Sunday, December 30, 2012

Follow Up With Dr. B

Thursday was our follow-up appointment with Dr. Br.averman. Our appointment was at 2:30 in the afternoon and we had planned to both work on Wednesday and head down after to stay with my cousin in NYC. Well, they had predicted about 9 inches of snow so we ended up leaving early to avoid it. We got into Manhattan around four and my cousin wasn't going to be free until quite a bit later. We parked our car and walked around Ti.mes Sq.uare, Br.oadway, and Ro.ckefeller Cen.ter. The weather was pretty awful and within a short amount of time we were ready to head back to the car. We were both soaked and cold. 

From there we decided to do the driving tour of Manhattan. We saw the Empire State Building, the Freedom Tower, 5th Avenue, and Greenwich Village. It was so much better from the warmth of the car. W only triggered one episode of road rage from another driver, so, all in all it was successful and much more enjoyable. 

We met up with my cousin and her husband and had dinner delivered to his Muay Thai boxing gym in Manhattan. They were doing some maintenance since they were closed for the holidays. After a bit we headed back to Queens to their apartment. 

W and I slept on their fold out couch which wasn't the most comfortable, but was most definitely free. We woke on Thursday morning, showered, got some breakfast, and hung out for a bit before we headed to Long Island for our appointment. I had my list of questions and was ready to meet with Dr. B. 

We didn't wait long to see him and there weren't many people in the office. It was such a different feel from my current RE's office where you wonder if there is going to be enough seats for everyone. One woman came out and was talking with the receptionist. Then Dr. B came out and gave her a big hug and chatted with her for a bit. I'm pretty sure she was pregnant, although I tried not to eavesdrop. 

When we headed back to Dr. B's office he greeted us warmly and mentioned something about how much easier this appointment was than the last one. He first asked how many frozen embyros we had left. When I told him five he started to make a plan for that. Then I told him we were more interested in doing a fresh cycle at his clinic than using those frozen embryos right now. 

He thinks our past failures are more linked to the lab than either eggs or sperm. I can't deny the success rates are really low at my current clinic for fresh cycles. Their frozen success rates are abysmal. That's not to say it doesn't work for some people. I know lots of people who got pregnant there. I just don't appear to be an easy case. 

Dr. B thinks we should do a similar protocol to last time with a Lupron trigger, so that means no Lupron to suppress. I've been on birth control pills for around two weeks now so will stop that soon. At that time we will start stims. I haven't received a calendar yet, but I have an idea of what it will look like. We will use Gonal-F and Menopur and I'm also guessing Ganirelix. In addition, we will increase the Neupogen dose a bit. We will wait until the day before the transfer to add in the Neupogen since I guess it has been linked to higher estradiol levels when added sooner. We don't need any help in that department. 

I asked about doing an endometrial biopsy again and he said studies aren't conclusive enough to do it at this point so it's probably not worth it. I asked about repeating the HSG since I've only ever had that done once and he said he sees too many false positives with it and that it's not a great test. The best way to look at everything is with a lap surgery which I have had, twice. I asked about PIO vs. Crinone and he said that at least initially he prefers to use PIO. I asked whether our chemical pregnancies were likely the result of chromosomal abnormalities or the HLA matching. He said it could be a combination of both and that it's hard to know. 

I asked at what point implantation is reduced with high estradiol levels and he said around 4000. He agreed to aim for a fresh transfer and said that, "maybe there's something there" since I've only ever had implantation with fresh cycles. 

He was super positive and said we will have a baby. Even if it's not a guarantee, it was really nice to hear. He even said that if we aren't successful this cycle (frozen embryos included) that he will give us another cycle for free. He's not going to leave us hanging. 

He said his lab is able to mature eggs and that if it means triggering me a day sooner to keep my estradiol a little lower, it's not a big deal. At that point we would likely have some mature eggs so it would just mean some would have to undergo in-vitro maturation.

 Once our conversation appeared to be at a near end I asked if I was going to get an ultrasound. He said yes and called his tech down. 

We went into the ultrasound room and started. The tech didn't say much but I knew a doppler blood flow portion would be performed. The ultrasound took a really long time as she was super thorough. I had no idea what she was looking for with the doppler so I lost interest quickly. When she finished she told me not to get dressed and to wait for Dr. B to come in the room.

When he came back he told me a number of things, all new to me. He told me I had a fibroid that was about an inch. It was making my uterine cavity appear curved. I asked whether this was something that grew slowly and he said it had likely been there for a while. This pissed me off a bit that I had never been told about it at all. I'm wondering if my current clinic ever even saw it. He said he wanted to perform a hysteroscopy to take a look at it to be sure it wasn't in my uterus. If it was we were looking at surgery to remove it. He joked that he could do it that day but that the machine wasn't sterilized so he could give me a half off deal on it. I asked whether it could be done the following day and he said fine. 

He then told me I had reduced blood flow to both sides of my uterus. He recommended I use Viagra vaginally to help with blood flow as well as Vitamin E daily. In addition, he said they would double my dosage of Lovenox next cycle to twice a day. Hopefully this will all help with the blood flow issue. I'm really glad I went and had this done because it obviously gave us new information and changed our treatment a bit. When the tech was performing the doppler portion I asked her why more clinics don't do it. She said it's because they likely don't understand the importance. 

We returned the next morning for the hysteroscopy. We waited a bit in the procedure room this time but when Dr. B came in he joked about reading the cliff notes for how to perform the procedure. When I asked the previous day whether I would be conscious for the procedure he said I would but he would not. The hysteropscopy itself was short and showed the fibroid wasn't going to interfere in any way so that was really great news. From there he turned to W and said he was sorry he didn't find his watch in there. 

I talked with his nurse for a bit and we talked about meds for this upcoming cycle, my calendar, and supplements Dr. B recommended. These were: Omega 3 Fish oil 2x's/day, Vitamin C 1000-2000 mg/day, Vitamin D 4000 units/day, Pycnogenol 100 mg/day, Vitamin E 500 mg/day, and Vitamin B complex. In addition, she gave me a sample of something called Preg.nitude which contains Folic acid and Myo-inositol and instructed me to take in twice a day. They also wrote me a script for Mentanx which is to help with the MTHFR. The nurse also said Dr. B is going to want to see me around day eight of my stims to perform the ultrasound and take a look for himself. This is going to make things a lot more complicated and I don't think W will join me for that appointment. We will see at what time it falls and see who I can rope into coming with me. 

All in all, I'm really glad we went. Talking with someone face-to-face is so much better than over the phone. We regained some confidence and feel positive moving forward with Dr. B. We also received some new information that changes things a bit. I'm not holding my breath that IVF #5 (holy crap) is going to be the one, but it's nice to have some hope again that it may work out in the end. 

Tuesday, December 25, 2012

Glad It's Over (Christmas 2012)

Our tree sits proudly, taking up a quarter of our living room. Our lights outside are well hung and look awesome. The cookies were baked, frosted, and quickly eaten. The presents have all been opened and we are back home together. 

