Embryo Transfer!

Saturday was the BIG day! I am blown away at how far we've come.

We arrived at the clinic at 8:30am Saturday morning with my bladder very full. They ask you to come with a full bladder because it helps straighten the uterus and visually helps through abdominal ultrasound because water helps with ultrasound waves. TMI, but I never peed when I got up that morning, so I really had to go! 

First we met with a nurse and signed some papers. From the sounds of it everything has been going by the textbook. Usually by day 5, half of the embryos are too poor quality to keep for freezing. With transferring the 2 that day, we would only have 3 leftover for cryopreservation. Good thing is that those three were all good quality and should be great for future frozen transfers.

The nurse offered me Valium and I almost said yes, but for the wrong reasons (I'm hilarious on it). I'd heard that transfers are similar to an IUI so I knew I could handle the pain. Plus I wanted to be coherent during the procedure. This time Chris got to join me in the OR. I got to put on my sexy grown, hat, and booties, and Chris got a ravishing yellow cover, complete with booties, hat, and mask. What's with the mean face Chris?

When we went into the OR we had to wait for awhile, so we got to chat with one of the Medical Assistants and get to know her better. I was cozy with warm blankets and my husband's hand holding mine. It was also very cool because they had a TV screen showing the view through our embryologist's microscope in the next room over. It was amazing to see him prepping our little embryos. He introduced himself as our "babysitter" and that they've been doing great! He also kept calling them our little babies. I thought that was funny because I figured the embryologist would be more technical in his terms. I loved it though.

Eventually our doctor came in and got everything ready which included the dreaded speculum. That thing was just hanging out in my you know what for a good 20 minutes. I've lost count how many times I've had to encounter that evil device. But I didn't even care this time, I was too excited. They have to handle things very carefully and have a set of keywords to know when the doctor and embryologist are ready and are transferring the catheter with our two precious little embryos, or what I like to call our little "embies". I actually didn't even realize when he inserted the catheter and released the embryos, I was that relaxed! Sometimes you can see a little speck pushed through the catheter into the uterus on the ultrasound, but I missed it. The embryologist then checked the catheter to ensure both got out. Everything looked good, so they had me rest for a little while and then sent us on our way.

We went home and took it easy the rest of the day per doctor's orders. I felt bad because it was my brother's birthday and we had to miss his family dinner. The next morning I had exerted myself a little too much, so now I'm really paying attention to my body and making sure I'm relaxed as possible. I'm still on several medications and have added in progesterone and Cabergoline. The Metformin still makes me sick, but I just taking it all in stride.

And the best part of all this? We got a picture! It might sound weird to love a bunch of cells, but I do. I love them for their potential. Their potential to make us parents and give us not just one, but maybe even two very desired children, and to fulfill our dream of starting a family.

Babies first picture?

We are just so excited and truly hope it works this time. Knowing I have two precious embryos inside me is just so surreal. I can't tell you how overjoyed I will be if I become pregnant! It's strange to think that if all this works out, technically I will be three weeks pregnant tomorrow. What?! It's weird because I'm not pregnant, but by the way it is measured I would be three weeks pregnant at this point. 

Implantation should happen within the next few days. Praying and having faith is all we can do at this point, and boy are we praying!

See the sucker in his mouth? That's his favorite part of going to the doctor with me!

 

Cancelled

On Saturday I had my follicular ultrasound after taking three 150 unit rounds of injections. We saw my right ovary with some small follicles that didn't stand out. It didn't make any sense. Then we moved to my left ovary and there was nothing. It was cloudy and unclear. My doctor asked if I had a history of endometriosis. I replied no, but I was terrified that it could be. It's a disorder where cells from the lining of the uterus grow in other areas of the body, like the ovaries. She took some pictures of the ovary, said she wanted another doctor's opinion, and sent me home. Usually at this point I should have at least one follicle greater than 16mm and should plan on taking the trigger shot. A few hours later she called me back explaining that what we saw was most likely the corpus luteum which meant I already ovulated and we missed it. I went in for a progesterone blood test which confirmed that I did in fact ovulate somewhere between cycle day 10 or 11, which is too soon and unusual for me. So my cycle was cancelled and I didn't take my HCG trigger shot or get an IUI. If our timing was right there could be a slim chance the egg could be fertilized, but I am so exhausted of having so much hope and then for it to have gone to waste.  

