Friday, November 14, 2014

The Swinging Door

My heart breaks for my friends.
 
Last week, I received the ultimate news…one of the girls in my Infertile Myrtles group received a positive pregnancy test after her second IVF cycle.  I cannot explain what this news did to me.  I was so joyful for her.  This news gave the rest of us so much hope.

Then, the very next day, I find out that another friend is diving into this dreadful world of infertility headfirst.  So many emotions.  I am overwhelmed with sadness as I had been praying and patiently waiting for her to announce a pregnancy that I was just certain was coming.

It’s like a swinging door.  As one leaves, another enters.  If only I could find a way to allow passage out the door, never to return.  I would do that for all of you.  I would do that for me.

Just as you think that there is hope, though – “at least one of us got out” – she returns.  Eight days after she left us, that familiar face is back.  Dreams are dashed as quickly as they were given.

The swinging door cannot be going only in the wrong direction.  That would be even more unfair.

All of my friends in this fight are strong and resilient in their own ways.  All of them have changed me and taught me something.

None of them deserve this road.

I have traveled this road for over four years.  I used to be without the pain of infertility.  I used to be without wounds.  I have received wounds that began to heal just in time to open them back up again.

You grow, though.  You strengthen.  You learn to find ways to cope and live with this as your reality.  You learn to lean on others or a higher being or both.

What you never learn to do is not hurt for those that you love.  I wish this was no one’s reality.  All I can do, though, is be present in all of the ways that they have been present for me.

Some days are easier than others.  You have to appreciate those days and try to remember that another is coming when the days are bad.

Please, friends, don’t ever forget that I’m here for you with shoulders and ears given to me by my God but designed for your benefit.  We can survive this together.

And someday, we will all hopefully find ourselves on the other side of that swinging door.

************************************************

Tomorrow is our transfer.  I’m excited and apprehensive in all the ways I think I possibly can be.  Todd is still the only one to be obtaining information.  He’s been solid for me this week.  He hasn’t even begun to crack and give me any hint as to how our embabies are doing.  I am beyond grateful for him.  Please, pray for us that we have peace over this next step and that our embabies are good and strong for tomorrow’s transfer.

For the record, this round of Progesterone has been abnormally more painful than the previous three rounds.  I don’t know what’s different, but I am praying that it changes on the next shot!
 

Shot Clock:
1.       Tuesday morning, October 28 – 300 units of Follistim
2.       Tuesday evening, October 28 – 300 units of Follistim
3.       Wednesday morning, October 29 – 300 units of Follistim
4.       Wednesday evening, October 29 – 300 units of Follistim
5.       Thursday morning, October 30 – 300 units of Follistim
6.       Thursday evening, October 30 – 300 units of Follistim
7.       Friday morning, October 31 – 300 units of Follistim
8.       Friday evening, October 31 – 300 units of Follistim
9.       Saturday morning, November 1 – 300 units of Follistim
10.   Saturday evening, November 1 – 300 units of Follistim
11.   Sunday morning, November 2 – 300 units of Follistim
12.   Sunday evening, November 2 – 300 units of Follistim
13.   Monday morning, November 3 – 300 units of Follistim
14.   Monday evening, November 3 – 300 units of Follistim
15.   Tuesday morning, November 4 – 300 units of Follistim
16.   Tuesday evening, November 4 – 300 units of Follistim
17.   Wednesday morning, November 5 – 300 units of Follistim
18.   Wednesday morning, November 5 – 250 mcg of Ganirelix – NEW SHOT!!!
19.   Wednesday evening, November 5 – 300 units of Follistim
20.   Thursday morning, November 6 – 300 units of Follistim
21.   Thursday morning, November 6 – 250 mcg of Ganirelix
22.   Thursday evening, November 6 – 300 units of Follistim
23.   Friday morning, November 6 – 300 units of Follistim
24.   Friday morning, November 6 – 250 mcg of Ganirelix
25.   Friday evening, November 6 – 300 units of Follistim
26.   Saturday morning, November 7 – 300 units of Follistim
27.   Saturday morning, November 7 – 250 mcg of Ganirelix
28.   Saturday evening, November 7 – HCG Trigger Shot – Ovidrel
29.   Monday evening, November 10 – Progesterone ½ ml
30.   Tuesday evening, November 10 – Progesterone ½ ml
31.   Wednesday evening, November 10 – Progesterone 1 ml
32.   Thursday evening, November 10 – Progesterone 1 ml

