IVF DIARY VOL I: 18-20 Aug 2015

August 20, 2015August 20, 201514 Comments

Medication(s) administered and dosage(s). Progesterone 1ml, vivelle dot estrogen patches 0.1mg x2.

Medical procedures undertaken. Beta pregnancy test.

How do I feel today? I have written a separate post about this today as I felt that my feelings should be captured in their own space. To sum that post up…I’m cautiously optimistic.

What are my symptoms? Sharp pains, sore back and I can feel the nausea coming.

How does Chris feel today? He too is cautiously optimistic too and has an occasional outburst of tears welling up. I love how he shares his feelings with me openly and honestly.

Any results? Maybe I should have put this one higher up. Yes – I am pregnant according to my beta test. I don’t know my hCG levels yet, my phone is playing up so I can’t access them at the moment. But I know that the doctor is not concerned about them. Yey 🙂

What’s next? Second Beta test scheduled for Tuesday next week.

Weight. Holding at a reasonable level.

Waist. Getting smaller!! But not for long, hopefully.

Boobs. Getting bigger!!

Hours of Sunshine 🙂 I got some last holiday sun yesterday as it was my mum’s last day in Virginia, so we headed to the beach for some dolphin watching.

This concludes Vol 1 of my IVF diary and this will be my last ‘diary entry’ (Of course I am blogging still – duh!!). It has been a roller coaster of emotions, I have learned a lot. I will share my ‘lessons learned’ of this cycle later this week. But overall, it’s not a bad note to end on 🙂

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.

What is cautiously optimistic?

August 20, 2015August 20, 201549 Comments

What do people mean when they say they are cautiously optimistic? According to the Macmillan dictionary it is defined as:

Hopeful about something, but recognising the problems involved.

I think to describes nicely how I have felt about trying to conceive since we decided to make the leap towards becoming parents.

I also like this image – they say a picture paints a thousand words. Sometimes it has felt like there is a storm out there and our umbrella is going to be whipped away, but most of the time it is just like this picture.

Cautious optimism represented by an image

But for me – this picture paints accurately what cautious optimism looks like for me right now…

Two pink lines

Yes, my dear friends, this is my blue sky approaching! I took a pregnancy test the night before my beta blood test. I was very spontaneous about it. Chris came home from work, he sat down and said “So…injection or test first?”. He threw me off guard because I had been so good at not thinking about using a home pregnancy test, it was just a surprise he said it so nonchalantly. I laughed nervously and exclaimed…”No! Don’t be silly you have to wait!”. And to that, I decided spontaneously to dash upstairs and pee on the one first response home pregnancy test I had left in a drawer. It took seconds for that second pink line to appear, it appeared before I even had a chance to put it down on the work surface. Well that was not what I was expecting! So I left it next to the sharps box for Chris to see when he would start preparing my injection for the evening. I dashed back downstairs (it had only been 2 minutes) Chris had no clue what I had just done. And so we started the ritual of the progesterone injection. We went upstairs with everything needed and I lay down on the bed as if preparing myself for the injection….when Chris shouted out from the bathroom – “hey there is a pregnancy test here??” in a very confused manner. After a second or two of blank face, he almost cried, hugged and kissed me. We talked about how it was not guaranteed and we will find out the next day if this was for real or not. So we decided not to tell my poor mum who was downstairs at the time – oblivious to what was going on!!!

The next morning, my mum and I went to the clinic for my beta blood test. The nurse asked me if I had taken a test yet…I looked at her and smiled…and the nurse said ‘yey!!!’. I was busted – mum had overheard the nurse ask….so I had to tell her what had happened the night before!

And so I waited for the phone call from my doctor. When I saw the number pop up on my phone I took a big breathe. It was actually not my doctor but one of the other doctors who had been doing my ultrasounds. I answered and she said “So….do you feel pregnant?” (What a weird way to start a phone call!!!) I said “maaaaaaybe…..” nervously wondering if this was a cruel joke! And she said “Yes! Yes you are pregnant!!! Your numbers are great…..you need to keep taking the progesterone and estrogen…we probably want to see you again next week for another test….blah blah blah” (-is all I heard after that!) So that was that.

We are pregnant!

Can I put my umbrella away yet? Of course not. Some people may read this and think I am ungrateful or maybe even conceited, but they probably are people who do not understand what infertility can do to the mind. I’m not sure at what point in this process I will take ‘Congratulations’ with a smile. Please understand that I appreciate your kind thoughts and sentiment, I know you are really excited for us….just don’t worry if I don’t respond with an excited smile. Getting a positive pregnancy result after IVF is an awesome step in the right direction, I feel so lucky that we have got this far, but I can’t get excited about having a baby just yet.

I am cautiously optimistic about this exciting step…I’m just hoping it isn’t a false summit.

