Thursday, May 29, 2008
B-Day
Loreen just called to tell me the beta came back negative. I kind of expected it because of all the cramping, but I'm just crushed. To make matters worse, I can't fly home until June 4th because the dr. wants to talk to me. My plan was to return home asap if it didn't work out, but the dr. is flying out of town to a conference this afternoon and won't be back until Tuesday.
I was able to compose myself from the time Loreen called with the news which was a good 3-4 hours. It wasn't until I read the e-card Ryan sent, then the email his mom sent, and then my sister hugging me, that I finally lost it and really cried. A part of me feels so defeated and tired. We've tried unsuccessfully for almost 9 years to conceive. I've been poked, prodded, medicated and unsuccessful through 2 IUI's and 1 IVF in just these past 5 months that I think it's finally caught up with me. I had hoped that IVF would be the final answer. The final thing that was going to make our dreams come true. I feel like we did everything we could and it still didn't work. Why?
What's crazy is that even after all this, I still feel a glimmer of hope. I think Ryan does too. It's not as strong as it used to be, but it's still there. In my fragile emotional state, in a moment of impulse and desperation, I ordered The Infertility Cure book and began researching Chinese herbal medicine and acupuncture on the internet. It has worked for many people, maybe it is the one thing that will work for us that we haven't tried yet. Maybe it's time to think outside the box. I need something else to focus on so that I don't fall into a depression or dwell on this. I realize I do need to grieve and work through this, but it's so hard when Ryan and I are apart. Once I return home, we can begin to heal together and figure out what to do next.
Wednesday, May 28, 2008
Emotional Day
Well, I've been experiencing cramping throughout the day, almost as if AF is right on her way. I don't have any other symptoms - no tender breasts, blue veins, or pinching and pulling like before. So it makes me think that AF is trying to fight her way through but the progesterone and estrogen are keeping her at bay. On the other hand, the more positive, reasonable side is focusing on the fact that I did have the pinching and pulling before which may mean they've already implanted and are growing, not everyone has tender breasts or blue veins, or symptoms for that matter. And, I usually get very tender breasts from the time of ovulation until AF arrives which I don't have. I also did get very tired and light headed all of a sudden late this morning which told me to eat something and take a nap. So maybe I have a chance.
I'm so good at psyching myself up, down and out. I can hear everyone telling me to stay positive. I can hear my dr telling me after I asked him if this was going to work and he told me that we'll make it work. I can hear a very dear friend telling me to leave all of it in God's hands. I know I should. I hope I'm able to. Pray that I do.
Tuesday, May 27, 2008
Two fists, a Sore Butt and a Beta
This morning's PIO shot was a doozy. We're not sure if it was because my mom stuck me in a different part of the targeted area or if she didnt' hold the skin as taut as usual. Either way it bled and it's been sore for the past couple of hours. It's probably bruised. Oh well...as long as it's in there working it's magic on my uterus.
I just got back from my first beta blood test. I wish they could run it and tell me the results already. Nope. They have to draw out the anticipation and make me wait until Thursday after I take the second beta blood test. I'm very anxious to hear the results, but at the same time I'm afraid if it doesn't come back the way I want it to.
Monday, May 26, 2008
A Much Better Day
I took a very short nap this afternoon and woke up because I had to use the bathroom (yet again). I'm not sure if it's my imagination but it kind of smells funny. Then after getting back into bed to try to fall back asleep, I sneezed. My whole abdomen felt tight and kind of quivered. Not sure what this is all about, but I figured I would document all the things I noticed just in case...
Sunday, May 25, 2008
A Case of Insomnia
I finally fell asleep probably close to 4am and woke up almost 2 hours later. Before I fell asleep I felt a stretching feeling at my navel area and had another weird dream. I dreamed my mother in law suggested I was already starting to show and jokingly said I should start taking pictures of my growing tummy. This after lying in bed earlier this morning trying to fall back asleep and thinking that the IVF didn't work this time. I'm so confused.
Saturday, May 24, 2008
Pleasant Dreams
Today's symptoms...I woke up early this morning to use the bathroom and when I went to bed I started experiencing some burning, scratching af type cramps that lasted for a little while. Hopefully it's the little ones implanting. In the late morning, I had the same burning, scratching af type cramps and heartburn after eating applesauce. Took a short nap, woke up, and it was gone.
