I'm PUPO

It's an infertility term.  It means Pregnant Until Proven Otherwise.  It's a weird state of limbo to be in.  Technically if I am pregnant, I would be 6 days pregnant because we transferred 5 day old embryos.  6 days pregnant doesn't mean really anything to my body, however the mind is a power thing.  Every breath almost makes me wonder if I'm pregnant.  Plus a few of the medications I'm on have similar pregnancy side effects.  And on top of that I have some slight cramping, but that's probably just due to the progesterone and the FET procedure itself.  It's still a funny spot to be in though.  Just constantly wondering.  Dealing and living through this so many times, it still never gets any easier.  The wait is always the hardest.
So what to do to pass the time?  Number one this to do is pray.  My Aunt wrote me a prayer and I've read that a few times.  I've also prayed on my own.  Now more than ever is a timenfor faith.
The next thing I do is talk to my babies.  I place my hand below my navel and welcome them home.  Promise to keep them healthy and well fed.  Promise to love them and grow a beautiful home for them.  Aside from that, there are lots of superstitions and good luck charms surrounding the infamous waiting period.  If anything,  it just makes me feel like I'm doing something and somewhat participating in the process.  I eat Brazil nuts daily.  Brazil nuts contain selenium, which is a mineral that helps to thicken the uterine wall, and a healthy lining aids in implantation.  I take selenium pills, but add eating brazil nuts after transfer.  I also eat pineapple.  Pineapple contains bromelain which has anti inflammatory properties that has a natural anti-inflammatory effect.  I eat warm things and drink tea and lay on my back or left side to increase circulation to the uterus and try and sit as little as possible.

Lastly I have some lucky charms.  First off, on our last trip I found a beautiful egg ornament in Hungary that came with a beautiful story about fertility.  It spoke to us immediately and we bought it and carried it with us everywhere,  continued taking it to every prenatal appointment and took Duncans newborn photos with it.  This whole trip I was looking for something to bring us luck and nothing spoke to me.  The day before our transfering, I was putting something in the diaper bag and found a small bag containing a necklace from Ryan's grandmother who recently passed away.  We were at her home recently and Ryan's mother let me choose what I wanted and I choose that.  I thought I had put it with the stemware I also brought back, but it was sealed away in a special pocket in the backpack.  As soon as I found it, Ryan said, "maybe that's our good luck charm".  Heck ya it is!  His grandmother was always so supportive and special and would send us these beautiful cards during all our previous cycles.  This is for sure her looking over us.  She is our guardian angel.  I put the necklace on and wore it to the transfer.  Duncan asked what it was and I told him it was Grandma Rita's and he said "I love you Grandma Rita".  And we do love her very much and feel so special to have her looking out for us.

Lastly I have another pair of lucky socks on.  Todays socks are lemurs.  Lemurs hold a special place in our hearts.  We have a memorial plaque for the baby we lost in front of the lemurs at the San Diego Zoo.  We chose lemurs for two reason.  Their name means angel and because they are vegetarians:)  I always say that Duncan has a very special angel looking out for him.  So when I saw the lemur socks I knew they would be perfect for implantation day.

Ryan and Duncan are enjoying a lovely afternoon in Prague and I'm relaxing in our room.

As always, Thanks for Reading!
HEATHER

x

FET Recap

Today was our FET, our long awaited, highly anticipated FET.  We don't have the best news to share but we are trying very hard to stay hopeful and positive.  One of our embryos had some complications and it isn't looking too good right now.  We did still end up transferring both which I will explain in a minute and we still have high hopes for both of them.

I started off the day with a wonderful yoga practice at 7am.  While I was at yoga I asked Ryan to run to the store and pick up some last minute items.  I have been doing all kinds of research from women who got positive results and what they did on the day of their transfer and what they did during the 2WW.  Of course it was all over the place and I really don't feel like eating one kiwi will actually be the deal maker but it really helps my mental health to continue to do all I can to make this miracle happen.  So off to yoga I went and off to the store he went.  When I came back home I was greeted with a really sweet card from him.  I then took a bath since it would be a while before I can take a nice long hot one again and Ryan took Parker on a walk, then off we went.

We went to SDFC and checked in.  There was a friendly face in the lobby, a friend's mother was keeping her company before her ER.  She gave me a giant hug before I went in and it was very comforting.  First stop was acupuncture.  Ryan kept me company in the room.  Then about 5 minutes in, I realized I forgot my awesome socks.  Ryan ran back home to get them.  Staying warm is one of the good luck, fingers crossed tricks to try.  So I stayed and did my treatment sans socks for now, but rockin my awesome Motley Crue shirt.  Oh and we listened to Without You on the way to the clinic. It was our song at our wedding and always puts a smile on our faces.

