All the Sun For You

A mom, two boys, a husband, and a whole lot of adventure!


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Transfer Done – and Feeling Good

Greetings from bed rest.  This is much harder with a toddler in the house – man alive Matthew is requiring lots of attention and it’s hard not being able to give it to him.

Our transfer was scheduled for 2:00, which meant that Matthew had to be at the sitter’s at 1:40 – which was only 1.5 hours into his (wonderfully long) nap.  We woke him up at 1:30 to take him to the neighbor’s (his best friends V & W) so that their mom could watch him while we did the transfer.  (V & W are IVF twins so their mom knows the drill and has been so very helpful to us this cycle!  We trade babysitting services and it’s wonderful!)  It was actually fun to wake him up together – we went in and slowly turned his light on, which didn’t wake him up at all (poor tired boy) so we went and stood by the crib as I talked softly to him and B rubbed his back.  He woke up happy, even if it was 1.5 hours too early.  He was pretty excited to see us both and was even more excited to see his friends.  W was the only one up from his nap and greeted us at the door.  We kissed Matthew goodbye, told him to go show W his cup, and off he went.  As did we.

We arrived right on time (my offline friends are reading this now, shocked that we weren’t late) and S, my favorite nurse, took us back to get changed.  I was ready to ask some questions.

Me:  How many do we have?

S:  Two.

Me:  How many did we need to thaw to get them?

S:  Just the two.

Me:  Seriously?

S:  Yep!  You still have five left.

So there it is.  We are still holding strong at our 100% thaw rate.  YES!  If this works, that means we’re going back for Baby #3 in a couple of years.  More importantly, if this does not work, we have 5 left to use.  I wasn’t really that surprised, because the first time we did this (July 2010), the two they used survived the thaw with no problem.  But it’s always nice to hear it.  For it to be real!

I took a note from Belle and Shannon and wore special socks for the transfer.  The procedure room is so cold, and I usually just wear the booties they give you but I thought some special socks were in order.  I hate being cold AND just in case this works, I can tell this baby that, “I wore these specific socks when you were put in my uterus” (at which point the child would respond with, “what’s a uterus and why didn’t I get there the normal way?”).  I don’t believe in hocus pocus but I wanted to do something different, and FUN for this transfer.

I got the photo of my embryos and immediately I could decipher how they were doing.

The top right one is hatching (that’s the bubble on the right) and the lower left one had not yet expanded fully.  I didn’t say anything because this is an FET and that’s why they don’t usually give you photos (because they don’t usually look like fresh embryos due to re-expansion).  Often times, the blasts re-expand once they’re transferred and all is well.  I know this.  I kept my mouth shut knowing that they did me the favor of printing the photo  🙂

Dr. Y came in and greeted us, cheery as always.  He made small talk with us before discussing the embryos with K.  K said that the first one was terrific and was already hatching (HA!) and took off immediately in the dish.  The other one was, “not doing anything,” but afterwards, they explained that they can take a while to “take off.”  He made it sound like the expansion and hatching of the other one was a quick and unusual, and he sounded happy about that.

I have high hopes for that top right one.  😉

It was time to transfer and, as anyone who’s done this before knows, it’s no big deal and it’s over before you know it.  They inserted the catheter, transferred them under ultrasound guidance, and then verified that they were all in there.  This time – they were not all in there.  “The big one,” as K stated it, was still in the catheter so they had to reload it and transfer again.  No biggie.  I did say, “well that’s the one we want!”  At that point, they said that the other one has good potential too.  After the second transfer, K gave them the “all clear” and we were left to rest for 30 minutes.

No biggie at all.