On being PUPO at P-1 Day (Prove Day)

August 19, 201524 Comments

I officially have the status of being Pregnant Until Proven Otherwise (PUPO). I can ‘enjoy’ this status for about 24hrs longer because tomorrow morning I have my first ever beta pregnancy blood test. What is a beta pregnancy blood test? This is a blood test that will reveal ‘quantitatively’ the amount of hCG (Human Chorionic Gonadatropin) in my blood (hCG is the hormone that is produced when a woman is pregnant).

The last 24 hours have been interesting. Yesterday I thought my period was about to happen. I discovered a bit of dark brown spotting….I freaked out. Then I thought perhaps implantation bleeding? But surely this is way too late for implantation bleeding and unlikely to be possible??! (Remember I have an upside down uterus so perhaps the blood from the implantation has taken a while to ‘gravitationallly’ find its way out! Perhaps it is not impossible?!?!) But then I had horrible aches that felt like a period for several hours afterwards. I felt that it was all over. I went to bed last night pretty much expecting to wake up to my period flowing. I even got upset when Chris told me I should go to bed with a pad and knickers on. I shall not surrender!!!! But no!!! Cruel Aunt Flow teases me!!! Nothing has shown itself since.

Last night I had a weird dream. I basically took three different home pregnancy tests. The first was positive, because I couldn’t believe my eyes, I took a different brand…and it came back positive. So Chris made me take this crazy test. The results were really hard to interpret. The lines looked like inter-twinned ladders and required knowledge of matrix calculus to understand it, and so we argued over whether it was positive or negative. It was positive.

Today, I have been aching like my period is about to arrive, however, I have been experiencing those sharp pains again like in many of my other previous 2 week waits.

The problem with being PUPO is that the progesterone injections and estrogen patches I am being ‘topped up with’ each day to help make a cosy and attractive womb to Huckleberry and Huckleberina are probably causing all of these symptoms. So I am not going to think too much about it all….I remain as I mentioned in my previous post – indifferent.

Lots of people have been sending their love and support over the last few days, and for this we are truly appreciative for the kind thoughts.

So….all that is left to do now is…Prove! I’m excited, nervous and scared all in one breath…or maybe it’s just the drugs!!! Who knows?!?!

Ohhhh just one last thing I will levae you with to make you smile….here is the spectacular bio-luminescent plankton we observed on Sunday. Chris did a great job of the pics! I hope we didn’t use up all our luck this epic weekend of fun!

the bio-luminescent plankton

IVF DIARY VOL I: 15-17 Aug 2015

August 17, 2015August 17, 20158 Comments

Medication(s) administered and dosage(s). Progesterone 1ml, vivelle dot estrogen patches 0.1mg x2.

Medical procedures undertaken. Nothing!!!

How do I feel today? I am 11 days past my 3 day transfer. I am very close to ‘prove’ time…I am feeling sadly indifferent about being ‘PUPO – Pregnant Until Proven Otherwise’.

Time has flown by this weekend – it was quite an epic weekend. First of all it kicked off with a games night with friends – we played Risk – I didn’t win 😦 But it was still fun (Did I mention I hate losing??)!!! Saturday day time we took a trip to the ‘not so Dismal’ Dismal Swamp. The conditions were glorious.

Dismal Swamp – How did it get it’s name???!!!

Saturday evening we went to see Cirque Du Soleil’s Kooza. I AM SO LUCKY!!! You may recall that I originally booked front row tickets for my Mum as a Birthday present for the 6th August – which ended up being the same day as my 3 Day Embryo Transfer. Because I was on doctors orders for 24 hour bed rest I was unable to go 😦 But then an amazing act of mother nature cancelled this show because of a lightening storm. Thank you mother nature!!! So we re-booked our tickets for this Saturday….and it was AMAZING!!!! Any other circus will never be the same again….these people are just so talented – the story, choreography and music FABULOUS!

Chris doesn’t like ‘Selfies’ (It’s not a selfie, but a groupie!!!)

But the amazing weekend didn’t end there! Sunday we headed to Back Bay Wildlife Refuge and False Cape State Park for a bike ride where we saw mother nature in her awesomeness again. Afterwards we had a dinner sunset picnic on the beach, followed by a hunt for bioluminescent Plankton. The plankton was lighting up the dark skies of Sandbridge beach’s ocean water in an amazing luminous green colour. As you walked on the wet sand the ground lit up with luminous green beneath you (A bit like in Avatar!!) I wish I could show you some pictures, but there would be no justice in the photo, you just had to see it with your own eyes to appreciate what an amazing phenomena this is!

I also completed my 4 week online course on Data Visualisation…it kept me a little distracted, but honestly it was a mistake to sign up for it with everything going on over the last 4 weeks. If it had started 3 weeks later it would have been good to keep me distracted in the 2 week wait rather than working when I was struggling to recover from the egg retrieval!!