Tuesday, November 11, 2014

Retrieval Day, Take 4

Yesterday was retrieval day, take 4.  It was overall a good day.  We arrived at Tulsa Fertility Center, Todd driving, me in the passenger seat, Mom sitting in the center of the back seat like our child.  We always have fun when the three of us are together.  We did our ritual of holding hands and praying before we entered.  It was a peaceful start to the procedures (especially considering that I had to go into work for an hour that morning so as to not take the entire day unpaid).
Mom looks so beautiful.  Todd and I look so...rugged?!
I would like to point out that make-up is not allowed in the operating room.  :)
Anyway, they didn’t let Mom go back with us this time because there was another woman in the operating room that would be coming out soon.  She was an egg donor.  The woman receiving her generous gift wasn’t even in the center yesterday.  I’m still amazed with the technology of fertility treatments.

We did our usual pre-op meeting with the nurse and anesthesiologist.  To my dismay, our lovable anesthesiologist from the last cycle was not present.  Dr. Chad (the one we had previously) had a special knack for starting IVs where it didn’t feel like much more than a flu shot. 

Next, we both disrobed and prepared for the operating room.

As usual, I was first.  They like to take the woman back first to make sure they will be able to retrieve eggs.  If they do not find any eggs, it’s pointless to make the man go through such an invasive procedure.  As history has always proven, eggs were retrieved.  Of course, according to The Ignorance Plan, I was not concerned with getting the number of eggs retrieved.  You will have to wait too, dear reader.  (If it’s bugging you not knowing, I believe my mom is setting up a support group.  J)
Here is a picture to explain what they do in an egg retrieval.
If you want to know what Todd's procedure looks like, Google it up.  :)
Apparently, I was alert and speaking through my entire procedure.  I don’t remember a lick of it, but that is what the nurses told me.

Lucky for me, Todd was not back in the operating room when I made it to post-op.  Dr. McKinney was with him, and I had the opportunity to hold both of their hands and speak with them.  She was clearly happy with our results, so I was never feeling uneasy or curious about our egg count.
Then, Todd went for his turn.  It was about that time that I convinced them to let my mom come sit with me and help me change clothes.  She rubbed my shoulders while I sipped on Sprite and patiently waited for what felt like an eternity.  Todd and I were both secretly worried about his procedure this time.  When his first urologist, Dr. Miller, had checked his left side (the side they were aspirating from), he did not find viable sperm.  We were so secretly worried about this that we didn’t even tell each other about our fears until after the procedure was complete.

After the eternity passed, he finally came out into the post-op area.  I was so relieved when they told us that everything had gone fine and Dr. Prough did indeed aspirate sperm from that side.  Praise God!
Post-op discussion with Dr. Prough
We spent a while in the post-op area while he was recovering from anesthesia. It is at this time that I would like to say that I recover much faster than he does because I was fully alert in just a matter of minutes. J (Could that be because I don’t remember everything about post-op? Nah.)
"That's a lot of tubes in my arm."

"Did I ever tell you all about the time I ordered Gingerale in Cozumel when I was 14?"
"Yes, honey.  About 7 minutes ago."
Todd is an even bigger sweetheart than normal after anesthesia and kept reaching up to kiss me.  I loved it.  At one point, the nurse told us to get a room.  My friend, Stephanie, later told me that I should have said to her, “Look girl, if it had worked in the room, we wouldn’t be here right now!”  Ha!  Love it.
Anyway, Mom took excellent care of us as always.  She got us home, fed, and on the couches safely.  It was a good day!
Last night, we did my first Progesterone shot.  Ugh.  I forgot to numb the area before the shot time.  Rookie mistake.  I didn’t know that shot could burn so bad.  Ladies, do. not. forget. to. numb. the. area. before. a. Progesterone. shot.  I won’t be making that mistake, again.

Todd will be making the decision if we are having genetic testing performed on Thursday.  No, I will not know any of this information.  Probably the first time I am brought into the loop will be Saturday morning when they tell us how many embryos we will be transferring.  Otherwise, it’s The Ignorance Plan all the way.

Transfer is set for Saturday.  Please, continue to pray or hope or whatever you believe in that we will be transferring on Saturday.  Last cycle, that is the point where everything fell apart.

Cheers to a quick-passing week!
 

