Saturday, October 27, 2007

Long overdue update... and it's a long one!

I know it's been awhile. There has been a whirlwind of activity going on here. Everything has been coming together so beautifully, I fear that if I post about it, the progress will come to a stop. My prayer throughout this journey, has been that God would open the doors that need to be opened, and close the doors that need to be closed. God has really been answering that prayer. Doors have been opening for us, one right after another. This isn't answering your questions is it? It has everything to do with my previous post.

My heart has really been drawn towards embryo adoption/donor embryos for quite some time. It's just never been a real option for us for one reason or another. I started looking into it more seriously a little over a year ago. That was actually the reason for our first consultation at our RE's office. The doctor quickly squashed my hopes to pursue this route. He said that they didn't allow new patients into their donor program. We had to do treatment through this clinic in order for it to ever even become an option. Even at that, he discouraged us, saying the wait is often more than a year. At this point, it was only known that I had PCOS. We didn't know of anymore contributing factors to our infertility. We've since learned that I also have a blocked tube and elevated FSH, indicating poor ovarian reserve. There are all kinds of roadblocks in the way of us conceiving a biological child. We do know it's possible. We did conceive a child nearly 9 months ago. Biology doesn't concern me though. Being adopted, I know that biology doesn't create a family. In fact, I told Mark on our first real date, that there was a good chance, I would have trouble conceiving a child, and I needed to know if he was OK with adopting.

After our last failed treatment cycle, Mark and I had some discussions about our options. I've reviewed many of these options with you already. Mark's take on things was that we needed to wait on direction from the Lord. My view on it is that without looking at all of the doors, and maybe jiggling a few doorknobs, how are you going to know what doors are open? :) I suggested to Mark that we put our name on the waiting list for donor embryos at our clinic if they would now let us, pointing out that if we did decide this was the route to go later, it would shorten our wait. Remember the doctor told us it was most often more than a year wait for embryos to become available.

At this point, Mark is still leaning towards a traditional adoption. I must go check this doorknob! We met with an adoption agency 2 years ago, and didn't feel peace about moving forward at that time. Before traveling to Boise to meet with them again, I called the local Pregnancy Crisis Center. The director goes to our church. I was really just after information. She wanted to set up a meeting with us though. We arranged the meeting and took an afternoon off to go visit with her. Adoption is certainly not for the faint hearted. There is so much involved. How open of a relationship are you comfortable with with the biological family? The more open you are, the more likely you will be chosen. The home study process alone is quite daunting. You must ensure you have a good lawyer, or agency so that everything is done properly. You must remember not to give the birth parents gifts, or help them directly with living expenses. This can be considered "baby-buying." Even without agency fees, we were amazed at how quickly the legal and medical costs add up. The costs can be anywhere from $7,000-30,000. She overwhelmed us with information. But when we left there, Mark said, "We might as well do more treatment." I'm very thankful for this time we had with her, and the information she provided, but it just didn't feel like a fit for us at this time.

A week or two later I made a call to our clinic to get more information about their donor embryo program. Now I don't know how it is in different medical practices. But every doctors office I have, if I call with questions, I have to leave a message, and someone calls me back later. So that Friday I left a message with the donor coordinator at our clinic. I got a call back from another Nurse Practitioner, saying that the donor coordinator would be out of the office until Tuesday. She called me back on Tuesday. I asked if we were eligible to be put on the waiting list for embryos. She said she thought probably so, but she needed to check with the doctor. She told me there were currently embryos available without wait, but said her list wasn't overly impressive to most. A week later, and I still hadn't heard the verdict from the doctor. So I called the nurse back and left another message. She called me back and said he cleared us. We were ok to use donor embryos.