We bumped into a friend at the supermarket on Sunday who has previously sent us a private message of encouragement after our facebook announcement of our Embryo Transfer. I nearly burst into tears as she gave me a big hug and wished me lots of sticky vibes. So lovely.

As you can see I spent a lot of time having fun this weekend, but I was not distracted from the fact that I was sad at times for absolutely no reason at all, I cried over the smallest things, and I argued with Chris over the smallest things. DAMN DRUGS messing with my emotions!!!

What are my symptoms? The sharp pains have subsided over the last few days, which makes me think waaay too much that this IVF hasn’t worked. Apart from the growing boobs and the emotional schizophrenic Dani, I have no other symptoms.

How does Chris feel today? Chris has put up with a lot of my random outbursts of tears and overly aggressive and defensive approach to every day occurrences. He has been worried about me, of course. He is very hopeful and talks to huck and huck, telling them to bury deep and grow strong. He helps keep me mostly sane about all this.

Any results? No.

What’s next? Test time! I will do a home pregnancy test at some point before my blood test on Wednesday. I know they are not wholly reliable after IVF but I want to have some kind of expectation before hearing the results over the phone.

Weight. NSTR

Waist. Still not quite back to my normal waist size 😐

Boobs. NSTR.

Hours of Sunshine 🙂 The sun has just not stopped shining this weekend…if sunlight is as important as they say they are for egg development then my eggs are getting BAKED!!!

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.

IVF DIARY VOL I: 11-14 Aug 2015

August 14, 2015August 14, 20157 Comments

Medication(s) administered and dosage(s). Progesterone 1ml, vivelle dot estrogen patches 0.1mg x2.

We hit a blood vessel with the progesterone needle!!! Well mum did the check once the needle was in, drew back a little bit and she saw blood, she coped with it calmly and I told her it was OK we just change the needle and try the other side of my buttock. I explained to her it was just one of those things that happens occasionally and that is why we check. She was so worried she hurt me. Poor mum. She did well not to pass out because I think I would have done if I saw that!! It didn’t actually hurt, but I did get some tingling, numbing sensations running down my leg!!! Then it bruised a little but afterwards, but no different to any of the other injections.

I think I have finally sussed out the Estrogen patches (vivelle dots – which by the way are nothing like a ‘dot’). Sticking them oblong ways round and peeling them off from outwards to inwards towards the belly button is the easiest and least painful way to pull them off…I’ve tried every way round!!! I still haven’t quite found a good way to remove the sticky residue.

2 patches – change every two days

Medical procedures undertaken. Nothing!!! But I returned to work yesterday to find lots of emails – from my medical insurance company notifying me of all the claims that had been submitted by the fertility clinic for all the medical procedures over the last IVF cycle!!! Every single ultrasound, blood test etc has an individual claim number…this is going to be a pain to track as soon as the bills start arriving through the door – time for a spreadsheet!!!

How do I feel today? I am 8 days past my 3 day transfer and honestly – I am not feeling positive anymore. A few nights ago I woke up with horrific pain in my abdominal region. I can’t pinpoint where it was exactly. I cried as I curled up and thought I was going to have to take myself to hospital (I was in a hotel with my mum at the time), but after 15 minutes the pain subdued. The next day I felt the residual pain, which I can only describe it to be like what you might experience after you have cramp in your leg after the cramp goes away, but the muscles ache from the cramp and is on tenterhooks for cramping again if you move too fast. I have not experienced any more of this type of pain since. I wondered if it was implantation cramping, but it was so painful, could it really be that?

The day after this night of pain I was due to do some guest lecturing at an offsite location near DC…let’s just say my office messed up and I was unable to access the site I was visiting because someone decided to handover their work and something fell through the gap. Cue RAGING DANI…..8 hrs of driving and a night in a hotel wasted because someone didn’t properly do their handover when they were leaving. So I called my boss, told him the situation and asked for the rest of the afternoon off – he pointed out that I needn’t have asked – he was actually more worried when I left a message for him to call me back that there was something more serious wrong (i.e. with my health!). So I went shopping with my mum. I will save the details of this for another post dedicated to shopping, but this is when I really started to feel more negative about everything and I have not been able to shake it off since.

What are my symptoms? I I have had lots of mini sharp pains and some dull aches like I have experienced in two of my previous IUI cycles. My boobs are growing fast with much sensitivity! I ache, like having a period time type ache all over my body. The injections are not so bad, but they kind of rule your life a little bit. It know it will be worth it if I do end up successfully carrying huckleberry and huckleberina to term, so it’s something to just live with. (By the way, this is for Chris mostly, and anyone who has missed my previous blog post – we will NOT be naming these poor babies huckleberry or huckleberina, they are just affectionate names whilst they are inside me 🙂 )

How does Chris feel today? Chris had a weird dream last night about using blown up balloons as a rope to do some climbing – he used about 30 balloons, then they burst. I thought it might have been some kind of dream about how he felt about IVF, that we had put all this effort into getting so far, climbing up the mountain and it was all for nothing – a blow out. He said I was being silly, and perhaps I am, but I dream a lot so I always try to think about why I dream certain things.

