tag:blogger.com,1999:blog-18290584104958148302024-03-12T18:31:20.643-07:00Cupcakes and ScienceChristinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.comBlogger85125tag:blogger.com,1999:blog-1829058410495814830.post-2212052057312933612017-06-25T17:08:00.003-07:002017-06-25T17:08:50.630-07:00It worked!I never thought the day would come that I would see 2 lines on a pregnancy test, but at 7 days post 5 day transfer I got a positive test, confirmed by a blood test at 11 days post 5 day transfer.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaRlMwe_XuaKnohR9uZoWIIN9UBwbIpw6xLbdrG8myG1ZGTOfPGoS967rRN-q1hwTBjJQqMstV2MQHr1sE9iyZjRX15aHcKTUbWWTHgSQtyscvxCrchYlU3c-bAFccDnxgo1Dg0ftZdPk3/s1600/IMG_1295.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaRlMwe_XuaKnohR9uZoWIIN9UBwbIpw6xLbdrG8myG1ZGTOfPGoS967rRN-q1hwTBjJQqMstV2MQHr1sE9iyZjRX15aHcKTUbWWTHgSQtyscvxCrchYlU3c-bAFccDnxgo1Dg0ftZdPk3/s320/IMG_1295.JPG" width="240" /></a></div>
<br />Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-61150850767525854782017-06-01T18:38:00.000-07:002017-06-01T18:38:40.957-07:00Embryo transfer and freezing<div class="MsoNormal">
Embryo transfer was set for Friday morning. My acupuncturist
recommended at least 1 treatment that day so I ended up taking the whole day
off work. I know from IUIs and the mock transfer that I can have pretty bad
cramping after intrauterine procedures, and would end up being at work for just
over 4 hours (over lunch so even less work time) so it just made sense to take
the day off so I could relax at home.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My husband also took the day off so we put on our
matching-ish Game of Thrones t-shirts to go for the embryo transfer. I had to
drink 2-3 cups of water 1 hour prior to transfer, and I actually measured it
out to make sure I had enough, but not too much so I wouldn’t have to pee too
badly. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Once we got to the clinic it was back into the nightgown,
shoe covers and hair cap for me, and the shoe covers, gown, hair cap and mask
for my husband. The transfer was performed in the same room (and even same
position on the table) as the retrieval. No meds for the transfer. The embryologist
came in first to talk to us about the embryo. We had one day excellent looking 5
day blastocyst that was already hatching to transfer. The embryologist said
that four of our blasts looked great and would be frozen that day. The other
two needed another day of growing before they could be ready for freezing. The
embryologist was sure at least one would be ready to freeze but she wasn’t sure
about the second one.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The RE came in once the nurses and embryologist had
everything ready. One nurse worked the abdominal ultrasound to visualize my
uterus while the embryo was placed and the other nurse assisted the RE. The RE
inserted a speculum and then cleaned my cervix to make sure no bacteria were
transferred into my uterus. Then he treaded in the catheter and once it was in
position the embryologist brought in the embryo. We could sort of see it get
placed in my uterus. The embryologist checked that the embryo had been
transferred before the RE removed the speculum.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We got a picture of the embryo and a picture of my uterus
with the air bubbles around the embryo visible, which is pretty freaking cool.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<div class="MsoNormal">
The day after the embryo transfer we got the call from the
lab that both embryos were ready to freeze which means that we have 6 embryos
in the freezer, and that all 7 of our embryos made it!<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-42138928895921853382017-05-30T18:40:00.000-07:002017-05-30T18:40:18.590-07:00Embryos and Egg Retrieval Recovery<div class="MsoNormal">
I had the Monday off after my egg retrieval because it was
Victoria Day, so I was able to spend the day relaxing on the couch, drinking
water and eating salty foods. I had constant abdominal discomfort. This got
better as the week progressed and by about Thursday I only had pain if I
twisted the wrong way.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I started progesterone suppositories Monday morning – 2
pills (200mg total) 3 times a day – to prepare for embryo transfer. I also
picked up antibiotics that I would take the day before, day of, and day after
embryo transfer. The progesterone suppositories are messy but I know from my
IUI cycles that I need 400mg a day to prevent my uterine bleeding so I’ll do
whatever necessary if it means I don’t have any bleeding.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The lab called the day after the egg retrieval to talk about
the eggs/embryos. All 8 eggs were mature and fertilized with ICSI. 7 of them
started to divide. With more than 4 embryos they recommend doing a day 5
transfer because there is usually a higher rate of success than a day 3
transfer, and with so many embryos it is likely that at least 1 will make it to
day 5. For a day 5 transfer they don’t check the embryos on day 2 so the next
update would be day 3.<o:p></o:p></div>
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<br /></div>
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<!--StartFragment-->
<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">I was prepared for a drop
in the number of embryos on day 3 because I know it’s typical for there to be
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Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-52791023181869458722017-05-29T17:53:00.002-07:002017-05-29T17:53:52.193-07:00Egg Retrieval<div class="MsoNormal">
My egg retrieval was scheduled for 9am on the Sunday of the
Victoria Day long weekend. I needed to arrive at the clinic at 8am to be
prepped for the procedure. I also had a list of things I needed to do at home
prior to coming to the clinic, including both my husband and I having showers
that morning, no food or drink after midnight, wearing socks, tying my hair
back, bringing a pad and a few other things.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
When I woke up Sunday morning I was starving and thirsty and
really nervous. I still felt crampy like I had the night before so I was a
little less worried about ovulating before the retrieval. My husband and I
prepped at home as instructed by the clinic, including wearing our matching
Star Wars t-shirts. We took a picture together to put in an IVF scrapbook
before heading to the clinic. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
At the clinic I changed into a very cute squirrel nightgown,
surgical booties and hair cap, took a sedative and had an IV started. I was
given an antibiotic with the IV to help with infection. My husband had to wear
shoe covers, a gown, hair cap and face mask. Before going into the procedure room
we were told that it was common for each follicle not to have an egg, and for
not all the eggs to be mature. My husband provided his semen sample before the
egg retrieval.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
For the egg retrieval I was set up on a table similar to
what is used for giving birth. I was started on oxygen and my blood pressure
and heart rate were monitored regularly. My husband was able to sit by my head
during the procedure. There was 1 nurse monitoring me, 1 helping the RE, the
RE, and a lab technician in the room. I was given a pain killer and something
else during the procedure so I don’t remember anything after the RE started
placing the speculum and cleaning my vagina/cervix.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
To retrieve the eggs they use a vaginal ultrasound and a big
needle to suction out the fluid from the follicles. My husband could watch on
the ultrasound screen and see the follicle disappear. I asked him to take a
video but he didn’t, so I just got pictures of my ovaries with all the
follicles there. The whole procedure took less than 10 minutes and the lab tech
confirmed that there was an egg in each follicle before we went back to
recover. <o:p></o:p></div>
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<br /></div>
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I had some cramping and a little bit of bleeding after the
procedure. I was starving so as soon as we left we went to McDonald’s. My
husband would only let me have fries, but they were so delicious. I spent the
rest of the day relaxing on the couch and watching tv. <o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-64303215661319221872017-05-28T17:39:00.000-07:002017-05-28T17:39:03.161-07:00IVF Stims<div class="MsoNormal">
I felt so horrible the whole time I was on stims that I
could barely make it through a work day and spent all my time in bed or on the
couch.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
After my first 5 days of stims I went in for an ultrasound
and blood work to see how my ovaries were responding. The RE found 2-3
follicles on my left ovary and 4-5 on my right ovary. Based on my AMH it was
expected that I would produce 4-8 follicles so I was right on target for that.
