Tag Archives: RE appointment

8 Week Ultrasound

Things seem to have been going well.  I haven’t had much morning sickness which I worry about but my hips…oh my hips.   They’ve been super sore and painful.  I’ve also had night headaches and joint pain.   I often worry if these are bad signs.  I hope not.

Our 8 week ultrasound was on Wednesday.  I was really nervous.   We’ve never made it to 8 weeks before and I was so scared there was going to be no heartbeat.

We got to our appointment early but we were the only ones in there.  Apparently they were all waiting for us.  We went in the room and our doctor and one of the nurses came in.  I told them I was scared and they said I’d be ok.   The doctor put in the ultrasound probe and we saw the baby but neither of us saw a heartbeat.

The doctor flipped a switch and….we heard the most beautiful sound in the world!   Our baby had a heartbeat and it was strong and fast.  I looked and my husband and told him that’s what it was.  He didn’t know but when I told him he got tears in his eyes and just hugged me.  He is not an emotional guy but this really got to him.

We listened in and then looked at the baby.  The baby has a big head and tiny little arms and legs.  They kind of looked like flippers.  The doctor measured the baby and it measured 3 days ahead which we were good with.  The heartbeat was 176 beats per minute.  They told us everything looked great and the baby was measuring right where it should.

I was so happy.  My husband was ecstatic too.   I can tell this was what he needed as he now keeps referencing the baby.   I think he was too afraid to before.  I understand as I didn’t even want to think about it prior to this appointment.  I felt great Wednesday, Thursday, and Friday but then I woke up yesterday and started worrying again.

Yes, we’ve made it further than we have before.  Yes everything looks good but I know that doesn’t always mean it’ll end up good.   I’m hoping that the baby will continue to grow and thrive.   Our next appointment is at 10 weeks and then we have our first OB appointment at 11 weeks.  We still haven’t told anyone.  After our 11 week appointment (if we make it that far) I’ll feel ok telling my parents.  I think we’ll wait until 12 weeks for everyone else.

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6 Week ultrasound

Yesterday was my ultrasound appointment.   We were supposed to go in at 1 but due to snow I called to see if we could come earlier and they said 10 was fine.   So we rushed around getting ready and then headed to the office around 10.   Initially my nurse had said we would do the IV infusion first then the ultrasound but when I got there they put me in the ultrasound room.  I’m glad they did.

My doctor and nurse came in and asked how I was feeling.  My doctor commented on my Wonder Woman socks and asked if my plane was waiting for me outside.  He cracks me up.  Then it was the moment of truth.   I had a little bit of a panic when he put in the ultrasound camera.  I didn’t know what I was looking for but after a few seconds my husband yelled, “There’s the heartbeat!”  He was right.

It’s funny that he saw it before anyone else.   The doctor told him that was the heartbeat.  He then showed us the sac and said it was perfectly round and in a good spot.  He measured the fetal pole and said it looked good.  I really couldn’t believe it.  There’s a baby in there!

He told me to sit up then talked to me about nausea.   I told him I have a little bit in the morning either before I eat or sometimes afterwards.   He recommended I take some B6 to help with it.  He also told me based on my height and body weight I need to gain a minimum of 27 pounds.  He then gave my husband a handshake and told me he was getting a hug.  I was so happy.  I hugged him hard and thanked him.  I’m sure I said it before but he had both of his children via IVF so he totally gets it.

I went back to get my IV infusion and my nurse came back.  She said I’m measuring 6 weeks and gave me a due date.  I’m not sharing that yet as I’m sure it will change at my next appointment.  She also handed me the petri dish our baby was made in and a CD with all of the photos from the separate egg and sperm, the ICSI process, a photo on day 1, 2, 3, and 5, as well as a photo before and after freezing.  How cool is that?

I know this is only the first hurdle.  With my first pregnancy the same thing happened but then the next day I started having some bleeding and miscarried within a week.   So far so good today.   I go back on January 12 and if we still see the baby growing I’ll feel much better as I’ll be 8 weeks then and I’ll just be more comfortable with everything.

I’m still on PIO shots but they are going to switch me to suppositories because my poor butt is hard and bruised all over.  I can switch back and forth if I need too.  We’ll see.   I’m not much for either one but I need to be on them until 12 weeks.

So, here we go again.  I’m really hoping this one sticks as my husband and I are no spring chickens.

Let’s Try This Again

Well here we are again!   Attempt number two for my first frozen transfer.   As a recap I ovulated on day 10 last month and my period started around day 18 which has NEVER happened.  So I’m getting ready to start again.

I’ve been on birth control pills for 14 days and I’ve been on 10 units of Lupron the last 5 days.   Yesterday was my last BCP.  I go down to 5 units of Lupron tonight.   My period should be due around Wednesday.

My doctor and nurse are thinking the Lupron will cause me to not ovulate which is what I need.  Hopefully my lining still stays thick and we can do a transfer in about 3 weeks.  I have an appointment set for November 28.  I will be doing an IV Infusion as well as my monitoring appointment.  If all goes well I’ll transfer some time between December 3rd and 5th.

