Letting go of control

So I didn't hear from my RE or the nurse yesterday. We went for a long walk with the dogs and I kept waiting for the phone to ring. Actually, my phone doesn't ring anymore. The ringer died a few months ago and now it only vibrates. I am waiting to upgrade to the new iPhone when it finally comes out. The anxiety of having my phone so close and waiting for a call isn't fun. I'm still yet to miss a call though, so I guess my phone is doing the job.

Since I didn't hear last night I changed my estrogen patches (Vivelle) and upped the dose to 4. My belly is now covered in patches. Today I had a dull headache most of the day, but this tends to accompany an increase in dosage.

Again today I waited for the call. I can't say I had my phone on me all day, but I checked it multiple times. Around 3:00 I left a message for the nurse. She called me back around 4:00. I just asked her what was going on. She said we are still on for the transfer on Monday. I am supposed to start progesterone PIO's on Thursday and the Dexamathasone on Friday. I asked about the fluid and she said my RE acknowledged it but wasn't concerned. It was a much smaller pocket of fluid so he is still planning the transfer. She said he would be able to avoid the fluid when placing the embryos, but I'm not sure how I feel about that. I asked if the fluid could increase and she said most likely it will decrease or go away. She also said the fluid may just be something I have mid-cycle and something we may not be able to avoid.

I felt a need to call my RE and discuss this with him. As much as I want to do the transfer, I want the best chances.

I went to my fertility yoga class tonight. There were 3 new people there and myself. The instructor didn't show up so they ended up canceling the class. I sat in the waiting room area and chatted with the other women for a little bit. The receptionist gave me 2 free passes for future classes and then offered up acupuncture for free to all of us. Ummm... yes please! It was the same guy as the one who did my session prior to the transfer last month. He asked for the update and talked to me for a bit. He did a relaxation session and within 3 minutes of getting the needles in, I felt amazing. I love acupuncture, especially when it is free. He made me more relaxed about the fluid and said they would cancel it if needed so that if they are planning to do the transfer, I should have confidence in the decisions made. He told me to stay relaxed and warm until the transfer and I scheduled appointments for before and after my transfer on Monday. He reset all of my feelings and brought me back down to where I was last month. I really needed a reminder of how I can only control so much and have to leave the important decisions up to others.

The transfer is scheduled for Monday at 2:30. I need to find a way to stay relaxed and calm about everything. I'm not sure if I will call my RE to talk about the fluid or not.

Now I just need to make it through this week. I will be PUPO next week! I am really starting to get excited. I need to remind myself that I can only control so much. I will do my best to make good and healthy decisions and control my body and state of mind to the best of my ability. The rest is out of my hands.

Whoops!

Today was not a great day. I made some smart ass comment to my friend/co-worker in front of my boss. We were joking about it being our birthdays this week and wanting a "birthday bonus." I really was just joking, but my boss took it the wrong way. My friend later told me he was in a crappy mood all morning, but I had just arrived and didn't realize this. He called me about a half hour later and told me if I wasn't happy with my job he didn't want me working for him. I explained and apologized, but felt really crappy after that happened. We talked it out and he ended the conversation by him saying he was happy with me and my performance but that I can't be saying things like that. It was super careless and in the two years I've been working for him I've never had any issues. Today was an exception, but a reminder about how sometimes my big mouth can get me into trouble. 

After my talk with my boss I went to a house for an initial visit. The child did really well and the Mom knows me already as I did the evaluation a few weeks prior. One of the big issues with this child is she throws huge tantrums when she doesn't get her way. As I was leaving the little girl got outside and was on the front porch. The mom didn't want her outside and was worried about getting her back inside as she started to throw a tantrum. I tried to help get her inside and she became upset. One of my hands was full but I picked her up with the other and tried to bring her inside. As we got into the doorway she threw herself back suddenly, and... hit her head on the floor. It wasn't from very high but she immediately started screaming even louder. Man, I  really struck out today. I apologized and said I didn't realize she would do that. The Mom didn't seem very upset since I'm sure it's happened before, but I still felt awful by that point. I don't think it was a big deal, but it still sucked. 