Christmas is over and I can't lie, I'm pretty glad it is. We made the best of what we could this year, but it was especially tough. 
Pepper Claus
Can you find the kitty in the tree? His new favorite skill
The front of our house
Our tree in the living room
The garage
I don't have the fondest childhood memories from Christmas. My parents got divorced when I was seven so I don't have any Christmas memories with my Dad at home. From as early as I can remember, I dealt with my sister unintentionally trying to ruin Christmas for us. She hated surprises (and honestly still does) so she made it her life's work each December to find our presents and show them to me. 

One year my mom hid them in the trunk of her car. When my mom went running my sister brought me outside and we played with our toys in the driveway. She got a Game Boy that year that got lots of use before Christmas. I remember I got a stroller for my dolls. 

Another year she showed me how to unwrap the presents from the corners to peek and see what was inside. 

Then there was the year that I had heard rumors that there wasn't a Santa (probably from my sis) so I wrote him a note and asked him to sign on the line if he was real. In my excitement I brought it to my sister to show her and she prompted replied with, "That's moms handwriting." 

As we got older my mom gave us money a few weeks before Christmas and took us shopping. We were able to pick out what we wanted and then she wrapped them for us for Christmas. 

I know it's not my sister or mom's fault that I don't love Christmas. It always just felt like such a let down. 

For Christmas Eve this year we went to my in-law's house. This was the first year my mom and step dad were in town for Christmas in about ten years so they were there as well with my brother. In addition, our friends C, J, and their little girl E came over. It was nice to spend time with everyone. The tough part came when I overheard W's aunt talking about how she was going to be a grandmother again. Her son and his wife are pregnant and due in May. 

Yeah, that wedding we attended in June? They're pregnant already. Not to mention the fact that she left him for about a month within a few weeks of them getting married. Yeah, they're pregnant. 

From the point that I heard that news on I struggled. I knew we would be seeing W's cousin and pregnant wife for Christmas dinner and I started to dread it. We managed to arrive as late as possible, both tearing up a bit on the ride over.  I didn't converse with her at all tonight. I didn't tell either of them congratulations. I was a jerk and I don't care. I'm not handling pregnancy announcements particularly well these days. 

I just don't get how it's possible that she is in her upper 30's and got pregnant within a few short months of them getting married. It's really starting to hit us hard that for every wedding we attended since our own, the couples are either pregnant or already have already had a baby. Couples that are way older than us. One of my co-workers who was expecting at the same time as we were supposed to be the first time told me recently that they are expecting their second child this spring. They started trying late this summer. 

To be completely honest, I just don't get it. I don't understand why I'm still in my 20's (for eight more months) and unable to get pregnant. Unable despite trying everything we can. Unable despite all of the money we have thrown at the situation. 

 I'm okay with babies, but pregnancy is really starting to rub me the wrong way. It's probably because I'm coming to terms with the fact that it may never be me. 

Things have been ok lately. Last week brought some serious work drama that had me crying in bed at midnight that night. It's hard to feel the stress of infertility and then pair it with work stress. It just feels like too much sometimes. Everything is fine now, but it didn't feel that way for a bit. 

On Thursday we meet with Dr. Br.averman again. I'm not sure how I feel about things. Going through another IVF cycle does not sound like fun. I'm curious to see what he has to say and to see whether he can re-inflate our hope balloon. 

Then next Thursday we have an appointment with an adoption attorney to talk. I'm not sure what our plans are exactly with that, but it will be nice to talk to someone about things. 

Christmas wasn't easy this year. We both struggled to put on a happy face and to focus on the positives We have so many things to be happy and grateful for but it's hard not to feel like something's missing. 

Friday, December 14, 2012

The Dark Clouds are Parting

Things are looking up. The dark clouds that were hanging around us last week seem to be moving aside and allowing for some bright light. We are feeling happier, smiling more, and moving on from the sadness. It took a lot longer this time, but it also changed some of our perspectives on things.

The orientation at the adoption agency Tuesday night really helped. We drove about two hours west and arrived early. It was a good thing we did because finding the office was incredibly confusing. I guess they had just moved so it wasn't marked as their office and we spent almost 25 minutes looking for the place, driving up and down the road. The orientation itself was informative and helped to explain the whole process really well. They had a bunch of sample profiles to look at and it was nice to see what people share about themselves. The agency also had a family come in with their four month old son to share their experience. They had waited thirteen months to be matched, but their little guy was adorable. The process sounds difficult and expensive, but totally worth it. I'm sure it's incredibly hard to wait for "the call." It seems to different from doing treatments.

After the orientation we went for dinner. The food was horrible but we laughed and had a good time. We had some great conversations in the car during our two hour ride home. It was fun to talk about and we both felt so positive.

We aren't jumping up and down to start registering with them. I thought it would be a good idea to speak to an adoption attorney first to get some reviews of this agency and possible other options before moving forward. If we do choose this agency they believe in open adoptions. When I first asked W about it we were on the fence. The more we thought about it the more it seemed fine. W said, "It's just another person we get to brag to about our kid." I thought that was funny.

When I looked up local adoption attorneys yesterday I found a good family friend of my MiL and FiL listed. W called him today and he said although he does deal with some adoptions, he had a good friend who primarily does them. He gave us his number and W left a message yesterday afternoon.

In other news Aunt Flo finally decided to show her face a full eight days after stopping my meds. It was the longest I have ever waited and I was honestly started to get concerned. I emailed the nurse at Dr. B's office on Wednesday and by Thursday morning things had started. I also got a call from Dr. B's office saying they had an appointment available for the 27th. I called back and we are scheduled for 2:30. We are planning to take Thursday and Friday off from work and spend some time in NYC. He isn't doing office visits in the city anymore (Hurricaine Sandy maybe?), but it's so close and a great excuse to spend some time in the city. I'm pretty sure the tree will still be up in Rockefeller center so I'm pretty excited to see that. W has two cousins that live in the city, I have one, and his aunt and uncle live in northern NJ. I'm sure we can find someone to stay with.

I have to call my local clinic to schedule a baseline appointment before starting birth control pills. I'm a little nervous about it because they always ask what kind of cycle I will be doing. I know they won't like the idea of me going somewhere else, but I think it's time to move on from them. 

It's somewhat alarming how much cheaper my current clinic's prices are. It has to be for some reason, right? I can't believe it's just because the RE who owns it has a good heart. We were able to buy three cycles for a little over $7,000. That included ICSI, assisted hatching, anesthesia, and all frozen cycles involved. It didn't include meds and monitoring. Doesn't that seems bit too cheap? My first IVF cycle was at a publicly funded state university clinic. They still charged us about $6,000 for the cycle we did there. 