Here’s a photo of the embryos in my uterus.  They placed them right next to each other (they pick the specific spot at an earlier appointment during the mock transfer, so they worked to get #2 right next to #1 since they didn’t go in together).  The bright spot in the middle of the orange circle is the embryos huddled together:

During our 30 minute rest, K (the embryologist) came in and gave us the straws the embryos had been stored in.  We’ve never gotten those before!  He said that he could tell that we were the type of people (or that I’m the type of person) who would want those for memories’ sake.  YES PLEASE!  It was neat to see them and hold them.  They were labeled with our names, date of freezing (10/12/10 for one and 10/13/10 for the other), and “1xBlast” each (meaning there was only one blast in each – they usually store two in each if possible).

Our 30 minutes were up and it was time to go.  They scheduled my beta for 10/23.  They scheduled it a day early (11 days versus 12 days) and I didn’t say anything because HELL YES I’ll take that beta a day early (I do not believe this was a favor – I think it was a mis-calculation on their part which is just fine)!  It’s also good because we’ll be in KC (hello, Steph and JJ!) on the 25th which would have made beta #2 hard to get done if we did the first one on the 24th.  This way, we’ll do beta #1 on 10/23 and then beta #2 (if this works) on 10/25 before we leave town.  PERFECT!

Now we’re all in the basement and we’ve just eaten dinner.  B is taking good care of us both!  Matthew is super tired with only 1.5 hours of naps under him, so I expect him to go to sleep easily tonight.  I’m sad that I won’t see how easily he goes down – I’m not allowed to rock him since it will take more than 10 minutes and he climbs on me like a jungle gym.  B gets the honor tonight and tomorrow night… but come Sunday, I’m taking that job back!

(Actually, I’m updating to say that I did get to rock Matthew to sleep today and I absorbed every moment of it.  I breathed him in!)

Oh – and the 2 hour massage was unreal!  I am adding that to my IVF/FET protocols in the future.  I have never been so relaxed.  I am prescribing it to anyone else who does IVF/FET in the future as well!


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Transfer Eve

It’s the day before transfer, and I’m calm.  So very calm.  I’ve never been this calm during a cycle before, and I know it’s because of this:

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🙂

I’ve been thinking about the 40% success rate of frozen transfers at our clinic versus their 60% success rate with fresh cycles.  I don’t know why I’ve never thought about this before, but maybe it’s not due to the embryos being frozen.  Maybe it’s due to the grade of the embryos.  It’s no secret that they use the best looking embryos for the fresh transfer and freeze the “leftovers.”  What I know, though, is that our embryos are very highly graded and we’ve been told that there’s really no difference between the ones that are frozen, and the ones that were used for our fresh cycles.  So maybe our chances are a little higher than the clinic average?

I don’t know.  I’m just thinking through it.

I’ve been asked if I’m excited.  No, I am not.  I will be excited if it works, but I’m a seasoned veteran who knows that there is nothing exciting about the dreaded two-week wait.  I hope that I’ll have something to be excited about a week from tomorrow (when I POAS at 7dp5dt), but I’m not excited right now.  I’m most definitely not excited about two days of bed rest.*  I’m not excited about not being able to really play with Matthew for a few days.  I’m not excited about our cable being disconnected today – just in time for bed rest.  HA!

But I am excited about my two-hour massage tomorrow before the transfer!

* Bed rest really doesn’t improve odds of success at all.  Much research has found that clinics only prescribe it so that you don’t blame yourself later if the cycle doesn’t work.


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FET Update

We started PIO shots last night.  I am two nights into this and hopefully we have 3 more months ahead of us.  They are easy, but they’re not easy.  Psyching myself up for each one is a struggle and then it ends up being no big deal.  B is a wonderful shot-giver and makes it painless, for the most part.  I remember us hitting a vein (or whatever) a few times and that hurts – so I’m always worried that will happen.  That’s crazy because seriously, it happened only 3-4 times in all the PIO shots we did in the past 3 cycles.  That’s not a lot.

Transfer is on Friday.  My favorite embryologist (H) called me today to discuss which embryos to use.  We have 2 from Matthew’s cycle, and 5 from our first cycle.  I told her to use the ones she thinks are the best – that I trust her judgement.  And I do.  I found the conversation interesting because no one, in all the blogs I’ve read, has ever mentioned collaborating with the embryologist on which embryos to use.  I asked H a week or so ago which ones she wanted to use and bless her heart, she decided to involve me in the decision.  I just love the people at this clinic!

