Wednesday, June 4, 2008

My Birthday!

(Sunday, February 6, 2005) -- We went out for a nice dinner last night to celebrate my birthday. We went to the Melting Pot and had really good fondue.

I gave my Follistim and Repronex last night and didn't have any problems with the Repronex like I did the night before. No blood or bruising - not sure what was different this time.

Injections

(Saturday, February 5, 2005) -- My last day of bcp was last Sunday. My period started on Wednesday, February 2. I had an estrodial (blood) test on Thursday AM and an ultrasound. They check hormone levels so they can adjust drugs as needed.

On Thursday they also showed me how to do the Follistim and Repronex injections. I started those on Friday. The Follistim was pretty easy. I seem to get a lot -- 300 IUs. It has this special injection pen and cartridge and is pretty simple.

The Repronex is a little more difficult. There are 2 vials, one with a fluid and one with a powder. I take 75 IUs of that, which is the entire vial. My first try I wasted the whole vial and had to open a 2nd one. I'll probably have to get more from the Dr. To get the fluid from one vial to the other, there is a really big needle. I draw the fluid into the syringe, then insert it into the powder vial. Once all of that is mixed up, you draw it into the syringe, then change needles. The mistake I made to begin with was I left the fluid in the vial. When I took the syringe out, the pressure in the vial squirted all the medicine out! oops!

So I got the second one right. When I injected it, then pulled the needle out, I got blood and a good bruise. I'm not sure that's right, but I don't think it's a problem. I guess it's just a bigger needle.

I called the Dr.'s office - F said I could call her this weekend, but no one answered. I left a voice message, so we'll see if she calls back. I guess I'm not too worried about it. I remember seeing Anjie's tummy when she was taking fertility drugs.

My next appointment is on the 8th and then again on the 10th, then probably every day until the procedure. I'll need to get my blood work done before each appointment so they can check my hormone levels and adjust, if necessary. They consider day 1 as day 1 of treatment, which was Friday, February 4. I could have my eggs retrieved anytime from day 10 to 12 (I think). So, the earliest they could retrieve is Monday, February 14. Valentine's Day!

Monday, May 12, 2008

Drugs

(Thursday, January 27, 2005) I've been giving myself a shot in the morning now for 2 days. :-) The first time was a little scary - I wasn't sure I could do it. But, I've found that it really isn't that bad. The needle went in pretty easily. I wasn't sure I had gotten all of it in, though, the plunger didn't seem to go all the way to the bottom - but it did. I think it'll take a little bit of time to get used to.

I'm also taking the dexamethasone - it's a hormone, like a steroid, that's supposed to keep stress levels down. I've been feeling so much better the last few days, not sure if this drug is why or if it's in my head. I seem to be happier, less stressed, more energy and I seem to be able to concentrate and remember things better. I am so impressed that I went to the web to look it up.

You're not supposed to be on it very long because it could suppress your adrenal gland's natural ability to produce this hormone that allows you to cope with stress.

It also says you're not supposed to take any NSAID's while on this. I'm a little worried because my legs were so achy last night I couldn't sleep, so I took a couple ibuprofen. I can't remember for sure, but I'm pretty confident that ibu is an NSAID. The warnings said it could cause internal bleeding if taken together. :-( There were no warnings on the label, so I'm hoping that the small amount I took won't cause any problems. Seems like if there was a major issue they would have let me know. I'll ask next time I go in.

So anyway, now I'm taking 6 drugs in the AM: Lupron injections, Dexamethasone, pre-natal vitamin, aspirin (yikes! - that's an NSAID!!), folic acid and bcp.

I stop the bcp on Sunday, then my period should start shortly after.

Wednesday, May 7, 2008

Getting Started

(Tuesday, January 25, 2005) -- Today I had my blood drawn again - another pregnancy test at the lab, then on to the Dr. office for an ultrasound. This time they were checking for anything abnormal that would indicate that we shouldn't go on with the process. I have had a little spotting over the last few days and they saw a little bit of fluid around my cervix, but they said that was normal and nothing to be concerned about.

