Monday, April 29, 2013

5 Days Past the Transfer

The bed rest made me feel awesome! I really needed that to get over the pain. If I ever have to do an egg retrieval again, I will take a day off afterwards! What was I thinking?

Here I am though, 5 days after the transfer and about noon I started to feel like a blimp again. It seemed worse than last time. The rest of the day I am wondering, does this mean that I am pregnant and HCG is running through my body, because this is what I was told would make the OHSS come back.

After work I went to the store and got a home pregnancy test. I bought an E.P.T. one. I was reading the boxes and the EPT said it was good for 5 days before your missed period, and there was a First Response test that said it would work 6 days before your missed period. In my tired state I thought 5 sounded better so I got that one. Then I was reading the box at home and realized that the First Response give results one day EARLIER.... I went back to the store to get that one!

I went to bed that night  and I was totally uncomfortable. My stomach was an over-inflated balloon and it was hard to move, hard to sleep and I work up sore and still bloated. I did dream of seeing two lines :)

I woke up and its time for my test!!

5th day Egg Transfer

April 22nd

Oh what a painful week. I still was very sore from the surgery.

I also ended up get OHSS (ovary hyper stimulation syndrome). Because of all the shots to over grow my eggs, which caused my ovaries to be large and then water collects in them and in my stomach for a wonderful (not) big fat tummy. I felt like I was pregnant at about 9 months. I actually wobbled and had to ease myself to a sitting and standing position. I was really uncomfortable. On top of that, I couldn't poop because of the pain medications. I was a blimp!

Come to find out there is really nothing I could do about it. Just drink fluids to make it not get worse. Eventually I pooped and that helped me to feel a little better.

We got to the office and I started out with 30 minutes of acupuncture. I'm still not really liking needles, and please tell me why she must stick them in the top of my head?? LOL

Right after I was done Eric and I changed into our hospital clothes. He got to look like a doctor and I had to look like a mental patient. The doctor came in and told us that our embryos grew very nice and there were two that were graded at a perfect AA and those were the two he would transfer today, depending on how many we wanted to transfer.

Oh The Gamble.....
Its really hard to decide on one or two embryos. I don't really want to be pregnant with twins, however what if this is our only chance and the rest of the eggs don't freeze. I don't want to go through another fresh IVF. Our RE explained that the chance of implantation is greater with 2 eggs. I did read something about this, there are some studies that claim that two embryos help to implant one or each other. What the heck, I was all about getting success out of this, so we went with two.

We went into the same little surgery room that I had my egg retrieval in. I got to be awake for this whole thing. Let me tell you, I almost wish I was asleep, not because there was any pain, but I had to let down all my walls. 1st there was this little "drive-thru" window as Eric called it, it led to the embryologist. At 1st he wasn't there, but he arrived to hand over our little embryos to the RE for the transfer. Before that could happen the RE had to clean my vagina out. My thighs are up in stilts so my legs are VERY spread open, and he had to shoot water up there. I am used to douching, but Ive never had anyone do it for me! I also didn't need the guy at the drive-thru window right in front of my open vagina too! I got to rest for a few minutes after the transfer and then I had to pee and go into my other room.

In the other room, I had a good laugh about the guy at the drive-thru window. I don't order burgers with my legs spread!

My wonderful Arial did another 30 minutes of acupuncture with me. I didn't really rest though, because my mind was racing. I ended up calling my nurse in to talk to me about all the things that I was worried about, like what I could and couldn't do, what I should eat, and on and on. I knew most of this stuff, I really just needed to be reassured, and I did feel better when she left.

I got dressed and we left. Off to two days of bed rest. After all the pain from the retrieval and having to work all the days after that, I was really looking forward to bed rest!

Thursday, April 25, 2013

Egg Retival

April 17th <--- Also my birthday :)

We got to the office and had to sit in the waiting room. Out of all my visits this was the longest time I have ever had to be in the waiting room. Eric needed to use the restroom so he went into the back area, then I heard him talking to someone which sounded like they were asking for him to give a sample. He didn't come back into the waiting room so I had to figure that he was indeed back there doing his thing and making the little sperms that will meet up with my eggs soon. As I sat there (knowing what he was doing), it made me a little sad that I didn't get the chance to do something special for him or to at least kiss him and excite him just a little. I was angry at the lady for not letting us see each other first so we could be special together. Again, this part is the only part of the whole IVF process that bothers me for being too clinical (not that there is anything different they could do). I wanted to make it a tiny bit more loving for us. Oh well, buy the time I felt that I should say something, I figured he was in the middle and I didn't want to ruin it.

He came out and sat in the waiting room with me for a few more minutes then we went in the back so I could dress up in my sexy hospital clothes. I was then hooked up to an IV and taken into a small operating room. It was very small and there were about 4 nurses in there and my RE would be there soon too. The nurse put another tube in my IV and before I knew it I was back in the recovery room. Wow that was fast, or so it seemed. I later heard that he retrieved 25 eggs from me.