Friday, May 23, 2008
Freedom
After making a special trip to two grocery stores near my parents home, I called him. I didn't see any original one only the heart healthy one I bought in addition to a high fiber one, a low sodium one, and a spicy one. The spicy one had the most sodium..about 300mg more than the one I've been drinking but the potassium was much higher too. So I'm standing in the middle of Safeway, arguing with him over the phone (granted it was playfully arguing as he is a really great dr with awesome bedside manner) about the sodium and the potassium. He explained the reason he has me drinking it is to help minimize the risk of developing OHSS. In the end, he told me to just stop drinking it and eat li hing mui seed and drink lots of water. Well, of course I don't always follow directions too well. I guess because I feel that it's my body and I know what's going on with it more than anyone else. I decided to just keep drinking it but drink less (1-2 cups) and only during the day. I did that yesterday and what a difference it made. I wasn't as bloated and uncomfortable which was the most important thing. I still got up throughout the night but only 4 times compared to the usual 5-6. We'll see how it goes tonight.
Ryan flew home yesterday so my mom gave me the PIO shot this morning. Poor thing had been stressing about it since I told her before the HCG trigger shot. She's been watching Ryan for the past few days so she would know what to expect. She did a good job. I didn't jump this time like I did when she gave me the trigger shot. By the time I leave, she should be a pro.
As for symptoms, well, frequent urination of course throughout the night, fatigue, and just this morning pinching mainly on the right side of my abdomen. The breast tenderness has subsided which makes me wonder what's going on, but maybe it's because the trigger shot has finally left my system. I'm trying not to stress over "am I or am I not", but it's not as easy as I thought it would be. I'm so tempted to go buy some HPTs, but I keep telling myself to just wait 4 more days until the first beta and then 2 more days for the second beta. In the meantime, I've just been talking to the little ones with my hands on my abdomen telling them to stick, hang on, implant, grow big and strong, and of course that we very much love them.
Tuesday, May 20, 2008
Nestling In
After waiting in one of the exam rooms for a few minutes, the dr. came in to discuss the status of our embryos and to make the final decision on how many embryos to put in. First, he showed us a picture of 4 embryos. He explained that these were the best 4 embryos of the 11 eggs that fertilized. He also showed us a chart that documented the progress of all of the fertilized eggs. He said that the other 7 were developing slowly which is not good. He explained that it could be due to poor eggs or poor sperm but the only way to tell is if they were to do testing on it. Out of the 4, 2 were 8 cell and 2 were 6 cell. The 2 8-cell embryos looked the strongest, one of the 6-cell embryos were average and the other one had some fragmentation which was not good. We talked about putting in three embryos and freezing one, but he said we should go for the best possible chance now rather than banking on freezing any embryos because our chance of pregnancy at this point is 40%. The only stipulation he had about putting in more than 2 embryos is that we have to be okay with the possibility of doing a reduction if more than 2 embryos take. Since we just wanted the best possible chance now and considering this will probably be the only IVF we will ever do, we decided to take the risk and put in all four. We signed the authorization and I was taken into the ultrasound room to begin the transfer.
It was amazing to watch our little ones flow into my uterus one by one. The only way we were able to see them was by the visible air bubble that was place between them. The dr. explained that this is how they mark them and make sure of their placement in my uterus. He also explained that he placed them to the far left of my uterus because that was the most blood enriched area. After lying with my legs resting on pillows for about 20-30 minutes, I was released to go home.
Since Sunday afternoon, I have been ordered to bed rest. The only time I was able to get up was to use the bathroom or eat. This is why my back is killing me! Although my back is in pain, I'm praying it is all worth it and the kids are nestling in, getting comfortable, and growing healthy and strong.
As for symptoms or side effects, there aren't many to report. I've been having many a sleepless night since right before the egg retrieval because I've been getting up at least 6 times throughout the night to use the bathroom. I've been really tired, experiencing mild cramps from time to time, and breast tenderness. I just finished the Doxycycline last night, so now I'm only taking 16mg of Medrol, 1 cc of Progesterone in oil, 81mg of baby aspirin, and applying 2 estrogen patches every other day. My betas are scheduled for next week Tuesday and then again on Thursday. I should find out on Thursday by 2:00pm if we will finally be parents. We can't wait...
Friday, May 16, 2008
Babies in the Pool
Loreen called about an hour ago with our fertility report. She said out of the 15 eggs retrieved, 14 were mature and ICSI'd. Out of the 14 eggs, 11 fertilized. She said they were pleased with the results and dr. said the fertilized eggs look like they're doing well so we may be able to go to a 5-day transfer with some left to freeze. We'll be keeping in touch over the next few days to see what the plan for transfer will be. So for now we are the proud parents to 11 babies who are just living it up swimming in their heated pool. Grow babies grow!
In the meantime, I've been instructed to follow the instructions given yesterday no matter when the transfer will be scheduled. She also asked me to take my weight and waist measurements daily I guess so they can monitor me too.
Thursday, May 15, 2008
Going On An Easter Egg Hunt
We left for the dr's office at about 6:30am after poor Ryan had to independently provide his sample. It was a little stressful worrying about arriving on time for our 7:15am appointment and making sure we got the specimen to the lab within an hour especially not knowing what morning traffic would look like. Thankfully, we arrived at the office at 7:00am.