Any results? No.

What’s next? Enjoy the rest of the time my mum is visiting – we have quite a fun packed weekend planned!

Weight. Fortunately my weight loss was only temporary, I am getting away from the danger zone of being underweight. I have enjoyed plenty of eating out over the last few days of my trip to DC!!!

Waist. Slowly the bloat is disappearing, but not quite back to my normal waist size.

Boobs. Woah they have grown massive! Chris can look, but not touch – they are way too sensitive :-p I’m going to have to change the scale on my chart at this rate!!!

Hours of Sunshine 🙂 Sooooo much lovely sun. What an amazing summer we have had compared to the Augusts of the previous two years.

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.

IVF DIARY VOL I: 07-10 Aug 2015

August 11, 2015August 11, 20155 Comments

Medication(s) administered and dosage(s). Progesterone 1ml, vivelle dot estrogen patches 0.1mg x2.

The progesterone injection sites tend to ache for about 24 hours, just in time for the other buttock to start aching! In some ways, it is only painful in that it feels like I have just had a really good gluteus maximus workout (I wish that were the case!!)

Medical procedures undertaken. Nil – hooray!

How do I feel today?For the last few days I have been too busy to think about infertility or being pregnant until proven otherwise! We have done quite a bit of siteseeing which has helped occupy my mind. I am now on a work road trip with my mum in DC so we have filled our time well so far. I’m feeling not too bad.

I am also feeling lucky!!! After my last diary entry I forgot to write that the evening of my embryo transfer I was on bed rest so I could not go to see Cirque du Soleil (I had booked front row tickets as a Birthday gift for my mum). So we gave my seat up to Chris’s friend and instead my friend came over to keep me company with pizza and a movie. The show started at 8pm, so you can imagine my surprise when I heard someone fumbling with the front door at 9.15pm. Chris and mum were back early. They started telling me some story about how short the show was and that it was pretty disappointing. I was upset!!! But then they told me the truth…the show had been cancelled due to the Storms!! How lucky am I?? I don’t get to miss out on seeing Cirque Du Soleil after-all!!! So I rebooked the tickets for next weekend (no front row tickets available 😦 ) Talk about luck??? I just hope I haven’t used up all my luck just yet ;-P

What are my symptoms? Bloated still, but the pain from my ovaries has reduced. I feel constantly dehydrated despite drinking about 4 times the amount I ordinarily would. Of course this means I am peeing 4 times as often. My weight….I am hope it is not a symptom, but there is definitely a weird correlation!!! See below for surprise trends.

How does Chris feel today? I don’t really know because he is back at home 😦 But I do know he is super happy that he has finally booked our campervan for our road trip out West in October.

Any results? We did not hear from the clinic today whether the two other embryos made it to freezing. I am really disappointed at the lack of communication from them. Especially as we received a questionnaire in the post today requesting feedback on their customer service for this IVF cycle. Seriously??! My cycle isn’t over just yet!

What’s next? Keep calm – I’m pregnant until proven otherwise.

Weight. So my weight is still lower than when I started this cycle, not by a huge amount, but enough to put me on the border of having the ‘underweight’ BMI label. I do not want to be underweight, this is not good for trying to conceive. So I have dutifully been eating more, but with the bloating and re-hydrating there is just sometimes no more room left in there!!! If you look at the chart below you can see my insane waist to weight ratio. It just makes no sense.

Waist. Trying to wear comfy clothes to let the bloat hang out.

Boobs. Tender and filling out a bit.

Hours of Sunshine 🙂 We had some beautiful weather on Sunday, I now have a slight glow to my pale skin!

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.

IVF DIARY VOL I: 05-06 Aug 2015

August 6, 2015August 6, 201522 Comments

Medication(s) administered and dosage(s). Progesterone 1ml, vivelle dot estrogen patches 0.1mg x2, colace x1

Medical procedures undertaken. We woke up nice and early for our 7AM appointment. As we parked up our doctor also parked up, so there was this awkward moment of where I was walking very slowly (still constipated and sore from the egg retrieval) and she clearly had somewhere to be! Of course Chris had lots of questions for her as he collared her on her way into work about me and my recovery. Anyway, so we were called upstairs to the IVF surgery room and I was ushered to the same cubicle I was in on Monday. The nurses immediately noticed I was waddling and I told them about my constipation and bloating. They were very sympathetic and gave me advice on taking extra colace, prunes, prune juice and apricots to get things moving. They did not want me straining myself to poo!!! One nurse said that she sees so many patients like me and doesn’t understand what causes it. The doctor said it was the progesterone, but I was constipated before I took the progesterone! After I got changed into my gown and deli hat, I walked back to my cubicle and our doctor was looking over our chart, she said we had 2 beautiful strong embryos, but 2 not so strong that needed to be left in culture for longer to see if they survive to blastocysts on Day 5 for cryopreservation. And then off she went….there was no discussion. So I guess we are doing our transfer today then. I turned to Chris and said is that OK?? And he shook his head in a manner that was like sure why not.

