Ladies and gentleman, we have lift off. As of last night, Mr. S. has been shoving needles in my gut to get my ovaries a' poppin'. Who knew mutilation would signal progress for me?
The good: I actually got more than 5 minutes of my nurse practitioner's time yesterday. In that time, I was able to get karyotype, thyroid panel, and some immunology blood work ordered, at a measly $10 co-pay for all of them. Booyah! That is assertiveness at work, a skill I sorely lack on my most days, but have been able to sprout all in the name of baby. The NP was awesome enough to order them under 'multiple pregnancy loss', despite the fact that there haven't been multiple. But she totally got my feelings about prevention and went ahead. I almost started to cry because the last time I saw her, she was standing in front of an ultrasound machine which was flickering with a heartbeat and telling me I had 'graduated' to a real OB. I think that helped my request along. Also at my request, we started an injectables protocol (menopur). Although I have responded fairly well to clomid, I wanted to mix things up and get at least one more follie than last time. I go in Friday for my check-up and if all looks well, our IUI is planned for Halloween or the day before...yeah! Despite Af taking her sweet time, I'm right on schedule because as I understand it, injectables speed things up. Love it. I spent over half an hour with a nurse showing me injectables and talking about the cycle, so I was feeling pretty cozy with my HMO path. That is, until I got to the Pharmacy to get my meds.
The bad: It was FAR more expensive than I originally anticipated. In fact, previously my HMO was covering my meds, but this time, I was forced to cough up hundreds. I'm not sure why the discrepancy and I'll have to look into it. Lucky for the raping and pillaging pharmaceutical companies, I want a baby so bad I'll go so far as to walk to work and live in squalor, so I handed over that debit card, as heart wrenching as it was. While it was worth it, financial 'surprises' are never fun.
Also, while I love my NP, she kind of poo-pooed my Luteal Phase/Progesterone talk saying that she's only had one patient who has needed progesterone shots in all of her time in practice. I was too polite to ask, "and how does this apply to me?" So when I go in on Friday, I will take that discussion further and suggest shots. It can't hurt, so if there's even a question about progesterone as the villain, why not?
Overall, I feel that I was more informed and more of an advocate in my appointment yesterday, thanks in large part to all of my online support. I've also been getting so much from my 'real-life' support group buddies, which I will talk about later as it deserves an entire entry. Thank you all, ladies! It is more appreciated than you'll ever know!