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Sunday, July 31, 2011

Week 5 levels

As part of CCRM's monitoring of my pregnancy I'm getting bloodwork done weekly. Here are the results from Friday's tests:
Estradiol: 2498 (anything over 300 is good)
Progesterone: 8.88 (anything over 5 is good)
HCG: 2356 (means the bean is continuing to grow)

Given my E2 and p4 levels are doing so well, we'll start weaning me off the ERT and p4 suppositories after my first ultrasound which will be early next week.

I am so glad for these weekly tests -- it's so reassuring to hear that my levels are looking good and that it looks like the bean is still in there and growing strong.

Friday, July 29, 2011

Week 5

Here's what's going on with our little bean this week (From babycenter.com):

Deep in your uterus your embryo is growing at a furious pace. At this point, he's about the size of a sesame seed, and he looks more like a tiny tadpole than a human. He's now made up of three layers — the ectoderm, the mesoderm, and the endoderm — which will later form all of his organs and tissues.
The neural tube — from which your baby's brain, spinal cord, nerves, and backbone will sprout — is starting to develop in the top layer, called the ectoderm. This layer will also give rise to his skin, hair, nails, mammary and sweat glands, and tooth enamel.
His heart and circulatory system begin to form in the middle layer, or mesoderm. (This week, in fact, his tiny heart begins to divide into chambers and beat and pump blood.) The mesoderm will also form your baby's muscles, cartilage, bone, and subcutaneous (under skin) tissue.
The third layer, or endoderm, will house his lungs, intestines, and rudimentary urinary system, as well as his thyroid, liver, and pancreas. In the meantime, the primitive placenta and umbilical cord, which deliver nourishment and oxygen to your baby, are already on the job.

Wednesday, July 27, 2011

Still pregnant

Apparently I need more regular confirmation that I'm really still pregnant than what CCRM is giving me (CCRM is having me do 1 blood test per week). It's been since Sunday that I've had a blood test (which I think is just way too much time!!! I'd like daily tests please. Hourly if my veins can swing it!). So I took another HPT today. This one is different from the one I used last week so I don't know yet if the line is getting darker. But here's today's confirmation that I'm still pregnant (for those who don't obsessively POAS, 1 line is BFN, 2 lines is BFP):

Monday, July 25, 2011

the official call from Dr. Surrey

I got the official "you're pregnant" call from Dr. S today :) He said everything looks good. I asked him some questions of the questions DH and I came up with -- things we haven't asked yet because we didn't think we'd get to this point.

1. Miscarriage risk rate -- According to Dr. S, it's 5-6% because we did the CCS. 5-6%! Can you freaking believe it!?! This made me shed tears of joy. I thought it'd be much higher.

2. Gender -- DH and I aren't ready to find out little bean's gender yet but I asked whether that's something CCRM would tell us when we get to the point we are ready to learn it. He said that ID'ing the sex is actually the least accurate part of what they do so they don't give it.

3. When do we transfer care to local OB/GYN -- at around 8 weeks (I'm at 4 weeks 3 days today). In the meantime I'll do weekly-ish blood tests to monitor hormone levels. I'll have ultrasounds at 6 and 8 weeks. If all looks good at 6 weeks they'll start to wean me off the hormone supplements. If all continues to look good at 8 weeks, they'll pass me off to OB/GYN for care. It's crazy to think that in 4 weeks I could potentially be a normally pregnant woman and not an infertile. Awesome. But crazy.

4. Tips for success -- the usual: Don't eat raw meat. Don't exercise any more than walking until the 8 week u/s then I can increase it. DHA is OK after all (my nurse said to stop it). Watch my mercury intake down here in fish country.

Sunday, July 24, 2011

Still Pregnant

Here's one of the most beautiful things I've seen all year. My BFP from an HPT:



Good news all around today. The biggest of course being that I'm still pregnant. My beta more than doubled from 85 on Friday to 209.7 today. At this stage we want to see it at least double so we are right on target.