My uterine lining looked good and my estrogen was still low, so I picked up
another 2 days of meds and came back 2 days later. During this ultrasound there
was still 2-3 follicles on my left ovary and 4-5 on my right. The lead follicle
was getting pretty big so I started a new medication, Cetrotide, to prevent
ovulation, which means I had to do 2 injections each night. The Cetrotide burns
going in, and the injection site was sore over a day later. I did Cetrotide
with my stims for 2 days before my next appointment. At this ultrasound they
finally confirmed my follicle number as 3 on my left ovary and 5 on my right
ovary. My lead follicle was big enough to stop stims and take my trigger shot
that night at 9PM. My blood work showed that everything was good to do a fresh
embryo transfer. The trigger shot was HCG, the same hormone that is produced
during pregnancy, and it helps the eggs finish maturing before retrieval. The
morning after taking the trigger shot I really wanted to pee on a pregnancy
test so I could finally see a positive, but I had no cheap tests left and didn’t
feel like going to Dollarama to pick one up.<o:p></o:p></div>
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<br /></div>
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The great thing about making it to the trigger shot means
that there was a day off from medication between trigger and egg retrieval. I
started to feel really crampy, like I was going to ovulate, the day after my
trigger shot. I was really worried about ovulating before egg retrieval,
despite logical things like obviously the doctor know what they are doing and
doesn’t want me to ovulate early, and that several clinics online do the same
36 hours between trigger and retrieval. My egg retrieval was scheduled for 8am
on the Sunday of a long weekend, which actually worked out great because I
already had the day of and day after retrieval off work to recover.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-55729654806159333352017-05-14T14:49:00.000-07:002017-05-14T14:49:19.101-07:00Day 5 of IVF<div class="MsoNormal">
On cycle day 3 I went to the RE clinic for my screening
ultrasound and blood work. I signed in on the clinic sign-up sheet and then
took a seat in the waiting room, as everyone that needs an ultrasound or blood
work are scheduled at 7:30am and are seen in the order that they arrived. I was
called up first to pay the over $8,000 an IVF + ICSI cycle costs, including the
fee for freezing embryos for a year. Next, I had my vaginal ultrasound to
confirm that my ovaries were suppressed and did not have any cysts. My ovaries
looked good, although my left ovary is difficult to find, which will make egg
retrieval on that side difficult. I also found out that I have a retroverted
uterus, which none of my previous doctors had bothered to tell me. After a blood
draw I was free to go. I had to wait until an afternoon phone call from the
nurses to let me know if my blood work was fine so I could start my cycle.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
I had to go to the pharmacy to pick up the IVF drugs after I
got the go-ahead phone call. There is only one pharmacy in the whole city that
carries the IVF medications. The pharmacist was great and went over the whole
injection process with me, including providing me with an opportunity to
practice the medication mixing and injections. It was no big surprise that none
of the medications were covered by our work prescription drug plans since
infertility is one of the only medical conditions whose treatment is considered
optional. So, it was another $1500 for 5 days worth of medications.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I started the medications at 9PM that night. I have to mix
the Gonal-F with the Luveris, add sterile water, and then inject it all
approximately 1 inch from my belly button. It was really weird giving myself an
injection. The injection hurts. My husband injected me the next night and he
was so worried about hurting me that he injected so slowly that it hurt even
more. I feel like I’m at pro at it now after 4 days, but it still hurts.<o:p></o:p></div>
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<!--StartFragment-->
<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">Side
effects have been all over the place. The first day after starting I had a
headache/lightheadedness and nausea that got worse when I was driving. It was
the same the next day and the same today. However, yesterday I had a splitting
headache and frequent flips from hot flashes to chills. I was in so much pain
that I couldn’t get out of bed and was crying to my husband that I didn’t know
how I was going to get through at least another week of this and I didn’t know
if going through this was worth it to get a baby.</span><!--EndFragment-->
<br />
<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;"><br /></span>
<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">Here is my 5 day supply of meds</span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIK4tca6zFvBcQgVn-Fuws5VAzKRCKJYngnFE0ueUbsZWNS2TMpR0H6V8PVyeYg9h5dmHZumuLFt3PEeDdo7K1-vdp2crGXeSKPI2dK2BbUAPK7Vzxlmsy55fBfjZqZEzpVPqIIrEEQj6-/s1600/IMG_1252.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIK4tca6zFvBcQgVn-Fuws5VAzKRCKJYngnFE0ueUbsZWNS2TMpR0H6V8PVyeYg9h5dmHZumuLFt3PEeDdo7K1-vdp2crGXeSKPI2dK2BbUAPK7Vzxlmsy55fBfjZqZEzpVPqIIrEEQj6-/s320/IMG_1252.JPG" width="320" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
And here is everything I need to do one injection</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizAw8pS_0Z6925gZoK5pxBD5Aa7o3BFdt4UPg3SgP3KSBAB48q2I95FppBwUhAH34ypngTPnEx0vZdmLaRY0DsVRyeVoT2baXnNHzQVrK7pAWD929jVDZfFxdqKL5sjDuA_cbW76VC1wJw/s1600/IMG_1258.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizAw8pS_0Z6925gZoK5pxBD5Aa7o3BFdt4UPg3SgP3KSBAB48q2I95FppBwUhAH34ypngTPnEx0vZdmLaRY0DsVRyeVoT2baXnNHzQVrK7pAWD929jVDZfFxdqKL5sjDuA_cbW76VC1wJw/s320/IMG_1258.JPG" width="240" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;"><br /></span>Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-4234671481294556532017-04-21T18:58:00.001-07:002017-04-21T18:58:15.096-07:00IVF Week One Almost Done<div class="MsoNormal">
My period arrived on Sunday so I called the clinic nurses. I
had to take a home pregnancy test on Monday morning since I was leaving for a
work trip that morning and didn’t have time to go to the lab. It was, of
course, the most negative pregnancy test ever. I couldn’t decide which would
have been worse – having to go and sit at the lab for a pregnancy test when I
know I’m not pregnant, or having to take a home test when you know you’re not
pregnant, because even though you have your period and know that after 28
