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Showing posts with label fertility medications. Show all posts
Showing posts with label fertility medications. Show all posts

Monday, March 10, 2014

I Never Knew Paranoia Until I Was 4 weeks Pregnant

Hey team.  So now that the glitter has settled on the floor... oh, I'm sorry... you haven't heard?

Meg's aunt knitted
this baby hat in a day y'all

First of all, thank you for all of your congratulations and well wishes! We're really touched. We know that pregnancies typically aren't announced until after 12+ weeks (the risk of loss reduces after the 1st trimester), but when we decided to start this blog we knew we would need to make this announcement early.  It's something we really gave a lot of thought to before even starting this blog. As we've said before, 50% of this blog is to keep friends and family up-to-date on our process, 50% to educate and 15% to peddle my humor.   I'm also bad at math.  Anyway, we feel like we're all in this together now! That being said, we are optimistically holding our breath until each update from our RE and soon our OBGYN.

So, with that said, let's go back to last week.  Tuesday was 10 DPIUI and that morning I caved and took a First Response Early Results pregnancy test. I looked at the test mentally telling myself, "You're not out of the game yet if it's negative... it's still early."  I picked it up and I saw the slightest line.  I ran around trying to look at it in different light and took 800 pictures altering it with different photo filters. #crazypants, but there was something there. Meg was already on her way to work, so I texted a picture to her and then it hit me... I took a 250mg HCG trigger shot 10 days previous.  What if this positive is really just reading the remainder of the HCG in my system.  Thus began a Google frenzy of epic proportions.  Even though the internet pretty solidly confirmed that all of the HCG from the shot was out of my system, I got so little sleep.  Can't drink and can't pop <sleeping> pills.  The things you do for love.

The next morning I got up and tested again- this time the line was little darker... it should get lighter if it was only the trigger shot leaving my system right?  Another day of obsessive Googling- trigger shot Hcg leaves your system with a half life of about 24 hours.  So technically it should have been out of my system after 7 days post trigger shot and we were at 13.  We had 2 more days to wait for blood work and you know what that means?  Yeah I gotta buy more pregnancy tests.  Don't worry Dad, I found coupons online.  Thursday I woke up at 1am and HAD to go to the bathroom.  I actually had to go a lot more lately and I didn't want to think that it was a good sign.  That same day I started to break out like I was back in middle school again- minus the track suit and mimicking my eye make-up after Barbra Streisand circa "Funny Girl".  Since I did get up and go to the bathroom in the middle of the night, I felt my FMU (firs morning's urine) wasn't "potent" enough and that may have caused the line that showed up to not be *much darker* than the day before.  HcG should double every 48 hours.  Friday we had a blood test, but you know I had to test at home before heading to the doctor (thanks for not thinking I'm crazy Meg or, at least, not saying it out loud). Friday morning we got solid two dark lines on one test and a positive digital test, too! 5 Excruciating hours later, the doctor confirmed that the blood test results were also positive.


So.  Our families are ELATED, but they're in the same cautiously optimistic boat we're in. So
prayers/good thoughts/theme related showtune mix tapes are welcome as we get through the next few crucial weeks. This morning I went back to the RE for follow-up blood tests to make sure my HCG levels are doubling as they should. More on that later.

Right now: I could sleep at any and every moment of the day.



I have so much make-up on my face covering my pregnancy related acne that it's become the consistency of spackle.
 And I want to eat all the time.

Our family surprised us with
our first baby gifts (that sonograph is somebody else's baby. 

Creepy, but also sweet.)

Sunday, February 9, 2014

Goin' For the Gold, or, HcG Trigger Shots in My Rear

Well team, this cycle is starting a lot better than the past two have.  I am now becoming a firm believer in the "White Pants" theory.  Only women will understand this... For all the rest of you, here's some
education: as a female, you could guarantee a visit from your Aunt Flo by doing any of the following: planning a beach vacation, going on a date, or wearing white pants. We got our BFN on Friday the 31st and then I was still almost a week late.  Last time I went over a month without a new cycle, whichever they attributed to a cyst formed by the Clomid, and the day they told me to call if nothing had started, I called.... then bam.  She hit. This cycle I was running late again. And to my shock, to the same level of every member of the press who first saw their rooms in Sochi ( #olympics), it arrived.

For this next cycle we decided that we wanted to be a little more aggressive.  We will continue on 50mg of Clomid (starting tonight) which I had called in to a CVS while I'm visiting family in Virginia-side note: when I went to pick up the prescription at a CVS in rural Virginia I had "Di," the lesbian of all lesbians for a checkout woman. I wanted to have a secret signal that said, "My sista!", but this was the south and there's a good chance that she's actually straight. The line between butch lesbian and short haired badass southern chick is paper thin. 

