Monday, August 10, 2009

I had my check-up this morning. I had my ultrasound again and the result isn’t promising. My eggs are not that responding positively to the Puregon. So my OB prescribed another 300 IU of Puregon. So I paid P/ 12,000 for the vial alone. Sigh. I felt terrible. Why are my eggs not so eager in responding to my medication?

The thought of all the financial expenses incurred on this treatment makes it more unbearable and devastating. Since my husband was still in the air base, I waited for him inside the clinic. I didn’t bother reading magazine if only not to notice time. I was sitting and lost in my thought. Is this really happening to me? For the Puregon alone, we already spent as of this day about P/ 50,000. More than P/ 60,000 if I am to include all the tests did to me in the monitoring of my eggs. Yet, despite the amount spent on this treatment, I still see no sign of hope. I’m on my 15th day beginning the 1st day of my menstruation. On the regular cycle of a woman, it is day 12 which is the peak of her ovulation. So day 15th is just to utilize whatever it is for my eggs to ovulate. It is not a promising data.

So there I was sitting in the middle of the clinic lost in my thought. How am I supposed to explain this to my husband? This treatment is draining whatever small savings we have. I sent sms to my brother who is in other country and my sister who is at home telling them of the heart-breaking result. They both consoled me saying we did what we could. That I have to let it go and let God take charge.

I couldn’t contain my emotions, I went outside and cried. It’s good that the clinic is near a busy street so people didn’t notice I was crying. I asked God: “why are you not listening to me?” and as if I realized it was I who wasn’t listening to Him. Perhaps, he had already told me conceiving this time is not possible and yet I persisted on my plan and now that things didn’t go as I expected I come to Him.
I don’t know what else to think. Or what else to tell God.
I guess I’m just tired right now.

Dear God, do you hear me? Do you hear my thoughts and prayers?

Thursday, August 6, 2009

I wanted to note my daily injections of Puregon. I will be updating it from time to time. The tests were arranged chronologically, that is according to the time there were taken or done.

Jul 28

My 1st time to undergo Estradiol Test. Result 54pg/ml ---------------Paid P/ 1,200

My 1st time to undergo FSH Test. Result 54pg/m ----------------Paid P/ 750

Ultrasound to check the size of my egg

My 1st day of Puregon shot.

Doc prescribed 75 IU/day of Puregon for 4 days. July 28-31

Bought 1 vial 300 IU of Puregon ------------------Paid P/ 12,000

Total spending for this day's medicine and tests ------------------Paid P/ 17,850


Aug 1

Estradiol Test. Result 103.29 pg/ml --------------------Paid P/ 1,200

Ultrasound to check the size of my egg. No Estradiol test done.

Doc prescribed50 IU/day of Puregon for Aug 1-3

Bought 3 vials of Puregon with 50IU each vial -----------------------Paid P/ 7,500

Doc's fee and TVS -----------------------Paid P/ 600

Bought medicine for my UTI ----------------------Paid P 1,000

Total spending for this day's medicine and tests ---------------------Paid P/10 ,300


Aug 4

Ultrasound to check the size of my egg. No Estradiol test done.

Doc prescribed 50IU/day of Puregon for 2 more days (Aug 4-6)

Bought 2 vials of Puregon with 50IU each vial ---------------------Paid P/ 5,000

Doc's fee and TVS ----------------------Paid P/ 600

Total spending for this day's medicine and tests ---------------------Paid P/5 ,600


Aug 6

Estradiol Test result 73pg/ml ---------------------Paid P/ 1,200

Ultrasound to check the size of my egg.

Doc prescribed 75 IU/day of Puregon for 4 days. Aug 6-10

Bought 1 vial 300 IU of Puregon ---------------------Paid P/ 12,000

Doc's fee and TVS ---------------------Paid P/ 600

Total spending for this day's medicine and tests ---------------------Paid P/13 ,800


Aug 10

Ultrasound to check the size of my egg.

Doc prescribed 75 IU/day of Puregon for 4 days. Aug 10 - 13

Bought 1 vial 300 IU of Puregon ---------------------Paid P/ 12,000

Doc's fee and TVS ---------------------Paid P/ 600

Urinalysis (Urine Test)


Aug 14 - Day 18 since the 1st day of injecting Puregon


had my last shot of Puregon before my appointment w/ my OB

Ultrasound to check the size of my egg.

Result: size of eggs are not significant enough to mature

doc's verdict to abandon the treatment and rest for a while and continue if we already have the money



Tuesday, August 4, 2009

This morning we went to my OBGyne's clinic for another check-up. I had my ultrasound. The follicle has grown in size but not big enough to be matured. Thus, my OBGyne prescribed to continue injecting 50IU of Puregon per day for two days. The clinic assistant administered my shot of Puregon.

This morning session with my doctor cost us P/ 5,600.

Since, I felt the on-set of another urinary tract infection, my doctor advised me to have my urinalysis which I oblige. Upon seeing my laboratory result which indicated I am having another high infection, she prescribed me Uritracin 400 mg tablet to be taken twice a day for 7 days.

By August 6 I will have another blood test of Estradiol.

Monday, August 3, 2009

I had my third shot of 50 IU of Puregon. The same procedure we did with our 1st shot using the Terumo 26 G x 1/2" syringe. Again, before injecting I rubbed the area to be punctured with cotton which I dipped in alcohol. I pinched my belly. Then my husband injected the Puregon on the right side of my tummy. Just like the previous 2 shots, it was quite painful. I wished it's Puregon pen we used instead. After draining the syringe with its content, I continuously rubbed in circular motion the area around the punctured skin. Whenever I do that I felt relieved of pain. So I did that until I no longer feel any pain.

I took a nap after. My hubby woke me for lunch.


The varying response level of women to FSH makes it impossible to set a dosage schedule which is suitable for all patients. In view of this, my doctor prescribed 50 iu/ day of Puregon for the next three successive injections. This dose may be adjusted as my treatment progresses. To find the right dosage, follicle growth is checked by means of ultrasound scanning. This is why my hubby and I are going back to the clinic tomorrow; I’ll have my ultrasound again. I’m keeping my fingers cross and hope that my eggs are growing and responding well to Puregon.



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