I did ask H a favor.  They don’t usually give you photos of your frozen embryos at our clinic because, “they can be worrisome to people because they don’t look like fresh embryos,” but I asked her to make an exception for me and she said yes.  I think it’s important to have that first photo just in case it works out.  How can I tell our next baby that I don’t have a photo of them as an embryo, but we have one of Matthew?

I also learned that we have 3 embryos in their own straws.  This is very important!  We have 2 straws with two embryos, and three with just one in each.  This is important as they thaw those straws with pairs – and what if one survives the thaw and one does not?  Do you thaw the other pair then too and what if those both survive, leaving three alive?  Now that I know about the singles, I am much more at ease about this and H assured me that we should not end up with 3 unless something “very unusual” happens.  Crisis averted!  (I was actually getting pretty worried about this, but now I’m not.)

Everything else is rather calm over here.  Matthew is a bit sick – not sure what’s going on there.  I’m bracing myself for a bad day tomorrow given that he’s had runny diapers all day and a snotty nose.  He’s been especially tired as well (3.75 hours of naps today) so I’m not sure what tomorrow will bring.

I lied.

Things are not 100% calm.  I setup my password for my PWP posts on October 1, feeling like the inevitable was about to happen, and shit hit the fan on the 5th in regards to holiday planning.  I am not directly involved, but it’s irritating and upsetting.  I will be posting about it, but I’m too exhausted from it right now to write about it.  I am not stressed about it – just so sick and tired of things being so hard with my family.  Ugh.

Besides that, though, things are good.  HA!

“Don’t fret about the holidays, Mama! You’ve got Daddy, Jackson, Lily, Jane, and me and that’s all you need!”


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I’m Not Blue

I walked out of the clinic today with the diagnosis of a “perfect, thick lining” and no prescription in hand for smurf pills.

Transfer is set for 2:00 next Friday.  I have a 2 hour massage booked beforehand.

This cycle is going better than I assumed it would  😉

No blue lady bits for me this time, thank you very much!


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Strategy

I am so relaxed about this cycle, that I was wrong last night when I said my ultrasound and blood work would be today.  They’re tomorrow.  As of right now, my lady bits are still their natural color.  We will see what tomorrow brings.  I don’t have high hopes of walking out of there without a prescription for estrace tablets.

I like to be prepared, it makes me feel in control.  When I started my lupron injections, I loaded up my shot kit with a week’s worth of needles and alcohol pads – and I did that each Saturday night after I depleted the week’s supply.  It was sort of fun.  It made me feel like we were making progress – that we were moving forward.

When it comes to PIO, I load up the needles differently.  I don’t know how long I’ll be doing PIO shots – it all depends on whether or not this cycle works.  If it works, I will need 3 months worth of needles (that many would never fit in my kit at once).  If it does not work, I will need 17 needles. The last thing I want to do is unload my shot kit if I get a negative beta – therefore I am very strategic so that I don’t have to do that.  EVER.  I don’t even want to let the needles wait to be unloaded until the next cycle starts because I want to start that next cycle with a positive attitude – a fresh mindset.  So I load up the kit with the exact number of needles I will need to get to the beta – and that is all.

I loaded up my kit tonight.  There are 17 pink needles (used to draw the PIO into the syringe) and 7 shots with black needles (black needles are used to inject).

Pink = pain

Black = butt

My kit is not large enough to hold 17 shots with black needles, so I load those up weekly.  You can bet the farm that when we get to the week of October 21 (beta will likely be on the 24th), I will only be loading up 3 shots with black needles to get me through the night of the 23rd.  If I fail the beta on the 24th, there will be no more pink or black needles in my kit – which is how I want it to be.

Ice packs are in the freezer just waiting for Sunday.