Shot Clock:
1.       Tuesday morning, October 28 – 300 units of Follistim
2.       Tuesday evening, October 28 – 300 units of Follistim
3.       Wednesday morning, October 29 – 300 units of Follistim
4.       Wednesday evening, October 29 – 300 units of Follistim
5.       Thursday morning, October 30 – 300 units of Follistim
6.       Thursday evening, October 30 – 300 units of Follistim
7.       Friday morning, October 31 – 300 units of Follistim
8.       Friday evening, October 31 – 300 units of Follistim
9.       Saturday morning, November 1 – 300 units of Follistim
10.   Saturday evening, November 1 – 300 units of Follistim
11.   Sunday morning, November 2 – 300 units of Follistim
12.   Sunday evening, November 2 – 300 units of Follistim
13.   Monday morning, November 3 – 300 units of Follistim
14.   Monday evening, November 3 – 300 units of Follistim
15.   Tuesday morning, November 4 – 300 units of Follistim
16.   Tuesday evening, November 4 – 300 units of Follistim
17.   Wednesday morning, November 5 – 300 units of Follistim
18.   Wednesday morning, November 5 – 250 mcg of Ganirelix – NEW SHOT!!!
19.   Wednesday evening, November 5 – 300 units of Follistim
20.   Thursday morning, November 6 – 300 units of Follistim
21.   Thursday morning, November 6 – 250 mcg of Ganirelix
22.   Thursday evening, November 6 – 300 units of Follistim
23.   Friday morning, November 6 – 300 units of Follistim
24.   Friday morning, November 6 – 250 mcg of Ganirelix
25.   Friday evening, November 6 – 300 units of Follistim
26.   Saturday morning, November 7 – 300 units of Follistim
27.   Saturday morning, November 7 – 250 mcg of Ganirelix
28.   Saturday evening, November 7 – HCG Trigger Shot – Ovidrel
29.   Monday evening, November 10 – Progesterone ½ ml

Thursday, November 6, 2014

No Shave November No More

Last night, Todd and I were at our LifeGroup for stepfamilies.  One of the ladies started talking about our infertility journey.  She said that after the third cycle failed, she couldn’t pray for nearly three days because she was so upset that God was withholding a child from us.  She is not the type of person to get upset like that with God.  She has gone through a lot more heartache in her adult life than most people that I know, and she has always turned to Him for solace.  However, for some reason, our issue had gotten into the depths of her soul and changed something.  It was a very emotional moment for everyone in the room.

It made me realize, though, that I don’t feel sorry for myself anymore…most of the time.  I think I am still growing, so I still have moments that I wish God would just grant us our wishes and move on.  However, deep down, I realize that He is using me for something bigger.  I think that connecting with some of the people that I have over the last 2 years of this journey is one of those opportunities He has granted.  I am so very grateful for all of the people that are coming into my life…especially this woman that is moved to feel such sorrow from our story.
This happened to be one of the Bible verses we were studying last night in our completely unrelated marriage book:
2 Consider it pure joy, my brothers and sisters, whenever you face trials of many kinds, 3 because you know that the testing of your faith produces perseverance. 4 Let perseverance finish its work so that you may be mature and complete, not lacking anything. 5 If any of you lacks wisdom, you should ask God, who gives generously to all without finding fault, and it will be given to you. 6 But when you ask, you must believe and not doubt, because the one who doubts is like a wave of the sea, blown and tossed by the wind. 7 That person should not expect to receive anything from the Lord. 8 Such a person is double-minded and unstable in all they do.  ~James 1:2-8

This morning, when I awoke, another woman that was in attendance last night has sent me this verse that I thought was awesome, as well:
1 And as Jesus passed by, he saw a man which was blind from his birth.  2 And his disciples asked him, saying, Master, who did sin, this man, or his parents, that he was born blind?  3 Jesus answered, Neither hath this man sinned, nor his parents: but that the works of God should be made manifest in him.  ~John 9:1-3

There isn’t much of a cycle update.  I still have no idea how many follicles I have growing, and it’s been officially 6 days since I could have looked.  As I told several people, the number and size of follicles does not tell you if this cycle will be successful.  There are cases where the follicles, eggs, sperm, and embryos were perfect, and it did not result in a pregnancy.  There are also cases where each step did not bring stellar results, and a perfectly healthy child was born.  God is in control of this cycle…not me, not Todd, and not Dr. McKinney.  I’m enjoying this part of the cycle much more than ever before.  I don’t even know what information Todd does or doesn’t know.  We just don’t talk about it.  God is good all the time.

