21 Week Check in

Here is a quick update on me this week. I can't believe I'm 21 weeks!!

Weight gain/loss: Still down a few pounds last I checked. I feel like I’m getting huge though!
Maternity clothes? Absolutely! Pants anyway. I tried to wear my other pants and I had to unbutton them an hour into my work day.
Stretch marks? Still not 100% sure. A couple of red marks on my belly but I’m sure if they are from too-tight pants or if they are early stretch marks
Sleep? Not bad! Zantac helps so much and the extra hour with the time change was heavenly.
Best moment of the week? I feel the babies!! I was able to confirm it with the Doppler. I thought I was feeling them and we had the Doppler on and I felt the kick and heard the movement at the same time.
Food Cravings: Milk and ice cream. I wonder if I need more calcium?
Belly button in or out? Still in
Movement: Now that I know I am feeling them, I feel them all the time! It’s amazing and creepy all at the same time. LOL
What I miss: I’ve had a few nights where I really wanted a drink, but overall I’m doing alright.

Anatomy Scan was Today

And the babies looked great!!! Scrappy was in a great position so the tech started getting measurements right away. No abnormalities (aside from a single umbilical artery on Scrappy, which can be totally incidental). 2 little hearts, 2 little brains, 4 little kidneys, everything on both babies was where it should be and looked totally normal. Scrappy is small, measuring about 2 weeks behind, but that could be from the single umbilical artery and me not being able to eat much in the past few weeks.

And the sexes are......














Girls!!! We are team Pink all the way. Two little girls! I am so excited and ready to move forward with this pregnancy without constantly worrying about major genetic issues.

Thank you for all of the thoughts and prayers. I truly believe that they helped with the wonderful results we got today. :)

The high highs and the low lows

I'm pretty sure in the past 4 months, this pregnancy has resulted in as many tears as the 2 1/2 years we spent trying to conceive. Don't get me wrong, a lot of those tears have been happy, but it has certainly been a roller coaster. From the moment I saw the flickering of those two little heartbeats on the ultrasound screen, I have felt some of the happiest and some of the scariest feelings in my life.

One thing I have absolutely loved about being pregnant is how much stronger I feel things, particularly in relation to the babies. I hear a song on the radio that makes me think of the babies and I will cry, no matter where I am and what is so awesome about being pregnant is that I don't care that I'm crying. I have no shame. I have pulled up to the Starbucks drive thru with tears running down my cheeks from a song on the radio and I'm not embarrassed.

The flip side to that is when we get bad news or I feel that the pregnancy is threatened, the emotions I feel are amplified beyond my imagination. I have had several bleeding scares during my pregnancy. The first was around 8 weeks. I was at the point where I was feeling pretty confident about things. I hadn't had any spotting or cramping in the first month of pregnancy and I was really starting to get smug about how well things were going. Then I went to the bathroom and there was blood. I was so scared and in total shock. Being forced to face the fact that this pregnancy can end at any time without warning was the worst feeling. I cried and hugged Tim and prayed that everything would be OK. An ultrasound the following morning showed both babies where they were supposed to be with strong heart beats.

More recently, I received some not-so-good news from my MFM (maternal-fetal medicine doctor). I had a first trimester screen done at 13 weeks and the results were not normal (my bloodwork was lost and we didn't get the results until 16 weeks!). My bloodwork showed a 1:46 chance of either trisomy 18 or 13. I was devastated and I cried big ugly tears when we got home. Tim and I spent the next 2 days in a state of shock, fear and depression. We talked about the 'what ifs' at the same time trying to squash the horrible sadness and fear that kept creeping up.

Follow up bloodwork showed a dramatic reduciton in the risk of trisomy 18, unfortunately, there is no way to gather more information about trisomy 13 without doing an amniocentesis and Tim and I decided that the risks of the amnio outweighed the benefits of knowing the results. After speaking with my OB, we feel that although there is a chance we may have a child with a genetic issue, it is still unlikely, and if our anatomy scan does not show any major abnormalities, we can feel fairly confident that things will be alright.

Tomorrow afternoon is my anatomy scan. I am so excited to see the babies, but at the same time, I am so incredibly scared about what they might find. I don't know how I will handle it if one of the babies is sick. I would give anything to be a blissfully ignorant teenager right now. I'm sure that 16 year old girls who get pregnant don't spend a lot of time fretting over the possibility of genetic abnormalities in their babies.

Any thoughts and prayers you can spare for the scan tomorrow would be appreciated. I will update as soon as I can.

18 week update

Here are some stats on my progress:

Weight gain/loss: Amazingly none so far, I go between a 2 pound loss and maintain since my BFP. Food is starting to stay down better though, so I'm sure it will become an issue soon

Maternity clothes? Sometimes. I have a few pairs of mat jeans that I wear sometimes, but my regular jeans still fit. I don't think I have any mat. tops.

