Sunday, August 16, 2015

The In Vitro Journey - Cycle #1 - The Final Check Up

We officially have a date and time for Egg Retrieval! Tuesday 8/18 @ 11:00am.

I will not miss these shots!

Our last ultrasound was today and my follicles are HUGE!! Some are measuring at 28 and 29 mm! 

I'm still in a good amount of pain and not sure what my estrogen levels are at today. We were instructed to take our trigger shot tonight @ 11pm. This is the final step in making my eggs mature before surgery.

We're taking guesses on how many eggs we will get.. I say 18, David says 21.

Saturday, August 15, 2015

The In Vitro Journey - Cycle #1 - Complications

Yesterday we got some news, which at the time of the call I considered bad news. Now that I've had some time to process, research and talk about this news I realize it's in my best interest and am ready to accept it for what it is.

Friday morning we had another ultrasound to check on the growth of my follicles. The doctor was happy with what she saw and called me a super-star egg producer. My uterus lining is 8mm and shaped perfectly. She counted 19 follicles on the left side and 12 on the right. There is no way to see if each follicle contains an egg however they are looking for follicles bigger than 14mm and assume that those follicles have grown to the point of containing a mature egg. My follicles measured as follows..
After the ultrasound I got my blood drawn and scheduled an appointment to come back for monitoring on Sunday morning. I was told we were probably looking at a Tuesday (8/18) egg retrieval. 

Now you're probably asking yourself, where's the bad news? Where's the complication? This all sounds good and normal. Well, as soon as we left the clinic I got really bad lower back pain.. I couldn't stand up straight and struggled to get in and out of the car. When we got home I laid down and tossed and turned trying to get comfortable. I figured the pain was due to how large my ovaries are and the probing of the ultrasound pushing them around and causing some soreness. A couple hours later we got a call from the doctor who said my estrogen level is 3,360 when it should be no higher than 2,000. They said we will most likely have to do a freeze all after egg retrieval. This means that after the eggs are collected they will be fertilized, monitored, and then frozen. We will then have to wait a couple months for my body to reset itself, clear itself of all the hormone drugs, and then have a frozen embryo transfer. Now, at first when the doctor told me this I rushed off the phone before I started to cry. After waiting this long the last thing you want to hear is that you have to wait longer. When I turned to my awesome Facebook IVF support group to complain about the news, the response I got really helped to ease my mind and calm me down. It seems that this is a very common thing that happens and is really in the best interest of my health and my future pregnancy.

The back pain and the high estrogen level is a sign of Ovarian Hyper Stimulation Syndrome (OHSS) which is a side effect of the hormone injections. Getting pregnant while having OHSS can cause many complications and be extremely painful for the mother. 

As it turns out, frozen embryo transfers are typically more successful than fresh transfers. Allowing your body to detox and rid itself of all the drugs puts you in the best physical state to achieve a healthy and successful pregnancy. We're not quite sure how long we will have to wait to do the transfer, it could be a month, it could be three. Obviously the doctors are looking to do what is in everybody's best interest and all we can do is trust them. We've waited this long, what's a couple more months?

Will update again after our appointment tomorrow.

Wednesday, August 12, 2015

The In Vitro Journey: Cycle #1 - Check up Ultrasound

Well here we are.. 1 week into hormone injections. I'm feeling very bloated and crampy, slightly irritable but nothing unmanageable. I had a mini melt down yesterday when the bar stools I shopped for for 6 months arrived and were assembled. When we put them together we discovered one had a hole drilled in the wrong place causing it to wobble. A few tears laters, David had taken it apart and fixed it; all was right & well in the world.
Today we went in for a check up on our growing follicles. The doctors hope to see follicles around 14mm and a uterus lining of 7mm or higher. We found a total of 6 follicles on the left side and 9 on the right. My uterus lining was 7mm. The doctors are very happy with our results and instructed us to start taking the Cetrotide tonight to prevent my body from ovulating. My blood work showed that my estrogen level was a little high (1593) and will need to be monitored, but again, nothing to worry about too much. 



We were told that we were probably looking at a Monday (8/17) egg retrieval! We go back to the clinic on Friday morning for another ultrasound and after that we'll have an even better idea of timing. Everything is right on schedule so far. We're both so excited to be moving this process forward and hoping for continued success and good health for all.

Tuesday, August 11, 2015

Top Ten Tuesday!


