Tuesday, July 01, 2008

My cervix: the bane of doctors everywhere

Wow, amnio is a lot easier than CVS. They had to try the transvaginal route because of the location of the placenta, and, as you may recall, my cervix is extremely challenging. I'd kind of thought/hoped that since I am now 10w2d, my uterus might have come up a bit and straightened things out. Alas: mangling still occurred. Two passes were needed. And she only got the edge of the placenta, meaning the gobs of blood in the syringe were mostly from my uterus. Thus, the CVS may not even work.

And now I'm having some bleeding. I think this is probably because my uterine lining was messed with, but it is still worrisome. If it keeps up, I will call. I ordered a home doppler and just tried it out this morning, and I couldn't find the heartbeat. Now, I'd just seen the heartbeat a half hour before, but this still worries me, too, of course.

For now, I'm going to lie down and relax and hope that everything is okay.

Monday, June 30, 2008

The calm before the mayhem

There's lots going on, though it isn't particularly interesting. Today is my last day at work. We close on our (ten million trillion dollar) house today, too. Tomorrow is my CVS. We're throwing a going-away party for ourselves on Saturday. The movers arrive next Tuesday to pack up our shit; next Wednesday, they load the van. Next Thursday, we fly to San Francisco. Next Friday through Sunday, we'll be at a wedding in Sonoma.

We move in to our financially injurious house on July 17. On July 19, I fly back to the Midwest to pick up our dog and drive him to California (since he's afraid of things as minor as hardwood floors, we felt that flying might be too much for his little brain). From July 24-27, we'll be in the mountains of Colorado for another wedding.

I'm excited but a little bit nervous about living in Bern.al Hei.ghts. It's sort of the Pa.rk Sl.ope of SF -- you know, where I'd be taking my life into my own hands if I were seen feeding a baby formula in public. But, like Par.k S.lope, it probably gets a bad rap on that stuff. And given that I cannot spend five minutes in conversation with another parent without revealing that S.oren is the product of IVF, everyone will know about my unnatural ways soon enough.

I'm sad to be leaving this job. Of the jobs I've had, I loved my first one and this one. And I've really loved the benefits package here, so if you're in the Midwest and need infertility coverage (and a good IVF clinic), you might want to apply.

In closing, here's a recent shot of my boy, who occasionally takes some steps on his own and employs many signs (most often "help" -- lazy bastard).

Will report in after CVS.

Tuesday, June 24, 2008

So happy!

My friends TLB and Brando, long-time (and I mean LONG) IF sufferers, just welcomed their hard-earned daughter Libby to the world. Congratulations!!!

Monday, June 23, 2008

OB appt. #1

Today, I saw my OB. Two things made me happy about this visit: (1) I weighed less than usual, which I didn't expect since I've been eating way more than I did the last time around, though possibly still less than usual, and (2) although I'm just 9w1d and have a severely tilted uterus, we heard the heartbeat (165). I'll be ordering up a Doppler post-haste.

The one downer from my visit was that some retard (I suspect Jim in Scheduling) had cancelled and rescheduled my CVS and had not told me. And the rescheduled date was, oh, after we move. I demanded that they rectify the situation. Stay tuned. I will really freak out if they don't for a variety of reasons, including (1) I would miss the window for a CVS and (2) I have my insurance here but not my CA insurance next month, meaning no CA doctor's visits except for the ER until August 1, and I don't think you can get a CVS done in the ER.

We spent the weekend in the TX Hill Country with my parents for their 40th wedding anniversary. It was fun, and So.ren is now beginning to walk. Also, I killed a scorpion with my bare hands (and a wastebasket).

Sunday, June 15, 2008

Never again will I help other people!

So, yesterday, I sandbagged again. The day before, I'd moved books and boxes out of special collections from the main library on campus. All in all, I was feeling both virtuous and manly. And occasionally not nauseated, since the physical activity helped to quiet my overly sensitive vagus nerve.

Well, today, I woke up to SPOTTING. Now, although I am a big whiner, I have been lucky enough never to have had spotting before, and I thanked my difficult cervix for this. So of course I panicked. And called the OB resident on call, who told me everything was probably fine and that if it wasn't, they couldn't do anything anyway, and I was like, "I'm an IVF patient! I have to have an ultrasound!" So she reluctantly said I could come in and recommended I try the ER first since L&D was very busy.