Stretch marks? Aside from the ones I already had?? I think I see one starting across my belly.

Sleep? OK. I have been battling reflux for several weeks now and that has kept me up, but I started taking Zantac 2 days ago and it seems so much better now!

Best moment this week? We have a little doppler so we can listen to the babies at home. I had the probe on and Tim came over and tapped on my tummy, a second later, Scooby tapped back. It was pretty awesome :)

Food cravings: Carbs, mainly bagels. Frozen coffee drinks, which I can't have nearly as often as I would like.

Sex: The u/s tech made a guess at 16 weeks, but I'm reserving an 'official' announcement until our 20 week scan.

Belly button in or out? In, but OMG it's getting shallower! So weird!

Movement? Maybe? I think I can feel Scooby sometimes, but not Scrappy. Scrappy is smaller with an anterior placenta so I bet it will be awhile.

What I miss? Unlimited caffeine. Not puking. LOL

What I'm looking forward to: Anatomy scan in 2 weeks. I can't wait to see them again!

Highlights of First Trimester

I have been a horrible blogger and I promise to be better in the coming weeks/months. First, let me fill you in on the highlights of the past few months. I am 18 weeks 2 days pregnant today, so we have some ground to cover.

My pregnancy started out like any other IVF pregnancy, with Beta Hell. Beta Hell consists of multiple blood draws over the course of several weeks. The RE likes to look at HCG levels to ensure that the numbers are rising properly. It is expected that the beta HCG level will double every 48 to 72 hours. My betas did OK, but weren't stellar. They typically doubled every 50-70 hours. On one hand, it was really nice to see the numbers go up and know that SOMETHING was happening, but waiting for the phone call with the latest numbers was BRUTAL! I did betas about every 72 hours from week 4 to week 6. Once my levels were over 1000, my RE scheduled my first ultrasound which happened at 7 weeks exactly.

Tim came with me to the first u/s and we were both so nervous and excited. Dr. Cof came in and explained what we should expect. He said that there were 2 things that he wanted to confirm at this time. First, he expected that the baby would have a heartbeat, second, he needed to confirm that the baby was in the uterus. If both of these things were confirmed, the risk of miscarriage dropped from about 30% to about 5%. I braced myself for the u/s, so scared of what we might find, but so hopeful for our little one.

Dr. Cof inserted the u/s probe and I quickly identified my uterus. Almost just as quickly, I saw a little blob with a quick flicker that I knew was our baby. I immediately burst into tears. Dr. Cof said 'I see a baby with a heartbeat' and I said, through gasping sobs, 'I know! I see it too!!!' Tim did not know what to do. He doesn't have experience looking at ultrasound images, so he had no idea what was going on and when he heard me sobbing, he immediately thought the worst. Once Dr. Cof pointed out our LO, he was in love. I continued to cry through most of the scan. Dr. Cof scanned around before measuring our little 'Shortround' and after a moment he said 'I see a second sac and I think there might be something in there'. My heart stopped - Oh my God, twins!? I didn't know what to think. I was so happy and so scared all at once. I couldn't believe that both embryos took, but I could see that this little one was smaller and didn't look quite the same as the first.

After a few moments of watching this little sac/blob we were all convinced that there was a little flicker in there too. We had 2 babies, with 2 heart beats! Dr. Cof did his measurements and showed that Baby A (who we have since dubbed 'Scooby') was measuring exactly on track and Baby B ('Scrappy' of course) was measuring several days behind. The doctor informed us that it was a 50/50 chance that Scrappy would not be there at our next scan.

I spent the following weeks on a cloud. All I could think was 'I am pregnant, OMG, I am ACTUALLY pregnant!' I started telling people our good news pretty quickly after that u/s, but I kept the news of twins mostly to myself and our immediate family. Knowing that it was a 50/50 chance that Scrappy was going to make it, I didn't want to have to un-tell a lot of people if the worst happened.

Fast forward to week 9. I have graduated and I am going in for my first OB appointment. The doctor came in and went straight to the ultrasound (again internal). I don't think that Tim or I took a breath in the first moments, we were so scared about what we might find. After taking a quick peek at Scooby, the doctor turned her attention to where Scrappy should be. In a moment we knew, Scrappy was a fighter! There was little Scrappy on the screen, still smaller, but definitely growing with an obvious heartbeat at the same pace as his/her sibling. I couldn't believe it!

As the weeks have gone on, we have had a lot of ultrasounds. Initially we were going in almost every week to make sure that little Scrappy was growing. Every week, we have been amazed at both babies' progress. About a week after we first saw Scooby move, we saw Scrappy move. Now they both seem to be doing great and we are getting scans every 4 weeks now (along with cervical ultrasounds every 2 weeks). We came out with the news about our double blessing around 13 weeks. Here I am 18 weeks and I still can't believe it. I am pregnant. I am going to have 2 babies. I am so happy (and scared, I'm not gonna lie!). I am doing my best to enjoy every minute because I know that it is going to go by so fast.