I’m having a hard time being excited because I was cancelled last time.  I was ready to go but then found my body was out to get me.  Fingers crossed we make it all the way to transfer this time!

It’s Official: My Body Hates Me

As the title says, my body hates me.   I was supposed to go back to the doctor on Saturday for a monitoring appointment to see if we could still go for a transfer.   However, on Friday I started spotting bright red.  I thought it was really weird since it was only cycle day 18 so I called my nurse to tell her.  She said regardless to come in so they could check things out.

Saturday morning I woke up to cramps, a headache, and a full blown period…on day 19.   WHAT?   In the 25 years I’ve had a period I’ve NEVER gotten one that early.   To my memory the earliest I’ve ever gotten a period was on day 24.  Since my normal cycle is usually 30 days this is insane.

I went to my chart and I did have dotted lines at day 12 so I could have ovulated then and my day 14 bloodwork suggested I had.   But even if I did ovulate on day 12 that would mean my LP was only 6 days long.  It doesn’t even make any sense but there you have it.

So I went in and they did a blood draw.   That was fun in itself since after the nurse got the needle in she went to put on the tube and it went flying across the room and my blood splattered all over the chair, my nurse, and me.   It was pretty gross but I stayed calm, looked at my nurse and said, “Happy Halloween!”

Then I went in for an ultrasound.  My RE seemed perplexed.   He said my lining looked a little off and he could see where I was bleeding.  He said it was odd because some of the bleeding was going towards my abdomen.   He said we would not be doing a transfer because he wants everything perfect and obviously something is wrong.

They got my results back and my estrogen was higher at 220 and my progesterone was fairly low but they said they can’t figure out why I ovulated through the estrace.   So new plan!   I was hoping that since my period started Friday we could just go ahead and cycle again but no go.  They want me on a birth control starting tomorrow for 14 days overlapped with Lupron to make sure I don’t ovulate next month.  So 14 days on the pill, get withdrawl bleeding, continue on with Lupron and start estrace.   So now we are looking at an early December transfer.   Just the time I DIDN’T want to transfer.  Who wants a crappy beta the week before Christmas??  Not this girl but that’s when it will be.

Stay tuned to see how things go.  I should have known I couldn’t just cycle with a pill.  That would be way too easy and my body is anything but easy as we know.

Monitoring for my Frozen Transfer

So it’s been a few weeks.   They’ve been busy with my baking, visits from my family, and working.  I’ve been feeling overwhelmed by a lot so thankfully this frozen transfer prep has been a piece of cake.  All I have to do is remember to take 2 or 3 estrogen pills a day.  However, apparently I could never remember in the morning before work so I would end up taking the pills at 4, 7, and 10 most days.   I tried!

So last week I did my IV Infusion and it was a disaster.  I’d had a rough night where I was dizzy for about 2 hours and my left arm was tingling.  It scared me so I didn’t want them putting the IV in my left arm where they normally do.  It’s my good vein but I was scared.  The nurses agreed to do my right arm.

Well the nurse doing it was freaking out a bit.  She hit my vein but went through it so they couldn’t use it.  After that she refused to try again because she didn’t want to hurt me.  I told her to just do it, it was fine, I could handle it, but she wouldn’t.  So my nurse (the head nurse) came in to do it.  She tried on the same arm and when she got the needle in the stupid catheter broke!   The needle popped right out of it and they had to remove it.  My poor arm was so sore.

So they went to my left arm, the good one, and got it started there.  Then everything was fine.  My nurse and I chatted and it was decided that I would have monitoring on Monday (24th) and my transfer Friday afternoon (28).  My lining is always good so they didn’t see it would be a problem.

I went in for monitoring on Monday.  My doctor described my lining as “luscious”.   He cracks me up.   It was at 12mm and had the tri pattern.   He said he couldn’t imagine my estrogen levels would be off because everything looked good.   Well, he was right in that aspect. My nurse called 2 hours later and said my estrogen looked great BUT my progesterone was high….too high.

They said with that amount it looked like I already ovulated and it was only day 14.  My normal cycles I ovulate on day 17 or 18 and even when I’m pumped full of my for IVF I don’t ovulate until day 13.  According to my charting it says I ovulated on day 12 but now my temperatures are back down so I don’t know.  They have me coming back in on Saturday to do another scan and bloodwork.  If my bloodwork is still high I’ll be cancelled.   If it looks good we will transfer next week.

I can’t believe this is what’s happening.  I was so certain I would transfer Friday which would have been great.  I could take the whole weekend to relax plus I have teacher work time Friday afternoon so I wasn’t even going to have to get a substitute!  So now we wait.  If I’m cancelled we’ll just start again next month but that will put my transfer close to Thanksgiving which isn’t good since I’m helping host at my brother’s house and I’ll be doing all of the cooking.