That week was the longest wait we've had for anything! Everything else has come together so quickly! That day she faxed me a list of currently available embryos. Since that point, it seems I'm calling the clinic every other day. I got the costs for everything, and told Mark. He said... "Wow. Not cheap. If this is where God wants us, He's going to have to provide the money." Funny thing... that night I was going to the bathroom, and an idea came to me. We discussed it, and decided together, if these doors continue to open, this is where we want to be.

We made our pick from the list of embryos available. It's important to remember, these are human beings. We chose a group of 7 embryos, from one family. The genetic mom is 5'1" with brown hair and brown eyes. She is Asian. The genetic dad is 5'10" with blonde hair and brown eyes. When I called the clinic to say that we were interested in them, the nurse said that someone else had already expressed interest in them. She had to give them another chance to make their final decision. She called me back to tell me that those embryos had been removed from the available list.

Because they are ours!!!!
I couldn't be more excited. We have 7 frozen babies! And Mark has told me several times how he is excited about our family. The program is completely anonymous. The donors will never know anything about us, and we will never know anything more about them than we do right now.

From that point, things have continued to come together. We are required by our clinic to undergo a Psychiatric Evaluation. They require this for anyone using donor sperm, eggs or embryos, as well as gestational carriers. The Doctor that does their evaluations just happened to have an opening next week when Mark and I were already planning on being in Boise. Our next hope is that my cycle beings on time to schedule a water ultrasound when our RE has an opening.

This is just thrilling to me for so many reasons. There is so much more I could say, but I fear this post is getting longer than most will want to read. So I'll save more for another day. We appreciate your prayers, and would love for them to continue! We aren't there yet. Just on the way.

Sunday, October 14, 2007

Lessons in infertility

There really isn't much to update, but I know there are people checking often for updates. We are still exploring options and praying about what God has for us. One option that my heart has been very drawn to for some time is called Embryo Adoption or Embryo Donation. Please know that I am by no means an expert in this area, but I'm going to give you the information as I understand it from my readings and following the journey of several friends.

Both Embryo Adoption (EA) and Embryo Donation (ED) operation on the same basic concept. When a couple goes through invitro fertilization (IVF), the ovaries are stimulated to produce as many eggs as possible. The eggs are then retrieved and then combined with sperm (sometime the sperm is injected directly into the egg, and sometimes the sperm are allowed to do their own thing) to produce embryos. Because this is an expensive and very involved process and it is never known how many will actually fertilize and grow, many embryos (sometimes as many as 20 or more) are created.

If you believe as I do that life begins at conception, each of these tiny embryos, far too small to be seen by the naked eye, is a life, precious in the eyes of our Creator. The couple and their medical team decide together how many of those embryos will be transferred back into the woman's uterus. As is the case in a natural cycle, not every life conceived will implant and grow. Most often 2-3 embryos will be transferred. Caution must be exercised though, because each of them could implant, resulting in a multiple pregnancy, that can be very difficult on the health of the children and mom. The remaining embryos are frozen, awaiting the outcome of the transfer (often referred to as a fresh transfer-because those embryos initially transferred have never been frozen.) If that cycle fails to produce a pregnancy, or if it produces a pregnancy, and the couple wishes to have more children, then some of the frozen embryos are thawed and transferred into the mom. Very sadly not all of the embryos will survive the thaw. Success rates for a frozen embryo transfer (FET) are not typically as high as for a fresh cycle. Even after several subsequent cycles, there are often embryos remaining. Once the couple has decided their family is complete, or their journey on this path has come to an end, there is a huge decision to make- What to do with their remaining embryos.

One choice is to allow them to be destroyed. Another option is to donate them for research. Thankfully for some people these are not options. At this point, they are left with two more options. They can continue to pay for storage indefinitely. Or one final option is to allow them to be adopted, or to donate them through Embryo Adoption or Embryo Donation.

The difference between EA and ED is minor. Through ED, the donating couple will often notify their clinic that they want to donate the embryos to another couple. From my understanding this is most often a closed process. The donating couple will know little or nothing about the receiving family. They can also choose to find a couple on their own through word of mouth, or through various websites.