Each day is harder and the desire gets that much stronger. So much to the point that it consumes me and it is hard for me to focus on other things that are important too. I'm stuck between covering up my feelings so I have the outward appearance that I am perfectly fine and the feeling of losing it at any moment. I've had to be strong before when I lost my dad to suicide, so I know I can be strong again. The only thing is...this battle with infertility has been harder for me to go through, but no one knows it because I try to hide it.
I've tried to draw even closer to my Heavenly Father through this experience. I battle the deep emotions of "Why?" every single day, but I know that is what Satan wants me to ask. I get through this by fasting, having intimate prayer with my Heavenly Father and scripture study every morning. The more I do it the more comfort I receive. 

I can testify that through hard times and trials we are not alone. God loves all his children here on earth. He gives us trials because we are here on earth to be tested. Tested to see if we endure or give up. Tested to see if we will call upon him for help or tested to see if we walk away from him. I believe there is a reason for everything and with his help I can overcome hard things. 

I know that my Savior, who has atoned for us, truly knows our pain and can heal and comfort us. He can keep the pain away. Christ can make us whole, even emotionally. Because of his Atonement, Christ knows the sorrows of my heart. He has felt my pain. He is the only one who knows how to completely comfort me. He will dry my tears and can make my most cherished purpose possible.

Weekend Rollar Coaster

Well, I'm back at it again! I started Femara last Thursday and had a baseline ultrasound on Friday. My doctor wanted to check my cyst to see if it's causing any problems, as well as lay out the plan for this month and get some blood work. Thankfully the cyst is just chilling there, so it shouldn't be a problem. I'm doing the same thing again this month but they're increasing the dosage for my FSH injections to 150 units and will monitor my progesterone after my IUI. They think the increased dosage of FSH will also increase my progesterone after ovulation. So my doctor appointment went well and we have a plan for January.

On Saturday I called Freedom Fertility Pharmacy to refill my injectables that I needed to start taking on Monday. They have overnight shipping so I thought it would be fine. We met up with some friends from school at the nickle arcade where the boys played and the girls talked. Of course having kids was brought up and I acted like I've hardly thought about it. That's always my response. It's sort of my defense mechanism. Only a couple people know what we're going through and I want it to stay that way. But while we were chatting I noticed I had a voicemail from the pharmacy. I went out to the car and called them back. Unfortunately they didn't have good news. My insurance is no longer covering my FSH injections and I would need to pay hundreds of dollars for them. Also, because of this, they were unable to send my injections which meant I wouldn't get them in time. The poor guy on the phone had to listen to me cry and beg him to help me. I had no notification of insurance changes and I felt doomed. All I could do was wait until Monday to talked to my insurance because the pharmacy was closing. 

Chris came and found me while I bawled all over him. He's the best. He always knows what to do. Needless to say, I cried for a long time. I felt hopeless.

Sunday I cried even more. I don't know if it was because I will still upset about my insurance or if it was because we were prayerfully fasting again that we could be blessed with a child. We felt the spirit strongly with us and it gave me new hope. 

Monday I was ready for battle. I checked with my insurance to see if there were any other brands that they covered for FSH and thankfully they covered two others. All day I was stepping out of the office to take phone calls and get everything sorted out. After about a dozen calls, my doctor wrote a new prescription for my FSH and I set up delivery for my new Gonal-f injections. I wouldn't receive an injection in time for that night, so my clinic generously donated some Bravelle to me so that I would have some. That's worth some big $$$ they donated. I love my clinic. I was surely being watched over. 

Want to know the best thing I learned from all this? I changed my perspective. Instead of getting angry and asking WHY did this happen? I said to myself, hey maybe this is God's way of getting involved because he knows I will respond better to this new kind of injection than the one I had before. 