First Monitoring Appointment (IVF #4)

I didn’t get back on here on Monday, sorry all!  Being back at work while stimming is kicking my butt.   My students started back yesterday and I wasn’t sure I was going to make it through the day.  I actually came home and napped yesterday and I don’t nap.  My husband thought I was sick and was worried about me.

So back to Monday.  My appointment was at 8:15 but they were running way late.  Then they told me my RE didn’t make it back from visiting his family so I had to see the new woman.  Actually they just gave me the name of the doctor and since there are only 3 men RE’s at my practice I was surprised when a female showed up.

She was nice but I didn’t know anything about her or even if she was an RE.  I asked my nurse who said she is new to the practice.  She looked at my lining and said it was already at 8!   That’s great as that’s the minimum they want it to be and I was there early.

She found my right ovary easily as they all do.  There were NINE FOLLICLES!   This is huge people!  They were small, she made sure to tell me that multiple time, but NINE !   My nurse was in there with me and was thrilled as well.   They were all between 8-12 so they were growing evenly too.

As for old lefty, she was giving the RE a hard time.   She could partially see it and found at least 4 follicles but said there could be more as she couldn’t see the whole thing.   They were all between 7-9 so still in the ball game.

That means I have 13 follicles in the game.  I realize this doesn’t mean they’ll get 13 or even if all 13 will continue to grow.  While my AFC the last two times has been 12 and 13, they’ve only seen 10 and 11 follicles even growing so I’m already looking better then previously.  I’m hoping that they can retrieve all 13 or that there are more.

I also got my E2 back and it was 510 which is ok.  My nurse was happy with that number but I really need it to have doubled by tomorrow’s appointment.   If I’m to have at least 10 mature follicles I need to be around 2000.   So tomorrow is my next appointment and I see the same woman because my RE is in surgery all day.   If I’m tallying everything right I’ll have egg retrieval between Sunday-Tuesday.  I can’t believe it’s here!

Ok in a way I can. The shots are getting annoying and my stomach is a mess (I’ll try to get a picture) but I feel like I’ve been so busy that I haven’t been thinking much about it.  I know it’s coming, I know this is happening, but until retrieval it isn’t going to seem real that this is our last shot.  Then I’ll be a wreck all week.   I have to go through fertilization reports daily and if I have enough (there IS a magic number) then on day 3 we’ll send cells from the embryos for PGD and get the results by day 5 for a fresh retrieval.  How insane is that?  Most people wait weeks and have frozen transfers but not here.

My guess is I won’t make it to PGD (which is really expensive and they already have my payment) but if I do, I’ll feel better knowing that what I’m putting back in is good.   So, please send me good vibes for my appointment tomorrow!

Shots, shots, shots, shots!

So stims have officially started as of Wednesday night.   I’m amazed by how many items I have to take into the bathroom with me each night.  I’m only doing 3 shots (only right?) but it takes a lot.   I have my Follistim pen, a needle for the Follistim, the syringe for the Menopur, 2 bottles for the Menopur (the water and the powder), the Q cap, a 27G 1/2 inch needle for the Menopur, the bottle of Lupron, an insulin needle for the Lupron, my estrogen suppository, 3 alcohol swabs (1 for the bottles, one to clean my stomach, one for when my stomach bleeds), and a band-aid.   I mean, it takes me like 15 minutes to do everything and I’m a pro by this point.  I didn’t even read any of the instructions, look at videos, or my manuals this time.

So the Follistim is fine. The needle is tiny and doesn’t bother me much.   I did get a big bruise though on Thursday from this needle and I’m not sure why.  I’m totally over the Lupron.  I had a migraine Wednesday and Thursday nights.  I’ve had a low ache headache since then.   Then there’s the Menopur.  This is my nemesis.   It burns like you wouldn’t believe if you’ve never done it.  I hate the stuff and I have to do the whole vial this time which sucks.

So is all of this working?   I don’t know.   That’s the part I hate about this process.  I have my first monitoring appointment in the morning.  I’ll have been on my stims for 5 days then so we’ll see if things are going on.  I’m thinking they are because I’m starting to feel bloated and have some pressure in the area where my ovaries are.  Since I didn’t have an AFC I don’t even know what to hope for.   Last time my AFC was 13 so I hoped for at least 10 retrieved and that’s what I got.   At this point I could have 4 follicles or 20.  I have no clue and since my AMH is different then it was the last 2 times I really feel like I’ve been thrown a curve ball.

So I’ll do my stims tonight, have bloodwork and ultrasound in the morning, then my nurse will call and let me know if I need to change my dosage.   I started out at 450 of Follistim but that was only for 2 days and now I’m at 375 which is the lowest dose I’ve ever been on (though I was only on 225 of Gonal-F my first cycle).

So think of me tomorrow morning and send good fairy dust and unicorn poop my way when I’m at the office.  I have to rush back to go to work but I’m hoping to post my results tomorrow evening.