As for shots, we added Ganirelix to the mix yesterday morning.  This shot is already in a pre-filled glass syringe, which makes it feel a little fancy when you’re doing the shot, if you ask me.  It has a very strange needle on it, though.  Maybe it’s a different size, but I haven’t looked.  The needle definitely does not insert as easily as most of the others.  However, it’s survivable (because they all are when you’re choosing this path). 

I am definitely itching and bruising, though.  I used the bruises around my belly button to make a smiley face for my friend, Ashleigh’s birthday on Tuesday.  We have officially adopted Cletus (that’s what we named the face) into our home.  You will not be meeting him, though.  He may be very silly, but he’s surprisingly shy.

Also last night, before we started our group discussion, we were visiting with everyone. They were asking for updates on the current cycle, and Todd informed them that he would be undergoing the epididymal aspiration, again. He followed that up with, “There goes my ‘No Shave November.’” Get it?! Too much information? I’m still laughing, so just forgive me for sharing. 

No other news for now. I hope everyone is having a blessed week!


Shot Clock:
1.       Tuesday morning, October 28 – 300 units of Follistim
2.       Tuesday evening, October 28 – 300 units of Follistim
3.       Wednesday morning, October 29 – 300 units of Follistim
4.       Wednesday evening, October 29 – 300 units of Follistim
5.       Thursday morning, October 30 – 300 units of Follistim
6.       Thursday evening, October 30 – 300 units of Follistim
7.       Friday morning, October 31 – 300 units of Follistim
8.       Friday evening, October 31 – 300 units of Follistim
9.       Saturday morning, November 1 – 300 units of Follistim
10.   Saturday evening, November 1 – 300 units of Follistim
11.   Sunday morning, November 2 – 300 units of Follistim
12.   Sunday evening, November 2 – 300 units of Follistim
13.   Monday morning, November 3 – 300 units of Follistim
14.   Monday evening, November 3 – 300 units of Follistim
15.   Tuesday morning, November 4 – 300 units of Follistim
16.   Tuesday evening, November 4 – 300 units of Follistim
17.   Wednesday morning, November 5 – 300 units of Follistim
18.   Wednesday morning, November 5 – 250 mcg of Ganirelix – NEW SHOT!!!
19.   Wednesday evening, November 5 – 300 units of Follistim
20.   Thursday morning, November 6 – 300 units of Follistim
21.   Thursday morning, November 6 – 250 mcg of Ganirelix

Monday, November 3, 2014

The Ignorance Plan

This morning was our second mid-cycle ultrasound.  Of course, Todd was with me since he is in town and not teaching 3-year olds how to become fully devoted followers of Christ.  J  Dr. McKinney entered the room and quickly told her nurse that I did not want to know anything about the cycle that wasn’t absolutely necessary.  I followed that up with, “We call it ‘The Ignorance Plan’” to which we all laughed.  I was ecstatic that we were getting to see Dr. McKinney again, that she was on-board with our crazy plan, and that we were starting my appointment with “Wandy” (transvaginal ultrasound) on a humorous foot.

I wrote briefly about ‘The Ignorance Plan’ before it was fully a plan and had a name.  It was coined at our first mid-cycle ultrasound appointment on Saturday when we were describing the details to Dr. McKinney to see how we could make it work.  As I was telling Dr. McKinney how I didn’t want to know this count or that measurement or this detail, Todd said, “Basically, she wants to remain ignorant.”  Again, we all laughed.

The details of ‘The Ignorance Plan’ are simple.  I don’t want to know:
·         Follicle count – which we are currently measuring at these mid-cycle ultrasounds
·         Follicle size – which we are also measuring at these mid-cycle ultrasounds
·         Bloodwork results – which are being reported after each of these mid-cycle ultrasound appointments
·         Egg count – which will be available and verbally reported to us at retrieval – This will be the most difficult one to keep a secret because the doctors will have to remember to tell no one the number.  That includes you, Mom, since you’re going to the retrieval with us, again.  So sorry!
·         Fertilization report – which will be available the day after retrieval
·         Embryo count – which will be available everyday starting the day after the retrieval up until transfer day
·         Embryo grade – which will also be available everyday starting the day after the retrieval up until transfer day
·         Any other number or report that could cause me to second-guess if this cycle is working.