The nurse took my vitals and I started to sip my bottle of water; she warned me not to drink too much because I wouldn’t be able to pee until an hour after the transfer :-s I drank 3/4s of a bottle of water and that was plenty…in fact probably a little bit too much. Chris got changed into his ‘egg packing factory suit’ – he looked awesome! He was going to come into the surgical room with me! Brucie bonus! He was well trained by the nurse on when to take photos of the embryos and where he would sit for the procedure.

Twit-twoo!!!!

As we were waiting, I overheard the lady in the cubicle next to me begin to cry. She was going in for her egg retrieval and had just had her Intra-venous drip inserted. The nurse asked her what was making her sad (I like this nurse, she clearly has much experience with these kind of situations). The lady said she was afraid of going to sleep. As the nurse explained the process and how it was just like taking a strong sleeping pill, all I wanted to do was pull back the curtain and giver her the biggest hug ever and tell her it’s OK, it is no where near as bad as general anesthetic and you are going to be just fine – I know it’s scary but it’s going to be easy and won’t hurt. But of course this is a big no-no, talking to other patients.

After about 30 minutes of waiting I was taken into the surgery room on the trolley (very lazy!!!) and I scooted onto the table. I put my knees in stirrups this time and I was fully bare and exposed to the world. Unpleasant. Chris was sat behind me so he could hold my hand.

The surgery room

The doctor knocked on the embryology lab door to give the go-ahead to get the embryos prepared. We watched on a TV screen to check that the embryos had our name on the petri-dish and then we saw our two embryos for about 5 seconds!

Our two little 8 cell embryos – AKA HuckleBERRY and HuckleBERINA (because they look like raspberries)

They did look pretty good! They looked nice in shape and symmetry, the doctor was very complimentary about them. Then two embryologists came into the surgery room, read my wrist band and asked me my name – this is performed by two people so absolutely no mistakes are ever made getting the wrong embryo in the wrong patient!!! The embryologists went away to prepare our embryos. After this moment, the doctor checked my abdomen, both physically and using an ultrasound (not a transvaginal ultrasound for a change woohoo!!!) except my bladder was full, I was constipated and still sore from the egg retrieval – I winced the whole way through. Everything seemed good and he inserted the speculum and washed out my uterus. The nurse came and told me that from what she could see on the screen, my ovaries were super enlarged still and I have a mild case Ovarian Hyper stimulation syndrome that will go away soon, I just need to keep up my fluid intake. Then the doctor knocked again on the embryo lab’s door. This time the embryologist came in with a soft flexible catheter with the two embryos ready and loaded to be inserted into my uterus. Using the ultrasound as a guide he inserted the catheter and we ‘watched’ the embryos be ‘puffed’ in by air into my uterus. I say ‘watched’…I could barely see the screen from the angle I was at. But I nodded my head not wanting to disappoint him that I missed it. Before the speculum was removed the catheter was given back to the embryologist just to check under a microscope that the embryos were not still in the catheter. A few moments later the speculum was removed which was a huge relief, it wasn’t painful, rather very uncomfortable I wanted to pee right there on the table. I was scooted back onto the trolley and wheeled back to my cubicle where we were told not to go anywhere for 1hr…not even the toilet!!! Eeeek!!

We read a bit and then played a game of crib whilst we waited. I won! If I hadn’t have won, I am not sure Chris would have survived the rest of the day. That made time fly by and then it was time to go!!! We were given a couple of souvenirs…the petri dish our embryos grew in and a little card with the results of our egg retrieval. Chris took the deli hat too – I think he likes it a bit too much.

Souvenirs!!! Petri dish our embryos grew in, report card and a deli hat. Stash!!!!

How do I feel today? I had a terrible night’s sleep dreaming that we would turn up to the clinic with just 1 weak embryo to transfer 😦 But now we have done the transfer I feel like a weight has been lifted off my shoulders. I feel like I can get on with life right now and enjoy this summer!