With EA, there is a paperwork and home study process much like a traditional adoption. This allows for more of a screening process, and allows the donating family to have a great amount of control in deciding on a family for their embryos. This allows more room for the genetic family and the adopting family to decide on how open they want the relationship to be.

Babies resulting from ED/EA are often referred to as snowflakes, because no two are the same. Each is unique. There is an EA program called Snowfakes Embryo Adoptions through Nightlight Christian Adoptions http://www.nightlight.org/snowflakeadoption.htm . There is also an embryo adoption program through Bethany Adoptions http://www.bethany.org/A55798/bethanyWWW.nsf/0/1CA188422535A9E8852572750070B241 . Both websites have a lot of information about the process, and testimonies of families that have grown their family through this path. Looking at the pictures of those precious babies, it's amazing to me that people can still call extra embryos as "medical waste."

At this time, an actual legal adoption process isn't required, just legal contract for a transfer of property. While I find this very sad to refer to these lives as "property", it has its good point in that it takes away a lot of the red tape and makes the process easier and less costly. Once that contract is signed, the donating family has no legal claim to the embryos or the child born from this process. On the birth certificate, the receiving family are listed as the mom and dad.

At this point, I am in the process of finding out about receiving donor embryos through our clinic. My heart has really been pulled in this direction since I first heard about this option almost three years ago. I can't even put a finger on what about it appeals to me, but it something sure does. I have a news story about "the other side of the stem cell research debate" that I recorded on our DVR from August of 2005. It tells the story of a family that was grown through EA, and shows both the adopting family and the genetic family.

Exploring the the possibility of using donor embryos was actually the reason we first went to our clinic a year ago. After the 6 rounds of clomid and one IUI we did with my gynecologist, I wanted to go straight to using donor embryos. The doctor laughed at me and said I was giving up before we really tried. They have a policy that they never let new patients go right to donor embryos. They must have failed treatment through this clinic. Now that we have done 2 cycles there, and have no baby, I'm hoping they will allow us on their wait list for donor embryos. When I talked to the ED coordinator at our clinic last week, she said she would talk to the doctor and get back to me. She said that there are currently embryos from several different donors available.

Knowing they have embryos available makes me so excited I could wet myself! If it were my choice, I would start the ball rolling on this tomorrow. But alas, it is not all about me. We are praying that the doors that need to be opened will opened, and if the doors God does not want us to go through would be tightly closed.

Wow, this has turned into quite a long post. I guess that's why I haven't talked much about it before. It's just so exciting to me, I have so much to say about it!

Tuesday, October 09, 2007

A little news

I got another call from our clinic today. Not much to report. I asked one question, and she said she'd have to run it by the doctor. That might take a day or two. OYE! Wait, wait, wait. The theme of my life. Mark and I have started devoting time each day to pray together for the future of our family. We both want so badly to be on the same page, and thatpage needs to be the one God wants us on. .

I have SO MUCH excitement in my heart about this option we are exploring. This is something my heart has been drawn to for more than 2 years. For now though, we continue to wait and pray.

Sunday, October 07, 2007

Change in protocol

We continue to seek direction and weigh out options. In this process, one of our options is to continue with the prescribed treatment protocol from our Reproductive Endocrinologist. A few weeks ago when the nurse called with my negative beta results, she mentioned that the doctor would probably want to change my treatment protocol. On Friday I called the clinic to find out exactly what that change in protocol would entail. Their biggest concern with my former protocol was a thin uterine lining. Unfortunately, that's one of the side effects of clomid. So at this point, the only change they have for me would be to change the clomid to a medication called Femera, or generic Letrozole. This is a medication that has been used for treatment of breast cancer. But it has a side effect of inducing ovulation exactly like clomid does, without the negative side effects. Not sure if this is the path we're going to be on, but at least we have the information about the path.