Here we go…


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One More

One more lupron shot before we move on to bigger and better things (PIO shots on Monday).  I will not miss you, Lupron… you big, fat cow!

I have an ultrasound and blood work tomorrow to see how I’m doing.  I’m fully expecting them to put me on estrace tablets that go in parts that make me shudder.  As Belle put it so appropriately today, I am gearing up for having “smurf-colored” lady parts here soon.  Fantastic!

This FET cycle has been a breeze so far.  I honestly forget about it most days and need reminders on my phone to ensure I get my shots and take my meds.  This is a good thing!  I do fully expect to feel emotionally vested, though, once those embryos are put back where they belong next Friday.

I’m assuming this won’t work for us (we never get lucky and fall on the good side of the odds – and this procedure has a 40% success rate), but I sure hope it does!  I am trying to remain positive because you never know.  It has to work for someone, right?  Would be nice if it’s us this time …  🙂


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Oh Hope…

… How I hate you sometimes.

I had my baseline blood work yesterday.  I went by myself (my choice) and chatted it up with the receptionist who was on maternity leave when we were in the office a month or so ago.  She showed me pictures of her baby and I couldn’t help but wonder if our conversation was making the others in the waiting room uncomfortable.  Hmm… not sure what to think of that.  Anyway, it was so nice seeing her!

The phlebotomist called me back just as my favorite embryologist caught a glimpse of me.  She told the phlebotomist that we’d take the long way around and meet her in the back.  I got to chat with H (my VERY favorite person there!!!) and she told me that she was just reviewing the charts and info on our frozen embryos.  You know, that made me feel good, knowing that they’re already planning their work and working their plan.  It made me feel so much like a real person and not just a patient ID.

I took the opportunity to ask her if she thinks we should use the embryos from our failed fresh cycle (in which I stimmed too quickly at the end and ended up with some minor OHSS) or the ones from Matthew’s cycle.  Matthew’s cycle resulted in two 4BB embryos (which translates to still excellent status) but the failed fresh cycle has a few 4AB/4BA’s in there.  She said it’s up to me.  I don’t want it to be up to me!  I told her that I TOTALLY trust her (their) judgement and will go with what they suggest, that I was just curious.

I’ve always wondered if that first cycle resulted in “over-cooked” eggs and bad embryos.  I mean, it did fail and then the FET from it ended in an early loss (empty sac – I have a hard time calling that a miscarriage since there really was no baby at all).   She said that the only indication of embryo quality is how they appear at the end, after a few days to grow.  She said that all of ours look terrific so she’ll pick the ones that looked the best at freeze time.  (Of our 7 embryos, they are all 4BB and above – all baby-grade embryos.  We shall see.)

TERRIFIC!  This put me at ease in regards to those embryos from IVF #1.  I trust H completely so if she says they’re good – they’re good.  That’s enough for me!  I am not going to wonder anymore.  I heard it straight from the person I trust the most – so I am done questioning it.  Period.

I then asked the (stupid) question – the one I KNOW not to ask.  I asked if she thinks we have a baby in those 7 embryos – if she thinks that we’ll get a baby out of an FET.  She said yes.  Without hesitation, without thinking, she said, “Courtney, I do.”  I then said that our plan is to do just 2 FET’s before moving to a fresh cycle (if needed – I’m hoping it’s not) and asked, “do you think we’ll get a baby within 2 FET’s?”  Again – she said yes.  I then looked her square in the eyes and asked, “are you just telling me what you think I want to hear, or are you telling me what you really think?”

“I REALLY think you will get a baby out of 2 frozen cycles.”

And with that, hope crept back into my life.