I went out to dinner with the same friend and co-worker and we talked about what happened. She said she didn't think the comment was out of line but that he obviously took it personally. I feel better about it now, but I realize I can't get too comfortable around him. It is difficult because he is a co-worker as well and seems to prefer to be treated like a co-worker rather than a boss. I really wasn't even talking to him and honestly lost sight of the fact that he was in the room listening. 

Tomorrow is my birthday and I am hoping for a better day. Although I am working, I am determine to have a great day. I am turning 28, but prefer to stick with 25. I can definitely pull it off for a few more years.  

I upped my estrogen patches to 2 today. I have been getting slight headaches and I noticed this evening that my shoulders appear to be breaking out a little bit. Next appointment is next Monday the 8th. How is today only Tuesday??

If it's not one thing....

I had my appointment on Friday afternoon. W wasn't able to make it since he was working, so I was nervous and anxious the hours leading up to my appointment. I was still bleeding and didn't have high hopes for a green light to start the FET.

 When I got there the ultrasound tech took me down to the room and told me Dr. S wanted to watch. I was shaking at that point. I told her I need Valium for all of my future appointments. Dr. S stood in the room with his arms crossed, looking at the screen. I think he was making us both nervous.

Well, my uterus looked great. It was clear of any fluid. This was such a huge relief.

Then the tech went on to scan my ovaries, and boom, huge cysts on each. I think the right ovary had 2 or 3 cysts and the left had 1. They weren't exactly small either (about 2-3 cm). Since I have had so many ultrasounds I knew the cysts as soon as I saw them. The tech told me to get dressed and meet my RE in his office.

At that point I was grateful the fluid was gone, but nervous as to what the cysts would mean. My RE then wanted to do a literature search about cysts and starting a FET cycle. Since he works in an academic setting and does research himself, he is always consulting the literature prior to making decisions. He even had 3 articles printed relating to PCOS and FET protocols that he had found prior to my appointment. Good thing I took classes about research and statistics so I can better understand when he pulls them and the technical terms out.

When he came back he told me that the cysts weren't going to pose a problem to the FET cycle. In fact, they may help if they are estrogen producing. That seemed odd to me, but I guess I don't need my ovaries to produce eggs this month, so the fact that they have cysts is fine. They typically prescribe estrogen during a FET cycle in hopes that it will build up your lining, so the cysts may help to do the same thing. My lining was at 4.7 on day 5 and he thought it was a little thicker due to the cysts. He prescribed me Vivelle patches and sent me to get my estradiol levels checked.

I have a protocol I will follow where every other day I change the patch. As time goes on, I increase the number of patches I put on until I am up to 4 every other day. I was able to get 8 patches covered by my insurance, but the rest will be OOP since that is a typical month supply. Without insurance the pharmacy quoted me $72 for 8 patches. This is going to get expensive quickly....

 I'm not sure I will get to the 4 patches every other day since we started on day 5 instead of day 1, and I likely have extra estrogen due to the cysts. He wants to wait until my lining is at least 8 before we do the transfer. The tentative date now is August 15 for transfer, but we will see. I have a feeling it will be sooner.

I kept my appointment for the 8th and they will check my lining then. It feels weird to be doing a cycle but not popping any pills or shooting up with any needles (is it possible to me a drug addict to fertility meds?) Estrogen patches are seriously anticlimactic. It doesn't even feel like I am doing anything. At some point I will start progesterone IM shots and will likely also do Medrol. This is a steroid that is given when assisted hatching is done.

My hubby and I have been talking about how amazing it would be if this cycle worked. The financial burden of fertility treatments is huge, and a big weight would be lifted if we didn't have to pay for another round of IVF. We can do it if needed, but I'd love to be able to spend money on things outside of making babies. The chances are better than it won't work, but I am holding some hope out for my little totsicles.