I also left a message for the embryo donor coordinator at our clinic. During my last IUI, I heard the coordinator talking to someone about this. This is something that really excites me. My heart has been pulled in this direction for more than two years. Unfortunately the embryo donor coordinator is out of the office until Tuesday. Hopefully we can learn a lot more about this path when she gets back.

Tuesday, October 02, 2007

Humbled

I sit here tonight humbled, and nearly overwhelmed by the comments that have been left on my blog recently. It's amazing to me the people that I have never before met, that God has brought to this simple website for the purpose of praying for my husband and I.

We had our meeting today at the Pregnancy Crisis Center. She went over a TON of information, and gave us a contact for a christian lady that does home studies in this area for a much more reasonable price than most. In the end she prayed with us. We left the meeting completely overwhelmed, and no closer to a decision on the direction we are to be going. So for now, we continue to wait. Wait while I hear time clock ticking loudly in my ears. I know God has a plan. I'm working daily on trusting that plan.

Sunday, September 30, 2007

Under the Weather

I've been very under the weather this last week. I've been dealing with a great deal of nausea throughout the week. If I hadn't had a blood test a little over a week ago, I would swear that I'm pregnant. To top that off, Thursday night I came down with a cold that I caught from a co-worker. Oh the joys!! So I've been all snotty and sneezing this weekend. With all of this I haven't been up to too much activity.

Mark and I continue to seek direction for the next step in the journey to expand our family. I had a MASSIVE meltdown last week. The worst in a long time. This is just so hard! It makes it even harder that Mark and I really aren't on the same page about things. He is perfectly content with our family as it is. He wouldn't mind having children, but he's ok without too. I wish I was there. Oh how I wish. Mark feels like we should just pray and seek direction right now. My prayer for direction has been that God would open the doors we are to go through, and close the ones we aren't. And how do you know if the door is open or closed if you don't look at it? So I have been on a fact finding mission to get information about all of our options. Mark feels like it's kind of a waste of time to walk down the hall checking doors if we don't have a direction. Neither of us thinks the other is wrong. We just have different perspectives. I think I have a hard time sitting still and waiting. I know that is something I need to work on...

In any event, Mark was not comfortable with trying to fit our meeting at the Pregnancy Crisis Center into our lunch hour, so we rescheduled it. It will be this coming Tuesday at 2:00 pm. Mark has most Tuesday afternoons off, so it won't mess with his work schedule at all. I will work through my lunch hour, and take a couple of hours of vacation, so I don't have to go back to work after the meeting.

Along these lines, I've begun working on a digital scrapbook of our lives together. While I'm excited about this scrapbook for several reasons. The ultimate purpose of the pages I'm creating is hopefully being used in an adoption portfolio, for expectant parents to look at to get to know us, and maybe decide they want us to raise their child. But I'll post more about this later.

Tuesday, September 25, 2007

Options, a New Vacuum and Baby Blankets

Sorry the updates are getting further apart. I've said it before, but sometimes I feel like when we are not actively trying to have a baby, I really don't have anything worth saying. That's how much of my identity I've wrapped up in this journey. I honestly don't know what is next for us. There are so many options. We are standing at an intersection with so many different paths. I just don't know which one we are to choose.

Our options at this point are further treatment. Although that isn't an option till after the first of the year. Embryo adoption is another possibility. I'm waiting to hear from our clinic to see if we can be put on their waiting list to receive donor embryos. We also have a meeting this Friday with the local Pregnancy Crisis Center, to discuss adoption, in addition to the agency we met with a couple of years ago.

In other news, we splurged on a new Dyson vacuum, and I'm in love! I'm also disgusted by all the hair and dirt this thing pulls out of our carpet. I've been able to make new fur coats for the kitties every other day since we got it! I never would have thought I would spend that much money on a vacuum, but so far I'm SO glad we did. I highly recommend Dyson. I was cleaning around the edge of our closet with the, and I stood up with the vacuum hose in my hand, and accidentally sucked a shirt right off the hanger. Our carpets look better and better each time I vacuum. This vacuum really sucks. Really!