They also gave me a little care package - extra needles, alcohol wipes and cotton balls for the Lupron I'll be starting tomorrow. She showed me how to do the injection - not too scary and a very small needle, so shouldn't be too bad. I'll see how I feel about that tomorrow after I give myself the 1st injection - yikes!

So tomorrow in the AM (between 6-8) I've got to take: Lupron injection, dexamethasone (something like that) for stress - it's a pill, birth control pill, extra 1 mg. of folic acid, prenatal vitamin and aspirin (81mg). I hope I don't forget anything!

I don't have to worry about the next change until my next appointment on 2/3. They'll give me instructions for the Follistim and the rest of the stuff. Right now I just continue with the BCP and Lupron - needs to overlap for 5 days. I end the BCP on 1/30 (Saturday) and then should start my period a few days later. I need to call the Dr. on day 1 of my next cycle, which is the real one!!!

Funny they count your delivery date from day 1 of your cycle, so that could be as early as next week. Holy cow!

Tuesday, May 6, 2008

Perscriptions!

(Sunday, January 16, 2005) -- Miles and I took our 1 mg. each of Zithromax today. It is an antibiotic that treats an undetected infection in the lining of the uterus. I think Miles has to take it too because of the potential for him to pass to me during the act. They said it might cause sausea and diarreah, so they suggested we not go anywhere in case we do have trouble.

We are in Winter Park and I forgot to pick up the perscription before we left. Luckily Safeway was able to call the King Soopers pharmacy in Fort Collins and fill it for us. we have Monday off (MLK) so the worse case is we would have had to take it on Monday evening.

We also had some yogurt tonight to hopefully pre-empt a yeast infection. They want us to take the Zithromax 1 month prior to the IVF in case of a yeast infection. That gives us enoufh time to treat it just in case.

(Saturday, January 22, 2005) -- We picked up all of our perscriptions this week. Insurance covered quite a bit. I was amazed at how expensive some of them are!
  • Follistim (induce ovulation & pregnancey) - $3,936! (I only had to pay $40)
  • Repronex (induce ovulation & pregnancy - in males to induce sperm production) - $808 (I paid $25)
  • Lupron (treat advance prostate cancer!!) $550 (I paid $25)
  • The rest were $5-$10
So there goes the $5,000 drug benefit for our infertility (and $5000 of the $14-16k quoted for the entire procedure).

Tuesday, April 29, 2008

Pregnancy Test

(Wednesday, January 12, 2005) -- Today I went to the PVH lab to get my blood drawn - Quantitative HCG (pregnancy test), then to Dr. B office for an ultrasound (U/S) to check for cysts. If there are any of significant size, they could not go ahead with the procedure. If the cyst lasts for several months, they would drain it.

They saw a large corpus luteum (I think that's what they called it), which just means that there was a void left by the egg that ovulated this month - proves to them, I guess, that I ovulated on my own - no HCG shot. Dr. B wasn't concerned about it.

They gave me my prescriptions - 9 of them in all!! The pharmacy didn't have all of them as the Dr. expected. They can get them, though and should have them in the next several days. I did get the birth control pills that I will start tomorrow. We had to get the brand name and the pharmacy closest to us was out, so we had to run to another store.

This weekend both of us will take Zithromax - a very strong antibiotic. I guess we have to take it at the same time. It doesn't matter exactly when we take it, we just have to take it early enough in case I get a yeast infection from it. Gives them time to treat that before the fertility meds.

Monday, April 7, 2008

They Were Desired

My IVF journal was originally hand written in a pretty book with neat poems integrated into the pages. Here's today's:

Children thirst to hear where they came from... they need to know that they were desired, that their birth was a wonder and that they were always the object of love and care." -- Marcelle Clements

I underlined ...they were desired... from this saying. Oh how they were desired.

(Tuesday, January 11, 2005) -- My period started today - finally! Thirty one day cycle. I think that's another way of nature and my body trying to teach me to be patient. So, I have my 1st appointment tomorrow - first to the lab to get blood drawn, then to Dr. B for an ultrasound and get all of my prescriptions. Not sure what else.

Apparently the pharmacies don't typically carry some of the drugs I'll be on, so I need to try to fill them early. C said there's a great wholesaler place in Denver that she knows of - they can call her if they're not sure where to get them.