This isn't a stock photo, this is our actual embryo.
Our perfect and wonderful embryo.
This is the one the survived the thaw strong and intact.

Next stop was the surgical center at SDFC.  The FET was performed in the minor procedures room.  I took my valium (they give you one to relax if you want one) and settled in to start to relax.  Then the embryologist came in to deliver the news.  We had two chromosomally normal embryos frozen in  June.  We had decided to implant both to increase our chances of a live birth.

This is our other embryo that needs some extra love and prayers.
We have not given up and hope.
This one fights just a little harder than it should have to.

About 2-3 years ago the technology of freezing embryos wasn't where it is today.  Today there is very little chance of losing an embryo in the thaw, about 4% chance really.  Well we have a way of always falling into those tiny minute crap odds.  One of ours started to leak and collapse during the thaw.  It was so unexpected.  Of all the things that could go wrong, this didn't even register as a possibility. Ryan wasn't back yet and I just crumbled into the arms of the embryologist.  As soon as Ryan walked in and saw me crying, I'm sure he knew.  I went from her arms around me to his.  We were both truly devastated.  We collected ourselves and the doctor came in.   We talked about what had happened and what the next steps would be,  The good news is that our other embryo did great and was looking really good.  The second embryo, while breaking down, still had a few cells in it and he recommended still transferring that one.  I asked if we should still have hope and his answer was that the odds weren't 0 so we should remain hopeful.  So with my fancy socks on we moved forward with the FET.

The bright white line below the green arrow are our embryos.

The whole FET procedure does not take very long at all.  You fill out some paperwork, sign some legal consent forms and they go over the procedure and what your limitations are afterwards.  There is a monitor connected to the lab and they flash on the screen our petri dish with our name on it and we confirm that it is ours.  Then they insert the catheter.  We had some HCG added to the embryo solution.  That is a fairly newer trick they are trying to help with implantation.  They whole procedure we can see on another ultrasound monitor to the side of me.  They insert the embryos and take a picture and we have a photo of the exact second they come back to me.  As soon as I saw them on the screen I closed my eyes and began to talk to them.  I welcomed them home and promised I would take good care of them for the next 9 months and hoped that they would stay.  When it was over you stay on the gurney for about 20 minutes.  As soon as the doctors and nurses left.  I put my hand on my belly to say hello and Ryan did too.

After the FET I went back to acupuncture for  my follow up treatment.  I then came home, ate some soup, only warm food for the next two weeks and practically melted onto the couch.  Between all the stress of the day I was exhausted.  Later, I watched comedies on Netflix.  I had read that laughing is really good, both for your emotional self as well as it physically helps increase blood flow to your stomach muscles.

The Calendar & The Protocols

We received our calendar and all of our protocols and everything else that comes along with an FET.  Its exciting and nerve wracking, high anxiety, tons of fear and lots of hope and literally about every other emotion that goes along with it.  We have consulted with our naturopathic doctors, our reproductive endocrinologist, our acupuncturist, our friends in our support group, our friends in our online support group and of course the internet.  We decided on a protocol that we both feel comfortable with. We are literally doing everything we possibly can to help our embryos implant.

Our protocol includes; bcps, lupron, vivelle patches, prednisone, dexamethasone, lovenox, endometrin and antibiotics.  For treatments and procedures we are doing the scratch (Ryan is out of town but luckily my Mom is available and she will go with me), intralipids and acupuncture.  I have 4 blood tests along the way to make sure that all my hormone levels are where they should be and the last one is specifically to test my thyroid.  At the transfer, along with the embryos we will inject hcg in the catheter.  If I stay on track and all the blood tests and ultrasounds look good then our FET is tentatively scheduled for Sept 30th.  And then all that's left to do is hope and pray that this works.

Here is my latest calendar (written out on my Chargers calendar).  It is so much easier to have it all written out.  With so many drugs it makes it much easier to keep track.  Its also a great visual to know where the end goal is.  Once I start the injections, I start crossing the days off and counting down how many needles I have left.  It's little things like that that help me get through the craziness of fertility drugs.  31 injections until our FET.  Our last IVF cycle we did over 80 shots so just writing 31 makes me feel so much better.

August

September

Thanks for reading,

HEATHER

The Next Step is Finally Here

I finally got the all clear from all my doctors and started the next step of the process which is priming for the FET.  I started bcps last tuesday and I got in tomorrow for blood work and an ultrasound.  If everything checks out ok, I will get my calendar for the upcoming FET.