How, you may ask, did I get my beta checked on a Sunday? In Louisiana? The answer is simple -- at a hospital. Who knew?!? Not me. But after LapCorp's shenanigans on Friday I have broken up with them and decided to take my business elsewhere. This is after breaking up with my local RE and didn't want to have to try to go back there. So I looked up labs on my insurance company's website and poof -- hospitals. I called and they said yes they can do it, yes they can do it STAT, and yes they can do it on weekends. I felt like a kid at Christmas. No one else (local RE, labcorp, Quest) will see me on weekends. So this was super awesome.

And the experience there was pleasant (well as pleasant as getting stick in the arm with a needle first thing on a rainy Sunday morning can be). I checked in at the ER and just told them I had orders from my doctor for an outpatient blood draw. We were in and out in no time. I highly recommend this as an option for anyone else frustrated with their local RE and unable to use LapCorp/Quest on weekends.
 I think I'll also look into whether they can do my ultrasounds. Because hopefully they too have flexible hours. And maybe they will have lube for the dildo cam.

Saturday, July 23, 2011

Finally -- I'm pregnant!!!!!

My beta was 85. Anything over 5 is pregnant but CCRM likes to see it over 50. So we're firmly pregnant :)  I'm technically 4 weeks 1 day pregnant.

I'll have another beta test Sunday if I can find any place here that will do blood test on a Sunday. Then I'll get weekly blood tests to monitor little bean's progress. An ultrasound at 6 weeks 3 days.

We're still in our first trimester so like any pregnancy there is risk of miscarriage. My orders are to take it easy. No high impact exercise and no yoga (not even gentle yoga). But I can take walks and bike rides so that makes me happy. I want to be healthy for the little bean.

So of course the question is...now what?!? We've been working so hard for the past 2 years to get pregnant. I know nothing about being pregnant. Or preparing for a baby. So any tips you all have are very welcome!

And please continue to keep us and our little bean in your thoughts.

I'll continue to post updates here.

my nurse if fucking with me

Seriously. I don't know what I did to piss  her off. She told me yesterday that she would call me at 7:30AM mountain time (when she gets in the office this AM) to tell me the results. I called her at that time and left a message to remind her as per her request. When I didn't hear from her an hour later, I called and left another message. I then sent her an email. I also called LapCorp thinking maybe she didn't recieve the results from them. They state they faxed the results this morning. So I just left anohter voicemail and sent another email begging her to call.

This is absolutely ridiculous. Why the F won't she call me?!? Why the F can't the lab just give me my results? They are after all my results. This is totally stressing me out which, if I am pregnant, is just totally counter-indicated. Why is she making this so much more difficult than it needs to be?!?

Friday, July 22, 2011

No result (aka I hate Lap Corp...and am not happy with CCRM)


CCRM didn't write STAT on my lab orders so the lab didn't run the blood today. So no beta results.
And my nurse didn't call me back all day today despite my leaving several voicemails and emails. I finally called the CCRM main number and spoke to the receptionist and explained that it was 4:45PM CST and the lab closes at 5PM so I needed confirmation regarding whether they got my labs or not ASAP so I coudl call the lab before it closed. She looked into it, called me back, and told me they never got the results. So I called LapCorp who didn't pick up the f'ing phone. So DH and I both left our works and drove like mad to LapCorp to try to get there before close. No luck. On my way though I finally got through to a LapCorp customer service number and that's when I was informed that they didn't run it because it wasn't STAT. 
My nurse finally  called me back after I left a message crying and begging her to call me. I requested that they please put into place a system for patients to find out if CCRM has received test results so that ohther women don't have to go through what I'm going through. She apologized a lot and stated that this is a big deal so she will look into whether LapCorp can run the test tonight and get her the results tonight. She's on call tonight so could call me with the results. But Lab Corp won't call her with the results tonight they will only fax them tomorrow morning.

I had my blood drawn at 7:30AM this morning so it is so frustrating to me that I couldn't find out until 4:45PM that they didn't run my blood.
I am so mad at CCRM for not having a better communications system with their out of state patients and of course at Lab Corp for not running my freaking test!

slowest morning ever

I gave my blood for the beta at 7:30AM this morning. I cannot believe it's only 10AM!!! This morning is truly the slowest morning ever.

the paperwork we got from CCRM said that they'd call me in the afternoon with the results. So if anyone knows any spells to speed up time, now the time to use them!