Part of the reason it was busy, you see, is that the floods have shut down all but one bridge going from the east side of town (my side) to the west side of town (the big hospital's side). So I suspect the stress of the uncertainty whether they could get to L&D drove women into labor. Anyway, I went to the ER, which has been totally remodeled and is extra-deluxe, and I insisted more than once that I was not leaving until I had an ultrasound. ("I'm an IVF patient!", I repeatedly exclaimed by way of explanation.) One of the nurses' daughters had done IVF, so we talked about that. I told them I needed a transvaginal u/s due to my severely tilted uterus, and I think this piece of information frightened off the staff ER physician, who said he was no expert.

So up to L&D I went, where I met the OB resident on call, who looked awfully familiar and who, it turned out, had made my c-section incision with So.ren. She totally liked me in person even though she had clearly thought I was insane on the phone. She tried a transabdominal u/s, but, guess what? It didn't work. So we went dildocam and saw the heartbeat. She wasn't adept enough with the u/s machine to measure it, but it looked fast enough to me. And then she had to rush off because the woman in room 3 was 9cm.

I've been instructed to take it easy. My husband has to get to the municipal airport shortly to take a puddle jumper to the main airport in the region since that road is closed and the detour involves going 287 miles (vs. the 25 it normally involves).

Anyway, moral of the story: don't help other people, or you might spot.

Thursday, June 12, 2008

In non-uterine news...

...we made an offer on a house in Bern.al Heig.hts in SF yesterday, and it was accepted. Surprisingly, this house is larger than our current house here in the Midwest. Inspection is occurring as we speak. If all goes well, we will officially move in mid-July. Inconveniently, mortgage rates shot up today due to inflation concerns. Awesome.

Speaking of the Midwest, I have one word: FLOODING. I've been sandbagging (well, tying sandbags with wire) and am about to go do some more. Apparently the university here has already laid one million sandbags.

Monday, June 09, 2008

Ultrasound update

I had a very bad feeling going into this ultrasound for two reasons: (1) some weird cramping I'd been having and (2) my lack of debilitating, soul-crushing, will-to-live-ending nausea. So I steeled myself for the worst, and when the ultrasound cam was first showing nothing but endometriomas, I wasn't even that surprised. I mean, hey, maybe the embryo had implanted in my appendix or something.

But then there it was -- one clearly visible sac, and then a clearly visible heartbeat. The stats: heartrate of 130, measuring perfectly on target at 7w1d. Due date: 1/25/09. I hate January, so it would be nice to have something good happen then. My husband's flights were cancelled yesterday and then again this morning (fucking Midwestern weather), so he actually got to go to the appointment with me.

While in the waiting room, I did read Conceive magazine, and, let me tell you, I really wished it was Infertile Whore.

Regarding my nausea, it comes in waves and prompts vomiting about once a day. I occasionally feel totally fine, particularly if I've just had a cup of genmaicha green tea, which sounds disgusting and which you're really not supposed to drink while pregnant because it interferes with folate absorption or something, but it works magic on my tummy. I feel worst in the late afternoon/evening and best in the early afternoon. On the HG boards, some women have HG hit them as late as 8w, but I'm crossing my fingers that I just have normal m/s, which is NOTHING compared to HG. I realize it's annoying to have people say shit like that -- like, "Oh, I'm sorry you have a cold; I also felt bad when I had CANCER." But that's what I feel like right now, just comparing my experience now to my experience last time around.

Next up: I am scheduled for a CVS on July 2.

Wednesday, June 04, 2008

A post about not much of anything

So, basically, I'm just sitting aroud, waiting for my u/s on Monday. I have been experiencing waves of nausea, but they may be psychosomatic. As soon as I do anything physical -- like go on a walk or take the garbage cans out to the curb -- the nausea goes away. Same thing if I get engrossed in conversation or work. So who knows? I have been having INSANE dreams, but that's probably just the PIO. And I'm tired and pee often, but that's not different from my normal life. Occasionally, I POAS, which just confirms that I have hCG in my system.

IV.F Connec.tions has been down for a few days, and I'm going through withdrawal. I visit a couple of other boards, but those also have fertiles on them, and sometimes I just want the comfort of IVFC.

