Decisions and Opinions

After yesterdays less than stellar egg retrieval, and a meeting with Husband and Dr Yelian, he said to us “There is good news and bad news about this retrieval. The bad news is that we didn’t get an egg. The good news is that your lining is perfect for a transfer. Since no egg was retrieved yesterday, I will monitor again on Tuesday before transferring on Wednesday, assuming I go through with it.

I left the office with progesterone in oil, syringes for the injections, progesterone capsules and another prescription for Estrace. Its kind of a terrible decision to have to make. Its one that I’ve flipped flopped about at least 4 times in the last 24 hours. Normally I am extremely decisive, so this is new for me.

Pros:

  • My impatience would be at least temporarily satisfied. I could be pregnant by the end of the year. Last night this is what I really wanted.
  • According to the Dr this is looking very good for a transfer.

Cons:

  • My Dr is an optimist. (this could also be interpreted as a pro)
  • In the cold light of day and a return to logic, I have 3 retrieval left, this is my last frozen blastocyst and honestly I’d feel better with a backup.
  • The last couple of cycles have been really disappointing. I am not sure there is enough distance between the stress and anxiety of the last 2 months and my previous failure.

I spoke with Dr Yelian today and he said that 1. everything look good, but that he wants to test my levels to see how things are the day before the transfer. If anything is even a little off the cycle would be cancelled. So why is this such a hard decision for me to make? Why am I struggling so much with this one?

He asked that I start with the meds last night so I did. But I’m not 100% committed to this transfer and I told him as much, I am still thinking about it.

You guys have heard almost every detail since March 1, when I started this blog, so I’d like your opinions. Assuming you were me, and were facing this decision, what would you do? Please do not pussyfoot around my feelings. I prefer honesty and I hope that you guys will be kind enough to give it to me.

What would you do? Throw caution to the wind and try, possibly fail again, or give it some more time, do more retrievals and still potentially fail?

Secret

How many of you are on Facebook? How many of you need more than the blogging community to vent, discuss, complain, cry, and have people who completely understand what you are going through to talk to, even if they are virtual strangers?

I have started an IVF Peer Support group on Facebook. It’s a “secret” group meaning no one but the people in the group ever see the posts, and it doesn’t show up in anyone’s feed unless they also belong to the group. I can guarantee your privacy.
Anyone who is dealing with infertility is welcome. From whatever stage you are in, you don’t have to be doing IVF, from first diagnosis, to starting Clomid or whatever, doing IUI‘s, IVF, anyone with autoimmune issues, anyone facing issues with fertility, including those of you that are now pregnant.

There is an embryologist in the group, and a nurse, so there are times that you can get your questions answered straight away. I will invite the RE from my clinic from time to time, to answer questions if there is anything that is really urgent and pressing.

The purpose is to get advice, share experiences and stories, give and get support, make friends, and have someone rooting for you, no matter what.

I’d like to open it to this community. If you’d like to join please contact me at jlko@att.net. I’m happy to answer any questions you might have. If you are uncomfortable with it, I understand, but I hope you will at least consider it. Lastly I do not work for nor am I compensated by my clinic, I started the group because as its well documented here, I just don’t have enough support at home.

The group is small now only about 8 people, but I’m hoping it will grow. I just wanted to offer, because crappy as my day has been, I’m determined to find a silver lining. And this might be it.

.I..

 

Guess what? I had my egg retrieval this morning for my perfectly textbook cycle. There was nothing there. As in, the follicle was still there but it was empty. Not even the cumulus cells were present. I knew I couldn’t trust that left ovary, in 11 cycles I’ve never gotten anything but teeny immature follicles, and 2 enormous cysts out of it. I think I’m going to go take a nap.
In case you were wondering, the title of this post is my emoticon for the proverbial finger. It’s not pointed at any of you. Its pointed at my left ovary.

 

 

The Best Laid Plans, Never get Laid

This is actually the title of a song by “The Bears”  from a CD called  Rise and Shine who are mostly member of King Crimson from the 80’s. Admit it, none of you have any idea who I’m talking about….

My plan has worked well this last few weeks. I’ve felt genuinely peaceful and content for at least 10 days in a row.

Until last night when the husband lost his shit over me getting him a new iPhone 5. Everyone Anyone else would be like… “YAY!” but he was all “OMG I hate technology, I hate this thing, nothing is where I left it and its all your fault”

Whut? Normal husbands would be like..”OMG you are the best wife ever, you ever transferred everything over and set it up for me how can I be a better spouse to you?” Also, I didn’t get one for me. I just got one for him because he hasn’t had an upgrade to his phone in 3 years.

Nope! None of that here. Instead he texted me, and then called me and yelled at me for an hour until I solved his problem and then he was all…”Whoa you are like the iPhone whisperer”

SERIOUSLY? seriously?

