- August 4 - meet with Dr. F to talk about what happend and getting cycle #2 underway. Great news for IVF #2
- August 12 - progesterone check Results = 1.3 on drugs to start period.
- August 29 - AF finally makes her appearance!
- August 31st - lab for day 3 FSH = 8 (still suppressed by Lupron); start BCP
- August 31 - September 19 - Take BCP
- September 13 - Oct 2nd - start Lupron 10 units
- September 14 - TSH draw results = 2.93 (cut off is 2.5); start synthroid 25 mcg/d
- September 14 - October 7th - begin acupuncture
- September 30th - baseline ultrasound and baseline E2
- October 3rd - October 12th - start Bravelle (4 vials/d) and Luveris (dosage 1 vial/d); drop Lupron 5 units
- October 7th - follie check ultrasound #1 and E2 check R: 12mm, 10mm x2, 9m, and 8mm; L:12mm, 11.5mm, 9mm, and 8mm; E2: 195; Lining 7mm.
- October 9th - follie check ultrasound #2 and E2 check. R: 16.5mm, 16mm, 15mm, 14mm; L: 15mm, 14mm, 12mm, 10mm; E2: 759; Lining 10mm.
- October 10th - follie check ultrasound #3 and E2 check. R: 19mm, 16mm x3; L: 17mm, 16mm, 12mm; E2: 1,077.
- October 11th - Trigger HCG shot 10pm
- October 13th - egg retrival, 7 beautiful embies fertilized!
- October 16th - embryo transfer of 2-8 cell embryos (grade 1 and 2)
- October 20 - progesterone 129
- October 27th - 11dp3dt (14dpo) beta test results = 24
- October 29th - 13dp3dt (16dpo) beta #2 test results = 30
- November 2nd - 17dp3dt (20dpo) beta #3 test results = 107
- November 4th - 19dp3dt (22dpo) beta #4 test results = 292
- November 9th - 24dp3dt (27dpo) beta #5 test results = 1,358
- November 12th - 5w 2d u/s shows no signs of a gestational sac
- November 16th - 6w6d beta #6 test results = 5,000
- November 17th - 7w u/s shows gestational sac measuring at 5w
- November 20th - induce miscarriage with Cytotec
- November 24th - beta#7 test results 600
- December 1st - beta #8 test results 54
Wednesday, December 2, 2009
IVF #2 Summary
Saturday, November 21, 2009
Vicoden and I, we is not friends
Hammer and I decided to split the difference so I started the cytotec at 6:30pm last night. I shoved 3 little white pills up my who-ha and downed a vicoden. I was prescribed 1-2 vicoden every 4-6 hours but thought I'd start with one since I'm really sensitive to drugs. I knew that it would take about 2 hours before the cramping would begin so I thought I'd get on top of my pain by taking the vicoden early. I just did not anticipate how painful it would be. At about 8:30-9:00 pm I lay there with Hammer on the couch trying to watch a movie to take my mind off of the pain. By about 9:30-10:00 I was death gripping the couch, tears streaming down my face. My RN was right, I would not have been able to sleep through this. I took a second vicoden around 9:30 pm as the one was just not doing anything. Around 10:30-11:00pm I figured the first one was out of my system and I would be safe to take a third since the pain continued to increase. Oh what a mistake. Somehow I had managed to fall asleep on the couch while Hammer played video games. As the night wore on I continued to sleep on the couch and Hammer did not want to wake me so he fell asleep on the other loveseat so I would not be alone and thank God he did. I had apparently become dehydrated which intensified the dizziness effect of the vicoden. So when I tried to get up to use the restroom around 2:00 am I started to black out, could not stand up on my own and was dry heaving. I have never felt so awful and helpless in my life. Hammer had immediately woke up to help me. I barely made it into the bathroom and Hammer had to even support me so that I would not fall of the toilet seat. This was not my finest hour. I actually almost told Hammer to call an ambulance because it was so intense. Finally I seemed get my bearings and he helped me into bed, put a damp cloth on my head, a heating pad on my tummy and held my hand until I fell asleep.