We are also going to do fertility monitoring starting on day 12 of my cycle. I will go in every 2 days for an ultrasound where they will monitor the growth of my ovarian follicles.  And now I'm gonna drop a little education bomb. Typically, when a woman ovulates without fertility mess, a single follicle will raise up off the ovary.  The follicle should grow 18-24mm before it will rupture and pop out an egg.  With my having PCOS, I'm never guaranteed ovulation and last cycle the Clomid messed with the OPK test results and I question if I ovulated at all.  That experience had me more stressed out than a stage manager from "Spider-Man: The Musical".  They will also be taking
blood every other day to check estrogen levels- if my arm looks like I'm a character from "Rent" start singing 'Seasons of Love' to me and that will be our "secret handshake".




Ultrasound evaluation of follicles is even more important when fertility drugs are administered, since it
What I imagine a follicle looks like
allows the physician to determine the number and ripeness of follicles so that ovulation can be further stimulated and triggered in a safe fashion.

Also, the ultrasound can determine the thickness of the endometrial lining. The lining of the uterus must achieve a certain minimum thickness in order for there to be a good expectation that implantation will take place.

Doesn't even apply- I just love this.


Legit copied that from an old encyclopedia from my parents house.  Thanks 1998. Half of this blog's purpose is to educate. The other half is to entertain through witty remarks and painstakingly selected gifs.



After the doc identifies that that a follicle is ready I'll inject a trigger shot.  The shot contains hCG which is the chemical that triggers an egg to release. My doctor has ordered the shot which the medicine and needles will be delivered to us at our house and we will have to inject on our own.  Don't worry kids... That sucker is gonna be a blog post all on its own.
And we have to deal with what we pay out of pocket and what is covered by insurance.






We have to time things just right so we get the sperm in at the right time as frozen, thawed sperm only live 24-72 hours.  Then timing the egg release just right so they are not too premature or too old- we need them to be "Mama Bear Just Right".



That fairy tale fertility analogy just blew my mind.

Friday, January 31, 2014

Reproductive Systems Be Like: Psych

So I got the call and it is a big fat negative.
What it feels like trying to get pregnant
We actually did feel like things were different this time.  And I think the nurses that have called me the last two times are thrown off that I don't break down into a Scarlet O'Hara type hot mess upon hearing the news.  I simply take a moment, suck back the tears and say, "Ok, what's our new game plan?"  I can cry when I'm in a dark, isolated, soundproof location like any emotionally repressed Catholic-raised person would do.  The nurse said that we will continue the Clomid plan and to call on the first day of my next cycle (let's pray another cyst hasn't formed).  I then brought up that I think, with the issues of PCOS
When you're reading a pregnancy
test and you think you see a +,
but it's like looking at one of those
pixelated paintings they had in the mall
that when your eyes crossed you saw
the 3D picture (which I lied b/c I could
NEVER see them).
and my irregular results from the OPK this cycle, that I would like to bring out bigger ammo.  So we are going to add on follicle monitoring (observing the growth and maturity of the follicles to pinpoint the right moment of ovulation instead of relying on a stick that I pee on) as well as a trigger shot.  Combined with the Clomid, the trigger shot 'tells' your body (it injects a massive does of HCG), "Listen Honey, you better release an egg or Kate's gonna go Jaoquin Phoenix crazy".  So... Next steps- wait for next cycle, call insurance to verify coverage again, day 3 take Clomid and start monitoring.  But- this also means I'm gonna have some new material for the blog, so that's the silver lining of today's news.  Inappropriate gifs will abound.


So yes, I am sad.


Yes, I am incredibly disappointed (both in the negative test results and in my body, which makes me feel like a failure for not working correctly).  But we must look forward, right?

And as for this weekend.. at least I can drink. Enough said.




Thursday, January 30, 2014

Being Strong the Night Before: This Post Endorsed By Michelle Obama's Arms




Hey team.  So tomorrow's the day we find out if second time's a charm.  I decided to do this post a little differently.  This time around I feel like I'm a pro (no, I'm not) and that I know everything that's coming around the bend (you're welcome for getting Pocahontas' "Just Around the River Bend" stuck in your head #disney).  None of that is true, but we are in semi-familiar territory.  This time I knew not to think every little cramp in my abdomen was a "thing".  This time around I had better things to do than to stare at the size of my chest in the mirror wondering if the girls were getting bigger- well, ok, so I did do that when I was housebound during the snow storm...  Some things that I did do: I allowed myself to think that it could happen, even daydreaming about future events I would attend as "pregnant Kate".  I spent a little bit of time looking at baby clothes and nursery ideas.  And I might have cried at a Ford commercial and then yelled at trashcan because clearly it caused the garbage bag to get stuck and rip, spilling the contents all over the ground. Yeah, I might have.