We are going to throw everything we can at this transfer which means doing every procedure, every drug, every supplement and every lifestyle change we can to hope and pray that this one works.

So far I have focused on my fertility focused diet and as much yoga as I can possibly do.  One day I did 3 classes!  I am taking supplements for health, being a vegetarian and for the transfer.  Next I am going to work on the mind part of this.  I just ordered some affirmation cards and I am going to start meditating on a more frequent basis.

As far as how many embryos we will transfer, at the moment we are leaning towards transferring both.  However we are always changing our minds so we still have time to change back to one only.  The final decision has to be made the day before the transfer so we have until then to decide for sure.

Lastly, my mantle of hope has grown a little bigger.  A friend gifted to Ryan and I a rock that says live to help us to remember that our infertility and our struggles don't define us, yes it is a part of who we have become but it isn't the whole part.  We have to remember to LIVE!

And on that happy note, Ryan and I are off to Kauai to celebrate our 5th anniversary, to relax and destress and get ready for our transfer.

Thanks for reading,
HEATHER

Saline Infusion Sonohysterography (SHG)

My last RE ordered a SHG back in November.  An SHG is checking for adhesions, polyps, fibroids and any other abnormalities in the uterus.   It came back 100% unremarkable meaning there were no issues.  My current RE ordered another one just to make sure nothing had grown and again the test came back unremarkable.  You would think that when a test come back perfect they would have a better term than unremarkable, it makes my uterus sound so boring.  

My unremarkable uterus (it's the black oval in the middle)

I am writing this post mainly out of frustration of my very first RE who I spent 2 year with and three IUIs and three IVFs all of which were BFN!   When I was first diagnosed as infertile, it was such a shock.  You are thrown into this world of unknown and you hear works and phrases you just don't understand.  My RE came highly recommended and I just followed him blindly.  The only thing he tested was my Vitamin D, AMH and FSH and STDs on both of us.  They then sent me in for the dreaded HSG test and after that came back fine, we jumped right into the IUIs.  After those failed, we were pushed into IVF before we knew what hit us.  At that point, the tested Ryan's sperm and then it was full speed ahead with failed back to back to back IVFs.  Even though my SHG came back unremarkable, I find it crazy that a simple and pretty much painless test wasn't performed before any infertility treatments.  I have many friends in the IF world where they did find something on that test and usually it needs to be dealt with before you can move forward.  There are several other tests that can be run before jumping into treatment and I suggest doing them all.  Not only are almost every single test cheaper than one failed IUI, the heartbreak you receive after hearing the news of a BFN is devastating.  If you can ward those off by some simple tests, do them.  Other important, but usually overlooked tests are: MTHFR (tests for a gene mutation in which you can't process folic acid), Iron (if you are anemic, the chances of implantation failure is extremely high)and thyroid.  Insurance covered all these tests for me including SHG because that is a diagnostic test and not fertility related.  

So back to the SHG.  This test is relatively quick and relatively painless.  The first time it took about 5 mins and the second time it took longer only because they had to insert the catheter twice and by longer it was about 10 minutes. The picture to te left is all that is needed for this test.  The container on the right in the saline and they don't even use all of that.  The container in the middle is the iodine for cleaning.  Below that is the catheter and the syringe is to fill the saline into the catheter.  

Here's hoping that everyone out there is unremarkable as well :) 

Thanks for reading,

HEATHER

Regroup

We had our regroup yesterday with our doctor and came up with a FET protocol and strategy.  We have a few things that are up to us to decide before we move forward.  Our doctor wants to do another test to make sure my uterus is still normal.  We are also doing a few blood tests with our naturopathic doctor just to make sure that we are checking everything we possibly can.

The most exciting news we received  yesterday was  that we found out the gender of our two embryos.  We have decided at this time that we are going to keep that news to ourselves.  We want to keep some part of our reproductive life to ourselves :)  If we actually get a BFP, then we will share.

The first thing we need to do is another sonohysterogram (SHG).  This is a test to make sure there is nothing in my uterus that would interfere with the embryo implanting such as polyps, adhesions or fibroids.  I had this done last year and there were no issues.  My doctor wants to do another one to make sure there hasn't been any changes.  This is a painless test that only take a few minutes in the doctors office.

The first big decision we have is how many embryos to implant.  If we implant both we have a 65% chance and if we implant only one, we have a 50% chance.  Obviously if we implant both then we also have a higher chance of twins which we would be totally fine with.  But if it doesn't work, we would have nothing left to try again.  Or if it does work and only one takes, then we don't have another chance for a sibling.  We have up until the day before the transfer to decide.  Knowing us we will go back and forth a million times before we make up our minds.

Thanks for reading,
HEATHER