By morning I felt much better and the heating pad has been wonderful. I've been using it all day, drinking plenty of fluids and have only needed one vicoden at a time to keep the cramping in control. My RE had said that if I didn't pass a lot of tissue to take the other three Cytotec. Since was not sure if I had I ended up taking the last three around 4:30 pm today but did not have a repeat of last night's cramping. So I assume that everything that needed to pass has done so. Now we will just be doing blood draws every week until my levels are down below 5. From there I should have my period and my body should finally reset its self. Sadly this could be a month long ordeal of just getting my HCG down but it's not like we're going to jump into another round of fertility treatments anytime soon. The Hammers need a bit of a break. Actually Mrs. Hammer's ute needs a break.
Yet I know in my heart that God has not abandoned us even though we have had to go through this trial. The peace that I had on Monday remains and I know that this is not the end of the road for us.
Wednesday, November 18, 2009
Peace
I was already emotionally prepared as I was going to be for whatever would come as I had been praying all the way into my appointment. As we talked about options for helping the little sac to pass, since I’m not going to do it on my own anytime soon, I felt at peace. I know it’s weird. I trust that we are making a good decision about ending the pregnancy because my doctor went over everything several times, telling us again and again I don’t want to push you. Even before I left he stopped me and checked everything again just to be sure. I had been reading the Misdiagnosed Miscarriage website for stories or any sign of hope just in case but all it did was reassure me more that this was a good decision. That in and of its self is a good thing.
This Friday I will take a few pills of Cytotec vaginally at bed time, pop a few Vicoden, and hopefully go through the worst of it during the night when I’m asleep. I’d rather do it now than during Thanksgiving weekend because the week following Turkey day I have to be out of town and do not want to be far from my clinic just in case.
We also talked about options for the future. Hammer was not able to be there with me yesterday and I wish he was because I didn’t know that this would be our post-IVF follow up talk as well. Either way I think I asked everything that he and I had discussed asking our RE anyway. Our RE is willing to coordinate getting a sperm DNA fragmentation test done. That way we’ll know if Hammer needs to go on specific vitamin regime for a few months to help beef up his boys. And if we did another cycle there he suggested the micro dose flair protocol + 5 vials of Bravelle + 1 Luveris. His hope is to get enough eggs to get us to a 5 day transfer because we were pretty close this time. Hammer and I need to discuss this more because we had also tossed around traveling to an out of state clinic. Where we live, our clinic is the only one in the city so if we have to travel we’d rather just go to the best, regardless of the distance. Of course that involves getting Hammer on a plane which would not be an easy task either. And of course money becomes another issue. While our clinic's cost is half of what other people I know have paid it's still a big chunk out of our savings and traveling does not make it any cheaper. Another new development is with my prescription insurance which used to let me go wherever I wanted but as of 2010 will be forcing me to go to one specific pharmacy if I need more than a 30 day supply. I guess the question is what defines a 30 day supply by my insurance, I’m almost afraid to ask.
But then we could change our minds completely and head down the adoption path. We have a lot to pray over but first we need to get through this hurdle of saying goodbye to our little sac.
Friday, November 13, 2009
Thank You for All of Your Prayers
Our RE was unable to find anything in my uterus. He warned us that he would not be doing any commentary in the beginning so not to worry us. But as I lay there and saw that nothing but black and white fuzziness show up on the screen I knew the outcome. Strangely he also could not find any signs of an ectopic pregnancy either. We did see two very, very small black dots in my uterus which may have been extremely underdeveloped gestational sacs that could have been the source of my elevated HCG but there was no way to really know.
I suppose we have the best outcome of the worst scenario of there being no baby. They are going to stop my PIO and just do HCG checks and another V-u/s to recheck to see that it is resolving on it's own.
Again, thank you all for your support. It's meant so much to us.
Tuesday, November 10, 2009
Still Holding our Breath
1,358
That’s a doubling time of 85% every two days (>60% is normal) and it moves us up from borderline low to normal low. We needed it to double in 48-72 hours and we made the 72 hour mark. Holy Pete. I can’t believe we’ve made it this far. We still have not yet let ourselves feel excited or hopeful yet because there is still so much that can go wrong. We have our first ultrasound this Thursday at 2pm. If all is well we should see a yolk sac and a fetal pole. I just have to remember to breathe.