What are my symptoms? I woke up with similar pains from the egg retrieval, tender, hard bloated stomach (very hard) and constipated. I was waddling. When we got home I sent Chris out to get prune juice, prunes and apricots. The prune juice worked it’s wonders about an hour or so later. The nurse told me not to strain, so when it was time to go to the toilet I tried my hardest to just let it all come out, but seriously, once it did all come out, it was the BEST feeling. I am no longer waddling in pain and my stomach is not so hard anymore. So I think most of my problem with pain was constipation. I have Irritable Bowel Syndrome (Diarrhea variant) so I am currently sat here with a gurgling tummy, and I am soooo pleased I am back to normal! (Fingers crossed anyway!!)

How does Chris feel today? Feels good. He looks forward to this 2 week wait being over. (He is a man of many words :-))

Any results? Two 8 cell embryos transferred and safely inside me – huckleberry and huckleberina because they look like raspberries and Chris always talks about calling his son Huckleberry. So let’s just say this is a compromise!! 2 other embryos are growing in culture hopefully over the next couple of days, fingers crossed they survive and can be frozen. I’m Pregnant until proven otherwise.

What’s next? Enjoy the two week wait. My mum is visiting so she has been brilliant so far putting up with everything tht is going on, so I’m hoping to take some time off to enjoy some local sights and sounds. The pregnancy test will be the day my mum flies out in 13 days.

Weight. OK so I think I have actually lost weight, if you account for all the fluid I have taken on and my waist size. This isn’t surprising considering I have reduced my intake of food because it won’t physically go in!!

Waist. Still bloated, but hopefully it will improve tonight now I have relieved myself!!!

Boobs. Starting to feel tender from all the hormones!

Hours of Sunshine 🙂 Fat chance! It’s miserable out. Plus I’m on bed rest so I’m pleased about this fact!

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.

When to transfer? The pros and cons

August 5, 20158 Comments

Last update I had on the development of our embryos was Wednesday morning (Day 1)…we had 4 fertilised eggs. Today (Day 2) we do not know what has happened to them. Tomorrow (Day 3) at 7AM we are going in to potentially have a day 3 embryo transfer. So we have been debating about our decision to do a day 3 or a day 5 transfer. Without any knowledge of the status of our embryos everything is rather circumspect. So we discussed the pros and cons of each scenario*.

Day 3 Pros

Good chance of actually having a transfer!
Maybe the embryos will be better off developing inside me.
Freezing on day 3 means we have more embryos to freeze.

Day 5 Pros

You get to transfer the best embryos
Physiological conditions – embryos (blastocysts) would normally be in the uterus at the stage – so they are in the right place!
Reduces the chance of multiples
If the embryos don’t make it to day 5, then there isn’t a 2 week wait to find out and therefore less medication.
good quality embryos (blastocysts) frozen.
Better chances body has recovered from egg retrieval.

Day 3 cons

A greater chance of multiples
Embryos normally would be in the fallopian tube on this day
Poorer quality embryos may be frozen
Lower quality or ‘wrong’ embryos may be transferred
Body not fully recovered from egg retrieval procedure – I am actually still massively bloated, my abdomen is sore and hard, walking is still not my greatest past time at the moment, I still have constipation and I am still bleeding a little bit (Initially thought I was peeing blood today!).

Day 5 cons

Embryos may not grow to blastocyst (usually due to abnormal genetics – although isn’t this a good thing?)
There is a risk of no transfer at all (crazy emotions could be a point here)
Potentially less embryos to freeze
May loose some embryos that would have grown inside the body

After our discussions we both believed that we would probably want to wait to transfer to day 5, but we will wait to see what the doctor suggests. I feel like we will have to make a decision on the spot which is a bit scary. And it is both of our decisions, not just mine and not just Chris’s either :-s Eeeek, I’m nervous!!!

*This list was mostly adapted from the book: IVF: A Patient’s Guide by Rebecca Matthews

IVF DIARY VOL I: 04 Aug 2015

August 4, 2015August 4, 201512 Comments

Medication(s) administered and dosage(s).

Doxycycline to reduce chance of infection after the egg retrieval.

Acetaminophen/Codeine #3 300/30mg 1 every 4-6hrs as needed for pain – although I took one this morning, I’m afraid this is not helping with my constipation and I don’t think it is helping with the pain, so I’m not taking anymore.

Colace, to help counter my constipation.

Vivelle Dot Patches x2 (Estrogen usually administered to menopausal women). These are super easy – they stick to my abdomen…now that is something I can do myself!!! I love the fact that they say on the box “Do not use if you are pregnant”. HA!!!