failed cycles the odds of the 29<sup>th</sup> time working when you haven’t
done anything new, watching the test slowly develop you still have that teeny
tiny bit of hope that you’re going to be the specialist snowflake of them all
that gets a positive test even though you’re bleeding and about to start IVF. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">I was able to start the birth
control pills on Monday night (cycle day 2). I actually temped Monday morning
because I’m so used to doing it. I didn’t bring my thermometer with me on the
work trip so I haven’t temped since but I’m still tracking stuff on Fertility
Friend. My VIP subscription is about to expire and I’m going to be switching to
the free version to keep track of my meds and any symptoms. It is really nice
not having the early alarm so I can sleep in a little – with my
allergies/morning congestion I have a hard time falling back asleep after
temping.</span><!--EndFragment-->Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-64763647118309049582017-04-15T19:35:00.003-07:002017-04-15T19:35:59.727-07:00And so it begins . . . <div class="MsoNormal">
After 4 appointments in 2 days we are finally ready to start
IVF with my next cycle. We had to meet with a counsellor to talk about IVF and
infertility and our communication and coping with having infertility, failed
IUIs, and how we will work through the IVF cycle. That was followed by an hour
long introductory video to IVF. The video was pretty much useless and I could
have done a better job on it. I can’t decide which part of the video annoyed me
more – the fact that the narrator kept mis-pronouncing progesterone, the fact
that they were trying to be all dramatic with cryopreservation and just showed
them taking the lid off a liquid nitrogen tank, or the fact that they made the
vagina look super weird in their cartoons. They also used scare tactics to dissuade
you from transferring 2 embryos without providing any statistics to show if
these increased risks were actually statistically significant. The only thing I
did learn was that pre-implantation genetic screening is offered at our clinic,
but only for couple with multiple miscarriages, multiple failed implantations,
or known carriers of genetic diseases.<span style="mso-spacerun: yes;">
</span>On the second day of appointments we met with one of the doctors to sign
the consent forms, which involved such fun discussions as what should be done
with the embryos if either one of us (or both) die, or if we divorce. I had a
mock transfer done, which was pretty similar to an IUI, although I had a lot of
cramping and nausea in the afternoon after that. Finally, we met with a nurse
to get my IVF protocol and do the injection training. I think my husband was
kind of overwhelmed by having to measure the medications, mix medications, and
the whole injection process, but it was all very similar to injecting mice so
it was no big deal to me. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
There was a little bit of panic about if I’d actually be
able to start with my next cycle because they want me to come in on CD2 for a
blood pregnancy test, but I’ll likely be out of town for work on that cycle day
so they are letting me do a home pregnancy test and call in with the results. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
IVF Cycle Plan<o:p></o:p></div>
<div class="MsoNormal">
CD1 – call to report CD1<o:p></o:p></div>
<div class="MsoNormal">
CD2 – take a home pregnancy test and call with results. Wait
for call from nurses about when to start birth control pills.<o:p></o:p></div>
<div class="MsoNormal">
Take birth control until May 5 then have a withdrawal bleed.<o:p></o:p></div>
<div class="MsoNormal">
CD1 withdrawal bleed – call to report and schedule monitoring<o:p></o:p></div>
<div class="MsoNormal">
CD3 – Ultrasound and blood work. If everything looks good
will start stimulation drugs (225IU Gonal-F, 75IU Luveris)<o:p></o:p></div>
<div class="MsoNormal">
8-13 days of stims with monitoring ultrasounds and bloodwork
every few days<o:p></o:p></div>
<div class="MsoNormal">
As follies get close to being ready, start taking Cetrotide
to prevent ovulation. <o:p></o:p></div>
<div class="MsoNormal">
HCG trigger shot 36 hours before egg retrieval<o:p></o:p></div>
<div class="MsoNormal">
Egg retrieval predicted for the week of May 21 (Happy
Birthday to me :S). Eggs fertilized using ICIS<o:p></o:p></div>
<div class="MsoNormal">
Transfer on day 3-5 depending on how embryos are growing.
Start progesterone suppositories after egg retrieval. I will push for 400mg
prometrium like I took during my IUI cycles because I know that that amount
should stop the bleeding.<o:p></o:p></div>
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Pregnancy test 13-15 days after transfer. They don’t
recommend testing before the blood test but I think I will test that morning so
I can be prepared when they call with the results. <o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-84608719295186753072017-03-19T10:09:00.003-07:002017-03-19T10:09:42.627-07:00Test Results<div class="MsoNormal">
We had our $50, 5 minute phone consult on Friday and it was
not good :(<o:p></o:p></div>
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<br /></div>
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The semen analysis results indicated that the male factor
infertility is worse now. The test didn’t look at morphology, which was our
only male issue on the last semen analysis from a year ago. This tested looked
at count, motility and ability of the sperm to swim around to find an egg.
While motility was still great, there was a dramatic drop in count. This means
that there are not enough sperm getting to the fallopian tubes to try to
fertilize an egg, so there is pretty much no chance of natural pregnancy
occurring and that IVF + ICSI will be our only option for pregnancy. This
result was a bit confusing for us because count was great on the last semen
analysis and for all 3 IUIs we did last year. It could just be a fluke result,
or something could be going on that has impacted the sperm production. We could
do a repeat semen analysis or other testing to try to figure out what’s going
on, but this could just add more time and cost more money and not change our
treatment plan or success rates, so we are going ahead with the plan to freeze
a semen sample and do IVF + ICSI. <o:p></o:p></div>
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My test results were a little confusing. Everything came
back in the normal range, but my AMH, which is a measure of ovarian reserve and
potential response to the fertility drugs came back on the low side of normal.