P.S. I did know that it was going to be increasing because I broke my own rule. Since I was going to have to wait from Thursday till Monday for more blood work I bought a 3 pack of FRER. Yes the good kind! I took a test on Friday and it was as dark as the control line. Then I waited until Sunday to test again and it was darker than the control line. This morning I took my last test and it was the same as Sundays. Actually at this point I’m not sure more HCG would make a difference since DARK pink is about as high as it will go. My boobies still hurt, I’m exhausted, I’ve had a few waves of nausea and certain smells are bothering me. Oh and twinges and twitches down in my lady parts. I’ve read that these are all good signs. We shall see…
Thursday, November 5, 2009
I can barely find words for this…
It tripled in 48 hours.
I was prepared to hear her say that it was dropping. I was prepared to hear her say I was miscarrying. I was not prepared for this, for any of it. And I can’t yet allow myself to feel any hope either. I’m still being told it’s not viable. And yet I keep praying to God that if it is not viable that He would end this for us and He hasn’t. I feel stretched between what biologically is next to impossible and my God who is the definition of possible. When I called Hammer I could do nothing but cry because I just don’t know what to do anymore.
I will go in for more blood work on Monday and then will have an ultrasound on Wednesday or Thursday of next week.
P.S. I know what my blog title says but I’m just too scared to go there yet…
Wednesday, November 4, 2009
Trash Picking
VOICEMAIL FROM MRS. HAMMER
“Hi G, this is Mrs. Hammer. I was just calling about my beta on Monday and wondered if I could stop taking the progesterone yet. I took a HPT on Saturday that came up negative so we're assuming that it's over. Also for a follow up appointment we’d be available Wednesday through Friday of next week. Thanks. Bye.”
CALL FROM RE'S RN LATER THAT DAY
RN: Hi Mrs. Hammer, it’s G.
ME: Hi G.
RN: We actually need you to keep taking the progesterone because your HCG went up to 107 on Monday.
ME: 1.7, right.
RN: No, 107.
ME: 1.7
RN: No, 107.
ME: What?
RN: Yeah, right now it’s probably not a viable pregnancy and there is no way we can tell yet if it’s ectopic or a blighted ovum. We need you to go in for more blood work tomorrow and based upon that test we’ll decide what to do from there. Now you mentioned a pregnancy test that came up negative?
ME: Uh, yeah, um, well I took one on Saturday. It was one of those cheap internet ones that they say to toss after 10 minutes as the results would be inaccurate. So when it was still negative at 10 minutes we pitched it and assumed that it was over.
RN: Well those really aren’t reliable.
ME: Clearly.
RN: Let’s just stick to the blood tests from here on out.
So when I got home I did what any normal women hopped up on synthetic progesterone and unstoppable HCG would do; I went trash picking. You know what? That dumb test had a faint second line. And I know I had the right one because my first two positive tests from last Thursday and Friday were brand FRER and all I had left were a couple of the internet cheap-os to use on Saturday. All the other ones’ from earlier in the cycle were internet cheap-os and all were negative except for the one with the faint positive line.
This morning I peed on the last internet cheap-o HPT just to see what would happen now that I knew I had an HCG over 100…BARELY FREAKING POSITIVE AGAIN! It took 15 minutes to see the second line start to form. What gives? These are supposed to be sensitive to 20 HCG so how come it took WELL over the time limit to get a positive this morning?
Well I have learned one thing; early-pregnancy-tests.com is only for the fertile. They need to have a warning sign:
WARNING: Infertile women stay away! Our tests do not work correctly for you and will severely toy with your emotions. We will give you false positives which will impact your concept of self worth and only lead to more infertile feelings.
I promise from here on out I will shell out the big bucks and only pee on FRER. Of course I’ve been burned this cycle so I’m just going to stick with blood tests until we know more. As far as what I’m feeling…numb. Numb would be the word of choice. I’ve already cried and mourned our cycle so I have no more tears to shed. I can’t feel happy because there could be no baby in there and I can’t feel sad because there could be a baby in there. So I’m in some sort of weird limbo that is void of emotion.
Tuesday, November 3, 2009
I am so confused right now…
Yes, 107.