With all of this excitement, I will leave you with pictures of the baby blankets I made over the last month. Hopefully 3 of the recipients that live out of the area will be getting them in the mail in the next day or two. The 4th is local, and has hatched already. His bum was stuck where it shouldn't be, so he had to be born via c-section a week and a half ago, so I thought I'd give mommy some time to heal a bit before going over to visit.

Friday, September 21, 2007

Broken Dreams...

I know there are quite a number of people who read this blog that have some experience with infertility. On the flip side, there are probably just as many readers who have not. So there are some readers who see yesterdays news as a disappointment, and don't fully grasp the grief I have right now. It truly is grief. I have been cycling through phases of it since the phone call yesterday. From anger to denial. This wasn't just a disappointment. It was the death of a dream for yet another month. While I know it isn't true, I feel so broken and useless. I can't do what seems to be a God-given right for women. "Be fruitful and multiply..." just doesn't work for me.

Mark and I went out to dinner last night, and I brought up many of the options we have to go from here. I would love your prayers for direction. There are so many doors. I don't know where to go!

With this, I will leave you with a poem that has come to mean a great deal to me. Looks like I need to soak this in a bit more and live it.

Broken Dreams

As children bring their broken toys
With tears for us to mend,
I brought my broken dreams to God
Because He was my Friend.

But then instead of leaving Him
In peace to work alone,
I hung around and tried to help
With ways that were my own.

At last I snatched them back and cried,
"How can you be so slow"--
"My child," He said, "what could I do?
You never did let go."

-Author Unknown

Thursday, September 20, 2007

Thank you for your prayers

I just received a call that our test results were negative. No baby for us this time. I'm taking it pretty hard right now, just trying to figure out how to make it through the next 35 minutes of work. Trying to remember that God is still God, and He is very good. I want to crawl into bed and cry. I wish I could make these desires and feelings go away. If I could turn them off, oh how I would!

I don't know what comes next for us. I'd really appreciate your prayers for direction in that. I know Mark is so tired of the treatment roller coaster.

Stop the ride, I wanna get off.

Wait, wait, wait some more!

This morning is off to a roaring start! I woke up at 6 am, not feeling good AT ALL. (Lower digestive issues--enough said.) I was really debating not going to work. Once I showered and got myself dressed I was feeling a little better, so I headed off to the hospital lab to have my blood drawn. Good thing I got to the hospital as early as I did, if not, I'd probably still be waiting there. The sweet christian lady Barb that usually draws my blood I noticed wasn't coming out to call people. I was disappointed. I noticed that each person that they called back was taking about 20 minutes :( Finally they called a couple of lab techs from other parts of the hospital to come help. When they finally called me back after almost an hour of waiting, they ended up having to stick me twice, because she only got a flash of blood from one arm. She explained that the lady who is normally in the lab in the mornings had to leave because her mom was in the emergency room! So I got to work at 8:30 (when leaving the house this morning, I was sure I'd be early for work in case I had to leave today) and one of the other girls is not here, she's at home sick. My tummy issues seem to have settled down for now. We'll see what the rest of the day holds.

So now, once again, we wait. With these blood tests last time, I got results anywhere from 11:30 am to 7:30 pm.

Tuesday, September 18, 2007

I caved

UGH! I caved and used a home pregnancy test. What did I say in my last post about being too early to accurately detect a pregnancy? Someone please remind me. Of course the test was negative, and I'm feeling discouraged. I'm bordering on tears right now. I haven't been weepy this whole cycle. Wow this stinks. 2 more days till my blood test. Wonder if I can hold out till then?