Without further ado, here's a picture of little Scooby and Scrappy from around 10 weeks. Scrappy is longways on the left and the top of Scooby's head and little hands are on the right. I am so in love!

Preparing for Parenthood

So I think the dogs are trying to prepare us for parenthood. I should start by saying that all of the dogs are in our bedroom, but they each have their own kennel 'room' that they are expected to be in at nigh and whenever we aren't home.

Last night at 3 am, Flash started whimpering. Just a quiet little whimper, but it almost seemed like a scared noise so both Tim and I wondered if he was having a bad dream or something. We said soothing stuff to him and he quieted down for a minute, but then he started up again. Tim got up and took him outside and he peed and went back into his room, but then started crying again. So I turned the light on and low and behold, he had thrown up in his room. Tim cleaned it (thank God!) and tried to put Flash back, but he wouldn't lay down. So Tim let Flash into the bed (I was not happy about this, but what can I do?). So after about 5 minutes Flash finally lays down, but I can feel him moving and so I turn a light on and sure enough, he's eating the blanket (and that was why I didn't want him out of his room!). So we put him away and he settles in and goes to sleep.

Meanwhile, Brew is snoring away so we have no worries there, but Cricket is licking incessantly on her feet and bed. We both tried telling her to stop, but she won't. The late night disturbance has upset her and I know it isn't over. About an hour later, I hear the horrible sound of Cricket making herself throw up. She does this occasionally. I don't know what her deal is. She rarely actually produces anything, but she will make that horrible retching noise and it sounds like she just puked up a gallon of something. So of course we get up and Tim lets her come into bed with us (again, I'm not happy). But she did let us sleep for the next couple of hours which was good.

I'm Pregnant :)

In the days following my ET, I began taking HPTs daily to watch my trigger shot disappear and hopefully see a real BFP. We went to visit my parents a little over a week after the ET and I brought my tests with me. By Saturday, the line was faint and by Sunday, the line was gone. I was a mess. I tried to keep a happy face knowing that I was only 10dpo and it was really too early to expect a BFP, but more than anything, I was convinced that the IVF hadn't worked.

I tested again Monday morning and still nothing. Well....maybe a little something. I stared at that test for a good 20 minutes trying to convince myself that the line was there, but it was too faint to call. I tested again on Tuesday and sure enough, there was a very faint, but clear line. I couldn't believe it. I stood in the bathroom staring at that stick in awe. I finally headed back to our bedroom and climbed into bed. Tim woke up and asked me if everything was ok and I said 'well, I think I'm pregnant, but other than that....' His response was a very subdued, half-awake 'yaaaay' followed very quickly by a very awake, 'Wait, what?!' And I told him that the line was back. In the days that followed that very faint line got darker and darker until I finally began to realize that I am, in fact, pregnant.



My first beta confirmed this with a level of 113. I was in disbelief. I still am a lot of the time. I am pregnant.

I WILL BE

There are women that become mothers without effort, without thought, without patience or loss and though they are good mothers and love their children, I know that I will be better.

I will be better not because of genetics, or money or that I have read more books but because I have struggled and toiled for this child. I have longed and waited. I have cried and prayed. I have endured and planned over and over again.

Like most things in life, the people who truly have appreciation are those who have struggled to attain their dreams.
I will notice everything about my child.
I will take time to watch my child sleep, explore and discover.
I will marvel at this miracle every day for the rest of my life.
I will be happy when I wake in the middle of the night to the sound of my child, knowing that I can comfort, hold and feed him and that I am not waking to take another temperature, pop another pill, take another shot or cry tears of a broken dream. My dream will be crying for me.

I count myself lucky in this sense; that I have been given me this insight,
this special vision with which I will look upon my child that my friends will not see.

Whether I parent a child I actually give birth to or a child that I am led to, I will not be careless with my love.

I will be a better mother for all that I have endured.
I am a better wife, a better aunt, a better daughter, neighbor, friend and sister because I have known pain.I know disillusionment as I have been betrayed by my own body. I have been tried by fire and hell many never face, yet given time, I stood tall.

I have prevailed. I have succeeded. I have won.

So now, when others hurt around me, I do not run from their pain in order to save myself discomfort. I see it, mourn it, and join them in theirs.
I listen.

And even though I cannot make it better, I can make it less lonely. I have learned the immense power of another hand holding tight to mine, of other eyes that moisten as they learn to accept the harsh truth and when life is beyond hard. I have learned a compassion that only comes with walking in those shoes.

I have learned to appreciate life. Yes I will be a wonderful mother.