Monday, July 18, 2011

It's the final countdown

Ok not the final countdown. At all. But that's the song in my head today courtesy of my 2ww.

I just saw my ticker -- it's been 5 days since FET. Which means just 4 more to go until beta! So time can move somewhat quickly. The waiting is a biatch but it's nearly halfway done already.

Gonna make it. Gonna make it.

Sunday, July 17, 2011

Drugs

I've been asked by several people what medications I'm on post-FET. The answer is that it's pretty much the same as before the FET (although no shots!). Specifically:

Vivelle (ERT; 4 patches) -- changed every other day
Estrace (pill - 2 mcg) -- inserted vaginally 2x per day
Prometrium (200mg) -- inserted vaginally 3x per day (I had to swap this for the Endometrin as my insurance wouldn't cover the Endo only the Prom. The change wasn't a big deal--CCRM prescribes either for progesterone support for FET).
Vitamin D supplement -- one per night
Prenatal vitamins -- one per night
Baby aspirin -- one per night
Synthroid (25 mcg) -- one per morning

The biggest inconvenience is the prometrium. I need to lay down for 1/2 hour after inserting it. In the morning and before bed that's not a big deal. But the mid-day one can be a bit tricky. I'm lucky in that I've been working from home a lot so I can lay down. But on days when I'm in the office that's more difficult. So what I do on those days is just insert it as soon as I get home from work (around 5PM) then insert my nighttime one around 11PM. Otherwise all the meds aren't a big deal. I take one pill in the AM, a handful at night before bed. I keep them all in a Days of the Week pillbox on my night table. The pillbox is one of my best friends during this process as it's easy to forget whether I took the pill or not each day. I'm thinking of doing a second pillbox in the bathroom for the Estrace and Prometrium as I imagine now that I'm back in town and have to go into the office several times this week, it may help make sure I don't forget any doses.

I'll be on these meds until the beta on Friday. If we get our BFP, I'll be monitored with weekly blood draws and gradually weaned off the hormone support (the patches, estrace, and prometrium) over a 12 week period.

Saturday, July 16, 2011

What happens after FET?

A friend sent this -- it describes what our little bean is (hopefully!) doing in the days following FET:

5-DAY TRANSFER:
-1dpt ..embryo is growing and developing
0dpt... Embryo is now a blastocyst
1dpt....Blastocyst hatches out of shell on this day
2dpt.. Blastocyst attaches to a site on the uterine lining
3dpt.. Implantation begins,as the blastocyst begins to bury in the lining
4dpt.. Implantation process continues and morula buries deeper in the lining
5dpt.. Morula is completely implanted in the lining and has placenta cells & fetal cells
6dpt...Placenta cells begin to secret HCG in the blood
7dpt...More HCG is produced as fetus develops
8dpt...More HCG is produced as fetus develops
9dpt...HCG levels are now high enough to be immediately detected on HPT

Friday, July 15, 2011

FET

Bed rest is officially over so here's the long version of what happened for the FET. First the exciting part -- here's the picture of our precious embryo:
 The reason it looks like there may be two there is that it's hatching (i.e., coming out of the protective shell/membrane so it can implant in the uterus once transferred). They tell us that it survived the freeze/thaw process wonderfully with no damage.

But now I'll back up and describe the day.
We arrived at CCRM at 10:30AM for bloodwork. They tested my E2 and P4. My p4 went down from Monday's test but was still above the 5 they were looking for (it was 7.8 on FET day). My e2 however is kicking some serious tuckus -- up from 112 to 1,170 since I started taking estrace in addition to my 4 Vivelle (ERT) patches. This increase in e2 may explain why I haven't been nauseous since Monday. And I've been way less bloated. I'm hoping I've crossed some sort of e2 threshold where the discomfort is less. 

