Friday, February 8, 2013

CD8 Bloodwork and U/S

I'm waiting to hear back about the estradiol and progesterone numbers, but the appointment went well. I have 8 follies, 3 that are 9 (2 right/1 left), and the rest 6 or under. My lining was about 6.5. They will let me know my numbers this afternoon and whether or not and how much Follistim to use. I got back Monday to do the same tests again. I also spoke to my RE about the SIRM conference I went to and conversation with Dr. Sher. He is very supportive of ordering any tests I want, but says he has my best interests and budget in mind. He also thinks we have a less than 10% chance of IUI working with male factor issues, BUT says its worth trying. I feel content with that and I physically and emotionally feel great right now so why not?

Bloodwork results:

I have to take the Follistim: 25 iu tonight, Saturday morning, Sunday morning, Monday morning
Estradiol was 191 and P4 was less than .5
My numbers are low, but they said the progesterone suppositories will help as will the follistim and I go back on Monday morning to check in again! Prayers up!!!

Monday, February 4, 2013

Day 4...

I started Clomid yesterday. This is finally becoming real! I was having the period from hell... in fact the most painful, heavy, miserable one I've had in years and within 30-45 min of taking the Clomid my cramps went away, and flow slowed down. (TMI alert) I was having to change every 45-hour and it slowed to 3-4 hours. So I was glad for that, BUT since I started my period around 2pm on Friday, they want me to take Clomid around that time each day (not very convenient) and while watching super bowl on the couch with DH I was hot and cold and hot and cold, then cried during the Clydesdale commercial. It got me thinking how ridiculous IF treatment is. You have to start meds that make you crazy while on your period - terrible combination, then if you don't get BFP, you get the bad news and your period at the same time. Just. Not. Cool. Prayers up!!!

Friday, February 1, 2013

Contemplation

The appointment on the phone went well, Dr. Sher is such a nice person, but very matter-a-fact. He confirmed what my RE has said- IUI with any male factor issue is not often successful, but why not try it just in case? He said with our age/numbers/history we'd have an 85% chance of success and could donate our frozen babies to couples who couldn't otherwise afford egg donation... lot to consider there.

He also said to apply for free IVF to INCIID.org and if we don't qualify and would like him to be our doctor he would do whatever he could to reduce costs and ethical dilemmas to our comfort level- very kind.

We decided to move forward with our Feb. IUI. CD1 should be any day now and I'm trying to not stress so comes quickly! If it doesn't work, we'll talk about what next. I've asked my doctor to order the activated natural killer cell test though just in case.

Sunday, January 27, 2013

SIRM: Sher Institite Conference

Today I attended a talk given by Dr. Sher and learned a lot. It was an interesting forum of people seeking information and who have been trying treatments for years. He introduced IUI in the United States and has been changing the face of IF treatment since. Books, blogs, awards, TV interviews, and a long legacy of physicians he's trained. (I had of course never heard of him, but now see his name posted all over this forum).

I was initially drawn to the conference by the free IVF cycle giveaway- they did a drawing at the end, but I got a lot out of it and ended up signing up for a free phone consultation this Thursday at 7pm. I was incredibly impressed by his knowledge and accomplishments and what seems to be a genuine desire to help people- even those who couldn't normally afford treatment.

I left slightly discouraged by some of the information he provided that leads me to believe IUI may not work for us. He VERY strongly suggests women do NO MORE than 3 IUI's. He said if pregnancy doesn't occur after three the chances of IUI working are slim and if pregnancy does occur on the 4th or later cycles, the damage to our uterine lining from the medicine will dramatically increase the risk of miscarriage. When he does IVF he prefers to freeze the eggs and let your body rest for 1-2 months while they do testing to ensure the quality of the egg and so your body can recover from stimulation. Oh, and he suggest we have a blood test done to check for Activated Natural Killer Cells that will prevent implantation regardless of the quality of the egg. A lab called Reprosource sends a kit for the blood work. Oh, AND he mentioned women using vaginal viagra (yes, that viagra) to increase the lining of the uterus.

He compared reproduction to farming... you need a healthy seed (egg), quality soil (uterus), and a farmer that knows what season and what fertilizer is best. (An RE who understands your body and what medicine to use).

I'll let you know how our conversation goes on Thursday and where we decide to go from here. We're not ready for the IVF investment, but may not want to face IUI failure either... ugh!!!



Thursday, January 3, 2013

From Easter announcement to Valentine's Day basting.

Well, I just found out that I'm going on my work trip, leaving the night I'd have IUI if AF is only a day late, but 2-4 days late and I miss altogether. That's assuming we do trigger on day 12 which we wont know.... so I'm out for December. Looks like a romantic valentine's day turkey basting for me!