-Author Unknown

IVF Part 2

After my ER, I was sore and a bit tired so Tim took me home to rest. Unfortunately, I had some work that I needed to get done that afternoon so I only rested for a few hours and then I headed to the lab. Tim insisted on driving me and he stayed with me while I set up for an experiment the next day. After a couple hours, I'd had enough and we headed back home.

The following morning I got the first of several phone calls from the doctor in the lab. He called to let me know that ALL 5 eggs fertilized! We had 5 little babies growing! I was over the moon. After only getting 5 eggs to start, it was wonderful to see that we had 5 little embryos. The decision was to do a 3 day transfer which would be on a Sunday.

Between the ER and the embryo transfer (ET), I focused on drinking my Gatorade to prevent too much fluid retention and drinking 1/5 of a pineapple (including the core) every night as a smoothie. This is supposed to help with implantation.

On the day of the ET, I was instructed to drink 20 oz of water 1 hour prior to my appointment. Honestly, I was more upset about this than the thought of having someone stick a very large needle through my vagina. My bladder is small and my uterus and ovaries are swollen and sore so having a full bladder after the ER was even more painful than the average full-bladder discomfort. I decided to cheat a little and I only drank 18 oz of water before we left for the transfer. It wasn't much, but it felt like a victory to me.

We get to the clinic a few minutes before our scheduled ET time to find the door locked without any sign of people. My bladder and I were not happy. I was already feeling the urge to pee and the fact that this most likely meant there would be a delay served to escalate my urgency. But we waited anyway and the doors were finally unlocked about 10 minutes after our scheduled appointment.

Come to find out, we were not the first people on the schedule so we had to wait even longer while I struggled to contain my bladder. We were taken back to a room (another one with a little window to the lab) where I got undressed and waited for the doctor. The nurse came in several times to tell me that he would be a little while and she could see the discomfort on my face. She asked if I thought I could pee just a little to help with the pressure. At first I wasn't sure I could do it, but after another 5 minutes, I thought I might die if I had to sit there any longer and I went for it. I'm actually pretty proud of myself. I managed to pee only about 2 ounces and keep the rest in. Not an easy feat!

The doctor eventually came in and told us how the embryos looked. On the day of the transfer, we had only 4 remaining embryos, one didn't make it. Of those 4, one was the highest grade (1/5), 2 were 2nd highest (2/5), and one was just OK (3/5). He recommended that we transfer 2 embryos to maximize our chances of success without having too much of a risk of high order multiples. We agreed.

The doctor from the lab came in with our embryos in a catheter and asked me to verify my identity and my decision to transfer 2 embryos.

The embryo transfer was similar to an IUI with one big catch. It is done with an ultrasound on the outside looking in at the uterus and pushing on a very full bladder. It hurt. A LOT. I cried and let me tell you, I haven't cried for any other procedure I have had in over 2 1/2 years of TTC and IF treatments. It is crazy to think that the transfer hurt more than the retrieval. It was quick once he was able to find my cervix, but it hurt. And then I started cramping while dealing with a super-full bladder. THEN, the doctor tells me that I need to lay there for 10 minutes before I can get up and pee. This induced further tears while I laid, curled up in a ball and Tim stroked my hair. Tim played a few songs on the iPod to try and make me feel better and it really helped to pass the time. Once I could pee, I felt a bit better and we were out the door as quickly as I could hobble.

For the next 2 days, I was on bed rest. This meant that I could only get up to go to the bathroom and the rest of my time was spent on the couch. I spent those days watching the entire Harry Potter series and playing on the computer. It's funny, at first I thought it would be nice to chill out on the couch and watch movies all weekend, but something changes when you are told you HAVE to stay on the couch. Suddenly, you realize that the last place you want to be is on the couch.

By the second afternoon I really wanted to get up and do something. It took a little convincing, but I eventually got Tim to let me make a pie. I had some graham crackers and some sugar-free, fat-free pudding mix and I thought that would be nice and simple. Yeah....not so much. LOL

I made the crust just fine and then used the directions on the box to make the pie filling, but being the culinary genius that I am, I decided to get fancy and add mint extract to the filling. Oh yeah, and I couldn't be bothered to measure the mint. I just poured a little bit in. Oops. In the end, I made a chocolate toothpaste pie that was completely inedible. It was clear at that moment that I needed to go back to the couch.

At this point, there is nothing left to do, but wait. Beta was scheduled for 2 weeks from the date of the retrieval.

So this is how babies are made...The IVF process part 1

After finding out that I had a good number of mature follicles, I prepared for the egg retrieval (ER). This meant that EXACTLY 36 hours before the ER, I had to get a trigger shot. The morning of the retrieval, my RE had kindly prescribed me a Xanax pill to help with nerves. I took the pill and we headed to the clinic. We started at the lab where Tim would be providing his...ahem...genetic contribution. I had to go with him and show my ID, sign a bunch of paperwork and verify that he was the man I wanted to father my child. It's already getting romantic right??