 I'm sure my current clinic is a great clinic if you are a straightforward case and the one-size-fits-all approach works. Unfortunately, I'm not that person. I would have loved nothing more than for our first cycle to work with them. Three fresh cycles (one with a freeze all) and three frozen cycles later it still didn't worked. I shouldn't feel bad going somewhere else, we need to do what is best for us. At this point though I'm still not completely convinced what is best is doing a cycle with Dr. B. It may just be pursuing adoption, but I think I'd like some closure on treatments. The thing about that is as long as we have five frozen embyros, we won't have closure. I'd really like to make a decision by the end of the year so that if we pay for another cycle we can deduct it on our taxes. With all of our medical expenses this year it would help us to get some of it back. The prices at Dr. B's office certainly aren't as cheap as where I am now. 

None of this is easy, but now we have some plans in place. We are hoping to speak with a lawyer soon and at least register with an agency. We will meet with Dr. B and make a plan moving forward with him most likely. It's been a bumpy ride, but hopefully there will be fewer potholes in the future. Either that, or I should buckle up and hang on tight.

Sunday, December 9, 2012

Moving Forward

Estsy: MeganMatsuoka

Maybe it's because we invested so much more into this cycle, but this negative has been one of the hardest hits in a long time. W and I are definitely still really sad about it. There are times each day where I find my eyes welling up with tears thinking about it. We're taking care of ourselves and allowing ourselves to be sad. 

I have exchanged a bunch of emails with Dr. Br.averman since Friday. He generally responds quickly, but I can tell isn't comfortable answering all of my questions. I understand that. I really should sit down with him and pay him for his time. I just needed some immediate answers to feel better. 

When I asked what the biggest factors are in determining FET success he said, "I looked over your records. I think your treatment for the HLA issues is complete. We need to look at both embryo quality and other issues such as your uterine lining at the time of the transfer." When I explained to him that my lining was almost 9 mm a week before the transfer and that I've done both a sonohysterogram and endometrial biopsy recently, all signs pointed to our embryos.

His words: "I agree, most likely a quality issue." I don't find that hard to believe since we have transferred a lot of embryos without success. What frustrates me the most is that we don't have an answer to why our embryos aren't great quality. The last time I met with my local RE he told me my eggs look fine and the sperm is great. The first clinic we went to for only one IVF cycle told me the outer shell of my embryos was hard to penetrate. When we did ICSI on half and allowed the other half to fertilize naturally, only one fertilized naturally. They also triggered me too soon so I'm not sure if my eggs were immature and that was part of it. The clinic I currently go to where we have done three cycles is the one that told me my eggs look fine.

 Our embyros also get decent grades each time and we always have some left to freeze. They make it to day five and we've gotten really high graded embryos in the past. Those were the ones that resulted in chemical pregnancies. 

We've only ever had success with fresh transfers. I'm not sure if it's the lab, vitrification process, or our embyros that result in no implantation with frozen cycles. 

I know this is a bit of a moot point, but my HCG came back at 0.8. In the past with each negative HCG it measured <0.5. I've gotten that result at least five times between baseline appointments and negative cycles. I'm wondering if this slight elevation means a little something did happen. I wish I had tested earlier. Not that it matters though. When I test before the beta I wish I hadn't. When I don't test I wish I did. The grass is always greener. 

The morning after our negative result W hugged me as I cried and said I didn't think it would ever work for us. I thought it was time to move forward with adoption. We talked about how we knew we could love any baby but how it's hard to mourn the loss of our own. I wasn't sure how much more heartbreak I could take. We've talked about adoption a lot in the past. Originally we had talked about having two children and then adopting one. My mom, dad, brother, brother in law, and two of my cousins are all adopted. It's something we're totally comfortable with. 

I looked online and called around a bit on Friday and found a local-ish agency that happens to have an orientation this coming Tuesday night. W and I are planning to attend despite the drive. I've also signed up to receive registration packets from a few other agencies. It's incredibly overwhelming knowing which agency to pick so that's why I've requested information from a few. I think we will start moving forward with adoption. I'm looking forward to learning more on Tuesday night. For those who have adopted, how did you choose an agency?

When I first emailed Dr. B and discussed my frustration with the process he said, "You certainly have to try one more time with treatment to be sure that this won't work." Enter doubt. When we talked about it we realized we didn't give Dr. B a full chance. We used our own clinic and had him make the decisions. When we first met with him he told us that he can't control the lab or speak for the lab at our particular clinic. That may be part of the equation. I'm not putting everything on that but it's certainly something to think about. We went through the process of getting all of the blood work done with him and we found out some new information. From there, we've haven't given it much of a shot. It's just so hard to continue doing treatments with the stress of the costs and emotional tolls it all takes. I know we don't have to do another cycle just because Dr. B recommends it but I never want to look back and feel like we should have tried harder. 

When I called Dr. B's office last week to try to book a follow-up/WTF appointment I was told there's nothing available until the second week in January. I emailed him and told him this and he said he'll get me an appointment sooner. 

So, I'll wait to hear when I can follow-up with Dr. B. I have a list of questions started and we'll determine then whether we are going to do another cycle. There is no huge rush to use our frozen embryos, they're not going anywhere. We will attend the orientation on Tuesday and find out more about adoption. I may call and talk with the embryologist at our local clinic and try to find out more information regarding our embryos, my eggs, and W's swimmers. It will help to be armed with that information going into the appointment with Dr. B.  

We're still picking up the pieces and feeling really sad about this most recent cycle. We are taking time to mourn this loss and trying to determine whether we want to continue with treatments or not. Either way, I know we are going to be parents, and awesome parents at that. Our child (wherever he or she is) is so wanted.

Thursday, December 6, 2012

Another Negative

There's not a whole lot to say. I was surprised we didn't get a positive this time. I really, really thought this was going to be the one. I feel lost. I don't know what to do moving forward. 

W and I tested the morning of my beta. I was so surprised a second line didn't pop up. We are so disappointed. Yet again. 

We have five frozen embryos left. I'm not sure whether we will use Br.averman for this next cycle. He definitely used a different protocol but I'm not sure it made much of a difference. The biggest differences were Lupron, antibiotics, and Neupogen. He wants me to get a few tests repeated as the nurse said it may help explain why we got a negative. I don't think anyone ever knows why it doesn't work. I just doesn't. 

I'm so tired of this. I just want a baby. 

As I've realized already, life goes on. Even when you feel like you are standing still you look around and realize nothing else is.

 I will be okay and so will W, but it doesn't make it suck any less. 

Sunday, December 2, 2012

6DP5DT and Keeping the Positivity

It has been six days since my embryo transfer. Earlier in the week I handed over all of my HPT's to W and asked him to hide them. This has kept me from testing too early and has allowed me to keep the positivity. I want to know, but I guess I can continue to hold out. We've agreed that we will test together before my beta so I don't get the news when I am by myself at work. Not testing early also makes the IM shots more bearable. I'm doing 2 cc's of progesterone every night and then on Tuesday and Friday we also do an estradial valerate shot that is IM. Nothing like two IM shots in one night, let me tell you! 

I'm still taking Lovenox and Neupogen. The bruising has gotten much better so that's good. In addition, each night I have a "crotch rocket" AKA estradiol/progesterone suppository that I use. I had never heard of such a concoction, but I guess you learn something new every time. It's all so much fun!