Progesterone in oil – 1mg. Oh my goodness, this is an intra-muscular injection with a 1.5″ needle. I lay down on the bed on my front. Using a cool pack I iced my buttock cheek in the top right hand quadrant where Chris injected it. I hardly felt the needle going in as a result of the ice numbness, but I felt like Chris was pushing really hard so I said he doesn’t need to put pressure on it when it’s in me! He told me that there was hardly an imprint of the needle on my skin, he wasn’t pushing! I guess that is just how a needle feels going into the muscle! Afterwards we massaged the area and then I applied a heat pad to the injection area. Owwww I feel like someone has kicked me in the butt cheek!! It’s really isn’t so bad, but I am not the one adminstering it, so I can look away!!

Medical procedures undertaken. No procedures on me per se, but my mature eggs were “ICSI’d” yesterday afternoon and our fertilised eggs are being looked after by the embryologists so they develop into embryos.

What are my symptoms? I am massively bloated – my waist increased by 4cm and I put on 3lbs despite the fact that I hardly ate anything yesterday. I am constipated, I poo usually 3 times a day and so far nothing. I’ve taken some Colace which takes 12-36 hours to work – not soon enough. My bowels and stomach also hurt whenever I pee and fart. Farting releases a little bit of the pressure, but does not relieve me! It hurts when I walk, the pain is not getting any better. The nurse said I should call tomorrow if the pain continues to worsen or I put on anymore weight because I could be at risk from Ovarian Hyper Stimulation Syndrome. They would need to do an ultrasound to check how my ovaries are doing. I really really hope this starts to go away so I can go to work tomorrow plus I want to be better before my transfer. In the meantime the nurse advised drinking liquids, not just water but juice, gator aid and soup. Eat small portions….I am soooo hungry, but I can’t physically eat a whole meal right now!!

Day 1 – pronuclear stage: 1 cell with 2 dots in the middle. This indicates a normally fertilized egg with each dot representing genetic materials from the mum and the dad.

Any results? This morning I received a phone call from the IVF nurse co-ordinator who gave me an update on egg/embryo status. When I answered the phone she sounded so somber I thought she was going to tell me it had been a complete failure. But here is what she told me. Yesterday they retrieved 9 eggs, 6 were mature, this morning 4 had successfully fertilised, 2 had not, but they may be late developers and so they will call me if they do make it. If they don’t call, they haven’t made it, and 4 will be the number. (They didn’t call in the end 😦 ). I won’t get any more updates until I arrive on Thursday for my transfer procedure (3 days). I’m not sure I like the fact that we won’t receive any more updates, but at the same time, what can I do about it if I was told if they are progressing well? Nothing, so I guess this way it stops us thinking too much about it.

How do I feel today? I am trying to stay positive, I won’t lie that I cried for a very brief while after I got off the phone from the nurse. I was initially upset that less than 1 in 2 eggs made it through to fertilisation. I couldn’t help but think how somehow this is my failure. But I realise this is ridiculous, so I cried for only a minute.

How does Chris feel today? Poor Chris found the intra-muscular injection quite traumatic, I feel really bad. But he did it!!! I will let him tell you all about it in a separate post. He is quite pragmatic about the number of fertilised eggs – 4 today seems like a good number to come away with. However he feels confused, like me, about whether we should wait for a 5 day transfer.

What’s next? I am not sure about the 3 versus 5 day transfer. We do get to discuss things with the doctor on Thursday, but we haven’t talked about it since we started our IVF cycle. I’ve read a lot about the fact that if an embryo doesn’t make it to blastocyst stage at 5 days then it is unlikely to have ever been a viable pregnancy anyway (I am not sure how they can really know that for sure). So wouldn’t it be better to let them get to 5 days to see if they survive to blastocyst stage rather than having false hope with a day 3 transfer and waiting two weeks to see it fail;? This seems like the worst kind of gambling!!!

Weight. I’ve gained 3lbs of whatever over night, it’s not food that’s for sure!!! I’ll keep an eye on it.

Waist. My waist has bloated 4cm in the last 24hrs, which might not sound like much, but it sure is a significant gain for me over this time period!

Boobs. NSTR.

Hours of Sunshine 🙂 I’m not really allowed in the sun because I am taking doxycycline 😦 but I did sneak in a bit (wearing sun cream of course) this morning and had a slow waddle down to the beach.

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.

IVF DIARY VOL I: 02-03 Aug 2015

August 3, 2015August 3, 20158 Comments

Medication(s) administered and dosage(s). A whole bunch of anesthesia drugs…who knows what! And some Acetaminophen/Codeine #3 300/30mg 1 every 4-6hrs as needed for pain.

Medical procedures undertaken. Oocyte (egg) retrieval! I arrived at the clinic today nice and early for a 7AM start. No one was in the waiting room, Chris and I literally sat down for 30 secs when we were taken upstairs to the IVF surgery room. We were number 3 out of 4 for egg retrievals today, so we got to see what the deal was before it was my turn!! I was immediately shown to my ‘bed’ area, a curtained off area, like in any hospital I guess. There was a waiting room/small coffee room for partners to wait in, but Chris mostly sat with me. The nurses I met were bright, bubbly and friendly who seem to love their job, but they seemed constantly busy managing four patients at a time, they did a great job!