Commonly used and accepted abbreviations

From: http://forums.fertilitycommunity.com/acronyms.php

2WW two-week wait

AF Aunt Flo; menstrual period

AH assisted hatching

ART assisted reproductive technology

ASA antisperm antibodies

ASRM American Society for Reproductive Medicine

AZH assisted hatching

AWOL a woman on Lupron

BA baby aspirin

BB bulletin board

BBT basal body temperature

BCP birth control pills

BD baby dance; sexual intercourse

BFN big fat negative; a negative result on a pregnancy test

BFP big fat positive; a positive result on a pregnancy test

BMS baby-making sex

BSE breast self-exam

BTW by the way

BV baby vibes; happy baby thoughts

BW blood work

CB cycle buddy; someone who has the same cycle as you

CCT Clomid challenge test

CD cycle day

CD56+ natural killer cells

CM cervical mucus

CNM certified nurse midwife

COW curse of womanhood; menstruation

C/S caesarian section

CVS chorionic villae sampling

CY# number of cycles spent trying to conceive

DA dear angel; lost baby

D&C dilation and curettage

D&E dilation and evacuation

DD dear daughter, darling daughter

DE donor eggs

DH dear husband, darling husband

DI donor insemination

DOR diminished ovarian reserve

DPO days post ovulation

DPR days post retrieval

DPT days post transfer

DP3DT days post three-day transfer

DP5DT days post five-day transfer

DS dear son, darling son; donated sperm

DW dear wife, darling wife

Dx diagnosis

EB endometrial biopsy

EDD estimated due date

ENDO endometriosis

EPO evening primrose oil

ET embryo transfer

EWCM egg white cervical mucus

FAQ frequently asked questions

FBG fasting blood glucose

FET frozen embryo transfer

FF Fertility Friend

FH fetal heart rate

FIL father in law

FM fertility monitor

FP follicular phase

FSH follicle stimulating hormone

FTTA fertile thoughts to all

FWIW for what it’s worth

GD gestational diabetes

GIFT gamete intrafallopian transfer

GnRH gonadotropin releasing hormone

GP general practitioner

GTT glucose tolerance test

hCG human chorionic gonadotropin; a hormone shot to bring on ovulation within 36 hours

HPT home pregnancy test

HRT hormone replacement therapy

HSC hysteroscopy

HSG hysterosalpingogram; a test in which the doctor injects dye into the uterus and fallopian tubes

HTH hope this helps

ICI intracervical insemination

ICSI intra-cytoplasmic sperm injection; a type of in vitro fertilization when the sperm is directly injected into the egg cell

IF infertility

IGTT insulin and glucose tolerance test

IM intramuscular

IMHO in my honest opinion

IMO in my opinion

IR insulin resistant

IRC internet relay chat

IUI intrauterine insemination

IVF in vitro fertilization

LAP laparoscopy

LH luteinizing hormone

LMP last menstrual period

LO love Olympics; sexual intercourse

LOL laugh out loud; lots of luck

LP luteal phase

LPD luteal phase defect

LSP low sperm count

MAI miscarriage after infertility

MC miscarriage

MF male factor

MIL mother in law

MMR measles, mumps, rubella vaccine

NBD no big deal

NEST non-surgical embryonic selective thinning

NP nurse practitioner

NSA nonsurgical sperm aspiration

O ovulation

OB obstetrician

O YN – obstetrician/ gynecologist

OD ovum donor

OHSS ovarian hyperstimulation syndrome

OPK ovulation predictor kit

OPT ovulation predictor test

OT off topic

OTOH on the other hand

OTC over the counter

OTTC overweight and trying to conceive

OV ovulation

OW overweight

P4 progesterone

PA physician’s assistant

PCO polycystic ovary

PCP primary care doctor

PCOD polycystic ovary disease

PCOS polycystic ovary syndrome

PCT post coital test

PG pregnant

PID pelvic inflammatory disease

PIO progesterone in oil

PMS premenstrual syndrome

PNM perinatal mortality

POA plan of action

POC products of conception

POF premature ovarian failure

POV point of view

PROM premature rupture of membranes

PTSD post traumatic stress disorder

RE reproductive endocrinologist

RI reproductive immunologist

ROFL rolling on the floor laughing

ROTFLOL rolling on the floor laughing out loud

RPL recurrent pregnancy loss

RSA recurrent spontaneous abortion

RX prescription

SA semen analysis

SAHD stay at home dad

SAHM stay at home mom

SART Society of Assisted Reproductive Technology

SB stillborn

SD stepdaughter

SI secondary infertility

SIL sister in law

SIS saline injection sonogram

SO significant other

SonoHSG sonohysterogram

SPAL subsequent pregnancy after a loss

SS stepson

STD sexually transmitted disease

STIMS stimulating hormones

SubQ subcutaneous injections

T1 type 1 diabetes

T2 type 2 diabetes

TAB taking a break

TCOYF Taking Charge of Your Fertility – a book by Toni Weschler

TEMP taking your temperature

TESA testicular sperm aspiration

TESE testicular sperm extraction

TIA thanks in advance

TL tubal ligation

TLOL the labor of love

TMI too much information

TR tubal reversal

TRH thyroid releasing hormone

TSH thyroid stimulating hormone

TTC trying to conceive

TTCAR trying to conceive after reversal

TTFA ta ta for now

TTYS talk to you soon

TTYTT to tell you the truth

UR urologist

US ultrasound

UTI urinary tract infection

V vasectomy

VR vasectomy reversal

WB welcome back

WBC white blood cells

WTT waiting to test; waiting to try to conceive

ZIFT zygote intrafallopian transfer

Dream on...

I'm looking back at some of my posts and realizing I can't spell when I type. Oh well! Also, I wanted to add to my "ideal scenario"! I have IUI this month, around the 16th, which is my husband's birthday and we're due in October, the baby is born on "Sweetest Day" and we know there was some divine intervention there. Also, we hit the 12 week mark around Easter Sunday so we find a really cute, fun way to announce our pregnancy to friends and family. Oh, and while I'm dreaming I should ad that my husband doesn't argue at all with my desire to "wear" my baby, co-sleep while breastfeeding, cloth diaper, and avoid most vaccinations. And to continue the dream, we have a really fun baby shower that's more like a co-ed party with all our friends, family, and neighbors. Oh, AND some of my other girlfriends with babies agree to co-op childcare so we can have our babies at home with a nanny, and if the nanny needs a sick day or vacation we take turns staying home from work, we also share laundry duty, baby food making, and date night/weekend childcare!! AAAANNNDDD.... baby is so smart and wonderful that he/she is accepted to my school at 3 so we're together from Pre-K through 6th grade! Am I missing anything??