Thursday, April 3, 2008

Cycles, Cycles, Cycles

(Sunday, January 9, 2005) -- I have an appointment tomorrow for an ultrasound, but my period hasn't started yet. They want to do the u/s on day 1 to 3, so if it doesn't start tonight, I'll need to move my appointment to Tuesday or Wednesday. Strange, because my cycles are usually 28 days exactly. That would have put my day 1 on Friday, January 7. I am on day 30 today. Will have to wait and see what happens. Maybe I'm pregnant? That would be ironic. I don't think so because we didn't 'do anything' around ovulation time this month.

I'm sure it will start in the next couple of days, but I want to get started on this process! It feels like we've been waiting forever.

Thursday, March 13, 2008

Tuesday, December 21, 2004

This whole procedure is going to go very fast, I know that, but the schedule ahead looks pretty daunting. January and February will be months of many Dr. visits, ultrasounds, drugs, blood draws, etc. I had my 10th day blood work done for the conclusion of my chlomid challenge test. Now they'll determine how much of the other drugs to give me. I did that yesterday.

Today Miles took his 'stuff' to be cryopreserved for the backup in case something happens the day of the egg harvesting/fertilization day.

Profile results:
Volume: 4.2 ml (normal range >2.0)
Concentration: 50.0 million/ml (normal range >20)
Motility: 30% rapid (normal >25%)
Morphology: 11% normal forms (normal >5%)

Looks like everything on the Dad side is a-ok.

Thursday, February 21, 2008

Increasing Our Odds

Our Dr. recommends doing a few things that he thinks will increase our chances the first time. One is assisted hatching. Bascially they make a hole inthe egg shell (metaphor) so that the cells can break out and attach to the uterus lining. They will also do a procedure called ICSI (ick-see) that forces the sperm into the egg. (I'm sure my IVF friends have a better and more technical way to describe these things, but that is how our Dr. described to us).

There is some concern over the ICSI procedure because of 'natural selection'. Maybe the sperm or egg have something wrong with them and shouldn't be fertilized. At this point this procedure is a 'maybe' for us.

My next step is to get my blood drawn on day 10 (which will be Monday, December 20, 2006). They will check FSH, LH and estrogen levels. We are also working on scheduling, but for now it looks like we'll be doing the procedure in February 2007. Retrieving around February 14 and transferring around February 18. C at Dr. B's office does the scheduling and she'll be sending us a tentative schedule soon.

I can't wait.

Tuesday, February 19, 2008

The forms...

It is amazing how many forms we had to sign to start this process. It really got me thinking ethically about stem cells and research and all of the things that go along with this human life and technology story.

I was reminded of a friend of mine in CA that had to make a decision about what to do with her frozen embryos she ended up with after she was successful with twin boys. They did not want any more children because of their ages and the clinic needed to do something with them. I do not know what they finally decided, but it is such an amazing, empowering (almost too empowering) and emotional decision.

We had to sign forms to authorize the clinic about what to do with any of our embryos if there were any remaining. We had to indicate who would own them if one or both of us died or if we got divorced. Luckily Miles didn't want to have to make the decision, so he signed them over to me. In case of my death, I think we signed them over to my mom.

I know that now after having children and understanding what so many people go through with infertility, there is no question that I would either choose to use them myself or donate them to a couple who was unsuccessful using their own egg/sperm. At the time, I could not comprehend the raw emotion and the enormity of this decision. It is humbling. And I am actually grateful that we didn't end up with any embryos after our own procedure. Such huge, huge issues.

Friday, February 15, 2008

The Swimmers

Not only did they tell me that everything on my side of the equation looked ok and normal, everything on Miles' side looked normal as well. In fact, he always has a high count with good mobility.

While I was going through my IVF pre-work, Miles had to get bloodwork done (HIV testing, etc.), to make sure that when they cryo-preserve his sperm that he doesn't introduce something bad. They preserve some of his sperm in case something happens the day of the collection and fertilization so that they have a back-up.

More testing, more normal results.

Thursday, February 14, 2008

2004 or Here We Go!

