Questions about Metformin & injectables

Mrs.Ess

Hi ladies, i have posted here a couple of times but have been on somewhat of a break

I finally had my RE appointment. She put me on Metformin for the PCOS and says she is confident that we should be able to get pregnant with IUI + injectables.  I will be taking Provera if no AF in the next 10 days and then doing some bloodwork and probably a baseline U/S.  I'm not entirely sure how long she wants to wait before starting treatments and I will find out for sure when I talk to her next week.

My questions are: 

1. Anyone else start metformin first and wait awhile before doing meds for an IUI cycle?  She said she wants to give me some time to "normalize" before starting treatment.  Just curious how long anyone else waiting between starting Metformin and doing a treatment cycle.

2. Anybody who has done injectables care to share the cost?  We are completely OOP and they gave me a cost sheet for procedures, labs, etc. but I have no idea what the meds will cost though I know they won't be cheap

Thanks in advance for sharing

 

mdluv21

I can't answer your question about the met but I am curios to read any answers since I will probably be going on it next cycle.

Did you RE tell you what kind of injectable medicine you will be doing?  I am OOP as well and researched the costs at various pharmacies for Follistim and Gonal F if you want those.

Mrs.Ess

She didn't go into specifics about which drugs, but I'd love to hear any info you have!

I'm excited about starting the met but nervous about the side effects.. just took the first one today and actually felt ok other than a little nausea this morning.

roxhudson

I was on Metformin for 3 months b/c I was Annovulatory and my RE wanted to see if the Metformin would bring on AF and we wouldn't need to head for IUI.  With no AF in sight, I begin injectibles tomorrow morning with an IUI scheduled for sometime next week if all goes well. 

As for OOP cost, my Menopur injections cost 69 a vial and we ordered 10 vials.  Plus the HCG shot at another 68 bringing our grand total to 758.  Ah, the shoes I could've gotten

RileyGrace

Sounds like a very similar plan to what I did.  I started taking Metformin about 2-3 weeks before starting treatments, only because we were waiting to see if AF started without provera.  In my case, I did a few cycles of femara+IUI before starting injectibles, but it doesn't make much of a difference.

Generally, if your RE is still recommending IUI after Metformin, it's because they think it'll take more then just Metformin to work.  So there really isn't much point in waiting too long to start treatments, unless they are wanting your bloodsugar or weight to normalize first.  Sounds like your plan is a good one.

I'd recommend checking out Freedom Pharmacy online for pricing info.  You might be able to find lower prices by doing some research, but they have a price list online and are very competitive, so it's a great place to start.

Good luck!!!!! 

Oh yeah, with the Met.  I'd recommend starting by taking it at night with 2 imodium to help manage the side effects.  You do eventually adjust, but it can cause some major tummy troubles to start.  Keep imodium with you just in case!

mdluv21

Mrs.Ess:

She didn't go into specifics about which drugs, but I'd love to hear any info you have!

I'm excited about starting the met but nervous about the side effects.. just took the first one today and actually felt ok other than a little nausea this morning.

I will PM the information I have on Gonal F and Follistim pricing tonight when I get home.  You should def. order your ovidrel (trigger shot) from Freedom pharmacy.  It is only $50.00 with free shipping.

 

Mrs.Ess

roxhudson:

I was on Metformin for 3 months b/c I was Annovulatory and my RE wanted to see if the Metformin would bring on AF and we wouldn't need to head for IUI.  With no AF in sight, I begin injectibles tomorrow morning with an IUI scheduled for sometime next week if all goes well. 

As for OOP cost, my Menopur injections cost 69 a vial and we ordered 10 vials.  Plus the HCG shot at another 68 bringing our grand total to 758.  Ah, the shoes I could've gotten

Sheesh.. for one cycle?  I guess that's about what I figured.  just makes me really pray even more that it works and I don't do 4 failed cycles   Unfortunately I know it won't matter if I ovulate on my own with the met, because of our sperm issue we will need IUI no matter what.

Mrs.Ess

RileyGrace:

Generally, if your RE is still recommending IUI after Metformin, it's because they think it'll take more then just Metformin to work.  So there really isn't much point in waiting too long to start treatments, unless they are wanting your bloodsugar or weight to normalize first.  Sounds like your plan is a good one.

I'd recommend checking out Freedom Pharmacy online for pricing info.  You might be able to find lower prices by doing some research, but they have a price list online and are very competitive, so it's a great place to start.

Good luck!!!!! 

Oh yeah, with the Met.  I'd recommend starting by taking it at night with 2 imodium to help manage the side effects.  You do eventually adjust, but it can cause some major tummy troubles to start.  Keep imodium with you just in case!

Thank you!  I'm optimistic based on what my RE says.  She said that I should have really good results from the met since I'm not overweight to start with.  As long as I tolerate taking it Good news is my max dose will be 1000mg instead of 1500.  I definitely am already stocked up on immodium LOL. 

 Going to check out Freedom Pharmacy too! 

Mrs.Ess

mdluv21:

Mrs.Ess:

She didn't go into specifics about which drugs, but I'd love to hear any info you have!

I'm excited about starting the met but nervous about the side effects.. just took the first one today and actually felt ok other than a little nausea this morning.

I will PM the information I have on Gonal F and Follistim pricing tonight when I get home.  You should def. order your ovidrel (trigger shot) from Freedom pharmacy.  It is only $50.00 with free shipping.

 

That would be great, thank you!