In the past I've written that I don't believe in symptoms since the hormones mimic so many of them. It's hard not to be on symptom watch, but I've been trying not to read into them too much. OK, that's me lying because I've been spending WAY too much time on Google in the morning. I still don't know what to think but I like feeling positive. I guess in a way I like not knowing yet.  

This weekend was busy. We had our friends C, J and their little girl E over on Saturday. We hung out, ate some crepes, ate some soup, and played some Scattergories while their little one took a nap in our king sized bed. Once she woke up we headed out to cut down our Christmas trees. We went to the same place two years ago and had a great time. We brought the dogs and rode in the back of a pickup truck with them. E thought it was hilarious. On the way back our dog Pepper made a friend with some lady and was all snuggled up on her lap. Good thing she was a dog person. 

We picked a concolor fir tree which I honestly know nothing about. The needles are much longer than usual and W said it was super easy to cut down. The people at the tree farm said it was the most fragrant kind and they were right. Our house smells amazing! We haven't decorated it yet but we have tons of time. 

Today W hung lights outside on the house and garage while I did some work. After, we went out to lunch for gyros and then we went shopping for a new couch. We didn't find anything we loved and our current couch is fine. 

This evening I finally finished the binding on my first quilt. I have a deadline as my friend's baby shower is next Saturday. I'm dropping it off tomorrow to get machine quilted. I will be sure to take a picture when it's totally done, but I love it. I'm really impressed that I was able to teach myself how to quilt so well. I'm no pro or anything, but it really does look great. I know my friend is going to love it. 

I'm glad to be going back to work tomorrow since I won't have the urge to test as much. I'm not going to lie, I did hunt for the tests for a while today and W did a damn good job hiding them. I know I can buy more but I'm not there...yet. I really hope this is the one!

Monday, November 26, 2012

Transferred

Everything went great today. The two embryos they picked survived the thaw just fine and we still have five embryos in storage.

We arrived on time to a crazy packed waiting room. I guess that's what happens the Monday after a holiday weekend. We waited about a half hour and then W gave up waiting and went to use the bathroom. As soon as he left the room the nurse called my name. He must have heard because he came right back.

The nurse schedued my beta for December 5'th and then left the room to get my Dr. K. I saw there was the picture of our embryos on the counter so W and I checked it out while we waited.


I changed into the sexy hospital gown and relaxed in the bed as the Valium kicked in. The transfer beds at my clinic don't have stirrups and are more like massage tables so it was pretty easy to relax there. We laughed as the ultrasound screen was a freeze frame of someone else's uterus. 

Finally Dr. K came in the room. Everything was quick and easy. Once he was finished he shook both of our hands and left. I stayed laying down for about 15 minutes and then headed over for some free acupuncture.

I haven't seen my acupuncturist in a while since I felt like it was a lot of money to spend and it didn't seem to be making a huge difference. After placing the needles he stayed to chat quite a bit. He asked if I had named our embryos yet and I said I hadn't. He told me I should name at least one of them after him. Then he left and I relaxed and eventually fell asleep. I had slept horribly last night so didn't have much trouble falling asleep. 

When I went to leave I saw it was snowing and beautiful outside. As we drove closer to our house there was no longer snow and I was a bit disappointed. W had to go to work so I watched the movie Elf, ate some lunch, and then fell asleep for a bit on the couch to a comedian on Netflix.

All in all, it was a very relaxing and perfect day. I'm SO hoping at least one of those little embryos decide to stick around. Either way, it's completely out of my hands at this point. I'm glad to have something to do tomorrow as I'm returning to work after five days off. I'm a little concerned it's going to be a huge shock after all of my recent relaxing. 

Tomorrow I have yoga and book club. I'm sad that I won't be able to hang out late due to having to do my PIO and Delestrogen shots around 9, but also my need for sleep. I haven't decided whether I will go back to acupuncture on Wednesday, but we will see. That was what he recommended to assist with implantation. 

 I'm keeping my fingers crossed, my stress levels lows, and trying to stay as happy as possible this next week. It shouldn't be too hard with the way W has been treating me. I'm so lucky to have him!

Oh, and here are the little guys we transferred today. I didn't ask about grades or anything so I'm blissfully ignorant.

Sunday, November 25, 2012

Transfer Eve

Tomorrow is the day I've been looking forward to for months. I met with Dr. Br.averman for the first time at the end of July and started stims September 24th. To say its been a long time coming feels like an understatement.

We did make the final decision to thaw and transfer two embryos. That was based on my gut instinct as well as input from Dr. B. I really hope the first two that they pick survive the thaw.

This past week flew by. I worked Mon-Wed and we left for Albany on Wednesday night. We stayed at my sister's house both Wed and Thurs night. Wednesday night was nice to just hang out with my sis and BiL. They moved the guest room since they are turning the old guest room into the nursery so we slept in the loft. It's a really nice room but is open so has zero privacy. It made doing my shots interesting. We managed to hide out in the corner of the room.

Thanksgiving itself was really nice. There were ten people total and I got to spend some time with my BIL's parents. My mom and my sister's MIL wouldn't leave her alone with trying to take pictures of her baby bump. She's definitely at the cute basketball stage, but hated the idea of any pictures. Us IF women take weekly photos once pregnant but my sister said she doesn't want a single photo. To each his own.

Thursday night we went out to Target around 11. I always enjoy watching the crowds and it really wasn't that crazy. We had picked up a few blue ray movies but quickly put them back once we saw the line. I've never seen anything like it. Literally it would have taken hours to buy some movies. So, we left empty handed and headed home to bed.

W and I got up super early Friday morning and he drove while I slept. Unfortunately he had to work that day. I spent most of the day relaxing and catching up on sleep.

Friday night was my ten year high school reunion in town. I waiting until about two hours before to buy tickets but was glad in the end that I did. I definitely had way to much to drink, but it did help to ease the awkwardness. One of my best friends from high school was in town from Seattle so it was really nice to spend time with her. Another bonus? No pregnant girls at the reunion.

Saturday was spent recovering from my crazy night on Friday and then today we went to the christening for our friend's baby. He was screaming his little head off for most of the church service, poor little guy.

I'm really glad to have had the holiday week before my transfer. It helped to pass the time and took all of the focus off so things. I'm feeling relaxed and hopeful for our little embryos that will be headed where they belong tomorrow.

Friday, November 23, 2012

So Thankful

I know I'm a bit late with it being a day after Thanksgiving, but there's never a bad time to recognize how thankful I am for everything I have. Despite not having everything I want, I'm still so happy and grateful for everything that I do have.

The thing I am most thankful for this year is my husband. He's such a amazing person and I'm so lucky to have him as my partner in everything. He's always there to laugh at my jokes, listen to me ramble, and to offer a hug when I'm having a bad day. I can't imagine my life without him.

I'm also incredibly grateful for my family, both extended and immediate. My sister and I have grown really close over the years and she's now in the loop about everything. She's always cheering for us and has even offered to be a surrogate if we needed. When we were little and through our teen years we fought constantly, so our relationship has really grown. We talk most days and support each other in so many ways. 