Sunday, September 16, 2007

Still waiting

I feel like I need to post something, but there's nothing to update. We're on the downhill side of this episode of the waiting game. I've been tempted to pull out a home pregnancy test and give it a try. Despite what the commercials would have you believe, it's really too early for accurate results from any pregnancy test. I will have my blood test in 4 days. So for now I will continue to wait. Wait and work on crafts. I've finished 4 blankets. I'll post pictures of them this week after I've mailed most of them off.

Thursday, September 13, 2007

Yeah, so I'm pathetic...

Still nothing exciting going on in my corner of the world. I'm halfway through this round of the waiting game. I've been wrestling back and forth at times with doubts. This is out of my hands. There is nothing I can do to help things along. Worry certainly isn't going to help.


I finished another blanket today. That makes 4! All were made with love and prayers for specific babies that are due to make their big arrivals in the next couple of months. All of these babies have moms that I was looking so forward to experiencing pregnancy with. And so I digress. That wasn't meant to be. That doesn't take away for one second the miracle of these babies. While making these blankets I've been praying for these babies; For their protection; For guidance for their parents to raise them to love Him; For their siblings. Maybe I'm selfish, but as I mentioned before, making these gifts is like therapy for me.


Ok, time for another biology lesson. What exactly could be going on inside me right now?? First we'll back up a step to last week. We skipped some steps, and after the swimmers went on a wild ride in the lab, they were injected directly into my uterus. The eggs are normally viable for 24 hours max, so timing is everything. The swimmers seek out the egg(s), and try to penetrate a tough membrane around the egg. Only one sperm can make it through the membrane. Conception!! Once conception has happened the cells begin dividing very quickly. Everything needed to keep the embryo alive at this point is contained in itself! It begins a week to ten day journey down the fallopian tubes and into the uterus where it needs to find a nice comfy place to nestle in. This is called implantation. So at this point if we have been blessed with a baby or two, they are probably just arriving in the uterus to search out a place to dig in. But they could still be floaters for a few more days. After implantation, the placenta forms, at which point they would be dependant on me for everything. Almost a frightening thought!!


I've had quite a bit of cramping and abdominal discomfort over the past few days. I've had a few other mild symptoms, but these things can be attributed to the progesterone support. So the waiting continues.

Monday, September 10, 2007

Nothing new

Sooo.... I'm boring. Nothing exciting to report. I'm 4 days into the 2 week wait. Tick, tock, tick, tock. Wishing the month away! I spent the weekend relaxing. I made some blankets. One of the blankets, I LOVE LOVE LOVE! I'm going to take pictures. I can't post them yet. A couple of the blankets may just be for some of my pregnant blog readers. Making these blankets is almost like therapy for me. They are far from perfect, but they are made with love and prayers for the recipients. It's hard to let the ugly green jealousy monster come out while you're praying for someone. This just allows me to take my focus off myself and focus on blessing someone else.

I'm feeling very at peace right now. I would have thought that I would be more anxious. I'm just trying to trust that God has the right plan, and He has my best interest at heart. He sees a much bigger picture than I do in my little corner of the world. I can however imagine our nursery decorated around one of the blankets I made over the weekend. BIG SIGH!

Thursday, September 06, 2007

More OUCH!!

We had the IUI today. The procedure was probably the worst that I have done. This is our third IUI, and the hsg (dye test that revealed a blocked tube) was similar in that the catheter was used to introduce something into my uterus. Out of all of those experiences, today was the worst. Not to say that it was really bad. Just very uncomfortable and at times very crampy and painful. She tried quite a few times to get the catheter in and it just wouldn't go. She said there was probably an enlarged gland inside the cervix blocking the path. After several minutes of trying, she changed to a different type of catheter with a smaller, but slightly stiffer tube, and it took a few tries but finally she got in. This isn't the first time it's been a rough entry. I have a tricky cervix. Add that to the list of my malfunctions!

There is definitely nothing wrong with Mark's boys. As always he had great counts. 36.5 million total count. 83% of them were motile. After they were washed and processed 11 million were used for the insemination. You may be asking why the insemination? What's wrong with the old fashioned way?