The RE mentioned that my AMH is closer to what he would expect for a woman that
is 38 not one that is 30, which could mean nothing or could mean I am at risk
for having diminished ovarian reserve. I didn’t ask for my FSH so I don’t know
if it’s on the high side of normal, which would be another indicator of low
ovarian reserve, and have not had an antral follicle count down, which is why
we don’t know if my lower AMH means anything. Nevertheless, it’s not great
because it means that I’m less likely to get a lot of eggs produced. The RE
said that a normal response to the fertility drugs would be 5-14 eggs
retrieved, but that they would expect me to be on the lower side so maybe 5-8
or 10 eggs, and that I would likely need to take higher doses of the drugs to
get these eggs. The fewer eggs, the fewer embryos. In a “typical” IVF cycle it
is expected that ¾ of the eggs will fertilize and about 1/3 of those will make
it to 3-5 days and be suitable for transfer. Now, ICSI should ensure that all
eggs are fertilized, but if we get 5 eggs we are likely looking at 1-2 embryos
produced. <o:p></o:p></div>
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This low anticipated result now changes our plan. Ideally,
we want to have 3 children, but really more than 1 would be great. When we were
expecting a 10-15 egg result we should be able to get 3-4 embryos from 1
retrieval cycle, so unless the first 2-3 didn’t take then we wouldn’t need to
do another retrieval cycle. Now that we are looking at 1-2 embryos that changes
things, especially based on the AMH and semen analysis results. Now the plan is
to “bank” at least 4 embryos so we should hopefully have enough healthy embryos
to have 2 kids. We talked a little about doing this because then my eggs would
be 30/31 instead of 33+ if I got pregnant from the first round and had to do another
retrieval later. Now, we are concerned that my ovarian reserve is dropping or
the amount of healthy sperm is dropping so we went to get a bunch of embryos
now in case something happens and we don’t have that option in the future.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-34474233457082186652017-03-12T09:26:00.000-07:002017-03-12T09:26:06.313-07:00On hold<div class="MsoNormal">
One of the worst things about infertility is the feeling
like your life is on hold. It’s hard to make plans for the future when you
don’t know how treatments are going to go, how many rounds you’ll need to do,
how much it’s all going to cost you, and if you’re actually going to get a baby
at the end of all this. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We’ve already had to make the IVF or job decision, which was
incredibly difficult. It felt like an impossible choice – do I turn down my
dream job and go for IVF when there is no guarantee I’ll have a baby at the end
AND no guarantee that I’ll be able to get another great job offer? Do I accept
the job and have to go through another year of heartbreak while waiting for
IVF? Watching all of my family and friends have kids while I sit here with next
to no chance of getting pregnant, and dealing with constant symptoms of my
infertility.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
As you know, I took the job and we postponed IVF. We will
hopefully be able to schedule our first cycle for late spring, but now this
opens a whole new set of problems. I need to travel for work but it’s hard to
schedule these work trips when I don’t know when my cycle will be starting
because I am so sick of waiting and don’t want to postpone it for another
month. My husband’s family wants to take a vacation together but we can’t
commit because we don’t know when we will be cycling, and how tight money could
be. I can’t commit to going to my aunt’s wedding in late summer because I don’t
know if we’ll be cycling then AND I have a lovely family member that likes to
rub it in that she has a kid and I don’t, and I couldn’t handle that if we had
a failed IVF cycle. We want to buy a house but are hesitant to put down so much
money on a down payment when we don’t know how much IVF is going to cost us. In
addition, what if we buy a house and then have something big happen like the
furnace dies or we need to replace our car and then we don’t have the money to
continue with IVF. We have the money for a downpayment and an IVF cycle with a
couple of frozen transfers without having to drain all our savings, but what if
we need a second cycle? Or a surrogate? Or donor eggs? Furthermore, what we
even need in a house is going to differ if we aren’t going to have a baby.
Like, right now we want 3 bedrooms on the same level and a finished basement
area, but if we end up being child-free-not-by-choice, then 2 bedrooms or a
master on a different floor would be fine. Heck, even something like buying a
new pair of jeans is on hold because I don’t know how long I’ll be able to wear
them during cycling or if I get pregnant. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<div class="MsoNormal">
Infertility has pressed the PAUSE button on my life and I
really wish we could unpause.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-28508011153894569622017-02-26T14:30:00.002-08:002017-02-26T14:30:38.101-08:00Testing Completed<div class="MsoNormal">
We have now completed all of our repeat testing for the new
RE. My husband’s testing was pretty straightforward. He was able to get an
appointment to do the swim-up semen analysis a week after our appointment, and
then he did his blood work right after. Since I have to wait for specific cycle
days it took a little longer. Since I was right around ovulation when we had
our appointment with the RE I did my 7 days post ovulation test and
STI/immunity panel first. I was supposed to go in CD20-22, so 6-8 days post
ovulation. Of course, that just happened to fall completely on a long weekend.
I thought it would be fine because there is a lab my by house that I could go
to that was supposed to be open. Turns out the RE needs to update their information
because that lab is not even open on weekends. I also had an optometrist
appointment on the Saturday morning so I needed to wait until almost noon
before I could go to the lab. I had my husband franctically calling all the
labs on the list from the RE with weekend hours to find one that would be open
past noon that day. Luckily, there was one that was open. The only one that was
open past noon. That clinic was also supposed to be opened Sunday morning but
not holiday Monday, but I didn’t want to risk it so I headed straight to the
lab after my optometrist appointment. I did not want to have to wait another
full cycle to be able to get my progesterone tested. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I hate parking lots and just parking my car in general, and
the parking lot at this lab was so narrow and tight, so that sucked. The lab
was at a walk-in clinic and it was packed with people. There were 10 people
ahead of me at the lab and one older man said he had been waiting for over an
hour at that point. In addition, doctors from the clinic were sending people
with “urgent” labs that got to jump the line. I really wanted to spend the
Saturday of my long weekend hanging around a walk-in clinic. Luckily, a few
people ahead of me had disappeared so I got in after about 45 minutes. The lab
tech confirmed what cycle day I was on and said I really got screwed with this
testing. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My second set of testing was a huge hormone panel done on
CD2-4. Of course, this cycle I had a hard time determining when the new cycle
started because my bleeding had picked up making it hard to distinguish what
was my normal luteal phase bleeding and what was actually menses, so I had to
rely on my temps and secondary signs like cramps and my luteal symptoms going
away. Luckily, this fell on a Thursday-Saturday so first thing Friday morning I
went to the lab by my house. Of course, since nothing can be easy, I wasn’t
sure if it was open because I couldn’t find consistent lab hours online.