I'm happy that I can celebrate holidays with both of my parents, despite them getting divorced when we were little. I'm glad they both have someone in their lives who makes them happy. I'm thankful that my mom and step-dad decided to adopt my little brother, that my family expanded, and that I got to become a big sister at age 24.

I'm incredibly lucky to also have my in-laws. They are so supportive of everything we have gone through and are always hoping and praying for us. My FIL will drop anything on a given day to help us with a house project or dog sit for us.

I thankful for my two nephews, one who turned five in October, and one who is still cooking in my sister's belly. I love taking our nephew O overnights and having him all to ourselves. Being an aunt really is great.

I'm so happy to have my fur babies. Our two dogs are best buds and get so excited to start every new day. I can't imagine greeting each day with such enthusiasm, so I'm glad to have them to show me it's possible. I love snuggling with my cat and sleep so much more soundly when he is curled up next to me. When he starts walking all over us at 4 AM it's a much different story. In those situations I'm thankful to have a lock on our bedroom door.

I'm thankful I have a rewarding and great paying job. I love teaching children how to communicate and watching their little faces light up when they are successful. Watching children develop and progress is amazing.

I'm also thankful for all of the doctors I have in my life. Even though I would prefer to get pregnant without them, I'm thankful that they are on my team pulling for me. I'm thankful for the personal relationships I have built with so many people on this journey. I'm so grateful for our seven frozen embryos that we get to use starting Monday. I'm so thankful that we can afford and attempt all of these treatments. It may not be fun, but I know it will all be worth it. 

And last but not least my friends. My friends who I met through yoga for fertility who totally "get it". My friends who I work with and can relate to on so many levels, and my friends from growing up. Life without friends would be much less bearable and I'm so thankful to have them all. 

It's posts like these that we all need to revisit on a bad day. I try to remember how lucky I am every day and to appreciate everything I have more than once a year. Some days it's harder than others. 

I hope everyone had a fantastic Thanksgiving that celebrated. If not, I'm glad it's at least Friday for those people who didn't get a few days off this week. 


Sunday, November 18, 2012

What's Going On

The weekend always goes by too fast. How did we get to Sunday night already?

Last week went by fairly quickly. I worked a lot more than I have been working for the past few weeks and was exhausted by Friday night. I felt like such a bum Friday night when I napped while W did two loads of laundry, bathed the dogs, did all the dishes, and started dinner. Whoops!

Last Tuesday night I got together with my friend after yoga and we went out for Thai food. Of course we talked a bunch and had fun so I ended up getting home pretty late. 

Staying out late on Tuesday night made my Wednesday 6:45 appointment feel extra early. My lining measured at 7.78 and my estradiol levels were 746. We scheduled my transfer for the 26th at 10:15. We haven't made a final decision about how many embryos to transfer, but I think it will be two. I emailed Dr. Br.averman to get his opinion and it seemed to be two. He said he rarely recommends three unless the embryos quality is poor, the woman is over forty, or there have been repeated failures. We only fit into one of those categories and I'm not ready to fly through our best embryos. He also told me about the blood work he plans to repeat at my beta. Unfortunately, they were mostly tests that were only done at the out of network lab and are they were super pricey the first time around. I am going to email him to find out more about this. I don't understand the purpose of repeating these tests if my levels were within normal limits the first time. I guess to see how I responded to the new meds?

On Thursday W and I went to a vinyasa yoga class with my mom and then we went out for Indian food after. The class went much better than the previous Sunday. I felt strong and got a great workout. That one instructor is amazing. 

I had a nice friend-filled weekend. I saw my friend T on Saturday and we got lunch, walked around the mall, shopped a little bit, and got pedicures. I'm pretty excited about my new pajama pants and the festive dog collars I bough. T is due with her little boy in eight weeks! I can't wait to meet him. Her baby shower is coming up on December 8th so I really need to finish the binding on the quilt I made and then get it machine quilted by someone. The binding is intimidating me a bit which is why I haven't done it yet. I watched a little video on You Tube this weekend but still am not sure about it. I better get sure about it soon. 

Today we went to yoga and then hung out with our friends C, J, and their little girl E after. The yoga class had a sub instructor and I didn't love it. It wasn't very dynamic or fast moving. Little E wasn't feeling well and was being super sweet and snuggly. It made me want a little one that much more. We made plans with them to go cut down Christmas trees the first weekend in December like we did two years ago. 

I've feeling really hopeful and positive about our transfer. I am excited for it to be here and know the next week should fly by with Thanksgiving. I'm still bruising quite a bit. On Friday I ended up with a dark purple bruise that is bigger than a quarter. It's super attractive, trust me. I also bled for a long time when they took my blood. The Lovenox is definitely working. 

I'm really looking forward to the short work week and seeing all my family on Thursday. Then we have our transfer in eight days! It feels like it's taken a long time to get this close. Let's hope this is it!

Thursday, November 15, 2012

Remodeled

This is a post I've been meaning to write for a while. Since there's nothing too exciting to write about with a FET I figured it was a good time.

We moved into our house a little over two years ago. When we looked at the house I loved everything about it but the upstairs bathroom. I decided if we bought it we would remodel the bathroom before we ever moved it.

Right around the time that we closed on the house I had lap surgery #1. This was when we were told both of my tubes were blocked and that IVF was going to be our only option. Needless the say we moved into the house without changing the bathroom.

In all honesty it was fully functional. It was just hideous. It looked like it was straight out of the 70's. Everything was brown or yellow. The floor was an ugly brown linoleum, the shower doors had tropical stork-like birds on them, the vanity was a marbly yellow color, and the wall had a marble patterned tile board on them. I regret now that I didn't take more pictures so you could get the full effect. Oh yeah, and there were large fluorescent lights on both sides of the vanity mirror.
Here is the only "before" picture I took

Well, this past spring/summer we remodeled it. We used our tax return and with the help of my step-father and FIL we did all the work ourselves. The only thing that stayed was the toilet and tub. For the tub we got it refinished. I initially wanted to replace the tub but when we found out it was cast iron and would be extremely difficult to get out, we decided instead to get it refinished. I'm glad we did because we basically got a brand new tub.

We re-tiled the floor and put radiant heat underneath. The radiant heat in the bathroom is helping me to be more of a morning person. It is amazing!! The floor is about 80 degrees when it is on. Getting out of the shower or bath and stepping onto that floor feels great. We put new tile in the shower and got a new vanity. My step-father also built us a cabinet to perfectly fit a previously unused space.

Here are pictures I took during the process:




And here are the after pictures:





I think it is a huge improvement!

Monday, November 12, 2012

It's the Little Things in Life

I've feeling much better than I did Friday night. I slept for almost 12 hours on Friday night and took a nap Saturday during the day. That definitely helped. 

On Sunday W came with me to yoga. It was a hot vinyasa class and it kicked my butt! At first I was directly under the heat vent and was sweating so much I couldn't hold any pose long for fear of slipping off my mat. I eventually moved a little further away and that helped, but I just didn't feel strong during the class. I think fighting off the cold and having my period took it's toll on my body. Last week I felt really great during the same class but this week it was super challenging for me. 

