Mar 27, 2009

Results of Pregnancy Test

Negative.  I am not pregnant.  

I am sad, but I will get over it soon.

I reflect on everything that I have experienced in these long 6 weeks and do not regret anything.  But, I do think:

Did I truly rely on the Lord throughout this process?
Did I put my complete Faith and Trust in the workings of the Lord?
Did I express enough to the Lord on my desire for a family?

I know I did.  I know that the Lord will bless me in due time.  The Lord has a plan for each of us.

There is a part of my patriarchal blessing that states, "Be patient as you wait for the timetable of the Lord.  Use this time to improve your life and help others."

I plan to do just that.  While it may not be an improvement worthy of spiritual recognition, I have decided to work on my health.  Prepare for my next blog: Mad Dash to Bikini Bod.

Nervous/Anxious/Butterflies

I am on my way to my blood test.

I. AM. NERVOUS.

Mar 26, 2009

Conversation: Progesterone Shots

Tara: Brad it's 9:25, shot time.
Brad: Okay, get the stuff ready, I'll be right in.

Tara prepares the 1 cc of progesterone in oil with the 22 gauge needles, aka needle of death.

Brad: Okay, let's start swabbing.
Tara: (pulls pants down around waist) Remember, it needs to be the outer hip.
Brad: Where? Right here? Right here? (all while swabbing the entirety of my outer hip)
Tara: No, like right here. (pointing to the fat pocket on the right)
Brad: Okay. (swabbing)
Tara: Make sure the alcohol dries.
Brad: Okay, here we go.
Tara: Ouch! (quick suck-in of air)
Brad: Does it hurt?
Tara: Yes!
Brad: Do you want me to start over?
Tara: No.
Brad: What do you want me to do?
Tara: Just get it over with. Ouch! Ooo. Eee.
Brad: Are you okay?'
Tara: Brad. No. I am not okay. You are giving me a shot in my muscle. Would you please just finish?
Brad: Okay, well, let me just inject the rest of the medication. I really don't mean to hurt you. Sorry.

Poor Brad - he has to hurt his wife.
Poor Tara - she is bruised.

Patience is NOT my virtue

Waiting is the hardest - even when you seem so close.

This last week has felt like a month. Every day seems to creep closer and closer to what a possible outcome might be. I am trying to remain positive but sometimes I just want to know. I just want to know, you know?

I have been feeling slightly crampy, off and on, and nothing too severe. So, it makes me think, "Well, this may not be it. We may not be pregnant." But I understand that every women's body reacts differently to pregnancy. Plus, I have been through what most women never dream of going through. So, maybe it's different? I don't know. I just don't know.

And because of the crampiness (no spotting - just an achy feeling) I keep thinking, "Okay today's the day that the waiting will be over. I will just start my period and just not have to worry." But every day goes by with nothing. My blood test will be tomorrow with news coming later in the day. In doing my best not to be cynical, knowing my body and experience I will start my period tomorrow morning right before the schedueld blood work.

And to top it all off, I got sick with a mild flu yesterday morning. I think it was coming on very gradually and then the symptoms hit me like a train. I am trying to take it easy with my medication being aware that I can only take extra-strength Tylenol and Sudafed. But, it may be the added stress of the week which makes this whole thing unbearable.

Waiting....

Mar 20, 2009

The Transfer

The transfer was done Wednesday (03/18/2009) only one day prior to our 4-year anniversary. How wonderfully special.

This time, Brad was allowed back.

The office instructed me that I had to come to the appointment with a full bladder. But, how full? We got to the office about 30 minutes before the actual appointment and about 10 minutes in I had to go. NOW. I told the receptionist my dilemna and she, in turn, asked IVF Nazi what I was to do. IVF Nazi told me that I could go, but only count to ten and then stop the flow. Are you kidding me lady? Do YOU work on your Kegel exercises that much? I highly doubt it. Screw that, I went to the bathroom and completely emptied every last ounce. That morning, within about 1 1/2 hours I had consumed 32 ounces of water. I knew that my bladder would fill right back up again. And it did.

They herded us into the room where bad memories still remain, but this time I was happy, hopeful, anxious, full bladder, peeing, waterfalls...wait...where did my mind go? Happy, yeah, right. I was once again instructed to dress in a hospital gown and then I was ordered to take three Valiums. Woo hoo! Bring on the drugs. IVF Nazi assured me that it would help with the urge to urinate. I think it subsided it for maybe 10 minutes, before the ultrsound was pushed on my bladder.

The process had to be set up very carefully. Speculum in check, with a cathedar (different sizes with trial runs) all under the strict care of a bladder-pushing ultrasound. It also does not help that I have an inverted cervix. So, pushing on the stomach and pushing on the hoo-hah - not a good mix.

