So, after last cycle failed, I was on a mission to see what else I could do to up my chances. Here are the changes that were implemented:
Last cycle- 40 mgs of Lovenox 2 x day pre-Peak; 60 mgs of Lovenox 2 x day post-Peak
This cycle- 60 mgs of Lovenox 2 x day pre- and post-Peak
Last cycle- Vitamins/Supplements: Vit E, Vit D3, Vit B6, Neevo prenatal, Calcium Citrate, Cod Liver Oil, Omega 3s
This cycle- all same Vitamins, and add DHEA 5 mgs
Last cycle- Femara 25 mgs
This cycle- Femara 32.5 mgs (supposed to be 30, but the pharmacy gave me 13 pills instead of 12... sweet!)
So, I also wanted to see if Dr Kwak-Kim recommended prednisone. It seemed to me that the majority of her patients (whom I speak with on various message boards and online forums) are on prednisone and/or IVIg. At my first appt, she said I didn't need either at that time, but that she'd re-test and re-evaluate.
I had another NK cell and TH1:TH2 ratio test, along with a re-check of my PAI-1 levels drawn and sent to her lab on Monday. If prednisone was warranted, I would need to start taking it right after ovulation - which is NOW.
Well, the nurses called and left me a message this late afternoon, that Dr Kwak DOES want me to start prednisone 10 mgs 1 x day. They said, "Give us your pharmacy # so we can call it in." Only problem? They were closed when I called them back! And, of course, it's Friday evening- worst timing to need a new script!!!
So, in an act of desperation, I emailed my Dr. (I hate to do that on weekends, and take advantage of the relationship we have as Dr/patient, but also as employer/employee and friends.) Not 5 minutes later, she wrote back, "I'll call it in for you right now." Prednisone isn't even part of her NaPro protocol! This is not a med she normally prescribes at all!! She is so awesome!
So, DH is out now picking up my prednisone so I can start it tonight. The other great news is that I called the pharmacy to see if it would be ready, they said Yes, AND they already ran it through my insurance and it's covered... I only have to pay a few bucks (not the normal $10 or $35 co-pay). Ugh, thank goodness! I couldn't afford 1 more $35 per cycle med.
Now all weekend I'll just be wondering what my test results were... if my NK cells all of a sudden flared up, or if my TH1:TH2 ratio changed, or perhaps everything was still fine and Dr Kwak just wanted to try this? (I'm thinking the NK cells couldn't have been TOO bad or she'd have recommended IVIg.)
If anyone else out there is on prednisone for immune-related IF, or has a prednisone success story, I'd love to hear about it!