The uterine cervix acts as the principle filter for sperm during intercourse
and less than one percent of the sperm is naturally able to migrate up through
the uterus and into the fallopian tube where natural fertilization occurs. With
IUI, the cervix is bypassed and a small volume of highly concentrated sperm is
placed directly into the uterine cavity, thereby increasing the chances of
success to a much higher rate than can be accomplished with natural intercourse
or intracervical insemination during treatment cycles.



Basically, for conception to occur, the sperm have to find their way into some friendly fluid secreted by the cervix. They swim their way from the semen into that fluid called cervical mucus. If conditions are right in that mucus, they can last for up to 5 days. From there they go up through the cervix, inter the uterus. From the uterus into the fallopian tubes, where they meet up with an egg. There are any number of obstacles in the way throughout this process. I can't find the exact article I once read before our first IUI 2 years ago (2 years ago tomorrow to be exact!) but it goes something like this. While the initial deposit of semen may contain millions of sperm, often only tens or hundreds of thousands of the little swimmers will make it through the cervix into the uterus. By doing the IUI procedure today they were able to cut out a whole bunch of obstacles (swollen gland in the cervix blocking the way, etc) and deposit a MUCH higher concentration of 11 million near the tubes. This just gives us greater odds.

Tomorrow I will begin progesterone support for the next 2 weeks until our pregnancy test. The progesterone is to help maintain the lining of the uterus so an embryo has a nice safe place to nestle in. Progesterone is naturally released by the remains of the ruptured follicle (corpus luteum-- you can see this on the diagram from a yesterday).

I'm on princess status now. Until such time as we find I am definitely not pregnant, we will operate on the assumption that I am! No matter what we have done, this is still in God's hands. So now we wait...


Oh yeah... The picture and post about injection site reaction were made from my cellphone. That's why the picture is a little blurry. It really doesn't do the welt justice. It's about the size of a chicken egg and very red. I asked the nurse about it today and she said it's a fairly common reaction. If it lasts more than a few days or gets worse then there would be concern about infection. And NO, it's not my bum. All of these shots were in my belly. Not much prettier than my bum, but just putting your minds at ease. I'm not posting bum pictures online.

Ouch!

Injection site reaction. Lots of fun. I have a matching bruise on the other side. Off to I go. More later.

Wednesday, September 05, 2007

Great appointment!

Today was a major answer to prayer. I was hoping so much for the start of a couple of good follicles on the right side, but not too many. Wouldn't you know it, with today's ultrasound they found 2 "perfect follicles" ready to go! With my last cycle with this same treatment protocol and same medication I had to take 5 of the shots to stimulate my ovaries to produce follicles. This time I had to take 2! Every treatment we've done has taken longer than expected. Today I'm on day 9. That's almost a week earlier than normal. This has caused a few scheduling conflicts because I wasn't quite ready for this yet. I thought it would be this weekend or early next week. I took my hcg shot this afternoon to cause the follicles to rupture and release their eggs. The eggs generally release 24-36 hours after the hcg shot. So we will be having an IUI procedure done tomorrow. The only downside to today's visit was that the lining of my uterus was a little on the thin side. They want it to be a little thicker so that an embryo has something to attach to. So I was giving a prescription for an estrogen medication that should help boost the development of the lining.

I intended on giving a fresh explanation of the IUI, but I'm tired tonight. So I'm going to recycle the description I gave in February.

This afternoon I took my last injection for this cycle. Yep, that's it. I just took a shot called hCG. That hormone is very similar to LH, the hormone the body naturally releases to signal the follicle to rupture and release the egg. hCG is also the same hormone that is released during pregnancy. It's exactly what a home pregnancy test is testing for. Soooooo, if I took a pregnancy test tomorrow it would be positive. It would be a false positive, but a positive. :) I've talked a lot this week about follicles. So here is the progression of a follicle in the ovary. Just so you have a little picture to go from.