"Top Ten Tuesday" is a weekly event hosted at 
Broke and the Bookish. They give us a topic, and
I give you a list! This week's topic is:

Top Ten Authors You Have Read The Most Books From
  1. Lurlene McDaniel (15) McDaniel was the only thing I read in middle school.. All of her books are about kids with cancer and for some reason, as a kid, I thought that was really interesting.
  2. Richelle Mead (12) Vampires and really well developed characters and relationships.
  3. Ellen Hopkins (11) Poetry and tough subject matter
  4. Kiera Cass (10) I've read everything she's ever written and will forever. 
  5. Colleen Hoover (10) The cutest relationships.
  6. Cassandra Clare (10) Best fantasy worlds.
  7. Jennifer L. Armentrout (10) Really not one of my favorite authors; really hyped up books. Surprising that she made this list.
  8. Sarah J Maas (9) One of my favorite series. Awesome world building & character development.
  9. @SororityProblems (9) Hilarious, relateable short books. Easy to read.
  10. Lauren Oliver (8) One series + novellas.. Not my favorite.

Share your top ten with me!

Saturday, August 8, 2015

The In Vitro Journey: Cycle #1 - Day 1 & 2

The "shooting up" has officially started! Yesterday was our first injection night and we were more nervous than was necessary. It ended up to be a breeze; no pain, no side effects. I gave myself the first shot and David gave me the second one. At first he was timid and didn't want to hurt me but once he realized it didn't hurt he was excited to do it again today.

The Follistim pen is so easy and convenient. The Menopur injection stung a little bit today but nothing I can't handle. 
Don't mind my crazy beach hair... Spent the day riding jet skis at the bay :)

Friday, August 7, 2015

In Vitro Fertilization Fact of the Day

Normally a woman's ovaries are the size of a walnut.
After a cycle of hormone stimulants, a woman's ovaries are the size of a grapefruit.

I think I'm gonna need to get some bigger pants!

Thursday, August 6, 2015

The In Vitro Journey: Cycle #1 - Stimulants


Yesterday we went into the clinic for our baseline ultrasound and blood tests. The purpose of the ultrasound was to confirm there were no cysts on my ovaries, check the position of my uterus, and count how many follicles are present in each ovary. We counted 9 on my right ovary, and 10 or 11 on my left ovary. These are great numbers and everything looks perfect & normal in my uterus.

Tomorrow is the day that makes this whole thing even more real than ever before... We start injections! Some people have been asking me why I have to take stimulants when I'm not the one with the fertility problem. But here's the thing... Infertility is a medical diagnosis. We, as a couple, are infertile. These stimulants are part of the process. Our clinic does not give the option for a "natural" IVF cycle.

In a woman's natural cycle the body releases one single egg. The hormone stimulants I will be taking will force my body to create multiple eggs in the follicles that will be retrieved when they are matured. Multiple eggs means maximum opportunity to create healthy embryos. If we were to do this without the stimulants, we would be working with one egg at a time, significantly decreasing our chances of creating any embryos let alone healthy, growing, multi-cell embryos.

Let's also keep in mind that not all eggs retrieved will be mature and not all mature eggs will be successfully fertilized. The doctors could retrieve as many as 30 eggs but maybe only 20 of them will be mature and only 10 will fertilize. Of those 10 maybe only 5 will grow to 5 day blastocysts. These hormones stimulants are absolute imperatives to the success of our IVF cycle. 


Now lets talk about what exactly I'll be injecting. For the first week I will be doing nightly injections of Follistim & Menopur. Follistim is a man-made form of the hormone FSH which occurs naturally in the body. The injection is administered through a 
pre-filled, pre-mixed pen which allows the user to dial a specific dose and inject by pushing in on the plunger. 



Menopur is a highly purified preparation of naturally derived gonadotropins. It comes in powder form and is mixed with sodium chloride to be injected daily. Both medicines help to stimulate egg production in the follicles and assist in ovulation.
After a week I will stop taking the Follistim and will begin taking Cetrotide and decrease my dosage of Menopur. Cetrotide prevents eggs from being released too early by blocking the hormone that causes woman to ovulate. 

I will have monitoring appointments 3x a week during all this and the doctors will closely monitor the size and count of my follicles. My meds will be adjusted if necessary and when everything looks right I will be scheduled for egg retrieval. I will be instructed to take my trigger shot 36 hours prior to the ER.  

We are so excited for the next step in our journey. As always, it may not be easy but it will always be worth it. More soon...
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