I still enjoyed going and especially enjoyed the hot tub, sauna, and steam shower after. 

I recently found out all yoga classes are free there for us because we are patients at the fertility center. They buildings are connected and there also have massage and acupuncture available there. They offer one free acupuncture session with a transfer, so I usually take them up on that offer. I haven't been going to acupuncture regularly because it didn't seem to make a huge difference for me. Sure, I enjoyed it, but it didn't seem worth all the money. 

The headaches are getting a bit better but I am bruising so badly with my shots. I started Lovenox and baby aspirin last week and I don't think that is helping the cause. Any tips to reduce bruising? At this rate my entire stomach will be covered. I've been avoiding the right side of my stomach completely because I can't seem to find a single spot that doesn't bruise. It's not the best look. 

My next appointment is Wednesday morning. Our tentative transfer day is exactly two weeks from today! 

I bought something this week I'm super excited about it. It's really shows how it's the little things in life that make me happy.

 Last year we hosted Thanksgiving and our local supermarket had turkey butter sculptures for sale (it would fit in your hand if you wanted to hold a buttery little turkey). I missed my chance to get one as they sold out quickly. Well, this past week I saw them and snatched one up. I was so excited I even had to tell the cashier. 
Isn't he cute?
The New York State Fair is nearby and one of the main attractions is the giant butter sculpture. Maybe it's an upstate NY thing, but it's something we always have to check out when we go.
The sculpture from 2 years ago at the fair.
While you're in the dairy building, you better get some 25 cent chocolate milk.  Can't you tell I'm excited about it?
 I can't wait for that little buttery turkey to grace the Thanksgiving table with its presence. That is, until someone chops off his little head for their mashed potatoes. 

Friday, November 9, 2012

Relying on Vitamin C and Neupogen

All week I've been getting headaches from the Lupron. This morning I woke up with a stuffed up nose and sore throat. I thought getting through a work day with a headache was rough. Today I realized it's much better than trying to work with a headache and sore throat. 

I started Neupogen today which helps boost white blood cells. I'm hoping those white blood cells can kick this cold's ass. Come on Neupogen!

I also started Lovenox and baby aspirin this morning. I've been bruising really bad on my right side so might have to just stick to the left side of my stomach. I also start Delestrogen tonight. 

Unfortunately, my insurance didn't cover the Delestrogen. When I called the insurance to find out why they cover Estradiol but not Delestrogen they gave me a very strange reply. They told me it's something that is typically administered by the doctor in their office and then the doctor bills the insurance. It's not something that is covered if just dispensed. I don't get it. On the plus side, my insurance covered the Neupogen and I only paid 50 bucks. You win some you lose some. 

I just hope I can start feeling better soon. I don't plan to do much this weekend except lay low and try to feel better. We are having dinner at my in-law's tomorrow and hopefully will go to yoga on Sunday. 

The side effects have been rough this time around. It's so strange how each cycle the meds affect me differently. I've taken Lupron and had no issues and taken it other cycles and gotten daily headaches. 

Happy Friday!! I hope everyone has a good weekend. 

Monday, November 5, 2012

Hoping it Helps

The biopsy today wasn't fun at all. I had one done previously but it was so long ago I must have blocked it from my memory. The NP at my office did the biopsy and although it was over quickly, it was rough.

I actually broke out in a full sweat during/immediately after. I stayed reclined for about 5-10 minutes and then felt better. I had a bunch of cramping for quite a while after. W brought me home flowers which was super sweet. 

I'm not sure it's something I would do again but hopefully it won't be necessary. I have a really good feeling about this cycle. 

The local pharmacist knows me well and I asked today about the Neupogen. She wrote a script to see if my insurance would cover it and it was approved for only 50 bucks. We will see when the actual script goes through, but that would be amazing. 

I looked more closely at my calendar and saw they had me on Crinone and two different antibiotics at some point prior to the transfer. I emailed the nurse today and we changed it to PIO and she told me one of the antibiotics will be done as a vaginal suppository. That's definitely different. Has anyone ever heard if that? The drug is called clindamycin. 

My next appointment is Thursday for blood work and a sono. Otherwise, just making it through another work week. I'm going to yoga for fertility with a friend tomorrow and then we are going to dinner after. I take my last birth control pill tonight! 

Sunday, November 4, 2012

Throwing in the Kitchen Sink

Today has been extra long. Maybe it's because we woke up early and accomplished a lot by noon, and maybe it's the extra hour. I'm not thrilled about how early in got dark out, but hey, that comes with this time of year. 

Multiple times this weekend I looked outside to see snow flurries/sleet. Nothing stuck to the ground but a few rooftops and cars were covered with a dusting of snow this morning. It's starting to feel less like fall and more like winter. There are a few trees that still have pretty leaves on them, but most trees are now barren. 

Yesterday we hung out mostly.  I did some quilting, and W worked on some random stuff around the house with my FIL.  We then went to the movies to see Flight and it was really good. From there we hit up the in-law's for some free and delicious dinner. 

This morning we woke up early to go to yoga. I finally convinced W to join me for a class. The class was challenging but also amazing and I felt so great after. The place we went also has a hot tub, sauna, and steam shower that we both used after. It was a pretty fabulous way to spend a Sunday morning. 

I hate to admit it, but it was the kind of weekend that made me glad we don't have any kids yet. We did exactly what we wanted and that's something I don't take for granted. 

Tomorrow I have an appointment to do an endometrial biopsy. I've had one done before so know what to expect, but I also don't expect it to be enjoyable. I'm willing to throw the kitchen sink in on this cycle, so whatever helps I'm willing to try. 

I started Lupron on Thursday and have been having slight headaches. It's nothing terrible, but just pesky and present. My first shot last week I started bleeding a bunch and have a bruise to show for it. I guess I was a little rusty. I take my last birth control pill tomorrow and have another appointment this Thursday. After that we will start Lovenox, Neupogen, and Estrogen. I found out the Estrogen will be an IM shot but it's only every few days. I also called to get a price on the Neupogen and it wasn't nearly as bad as I had expected.  

I'm really looking forward to Thankgiving with my family. We are going to my sister's house and I will get to see her pregnant belly for the first time in months. I can't wait to rub it (making her uncomfortable doing so) for good luck!

Tuesday, October 30, 2012

Sandy and Bambi

Since we live in NY, the threat for hurricane Sandy existed for us. We didn't go crazy preparing, but we did buy a few easily prepared meals, fill our cars up with gas, and put them in the garage to protect them from the giant tree right next to the driveway. Other than that, we weren't too concerned. I guess it was for good reason. 

We got some high winds and rain yesterday and last night, but nothing too exciting. Our lights flickered for a while, but we never lost power. 

Other areas got hit hard, but we got lucky. 