I'm feeling good. I know I'm being watched over. Round three of injections: commence!

Try Try Again

I came out of my IUI with small hope. I didn't want to get excited in fear that the it wouldn't work.

But of course I started to have hope, lots of it. Chris too. He was getting excited. I think the pregnancy hormones from the trigger shot started to confuse me into believing this was actually happening. That the procedure worked and we would announce wonderful news to our families come Christmas. But in one moment it's all dashed when you realize you started your period. It came only nine short days after my IUI. Typically it should be about 14 days. We were in California for Thanksgiving with family so I had to hold my all emotions in. I told Chris before bed and I let out silent deep tears. Being around family was probably a good thing because I had to try and act like everything was okay. I think that helped my attitude in moving on.

I wasn't planning on trying in December so we could enjoy the holidays, but everything happened so fast and soon that I decided to go through it all again. Thankfully I will be in another two week wait for Christmas and won't need to see the doctor during that time.

I called our reproductive center and told them the news and asked what we should do this time. We are doing the same treatments as November, so I will be taking Femara and the injections again with the IUI. We know a lot more coming into it this time around so hopefully that will help.

Honestly, it's hard to not to wonder why my Heavenly Father isn't allowing this to happen. I beg and plead with him and hope he will give us a miracle. I have always had a hard time being patient. When I know I want something, I want it now. So perhaps He is trying to teach me patience. The teacher is always silent during a test. Even through the temptations to rebel against hope, I will fight back and hope that much harder.

My First IUI

Well it's about time I post my IUI experience. It's a good thing I waited a couple days because I have been on a roller coaster of emotions, but know I can look back on the experience with fresh eyes. 

The hCG shot definitely got to me. My raging hormones have resulted in countless unnecessary tears. Some women test out their trigger to know when it's out of their system, but I'm just trying to play it cool so I don't become obsessed with it and think I should still have the side effects because it's still in my system.

So here's IUI story #1 (wouldn't it be nice if it stayed #1?!) 

For those of you who don't know, an IUI stands for intrauterine insemination also known as artificial insemination. Basically my husband's sperm is inserted directly into my uterus, creating a more direct route with less obstacles. 

We arrived at 7:30am for Chris's SA (semen analysis) to get a collection for the IUI. They wash the collection so only the best sperm remain. It's crazy to think there are millions and millions of candidates, but it only takes one.

The whole morning my emotions were running high. Nothing felt like it was going right that morning and I already lost hope before I even went in for the IUI. At 9am I got prepped and waited and waited and waited. Finally my sweet nurse came in and talked me through the procedure. They simply insert a speculum (ouch) and then guide a catheter until they find the top of the uterus and then the sperm is injected. It's simple enough that my nurse did the whole procedure while we talked about Thanksgiving to try and distract me from all the pokes and prodding going on. It only took about 3 minutes. After everything was removed, they had me rest for about 20 minutes and then they sent me on my way with good luck wishes.

All throughout that day I had no hope. I kept saying, "We'll have to try this medication next time" and "Next time I rather do this". I was already setting myself up for a negative. But that's how I protect myself. I don't get my hopes up so I'm not crushed when what I hoped for doesn't happen. Needless to say, I cried and cried and cried all day. 

Hormones. Gotta love them.
I had moderate cramping for two days and just took it easy. I am now in what's know as the two week wait. Two weeks until I take a pregnancy test to see if all the pills, injections, ultrasound, and IUI were worth it. My goodness I hope so! All the appointments, medications, and sticking needles in myself is emotionally exhausting!!!

But this is why I'm glad I'm writing this two days later. I found my hope. It's small, but I'm hopeful. There are so many little things that have to go exactly right to become pregnant. It really is a miracle. And that is where I found my hope. I've stopped thinking about the medications and how big my follicles were and if the trigger shot worked. Now I just think of the miracle it all is. It's completely in God's hands. If it's God's will, I will become pregnant. There is nothing more I want to be in life than a mother. I want to have children and raise a family with my husband. The thought consumes every spare moment. It is always in the back of my mind. It is everything to me.