That is horrible doubling time. I was told that it's not viable at this point. In fact it's probably ectopic or a blighted ovum. I have to go in for more blood work tomorrow. I just don't get this. My last test on Saturday was negative(well it was also an internet cheap-o which I've always had the worst luck with before.) And my Friday test was fainter than the Thursday test. We both assumed that my beta was going DOWN not UP. I don't even feeeeeeel pregnant at this point. I am so confused.
Sunday, November 1, 2009
Psalm 57:1
Saturday, October 31, 2009
Psalm 28:7
"The Lord is my strength and my sheild; my heart trusts in him and I am helped..."
Friday, October 30, 2009
It was nice while it lasted….
The last few days were filled with calling our family and close friends who knew about our IVF cycle to let them know and ask for prayer. I started to feel increasingly queasy and my boobies grew sorer. Those numbers just had to be doubling.
This morning I took another HPT, praying that the line would be darker. Sadly it was lighter. I crawled back into bed and told Hammer. I knew what lay ahead. I prayed knowing that this was out of my hands and in much more capable hands than my own. No matter what I trust my God.
My RN called this morning and said that my beta had only gone up to 30 in 48hrs which was not a good sign. They will have me do another beta on Monday, since it did go up, unless I start my period over the weekend. I called Hammer to let him know and then my mom. I'm blessed to have a very supportive manager who cried and hugged me when I told her the news. It has made it more bearable to still be at work today.
One thing I haven't mentioned is that the right side of my abdomen has been a bit tender and irritated. It leave me with a bad feeling that he might have been in the wrong place. If he was, it's a blessing that this may be resolving on its own. I also thought it may be just my stimmed ovaries getting all worked up and it may be that as well.
I appreciate all the prayers and comments that you have left for me. They have continued to be an encouragement knowing that so many people were praying for us. You are all amazingly wonderful women.
Thursday, October 29, 2009
Keeping Hope Alive
This morning I woke up at 4 am feeling rested - 1 check for no longer prego and then poked my boobies, ouch - 1 check for prego. I decided to POAS to see if maybe just maybe I could see a line and YES, it was there! It came up very obvious - 1 BIG check for prego. I showed Hammer when he got up (actually I woke him up at 5am I couldn't wait any longer). Now I just have to make it a few more hours. At work I'm yawning alot but not overly tired - 1 check for no longer prego. Then I suddenly feel like I'm going to be sick - 1 check for prego. I'm starting to drive myself crazy. I saw a very nice positive HPT this morning, this is ridiculous. Time to pray again.
I will get my blood drawn this afternoon at 4pm - same time as my 1st beta. That way my body will have all the time it need to get those numbers up there and do some doubling.
At least tonight will be a distraction as it's trick or treating in our neighborhood. We have my brother and some friends coming over. Oh please, please, please Lord, if it's your will, let it double!
Wednesday, October 28, 2009
The Results Are In...
What I didn't plan for was a persistent RN who not only called my cell phone first to leave a message but then proceeded to call my work phone. Without thinking I picked up the phone only to have my stomach drop into my shoes when I heard her voice on the other end. NOooooo, what am I going to do! Not here, not now. But I couldn't stop her from talking and telling me the results.
And I have to tell you I really heard nothing past, "...and I'm happy to tell you you're pregnant..blah, blah blah,
your beta was low though, only 24...blah, blah, blah,
...although I've had plenty of women have low betas and go on to have perfectly healthy pregnancies.
I'm pregnant! I'm Pregnant! I'M PREGNANT! (I cannot believe I'm typing this...holy pete!)
But we are not out of the woods yet. Its definitely a case of late implantation. Tomorrow I go for beta #2 and hopefully it's doubled. There is a risk of an ectopic pregnancy with low number just because the embie could have implanted late because it floated around and found it's way up into one of my tubes. She also said it could be 'on it's way down' but seeing that I've been testing every day except for beta day and never saw a line show up (and my sticks are sensitive starting at 20). So if you could all say a prayer for this little Hammer baby, that he's in the right place and growing strong I would be soooo, sooooo grateful. You have already been so supportive, I cannot thank you all enough for your encouragement!
Sunday, October 25, 2009
9dp3dt - Deja vu
Friday, October 23, 2009
Me vs Wo.opie Go.ldburg
That’s when my weird dream occurred. I normally don’t dream or if I do I normally don’t remember them. In my dream I was lying on the couch with a bunch of people. Who.opie Go.ldburg was there, because, why not. With the way we were all laying Who.opie had her arm over top of my stomach. She turned to me and said, “So how far along are you?” I looked at her and said, “What? I’m not pregnant.” And she replied, “You could have fooled me with all that kicking going on in there.”