Around 11:00AM, I went in for pre-FET acupuncture. I did it right there in the transfer room. DH could've come in with me but opted not to. I thought I'd have an easier time relaxing if I was alone the room and he wasn't super thrilled about watching someone stick a bunch of needles into me. Since he was there for the post-FET acupuncture, he took some pictures.
The acupuncture lasted about 1/2 hour. Then DH joined me in the transfer room. A nurse came in, explained the rest of what to expect, took my vitals, etc. She also gave me a Valium which is standard procedure. To relax the muscles so the transfer is less uncomfortable so the patient moves less during transfer. It's also to help reduce post-transfer cramping so help keep the embie in there.

The time between acu and FET was also a time for me to chug water because I need a full bladder for the FET to help move my uterus into the most optimal position for receiving the embryo. Little did they know that I chug water all the time so my bladder got ridiculously full (which was confirmed by ultrasound) and I then had to go to the bathroom to empty some of it so that I didn't pee on Dr. S during the transfer.

They brought our little bean into room in what they call the "embryo limo". This contraption included the screen that allowed us to see the little bean prior to transfer. I was so very relieved that our embie survived the transfer and looked great. I'm so used to things going wrong with IF treatment that I realized I had prepared myself to hear that we lost one or two in the thaw process. So this news was quite a relief.

Around 12:30PM, Dr. Surrey transferred our little bean. It was great that it was Dr. Surrey since he's our primary RE at CCRM. I know the other RE's would've been fine (Dr. G did our ER and given the 29 eggs he retrieved I certainly have no complaints there) but it was nice to have Dr. S involved in this way. They did a trial transfer first which involved just transferring some sort fluid then transferred little bean. They tested the needle to make sure the embie was transferred (i.e., didn't get stuck in the needle) -- again standard practice and our little bean was successfully transfer. The transfer is guided by ultrasound, so once the little bean was in place, they showed us on the ultrasound a mass of fluid in my uterus that contained our embie. That was very cool.

After transfer, they cleared out and I got the joy of peeing in my first bedpan. Which is way easier said than done, even when on Valium. Bedpans are so not designed for women. But I was finally able to make it happen. Which was important as I had to lay there for an hour after transfer and that would have been miserable given how full my bladder was.

After the bedpan, the acupuncturist returned for round 2. It was once again very relaxing. So much so that Mr. Valium put me right to sleep. DH stayed in the room for that one and said it didn't look as painful as he thought it would look (so not nearly as scary as he thought it would be).

After an hour, they had DH go pull the car around front while I got dressed and wheeled out of CCRM. The Valium had me woozy so I was thankful for the wheelchair. They had me lay down in the car (i.e., recline the front passenger seat all the way down) for the ride the home.

Then the bed rest began. It wasn't as bad as I thought it would be. I think mainly because day 1 I was pretty out of it most of the day from the Valium. Day 2 was a little more boring but I had Netflix, DVD's, and DH waiting on me. It was very true for me what other ladies have said -- I had a hard time reading both days so my Kindle got very little use. Glad I brought that and didn't lug several books here that didn't get read. It was also nice to have a king size bed so I had lots of room to move around and try to get comfortable during 2 days in bed.

Now begins the wait. I've been doing Zita West meditation to help me through the 2ww. I'll also continue to use my witchy foot salts and wear my fertility rune. And insert my p4 and e2 pills, wear my e2 patches, and take my prenatals, synthroid, baby aspirin, and Vit D. No exercise (including yoga) for at least a week.

Wednesday, July 13, 2011

Transfer went well today. We transferred one as planned. It thawed well & looked great! Will post pic when I'm done with bedrest.

Hampton Inn & Suites, Denver Tech Center

We arrived in Denver last night safe and sound. We're staying at the Hampton Inn & Suites using the CCRM rate because it was such a good deal. To the left is an overview of the kitchen/living room layout.

Overall we're happy here. Unfortunately, the first thing we noticed when we got here was the strong, dank smell in the room because the AC wasn't on. Once we turned it on, the smell went away. 
The kitchen seems fine. Stove, microwave, sink, dishwasher, full size fridge with freezer. Comes with dishes, dishwashing detergent, dish towel, washchoth. Lots of storage space.

