Well $h!+

Let me start out by saying that the 2-week wait to see if my lining was thick enough for transfer was worse than the 10-day wait for a pregnancy test.  In fact, it’s second only to the wait for the call that tells us how many embryos made it to blastocyst stage for freezing.  I wouldn’t have said that a year ago when my uterine lining wasn’t an issue.  Through 3 IUI’s and 2 transfers, I had always measured around 9mm.  But recently, my reproductive system has had a new hurdle to get through – my lining.

After my baseline appointment on September 20th, I made a list of everything I could possibly do to thicken my lining and planned it out over the next 14 days.  Aside from the Estrace pills my doctor had prescribed, I was going to take a natural approach as well.  Every day I drank 8 ounces of pomegranate juice and red raspberry leaf tea.  On top of my pre-natal vitamin, I added DHA, which gave me an extra boost of Vitamin E for blood flow.  I threw in some L-Argenine in the last week before the scan.  I made a point to get up and move and stretch at work since my job is pretty sedentary.  I gave myself fertility massages almost every night and used an essential oil mixture as my massage oil.  I also meditated before bed using a program specifically designed for frozen embryo transfer preparations.  It would say things like, “Picture your uterus as having open arms, stretched out to welcome new life” or something like that.  I rolled my eyes about it at first, but it absolutely helped me relax.  Brennen even meditated with me but was sure to watch enough football to prevent growing a uterus.  The night before the checkup, he said, “Well if it’s not thick enough, it sure isn’t from a lack of trying.” After two weeks of all things uterine, I gave him an “Amen.”

Fast forward to Thursday morning as I nervously braced myself for the ultrasound.  My uterus popped up on the TV screen, and the nurse practitioner said those dreaded words, “It’s not quite thick enough.”  She then proceeded to click around for a measurement….5.33.  WTF?! That’s the thinnest it has ever been.  In frustration I said, “What the heck? It was thicker than that when I was on birth control.” And it was! At my baseline ultrasound 2 weeks ago (before Aunt Flo) it was measuring over 6.

We use a local fertility clinic for outside monitoring, so we usually don’t ask questions during our visits.  They just measure and send info to our clinic.  But in desperation, Brennen let out a huge sigh and asked, “I mean, what in the world is going on?”  The nurse practioner, unfamiliar with our case, didn’t really have any specific answers for us but said they see this sometimes – an uncooperative uterus – and that my body may need another way to take in estrogen.  Obviously this little blue Estrace pill is not doing the trick. She printed a picture of my uterus for me. (Note to self: buy darts).

thinlining

So what does this mean?  Transfer cancelled.  We knew going into that appointment that it would be cancelled with any measurement less than 8. We had accepted that.  And I think that if it would have been 7 or 7.5, we would have told ourselves, “Good try. We’re getting there.”  But man, at 5.33, you can’t find anything to be positive about.  Brennen held it together as we left the clinic; he was on the verge of tears.  Me, you couldn’t see disappointment on my face, but my body felt weak and sluggish, as if I could feel the sadness all the way to my bones.  I took the rest of the day off work.

Nurse Memphis called that afternoon to talk to me about the next steps.  Next week, Brennen and I will head to Memphis so I can have a biopsy done on my endometrium.  All I get is a Valium, so that should be fun, right? While we’re there, we’ll make a game plan for 2018, but as for 2017, we’re done.  Last year, I found out I was pregnant on Thanksgiving Day and miscarried on Christmas.  We’ve done the infertility-over-the-holidays thing and don’t want to do it again.  This holiday season, we’ll regroup and give IVF a backseat.  For three years, we’ve tried to get pregnant, and for three months, I just don’t want to try.  We’re not giving up, we’re just coming up for air.

Prayers for our trip to Memphis!

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B-A-N-A-N-A-S

It took two weeks, but I finally cried. I knew I would eventually break. I just didn’t know it would be a banana that broke me.

Brennen and I had been house sitting for his parents while they were vacationing over the past couple weeks.  On our third or so night of the stay, I was struggling to adjust to living out of a suitcase. Even though I was only 20 minutes from my house and in one I knew well, it still wasn’t mine. And it wasn’t my bed, so I was having trouble sleeping.  Wednesday night, after trying to fall asleep for almost two hours, it was midnight, and I was hungry. This happens to me a lot late at night because I eat an early dinner (Brennen would like to add, “like an old person”).  I got up and headed for the kitchen with a craving for fruit, especially a banana.  No fruit anywhere and no snack to suit my midnight craving.  This wasn’t my house. It wasn’t my bed. There were no bananas.  So right there in the middle of the pantry, I lost it – ugly crying all over the place.  I texted Brennen, “Crying.”   In no time, he opened the pantry and found me sobbing and complaining about how there were no bananas and nothing was going right for me.