Things were a bit crazier around here early, early Monday morning. I'm a pretty hard sleeper. I don't hear much and it takes a lot to wake me up. Well, apparently one of our dogs started whining around 4 AM. W got up to let the dogs out (I had no clue), but I do remember him coming back to bed. A few minutes later he said, "That's our dogs barking" and disappeared for over 5 minutes. When he came back he told me, "They had a deer." I was super confused and it definitely woke me up.

W said the dogs were barking in a really unusual way, so he went outside in his boxers to check it out. Down in the front corner of the yard the dogs had a deer cornered. He got them to come inside and they were SO excited. They were panting and checking all the windows. 

I advised W to make sure the deer was gone before letting the dogs out in the morning. He said he did and left for work. 

When I got out of the shower I heard strange barking outside. I went downstairs in my bathrobe and looked out the back door. Nothing. The barking continued so I looked out a front window. There were the dogs and this poor little deer. I'm not sure what happened to it, but its back leg was missing all the skin from hip to ankle, and it just had exposed muscle. I'm pretty sure it happened before it made its way into our yard. The dogs were barking, but not getting close enough to do any damage. 

In a complete panic I called W and told him he needed to come home immediately (he only works about 5 minutes away). I then ran outside in my bathrobe and yelled and yelled until the dogs would finally come in. Once the dogs were inside the little deer then starting checking the perimeter for an escape. 

W came home and checked the entire yard and couldn't find it. The gate was opened wide so hopefully it got out. Seeing that little freaked out and injured deer was not a good start to my Monday morning. I was upset about it for a while. The dogs, on the other hand, may have had the best day of their lives. 

Sunday, October 28, 2012

"Do You Have Any Children?"

As I've said before I work with little kids (birth-5). I love their little giggles, snuggles, faces, attitudes (ha!), and personalities. Although I am a speech therapist, almost everything I do is done through play (especially with the really little kids). Parents need to be clearly told what early intervention will look like because otherwise they seem confused. Sure, I'm playing with the child, but I use strategies during play to get them talking and accomplishing their other set goals. The strategies aren't rocket science, but a lot of people don't think that way (using short and simple speech when talking to their child to increase opportunities for imitation, repetition and expectant waiting, labeling items of interest, etc.)

I always knew I wanted to work with kids. When I was a child I wanted to be a pediatrician. That was until I realized kids don't like their pediatricians. They are usually scared, sick, and unhappy to see them. 

Both of my parents have a background in special education and they encouraged me to pursue speech as a career path. My Mom did early intervention and preschool speech when I was in middle school and I often accompanied her when it was a therapy session after school. I loved it and thought it would be a great job. 

Almost always on the first visit/session the parents like to ask me if I have my own children. I usually reply with "not yet" and they don't tend to ask much else. Most recently the mom looked at me and said, "Really? That's hard to believe." Well, believe it lady!

Working in this job I am supposed to keep the family involved, give them strategies and "homework" so that their child can progress. My hour a week I spend with them isn't going to change the world, I need carryover from families. Giving someone advice when they know you don't have children is strange. Sure, I'm the expert on the given topic, but I often feel like they are thinking does she really have a clue since she doesn't have her own children?

Service coordinators come to sessions about once a month to observe a child's progress and answer questions/concerns the parents have about the program. They all have children and they talk about them non-stop. I always feel like it discredits or excludes me because I can't participate in the conversation. I just sit there and feel stupid. Hopefully I don't look stupid : )

I don't discuss my infertility with any families. I'm not trying to get them involved in the situation and keep my personal and professional lives as separate as possible. I just wish people understood better that I don't have children yet because we haven't been able, not because I don't want them. I want to understand and be able to relate better, I swear!

How would you feel if your child's therapist didn't have any children, yet they were giving you advice on how to enhance you child's development? Would you take the advice with a grain of salt or respect it? 

Tuesday, October 23, 2012

Waiting....again

I feel like I've written a post about waiting a hundred times already. But, here I go again! 

 I woke up early this morning and don't have any therapy sessions scheduled until 9:20. I only have to drive ten minutes down the road to get there. It's rainy and gloomy outside this morning and it looks chilly. The leaves are just a little past peak, but still amazingly beautiful. Even though I have tons of time this morning, I will still find a way to be late. 

Here are some photos I look the other day (when it was sunny) of the leaves in the finger lakes. 




It's hard to believe I'm actually "cycling" right now because I'm just taking birth control pills... Again. This protocol for the FET cycle is long and complicated. I don't go back into the clinic until halloween at which time I likely add in Lupron the following day. From the 1st-5th I overlap with birth control pills and Lupron. On the 5th I stop bcp's and on the 6th I'll drop my dosage of Lupron in half. Then I go back for more blood work and a sono on November 8th. If all goes well I start estrogen, Lovenox, baby aspirin, and Neupogen the 9th. I return for blood work and sono on November 14th and 19th. We have a tentative transfer date for November 26th, which feels like a lifetime away right about now.

This is Dr. Br.averman's preferred protocol. He said that the Lupron aids in implantation. I was happy at first to see we would be using Lupron. The main reason? That would be because we bought an entire kit ($199) for a 30 unit trigger. I was glad to see we would be using more of it. That was until I looked at the complete calendar and became completely overwhelmed. I know I will be okay as long as I take it one day at a time.

At my clinic the plan was to bring me back one more time (Oct 29th) for a lining check. As long as everything looked good I would start progesterone that day and transfer 5 days later (Nov 2nd). I'm bummed we are adding in essentially a whole extra month, but I'm trying to convince myself it is a good thing. I emailed Dr. B this morning about trying to fit in an endometrial biopsy since I'm guessing I will get another period before we transfer.

The days are once again dragging as I wait on birth control pills. I'm thinking I need something fun to look forward to, I'm jut trying to figure out what that is. Any suggestions? We had talked about visiting W's cousin and gf in NYC.

I'm not really too great at waiting. I can't find productive enough ways to fill my time. I started quilting a few months ago and have pieced together two of the fronts of two different quilts.
Quilt #2- I started it because I LOVED the fabric and had to have it. 

 That is the part I really enjoyed. Now I have to finish the backing and edges and its just not as rewarding or fun. I recently finished an amazing book and now don't know what to read. The pick for book club this month looks pretty awful. Any tips or tricks for combating boredom?

Monday, October 22, 2012

Blog-iversary

Today marks two years that I have been blogging. At first I never thought anyone would want to read. To be honest, no one did. But as time went on I found lots of great blogs and also gained some followers. It's blows my mind how things have evolved over the past two years! I really appreciate the followers, readers, and commenters! Thanks for sharing your positivity and love. 

Today I was at a house at work and had noticed a piece of gum on the kitchen floor. After about 20 minutes with a little kid he noticed it, got all excited. jumped down from his chair, and popped it in his mouth. All before I could figure out what was going on. After a short chuckle I made him spit it out in the garbage. 


ICLW October

Hello to anyone new visiting my blog this week. Thanks for stopping by!

My name is Liz, I'm 29 and my hubby is W (31). We have been trying to baby #1 for about 2 1/2 years. Cycle wise we've done 4 IVF cycles, 3 FET cycles, and 2 IUI's. We just completed IVF #4 with a freeze all cycle. I found out last week we have 7 frozen embryos and I started meds for FET #4. We are looking at a tentative transfer date of some time in the 20's of November.  