Seriously, it ranged from not open on Fridays, to open at 7:45, 8, 9, 10, so I
decided I’d go at 8:30 and if it wasn’t open I’d go to the same one from the
weekend. Turns out it opened at 8 so I could have gone earlier and not been
late for work, but it wasn’t too bad. There were 8 people ahead of me but I got
in in about 30 minutes. I had so much blood taken. The good thing was that AMH
was free here (it would have cost $150 in our old province). <o:p></o:p></div>
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Now it’s just waiting. I called the RE and if I want an
in-person appointment to get all the results and next steps then we have to
wait until May 2. That really upset me so I asked about a phone consult because
it’s really just is everything okay for IVF? And do we need ICSI or not? And was
able to get a phone consult for March 17 . . . but, we have to pay $50 for
this. I’m so over waiting, so I took the phone consult. <o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-36048831711869933272017-02-20T16:08:00.001-08:002017-02-20T16:08:36.616-08:00Infertility PodcastI've started listening to podcasts recently. I've found they are a great way to keep me entertained when I'm dealing with large data sets and Excel files and coding in R. I've been listening to the Gilmore Guys podcast because I'm a big fan of Gilmore Girls and it is pretty great. In a recent episode they had Matt Mira as a guest and he mentioned that he had a new podcast with his wife, Doree Shafrir, about their quest to have a baby using science. Since I am also currently trying to have a science baby I found their podcast on iTunes and checked it out. The podcast is called Matt and Doree's Eggcellent Adventure and it is great! You should check it out!Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-5310130510148991302017-02-19T15:19:00.000-08:002017-02-19T15:19:02.538-08:00Appointment Update<div class="MsoNormal">
We met with the new fertility doctor about a week ago. My
husband and I liked him and he actually trained our old fertility doctor so
that makes me more confident in him because she was amazing. He reviewed all of
our tests results and he doesn’t seem concerned about my bleeding or the low
sperm morphology and said that he’d really consider us to be dealing with
unexplained infertility. I’m a little sceptical of that. I know that sperm
morphology is sort of hit or miss on if it actually impacts fertility depending
on severity and if it impacts functionality of the sperm, but I have a hard
time believing that dysfunctional bleeding as severe as mine is not impacting
our ability to get pregnant – it’s been 26 failed cycles, so something isn’t
working properly. Similar to the old doctor he suspects that my bleeding is
either caused by a weak ovulation or a lack of or miscommunication between my
ovaries and my uterus, which fits in with why the clomid and progesterone made
the bleeding stop. <o:p></o:p></div>
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<br /></div>
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The doctor didn’t push us right to IVF and said that we
could do more medicated IUIs if we wanted, but since we did have 3 failed IUIs
he wasn’t sure if any more would actually result in a pregnancy. We did make it
clear that we had been planning on moving to IVF when I got the job offer to
move so he said that we could start prepping for IVF. <o:p></o:p></div>
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Since it has been so long since we’ve done treatments, we do
need to repeat some of the testing and do a few additional tests for IVF. It’s
pretty easy for my husband – he just needs the STI panel repeated because there
is some sort of health regulation that you have to have the tests done within a
year of starting IVF. They also want to do a functional semen analysis to help
determine if we need ICSI or not. I didn’t really want to do it, but my husband
thought it was a good idea, and he was able to get in within a week of our
appointment, so he did it. All of his testing is now done. I have to also
repeat the STI panel as well as my immunity testing for hepatitis B, rubella
and chickenpox, which I had done yesterday. I also need to repeat my hormone
panels, including have my AMH (anti Mullerian hormone, a marker of ovarian reserve)
so the doctor has an updated idea of my hormone levels to better plan my cycle medications.
I need to have a mock transfer so they know exactly how to place an embryo in
my uterus. I did my 7 days post-ovulation progesterone draw yesterday and am
now waiting for cycle day 3 for the rest of my hormone bloodwork to be done.
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to be a 2-3 month wait to start. I can take femara (an ovulation inducing drug
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timed intercourse while we are waiting for IVF if we want to give that a try. I
think we will just because it will give us something to do while waiting.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-73348449900783245322017-02-05T14:49:00.001-08:002017-02-05T14:49:16.255-08:00It's finally here!<div class="MsoNormal">
After months and months and months of waiting the week of
our appointment with the new RE is finally here. Almost exactly 1 year ago we
went to the first RE. I was so hopeful that I’d get a baby from those
treatments, but things didn’t work that way. This time around I’m a tiny bit
hopeful, but mostly apprehensive and nervous. I’m worried that this clinic is
not as good as the one in Vancouver. I’m scared for all the injections and side
effects and especially the egg retrieval. I’m worried about spending so much
money and having a 40% chance of success. I’m worried that we won’t get any
embryos or that I’ll have the rare complications like bowel or bladder damage.
I’m worried the clinic will decide to pass on my case and then I’ll have to
spend more money (and miss out on the tax rebates here) to travel back to my
old clinic. I’m worried about having to repeat tests and go through more
waiting and putting our lives on hold for even longer while we try to have a
baby. I’m worried about the judgements that we’re “too young” to need IVF, or
that we should have tried longer naturally, or that we were stupid to spend so
much money on IVF, or that we should “just adopt”, or that if we couldn’t
conceive naturally it means we shouldn’t have kids, or that if we have kids and
then want to go away for a week without them that we’ll be judged for spending
all this money to have kids that we don’t want to be around 24/7/365, or that
if I hate being pregnant, or birth sucks, or the kid is being challenging that
I’ll resent it for costing so much money and not being perfect. <o:p></o:p></div>
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Despite all these worries, I’m ready. This is cycle 27. We
are about to hit the 2-year mark. I am ready to stop trying to conceive and
move on with my life. I am more than ready to have a baby, and I am ready to
work on what life looks like if we end up being child-free not by choice. I am
ready to stop waiting and to do something.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-6283672303418048592017-01-24T18:17:00.002-08:002017-01-24T18:17:16.142-08:00Acupuncture<div class="MsoNormal">
When you are struggling to conceive you start to try every
single crazy thing that could help you get pregnant – green tea to increase
your fertile cervical mucus, red raspberry leaf tea for increase your uterine
lining – pomegranate juice, more vitamins, more supplements, eating special
food, avoiding certain things, changing your personal care items, changing your
cleaning supplies and food storage containers – pretty much, you name it,
someone struggling to conceive has tried it. One thing that comes up frequently
is acupuncture for infertility. If you look it up on Google you will find
testimonials from people that claim that they got pregnant shortly after
starting acupuncture, so I decided to look in to it.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
First, I was very practical and looked up how much an
acupuncture session would cost and if this would be covered by either mine or
my husband’s insurance. Acupuncture sessions vary in cost from $60-$150+, so
it’s not cheap. My insurance will cover $500 of acupuncture, at 80% per visit and
my husband’s will cover 20 sessions at 80%, so it won’t cost me too much to try
acupuncture. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I then started researching if it’s actually going to improve
my chances of getting pregnant with IVF. I’m not a fan of needles so the idea
of paying someone to stick needles into me when it isn’t medically necessary
wasn’t appealing. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
There were a lot of papers on PubMed discussing acupuncture
and IVF. I decided to just focus on review articles because I’m very busy being
a post-doc and didn’t have time to go through each study individually. I was
actually surprised by the research that I found. While the results are
inconsistent, the overall conclusion is that acupuncture has no positive or
negative impact on IVF success rates up to acupuncture in combination with
Traditional Chinese Medicine having a 2-fold or more increase in IVF success
rates. Based on this alone, I was sold. If we’re already paying $10,000+ for
IVF, we might as well take advantage of our insurance coverage and pay about
$15/week to try to increase the odds of success. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">I
found an acupuncture clinic that specializes in infertility and has hours and a
location that are convenient for me and booked an appointment. I’ve had 2
sessions so far and I’m really not sure what to think. I do not enjoy getting
the needles stuck in me, and I have a hard time believing that it’s actually
going to help get me pregnant, but I have had minimal bleeding during my luteal
phase this cycle, so it seems like acupuncture is doing something. </span><!--EndFragment-->Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-55049016071455281112017-01-02T08:31:00.002-08:002017-01-02T08:31:13.953-08:00New Year / Finally have an appointment<div class="MsoNormal">
Another year has passed and still no baby or pregnancy.