You see, earlier that day I went to my Ob’s clinic for some blood work.  Now, I hardly ever feel alone in this process thanks to our network of support and the many amazing women I’ve met who share in this struggle, BUT if there is one place I do feel alone, it’s in the freaking waiting room of the Ob’s office surrounded by pregnancy and motherhood.  When I’m there, I’m different.  Limited. Cursed.  And with those feelings bubbling beneath the surface, the banana…or lack thereof, was the straw that broke the camel’s back.  And although the cry stirred up my emotions of failure, impatience, self-pity, and heartache, it felt good to finally have that release. So I welcomed the sadness, and cried until I was too tired to cry anymore.

One week later, and on a much happier note, preparations for Transfer #4 are underway. Since my last post, I talked to my doctor about the protocol this time around.  When I told him I was a difficult case, he said, “It’s not you. It’s your uterus.” Ha! For my last transfer, my lining was less than desirable, measuring at 7mm.  This whole thin-uterine-lining thing is a new issue for me.  But because it was healthy and triple-layered, we decided to move forward with the transfer.  After all, women get pregnant with 7mm linings all the time.  Well, not me, so we’re not going to take that chance again.  Transfer #4 will not happen until I have a uterine lining measuring at least 8mm.

So from now until October 5th, my main job is to do what I can to thicken that uterine lining – Estrace, pomegranate juice, red raspberry leaf tea, self-fertility massages, exercise, acupuncture, meditation, iron-rich foods, etc.  Brennen’s job…well, he’s just gotta keep the bananas stocked. Fingers crossed for October 5th!

Blank Space

It was 8 days after the transfer, and I still hadn’t tested. I was pretty proud of myself. I hadn’t even been tempted by the three pregnancy tests my mom left sitting on the dresser before she left my house. During the waiting period, I had been busy with sorority recruitment (I’m an advisor for a local chapter) and catching up at work. Surprisingly, I had been able to keep my mind pretty well occupied with things other than the test. Plus, I didn’t mind putting it off. As much excitement and hope as I had about seeing a positive, the fear of seeing a negative was far greater. So honestly, I didn’t feel the need to rush it. I was focused. I was determined. I was not going to test early.

Then came the rainy drive home Wednesday evening. Suddenly, the unknown bothered me more than that fear of a negative. It was Day 9, and I couldn’t hold out anymore. I needed to test. I called Brennen who said, “And you promise you haven’t already tested?” He was hoping I had secretly tested and already knew like last time. He hates waiting on pink lines. I walked through the front door and headed straight to the bathroom. I did my thing then put the test on the counter, walked out, and closed the door behind me. Brennen started the timer…5 minutes to go.

Over the past few days leading up to the test, people often asked me how I felt. Boy was that a loaded question! Physically, I was cramping off and on and tiring easily. My hips were starting to get pretty sore from the daily IM injections. Mentally, I could feel myself becoming drained as I purposefully kept my mind busy with life outside of IVF. Emotionally, I was positive about this transfer. I told myself from the beginning, “Positive Vibes Only,” and I had stuck with it. And if I had to guess whether or not I was pregnant…let’s just say I was more optimistic than I had ever been. But on that ride home Wednesday something changed….and I knew I wasn’t.

Brennen’s timer went off, and we both took deep breaths as we opened the bathroom door. There it was on the bathroom counter – a pregnancy test with one dark pink line. Beside that line…nothing, a blank space. It’s funny how in that moment, something so small can fill an entire room. It was all I could see – that blank space. Negative.

Brennen braced himself on the bathroom counter and hung his head. I didn’t know what to say to him, but I thought to myself, “Is this ever going to work?” The next few seconds were a blur until Brennen raised up and hugged me. I could feel his heart pounding against my chest. His face was warm, and I could tell he was on the verge of tears. After that, there’s just more blurriness as we processed another negative.

I called my mom. She said a bad word. Brennen texted his parents. Then, we sat in the living room and got mad. I mean, it’s really not fair. It’s just not. And it sucks so bad. There are too many pieces of shit in the world with children. People who don’t want children have them. Why can’t we? Why is this so hard for us? What did we do wrong? It’s not fair. Period. And I know bad things happen to good people all the time. I know we still have so much to be thankful for. I know our situation could be so much worse than what it is. I know children aren’t rewards. But knowing all that doesn’t matter in those first moments after staring at what seems like the 100th negative pregnancy test in 3 years. Because in those moments, all you can think about is how this may never happen. You may never be parents. You may never have a child. That becomes your reality. And that’s what makes you so mad you could scream.

Deep breaths…

We have since chilled out a little. Still, we’re more mad than we are sad. In fact, I’ve yet to cry. In this journey, if I cried about every bad thing that happened, well, I’d be crying a lot. Instead, I’ve given myself somewhat of an emotional threshold. Things build up, and at some point, I break. Until I do, I push forward. And that’s what we’re doing now – pushing forward. Our perseverance has surprised us!

So now we’re waiting on what I like to call our WTF appointment with Memphis to see if we can find an answer for why this transfer didn’t work or, if like I suspect, it’s unexplainable and simply just didn’t work. From there, we’ll put together a plan for moving forward to transfer #4. As I type that, I can’t believe we’re at #4. I mean, at some point the odds have to be in our favor, right?

Finally, for those of you who have been following this journey from the beginning or since we started blogging a year ago, you may be running out of things to say to us in difficult times. That’s ok! We don’t expect you to find the right sentiments and words of encouragement, and it’s ok to admit you don’t know what to say. But I will ask that you please refrain from any phrase that has the word “time” in it. I can’t really explain why, but something like “Give it time” or “It’s in God’s timing” sounds like nails on a chalkboard to me right now.  A simple “This sucks” will do. Even a “Hang in there” or a “We’ll keep praying” is good. You can even throw an angry face emoji our way and we’ll totally get it! Or you don’t have to say anything. Just keep praying. Pray that in this struggle, we find strength, peace, and understanding.

And because I can’t find a way to close out this post, I’ll leave it here with a “This sucks!”

Welcome Home Embryo #3

After several attempts at Transfer #3, we finally welcomed this little embryo into its new home!

Embryo Number 3.JPG

But first, let’s rewind to last week. In my last post – the one where I called my uterus a choice word – I vented about the disappointing 7mm lining I had after three weeks of Estrace. So, the folks in Memphis decided that I should come to the clinic for an ultrasound so they could get a good look at the lining. Even if it wasn’t thick enough (ideally, you want an 8 or higher), it may still have a those “pretty” triple layers they’re looking for.

I anxiously arrived at the clinic at 7:30 and settled myself into the now-all-too-familiar ultrasound exam table. And there it was! A beautiful, healthy triple layer lining! But then wouldn’t you know it – the dang thing didn’t thicken a bit. Not one bit! Still a 7.

I got dressed and headed back to the waiting room.  My mom had made the trip with me since Brennen was in Boston for work.  When I walked through the door, she immediately perked up and stared at me, waiting for any clue as to how the ultrasound went.  It may sound mean, but I found a bit of playful satisfaction in making her wait until we were in the hallway before I gave any indication of how it went.  “Didn’t grow at all,” I said. Then she added a much needed four letter word to the situation!

We hung around Memphis for a bit just in case we needed to go back to the clinic.  I had accepted that the transfer would be A) postponed once again or B) canceled altogether.  In fact, I had resolved that I wouldn’t stand for another postponement.  I was tired of being strung along, and I wanted a break.  I settled into the mindset of receiving bad news later that afternoon and tried to take my mind off the disappointment with some retail therapy. Memphis is good for that.

Then, at 1:30, as we’re finally heading home, my phone rings. It’s Nurse Memphis.  I braced myself for bad news, especially when she started talking about my trim lining.  Then the words,”But since it has that beautiful triple layer and looks healthy, we’d like to proceed with your transfer on August 22nd.” My mouth dropped and all I could say was “Awesome.” I passed the phone to my mom in the passenger seat and she scribbled down all the directions for medications – progesterone, Lupron, estrace, prednisone, doxycycline, and pre-natals. Shocked! That’s the best way to describe my mood at that point. Oh, and freaking relieved!

I called Brennen just before his plane took off.  Shocked and relieved pretty much sums up his reaction too.  I had never been so excited about starting IM hip injections in my whole life! Bring on the progesterone, baby!

Fast forward to yesterday, the day we left for Memphis.  We, along with several neighbors, woke up to find that our cars had been broken into.  What the heck, right? Luckily, I’m the idiot who left my car unlocked, so there were no broken windows. They passed over a camera flash in my console, tennis rackets in the trunk, and some Ray Ban sunglasses; the only thing missing was a checkbook.  We opened the bank up at 9am to close our account and all that jazz.

Then, after work, we met at home to load the car and hit the road.  We walk into an 82-degree house. Yep, the AC went out!  Stress level max! Luckily, we were able to get a tech to come out after hours to repair it, and my father-in-law was gracious enough to sit in our sauna of a house waiting on the technician so we could get on the road.

FINALLY we make it to Memphis, and the hotel upgrades us to a suite – a much needed stroke of good luck!  We binged on a little more Friday Night Lights and tried to get some sleep, anxiously awaiting the transfer the next morning.

We arrived at the clinic at 9am for my progesterone test – the results came back just where they needed to be. A win! As we were waiting to be called back for the transfer, I checked my phone. It was blowing up with well-wishes and words of encouragement, and I had to keep myself from breaking down right there in the surgery center.  I can never ever thank you all enough for those thoughts and prayers.  They are always felt, but they were especially felt today.

Then, it was “T” time!  I had been chugging water all morning because they want you to have a full bladder for the transfer.  Apparently, when the bladder is full, it’s easier to guide the catheter through the uterus, and sonongrams read through fluid.  We learn something new about this every day!  So there I am with a bursting bladder just moments before they retrieve us from the pre-op room, and what does Brennen do? He pees…with the door open…in the bathroom right behind my chair. (His mother will be horrified!)

IVF Husband

Just as I was wrapping up my “You asshole” eyeroll, Doctor Memphis came in with the picture we had been dying to see – our little embryo.  Much to our surprise, it had improved after the thaw from a 4AB to a 4AA.  We were over the moon!  He/she is a beauty!  The doctor left, and before the nurse could come back to retrieve us, I looked at Brennen and said, “I want this so bad, but I’m scared to want it this much.” “I know babe.”

The transfer went as smoothly as it could have gone, despite the full bladder.  I did cramp a little more than in the past when the catheter went in, but luckily I had Brennen’s hand to squeeze until it was numb! He says his injury is keeping him from doing this post-transfer blog.

After thirty minutes, I peed! Yippee! And we were on our way.  The rest of the afternoon was spent sleeping off my valium. Now, here I am, restless and waiting on Brennen to come back to the hotel with take-out! This prednisone keeps me hungry!

Over the next few days, I’ll be on modified bedrest.  We’ll head back home tomorrow, where my mother-in-law will have me some buttermilk chicken waiting.  Then, my mom is coming up to stay with me Thursday while Brennen goes back to work, and I can’t wait for some gluten-free chicken spaghetti from her!  With this embryo in tow, I am no doubt being spoiled!

After bedrest, I’ll return to work and my usual routine but continuing to take it easy.  My doctor told me no exercise or running.  He obviously doesn’t know me that well because I don’t do either of those things.  The 10-day wait will no doubt seem like a lifetime.  I keep telling myself I’m not going to test early. I told myself that last time too. And the time before.  I tested both times.

Please continue to keep us in your prayers over those 10 days.  Pray for peace, patience, and that this little embryo sticks like glue!

Embryo #3

6th Anniversary

Earlier in the week, Breanne asked me if I was going to write an anniversary post for the blog like I did last year. Without thinking, I blurted out “Is this gonna be an annual thing?”  I could feel her eyes burning a hole through me.  “Well I hope not…”  Of course we don’t want to still be blogging about infertility in a year! As Forrest Gump once said, “I’m not a smart man.”

not a smart man

As dumb as my comment was, it did get us talking about our 6 years of marriage.  We have been trying to conceive a child now for half of our marriage.  Half!  And we’ve been going through fertility treatments for a third of it.  Infertility is no longer something we just have to deal with or get through – it’s now a part of who we are, both individually and as a couple.  I never thought I would have given my wife over 100 shots during our first few years of marriage!  And she never thought her husband would know as much or more about the female reproductive system as she does.  Taken out of the context of infertility, that would be pretty damn creepy.

Looking back, this is not where we expected to be at our 6th anniversary and in our 30’s.  But in spite of all the pain and sadness that infertility has caused us, it’s made our marriage stronger.  After our first couple years of marriage, we thought the next step in the maturity of our relationship would be the connection we formed over being parents.  But in reality, it happened unexpectedly when we couldn’t become parents.  We’ve seen each other at our most vulnerable, we’ve talked each other out of giving up, and we’ve comforted each other after leaving yet another disappointing doctor’s appointment. We have learned to rely on each other to get through these difficult times.  And when the unexpected happens, as if often does these days, we’re each other’s constant.

So this weekend, to celebrate our anniversary, we decided to try and hit refresh and enjoy what we have in each other.  We deserved a day or two to set aside the dreams of what we want our family to be, to enjoy the family we already are – the one we became 6 years ago today.  At dinner last night, I brought up something about the transfer and Breezer burned another hole in me with that look. “Nope, we’re not talking about that,” she said.  So I shut up, because we’ve already established the fact that I say stupid things, and after dinner we came home and continued our weekend binge of Friday Night Lights.  It got us fired up for football season, but more importantly helped us clear our minds.  So as we approach this week with a doctor’s appointment to find out if we can transfer this month, I’ll just leave you with the wisdom of Coach Eric Taylor (who I’m pretty sure Bre has a crush on…because she told me), “Clear Eyes, Full Hearts, Can’t Lose!”  And a little advice just for me for next year’s anniversary – “Stay away from dumb, gentlemen.”

Coach-Taylor-eric-taylor-30564566-400-267

My Uterus Can Be a Real B****

Well…today was my lining check. I had been so nervous about this date with “Wanda,” especially after last month’s cancellation.  As the ultrasound tech began doing her thing, I took a deep breath and stared at the monitor so hard, as if I could somehow make the image of a thick uterine lining magically appear with my mind.  Then, there it was.  I saw the three layers and said, “Hey Brennen, it’s a pretty a lining!” The tech laughed and joked that she could probably turn the tools over to us at this point. We’re vets. Then, she dragged the pointer across the screen to get the measurements.  “How thick is it?” I nervously asked.  “About 7.” UGH!

We left our appointment so freakin’ frustrated.  As I was driving back to work, I called Brennen (even though I had just seen him 2 minutes ago), and for the first time in this whole process I said, “I don’t think I can do this anymore.” I wanted to give up. At that moment, I felt like this would never work.  The anger continued to swell up inside me and came out in phrases like, “This isn’t going to happen,” and “Forget it! I’m done.”  In the past when we met a hurdle, we were able to push through it with positivity, but this afternoon I was like, screw positivity.  I didn’t want to be positive. I didn’t feel like pushing through.  I just wanted to throw my hands up.  What the heck, uterus? I had to quickly get off the phone with Brennen before I broke down in tears.  I honestly don’t remember if he ever even said anything on the other end of the line. He just let me have my moment of justified frustration.

bitchy uterus

The day dragged on.  My frustration eventually subsided…somewhat, and I was on pins and needles waiting to hear from Memphis.  I knew the lining measurement wasn’t where it needed to be, so I was ready to hear the word “postponed” and move on.  Memphis finally called at 3:09.  I didn’t want to hear the nurse say it so I went ahead and offered up a “So that lining wasn’t so great, huh?” She agreed. And guess what…transfer postponed.

I’ll continue to take Estrace three times a day for another week, along with Lupron, which should keep me from ovulating. SHOULD! Then, next Wednesday, I’ll be in Memphis for blood work and another lining check.  Unfortunately Brennen can’t make it to this appointment because he has a business trip to Boston.  But my mom has offered to go with me (thanks, Mom!), which means we’ll probably be making a stop at Ikea and the Pottery Barn Outlet before heading back to Mississippi.

So now we’re looking at a transfer on August 21st, a week from our original date.  But hey, a postponement is better than a cancellation, right? Okay, so maybe I’ve accepted some positivity since my morning rant…but that doesn’t mean I’m not still pissed at my uterus!

Third Time’s a Charm

Third time’s a charm, right? Well if there is any truth to that, we’re going into this transfer with a double dose of luck – our 3rd try at a 3rd transfer.

On July 6th, exactly one year from the day we found out our first transfer from Round 1 was unsuccessful, we got the call from Memphis with a tentative transfer date – August 14th, the day after our 6th wedding anniversary.  We celebrated our new schedule with a wine tasting at the local farmers’ market that night.  After sulking for the past few weeks, we felt the beginnings of an upswing.  No matter how many times we get knocked down and how far we fall, the hope that a transfer brings somehow erases that pain. At first, I thought it was the Pinot. But no, it was hope.

The protocol for this transfer is a little different thanks to my superpower ovaries.  Our second attempt at Transfer #3 was canceled last month when my ovaries defied the odds, and I ovulated despite my estrogen overload. To make sure that doesn’t happen again, my doctor put me on Lupron, a subcutaneous injection that shuts down my body’s release of FSH (follicle stimulating hormone) and LH (luteinizing hormone). Basically, like my late-night Google search revealed, Lupron puts you in an “induced state of menopause.” Lights out, ovaries!

I’m currently on day 13 of Lupron injections. At first, I couldn’t tell if I was getting menopausal hot flashes or was just plain hot from living in Mississippi in July. Well, that mystery was put to rest a couple nights ago when I woke up with heat radiating from the inside out.  My body felt like an oven! I reached over and poked Brennen, “It’s hot. I’m hot. Are you hot?” “Ugh, no,” he grumpily responded as he pulled the covers tightly under his chin. Hot flash confirmed!

Lupron has also given me a nagging headache for the past week. Other than that, I’m good! The irritability side effect hasn’t been that bad.  Brennen may say otherwise, even thought he’s only had to hide from me once.  I will say, he had it comin’ though.  After two martinis, he gave me my Lupron shot, and with his inhibitions lowered proclaimed, “You know, Breezer, you’ve taken like 115 shots, but I’ve GIVEN 115 shots. That’s crazy!” I’m just going to leave that right there and move on…

Processed with VSCO with s2 preset

My baseline appointment was this past Wednesday, and since everything looked good, I was able to decrease my Lupron dosage and start taking Estrace.  Hopefully that will take the edge off! And I’m sure it will help if Brennen doesn’t make any more stupid comments.  After two weeks of Estrace, I’ll go for another ultrasound on August 9th.  That’s the big one where they’ll check my lining! So far, we’re still on track for an August 14th transfer, and here’s to hoping it stays that way!

Sad and a Little Pissy

In my last post, I described the June 14th lining check as “something we had to get through.” I had no idea what a loaded statement that was…

During the ultrasound, the tech said my lining was measuring a little over 6 mm. I immediately turned to Brennen, my human Wikipedia on female reproduction. He gave me a “That’s ok” nod as the tech proceeded to measure my follicles. They needed to be small, and they were. A win! As I got dressed, Brennen was busy on his phone, looking up what my lining should be. I had never had a lining quite that thin. I usually measured around 9, so a thin lining wasn’t a potential problem on our radar that warranted any pre-requisite research. Before we walked out of the room, he said, “I think we’re OK. It’s still growing, and you haven’t even started progesterone.” So with that reassurance and my trend of problem-free uterine linings, I assumed we would get good news that afternoon. I sent a few thumbs-up selfie Snapchats to my friends and family and headed back to work.

Then around 4:00, I answered the phone, with pen and paper in hand for my transfer directions, and heard Nurse Memphis say, “So that lining isn’t really where we need it to be.” ARGH! “I had a feeling,” I admitted, although I had tried my best to ignore it all day. Doctor’s orders were to stay on the Estrace for one more week to see if the lining thickened and to come to Memphis for a lining check. The nurse told me, “Even if it’s still a little thin, it may be pretty enough to proceed.” So that was the plan – keep popping the estradiol pills in hope that I develop a fluffy, pretty lining. Transfer postponed.

For a week, I did just as Dr. Memphis directed. I also took some advice from my acupuncturist and started drinking Raspberry Leaf tea and eating iron-rich foods that would either thicken my lining or clog my arteries. Then Tuesday night, we made the trip to Memphis.

We were only at the clinic for about 20 minutes – just long enough for me to get my blood drawn for estradiol and progesterone checks and for a date with “Wanda.” I don’t think I have ever been so nervous about an ultrasound. We’re getting pretty good at knowing what the uterus looks like on the screen, so when it popped up, we both perked up and said, “There it is!” It was beautiful, according to the ultrasound tech. Three pretty layers and measuring at 8.75 mm – right where it needed to be. We drove back home on a high note.

Later that afternoon, my phone lit up with a call from Memphis. “You’re lining looked really good,” the nurse said. “Duh!” I proudly thought. Then came the but. My progesterone was high which indicated that I had ovulated. Transfer cancelled.

We all know someone who got pregnant while on birth control, right? Birth control loads your body up with estrogen early in your cycle, which is supposed to shut your ovaries down and keep you from ovulating. But even with all that estrogen in your system, in rare cases, an egg will spring forward from a follicle and send you into ovulation. Thus the story of a “birth control baby.” Estrace has the same task before a transfer. It’s estrogen, and it shuts my ovaries down. But there are those rare cases, and this month, I was one of them. I mean, seriously?! My ovaries have super powers that defy the odds and release an egg amidst an ass-ton of estrogen. But unfortunately the buck stops there. Otherwise, we wouldn’t be in this infertile situation in the first place.

So anyway, it’s back to the starting line for us. I’ll start my cycle in a week or two then proceed with birth control…again. Then comes the Estrace…again. This time around, Doc is putting me on Lupron injections that will (hopefully) keep me from ovulating.  But first, we wait.

Before I get into what this means for us emotionally, let me say that this is not an invitation to a pity party.  I promised myself that I would never write a blog post about what not to say to an infertile couple because 1) there are a gazillion articles about this subject out there already and 2) we’re never going to open up the conversation about infertility if we keep shutting it down with rules. But I will say this – sometimes the best thing someone can say is, “This sucks.” Just a recognition of how shitty the situation is goes a long way! My best friend is my best friend because when I share bad news, she sends me memes of cats saying curse words! And encourage us with reminders of how strong we are. Yes, that may sound a little self-absorbed, but if people are going to feel sorry for us, let encouragement grow from that pity, not sad puppy dog eyes and an empty sentiment about how everything happens for a reason.

Sorry if I sound pissy. But heck, I am pissy. I’m tired. I’m frustrated. I’m beaten down. We both are. Yesterday was the closest I’ve felt to giving up. I know we won’t give up, but that hope we had after a successful retrieval and a positive test (even though it resulted in a miscarriage) fades a little more with each cancelled transfer. We’ll get better, though. We’ll cope and push through. We just have to let this sadness run its course. One of the most inspirational quotes I’ve found during my IVF Pinterest-ing didn’t tell me about trusting God’s timing, having hope, finding strength, or believing in miracles. It simply told me it’s ok to be sad.Own the Sadness

So that’s what I’m going to do right now…be sad and own the hell out of it.

(And yeah, I’ll probably be a little pissy too.)

It’s Been a While

It’s been a while…

My last post was about two months ago, right after we found out our embryo transfer was canceled due to my elevated prolactin level. So what did we do? Well, I turned 30, and we went to the beach! We needed that getaway. It was like hitting the reset button for us. My mom was worried that I was running away from emotions. “Breanne, don’t think it won’t still be here when you get back,” she warned. “It” I guess was infertility, disappointment, an impending breakdown, something. And on the way to the beach after we hit a deer on the interstate and drove over a nail (2 different instances), I have to admit that I was thinking, “Ugh she was right! This trip isn’t going to help anything,” because let’s face it, moms are right 99.9% of the time. But this time, she was wrong (sorry, Mama). That trip was just what we needed!

We got back home on Mother’s Day, which was surprisingly easier than last year. Scratch that – it was less hard. Last year on Mother’s Day I ended up deleting the Facebook app from my phone and bummed around my parents’ house all day. I couldn’t even bring myself to go to church and sit in the congregation as all the mothers stood up proudly so their kids could present them with Mother’s Day happies they made in Sunday School. We had just started coming to terms with our infertility and were on the brink of the first round of IVF. That day was pretty dark. And you’d think that a year later, still with no baby, would have been harder, but like I said, it was surprisingly “less hard.” This year, we had more hope. We had a great retrieval. I was pregnant for a few short weeks this past winter. We have good looking embryos in the freezer. And we had a suntan. There was a lot to be thankful for, and if there is one thing this process has brought me, it’s a change in perspective.

The week after Mother’s Day, Aunt Flo arrived, which triggered another prolactin test. Since the canceled transfer, I had been taking Cabergoline twice a week so that my pituitary gland would chill out and stop secreting an unnecessary-at-the-moment breast milk hormone. We let out a HUGE sigh of relief when the results came back at 4, 8, gosh I can’t even remember exactly what it was….but it was low enough that we got the go-ahead for Transfer #3 (again)!

More good news came our way when Nurse Memphis instructed me to stay on the birth control (for down regulation) for only 9 days. 9 days! In my past transfer plans, I was on birth control for 3 or so weeks, so we had already planned that the transfer would probably be in July. But nope, our tentative transfer date is JUNE 19!!!!

Last week, I went to my OB for my baseline ultrasound with my favorite ultrasound tech. Everything looked good, so I’m now taking Estrace (estradiol) and am still on schedule for that June 19th transfer. Next up is an appointment Wednesday to make sure my lining is thick and my estradiol is where it should be. After those results get faxed to Memphis, I’ll get the call with the official transfer date and instructions on progesterone injections. Whoa, that’s next week! As I type it I get a little flutter in my chest that takes my breath away for second. And that’s significant because it hasn’t completely hit me that this transfer is around the corner; it’s happening slowly.

After the canceled transfer, I was miraculously able to push infertility to the back of my mind. Ok, maybe not all the way back there, but far enough that it wasn’t a subject that consumed my life. For a month, there was no shot regimen. No schedule taped to the fridge. No doctor’s appoints. No ultrasounds. No surgeries, thank God. There was just one pill every Sunday and Wednesday. I was enjoying having a piece of my life back that didn’t involve me worrying about growing follicles, a thickening lining, or implanting embryos. And I wasn’t even nervous about my high prolactin. I had been on the medicine before and responded well. We figured that would be the case again. Even once I got my schedule for the transfer mid-May – birth control for 9 days, baseline on 5/31, lining on 6/14, transfer 6/19 – it still didn’t feel…real? I’m not so sure that’s the right word. It’s always real. But I just haven’t readied myself to welcome back all the feelings that come with an upcoming transfer, and I don’t want to go back to the place I was two months ago. This is me totally trying to take control of my emotional well-being. Before the canceled transfer, I was sick with worry. The elevated prolactin proved my body wasn’t ready. The heartburn waking me up in the middle of the night to vomit proved my mind wasn’t ready either. But lately, I’ve felt like a completely different person. That’s why I haven’t blogged. Every time I tried, I thought of something else I should be doing instead, for fear that I would drudge up the worry and stress and probably get some heartburn out of it too. Now, as I write this with the tentative transfer a little over a week away, I still can’t see far enough ahead to picture June 19th. I’m just not there.

And if I dig a little deeper, maybe the reason for the mental block is that there is still one more obstacle to get through. One more checkpoint. And that’s my appointment Wednesday. In the past, these appointments were just something we had to get through to get to the transfer. Now that we’ve had a transfer ripped away from us so easily, these appointments are SOMETHING WE HAVE TO GET THROUGH to get to the transfer. See the difference? Maybe not. It barely makes sense to me…if at all. So as June 19th approaches, just pray that I stay cool and collected once it finally hits me. And when it does, I’m sure it will hit like a needle in the butt cheek…literally.

Canceled

My phone rang yesterday around 2:00.  It was Memphis.  “That’s odd,” I thought as I answered.  The next few seconds were fuzzy.  I can’t remember exactly what the nurse said.  The only word that I processed was the one I scribbled down on the Post-it note I grabbed off my desk – “CANCELED.”

After a pause, I woke up from my brief fog, asked the questions I needed answered, and jotted down much better notes.  In a nutshell, my prolactin level is too high to proceed with the transfer.  We’ve known since we first started fertility treatments that I have an elevated prolactin level, but we don’t know why.  I even had an MRI back in 2015 to see if I had a pituitary gland tumor, which I didn’t. Thank goodness.  So now, I’ve stopped taking the Estradiol since this transfer cycle is over and am on Cabergoline (again) to lower my prolactin.   In a month, I’ll have another blood test done to see if it has dropped.  In the meantime, my doctor will let me begin birth control for down regulation (again) once I start my cycle.  The timing should work out to where my repeated prolactin test will take place just before my baseline ultrasound (three days after stopping birth control).  If the level is high…another cancellation.  But if it’s back to normal, I can proceed with the Estradiol (again) and then onward to the transfer.

After all that sunk in, how did we feel? Well, pretty freaking annoyed.  This isn’t fair. Never has been. Never will be.  And what next? I mean, really, what the hell? It feels like a stale story line on Grey’s Anatomy, sans plane crashes.  But after letting out a few choice phrases and grunts of frustration, I tried to find the silver lining (because let’s be honest, I need those silver linings to get through this).  If something is wrong, I don’t want to move forward; so I’m thankful my doctor is being cautious with my elevated levels.  We can’t risk a precious embryo if my body isn’t ready.  And after I thought about it, I realized my mind wasn’t ready either.  I have been so unbelievably nervous about this transfer. After all, it’s our third, and the third time seems like so many more times than the second.  I’ve woken up sick in the middle of the night twice this week; Brennen chalked it up to nerves.  I’ve had heartburn out of this world! And for the most part, I’ve been…blah, for lack of a better term.  Tuesday night, Brennen wanted to shake me out of my slump.  Literally, he told me he wanted to shake me! I had also been dreading the pregnancy test, which would have been the weekend of Mother’s Day.  I don’t think I even need to explain my reasoning behind that one.  So I guess if I’m looking for that silver lining and trying to convince myself this postponement is for the best, once I get past the frustration, there is a little relief.  An extra month (and hopefully that’s all) gives me some time to get my mind and my body right.

For the next few weeks, we’ll take a break from the blog and all things infertility, except the daily pre-natal and the twice-a-week Cabergoline.  We’ll plant our crops for the year in our suburban garden, finally get those Christmas decorations back in the attic, and celebrate my 30th birthday (maybe at the beach hint, hint).  Until then, please pray for a happy mind, a happy body, and a much lower prolactin. See you on the other side of 30!