At 7:15, Loreen called me in and took all the necessary steps to prep me (i.e. weight, temperature, blood pressure) and then she went over the instructions for the egg transfer.
5/16/08
- They will call us to let us know how many eggs have been fertilized
- Begin taking 81mg of baby aspirin every night at bedtime
5/17/08
- Start progesterone in oil injections in the morning (50mg)
- Apply two Vivelle dots (0.1mg) to my abdomen and change every other day
5/18/08
- Limit fluid intake 2-3 hours before the transfer
- Bed rest for the next 48 hours
5/27/08 and 5/29/08
- beta tests
After going over these instructions, they had me use the bathroom and led me to the egg retrieval room. I was introduced to the anesthesiologist who placed the IV in my right arm, attached the blood pressure cuff to my left arm and placed three sticky probe looking things on my chest area. Once the dr. came in, he put my legs in the stirrups and placed the speculum inside while the anesthesiologist put an oxygen mask over my mouth. Right after that, he started the anesthesia. It must've been a minute or so and I was out for the best cat nap ever.
While in recovery, they told me how I said I was hungry right before I went to sleep which I don't remember saying. The dr. said he actually had to carry me to the room and onto the table to rest which makes sense since I was so groggy and don't even remember getting on the table myself. Everyone said that the egg retrieval went very well. They were able to retrieve 15 eggs! Ryan and I were pleasantly surprised. I was expecting only the 8 or so that the dr. had been measuring over the past week. Before we left the office, we were able to speak with the dr and ask him about the egg transfer. He said that because Ryan's morphology was borderline at 7%, he's decided to ICSI all the mature eggs to make sure we get as many fertilized as possible. They will call us sometime tomorrow to let us know how many fertilized. I then asked him about the number of embryos we'll be allowed to transfer and he said it would depend on the number of good fertilized eggs and how well they do. If we do a 3-day transfer on Sunday, then he will transfer 3 embryos. If we do a 5-day transfer on Tuesday, then he will transfer 2 embryos.
In the meantime, we'll keep our fingers and toes crossed that we get as many fertilized eggs that grow into strong, healthy embryos for transfer and freeze.
Wednesday, May 14, 2008
Human Being or Balloon?
At this point we are about 13 hours away from egg retrieval. I'm nervous but excited to complete the next hurdle. I'll be picking up Ryan from the airport in a couple of hours and then we're off to eat my last meal before midnight. We did this before my laparascopy 7 years ago. So I guess we're continuing a tradition.
Tuesday, May 13, 2008
Triggering The Hunt
So in preparation for egg retrieval day, I need to make sure I do he following:
5/13/08 (in addition to having taken my last Lupron dose this morning and continuing to take the Medrol nightly)
- Take my last dexamethasone pill tonight
- Administer the HCG injection in my rear end at 9:00pm
- Begin drinking 6-8 oz of V8 vegetable juice 3x/day. A little trick that's supposed to help with bloated and edema. Awesome because I'm starting to feel the edema forming.
5/14/08
- Take my last acetyl-L carthinine alpha lipoic acid today
- Not eat or drink anything after midnight
5/15/08
- Not eat or drink anything. Liquid or food can be vomited and inhaled into the lungs during the procedure which may result in serious complications and can be fatal.
- Not wear any perfume, cologne, body powder, hand lotion, hairspray or deodorant (both of us) - I learned today that fragrance can actually harm/kill the eggs. Yikes! We can't have that!
- Not wear any makeup, nail polish, or contact lenses. Just a precautionary measure to ensure that my body gets the most oxygen as possible during the procedure.
After the procedure, I'll be in recovery for about an hour before they'll let Ryan drive me home to eat something, take my first dose of Doxycycline and rest for the next 48-72 hours. I also need to continue to take Medrol nightly until they tell me to stop. I didn't receive any instructions for progesterone yet. Maybe that will happen the day of egg retrieval and they'll share that good news with Ryan since he'll be the lucky one administering that.
I'm so relieved that we've made it this far and to actually see more than one big follicle on that lovely ultrasound screen. I'm hoping and praying hard that we'll get some nice, healthy, excellent quality eggs to successfully fertilize.
Monday, May 12, 2008
We're Almost There!
Sunday, May 11, 2008
Slowing things down...
Tomorrow is another day closer to egg retrieval. Hooray! Hopefully the dr will be able to give me a better idea of when we'll do it. I'm scheduled tomorrow morning for another blood test and ultrasound. Grow folllies grow! Grow big and healthy!
Saturday, May 10, 2008
They're Growing...
I'm finally and thankfully getting the hang of all my injections (Lupron, Gonal-F and Menopur). Mixing them, getting the air bubbles out, and actually giving myself the shot isn't as intimidating as it used to be. Last night was the first time I gave myself the Menopur shot. It's mixed the same as the Gonal-F, the only difference is that it burned as I was injecting it and for about 5-10 minutes afterward.