While I am not hopeful that we will have a baby or be pregnant by the end of
this year, I do hope we will be able to close this chapter and be able to move
on as child-free not by choice. <o:p></o:p></div>
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We finally have an appointment with the new fertility
doctor. Back in August the clinic estimated that we’d have an appointment in
March or April. Our appointment is February 28. I’m hoping that we’ll be able
to start IVF right away, but it has been over a year since the testing has been
done so I’m sure we will need to repeat at least some of the tests before we
are able to start. I hope we will be able to get the testing done within one
cycle so it isn’t too long of a delay before starting IVF. I don’t want to wait
any longer. We have spent long enough waiting for a baby and putting things on
hold and living life differently that it is time to actually do something. That
being said, I’m really not looking forward to IVF. It’s so many needles, and so
much money, and no guarantee that after spending $15,000 that we will actually
have embryos, let alone a take-home baby. If the IVF fails I don’t know if
we’ll have the money or the emotional ability to try again. The very very sucky
thing is that if the IVF fails we may not even be able to continue to try
naturally because I can’t keep dealing with this almost constant bleeding and
birth control is the only thing that stops the bleeding.<span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-6887105894697103802016-12-01T17:59:00.000-08:002016-12-01T17:59:02.897-08:00I joined a support group<div class="MsoNormal">
Fertility Matters Canada runs a local support group. When I
first moved here I contacted them about being put on the mailing list for the monthly
support group meetings. It took 3 months for me to work up the courage to
attend a meeting. Even then I tried to make excuses not to go, and my husband
basically had to force me to go. <o:p></o:p></div>
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The meeting was pretty simple. There were 2 facilitators
that ran the meeting. One has completed her infertility journey and the other
has 1 baby from IVF, no embryos, and is deciding if she wants to go through
another round of IVF for another baby. There were 10 people there (1 man,
married to one of the women) and we just went around the table and talked about
our journey so far. Nothing special happened, but it was so great to talk to
people in real life that really understand what you are going through – how helpless
and frustrated and like a failure you feel, how much the medications suck, how
hard it is to watch everyone around you get pregnant with no trouble, the
financial aspect. My friends and family try to understand, but they haven’t
gone through infertility so they don’t really get it. The support group people
do.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-8917076931573406112016-11-11T18:39:00.000-08:002016-11-11T18:39:17.511-08:00Cycle 24<div class="MsoNormal">
Sometimes you just need a reminder<o:p></o:p></div>
<img src="webkit-fake-url://9fbefd0b-7644-47e8-bba6-8f5560f15411/application.pdf" /><br /><div class="MsoNormal">
<o:p> </o:p>Thanks to Kelli at Sugar Blossom for custom making the
bracelet for me (https://shopsugarblossom.com).</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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I’ve been trying to figure out what the odds of actually
getting pregnant are now that we’ve hit 24 cycles trying. I figured that it’s
pretty low since the clomid + intrauterine insemination + progesterone didn’t
work, even when I had TWO eggs and 70 million sperm but directly into my
uterus. There’s not really any good data on the odds of getting pregnant at
this stage because there are so many stochastic factors that influence the odds
of pregnancy. There is a paper published my PLOS One that discusses the odds of
conception (<a href="http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0046544">http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0046544</a>
if you’re interested). From what I can find it seems like the odds of getting
pregnant in 1 year is 86-92%, that 95% of people are pregnant by 24 cycles, and
that the odds of getting pregnant from 24-36 cycles is 2-4%. I guess I can’t
give up hope, but I just can’t seem to find any, especially since the bleeding
came back this past cycle and I have no idea why.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-59875693011755891962016-11-10T18:43:00.002-08:002016-11-10T18:43:34.236-08:00What to do for the holidays?<div class="MsoNoSpacing">
When we started trying to get pregnant, based on my
family fertility history I was so sure I’d have a baby by Christmas 2015.
Unfortunately, that didn’t happen. I wasn’t pregnant and I was diagnosed with infertility
by Christmas 2015. Christmas is approaching again and I (obviously) don’t have
a baby and am not pregnant, and have no hope that I will be. Based on when our
first appointment is with the new fertility doctor, I hope I don’t have a baby
for Christmas 2017 because it will be premature, but there is a chance I could
(finally!) be pregnant by then. <o:p></o:p></div>
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<br /></div>
<div class="MsoNoSpacing">
I love Christmas. I love snow and presents and the
decorations and music and Christmas food and drinks (except egg nog). Last
Christmas it was too sad and I pretended like it wasn’t happening. I put up my
tree to do presents with my husband, cooked Christmas dinner, and that was
that. We live far away from our families and my husband’s job makes it
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<br /></div>
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This year I’m incredibly glad that going back to our
families is not an option. There were 3 babies born in my family this year and
being around them with all the “baby’s first Christmas stuff” sounds like
absolute torture – particularly since one of the moms (who knows I’m struggling
with infertility, by the way) seems to enjoy saying things like “you don’t have
a baby, you don’t understand” to me. Come on. I don’t have a baby because I CAN’T
have a baby. So, not having to be around that at Christmas is great for my
emotional health.<o:p></o:p></div>
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<!--EndFragment--><br />
<div class="MsoNoSpacing">
I wasn’t sure what to do about Christmas this year. I’m
still sad that we don’t have a baby and am not pregnant. However, I was at Ikea
last week and they had the Christmas decorations out, and that was making me happy.
This year I want to decorate for Christmas. I don’t want my infertility to
dictate what I can do with my life. I mentioned to my husband that I want to
decorate for Christmas and he thinks it’s a bad idea because it will just make
me sadder. I honestly don’t know if it will, but I’m excited about decorating
right now, and I intend to decorate once I verify with my husband that it’s not
going to be too sad for him.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-67288392094276487382016-10-23T14:51:00.003-07:002016-10-23T14:51:25.199-07:00Three days late<div class="MsoNormal">
I like to separate the menstrual cycle into 4 parts. The
first part is menses and should be fairly consistent from cycle to cycle. After
menstruation is the follicular phase where your body prepares for ovulation.