And then I woke up.
Now it could have been due to the fact that my progesterone, as of Tuesday, was 129 and probably climbing with each additional day of PIO. It also could be that (TMI warning) I’m so constipated I look 3-4 mo pregnant already. I’m convinced everyone at my office will think that I am because it’s so very, very bad. Even with Kah.si Go Lea.n (which I call Kah.si Go NOW!), extra beans in my burrito last night, and so much water I feel like I am floating, nothing is helping the bloat. So either Who.opie is right or she was just referring to my poop baby.
Today I’m 7dp3dt and this morning my early HPT was still negative.
Me – 1
Who.opie - 0
***On a serious note:
Thank you all so much for your words of encouragement. They have been so great to read. I have moments of peace and moments where I feel overwhelmed by feelings from our past cycle. It’s been great to have your comments to go back and read for encouragement. Yesterday was difficult because we learned our 2 6 cell –grade 2 embies were never able to become blastocycts and therefore discarded. Since Hammer and I have never had the chance to do a 5dt or have any of our embies make it to freeze we have been wondering if any of our little ones have the genetic potential to make it to implantation. It would help explain why last cycle our 8 cell grade 1 and 6 cell grade 2 didn’t implant or possibly why our 2-8 cells embies may not been sticking this time around. While this cycle is still not over yet it does leave us thinking that if we do a third IVF cycle we may look into CCRM where they do a bunch of genetic screening not only of Hammer and I but they can also screen our embies. This is certainly something that we will have to pray about but right now we are still just praying for this cycle. I know it’s still early. At least with this cycle I don’t have that feeling like they are no longer there as I did the time before but it certainly doesn’t make it any easier. Tuesday still feels a lifetime away.
Wednesday, October 21, 2009
6 days and counting till beta (5dp3dt or 8dpo)
Yesterday I looked back on my ‘symptoms’ from last cycle to see if there were any similarities. (Yes I know a lot is the trigger and progesterone) In cycle one I had cramping on days 3-5dp3dt which went away after that. I’m not sure I could blame that on progesterone since it went away and let’s not forget that cycle one failed. I’ve had the cramping again with this cycle and it started at the same time (3dp3dt) and is continuing today. It’s hard not to read into anything. Just like last time the cramping was so bad last night I felt nauseous. It’s hard to know what is going on and since I’ve never been pregnant I don’t really know what to expect either.
My other symptoms have started to go away likely because of the decreasing trigger shot. I’m trying not to freak myself out and think I’m repeating last cycle all over again. It’s too early just yet. But how do I turn off my brain for the next 6 days?
I went online and consulted Dr. Google. He doesn’t help much and may only be making it worse. That and it’s a total distraction at work. Most women who had cramping ended up with a BFP but that was not the case last time for me and I worry maybe it’s my body rejecting my embies. What if my womb is just inhospitable? Ahhh, I wish I was at home right now so I could pull out my bible, curl up under a blanket and just seek out comfort in the Lord until next Tuesday.
Anyone else have a 3dt and has any insight? Or just any insight to put my poor brain to rest?
Friday, October 16, 2009
Transfer Tales
Finally we were called back and were happy to see our RE was doing this procedure as well (I've had him for the whole cycle which has been great!) He gave us our embie report and it was wonderful. For our day 3 transfer we have (expect 6-8 cells, grade 1 [best]- grade 5):
1 - 8 cell, grade 1
1 - 8 cell, grade 2
2 - 6 cell, grade 2
1 - 5 cell, grade 2
Our other two were still at 2 cell and 4 cell so basically they arrested. We decided to transfer the two 8 celled embies and see if the other three would make it to freeze. They felt good about the two 6 cells and will watch the 5 cell to see if it was just off by a few hours on dividing.