Please visualize those two words being said with 2 HUGE eyes, A pale blue face, racing heartbeat,  high blood pressure and a look of complete disbelief. Assuming you know what my face looks like.

I don’t respond to stress like a maniac! Also I may or may not have mentioned he’s not technology er… savvy. Which is the nice way of saying he’s a moron when it comes to every single thing that makes sense to me in this world. I *might* have just projected a lil anger onto him, but come ON! Most people would pee on themselves to get the newest best model Apple product.

Plus I stayed up until 2am to order it for him so he’d better step off! Lastly, he asked for it. He denied it last night, but he asked for the new one because of its larger screen. Aside from perfection, nice paintings, old expensive architectural books and perfect grades from both me and stepdaughter this man doesn’t ask for anything for himself. So when he does. I listen.

I also know his limitations and his tolerances so I (wrongly) thought that me transferring everything over, and handing a new phone completely synched and working with all his favorite apps in the right order would be enough.

Next time, I will just buy one for myself and call it a day.
I had meetings this morning, acupuncture this afternoon and the radio show Facebook thingy I host tonight.

Then I will meditate on my single follicle and tell it to behave itself and to do its job. Tonight, my weird retrieval cleaning and routine. I admit it, I’m slightly OCD about the retrieval thing.

Tomorrow, If I haven’t ovulated the little effer early, the first dominant follicle from my sad little left ovary ever.

The Bears Http://www.youtube.com/watch?v=iLtWj4S3Vy8

Textbook

Here’s a first. I’m having a textbook cycle. I know right? I didn’t think Id ever have one again!

Ideally in a retrieval cycle, you want your lining to be about 14 on the day of your retrieval if you plan on doing a transfer after. I don’t know if I will be doing one, I’m leaving it to the Dr so probably not.

You want your E2 to be about 200 or higher for single a good quality egg, your LH not to be peaking, anything under about 20 is fine. P4 should be low, because a high P4 means you’ve ovulated. A high P4 is anything over about 1.8. As your E2 rises your FSH should decrease which is also happening to me.

Blood work again today, and ultrasound, Dr came in to check the size of the follicle which has gone from 15mm to 17 mm since yesterday. That’s another thing. Any follicle over about 20mm before retrieval, will likely be “post mature” or you know, unusable.

While doing the ultrasound, he said “that is really a beautiful follicle” patting me as he left the room. A beautiful follicle? Another first. I don’t know what that means, all I saw was a big round blob of dark grey, but it made me happy, and he said please wait for blood results before discussing retrieval.

Results: E2 194.4, LH 15.7, P4 .42.

Lupron trigger tonight, at 10:30pm, retrieval scheduled for Friday morning at 9:30.

Welcome back to the Circus!

Underachiever

CD10 Monitoring
I’ve had this really uncomfortable pain that’s been radiating from my back to front on the left side. Last Friday I thought it was related to my  car accident, neck and back injury. Now a few days later, and after some exploratory poking around my stomach/uterus/left ovary area I realized that its my withered little almond-shaped ovary stretching to fit what feels like an angry little gnome. It’s weird how one little shift can cause my mid-back to spasm and me to feel like the hunchback of Orange County. I am very familiar with this pain, but not on my left side. Normally its on my right. My last retrieval was in early July, so its been more than 2 months since I had one. And since my left ovary is such a underachiever, it didn’t occur to me that it was “Excuse me, I’m trying to grow an egg in here” pain.

Lets see what the blood results and ultrasound show. My appointment its at 11am this morning.

Results:

1 follicle still on the left side, now 15mm, E2 180, up from 72, 4 days ago, which is perfect for retrieval. Generally you want an E2 of 200 or more for 1 follicle. P4 .31, LH 16.8. Follow up visit tomorrow, trigger either tomorrow or Thursday which would mean a retrieval on Friday or Saturday. I’m hoping Friday.

I have plans on Thursday morning with a friend for breakfast, which makes me incredibly happy,  I’ve been asked to give a cooking lesson for my other friends twins 8th birthday party for 14 little 8 year olds, and I have midterms coming for my classes. 2 of these things I’m really looking forward to. It’s amazing how much having something to look forward to can shift your perspective. My “pretty pink positive thoughts” plan is really working well.

I’m getting excited for Halloween! We get a million kids here and everyone in the neighborhood decks out their houses. I am trying to decide if I want to dress my dogs up like crayons, or the Travelocity gnome. (you might begin to notice a pattern. I like gnomes.) Don’t ask me why I don’t know.

Lets put it to a vote: Crayons or Gnomes?

What I do know is,  there’s a life lesson in the phrase “Never Roam Alone”