likes the cats.” I cannot help but notice that he expects this cycle to work, and it makes me nervous. Everyone seems to expect this cycle to work, except me. Both his family and mine are acting as if it is a foregone conclusion, despite my increasingly desperate reminders that there is a greater chance of failure than of success. My mother asked me the other day whether I have a pregnancy exercise plan. Eventually I was able to recover sufficiently to remind her that I do not have even a regular exercise plan. Though if pressed, I would say my pregnancy exercise plan involves lifting various items to my mouth, and carrying the occasional heavy bowl of pasta.
I have gained three pounds since the wedding, and have been eating like…something that eats a lot. It is stress, mostly, and I am having a hard time getting back to my healthy eating habits without the spectre of fitting into a wedding dress to motivate me. I have a lot of days that I get through only by thinking of whatever delicious and comforting thing I will have for dinner, and to take that away from me would be cruel, don’t you think?
I know people do continue to work stressful jobs during IVF, I just don’t know how—I haven’t even begun and I am already tearfully fantasizing about a mysterious benefactor who would enable me to work part time, or at the very least stop spending Sundays at the office. I want desperately to take the next few weeks off to spend time with my mother before she leaves on the 13th and, you know, attend both to my ovaries and the dozens of unpacked boxes littering the hallway, but I have no legitimate medical reason to do so, unless my supreme annoyance at having to drive 30 minutes to the clinic and then 45 minutes to work every other morning (returning home at the end of the day just in time for my evening injections) counts as some sort of disability.
Before I end this already over-long epistle, let me ask: do you have any advice for the upcoming emo-ovarian carnival that is IVF? You were all so helpful when it came to planning my wedding, and perhaps you have an injection tip, or a book-to-read-during-the-long-wait recommendation, or some small tidbit of IVF lore you would like to share with the class?
Here is mine: Don’t count the syringes. Trust me on this.


21 Comments
I am about to start IVF, too. I haven’t bought the drugs yet…hmmm, myabe there’s still a way out? Hey, maybe I’ll wait to see if you survive the drugs? See, I’m, funny. Very, very, funny.
When my pharmacy gave me my meds and supplies, I got about a gazillion more needles/syringes than were actually used. I too panicked at the thought of being poked that many times. It would’ve been so nice to kick back during my IVF cycle but unfortunately, life trudges on. To compensate, I was really mean to everyone. I blamed it on the lupron. I pretty much blamed everything unkind I did on the lupron. Makes a great scapegoat.
My recommendations: do take the day(s) off between retrieval & transfer, if possible, and try to do something enjoyable that day–movie, pedicure, what have you. I scheduled a few massages throughout the month, too–I found that when I was being so rough on my body, it really helped to have someone be nice to it instead. I also fortified myself with special IVF-only treats: candy, etc., fluffy novels, cheesy magazines I saved to read at all those damn appointments. It helped.
Good luck!
I’m sorry, but the only advice I have concerns more delicious and comforting things you can have for dinner (oh alright then, AFTER dinner if you’re going to be sensible): Hersheys Chocolate Nuggets with Toffee and Almonds. (DON’T get the ones that just have almonds; I once CRIED after getting home and realizing I’d bought those, rather than the ones with toffee as well. And I’m talking WEEPING.)
Yeah, I know it won’t help with the three-pounds thing, but they’ll make you happy. And maybe if you ate three or four at once, they’d be heavy enough to constitute some sort of contribution to the exercise plan. (I’m sure unwrapping them burns calories too.)
I, too, found myself constantly down-playing our chances for IVF success in the face of the Pollyanna optimism of our friends and family members. Secretly, I wanted them all to be right (they weren’t), but I felt such pressure by all the high expectations!
A tip for the PIO shots, courtesy of my favorite nurse. Ice your bum for about 15 minutes before the shot, then apply a heating pad for about 15 minutes after the shot. It really helps!
Well, I know nothing. Of anything important. But I will give you a book-to-read-while-waiting suggestion!
If you have not already, try Haven Kimmel’s A Girl Named Zippy and She Got Up Off the Couch by the same author. They’re fun, carefree, and still intelligent enough to really entertain.
Hmm… IVF tips. I’m sure I have some. First, only the actual needles need to go in the sharps container and you can take your full container to the pharmacy if possible or maybe to the doctor’s office or blood draw lab. Or keep it in your closet for several months meaning to take it those places and then finally send it away with your husband to be disposed of who-knows-where.
Stock up on movies and books without any connection to pregnancy or babies. Be prepared for a possible roller coaster during the stim phase (you’ll be cancelled any minute… no, you wont!… you’re not going to get many eggs… no, you’re going to get too many… no, you’re going to get too few… no! you’re probably going to be cancelled) and possibly with some scary dose changes and hairpin turns. Then big nervousness for the retrieval (which really did suck for me, mostly because they gave me reglan, which gave me a massive panic attack), then more big tension while waiting to hear the fert. report, etc., etc., then quiet time. For the first week or so of the wait, it was actually a relief to not be getting any news. I was so emotionally worn out that I wasn’t worrying as much about the results of the whole thing as I’d thought I would. Then those last few days get rough again with the waiting. Try to decide ahead of time whether you’ll test in the wait or not. If so, stock up on tests. If not, be sure you don’t have any in the house at all.
And finally… post every little detail here so I can relive my glory days. Heh.
Sounds like you’ve got the IVF advice covered. I agree with a day off or two from work after the retrieval, anything you can do to decrease the stress will help I think.
Books, how about David Sedaris. He’s as far from anything fertility related as I can think and he’ll make you laugh.
Good luck.
i forgot to say good luck! i can;t believe what we’re both about to go thru…yikes.
