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

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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.)

We Set a Date and Took a Shot

I HAVE A THICK UTERINE LINING, and I want to shout it from the roof tops!  My monitoring appointment yesterday confirmed a lining of approximately 9mm, which means my body, more specifically my uterus, is ready to take on an embryo.  And with that news, we were able to set a date for our frozen embryo transfer.  Drum roll please…Tuesday, November 15th!

But first, progesterone.

For the past two weeks, I have been on an estrogen regimen – 6mg of Estrace daily – to keep me from ovulating and to support the growth of my lining.  Good job, Estrace.  I forgive you for the mood swings and heart burn.  I’ll continue to take Estrace through the transfer, but to ensure that my lining doesn’t get too thick I have to add my little friend PIO (progesterone in oil) to the mix.  PIO is an intramuscular injection, which means big needle in the hip.  And our first injection was tonight. In fact, as I write this, I’m sitting in the car with my right cheek pressed firmly against my heated seat on our way to a steak dinner.

This is the first time in this entire process, including Round 1, that I was shaking from nervousness.  I knew too well what was ahead.  When Brennen walked through the door, I tried to mask my nerves and bravely said, “Ok, I’m ready. Progesterone, now.” It didn’t help when he started mumbling, “Oh my gosh we’re really doing this.”  Then, I hear the voice of a stranger in my house.  A lady on YouTube was giving Brennen instructions on how to give a PIO injection.  Her voice…not so comforting at the time.

As Brennen reached for the Sharpie to temporarily tattoo my backside with injection targets, he said “Now, where exactly do I inject?” Brennen called my uncle (a nurse) for advice.  I heard the words “6 inches from the top of the butt crack…” and saw Brennen go for the tape measure.  This just kept getting better.  He drew the first circle, put an X through it, and drew another.  Finally, we were ready, and gave and took that progesterone like total champs.  When the needle was out, Brennen asked me how it was.  Tears filled my eyes.  They weren’t sad tears.  They weren’t happy tears.  They were just tears…because here we are…5 days from transfer…and wanting this to work so badly.

So, the plan is to continue PIO until I take a pregnancy test; further instructions will follow depending on the results.  I’ll also take an antibiotic and a steroid, Prednisone, for a few days for transfer prep.  The antibiotic is to help ward off any infections from the procedure, and the Prednisone is administered to address any inflammation that may result from implantation.  Aside from medicine, our hotel is booked, and our bags will be packed by the end of the weekend.  I’ll have to be on bed rest for a couple days following the transfer, so I’ve opted to just stay in Memphis.  My mom will be babysitting me so that Brennen can get back to work.  And that means for those few days we’re in Memphis, she’ll be the one injecting me with PIO. That should be interesting…

Well, that’s about it for now!  My tears have dried up. My butt is starting to feel better. And I have a steak dinner waiting on me. We like to celebrate.  Let the countdown to November 15th begin!