Backtrack: Before all of this, Dr. G informed me that only four embryos survived the development process. Fifteen to four. It is expected. You can have so many and they all fertilize but they develop at their own rate. Two embryos, were at the Morula stage. This means that there is a 30% of conception. Not for each embryo, but altogether. The other two were of a different grade but were also at Morula and they wanted to see how they developed and they might opt to freeze them for later use. However, update [03/20/2009] on the other two embryos. I spoke with the embryologist today who said that the two embryos made it to blastocyst but they were poor quality - so he decided not to freeze them. He also said that it would be likely that the two that were implanted on Wednesday possibly made it to Blastocyst which means we are more likely to conceive. This is good news. This is hope.

Back to the transfer. So, after everything was prepared the embryologist returned with the two embyros. Bradley watched the ultrasound monitor as once the embryos are transferred it looks like a shooting star across the monitor. Pretty amazing. Once the believe they have transferred everything, the embryologist will return to view the cathedar under this high-powered microscope to make sure everyone made it safely to their new home. And guess what? One was left over in the cathedar. So everything was set up again and that stubborn embryo was transferred. Everything was removed and it was immediate relief. Well, almost.

They required to have me lay for 30 minutes - but I still had to....go. One of the nurses kindly provided a bedpan for me to go in. She placed it under my hips and just stood over me waiting. Has anyone actually successfully used a bedpan? It was difficult and unnatural. I told her to give me a minute. As soon as she left the room, and there was no peer-pressure, I went. And, oh, what glorious emptying took place.

After my 30 minutes was up, Brad helped me to the car and drove me home. We decided to have In N' Out for lunch since we were both starving....and the embryos wanted it. We went home and I remained on bed rest for the rest of the day.

I will have a blood test this Friday to see if I am pregnant. I will probably not report this right away as I want to give it time to make sure everything is running it's course as it should.


Egg Development

Out of the 17 retrieved, fifteen successfully fertilized. That sounded like an uncalculable number to me. The embryologist told me that out of the fifteen, seven looked as though they would not survive the freezing process as of now so he let them continue to develop to see the outcome. The eight remaining looked good and the cells are dividing as they should.

I received calls about every day from the embryologist informing me of our little Braddie's and Tara's growth. I felt so proud.

The cells divide once they are fertilized. Luckily, Brad's swimmers did the job on their own and the embryologist did not have to take any special measures to allow the eggs to fertilize. That will save us some money. Once the eggs are fertilized, the start dividing: 2, 4, 8, 16, Morula, Blastocyst. The best stage being Blastocyst. Once the embryos reach that stage the woman has a 50% of conception.

Next up....The Actual Transfer

The Retrieval

Retrieval 03/13/2009:

Friday morning rolls around and I haven't had anything to eat for several upon several hours. Not too hungry, more anxious. We finally get to the doctor's office and poor Bradley is told to wait in the waiting room until the procedure is over. I am told to change into a hospital-type gown, complete with the shower cap and booties. Unfortunately, the underestimated my own big booty and the gown barely wrapped around me providing little modesty. The nurse, IVF Nazi, reminded me that I would need to remove my "mormon undergarments too." Well, durh! How do I expect them to get to the follicles! Through my belly button? I assured the nurse that with my two laparoscopy surgeries, I am very capable of understanding the need to "completely undress".


I am led into a small room with a little operating table. Though, it's really not an operation per se, it still felt like one. I am instructed to lie down on the table and I am tucked in with covers and told to rest until the doctor and anesthesiologist arrive. What seems like eternity, about 15 minutes later the anesthesiologist comes in. Very nice looking lady with an accent that is difficult to place. She starts asking me important questions about other surgeries and explains the type of sedation I will be given. She then prepares my right hand for the IV and pokes. I tell her, "That was a little uncomfortable." "Oh really?" she replies, "That's the same needle I use for infants." Okay, now I am really not starting to like this lady. It's as if the like-factor went from zero to negative 50 within a few seconds. I didn't say it hurt or cried out in pain, it was just uncomfortable. There are no tears forming at the corner of my eyes, I thought I was doing my best just trying to be communicative. She starts with the tranquilizer and my eyes get heavy and swirly. It's a grand feeling.

The nurse then places my legs in the cushioned stirrups and pushed them far away. Like far. Like, so far I tell the nurse, "I should have worked on my flexibility this morning if I knew it was going to be like this." No response. What is with these people? Get some life into this room!

Soon after, I am put to sleep and, luckily, I don't remember a thing. I wake up from surgery already covered with blankets and with my upper body at a 45 degree angle. Brad is there next to me. I ask him how many eggs they retrieved and he says he doesn't know. Soon after, Dr. G walks in and informs me 17 eggs were retrieved. Jackpot! Awesome news.