The living room area is fine. Our biggest complaint here is no DVD player. But we did get one from the front desk on our 2nd day. So if you'd like a DVD player, I suggest you make arrangements for one ahead of time.
The CCRM rate is for a one bedroom suite. Here's a pic of the bedroom. Nice king size bed that takes up most the room. But it was dark and quiet in here. I sleep with earplugs and was undisturbed all three nights we were here (and I'm the lightest sleeper I know). Again no DVD player with the TV.

Bathroom is fine. Clean. Decent water pressure.

This place has complimentary breakfast and happy hour snacks. We only took advantage of the breakfast (to save some $$ and to avoid buying a ton of groceries for our 3 day stay). It wasn't great but they do have hot selections (eggs and waffles every day, other things changed by the day -- e.g., bacon, pizza bagels).

Overall, we're so far fine with this place. Especially for the price.  In addition to what's I describe above, there's complementary wi-fii, work out room, pool, free parking, computer to print out boarding pass in the lobby. No shuttle and no laundry. But we didn't need either of these for our brief trip.

Monday, July 11, 2011

FET (finally!) scheduled

It's official. The FET is scheduled for 10:30AM mountain time on 7/13!!!! I'll have acupuncture before and after the FET.

I had some bloodwork today -- it was a progesterone test. My level was 12.9 and anything over 5 is good. It was nice to have some good news. And the high level explains the serious nausea I've had lately. I asked the nurse today if there's anything I can take for the nausea -- nope. They recommend not taking any other meds at this point in the game. Just keep on taking my saltines, ginger ale, and peppermints.

Will post updates from Denver :)

Last minute travel

I'm the kind of gal that needs a back up plan in case things don't go my way. One thing I definitely like to plan is a way to curb the hurt if something really important doesn't work out.

So I'm starting to fantasize about last minute travel plans I can make if my FET doesn't work. I'd ideally like to go to Europe -- if I'm an emotional mess from mourning the failed FET I'd like a place that's not too difficult to navigate. So Europe comes to mind.

If any of you know of any good, last-minute-travel-deal websites, let me know. Planning my back-up vacation (a vacation I hopefully won't take) will be one of the may ways I'll distract myself next week during the 2ww :)

Friday, July 8, 2011

Gonna make it

This has been my mantra the last few days and has brought many smiles to may face (as only Steve Martin/The Three Amigos can do):

http://www.youtube.com/watch?v=iqIydlzi0ng


Turns out when you get close to making it (or at least close to the FET), it's when CCRM gets serious about medications. Here's my medication schedule between now and FET:

Lupon shots -- no more shots!!! Had my last one last night! Please let this be my last shot for at least a year.

What I am on:
Vivelle (ERT; 4 patches) -- changed every other day
Estrace (pill - 2 mcg) -- inserted vaginally 2x per day
Endometrin (100mg) -- inserted vaginally 3x per day
Tetracycline (250mg) -- 4x per day
Medrol (16mg)-- one per night
Vitamin D supplement -- one per night
Prenatal vitamins -- one per night
Baby aspirin -- one per night
Synthroid (25 mcg) -- one per morning

Needless to say, my Days of the Week Pill box is going to come in very handy keeping track of all this. I think too I'll need to set my phone alarm to remind me to take the Tetracycline and the mid-day Endometrin.

Gonna make it. Gonna make it.

Thursday, July 7, 2011

A day in the life of a woman undergoing IVF treatment (a glimpse into why IF treatment makes women crazy)

Lying in bed last night I was thinking about what a crazy day I had yesterday and what a crazy process IVF treatment is. So I thought I'd recap it here both because I find it hilarious (we have to laugh about it or go insane, right?!?) and to paint a picture for those of you who have either not done IVF treatment (you lucky dogs you!) and those of you about to (to have some sense of what to expect).

Wednesday, July 6, 2011:
9:00AM: arrive at imagining center for 9:15 appt for transvaginal ultrasound to measure uterine lining. Am informed that in addition to transvaginal u/s, they will also measure my uterine using a pelvic u/s so I need to have a full bladder. Which I don't have. So I need to sit in the waiting room chucking water until I feel as though I really need to pee.