Tomorrow afternoon, we will be at our clinic in Boise for a procedure called IUI. IUI stands for intrauterine insemination. An IUI is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus.


The whole process doesn't take very long — it usually only requires the insertion of a speculum and then the catheter, a process that maybe takes a couple of minutes (60-90 seconds to introduce the catheter, then sperm injection, and another 60 seconds or so to remove the catheter. Most doctors have their patients lay down on the table for 15-30 minutes after the procedure.

Tuesday, September 04, 2007

Appointment tomorrow

I had to say a little late after work tonight to wrap things up so I could be gone tomorrow. I have an appointment in the morning. I will be going for another ultrasound. Last Wednesday the purpose of the ultrasound was to make sure there was nothing on my ovaries that they didn't want there. The purpose of tomorrow's ultrasound will be to check for what they DO want growing on there. From this they will determine future doses of my injections. Hopefully I have a couple of good follicles growing on the right side. I'll leave early in the morning, and pick up my mom. She will be riding along again this week. I'm thinking I'll be flying solo for the next appointment though. That one will probably be Friday.

Off to shave my legs. I'll report back tomorrow evening on my ultrasound results.

Monday, September 03, 2007

Well on the way!

Yesterday I finished off the last of my clomid pills. YAAAY! Too bad the side effects of clomid outlast the pills. I'm currently in the midst of a whopping hot flash! It probably doesn't help that I just came in from mowing the lawn.

Because I finished the clomid yesterday, I started injections today. So we're well in the way. I'll take an injection tomorrow, then have an ultrasound on Wednesday. From that ultrasound they'll determine how many more injections to take before another ultrasound. Today's injection was nothing going in. I feel a little ache now, but not too bad.

We have a big day of birthday parties on both sides of the family today, so I better scoot along and see if I can accomplish anything else this morning!

Saturday, September 01, 2007

Busy day at home

Today was a SUPER busy day at home. I have been doing what Mark now frighteningly calls "nesting." I am very hopeful for a pregnancy very soon. So I am doing my best to prepare my home. I'm trying to get things done that I wouldn't (or shouldn't) do while pregnant. I'm also trying to get the house clean from top to bottom so that in the coming weeks after the insemination, I can take it easy, and make "a happy place for babies."

Last night I got the grout on the new bathroom tile sealed twice. Today we got the toilet set back in place, and gave the bathroom a serious cleaning. I could eat in there right now. Better hurry if I want to do that before Mark heads in there... Oops, never mind. I really didn't want to anyway.

I've also finished up a few other little projects around the house while I still had my dad's nail gun and other miscellaneous tools. I feel so good about getting these things done! I'm tired, but it feels good! Tomorrow I plan to get my nightstand painted and hopefully my hair highlighted, and do some more cleaning. If I make enough progress this weekend, I may pull out the carpet cleaner and give them a good cleaning. Not sure on that one though.

I'll do more cleaning throughout the next week and if all goes well, I'm guessing I'll have the insemination as soon as next weekend. After that, I'll be taking it easy. I plan to do some crocheting, make several quilts, and maybe reorganize our closet. Earlier this year during my 2 week wait (2ww) I took down all of our curtains, washed and ironed them. It's been 7 months, so maybe I'll do that again too. In general, I'll just be keeping a low profile. I don't know that it's required, but if it gives a little one even the tiniest help in implanting and staying put, I'm all for it! I will be on a self imposed princess status.

Tomorrow morning I will take the last of my clomid. I've done very well on it this time as far as side effects go. I've experienced very little of the clomid crazies that I have in the past. I have been having hot flashes, a little light headed from time to time, and an occasional "visual disturbance." When I was on a clomid only protocol, my dose was twice what I am taking now, and oh how that messed with me. So glad not to have to go through that again!