I think I was happier assuming this wouldn’t work.  😉

***

On a side-note, I have totally stuck it to that bitch, LUPRON, and dropped 4 pounds.  I took her evil as an opportunity to shore up my eating habits and fix some things.  I was eating too much… well… drinking too much.  I was getting a coffee drink every.single.day.  Why?  I don’t know.  I needed something sweet.  No excuse though.  I stopped doing that but did get one this morning because I had a rough night full of nightmares and constant tossing and turning (more evil side-effects from that bitchy injection).  I needed caffeine, and I wanted something hot.  Campfire mocha it was…. and it was delicious!

I am moody from the shot, or at least I think I am.  I’m far from depressed or blue (like I was those 2.25 years of TTC), but I have moments of impatience that I didn’t have a week ago.  I told B about this so that he knows I’m aware  😉

***

My sister isn’t coming for a visit anymore… her mini-van wouldn’t start.  Poor thing.  She’s coming next week, or the week after.  This is the story of our visits to one another.  I’ve cancelled/delayed many visits in the past as well.  We’re cool with it!


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Lupron Fat

I forgot that Lupron makes me fat.  How could I forget that?  I’ve been taking it for a solid week, and have changed nothing in regards to eating and activity level (and I’ll admit both are pretty shitty right now, but they have been for a couple of months) – and I’ve gained 4 pounds.  FOUR effing POUNDS.

I am not happy over here.

It will be worth it once we have a second baby after how many ever cycles it takes – but right now – I’m hating this side effect.  Now I remember why I was so chubby after 3 IVF cycles when I got pregnant with Matthew.  I thought it was from being depressed, and I’m sure some of it was, but much of it was the drugs (which also explains why/how I lost it all and then some so quickly after having him).

Tomorrow, I seriously get serious about eating well.  I can’t afford to keep this up.

Damned drugs.  Damned infertility.


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Cycle Sisters

Our cat is diabetic – well – one of our cats is diabetic.  The cat that got me through the death of my first cat, the cat who got me through the move to Des Moines, the cat that my family and I literally had to save from starvation because she was too ferrel and sick to eat – that cat is diabetic.  She has been my rock for many years and was my home base before I met B.  Our other two cats are awesome and special, but Lily holds a deep place in my heart.

Lily was diagnosed with her diabetes a month before we first saw the RE.  She was diagnosed the month that we were diagnosed with infertility by my OB’s office.  I learned how to give subcutaneous shots on her.  Poor old girl.  I remember giving her her first shot thinking, “I’ll be doing this to myself someday soon.”  I was lucky and B did all of my shots for IVF #1 and our failed FET.  By the time we got to IVF #2, it was old hat and I could handle the SQ shots myself.

Lily is a trooper.  She’s been diabetic as long as we’ve been infertile – and she’s handled her diagnosis much better than I.  HA!  She loves her shots – they make her feel better.  If you forget to give it to her, she will come to you next to the counter that houses her needles and meow for her dose.  She lies down on the floor and spreads herself out for you to give her her shot, and gives you a quick meow when you’re done and a nuzzle on the nose.  It’s amazing – and special.  She’s special.  (I don’t give B a nuzzle after my shots.)

Tonight was my first injection of hopefully many.  I started the evening with putting Matthew to bed, then dosing the Lils, and then dosing myself.  I need to be very careful about giving the right medicine to the right patient.  Back during IVF #2, I almost gave her my lupron and gave myself her insulin.  I’m not kidding.  This would be very bad (more so for her than for me).  I don’t think she’d appreciate it  😉

Full FET drug protocol – this is nothing compared to full-on IVF

My injection went just fine.  I didn’t like doing it, and I almost threw up watching the needle go in, but it’s over and done and it was no big deal.  I just need to toughen up and get used to it.  B is out of town but was sending texts to make sure all was well.  He’s very sensitive to my needle phobia.

We got some possible alarming news on our Lils today from the vet.  Her diabetes are under control, but she may be in early kidney failure.  We need to get more tests run next week.  I tend to bury my head in the sand when it comes to Lily.  I don’t do that with anyone else, but with her, I’d rather not think about it.  Just writing this makes me tear up a bit.  She’s my old girl – she’s my life saver (cherry flavored, because that’s my favorite).