10:00AM: After chugging water (luckily I brought my Kindle with me and am totally addicted to the Hunger Games series so I had some entertainment. Also luckily I cancelled my morning meetings just in case the appointments didn't go smoothly--because I've learned that things related to IVF treatment rarely go smoothly), my bladder is sufficiently full for the pelvic u/s. During which the ultrasound tech asks "has anyone ever told you you have fibroids?". Fibroids?!? What?!? Something else wrong with me?!? Is this what has contributed to my IF? And more importantly, will it affect FET/implantation/pregnancy/birth?!?!? I calmly ask "Could they be new -- from all the meds I'm on?". No. There's evidence of calcification which suggests they've been there awhile. So I'm going to assume that the many many doc's that have now seen the inside of my uterus all think these little fibroids have nothing to do with anything or I'd have heard about them by now. Because everyone and their brother who's ever seen my uterus comments on how my uterus is retroverted. So surely someone would have mentioned these little fibriods if important right? At least that's what I tell my self so I don't totally freak out on this poor tech.

Time for the transvaginal u/s. And I'll warn you now -- ***TMI ALERT***
To do one of these, they stick what looks like a very large dildo into your whoo-haa. And I mean very large. Not super comfortable. Whenever I've had them done by an RE, they lube that baby up so that it's dripping wet to help with insertion. But I've decided to go to an imaging lab, not an RE's office becasue my local RE is very cold to me now that I've left him for CCRM. And the imagining lab guy is very nice, has experience with IF treatment etc. But what the imagining center doesn't have is lube. So I get to insert that big bad dildo-like thing in me totally dry. Fun times.

As I posted yesterday, the tech informs me that my uterine lining looks good. He sees no reason to not proceed with the FET next Wed.

10:45AM: I arrive at LapCorp for blood work. Thanks to the Humger Games, I'm entertained while I wait. And again thankful I cancelled my morning meetings, as my morning is quickly flying by.
I'm once again stuck with something. This time it's a needle in the arm. And although she wears a glove on the hand holding the needle, she doesn't the other one. She swabs my inner elbow with alcohol to disinfect. Then taps my vein with THE UN-GLOVED HAND! I had someone do this to me last year for IV treatment stuff and ended up with a nasty infection. So now I'm worried that I'm going to get another infection that could affect the embryo's ability to implant. Thank you very much LapCorp. If you're going to touch a sterile surface, WEAR GLOVES. What's wrong with these people?!?

11:30AM: Back home. I leave a voicemail for my CCRM nurse to confirm that I was supposed to change my estrogen patches. It wasn't on the calendar and every other day I need to change them is on the calendar. I assume I'm supposed to because I change them every other day. This is one of those days, but it's not listed. So I call -- better safe than sorry. But we can't reach our nurses directly so we have to leave a message then wait for them to call back.

Feeling very bloated and nauseaus. So I eat lunch and relax some waiting for the nausea to go away. It doesn't. And I can't get any work done. So since my day is half over anyway, I declare a day off from work. One of the perks of my job. So I finish the first book of the Hunger Games series and download the second book. Seriously. Addicted to this series.

12:00PM:
My nurse calls me back. Yes I was supposed to change my patches.

3:50PM:
My nurse calls again. She informs me she's already received my blood work which is amazingly fast and impressive. That's definitely one point for LabCorp! The bad news, as posted yesterday, low estrogen so I'll probably need to start taking estrace. Either vaginally or orally she'll have to check with Dr. S to find out which. She also informs me that something else missing from my calendar is that I'll need to get my progesterone tested (which means another blood draw) on 7/11.

5:55PM: My nurse calls again. They got the u/s results (which the u/s guy told me they wouldn't get for 24 hours, so Go Imaging Center!). My lining is 8. They like it over 8 so I'm right on the cusp. Dr. S is prescribing estrace -- vaginally. She'll call the Rx into my local Walgreens.