Friday, May 30, 2008

More self-improvement needed

One of the things I've learned from infertility is not to weigh in so blithely with what I "would" do if I were in a situation I've never been in (or even one that I have been in, but where there were a variety of possible actions to take, even those vastly different from my own). I count that as a plus of infertility -- taking me down at least a tad on the know-it-all scale.

I've also made specific tactical adjustments, such as never asking someone when they're planning to start having kids or trying to figure out if someone is knocked up. I didn't ever really do the latter, anyway -- I always find it annoying when people (almost always women) are all eagle-eyed at parties, trying to figure out who's not drinking and then gossiping with others about it. I mean, maybe we notice some nondrinking or a slight belly pooch, but if the woman is pregnant, she'll tell us when she's ready.

But I've realized there are a couple of things I need to change. First, I tend to assume that anyone who has had one child can easily have another (unless I happen to know that the first required lots of ART). Second, I also assume that nothing bad ever happens to proven fertiles -- no miscarriages, no blighted ovums, no genetic issues, nothing -- even though I know fertile people who have had all of these things.

I bring this up for two reasons. One, a friend of mine is about to have her second child, and this made me remember that I very nearly asked her a year ago when she was going to have #2, not knowing she'd just had a miscarriage. So, like, I would have easily asked her this, even though I'd never do the equivalent with someone who didn't have any kids yet. By chance, I didn't ask, and then a mutual friend mentioned the miscarriage.

Second, the fertile friend I was complaining about a few posts ago just found out that she had a blighted ovum. She said she'd felt something was off -- like she had almost no symptoms -- and then she had the 9w ultrasound, which found the blighted ovum. If she'd been infertile, of course, they'd have found it earlier (small perk). She seems very at peace with it, but it did make me feel like a jerk who is accumulating bad karma. I felt slightly less like a jerk when she said that in a way I was lucky to have done IVF, because I wouldn't have any blighted ovums or chromosomal issues. And I was all, like, "IVFers still get all that crap, too, homes. Insult to injury, etc."

In happy news, though, we are going to a baby shower this weekend for some pals (hello, pals!) who have won the Infertilympics and are 37 weeks along with a very-hard-earned baby. Like, really hard-earned. This will be the most welcomed baby of all time. Wahoo!

Wednesday, May 28, 2008

Ever forget your own birthday?

Yesterday was my birthday (36), and, boy, was it a non-event. I worked my ass off all day and didn't eat lunch. Local pal MSF did bring me some delicious takeout from our favorite restaurant for dinner.



We put in an offer on a place in San Francisco in our old neighborhood, Potrero Hill. I don't think we'll get it because the asking price was at the very top of our range and the realtor thought it would go over. Still, stay tuned. It's big (1900 sqft) for that area and price range and was mostly redone in 2006. It's on a kind of busy street and at the edge of the residential part of the Hill (i.e., the other three corners of the intersection it's on are commercial). Here's a photo my brother took of it.

I do not feel pregnant AT ALL. I keep thinking something has gone wrong. I have POAS a few more times, but of course my hCG levels have been high enough that HPTs would keep coming up +++ for a while even if I had had a miscarriage or something. I'm not saying I want to be flat-out sick with HG like last time (which started at 5w4d -- ie, today). Maybe a few waves of nausea and the occasional puke from about 7-11 weeks. That would be fine.

For you HGers out there, I am taking proactive measures as recommended by the fabulous gals on the HER boards. I'm taking 25mg B6 three times a day and half a tab of Unisom at night. I have a stash of old Zofran at the ready and an ability to get a prescription filled immediately if needed. (Relatedly, I also still have Colace ready to go to in order to ease the side effects of Zofran -- essential.)

Updated: Well, there is no way we are getting that house. We accepted the counter-offer, but the other bidders accepted the counter-offer AND are paying in all cash (!) (ie, they don't require a mortgage loan at all) AND waived the right to an inspection. Fuck that!

Wednesday, May 21, 2008

Beta #2

The results are in. Beta #2 was 636. They needed it to be at least 448, so this looks good. While the beta is on the high-ish side for a singleton (according to the oracle, Betabase), the doubling time is right on the median for this range: 37.84 hours. That all sounds good to me.