Brad takes me home and cares for me the rest of the day. I was told I had to sleep at a 45 degree angle. How do you measure that? So, I was sleeping with 6 pillows propped up triangle style so that the pressure could be relieved on my abdomen.

The pain wasn't too severe, however, I would have twinges of ache every once and awhile. I tried the Tylenol-Codeine that was prescribed for me but it really didn't make me that sleepy. Even, Monday following the procedure I was still aching. But, I had to remember, to poke me 17 times in an attempt to retrieve eggs is going to make any woman sore.

Mar 12, 2009

Gonna Get 'Em

The wait is finally over, yet more waiting to come.

My last follicle check was yesterday and the retrieval date has been set for Friday (03/13/2009). At first, I was a little skeptical that it was going to be done so quickly since it seems like everything has been moving as a snail's pace. No slower, like a slug's pace. It's really slow. And to be honest, I was kind of getting over the whole three-shots-a-day-thing. My stomach is a little bruised - something that I didn't know until I actually stood in front of mirror. Both shocking and disgusting.

Last night about 11:00PM Bradley had to give me a trigger shot. This shot does exactly what it says and it will trigger the release of the follicles. The nurse kindly drew some permanent marker circles on my backside as choices for injection sites. And Bradley did a wonderful job injecting smack-dab in the middle of one of those circles. Bulls eye! It actually didn't hurt as much as I thought it would and, soon enough, it was over. And then back to sleep. Nice, comfortable sleep.

So, tomorrow is the day of reckoning. We'll find out what these ovaries are truly capable of.

And, I am even more blessed to have had this retrieval set for a Friday. I wasn't too keen on the idea of a mid-week retrieval and then having to return to work. I will be looking forward to a couple of days to rest. Yeah, me.

Mar 5, 2009

I'm good under pressure....

Finally, some progress. While it is slow-moving, the number are improving. It rhymed? How lame.

Another follicle check today and good ol' lefty is kickin' it up a notch. Report card shows six follicles on the left and six on the right. I think lefty was feeling a little left out. A little competition never hurts anyone, especially follicles.

It's somewhat nice to receive a little good news along the expensive journey that is IVF. A close friend of mine said, "It's probably the most expensive diagnostic thing you can do with fertility." I so agree. This is all new. To see how my body responds to the hormones. What is the quality of the eggs? Once everything is fertilized, are the embryos maturing as they should be? It's all up in the air. And you take day by day and see what happens.

And, just so you know, I've become somewhat of an expert at vaginal ultrasounds. I'm not sure the qualifications for becoming an expert - but I feel like I am definitely there. Probably an expert in the sense that I am no longer concerned about modesty at my clinic. For instance, the nurse always shows me to the ultrasound room and then tells me, every time, to undress from the waist down. I mean, should I be on the look out for when it's different one time? Like, just stand there until I know for sure what area of my clothes needs to be removed. And, when she looks at me like, lady-patient, I think you know what to do. I'll just be like, "Waist down, right? Just wanted to confirm that nothing was being viewed on the northern hemisphere." But, they're nurses. They get in a rut just like everyone else in their job. They say things without ever really thinking about it.

Like in my job, "Uh, no ma'am, your spring break vacation is NOT considered an educational expense. Please be sure to save that money for future courses that you will inevitablly fail. Thank you, and have a great day."

Mar 3, 2009

Check, Check...Is this thing on????

Monday (03/02/2009) I had a ultrasound check and blood work.

The blood work was the most difficult part. My veins are caput with my medication apparently. The assistant nurse tied up my right arm nice and tight, with the oh-so-comfortable rubber-band strap and proceeded to thump my arm to get a vein to pop up. Or was that the rhythm to the William Tell Overture? Not quite sure. Anyway, no luck. The assistant nurse decided to start with the ultrasound and then try again later.

So, into the ultrasound room and time for a follicle check. My main concern is the cyst that remains on my left ovary. I am concerned about that cyst being oversimulated and rupturing. Not looking forward to that. I know that I need to produce a good amount of follices, but I don't want anything to go awry. No follicle production on the left. Two, tiny follicles on the right.

Head Nurse: "You're taking your medication daily, right?"

Me: "Well, I've got the injection wounds to prove it."

Honestly, with all the crap-o-la that the left ovary has gone through, Dr G assumes that there will not be a lot of activity with follicle development. Sheesh.

So, increase the medication ten-fold. Just kidding, just a little increase.


::day 5:: Follistim 150iu (AM); Follistim 150iu (PM) and Menopur 2powders to 1ML water (PM)
::day 6:: Follistim 300iu (AM); Menopur 2powders to 1ML water (PM)

Day 7: Next follow up.