6:00PM-ish: I get a call from Freedom Fertility Pharmacy. My nurse called in my Rx for the endrometrin I'll need to start taking Friday. The first time she called it in my insurance denied it. But they were wrong to. So I asked my nurse to call it in again hoping that with the new plan year starting this month that my insurance would cover it as they are supposed to. Freedom was calling to confirm the order, schedule the delivery (because someone has to sign for it. They won't leave endometrin because it'll melt if left outside), and warn me my insurance may not cover it since they denied it last time. it's scheduled to be delivered Friday. But I have a meeting Friday so I can't guarantee I'll be home when it comes. And I don't want it delivered to my work because I don't want everyone at work to know I'm undergoing IF treatment. So it needs to go to DH's work.


6:30PM:
DH is hungry. The thought of cooking makes me even more nauseous. So we order me jalapeno cheese bread from nearby pizza joint as that's the only thing that doesn't make me want to puke. DH enjoys a calzone.

7:45PM:
I call Walgreens to check status of my Rx. They have no record of having received it. They ask me to call back as it's possible CCRM left the Rx on their voicemail which they haven't checked in a while.

8:45PM: Call Walgreens back. Turns out they are confused about the Rx because the dose suggests oral pill but the instructions are to take vaginally. They called CCRM but, shockingly (she says sarcastically, because what doctor's office in the world is open this late) they are closed for the day. So they won't fill the Rx until they speak to CCRM. I get super upset because I'd like to start working on increasing my estradoil ASAP and can't believe the stupid pharmacy didn't check their voicemail until I called them to make them do it so they checked too late to call CCRM with any questions about the Rx. So I have a big long frustrated cry. Luckily DH is there and super supportive and holds me while I cry it out.
Also luckily -- I have estrace at home. I have it from my terminated IVF back in November. I know the dose is the same from my conversation with the Walgreens woman. I check with Dr. Google that the little blue pills can be inserted vaginally (because they seriously are just tablet-type pills. They don't look like something that'll dissolve in your whoo-haa). Dr. Google confirms that they can be taken either orally or vaginally. Awesome. I have my pills. I don't need stupid Walgreens. I can take care of this myself.

9:30PM:
The nausea is even worse, probably worsened by my emotional outburst over Walgreens' stupidity. I run to the bathroom and let's just say there was some unpleasantness that ensued.

10:00PM:
Time for my lupron shot. DH administers into my lower abdomen. This is the third time something's been inserted into me today (u/s dildo, blood draw needle, lupron needle).

11:00PM: The unpleasantness has stopped and we're exhausted. We head to bedroom. I balance the little blue pill on my finger and stick it as far up my whoo-haa as I can. I'll now get to start doing this 2x per day -- once at night and once in the morning. Awesome.

Thus endeth yet another day of IVF treatment.

Wednesday, July 6, 2011

less of a problem than I thought

Good news -- my nurse just called and they got the u/s results. My lining is exactly 8. They like it to be over 8 but being at 8 is closer than 7.8 so I'm happy. And since she called today I can start the estrace today to get started doing all I can do to help get my estradoil level up. So although I'd prefer the news to be that my body is responding perfectly and all looks great, I'll take this news as being less scary than it felt earlier today.

Houston, we have a problem

Wouldn't you know this couldn't go smoothly?!? My nurse just called and my estradoil is low. They like it to be over 300 at this point and mine's a mere 112. WTF. I'm so mad at my stupid body right now. But trying to focus on the positive -- the plan is this: once Dr. S gets my u/s results (tomorrow) they'll most likely put me on estrace to help increase my estradoil. If I'm remembering right and my uterine lining was 7.8 that's not too far off -- they like it to be over 8 at this point. So they may have to push back the transfer a day or two to give my body time to get where they want it to be. The good news is there were already some cushion days built into my calendar so it seems that it's not unusual to have to tweak things as we get closer to transfer. My nurse didn't seem too concerned although I didn't ask whether there was a chance we'd have to cancel the FET. I wasn't ready to hear the answer if it was yes.

I'll post the verdict as soon as I hear from CCRM tomorrow...

uterus looks good

I had my u/s this AM with at an imagining center. They need to write up the official report which will take 24 hours. So I won't get the word from CCRM until tomorrow whether my uterus and blood levels are OK for an FET on 7/13. But the guy who did my ultrasound said my uterus looked great -- ready for transfer. He said it was something like 7.8 mm which he said is good for transfer.