Next stop: ultrasound on 6/9. I felt queasy yesterday (but a different kind of queasy than last time -- this one was more of the needing-to-eat-constantly kind of queasy vs. the food-equals-feces kind of queasy of fall '06), but I feel fine today. Well, not totally fine, since a certain one-year-old decided to indulge in a few screaming episodes last night, during which I ran out of options and just played with him from 11pm to midnight. Anyway, I'm glad to feel okay today since I would have been extra-bummed to get HG at 4w2d.

I have felt some waves of something going on in my entire abdominal region, and sometimes I feel woozy when I bend over or stand up. Also, I am feeling extremely emotional, but that could just be because my life is on the stressful side these days and I'm about to move away from a place I like a lot. But I got all teary thinking about Ted Kennedy's brain tumor, which I might do normally, but, really, I am on the verge of losing it at any news, good or bad, and at any gesture in my direction, either compliments or slights.

Other than that, not much to report, except that I feel incredibly, incredibly lucky.

Monday, May 19, 2008

Beta #1

Thank you all for your very kind words of support on the post below. I love the Internet.

Beta #1 (15dpo) came in at 264, which they described as a "nice level." My progesterone was at 56. I find it very odd that my progesterone was somehow only at 18 the last time around -- maybe I absorb the ethyl oleate version better? Betabase is down right now, which is maddening but probably good for my productivity at the office.

Beta #2 on Weds. morning. Ultrasound (assuming we get that far) will be on 6/9.

If I start feeling sick, I can call them and demand Zofran at any time. I'm assuming I will start to feel sick at some point next week, so I'm cranking out a huge amount of work this week. I need to get through about 6/10 here at work, but then I can take it a bit easier for the rest of the summer.

Yay, little blastocyst!

Sunday, May 18, 2008

One way to lose that IVF bloat

So my mother, who is visiting, came down with this gastrointestinal bug on Friday that put her totally out of commission. I'd heard of a few other people around town with this, too, so it must be sweeping the area.

Yesterday, the day we were going to have So.ren's first birthday party, both my husband and I came down with it, me worse than him. We had to cancel the party. My husband had recovered by about 7pm, but it took me until this morning. I guess it's just a matter of time until So.ren gets it. It was a very painful stomach bug -- like where your tummy and intestines actually hurt -- and I don't want my little fellow to have to go through that.

Because of my puking, I was worried about keeping down the es.trace. I wondered how big of a problem this would be, and this is what finally forced me to POAS. And, lo and behold, the second line came up. It seemed a bit faint for me for 8dp5dt, but it's a little darker this morning. Holy crap!

Beta is tomorrow. I know lots of people on the Internets lately (in buddy groups and blogs) who seem to be getting strong, early HPT BFPs and then to have low-ish or nondoubling betas, so I am very cautious. Also, I have a sharp pain on my right ovary for some reason.

But: whoa!
Updated to include photo of HPTs.

Friday, May 16, 2008

A trip down memory lane

I've never been so afraid to POAS before. Let's recap:

- Natural cycles 1-20 or so: By paying attention to my body during the luteal phase for the first time and wasting dozens of hours (possibly days) reading early-pregnancy-symptom posts on the Internets, I consistently convinced myself that I was pregnant, and thus peed on sticks with increasing desperation/sadness from about 9dpo onward. If I had taken the money spent on HPTs and invested it in Warre.n Buff.ett's Berkshi.re Hatha.way, where each share currently runs about $120,000 (or what I have probably spent on HPTs - what a racket!), I would be wintering in Fiji by now. Oh, sure, you could claim I ought to have learned and not continued to indulge my hopeless fantasies of pregnancy, but I guess I was just the Bara.ck O.bama of POAS back then.

- IVF#1: We had transferred one CRAP blastocyst, so I knew it was going to be BFN, and I just POAS to get it over with. Out of habit, I may have tested more than once, but I really didn't have any hope that round -- I'd lost it all the moment we showed up for ET and were told the sorry results of our embryo culture. And, you see, I already had years of desperately Googli.ng things like "late implantation BFP 18dpo" behind me, and I therefore managed to put away the pee sticks after some reasonable point.