I left Tim at the lab and headed next door to the clinic where I got checked in and waited. Tim joined me in the waiting room and we were taken back to our room. Now, many women are heavily sedated or anesthetized for the ER, but my clinic generally doesn't do that. Instead, I was given an intramuscular injection of dilauded and some sort of atropine analog. These medications did NOTHING. The doctor told me I would be pretty loopy, but I wasn't even mildly sedated. I was scared and wide awake, but at the same time, I was very excited to be getting what I THOUGHT was the worst part of the whole process over with. Yeah...it's not the worst part, but let's not get ahead of ourselves.

The nurses kept checking on me and eventually realized that I wasn't going to get any more sedated than I was so they told the doctor to come in and get started. The room was a pretty standard exam room. There was the bed, an ultrasound machine, a couple of chairs, a stool with wheels and a counter with a sink. In addition though, there is a little door in the wall that leads to the lab next door. This door is designed to pass the fluid retrieved over to the lab so they can go on their very own egg hunt. Oddly enough, this door is at the south end of the bed which means that there were probably a dozen or so people who had a bird's eye view of my nether region while the doctor retrieved my eggs. A few years ago, this would have really bothered me, but now, meh...

So the RE comes in and the ER commences. For those who don't want to know what the ER entails, skip ahead a paragraph. The RE placed a speculum and cleaned the inside of my vagina with a few different things. He then injected lidocaine (or something similar) into the wall of my vagina in order to make the BIG needle less painful. The speculum was removed and the RE waited a few minutes to let the lidocaine kick in. A transvaginal ultrasound was used to look at my ovaries and locate the fluid filled follicles that house the precious eggs. Unfortunately, as the RE suspected, only my right ovary could be retrieved. The left was just not in a good position. The retrieval is done by a large needle attached to the ultrasound probe. The doctor identifies a good location for retrieval, sticks the needle through the vaginal wall into my pelvic cavity and a little vacuum provides suction to aspirate the follicle contents. I'm not gonna lie, the needle didn't feel good, but it really wasn't as bad as I had built it up in my mind to be. And it was kind of neat being able to watch the follicles get poked and shrink down under the machine's suction.

After the retrieval was over, I had to lay around and rest for awhile and nurses came in and checked on me. We were waiting to hear how many eggs we had and I was very scared about what that number would be considering that we left an entire ovary full of follicles. The RE came in and gave us the news, they had retrieved 5 eggs. I was devastated. Five? FIVE!? After all of that, they only got 5?! Obviously we don't want to have 5+ kids but eggs do not equal babies. Generally not all eggs fertilize and even if they do, they don't all make it to transfer.

I tried to be positive, but the fear that we wouldn't have any embryos to transfer was overwhelming.

Thunderfollies are goooooo!!!

I have another update and it's more good news! My follies are ready for harvesting. At my appointment today, the doc informed me that my estrogen was almost 700 on Saturday and today, I have 6 follicles that are over 18mm (they like to see at least 3 over 18 before the trigger). There are also another half dozen or so that are between 15 and 18 so those might be ready soon too. The plan is to trigger tonight and ER is on Thursday. I'll have an update on Thursday with how many are retrieved and on Friday we will get the fert report.
I am so excited and so scared right now. This is actually going to happen! Eeek!!!

Please let there be some eggs in those follies and let them be mature and fertilize! :crosses fingers:

When the Going Gets Tough....

I begin to doubt myself.

Over the past 2 1/2 years that we have been trying to conceive, I have gone through a number of self-deprecating emotions. First, I thought I was too fat to have a baby. Then, I thought that if I couldn't get pregnant naturally, it was nature's way of saying I shouldn't be a parent. Most recently, I have begun blaming my faith, or lack thereof, for my infertility. I have noticed for the past year or so that the people in my life who have gotten pregnant seem to be those who believe in a higher power, particularly those who are members of an organized religion.

I'm not going to say that I don't believe in a higher power. I really do think that there is more to life then the time we spend breathing, but I am not a fan of organized religion and I don't spend a lot of time contemplating the mystery of an afterlife. Unfortunately, with this lack of religion, comes a lack of faith. I don't have faith that everything will work out and I don't have the comfort that everything happens for a reason. I can never say "I prayed for this child, and the LORD has granted me what I asked of him." Not because I have never prayed for a child, because even the non-believer in me has thrown my hands up in desperation and asked God for a child, but because I still have that doubt.

I frequently feel like infertility is my punishment for not having faith. I was baptised and I spent enough time in church to think, if there is a God, I'm on his radar and He is pissed that I turned my back on Him. That probably sounds really dumb, but these are the thoughts that creep in when I think about the things that Tim and I have been through.