The length of the follicular phase can vary from month to month, which is what
makes your longer or shorter some months. The follicular phase ends with
ovulation, which is followed by the luteal phase. The luteal phase is where
implantation would occur, and the length of the luteal phase is consistent from
cycle to cycle, so once you confirm that ovulation has occurred you will know
when your period will arrive. <o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
There are several ways to track your cycle to know when
you’ve ovulated. The book “Taking Charge of Your Fertility” as well as the
tutorials for the app Fertility Friend provide a very good explanation of what
signs your body gives you that ovulation is approaching. Cervical mucus, cervix
position, and ovulation prediction kits can give you an idea that your body is
gearing up for ovulation, but the only way to confirm ovulation (besides being
monitored by ultrasound) is to track your basel body temperature. After
ovulation there is a sustained rise in your basel body temperature, caused by
progesterone.<o:p></o:p></div>
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<div class="MsoNormal">
This past cycle I had a positive ovulation test and fertile
cervical mucus leading up to cycle day 17, and then my temp rise on cycle day
18, confirming ovulation on cycle day 17. My luteal phase is 10-11 days long so
I expected my period on cycle day 27 or 28. I usually have a temperature drop
the day my period arrives. Cycle day 27 arrived and no temp drop. Cycle day 28
and no temp drop. Cycle day 29, no temp drop. I took a test on cycle day 29 and
it was negative. I was spotting so I was confident that I was not pregnant, but
I couldn’t be sure until my period arrived. I was sure of my ovulation date and
3 days late and had a glimmer of hope that maybe, just maybe, something had
finally worked, but no, 4 days after my period was expected it arrived. Cycle
23 now.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-19564556343219045492016-10-10T18:45:00.002-07:002016-10-10T18:45:23.430-07:00The weirdest thing has been happening<div class="MsoNormal">
I moved to a new city for a new job on August 1. I moved
with my cats and without my husband as he was working at his old job until the
end of August, so I had just over a month alone with the cats. It meant missing
a cycle of trying to get pregnant, but I was iffy on if we should be trying so
soon after starting a new job, so I wasn’t too worried about it. The weirdest
thing happened that cycle. I ovulated as normal, I had no timing in my fertile
week, and I had no bleeding during my luteal phase, just light spotting that I
only noticed because I was looking (harder than I’d care to admit) for it.
Unexplained luteal phase bleeding is my infertility diagnosis. It’s the reason
I’m on cycle 22 and not pregnant. Since I do have a mildly friable cervix
(meaning that normal activities can cause some spotting, but not enough to
explain my bleeding) I figured part of it was just that I was away from my
husband, but that would not be enough to explain the relative lack of bleeding.
So, I started to think of all the things that had changed when I moved. There
was a huge change in my commute, going from 3-4 hours per day in heavy traffic
to less than an hour each way on the bus if I made all my connections. Although
I’m still working in the lab, I’m doing different work, so I’m handling
different chemicals and no animals. I wasn’t drinking coffee and my diet was a
bit different because getting groceries on the bus sucks and my meals weren’t
as meat focused without my husband around. And, my husband wasn’t with me. To
be honest, I was more than a little worried that my husband was part of the
problem because he can (and does) wind me up pretty regularly, which wasn’t
happening with us being a part. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
When my second cycle in the new city started by husband had
moved just in time for my fertile week. All of my stuff arrived a week later so
I could finally start having a morning coffee again. That cycle I still had
minimal spotting, only noticing because I was looking for it. My commute was
even shorter now that I had my car, and it was a lot easier to car share or
pick up my husband at work than it was before moving. There was no change in
the lab work I was doing. I started drinking coffee and my diet shifted back
closer to normal. Thankfully, with my husband back and winding me up the
bleeding was still staying away.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This is my third cycle since moving. I still am having no
bleeding and minimal spotting during my luteal phase. It’s hard not to be
hopeful that I’ll get pregnant, because 21 failed cycles including the failed
medicated IUIs suggests the odds are not in my favour, but every time I go to
the bathroom and there is no blood there’s a spark of hope that I may be
pregnant before my IVF appointment. The logical part of me knows that that
isn’t likely because even if, somehow, my infertility problem has gone away,
we’re still dealing with male factor infertility.<o:p></o:p></div>
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I’m really left wondering what was causing the bleeding. Was
it the commute? Something I was handling in that lab? Was my life in Vancouver making
me infertile? Was all the pain and emotional distress I’ve felt these 22 cycles
something I had caused myself? If it was the commute or the lab, the odd thing
is that while writing my thesis and for the entire month of July I was not commuting
or going into the lab and still I was having this bleeding problem. I’ve been
trying to research to make sense of it, but I don’t even know what to use as a
search term. Commuting causes infertility? Uterine bleeding caused by handling
lab mouse?<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-61461917130780907442016-09-22T17:43:00.002-07:002016-09-22T17:43:54.473-07:00IVF Prep<div class="MsoNormal">
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IVF cycle, and starting to implement the changes. If we’re going to spend so
much money on doing IVF I want to know that I’ve done everything possible to be
successful. <o:p></o:p></div>
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<!--StartFragment-->
<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">As
a scientist I have been trying to focus on peer-reviewed scientific evidence
and not anecdotal evidence. I recently re-read “It Starts With The Egg” by
Rebecca Fett, which is a great book about things you can do to improve egg
quality. Rebecca has actually gone through IVF, and she has a science
background, so the information she presents in the book is backed my scientific
research demonstrating that doing these things does improve egg quality/odds of
success. The scientific references are all listed at the end of the book, and
the book itself is written in non-technical language, so it should be
understandable. While I was reading the chapters on potential reproductive
hazards that you could be using daily (think BPA) a study on reducing
phthalate, paraben and phenol exposure in adolescent girls (<a href="http://dx.doi.org/10.1289/ehp.1510514"><span lang="EN-US">http://dx.doi.org/10.1289/ehp.1510514</span></a>) was listed in the eTOC
of one of the journals I subscribe to. After reading the study and the book I
made it a quest to remove these items from the personal care items I use. In
terms of makeup and skin care it was fairly easy since I had already been
moving away from drug store brands to hypoallergenic products which already
tend to avoid the use of parabens or phthalates. Other items have been a bit
more challenging. As I was looking for a new deodorant (which was a challenge,
but I found Tom’s of Maine which seems to be free of everything I wanted to
avoid, and more than twice the price of my old deodorant) I got angry. Angry
that people out there are getting pregnant simply because they missed a birth
control pill or had a condom break, angry that people are doing all the “bad”
things – drinking more than 1 cup of coffee a day, drinking alcohol, eating the
“wrong” things, using whatever personal care items they want – and here I am,
