Day 4, and we’re all confused

Why did I ever think this process would go smoothly? It all makes sense on paper, but somehow I’m already screwing up my Gonal-f injections and getting my cycle day wrong. The deal is, I’m supposed to be on 200 thingymawhatsits of Gonal-f every day, but they gave me two 300-dose pens, and I forgot that there would only be 100 units left of the first pen on the second day (sorry, I’m boring myself just writing this crap). Anyway, I turned the dial to 200, but instead of stopping short at 100, it went down to 37.5. So was there extra stuff in the pen? Did this mean I should take 37.5 more from my second pen? Or was this inaccurate, and should I take 100 more? UGH. Then, I go into the clinic this morning, pretty sure I’m on Day 4 because I started medicating on Friday, but when the nurse calls me in, she’s all, “So, you’re repeating your Day 0 today.” And then we had to have a please-take-another-swig-of-your-coffee-and-pay-attention talk. Then she started telling me how my estrogen and progesterone had dropped, and I was all, “LADY, THIS IS OLD NEWS! GET TO MY DAMN ULTRASOUND RESULTS ALREADY!” Finally, she confirmed it was indeed my Day 4, and this is where my follies were at:

Left side: A whole bunch, all under 1 cm
Right side: 15, all “still tiny” and under 1 cm

Then I had to ask for more Lupron, and re-explain to her why I needed extra (because of that whole repeating-my-Day-0 thing, which isn’t exactly uncommon among IVF patients) before she hesitantly wrote out a prescription for it. Man… I get that it’s 8:30 a.m. on a Monday, and they’ve all been working since 7 a.m., but STILL.

On another note, I took my Lupron vial on its first field trip last night! Yep, my first experience with injections outside the home. As y’all know, Lupron has to be refrigerated at all times, so when hubby and I decided we were going to visit his grandmother up north and then go to this weird Russian sauna-and-steam operation afterward, and it would overlap with my 6:30 p.m. injection time, I realized we’d need to bring all of my meds and stabbing mechanisms and find a way to keep Lulu nice and cold. Do we have a cooler? Of course not! Did we want to ask Bubbie if we could store some fertility drugs in her fridge? Of course not! But do I have an ice cream maker? You bet I do!

And so that’s what I did — grabbed the bucket part of our Cuisinart ice cream maker, which is stored in the freezer, then swaddled the Lupron in a tea towel, and crammed it inside. My Gonal-f pen, syringe, sharps container and alcohol swabs went into my purse. When the time came, I ran out of the Russian sauna, threw on some clothes and bolted out to the car to do my business. Honestly, it was dark and freezing, and I was sitting in a suburban parking lot using the shitty light from the overhead visor to see what I was doing, fearful the entire time that some dude would walk by and think I was shooting something far more illegal into my body. Fortunately, that didn’t happen.

But for posterity, here’s a photo from my sketchy injection session, complete with little Lulu in her ice cream maker:


Have you ever had to take your injectables on the road? If so, what kind of system did you have in place to make sure it all went smoothly?