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Monday, September 26, 2011

Drug-free!!!

My estradiol level came back at 941 Friday which means all continues to look good hormonally and I'm off all hormone meds! I'm so excited to see how my pregnancy feels without hormone support. I'm hoping like my mom's who had no morning sickness, etc.

I've heard from some of my CCRM friends that this transition can be scary because it means no more hormone support and we have to rely on our bodies to take care of the baby. Although I can certainly understand that scare, I haven't had it yet. Rather, I have this wonderful sense that my baby is actually healthy and the pregnancy is actually going well so we don't need the extra support. Of course, I'm a bit worried that I'm jinxing it by even writing that, but that's how I feel -- and it's a wonderful feeling :)

I haven't graduated from CCRM yet. They want to check my estradiol this afternoon and if that looks good, then I think I may be graduating. I'll let you know what they say...

Tuesday, September 20, 2011

holy 2nd trimester Batman!

Below is a pic of the baby at 12.5 weeks. S/he's doing great! Was sitting straight up and starting to really move in there. S/he seems to like bringing her/his arm to face then back down again in a manner that looks like waving at the camera :) And at one point during the ultrasound s/he stretched -- it was adorable!

Size of the baby and my uterus all look good. The heart rate was 165 which she said was perfect. I'm nearly off all my meds (only on 1 Vivelle [ERT] patch every other day), so soon I'll be a normal high-risk geriatric pregnancy (i.e., I'll graduate from CCRM and just be under the care of my OB). The pregnancy will always be considered high risk because it's an IVF pregnancy and because I'm over 35. So other than the blow to my ego that comes with being "geriatric", we're all doing great!

I'm considering changing OBs. The one I'm working with right now is very nice and shares a lot of my and DH's thoughts about delivery. But she's very new to practicing -- has only been practicing about a year. And at first I thought that might be a plus -- that she'd be up on the research etc having just got out of school. But I'm starting to think there's also something to be said for experience. For example, I asked her today when we can get tested for CF to confirm the baby is CF negative. Her first response was "When the baby's born". What what what?!? So I followed-up that no we'd like prenatal testing to confirm the PGD worked. She stated that she assumed that since we worked so hard to get this baby that we wouldn't want to do anything to increase risk of m/c (can only test for CF in utero with amnio which has risk of m/c 1/300 cases). I was disappointed that she would make that assumption without asking us esp since we went to all this trouble to do what we can to have a healthy baby.  I want an OB who tells me my options and then lets DH and I decide rather than making assumptions. If I didn't remember from our meeting with the genetic counselor that about now is the time to get tested for CF, we could have never gotten tested.

The other red flag -- she's going to call the people that do the testing today bc she actually doesn't know all the details of when to test, whether I need amnio or a more invasive test for CF, etc. Again, suggests she doesn't have a whole lot of experience/knowledge about how to treat a patient like me. I appreciate that she's looking into it but at the same time, as a high-risk geriatric pregnancy I think I want my OB to know stuff so she can act in the moment just in case anything goes wrong.

Friday, September 16, 2011

12 week bloodwork

My levels continue to look good. Estradiol level is 858, Progesterone is 20. I can decrease the Vivelle (ERT) patches from 2 to 1 every other day and I can stop Prometrium altogether.

Symptoms are doing better for the most part. I am EXHAUSTED a lot of the time. I take naps when i can but a lot of days I can't. So work has been much less productive than I would like. But that's a small price to pay for having gotten this far.


I have an u/s Tuesday. Looking forward to seeing our baby again :)

Wednesday, September 7, 2011

10.5 week OB appt

Had my 10.5 week OB appt yesterday. All looks good--I got to see the baby and his/her heartbeat. No picture this time because we used a little portable u/s machine without a printer.

We did have a funny/scary moment -- during the appt I asked my OB about exercise. I said something like "assuming the baby is still there and has a heart beat today, I was thinking about starting some low impact exercise if I've made it to 10.5 weeks". She couldn't believe I said that -- she said most patients would vomit at the thought that their baby was no longer alive and well. My response was something like "well, after 2 years of battling IF, you get used to adjusting your expectations just in case things don't work out". She assured me that my baby would be fine and told me to hop up on the table so we could listen to the heartbeat as proof.

Then she couldn't find the heartbeat.


So my OB starts to panic and goes and gets a portable u/s machine so we can see the baby's heartbeat since she can't find it with the doppler to hear it. She found the baby and we both exhaled a sigh of relief when we saw the precious heartbeat, proof that my baby is alive and well.

She then grabbed the doppler so we could hear it. Again she couldn't find it. She had me go pee since maybe my full bladder was preventing her from finding it. Still nothing. By now she's worried that she's freaking me out since I can't hear the heartbeat. I assure her that after all I've gone through, just seeing the baby's heartbeat is enough, esp since she said the heart rate looked good on the u/s. So I didn't get to hear the baby but did get to see him/her which is amazing and wonderful and enough to reassure me that all is well.

What I forgot about until much later was that an u/s tech told me during my last u/s that because I have a retroverted uterus, it can be hard for OBs to find the heartbeat at this stage.

So the baby is doing well, I'm doing well. They took a ton of blood for various tests so I'll post if anything significant comes out of those tests. Otherwise I continue with my 1 prometrium pill and 3 Vivelle (ERT) patches.