The point in ‘The Ignorance Plan’ is that I want to concentrate on God’s plan for us.  I don’t want to worry about what this low number or that poor count means.  I know deep down that God has a perfect plan for us, and we just need to be patient in our wait for it.  However, when I found out that we only retrieved 6 eggs, I was sad.  When only 2 of them fertilized, I was completely distraught.  When the grades were reported as poor, I was beside myself.  It will be easier for me to focus on God’s plan for us and remain positive if I don’t know any of the details.  It won’t be easy, but if I keep the purpose of the plan in mind, it will be achievable.

The kicker is that we still have genetic testing on the table for this cycle.  Todd and I have decided that if we have more than 3 embryos of decent quality, we will perform the genetic testing…I think.  J  Dr. McKinney is encouraging us to transfer 3 embryos on this cycle to increase our odds of having a successful pregnancy.  She even said that if we have 4, she may encourage us to transfer all of those.  (For those that are still learning this process, 1-2 embryos is a normal transfer amount due to the increased risk of high-order multiples.  We do not run that risk because of our background of failed cycles.)  Therefore, most likely, we will forego genetic testing and let God work his plan on this cycle.

The thought of having 3 or 4 embryos transferred immediately brought this scene from “Friends” to mind:
DR. ZANE: It looks like your uterus is ready for implantation.
PHOEBE: Oh! I knew it! I knew it! I felt really thick this morning.
FRANK: Well, okay, so what's now go get, go get the eggs, put 'em in there.
DR. ZANE: Okay, it'll take just a little while to prepare the embryos.
PHOEBE: Embryossss? As in, "More than one?"
DR. ZANE: Um-hmm, five actually.
PHOEBE: Five? Okay, where am I giving birth, a hospital or a big box under the stairs?
DR. ZANE: We do five because that gives you a 25% chance that at least one will attach.
PHOEBE: That's it! 25 percent? That means that's it's like 75 percent chance of no baby at all!
FRANK: Hey, y'know I was thinking, what are the odds like if-if, if you stuff like 200 of them in there?
ALICE: Sweety, now, she's a woman, not a gumball machine.

I’m not scared at all about having 3 or 4 embryos transferred.  This is just a scene that makes me laugh, so I had to bring it up.

Anyway, so that’s it.  ‘The Ignorance Plan’ is in full-effect.  Todd is checking the portal for me daily because I have to make sure I’m staying aware of my shot protocol and my next appointment.

We also found out today that Todd will be undergoing surgery again on retrieval day.  He had said multiple times (including this morning to Dr. McKinney) that he was willing to have the procedure again if it improved our chances.  They continued to tell us it wouldn’t be necessary with the frozen sperm they had obtained last cycle.  Then, this afternoon, the doctors put their genius minds together and discussed as a group.  It was at that point that they agreed we were better off with a fresh sample.  The changes are 50% with frozen sperm and 70% with fresh sperm.  I can’t explain what a good man I have by my side.  He still isn’t 100% recovered from the surgery on September 13, and he’ll be undergoing it again within the next week or so.  You cannot imagine.  Don’t even try to imagine because you can’t.  I can’t, either.  Too bad we couldn’t remain ignorant on that detail a little longer, right?!

The beginning of last week was terribly difficult for me emotionally.  I won’t go into the details, but since Thursday, my spirits have really started to lift.  On Friday, my dear friend, Caroline (www.in-due-time.com) posted this picture that I couldn’t resist sharing.  Her entire post that day was perfect, but I especially liked that she put anchors on her picture quote.  J
Happy Monday to everyone!

 
Shot Clock:
1.       Tuesday morning, October 28 – 300 units of Follistim
2.       Tuesday evening, October 28 – 300 units of Follistim
3.       Wednesday morning, October 29 – 300 units of Follistim
4.       Wednesday evening, October 29 – 300 units of Follistim
5.       Thursday morning, October 30 – 300 units of Follistim
6.       Thursday evening, October 30 – 300 units of Follistim
7.       Friday morning, October 31 – 300 units of Follistim
8.       Friday evening, October 31 – 300 units of Follistim
9.       Saturday morning, November 1 – 300 units of Follistim
10.   Saturday evening, November 1 – 300 units of Follistim
11.   Sunday morning, November 2 – 300 units of Follistim
12.   Sunday evening, November 2 – 300 units of Follistim
13.   Monday morning, November 3 – 300 units of Follistim