I was given a hospital gown and ‘Deli Ham Hat’ i.e. a hair net to put on. I was allowed to keep my socks on! Yey!! We waited for about 15 minutes in the bed cubicle with a ‘hot water bottle’ placed on the back of my hands, then the nurse asked Chris to take a seat in the waiting room whilst she put my Intra-Veinous drip in to the back of my hand. Mostly because the nurse wanted Chris’s seat in order to sit down to do her job! But also so that she doesn’t need to worry about him passing out when watching. Clearly this has happened to some poor person in the past! The nurse apologised for not offering me a numbing cream initially, but I pointed out that another needle really wasn’t going to ruin my day after the past 10 days of injections and needles!! She did a great job of getting the IV in and I hardly felt it (she told me about my great veins!), although I couldn’t watch her do it and had to look away. Once I was attached to a the drip she switched it on and I felt a coldness run up my arm. She went to call Chris back from the waiting room.

As we waited, we heard the other ladies come and go quite quickly. My doctor popped her head in to say hello. She is quite eccentrically introverted, so her bedside manner isn’t the greatest! She asked us how our summer was going, quickly realising where we were, and she said ‘Oh yes, doing IVF, it’s probably quite stressful!’ and then she wondered off. I wasn’t offended by her, she is lovely, but I am not sure she would be everyone’s cup of tea in this regard. In fact the first couple up for retrieval had specifically requested for our doctor to do the egg retrieval procedure because they respect her so much. I am not so sure I would want that. Not because I don’t trust her, but because I’d rather have the surgeon who does it day in day out!

After 30 minutes or so of waiting it was my turn. The anesthetist asked me a few questions, I went to try and empty my bladder – there wasn’t much left at this stage – then she injected something into my IV, I started to feel woosy, like I had had a few alcoholic drinks, my words were slurring as they pushed my bed to the theatre room. They asked me to shuffle onto the operating table, which I just about managed, I put my legs in some stirrups and the anesthetist injected something else. The next thing I knew I was talking to the nurse back in my bed cubicle. Oh the pain was like my worst period times two, I really wanted to just curl up with a hot water bottle and cry. For some reason I had started talking to the nurse about my experience of American military hospitals in Kuwait….I have no idea why! The next thing I knew, I had my eyes open and Chris was holding my hand next to my bed.

During my egg retrieval Chris provided his sperm sample. All in all, I was in and out in 25 minutes. After about 15 minutes of recovery I was up walking to the bathroom – slowly!!! The nurses told me that they thought 9 eggs was the magic number, Which was incidentally the same number of eggs for the two other ladies before me!!! What are the chances of that? Chris and I made a bet, I said 9, he said 11. We find out tomorrow morning how many fertilize successfully. I was made to sit in a wheelchair and taken to the front door by the nurse where Chris picked me up. The drive home wasn’t overly comfortable, I felt every bump. It felt like I was balancing a couple of weights on my ovaries, particularly my right one.

How do I feel today? I’m feeling positive. I also feel like there is absolutely nothing in my control right now, so there is no point in worrying. My mum and Chris are taking care of me whilst I take some time out on the sofa. I really really hope our embryos stay strong to make it to a 5 day transfer because a 3 day transfer would be on Thursday and a few months ago I bought front row tickets to see Cirque Du Soleil for Thursday evening!! Of course if a 3 day transfer is on the cards then I will have to give my ticket to someone else and go another time, just not front row 😦

What are my symptoms? Very tender after the egg retrieval, it feels like I have been punched in the stomach and have weights hanging down from my ovaries so moving slowly is a must!!! Also going to the toilet is quite painful at the moment 😦

How does Chris feel today? He is a soldier. Chris came up with a couple of funny egg based jokes…e.g. Today I will have my eggs ‘poached’…how do you like them? Over ICSI…. (*sigh, groan). But he kept us chipper!

Any results? The nurses said they thought we had 9 eggs retrieved, but tomorrow morning we find out how many eggs fertilise. I’ve finally got all my estradiol results, so I have changed the plot below to show my follicle growth and estradiol together over time.

What’s next? Apart from finding out how many eggs have fertilised, tomorrow I start taking the estrogen patches and Chris starts injecting the progesterone. Oh crap….not looking forward to that.

Weight. I’ve managed to keep the weight off. The nurses said after I told them my weight that I’m the kind of person they dislike! Obviously they were joking 🙂

Waist. NSTR.

Boobs. NSTR

Hours of Sunshine 🙂 It’s 92F outside and I am stuck inside recovering 😦

*Notes. I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily. NSTR = Nothing Significant To Report.