I had 3 IUI's in 2004 with no success. I was now a candidate for in-vitro fertilization (IVF) - the very high-tech method (as Dr. B says, as opposed to the low-tech IUI process). Not to mention the very expensive method. His estimate was $14,000-$16,000 and we had no idea if insurance would cover any of it.

So, in November 2004, we had to make the decision if we were going to go for it. We wanted to be sure that we put money away into our pre-tax flexible spending account to cover the portion that was not covered by insurance. We put the money away and we were ready to go.

First step was our chlomid challenge test. They do this to see how my ovaries respond to fertility drugs. They want to be sure not to over-stimulate my ovaries and at the same time, give me enough so that they have good eggs to harvest. Harvest, funny word...

I had to get blood drawn and an ultrasound on day 3 of my cycle to see where I started out. Pre-antril count was completed on December 13, 2004.

On Thursday, December 16, I had to go in with a full bladder (ouch) so that they could do a trial transfer - basically making sure the catheters they plan to use will work. They don't want to come to the day of the transfer and run into problems.

They let me drain my bladder (phew!) that was painful - having to go to the bathroom very badly and then they start poking at the bladder - I'll have to do that again the day of the transfer.

Next they did a sonogram - not sure exactly what it's called, but they stuck a balloon in my uterus to expand it a little - then stuck the ultrasound in to check for fibroids - really bad cramping - ouch!!

Everything looked normal, so on we march through this adventure.

Tuesday, February 12, 2008

The Gap

As I read through my spiral notebook on my infertility journey I remembered that there was a very interesting gap in my entries. My first entry, my last post, dated December 18, 2001 and the very next entry dated December 18, 2004. I remember as I wrote that second entry 3 years later that it was EXACTLY three years later.

The Gap includes all of our OB tests, HSG, post-coital, estrogen levels, etc. Everything seemed normal, so after several months (I can't even remember how long it was), she sent us over to Dr. B, the wonderful fertility specialist here in our home town.

(Side note: I remember reading about people who's fertility Dr. was hundreds, sometimes thousands, of miles away. I remember feeling very lucky to have such a wonderful and well known Dr. right here in town. I couldn't imagine all of the trips and how to do this long distance. Wow.)

In July 2003, we did a laproscopy to check and make sure there was no endometriosis, fibroids or anything else suspicious that could be causing our inability to get pregnant. He did find a very small amount of endometriosis, but not enough to be blocking our attempts at pregnancy.

At this point, I still thought I had a chance to get pregnant on my own. I was 36, but still optomistic. My thought was that it was taking a longer amount of time because of my age. In 2003 we did 2 IUI attempts, but also kept trying on our own.

Unexplained infertility. Hmmmmm.

Sunday, February 10, 2008

December 18, 2001 or Ignorant Bliss

I've been reading the Fertility Awareness Method (FAM) and my period started today. We are starting our journey! We are starting the countdown to when we can start trying to get pregnant. At first I was very apprehensive about being pregant. Scared of the unknown, I guess, but now that we've decided to try for a family, I am overjoyed and excited.

I have always been excited about having children, even contemplated having them even if I had never met the man of my dreams. I've just been scared about being pregnant. I'm hoping things go smoothly for us.

Saturday, February 9, 2008

Why I'm Creating This Blog

I have a current blog, "Never Too Late", that I started in November 2007 to document my life with twins and subsequent 3rd baby only 20 months later. I originally was going to post my journey through infertility and IVF to that blog, but I found that there is so much to talk about parenting twins and a new baby, that I didn't want to go back and post date a bunch of entries on IVF.

I've decided to create this blog to post date my journey through infertility, IUI, IVF and then unassisted pregnancy. I don't know how long it will take me to update this site, but I will try to refresh the content regularly until I've caught up with present day with my other blog.

Mostly this is for documenting my journey so I have something other than a spiral notebook, but it is also to share with the others that I have been meeting recently that are just now going through this. I know not everyone likes to hear a success story, especially if they're in the middle of the struggle. That's ok. Everyone has their own way of navigating through this.

In the end, we all just want a family that we can love and grow with. This blog already has a happy ending, so hang on and enjoy the ride.