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Math and IVF - Elizabeth Unexplained
Lots of data but no answers
Math and IVF
Here's a word problem for you...

A Follistim cartridge contains 900 international units of Follistim. (Actually, it contains more like 1000 to 1050 units, but its rated as 900 units.) My recent drug order contained 6 cartridges. If my dose of Follistim is supposed to be only 250 units a day, how long would I have to be stimming to use up 6 cartridges?

Now, lets make it more difficult. You've been told your dosage is is 250 units of Follistim, 5 units of Lupron, and 75 units of Luveris. This you are supposed to take each night, but allegedly you aren't supposed to take any of these medications at any other time. You have exactly 6 vials of Luveris, each of which is 75 units. How many unopened cartridges of Follistim will you have when you run out of Luveris (not counting any leftovers you told your doctor about)?

In an IVF cycle, it is rare to stim for more than 12 days. So, does this add up?

Update: Yes indeed, third screw up of the cycle, second by the clinic, and second time I had a nurse on the phone utter the words "you were right". Somehow it doesn't make me feel better.

In other news they are gating me this time. I don't actually start stimming until the morning of the 8th. It will be 250 units of follistim twice a day, plus the other stuff in the evening. First follicle check is the 12th.

Current Mood: aggravated aggravated

4 comments or Leave a comment
enugent From: enugent Date: June 8th, 2007 07:44 pm (UTC) (Link)
Two dumb questions, and feel free not to answer either if you don't want to.

What's gating?

What are you paying for the meds? Unless this last IUI cycle works, I think it's IVF in August, and the clinic, while very upfront about other costs, just says, "prescription costs vary, so we don't give you an estimate". I can get a pretty good handle on what the first-time protocol is likely to be by poking around on fertility sites, but no one tells me what the prices are.
greyautumnrain From: greyautumnrain Date: June 12th, 2007 03:06 am (UTC) (Link)
Gating is where they keep me surpressed and delay my stim so that I won't be going in for retrieval and transfer at a bad time for the clinic.

My med are covered by perscription, so its $30 per. That gets pricey given just how many their are, but its nothing compared to what the stuff costs without insurance... though I'm not sure exactly how much that is. I would not be surprised if I was going through $1000 worth of meds. Paying for our own insurance is looking like a very good call right about now.

If this cycle works, I would be happy to try to get you some of my leftovers, though the follistim needs to be kept chilled, so that might be tricky.
enugent From: enugent Date: August 21st, 2007 10:32 pm (UTC) (Link)
FYI, I'm pricing things out now. You are going through more than $3k of meds each cycle, not $1k. You're right - paying for insurance is a good move.
greyautumnrain From: greyautumnrain Date: August 23rd, 2007 12:31 am (UTC) (Link)
Oh my. Damn I was smart to switch to not getting insurance through my employer.
4 comments or Leave a comment