It looks like my e2 levels have jumped up quickly, so my dosage has been reduced to 1 Menopur vial tonight and only 1 Gonal-F in addition to 5 units of Lupron tomorrow morning. Instead of waiting until Monday morning for my blood test, I need to go back again tomorrow to test. Hopefully this isn't cause for alarm and everything will still be on track.
Thursday, May 8, 2008
Today was my cd3 estradiol blood test and baseline ultrasound. The ultrasound showed about 7-9 follicles on each side. I felt a little crampy before the ultrasound and felt crampier afterward. As the afternoon progressed, the cramping subsided and I grew tired. Luckily, I managed to get in a short cat nap before Ryan called with news on the progress of our house. I wish I were there with him. Just 23 more days until I can hopefully fly home.
Loreen just called with the dosages for the tonight through Saturday morning when I go in for my next estradiol blood test and ultrasound. One vial of Gonal-f tonight, 5 units of Lupron and 2 vials of Gonal-f tomorrow morning, one vial of Menopur tomorrow night, 5 units of Lupron and 2 vials of Gonal-f Saturday morning. I'm assuming the bloodwork came back okay. I'm wondering what the change from Gonal-f to Menopur means for tomorrow night. We'll see...
Tuesday, May 6, 2008
On Your Mark..Get Set..Grow!
It's 7:15am and I've been up for a little over an hour. I'm already starting to feel tired. How pathetic is that?! It's weird. I'm tired throughout the day and evening, but when it's time to go to bed, I have the worst time trying to fall asleep. I'm beside myself. I haven't done yoga in days. Maybe I should try it this morning after my walk and see if it helps tonight.
Monday, May 5, 2008
Bad Day
It's now 6:41pm, I'm exhausted, VERY irritable, cranky, and have a headache. I hate this feeling. I went in for my second injection lesson this afternoon. My bloodwork from yesterday came back great, so everything is on track. I'm scheduled to start 225iu of Gonal-f tomorrow. So 5 units of Lupron and 150iu of Gonal-f in the morning and 75iu of Gonal-f at night. All I can say is thank goodness for belly fat. I've always hated it until now. Without it, I would have nothing to pinch and poke. So at least it's good for something.
Sunday, May 4, 2008
Sick
I don't understand why, but this afternoon I felt dizzy and nauseous. It kind of felt like what I think vertigo might feel like. When I turned my head to the left, the room just started spinning and wouldn't stop. I tried lying down to see if it would help but it didn't. So I thought I would try turning over to the right and I was still dizzy. I felt so nauseous that I ended up trying to make myself throw up hoping I might feel better. Thankfully, I wasn't able to throw up and after taking a shower, I felt better. Maybe everything is catching up with me...lack of a good night's sleep, side effects from the medications, pms, and not eating very well today.
Friday, May 2, 2008
Numb
I'm thankful to be finished with both the Desogen and Doxycycline this week. Two less things to schedule into my day and make sure I take, and hopefully less side effects to experience..at least until I start taking the next round of meds - Gonal F and Menopur. Yesterday I felt so weak and exhausted by about 12:30, I could hardly even lift my arms up to read a book lying down. I slept for about an hour and a half which is rare for me. I rarely take naps. It's a childhood thing. I always fought taking naps because I thought I would miss out on something while I was sleeping or that it was a waste of time.
I'm happy that in approximately 14 days Ryan will be coming and hopefully the next day we will finally do the egg retrieval. These last 4 months have been rough being apart. Prior to this year, we've never been apart for more than 3 weeks in the entire almost 18 years we've been together. He just said last night that he can't wait to come because he's kind of lonely. Even though I'm with my family, I feel lonely too.
Our house is almost completely built. I'm bummed that I'm not there physically to see the completion or to help Ryan with the move at the end of the month. Poor guy has so much on his shoulders right now. I'm thankful that he's such a good husband and partner, that he's willing to do so much without grumbling or stressing me out. I can't wait to go home and for it to be just the two of us again (or maybe the three, four or five us).
Thinking about everything that's happening all at the same time (i.e. IVF, moving in, and starting my new job), a part of me starts to think pessimistically about whether this is going to work. But then there's the other part of me that says remember when everything was timed so perfectly with the IUI's and it didn't work. Maybe with all these things "colliding" at the same time, it will finally work for us. I guess that's the closest thing I can come to being optimistic. In the end, all I can believe is if it is meant for us to be parents, we will be, and if it's not, I would rather have a wonderful husband without kids, than be in an unhappy relationship with all the kids I could ever want. I suppose in my reflection, I'm focusing on a destiny that is ultimately happy and satisfying.