- IVF#2: I'm not sure why/how, but on this cycle I convinced myself that my two 3-day embryos had implanted, and I imagined numerous "symptoms," such as bigger b00bs, noticeable veins in b00bs, cramps, and a hard lower abdomen. I figured out later that the reason I had felt a hard lower abdomen was that I had been clenching my abdominal muscles at the time. What a moron. Anyway, because I was so "symptomatic," I peed on LOTS of sticks. And when I say LOTS, I mean a number higher than 10, possibly higher than 20. For a failed cycle, that gets expensive and really just adds (self-inflicted) insult to injury.

- FET#1: I decided to POAS a couple of days before my official test just to get the bad news over with. Back then, my clinic had you bring in a cup of your own pee (always fun to drive around with), and they'd basically put in their own stick (or, actually stick-equivalent, since I think it was round or diamond-shaped or something) to see if it came up positive, and only then would they deign to draw blood. Now everyone gets a real beta, it seems, which makes me feel like I can fit in much better with people who go to other clinics. Anyway, I really had NO expectations that it had worked, and I almost hyperventilated when I saw the double lines for the first time in my life. (As an aside, I had toyed with the idea of peeing after trigger in a fresh cycle just to see what the double lines looked like, but I decided that I wasn't quite there yet. I'd seen double lines on OPKs, so I embraced that as my lame substitute.)

Which brings us to where we sit now: in the dark. I don't think this FET worked, maybe because despite the fact that I tried to replicate everything about the successful cycle, I had given away my Anji CD to a fellow IVFer and forgotten about that until it was too late to order another one, and I therefore failed to listen to it this time, and perhaps my failure to visualize my lining growing and my blastocyst implanting has caused everything to go FUBAR internally (I am, after all, fully capable of anxiously turning my intestines to jelly or preventing myself from sleeping even though I'm really, really tired. I also feel empathetic nausea when someone describes to me his/her own nausea, and sometimes if someone (usually my husband) tells me he/she just took a dump, it makes me need to take one, too. TMI - live with it!). But I am also kind of looking for symptoms, in spite of myself, and occasionally I think I've found one, and then it goes away. Or it turns out to be something like the hard abdomen. And I am also very aware of the fact that it's really progester.one that makes most of the early symptoms happen, and we IVF gals are shooting that shit up daily in high doses.

So I guess that's why I'm afraid to POAS -- because I have that feeling of hope/desperation again. Even though I shouldn't. I mean, I have my boy now, and I also have a fresh cycle with my beloved clinic scheduled for next month if needed. A kid and a plan -- really good stuff for infertiles. If I never have another kid, I would still feel enormously lucky every remaining day of my life. (Uh, but that doesn't mean I don't still feel SEETHING jealousy/rage when a friend of mine gets pregnant easily; boy, do I. A fertile friend of mine is now pregnant with #2 seven months after #1's debut. On purpose, at least. But why the rush? I almost felt it was a personal affront to me and her other close friend who's had several miscarriages in trying for #2. Fertile friend, who knows I'm cycling around now, keeps saying it'll be fun to be pregnant together. I feel as if that will anger the capricious fertility gods and jinx everything. But I digress.) I guess I just got attached to that beautiful blastocyst, and I want it still to be there. Or something.

Armchair psychological/psychiatric analyses welcome. And thank you very much for your advice and support already.

PS: I did purchase a bunch (9) of HPTs yesterday at CVS, and acquisition is a necessary step towards POAS, of course. I'd thought I had some in stock, but when I checked I realized that OF COURSE I had peed on every stick in the house when I'd finally seen the double lines.

PPS: After I first posted this, I remembered that I DREAMED about POASing last night. I dreamed that it took place at the clinic and involved an 8x11" piece of paper, which then said something like "hopefully positive." I was so happy. Then I woke up and was happy for about five seconds before realizing it was a dream. Those sorts of dreams are my least favorite. I almost prefer the ones where something really bad is happening -- like that I accidentally killed someone or got a really unflattering haircut -- and then you get to feel sweet relief upon awakening.

Wednesday, May 14, 2008

Happy birthday and progesterone dreams

So.ren is one year old today! He is feeling much better after being on antibiotics for his eye discharge and ear infection for a few days. His babysitter brought him this amazing scrapbook of his first year. I teared up because I'm a mess of (artificial) hormones these days.

