Scratch Off

I had a lining scratch/biopsy yesterday and I also requested an updated E2 blood draw. My doctor and I discussed how my body held on to the Delestrogen inordinately longer than most others. In fact, it took 50+ days to recalibrate my cycle after the medicated FET. I was happy to learn my E2 finally dropped (from 237 to 81) so a proper bleed is imminent.

They are sending the scratch biopsy out to look for any infection in my lining. We are not testing for the Beta-3 Integrin as I had that test in the past, and it indicated I was not missing the protein. If there is some sort of issue with my lining from this recent biopsy, I need to treat it with antibiotics and then decide if I want to push my next FET back to January, instead of November.

It took me 8 fresh IVF cycles to get these last 3 normal embryos, so I will need to think this through carefully. As much as I hate waiting, the logical me is saying I need to transfer under optional conditions. I have about a week to decide.

Edited to add: The results are back, and I do not have endometritis. And yes, I am surprised.

Drug Interactions and Supplement Absorption Crazy

Someone in my Facebook Reproductive Immunology Support group pointed out that I was taking my calcium at the completely wrong time.   In fact, she said,  I should not be taking it with iron (i.e. my multi-vitamin), but should be taking it with my vitamin D.

This sent my crazy brain into overdrive.  Shouldn’t I be taking my medications in a way that maximizes each and minimizes the less than ideal interactions?    OF COURSE I SHOULD.  I am still trying to decide if the subsequent hours of googling/reserach are the mark of intelligence or excessivism, but maybe I will just settle on a little bit of both?  Here’s a peek into the sticky note from my desktop:

no vitamin E with fish oil
no vitamin E with aspirin
no vitamin E with prenatal
no vitamin E with metanx
no vitamin E with Lovenox
no doxy with prenatal
no doxy with calcium
no doxy with aspirin
no doxy with any vitamins
no doxy with fish oil
no metanx with aspirin
no metanx with d
no metanx with fish oil
no metanx with vitamin E
etc…

I am a night owl by nature, so that is a bit of a roadblock for me in terms of spacing medications properly/psychotically.   Also, I will be relieved when the Doxycycline is out of the lineup, so I can move things around a bit.     Either way, I now have a medicine schedule that has me injecting or swallowing a pill nonstop.  Fan-tastic.   Behold my crazy:

10AM – Lovenox, Doxycycline
12PM – Prednisone
2PM – Estrace, Vitamin D, Calcium
4PM – Vitamin E
6PM – Metanx
8PM – Calcium
9PM – EV2, Progesterone, Prenatal
10PM – Lovenox
11PM – Doxycycline
12AM – Probiotic, Baby Asprin, Fish Oil