I think it’s so weird that we got this potential bad news on the same day I started injections for IVF #2 – it’s sort of like we’re cycling together again.  She’s definitely my first choice for a cycle sister 😉

 


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Lupron Eve

I got a question in email today asking if I was going to write about this FET.  I chuckled because my sister asked me something similar this past weekend.  And I chuckled because of the timing of the questions.

Tomorrow I start Lupron injections.

Sure, I’ll write about it – I’m an open book – but I don’t feel like there’s been much to write.  Until now.

I am very lucky in that I didn’t really react negatively (hormonally) to Lupron or any of the fertility drugs I took for that year of intense IVF treatments.  I know this because once, in the midst of this or that treatment, my dad snapped at me and accused me of being hormonal “from all of those fertility drugs you’re on” (maybe it’s time for some PWP posts – HA!), and B snapped right back at him saying, “if we hadn’t told you about our fertility treatments, you wouldn’t know she’s on the drugs.  Her mood has not changed whatsoever.”  After we left my parents, I asked him if he was just being defensive of me, or if that was true.  He said it was true.  Based on other conversations B and I have had in the past – I believe he was being honest with me.  We are very open with each other when it comes to how our moods are affecting one another.

I surely didn’t feel moody from the drugs.  I was moody and depressed because we were childless.

It will be interesting to see if the Lupron affects me this time around.  I sure hope it doesn’t.

So far, I’ve just been taking BCP’s and baby aspirin daily, and just added an antibiotic (twice a day) yesterday that will end on Saturday.  A frozen embryo transfer cycle is relatively easy, from the drug and monitoring perspectives.  It’s so simple that it’s easy to forget to do something.  Your life just does not revolve around this injection and that injection.  The one thing I’m really, really hoping I can skirt around this time is the twice-a-day estrogen pills that went in uncomfortable places.  God, I hated that.  I bet you, though, that they add that to my protocol since it had to do with thickening up my lining and why would this cycle be different from the first FET?  But let’s hope, ladies… let’s hope!

My sister, with the most genuine enthusiasm I’ve ever heard, asked me if I’m excited.  My answer was… no.  I’m not excited.  I’m not hopeful.  I’m not anything.  I am just doing it.  I am doing what the doctors tell me and thinking that if this works out, that would be awesome.. but I’m not expecting it.

To be perfectly honest with you all (and myself) – this is exactly how I felt with the cycle that resulted in Matthew.  I had so much positive energy with IVF #1 that if positive thinking really worked, there was no way in hell that I could have ended up NOT pregnant.  I honestly did not think that it could not work – I thought for sure I’d be the one-and-done.  But I did end up NOT pregnant.  I had positive energy and thoughts with the first FET and it failed (with a prolonged miscarriage).  I wanted to give up – I was done – but the doctors said to give it 2 more fresh cycles per their original plan.  When IVF #2 came along, I was so emotionally detached that I forgot to take it easy and ran – and I forgot for 4 days to start my estrogen patches.  I was in a place of expecting nothing good and the most goodness to ever happen in my life surprised me.

Let me tell you, before you get all, “think positively!!!!  OMG!!!!” on me… this cycle only has a 40% chance of working.  That is from my doctor.  Sure, that’s better than 30%, or even 39% – but it’s not even 50/50.  So I’m being realistic.

But it sure would be nice it if worked.

So on the eve of starting injections once again, I dug out my old IVF memorabilia with the plans of finally throwing it away.  FRESH START.  I lined it all up on the table and took a photo of it – and then couldn’t throw it away.  All of that “stuff” resulted in the sweetest baby in the world.  All of that brought me my true happiness.  All of that completed me, and us.  So I bagged it back up and put it back under the bathroom sink.

This isn’t all of it – almost everything from IVF #1 got thrown out. I started saving these remnants with the failed FET. Notice the HPT in there. Every one of those needles was worth that second line!

Maybe I’ll throw it away next year  😉