We went to my mother-in-laws home to rest for a bit. The pain hit me! I was begging for pills. The ride home was a bit painful, I couldn't eat and I was majorly uncomfortable. I was hoping for a birthday dinner, but all I wanted was more pills and my bed!

Due to all my appointments, I had no choice to work the next day, as a matter of fact I didn't have a day off for 5 days until my egg transfer. I would NOT recommend this!

I got a call the next day, 16 eggs and 16 sperms came together to start 16 wonderful little embryos. They looked like they were dividing at the right pace so we were scheduled for a five day transfer.

Thursday, April 18, 2013

Trigger shot!

April 15th

I got home from work, did some stuff and then sat down and went over the schedule for the next week that the nurse gave me with Eric. It was 8pm and at midnight we had to do the HCG trigger shot.

This is timed shot that has to be done at a specific time to start the finial maturing and releasing of my eggs for my egg retrieval appointment.

So we were reading the instructions, and its funny that will all my other shots the nurse gave me visual instructions, but with this shot she went over the whole weeks schedule and where to do the shot but she didn't give me a visual. Ive done many shots at this point so I didn't think it was a big deal. Draw up liquid, shoot it in powder, mix, draw it back up and inject.

So the HCG box comes with 2 bottles. One liquid and one powder. The liquid bottle was big and the instructions said to draw up 1cc. The needle however had measurements in "ML". Eric wanted to draw up all the liquid - that would have been one massive shot and it wouldn't have all fit in one needle. I was freaking out, this is so important and has to be done right. I felt there was no choice but to call my RE after hours and find out. I left a message and he called back in a few minutes. I felt dumb but he was very understanding. He even said they should change the wording on the form I was given. It turns out the 1cc and 1ml are the same. Yay.

I was asleep at midnight and Eric woke me up. I was totally grumpy with him, poor guy. Then he said he couldn't find the HCG box and I was irritated and mean. But he found it and we completed the shot.

After a poke I was back to sleep :)

Next day was shot free for me!

Monday, April 15, 2013

3rd and 4th Baseline Appointment

3rd Appointment April 13th
4th Appointment April 15th

My 3rd appointment on Saturday the 13th was the first baseline appointment that Eric was able to go with me to. I was so happy to have him there. We were in and out in about 20 minutes. I had my blood drawn and then the RE looked at my eggs on the ultra sound. My estrogen levels came back good (I forgot the number), my uterus lining looked good and the eggs were growing as expected. I'm not sure how many he counted on this day. I tried keeping up with the numbers as he was saying them, but I lost track. I just know that most measured about 15-18mm.

I woke up this morning over an hour after I usually take my 1st shot. I slept in because this was the 1st time I would have to do a shot by myself. Up to this point Eric has done all of them. I didn't bother setting my alarm, because I was sure that I would not be able to do it anyway. However, I had anxiety while getting it ready, but then I looked away and stuck it in! WOW! I did it. I called Eric and told him, he was still in charge of shots, because when I did it, I made myself bleed and it hurt afterwards.

My 4th appointment was today (only 2 days later) it went good too. I was alone for this one. This time I had my ultra sound before my blood work. In the right ovary he measured 10 eggs ranging from 12-22mm, 5 of those were over 20mm. In the left ovary he measured 13 eggs ranging from 14-23mm, 6 of those being over 20mm. He said that there were 4-5 more on each side under 5mm. I'm not sure why he even bothered mentioning these, I don't think these will be good ones. The big thing is that the RE told me that I am ready for egg retrieval!

I got my blood drawn and then saw my nurse. She went over my trigger (HCG) shot instructions. We have to take the shot at midnight tonight! But the good news is that, I don't have to take anymore shots for a while. I'm going to be so happy to give my tummy a rest from all the poking. I go in on Wednesday at 11am to get put under and then I get to have all my happy little eggs removed from me so they can meet up with Eric's happy little sperms :)

The nurse called later to tell me that my estrogen level came back at 4502! She went over OHSS (Ovarian hyper stimulation syndrome) again. She wanted to tell me that Ive been responding perfectly, and because my estrogen level is good and high, and I have a lot of eggs that I need to really watch for the signs of OHSS. I will need to keep extra hydrated. Yikes.

This might be TMI - but I feel kind of sad that the sperm that get released from Eric on the day they will meet up with my eggs, will have nothing to do with our passion for each other. He has to sit in a room all by himself and make them come out alone. Out of this whole process, this is the part that seems so sadly clinical to me.

I might have to put some thoughts together to come up with something for him ;)

Wednesday, April 10, 2013

2nd Baseline Appointment

April 10th

I drive 2 1/2 hours.

I get to the office and they draw my blood, ick - more needles.

I saw my doctor a short time later and we shared a good conversation about 18 year old kids. I really like him and he is down to earth and very comforting. He has always been positive as well. I like him more and more each time I go.