I don't know why I felt the need to write this. It's just something I have been thinking a lot about lately. I respect people who have faith and there is a big part of me that is jealous of them for having that comfort, that belief, that there is a higher power and He is on their side. It seems like a greedy reason to go back to religion though and I will never be comfortable with man speaking the word of God.

IVF Update

I had a monitoring appointment on Saturday morning and the news was good for the most part. Although the doctor does not feel that my left ovary can be retrieved, I have at least 10 f0llies cooking on the right side and they are all growing at a similar rate. The doctor is very optimistic that I will have plenty of follicles and that things are right on track. I am still hoping that they will be able to get the left, but it's nice to know that even if they can't we should still have at least a few eggs.

I go back on Tuesday for what will hopefully be my last monitoring appointment. At this point the retrieval will likely be Thursday or Friday. Eek!!

I think I feel something!

LOL
I woke up this morning, rolled out of bed, grabbed my meds and did my shots. I feel like I have a routine down pretty well, but unfortunately, my stomach is already really bruised on one side which limits where I can do the injections. With 3 injections a day (1 lupron and 2 stim shots) it is getting harder and harder to find vacant real estate (even with my fat belly!).

About an hour after I did my shot this morning I really started to feel something going on in my ovaries. Stronger on the left, but also on the right... Could it be? Is it possible? Are my ovaries actually RESPONDING to the 450 units a day of follicle stimulation drugs?! Time will tell.

I have my first monitoring appointment on Wednesday morning. I'll be sure to keep you posted :)

Please forgive me for I have slacked.

It has been 6 weeks since my last blog post.

I have been super busy at work which is one of the reasons I haven't updated. I also haven't had much to say. I've been on birth control pills waiting for the time to start stims for IVF. Well, I'm now done with birth control!! I started lupron injections last week and I'll start stims next week (assuming my baseline goes well).

For those who are unfamiliar with the process of in vitro fertilisation, I'll give a breakdown. I'm new to this too, so I'm going to keep it simple.

There are multiple different medication protocols all designed to get the ovaries to make lots of follicles that are all at the same level of maturity.
Most protocols start with birth control, lupron or both. This is designed to shut your system down in the reproductive department. The doctors don't want your ovaries making any decisions on their own. Once the ovaries are shut down, they are ready for stimulation. The drugs for stimulation are the same as the ones I have used in previous cycles, but the doses are higher. The hope is to stim for about 7-10 days and get lots of mature follicles. After stims, comes the egg retrieval (ER). A drug is given to 'loosen up' the follicles and get them ready for the retrieval. The retrieval is done at the REs office. Basically, an ultrasound is used to guide a needle through the vaginal wall into the abdominal cavity. The needle is directed at the individual eggs and they are aspirated out. Once the eggs have all been retrieved sperm is added and the waiting game begins.

Not all eggs will be mature and even mature eggs won't necessarily fertilize. Once it is known how many of the eggs fertilized, decisions regarding how long the now embryos will wait in culture before being put back in the uterus or frozen. Generally embryo transfer (ET) is done at either 3 days or 5 days. The doctor will help guide the decision of how long to wait and how many embryos to transfer. For us, we will transfer 2 embryos at the most. If we have great quality embryos to choose from and we are able to go out to 5 days, we will likely just transfer 1, but it's too soon to be sure. (at this point, I am just hoping that we have something to transfer!)

The transfer procedure is very similar to an IUI. Instead of sperm being placed directly in the uterus, an embryo or embryos will be placed directly in the uterus. After that it's another waiting game. Just like before, there's a 2ww before testing for pregnancy.

Phew! Just typing it out has me tired!

A Letter to my Sisters

AmberZ posted this in her blog (http://www.borninabarnbaby.blogspot.com/). I wanted to share it with all of you:

I did not write this, and can not find the author info. If you know who did, please let me know so I can give them credit.

A Letter to my Sisters:

Infertility is like a party- a big, year or two or three or more long party that no one really wants to go to. In fact, it is a pretty lousy party, not much fun at all. But by the time you get the invitation, you are already there. Perhaps it is your doctor that gives you the invitation, or a specialist, or perhaps just plain old time that gives you the nudge that this is one party you won't be missing.

So we all show up at this party kicking and screaming. But since this party is held in our honor, we wipe our tears and look around the room. We see our mothers, our aunts, our sisters, and the lady down the street. The check-out lady is there, and so is the attorney, the school principal, and the taxi driver's wife. When we see them at first we are surprised- "I didn't know you were invited too" we say. But when we start to talk with them and learn their stories we know instantly we are sisters, and that their grief is our own, and that we aren't quite so alone.