worrying that my shampoo or deodorant is keeping me from getting pregnant.</span><!--EndFragment-->
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-72469581878697705762016-09-18T17:43:00.003-07:002016-09-18T17:43:43.314-07:00Next . . . Cycle 22 started yesterday.<br />
<br />
On the plus side, after SIX weeks and THREE faxed referrals the new clinic finally has our referral. They are currently booking into March/April 2017. I'm trying to remain positive because we probably weren't going to pursue IVF before December so it isn't that much longer of a wait, but it's really frustrating to not be able to DO anything. After 21 failed cycles including 5 failed treatment cycles, it's unlikely that trying on our own for the next 7 months will actually work.Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-32303766453141036882016-09-18T17:40:00.002-07:002016-09-18T17:40:19.312-07:00“It took me 4 months to get pregnant, so I totally understand what you’re going through” <div class="MsoNormal">
I have a friend that is also TTC. She is currently on her
fourth month trying and recently found out that her sister is pregnant because
the condom broke once. She was telling me how much it sucks to see someone get
pregnant accidently when she is trying to get pregnant, which I can empathize
with. It sucks when you don’t get pregnant right away. It sucks even more when
you’ve had a couple failed cycles and then find out someone is having an
unplanned or accidental pregnancy. It doesn’t matter where you are in your
journey, it just sucks. However, my friend followed this up with how she
totally understands what I’m going through with infertility because it’s taking
her “so long” to get pregnant. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Just, no.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It takes the average healthy couple 6-12 months to conceive,
so at 4 months you’re barely a third of the way to average. Let me reiterate,
it sucks when you’re ready for a baby and it isn’t happening right away, and
you may be wondering if something is wrong, but it in no way compares to
sitting in your doctor’s office and hearing them diagnose you with infertility,
with finding out that you have practically no change to conceive naturally, to
face spending tens of thousands of dollars on treatments with no guarantee that
they’ll work, with having to consider using a sperm or egg donor, or a
surrogate, to give up on ever having children because the only options
available are beyond your means whether financial or emotional. You can’t
understand that until you’ve been in that doctor’s office, you’ve had tubes and
dye shoved into your uterus, your husband has visited “that room” at the
doctor’s office, you’ve taken medications that have turned you into an
unrecognizable person, you’ve sobbed on your bathroom floor because after
spending $1000 and having a head ache and cramps and widely varying emotions
for the past 2 weeks you’re still not pregnant. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Even as someone struggling through infertility, I can’t
truly understand what my infertility family members are going through, because
our journeys are so different. Some are doing IUI after IUI because IVF is out
of reach financially or not compatible with their beliefs. Some have no problem
getting pregnant but always miscarry and are afraid of another positive test
because they fear another loss. Some get pregnant from treatment but miscarry.
Some need surgery and recovery before they have a chance of a successful
pregnancy. Some need a sperm or egg donor. Some have exhausted all their
options and have chosen to be child free not by choice while others are pursuing
fostering and adoption. Some book an appointment to see an RE and then cancel
because they got pregnant with no treatments. Some try a treatment and it works.
Some have completely normal test results but still can’t get pregnant.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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My journey has been one of mostly waiting . . . waiting for
my problems to go away naturally, waiting for tests, waiting for an OBGYN
appointment, waiting for an appointment with RE #1, waiting until we’ve moved,
waiting for an appointment with RE#2. In 18 months I’ve spent 11 months waiting
and I’ve got 7 more to go before my next appointment. By the time my
appointment rolls around we’ll have been TTC for 2 years. You can’t understand
what that feels like when you’re on month 4, and you’re minimizing my struggle,
my pain by even suggesting it.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0tag:blogger.com,1999:blog-1829058410495814830.post-83033354213225145932016-09-06T17:27:00.002-07:002016-09-06T17:27:49.261-07:00Are you ------- kidding me?<div class="MsoNoSpacing">
When my husband and I were making arrangements to move in
July it included more than just finding an apartment, figuring out how to get
our cats and car across the country, and finding a moving company. Since we
were in the process of infertility treatments, and had stopped doing treatments
when I got hired, we would need to find a new fertility clinic to go to after
moving. Luckily (or unluckily, it now seems) there is only one clinic in the
new province, so we didn’t need to do much research, we just needed to contact
our current clinic and ask them for a referral.<o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
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As soon as I knew what day I would be moving I called the
current clinic to request a referral to the new clinic. The patient care
coordinator said it would take her a few days to get the referral and our file
together, and that she would email me to let me know when it was sent to the
new clinic. A few days later she called to confirm that I wanted everything
sent to the new clinic, and then faxed it over. She told me to wait about a
week and if I hadn’t heard anything to follow up with the new clinic. I called
them just after I moved (August 3), which was over a week after the files were
faxed. The new clinic had not received my files. I emailed the old clinic and
asked for them to be sent again. The care coordinator was on vacation so it was
about 10 days before they were faxed over again. Another week had passed and we
hadn’t heard anything from the new clinic so my husband called them to confirm
they got the files. They have not received them – TWO faxes and they still
don’t have our referral. <o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
My husband knows how stressful and upsetting and
frustrating this all is to me, so he called our old clinic to confirm that
everything was sent, and whoever he talked to (not the person I’ve been dealing
with) told him that the do not ever refer patients elsewhere, which seems like
absolute BS because people get transferred for work or have to move closer to
their family all the time, so they will need to switch clinics and should be
able to get their current RE to refer them to a new RE so that they don’t need
to go through booking an appointment with a family doctor or OBGYN, repeat
testing unnecessarily (especially painful and invasive testing like an HSG),
and having to add all that additional time on to the already long wait time to
get in to see the new RE. <o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
I contacted the patient care coordinator and asked her to
fax the files again. I also asked if we could have them sent any other way. At
this point I’d pay any sort of courier charge to mail them, pay for a “general
appointment” with the RE to have her phone the new one, or even have the
referral and chart sent to me so I could march in to the new office, give them
the files and tell them to check that their damn fax machine is working. <o:p></o:p></div>
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I’ve mentioned previously that it’s a 7 month wait for an
initial consultation appointment, and up to another 5 months to get on to an
IVF cycle. We’ve just added ANOTHER MONTH on to the wait time because the new
clinic can’t get our referral.<o:p></o:p></div>
Christinahttp://www.blogger.com/profile/06971736079931605155noreply@blogger.com0