I did take two shots a day last month…within two inches of my navel each time, and it really wasn’t half as bad as i had thought. You really do get used to it.
I’ve got to second Elise’s reading suggestions. You’ll laugh your sore butt off.
the shots look a lot worse than they really are. deep breath in, inject, exhale. done. I suggest you get as much rest as possible. seriously. the meds are wicked and make me completely exhausted.
I’m actually jealous. my IVF was just canceled due to a cyst. I’m so pissed and terribly upset.
I have no tips just well wishes and luck the “science baby” reference. My husband is referring our upcoming injectible/IUI cycle as a “Chemistry Lab”
Injection tips- are you doing them yourself? I much preferred being in control of my own injections and found it was actually easier that way. Rub a piece of ice first on the spot to numb it-that really worked for me, and then go one two three- jab in quickly. Honestly, once you have done it the first time and realised it’s actually a piece of cake you will be fine. Really truly you will. Idea of it so much worse than the reality.
Good luck with this cycle. My adivce is to invest in a heating pad if you don’t have one already. It will be your best friend after the PIO.
First and foremost - good luck!
Next, I didn’t do IVF but I did do IUI/injectibles and for any sub-cutaneous / tummy shots - ice the spot first, for about 10 sec or so, grab some flab, one two three go. OF course the first time I did it, I just couldn’t do the swift movement, so I brought the needle right up to my belly and sloooooowly pushed it in. Not the best way to go. Tried the 1-2-3 method the next night and it was so much better. After about 6 days of one shot a day I had to add another, also in the tummy. One other word of advice - unless you are bleeding - skip the bandaid. My RE’s office had me bandaid after every stick and let me tell you, removing those, then adding a new one next night - my tummy was so sore! Skip the bandaids, definitely.
Good luck and we’ll all be here for you - whatever way the cards may fall.
- Val
PS - incidentally, I was SURE my IUI/inj cycle was going to fail - but guess what, it didn’t. :)
Advice? Send the cats to cover for you at work.
Hmmm…
I only used band-aids on the PIO spots, mostly so I could keep track of them for heating pad and future shot placement. I never iced for PIO, but had a tiny homemade heating pad (about the size of a beanbag, filled with rice) that I’d heat, then use to warm the oil a bit to thin it, then put on the spot afterward. And I got Hello Kitty band-aids because they made me smile.
I did all of my own sub-Q injections, but J did my PIO (except for a few when he was unexpectedly out of town - boo hiss). The first injection is the hardest. Luckily, the Lupron needles are tiny and the dose is low, so it’s a good starter drug.
I’m with Jen on the cycle-treats - they don’t all have to be candy/food (though a good chocolate does wonders on a particularly bad day) but anything that feels special - a pedicure, a new trashy magazine or four, a new novel, whatever. And def. try to take off between retrieval and transfer, if you can.
‘Science baby’ cracked me up. Do you think that if you do get pg on this cycle (no pollyanna, but lots of hoping and good wishes) you’ll continue to use that moniker?
Tips - I didn’t find that I needed any ice for the sub-q shots. But don’t do them standing up - I came pretty close to fainting the one time I did that.
GOOD LUCK!!!
A few books that might distract you: anything by Eleanor Lipman. Smart, fun, sometimes moving, and mostly light, take place in the Boston/Cape area. I’m guessing from the Sox cap in your picture that you might like that.
If you want something to get wrapped up in for a long long (long!) time, try A Suitable Boy by Vikram Seth. “A cast of thousands” from several Indian families in the 1950s. Delicious if you want to take a break from this world and hang out in another. For 1200 detailed pages.
If you want to laugh, I second the David Sedaris suggestion and add to that another NPR David: David Rackoff’s Fraud.
And there’s always my old stand-by, a book that has not yet failed to make me laugh, A Confederacy of Dunces.
Oh, and if you’d like some sweet distraction (and again, another place and way of living, really) I like the No. 1 Ladies Detective Agency series a lot. I don’t like the author’s other books as much, but these are as comforting to me as a cup of tea that’s just the right temperature.
Wishing you lots of luck.
hmmm, advice? MY FAVORITE THING!
Appreciate the versed when you go for retrieval - hopefully you don’t have to go through this again.
Find distractions now for the 2ww - it is pure hell (especially the last two days) and I’ve always found that I need to actually DO something (I’ve also found that if I think things are going to be hell, they turn out to be not so much some of the time - me write good, eh?).
Think positive thoughts - hey got you there for a minute didn’t I? Yeah, heh, heh.
Thank you for your humorous take on this process.
As I head into the evening of my final PGE injection following my first cycle of IVF/ICSI, I impart this sage advice:
1. Be thankful that your job consumes your mind so that you don’t spend HOURS each day researching the medical statistics related to success given your particular parameters. I believe that it is exactly the demands of my stressful and demanding professional job that has prevented me from becoming obsessed.
2. Be sure to have an orgasm the night before the embryo transfer–medical recommendation is not to have another for a LONG time (through the 1st trimester if you’re successful), and as well it helps relax the uterine muscles.
3. Rub the area of your skin for your SQ and IM injections with the alcohol swab quickly and with quite a lot of pressure right before the injection–this action in effect desensitizes the neurons (similar to the effect of capsacin if you’re familiar with that). Also, definitely warm the PGE for about 10 minutes–I tuck mine under my arm.
4. Set an alarm for the shots so you don’t have to spend time reminding yourself not to forget.
5. Count down the days until your last shot.
6. For entertainment: every available episode of the show “Weeds”, all 3 books of the Jason Borne series, and I’ll second the previous recommendation of anything by David Sedaris.
7. Remain calm at all costs (you’ll probably shock your husband and this is likely to reap all kinds of benefits).
And most importantly, remember that many have gone down this path & are still alive to tell about it.