This party is filled with sisters. My mother and perhaps yours too, was at this party once. So were many friends of mine. I am always humbled by seeing how many sisters I have here. Even as sisters leave, new ones come to take their place. I spent a long time there before it was my turn to leave. You too will leave this party someday.

There are parting gifts at this party, but most of us are so glad to leave when our time is up that we just throw them in our purse and forget they are there. Then one day, while we are looking for something else, we dig out a little box. Oh yes, our gift. We were looking for what to say to a sick friend, or perhaps how to handle some adversity that came our way and we found this little box in the bottom of our bag. We open it slowly, and there inside we find it. Endurance. Strength. Compassion. We were strong, and once walked through the fire she has made us stronger still. We have endured what would have once broken our hearts, devastated us, and come through with a strength that will not easily be silenced. And compassion. Our hearts have grown and now we can, without judgment, embrace each other in ways we couldn't before. We know the true meaning of kindness, and the value of compassion. We see humanity, for all it's sadness and all it's emptiness, and we can't do anything but wrap our arms around her in a warm, full embrace. We understand each other's sorrow, and we share our strength.

And so my Sister, stay strong. I understand how hard some days are, and I know how deeply you want this to end. Please know that it will, and that you do have the strength to endure this. You will. You will move forward because you desire this more than anything in your life. You will conceive, or you will adopt, or you will foster children. You will someday leave this place, this party in your honor, but you will remain a Sister forever.

Confused and sad

I still had a faint positive this morning and after realizing that my booster trigger was only 2,500 units, not 5,000 units, it's pretty clear that I was actually pregnant. It may have been short lived, but there was a little one there, but it wasn't meant to be. I am so incredibly sad and I know that I shouldn't be, but I am. The reality is, it's good news. I was actually able to get pregnant for the first time in over 2 years of trying, something worked. It's just the weirdest feeling to think that I might have actually been pregnant, even if it was for only a few days.

I am supposed to go in for a beta on Thursday just to make sure that everything is ok. I suspect that they are still concerned about ectopic pregnancy, but they aren't telling me that. I am sure it will be negative, but it will be a good thing to do just to know for sure that it is over.

Foolishly Clinging to False Hope

Well, it looks like our 3rd and final round of injectables/IUI is coming to an end. I had a progesterone level done on Monday last week which was 8 dpIUI. It came back pathetically low (1.5) which means that in all likelihood, I didn't even ovulate this cycle. BUT, I foolishly clung to the hope that it was a lab error or some other equally unlikely explanation that could mean I'm still in the 2ww.

Per my RE's advice, I took a booster HCG injection on Monday. This was 5,000IU of HCG which would help 'keep my progesterone up' LOL-um, yeah---because it's so high! Anyway, I did it, still clinging to that hope. In an embarrassing display of optimism, I began 'testing out my trigger' starting on Wednesday night.

For those who have never had the pleasure of injecting yourself with drugs designed to force ovulation, I'll give you the down-low. The injection given before IUI is called a 'trigger' shot, because it is supposed to trigger the ovulation of mature follicles the same way that LH (leutenizing hormone) does in the unmedicated cycles of 'fortunate' women. Instead of LH, the injection given is HCG (human chorionic gonadotropin) which is the same hormone that home pregnancy tests detect. The trigger shot results in false-positives on HPTs. A general rule of thumb for how long the trigger will cause false positives is, 1,000 IU/day so since my initial shot was 10,000 IU, it should have been gone 10 days following the injection. Since there is variation between individuals, I test out my trigger shots and I have learned that with the 10,000 IU shot, the tests go from positive to negative around 7or 8 days post trigger and the 5,000 IU booster is gone by 6 days post trigger.

Generally, the tests fade from a nice positive (easy to see, no squinting or holding it up to the light--not necessarily as dark as the control) to a faint positive that is difficult to see. Well, the tests that I took from Wed to Saturday morning (5 dpt) were all equally dark, there was little to no evidence that the positive was fading. So of course, I got hopeful and thought that if the test was still nice and positive on Sunday, I would get really excited.

Unfortunately, when I took the test this morning, the line was much less obvious than it had been before. Again, being foolishly hopeful, I still thought that I had a chance. I mean, hey, the trigger is usually gone by now and it's not, that is worth getting excited over, right? Well, then I started cramping and spotting and crying....

I hate this so much. I hate that I have to go through this month after month and I REALLY hate that I let myself get hopeful only to have that hope crushed. Here's a picture of the tests I've taken so far. (yup, I pulled the ones from Wed-Fri out of the garbage to obsess-yet another symptom of foolish optimism)



It looks like we'll be moving onto IVF. Of course there is still that part of me that clings to hope...

"Bitter"

There are 11 definitions for the word 'bitter' on dictionary.com. Not one of them describes me, yet so many people throw this term around whenever they have a negative interaction with someone who is struggling with infertility.

bit·ter /ˈbɪtər/ [bit-er] adjective, -er, -est, noun, verb, adverb
–adjective
1. having a harsh, disagreeably acrid taste, like that of aspirin, quinine, wormwood, or aloes.
2. producing one of the four basic taste sensations; not sour, sweet, or salt.
3. hard to bear; grievous; distressful: a bitter sorrow.
4. causing pain; piercing; stinging: a bitter chill.
5. characterized by intense antagonism or hostility: bitter hatred.
6. hard to admit or accept: a bitter lesson.
7. resentful or cynical: bitter words. –noun
8. that which is bitter; bitterness: Learn to take the bitter with the sweet.
9. British . a very dry ale having a strong taste of hops.
–verb (used with object)
10. to make bitter: herbs employed to bitter vermouth.
–adverb
11. extremely; very; exceedingly: a bitter cold night.

When I look at these 11 definitions, I am trying to find the one that people are likely referring to when they say that someone is a 'bitter infertile'. Used in that context, it is an adjective which leaves me with 7 possible options. I am guessing that they are referring to definition #7 "resentful or cynical". So, I looked up those words to see if I could find a bit more clarity. Of course 'resentful' just means full of resentment, which wasn't very helpful. I had to look up resentment for further information. Resentment is defined as 'the feeling of displeasure or indignation at some act, remark, person, etc., regarded as causing injury or insult.' Have I ever felt resentment? Yes, I am certain that everyone has, not just women suffering from infertility. Do I feel that I am 'full' of resentment? No. So lets move on to cynical.

cyn·i·cal   /ˈsɪnɪkəl/ [sin-i-kuhl]
–adjective
1. like or characteristic of a cynic; distrusting or disparaging the motives of others.
2. showing contempt for accepted standards of honesty or morality by one's actions, especially by actions that exploit the scruples of others.
3. bitterly or sneeringly distrustful, contemptuous, or pessimistic.

Well, since the word 'bitter' is in #3, I will think a moment about that one. Am I ever distrustful or pessimistic? Sure, but isn't everyone at times? I've been thinking about this 'bitter' label for a long time now and I honestly don't think that would define myself as 'bitter'. Do I have moments where I feel resentment and cynicism? Sure, but those moments don't define me. They are not my way of life.
The reality is, when people call a women who is suffering with infertility 'bitter' they are perpetuating a stereotype. They are making a sweeping generalization about who a person is based on a single trait. This, to me, is the same as being a racist or a classist. It is ignorant and belittling and there is not a single positive thing that can come of it. I know that this post won't change the views of those who use this word, because let's face it, those people don't care about me and don't read my blog, but it felt good for me to write it.

Why my husband is awesome

You know, I just don't give Tim enough credit most of the time. He is an amazing and wonderful man and I feel so fortunate to be in his life. When I sit down and try to think of all of the things that make Tim amazing, there are so many things that I think about and some that I just can't put into words. As a start:

• He is sensitive, he cares about me and our furbabies. He cuddles on all of us and talks in baby talk to the puppies.


• He gets me. When I am having a bad day or upset about something, he senses it-I don't even have to say anything, he just knows and he also knows when to hug me and not say anything or just leave me alone.


• Tim is one of the smartest people I know and he is an amazing teacher. He is passionate about so many things, particularly aviation and photography.


• He isn't afraid to be goofy, especially around his niece and nephews.


• Related to that, Tim loves kids. He is so cute around babies, all sweet and nervous and then when they are able to walk around and talk, he is so comfortable with them. He is going to be an amazing father.

And then there are a few funny things about Tim, that make him who he is and make me laugh.

• Tim really likes to build things, but he almost never completes a task without hurting himself and/or swearing. He will invariably hit his thumb with a hammer or drop something on his toe. I can't help but stifle a giggle while he's hopping up and down on one foot.


• Tim will always be a pilot, even though we can't afford to have him fly as often as he would like. Whenever a plane flies overhead, he looks up. I think that when he looks up, he is putting himself in the cockpit, imagining what the pilots are doing and seeing.


• Just like a pilot, Tim is always strives to be on time--it doesn't matter what it is; a lunch, a class or even a party. This may not seem that funny, but he made me laugh on Sunday when he had to produce a sample for the IUI. We needed to leave at 7 am and I tried to minimize the pressure by telling him that it's no big deal and that we can leave a little late if we need to. Well, sure enough 7:00 on the dot, he walks into the kitchen ready to leave. I couldn't help but laugh and say that he is such a pilot that even his sperm strive to have an on time arrival.

Tim is just amazing, for these things and so many others that make him who he is. The past 2 years have been tough on both of us emotionally, but he has been a constant support. We have truly been in this together from the start and in the end, no matter what happens, being together is the most important thing.