Interestingly he also said I have two small fibroids (one the size of a pea, the other smaller). He said there are on the periphery of my uterus and thus shouldn't interfere with implantation or pregnancy. He said that ~ 50% of women have them and they usually aren't a concern unless they get big (which mine apparently are not). I've never been told I have fibroids so that was new. Learn something new about my body all the time these days.

I also got blood taken to test my estrogen and progesterone levels. Won't get those results back until tomorrow either.

Tuesday, July 5, 2011

rain rain...

Since I'm going to be bedridden during almost all my time in Co (I fly in Tues night, FET Wed AM, bed rest until we leave Friday), it’s good to know the weather will be crap so the mountains won’t be beckoning us :)

http://hamptoninn.hilton.com/en/hp/hotels/five_day_forecast.jhtml?WT.mc_id=EPEMHXPreaEN&ctyhocn=DENUSHX

1 week until we're Co-bound!!!

I'm so happy to report that the time is almost here for my FET! It feels like I've been waiting for this forever. I'm hoping the short week will help the time fly by even faster.

As for how I'm doing on 4 ERT patches -- I'm huge. My tummy is very distended. The nausea comes and goes and isn't terrible. But the huge belly is very uncomfortable. I talked to my nurse about it today and she said I should ask the ultrasound person to take a look to see if there's any fluid in my belly tomorrow but she doesn't think there is. She said that some people just react more strongly to the meds than others. So I continue to wear super baggy clothes and have difficulty sitting (at home I can sit in my reclining sofa which helps a lot -- makes room for the booby-do that I don't have when I'm sitting upright).

So yes I have an u/s tomorrow morning. We'll find out then how my uterine lining is doing to make sure we're on track for a 7/13 FET. I'm very excited to get feedback that all this discomfort is paying off and my uterus is looking great (fingers crossed).

Otherwise we're in good shape. All booked up for the trip. I'll post our travel plans on a side bar so others who are going to CCRM can see where we're staying etc.

Saturday, July 2, 2011

Thank you acupuncture. Thank you.

By mid-afternoon yesterday I couldn't take the nausea any more. Nothing was helping (e.g., saltines, ginger ale, mint tea). So I scheduled an appointment with an acupuncturist that a friend of mine here in town saw before she got pregnant via IUI. He was great! I used to get acupuncture when I lived in NYC but that's been almost 10 years ago now (wow time flies). So that combined with all the shots I've had over the past 1.5 years made me very comfortable with asking someone to stick a bunch of needles into me to try to solve my nausea problem.

And it definitely helped. I felt much less nausea after my appointment. And it was definitely relaxing so if nothing else it was worth the $$ to decrease the stress.

Unfortunately I then went to Whole Foods to pick up some of Allegro's Happy Tummy tea and got nauseous from all that walking around. So spent the rest of the night on the couch trying to not move. The acupuncturist put a couple of those sticky magnet thingies on my wrists to help with the nausea. And I don't know if it's those or that my body's getting a tolerance for the estrogen, but I feel way less nauseous today. I'm not 100% but I can walk around without feeling like I'm going to hurl.

My insurance doesn't cover acu for infertility (despite the fact that there's actually data supporting acu for infertility treatment) so it was OOP. I plan to see him one more time next week then get acu at CCRM right before and right after the transfer. I figure it can't hurt and that way I feel like I'm doing all I can to try to increase our likelihood of success.

I have a Canada Day party at a (Canadian) friend's house today so fingers crossed I can get through it sans nausea.

Friday, July 1, 2011

Ah nausea

Today I am super nauseous. I think it's because yesterday the ERT was up'ed to 3 patches. And it is now a well-known fact that my body does not respond well to changes in hormones. It's so bad that I'm taking the day off work because I can't imagine trying to get anything done without having to throw up. Fun times.

I'm hoping today will be a transitional day in which my body is getting used to this much estrogen. And then it'll get used to it and I'll go back to feeling less nauseous.

12 more days until FET. 12 more days until FET. I'm almost done with this. I'm almost done with this. This is my new mantra.