I have PCOS and I lost my left fallopian tube to a paratubal cyst. We unfortunately had 3 miscarriages (1 at 8 weeks, 2 chemical) so sought out advice from a reproductive immunologist, Dr. Br.averman in NYC. From him we found out I had 3 gene mutations (MTHFR, Factor V, PAI-1G) that lead to blood clotting problems, and that W and I have 6 HLA matches. He managed my IVF cycle and is now managing my FET cycle. My current clinic does not love this fact. 

I work in early intervention as a speech therapist and love it. We have 3 furbabies (2 dogs and a car) who provide lots of entertainment for us. Otherwise, I enjoy gardening, house projects, hanging out with friends, reading, going to see live music, and doing fun things outside. 

As part of ICLW I always like to ask a few questions to readers, so here goes:
1. What is your current favorite song?
2. Do you parallel park or drive around to look for another parking spot?
3. Do you have a good luck charm? If so, what it is?
4. What was your childhood nickname?
5. What was your favorite childhood stuffed animal, item?
6. What do you wash first in the shower?

My Replies:
1. Below my Feet by Mumford and Sons 
2. I will parallel park as long as too many people aren't watching/waiting
3. I don't have any good luck charms, maybe that's my problem : (
4. Lizzy 
5. I had this stuffed hippo named Critter. I was so sad when I lost him. 
6. My hair

Thursday, October 18, 2012

Freeze Report

I was so nervous to call. I dreaded it. When my friend texted me to get the report and I told her I was too scared, she encouraged me strongly to call. 

I feel more invested in this cycle than previous ones. That's part of why I was so nervous. 

I finally called around 12:30 and spoke with a nurse. She was able to tell me that we have a lucky 7 embryos frozen. I asked for their report cards and she said she would have to get an embryologist to call me back. 

A little while later my phone rang. This is what I found out.
On day five they froze three embryos. Of those we had a 5AC, 4BC, and a 3BC. 
On day six they froze four embryos. They were a 4AC, 4BC, 4BC, and 4CC.
She also said they were watching four more to see if they would be able to freeze them on day seven. I didn't realize that was a possibility. 

When AF showed up on Tuesday I emailed Dr. Br.averman. He suggested I schedule a baseline appointment and we didn't talk a whole lot about instructions beyond that. He wanted to know how many embryos we had before we talked next steps. That's one thing I've figured out about him. He likes to take things one step at a time. I'm always trying to look to the next step, so find this somewhat frustrating. It's forcing me to live more in the moment than plan ahead. We had exchanged a few emails about different protocols but he didn't specifically say what to do for me. 

My baseline appointment was this morning. My ovaries were still pretty big and "angry" as the NP put it, but my lining was thin. Both ovaries had some left over cysts but she didn't seem too concerned about it. She asked what the plan was, and not knowing, I just went with the flow. She came back with instructions and my next appointment scheduled. 

When I asked her to fax the results from today's appointment she stopped and stared at me for a second or two before saying, "If that's what you want." Seriously?

I emailed the nurse at Dr. B's office and asked if Dr. B was going to give me a calendar. Well, come to find out he wants me to do something entirely different. The theme of this IVF cycle all along? Different is better!! I guess I'll have to contact the NP and tell her of the change of plans. 

To those of you who have done FET's, what was your protocol? 

All I know right now is this one involves 2 weeks of birth control pills before anything else. I'm pretty sure it also adds Lupron, Progesterone, and Estrace at some point. It's amazing how many months I have spent on the pill while we have been trying to get pregnant. My clinic was happy to have me take Estrace 3x's/day until I started progesterone. Pretty simple. Things are going to get complicated again. 

I forgot to tell this story sooner. The day before my retrieval I had to go for blood work to be sure the lupron trigger worked. I made the appointment for a bit later in the day and ended up having some cancellations for the time after. I called a friend and my MIL to see if either of them wanted to have lunch with me, but was unsuccessful. So then I called my FIL and he gladly agreed. He was so patient and a fantastic listener as I jabbered on about the newest news with us TTC wise. When I told him I had a procedure the next day he asked me, "Are things coming out or going in?" That's one way to put it!

Tuesday, October 16, 2012

IVF #4 CD 20- Interesting...

Where to start? How about with me throwing up in my car yesterday? Doesn't that sound like a fun place to start? All weekend my stomach was bothering me and I was feeling super nauseous. By Monday morning I emailed the NP to see if I could stop taking Dostinex (possible culprit for stomach upset). She said fine. By a little later in the day I asked if I could stop Metformin and she said that was fine temporarily as well. 

So I headed off to work. I saw two little boys at the same daycare and struggled to get through the sessions. After, I headed off to a Head Start. I stood outside my car, willing myself to feel better and go inside. When I was mapping out the quickest way to the bathroom in my head I figured I should probably head home. Well, home was about 20 minutes away. On the drive I started to feel really awful, so grabbed for a bag and pulled over. Not fun. Cue me sitting on the couch the rest of the day feeling sorry for myself. 

So work was a no-go yesterday. I'm hoping it goes better today. Especially since I have a long day paired with two evaluations at the end of the day with my boss and someone shadowing us. 

Last night we were sitting on the couch watching some mindless television when W's phone rang. He didn't answer it initially, but it rang again. It was his Dad calling to say his grandmother isn't doing very well. She has been in a nursing home for years and I guess has taken a turn for the worst. W is planning to go down to visit her this afternoon. 

Then my phone rang and it was my Mom. I made W answer it and he has a strange conversation. When he hung up I got the scoop: A family friend is pregnant again and considering adoption this time. The family is very close to mine. The grandparents of this soon-to-be baby were our neighbors growing up (Susie & Angelo) and good friends with my parents. Susie was present at my birth, taking glorious pictures of my head crowning. Susie & Angelo adopted Haylee and another child over 20 years ago. Haylee got pregnant and had a little boy about 17 months ago. The little boy lives with her parents and she isn't a very active participant in his life. A few months ago my mom brought up me adopting the little boy and the family seemed pretty upset. Well, I guess Susie called my mom yesterday to ask if W and I would be interested in adopting this baby. Haylee is due on February 15th with a little girl. My sister's due date is 5 days later.  

I called back my mom and talked to her for a bit. I said we would be interested, but it's not something I'm going to get my hopes up about yet. It doesn't sound like Haylee has made that decision yet. But, it's definitely interesting and somewhat exciting. 

In other interesting news, it looks like my period showed up this morning. It has only been 5 days since my retrieval so I'm going to email Dr. Br.averman to see what he has to say. It seems crazy to start back up already. I'm also a little bummed because I wanted to try the endometrial biopsy this cycle. We don't even know what ended up being frozen. They will be freezing our embryos today and tomorrow. 

So those are the updates! Throwing up in my car, W's grandma not doing well, a possible adoption??!!, and my period. How's that for variety?