But I also remembered last time.  To be honest, we both, kind of, felt like it was going to happen for us on the first try.  That we would be that lesbian couple that broke the odds.  Then we would walk out of the reproductive clinic in our sensibly shoes under a saber arch held by the tallest members of the WNBA followed by a trail of adopted animals.  But it didn't happen that way.  And we dealt with that, and then dealt with the side affect of Clomid- creating a cyst that prolonged us trying again for another month.  Then a VERY confusing ovulation testing experience (most likely tied to Clomid) so I was left hoping that the results were right and not skewed from the meds.  And then another two week wait.  Whoever makes a woman wait 2 weeks with raging hormones for the potential of having a baby while also allowing us no booze is sadist.

We've also had a lot of support- it increases with each post.  The amount of people who have "come out" about their struggles to get pregnant and who were willing to share their story with us is astounding.   So bravo to you, ladies.



This time there were things I experienced that were very different than last time... things that seem like good signs. But I'm Irish and I believe in jinxing things so I've stopped myself from thinking about that too much.  I'm also a little pessimistic about my body as it has been a bitch to me my whole life so I don't give it a lot of credit.  So let's just do this.  If when I get that call tomorrow and they give me good news we can feel like this...




And if we get bad news again I'm allowed to feel like this...

Thursday, January 16, 2014

TTC: If At First You Don't Succeed, Put Those Legs Back In the Air

reese witherspoon, julia louis-dreyfus, golden globes, golden globes 2014, selfie
My reproductive system as performed by Julia Louis-Dreyfus
tina fey











So our first attempt was a BFN and that was a hard pill to swallow (and anyone TTC knows we swallow a lot of pills) <rim shot>.


taylor swift, jennifer lawrence, golden globes 2014
What It Feels Like When You Don't Know
When Your Next Cycle Will Start


In our last post we told you about how Aunt Flo wasn't making her appearance and, to be honest, after the hormone induced craziness of the past couple of months your mind starts to think... science could be wrong- blood has never proven anything ever and there's a chance that I still might be pregnant because everyone knows "being late" is the surefire symptom, as proven by the 1950s.





Well, AF finally came. I'm not pregnant (duh). The doctor started me on another round of Clomid and, like last time, it was horrible (refresher: Clomid is a medication to help encourage ovulation). The two biggest side effects I noticed were hot flashes and the inability to stay asleep.  The hot flashes were just beautiful little fairies that breathed the fire of a thousand hells on you at 3am.  But it's cool because you were already awake at 2am unable to go back to sleep until 15 minutes before you alarm was about to go off.  So that was convenient.  #sarcasm  Luckily that only lasts for 5 nights, but I want to publicly apologize to everyone I encountered on those 5 glorious days of fatigue and sweat stains (<--new band name, I call it).




I started doing ovulation testing Monday and today we got a big ol' smiley meaning I'm at my peak of ovulation.

So we are all set to try again with another IUI on Friday the 17th!
emma thompson, golden globes 2014

Tuesday, November 26, 2013

Ovulation Testing: You'll Study More Than You Did for the LSAT

Starting on day 3 of my cycle they had me start taking Clomid (what that experience was like):
Kate sees this: sad puppy, puppy, dog
Then she starts to do this:dawson's creek, dawson crying

Then on day 10 (today) they will have me start testing for ovulation.

You can test every 4 hours which means I'm gonna spend a lot of time in the bathroom at work and most likely will become "that girl".

Most tests take 3-5 minutes to show results.  So to anyone entering the stall next to me and leaving before I do, it will appear that we were in a (to quote my cousin) "poop off".  My co-worker said I need a separate pair of nondescript shoes to wear when I go take a test... or I could suspend my feet off the floor.  It'll be great for my abs.

You have to catch it at the right moment AND be able to read the ROYGBIV color spectrum that is the testing strip.  Let me lay it out for you...
reading an opk, ovulation test, ovulation test funny, how to read an ovulation test







You also can't provide too much of a sample as it will null the test.  Or if you get a dud tester you have to wait another 4 hours.







Women have, typically, a 24 hour window for when an egg is released and able to be fertilized.  So you have to test and test as you patiently wait for the quasi-matching lines to appear- sometimes asking complete strangers their opinion while showing them a poorly lit picture you took on your iPhone. (Not me, specifically, but I've heard).  As soon as we get a positive, we'll call the clinic (must be before noon so the sperm can defrost.... I will never be able to defrost chicken the same again) and go in the next morning for insemination.  Not only will we have a short amount of time, but so will the sperm.  Fresh sperm (ew) can live in a woman's body for up to 5 days.  Frozen sperm only has 2 days, max.  I really hope someone reading this right now wins final Jeopardy with the above facts because that would make my damn day.  The one advantage we do get is that we are doing IUI so the donation is placed directly into the uterus (or my Bea-uterus- thank you Brian D. aka future manny) so it "bypasses getting stuck on Storrow and just takes the Pike" (Mass-holes get it).  I can only describe this process as such: