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…

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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!

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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.)