Speaking of artificial hormones, I have been having insane progesterone dreams lately - I'd forgotten about them. I am feeling no symptoms and am afraid to POAS, though I want to do so before my beta on Monday. I'm in a buddy group on a message board online (yep, I still do that shit) for people who did FETs around the same time, and a woman who did hers the same day as mine POAS this morning and got a BFP. Last time, I did an HPT 6dp5dt, which would be tomorrow. I doubt I'll do it.

I think I would have preferred to test on Friday or Saturday since my husband will be here, but we're hosting parties both of those days, and I don't feel like wallowing in self-pity while hosting. Then again, maybe I should POAS so that I can booze it up if I get a BFN. Actually, that won't really work - it wouldn't be appropriate to get totally bombed at either of these events, since one is a graduation reception and one is So.ren's first birthday party. Sigh.

And I don't really want to POAS on Sunday, since my parents will still be in town, and I haven't filled them in on the current cycle. But maybe I'll do it on Sunday anyway since my husband will be in town. Or maybe Monday morning before the blood test. Anyway, stay tuned.

Tuesday, May 13, 2008

Wow, I am definitely going crazy.

Yesterday, when I was taking the bus home, I got kind of excited as we approached my house because I wanted to see it had sold yet. And today I checked my own blog for an update. Apparently, I no longer think that I am an agent in my own existence.

Still no symptoms to report. Feeling pessimistic. I just want that excellent blast to have implanted its excellent self in my presumably excellent lining.

My little boy turns one tomorrow. Wow! Here's a recent photo (note that he was illegally already facing forwards since that position was much easier to execute in the rental car.)

Monday, May 12, 2008

20th anniversary party

The 20th anniversary party for the IVF clinic was very enjoyable. I found myself tearing up while one of the doctors - who's been there since the beginning - talked about infertility and all of the milestones they've reached at the clinic (such as pioneering elective single embryo transfers).


Here's some coverage of it - interestingly, there is a companion piece in which the reporter who covered the party reveals that she was one of the first IVF babies born in the state. I will be interested (and probably maddened) to see what comments get posted on this story and in other local stories.



As far as the blastocyst-on-board goes, I am experiencing zero symptoms. I feel like my normal self, albeit a very tired version of my normal self since So.ren developed conjunctivitis and possibly an ear infection yesterday and was up off and on all night. I haven't been able to scan in my blastocyst photo, but it looks something like this (image swiped from here). I'm a little afraid that I overdid it on Saturday, what with the IVF party and taking the dog for a walk and hosting a dinner party, but, of course, fertile people would do all of that plus drink a gallon of malt liquor, go skateboarding, and put in a few hours on the third shift at a uranium-enrichment facility.

Friday, May 09, 2008

One aboard

I now have one excellent blastocyst floating around inside of me for the time being. Out of the 7 thawed, there was one excellent blast, which is all I wanted to transfer anyway. There was another fair blast and a good morula, and everything else was rated as poor. All except for the excellent blastocyst were discarded. The transfer itself went well, relatively speaking. The new digs for the clinic are quite deluxe, too.

I ran into a colleague there. Ha! She didn't have her husband with her, so I think this must mean she had an IUI. They make you bring an escort if you do any procedures that involve drugs.

Tomorrow, they are having a big 20th anniversary open house, and the nurse said they are expecting more than 1,100 people. We're planning to attend.

Thursday, May 08, 2008

Interlude

Like a one-legged man at an ass-kicking convention, I've been so busy that I haven't had a second to think -- really think -- about my FET. Then my Outl.ook calendar popped up with a reminder that it's tomorrow (like I'd forget -- well, maybe I would, actually), and I just thought: HOLY SHIT. Fortunately, I have a lot left to do today, tonight, and tomorrow morning, so I can't really agonize the way I like to.

But HOLY SHIT! (assuming there's something to transfer, etc.)

Wednesday, May 07, 2008

Unfrozen!

I just got the call with the thaw report - all seven embryos survived the thaw; now let's just hope they're successfully growing to day five. My transfer on Friday will be at 11:15, but we have to be there at 10:45. That means that if my husband's redeye is late to Chicago, he'll miss the first connection here, which means he will not land until 10 or so. Let's hope he makes the connection!