He found only 10 eggs in each ovary. They are all growing as expected, all were 10-13mm. I was almost devastated about going from 27 eggs down to only 20. I asked him if I should worry and he said no. Again he was very positive, he didn't really explain why 7 went away. He did say that there might be more we cant see.

I cant help but feel sad. I know it only takes one good egg. But everything I know and read from other ladies is that after the retrieval not all that are taken out make it, and less will make it to freezing just in case this 1st try doest work.

I'm not getting any younger here!  :(

My 2 1/2 drive home sucked, because my headache was killing me. When I got home I was able to take a good nap, but my head still hurts. The doctor said I could take Tylenol, but I feel that I don't want to be taking that everyday, so I'm trying to deal with each one until I cannot stand it anymore.

The office called later and said my estrogen level was good at 480 or 580, I cannot remember. I just know she said it was good and to continue with the same amount of injections.

I will see my little eggs for another sizing and count in 3 days.

1st IVF Baseline appointment

April 5th

Well this is really far from my 1st appointment.

I knew going there that I would be getting blood work done and having an ultrasound, and maybe I knew what was going on at this appointment, but it wasnt until I was leaving that I really realized where I am at in this whole process.

At this point I had been taking 10 units of Lupron for a little over two weeks. The Lupron was working at suppressing my ovulation cycle.

What I didn't realize is that when the doctor did the ultrasound he would actually be seeing this day how many eggs that are starting to grow. These eggs are the eggs that he will be removing soon to grow embryos and hopefully start our pregnancy.

The doctor found 13 eggs in one ovary and 14 in the other. I think I walked out of there feeling pregnant already. I had my hand on my belly and felt like I was protecting 27 little possible babies. Grow little beans, grow good for mommy.

Before I left the nurse gave me instructions to lower my Lupron to only 5 units that night and start taking FSH (Puregon) and HMG (Menogan) the next day. My official instructions were to take the HMG in the morning and then take the FSH 12 hours later. The HMG is a little complicated to mix because you have to break a little glass bottle with liquid in it, draw that up in the needle, then break two little glass bottles with powder in them and inject the liquid into each bottle, draw the new mixed liquid up and change the needle and then inject. The FSH is easy, it comes in a little vile that you put into a pen, dial the dose and inject. So I got to thinking that I should switch the two around because I have to take my morning shot at 5:30 so the pen would be easier to do. I called the doctor and he said that was fine.

After my appointment I went to have acupuncture for the 1st time. The lady was nice and the place felt comfortable. She talked with me for a while to find out about me, then she laid me on the table and started. Most needles I didn't feel going in, but I didn't really care for having a needle in my forehead and in my ears. Then I had to lay still for 15 minutes! She came in and felt the needles to make sure they were doing their job and then she left me for another 15 minutes! The waiting was harder then the needle pokes. I found out that I cannot really calm down and do nothing. I guess I would have slept like most people do, but because of the my needle phobia I couldn't relax enough to pass out. I tried to focus on the cause and to enjoy the music and clear my brain of all the junk in there.

That night I got my Lupron shot and I forgot to remind Eric to change the dose to only 5 units, so he injected 10 units. Yikes!

That led me to a night of freaking out and no sleep! Well I guess I slept at some point, because I had many nightmares that night. I was worried about the new shots in the morning and how we were going to manage getting them all done on time between our work schedules. I was freaked out that I wrecked the whole cycle by overdosing on the Lupron. I had intense dreams about the acupuncture. So intense that at one point I felt the needle go into my forehead but this time it hurt bad. My mind kept worrying about that overdose and the fact that I changed the schedule with the HMG and FSH, I kept feeling like I screwed up the whole thing.

Eric was amazing the next morning and he woke up on his own to get my shot ready and done. I called my doctor a few hours later and he said that it shouldn't make a difference and I will be fine and still on schedule.

So now we are at 3 shots a day and horrible headaches. I get to see how my eggs are growing in 5 days.



Sunday, April 7, 2013

All my medications arrived

3/16/13

Check this out!





All my medications have officially arrived. I got a big box with a cold box inside of it on the 14th. Then on the 16th I got the remaining medications. I think the total for all these came to about $1800!

It was easy to spot the Lupron, which is the 1st medication I am starting with. It was also easy to pick out the needles that go with that, they were the smallest needles.

However after that I was in total loss. Between what my protocol says and what the names of these medications are called, just didn't match up to me. Then there are about 5 different needles and that again I couldn't seem to match up with anything. I thought I knew all the basics that I needed to know, but I spent 3-4 hours re-reading about each process and how each medication affects my cycle. I realized that I still don't understand it.

The good thing is, that I know I have to take the Lupron for the 1st two weeks and I know what bottle that is and which needle goes with it. Then I have a baseline ultrasound appointment the day before I start something new, and/or continue with Lupron, so I can just take all my stuff with me and my nurse will explain what goes with each thing and when to take it.