They took us back into our room, I requested one with an attached bathroom, with promises that I would stay away from the porcelain throne for a few more minutes. As we prepped for the transfer, Hammer kept making me laugh and I warned him that if he kept it up we might offend our RE with a little shower (if you know what I mean). That set everyone in the room laughing which didn't help my situation at all. Neither did the cold ultrasound gel on my abdomen. Thankfully my bladder was more than full so we could start the procedure right away. They actually have both of the REs on IVF procedure rotation do the transfer (one to transfer and one to hold the ultrasound wand) why I don't know but we got a neat play by play from the other RE who showed us everything that was going on. When it was over he and our RE went on and on about how it went perfectly and we could not have been more happy.
I was then instructed to lay for 15 minutes before getting up to relieve my bladder. Our IVF nurse coordinator stopped in to see how we were doing. She also told me that my last TSH, after a month of synthroid and an E2 over 1,500+, was 1.8. We were so happy to hear that it was below 2.5 which should also help with implantation. Once we were alone we prayed over my belly and our two little embies safe inside. After our time we headed out to the acupuncturist to cover our little seeds for, hopefully, their long stay.
Hammer now has me in bed rest jail. He is so fussy if I get up to pee too frequently but it's cute and I know that it's because he is concerned. Tomorrow my family is coming over to bring me a birthday dinner since I'll still be on bed rest. I'm going to take advantage of Sunday as well to rest and let those little guys snuggle in.
(I'm going to post some awards next now that we are in the 2ww!)
Thursday, October 15, 2009
The Spawkerwing Pineapple
Afterward it was time for dinner and I had requested to go to a Jap.anese Stea.k House. I love them and hadn't been in a long time. On our way over I remembered that we needed to buy a pineapple as the core has bromelain in it which is good for implantation. I've read that if you eat it during the first few days of the transfer it can be helpful. We have such weird conversations with our spouses thanks to infertility, don't we. Anyway back to dinner. We have several stea.k houses in our area to choose from but I thought it would be fun to go to a new one. When we got there and were looking over the menu we noticed that several tables were celebrating birthdays. They would come out with a drum and dessert that had a sparkler in it. Hammer made sure that our waitress knew it was my birthday. At the end of a delicious dinner I heard drumming coming out of the kitchen and knew it was for me. As they approached the table I realized that the dessert was actually a quarter of a fresh pineapple! We had to laugh but no one else at our table knew what was so funny.
It’s My Birthday, I Can Panic If I Want To (updated)
Of course doing a 3 day transfer instead of a 5 day transfer puts me into a state of panic that almost all of them arrested overnight and were back down to just a few. Then I go into flash backs of our last cycle which was a big FAIL. I have nothing to base this on though. And there is nothing I can do about any of it either. Which is why type A me went into panic mode.
To top things off my acupuncturist is out of town so I had to call around to a couple of places to see if someone could get me in at last notice. Nobody was calling me back = more panic. But finally I got someone who was willing. I will have a treatment today and then post transfer tomorrow because that was the best she could do. I’ll take it.
God bless my mom who, when I called her with the news (after I called Hammer of course), started singing Blessed Assurance to me over the phone. I needed someone to talk me back down into reality. Now if I could put her in a little box on my desk at work to keep me focused on the fact that God is in control then I would be set.
***Update***
As is my typical style I panic way too early than is necessary. Maybe that is why God keeps teaching me lessons on trust. Right after I posted I got a call from the lab. Their grading scale is the following:
Day 2 should show 2-4 calls and they grade on a scale of 1-5 with 1 being the best.
We have:
1 – 4 cell grade 2
1 – 3 cell grade 2
3 – 2 cell grade 2
1 – 2 cell grade 4
1 – 4 cell grade 4
So basically 5 of the 7 are looking good. They will keep an eye on the last two that are grade 4 but they are not “looking good” right now per their words. I’m just so glad to hear that they are all growing well. I hope that at least one of them wants to stick around for a while.
Wednesday, October 14, 2009
Lucky Number…
I wish I could say I was doing as well. I’m still very sore from yesterday and I am continuing to bleed. I was reading Dr. Google that it may take 24-48 hrs to stop but that it should continually get better over that time period. I went back to work but ended up leaving early this morning as I’m just not feeling right yet. Last time the bleeding stopped the same day of the retrieval and I was back to work as if nothing had happened the next day. Not so much this time.
Oh well, now I can rest up. Call for my transfer acupuncture appointment and pray like crazy for my little embies to keep growing!
