FET Schedule

I just got a voicemail from my nurse. My FET is scheduled for 2:00pm, but I need to check in at 1:30pm. 75 minutes prior to the FET, I need to empty my bladder and then drink 20 oz. of water (from 12:45pm-1:00pm). I am not looking forward to the full bladder part--that was absolutely awful last time!

My pre-FET acupuncture appointment is scheduled for 12:00pm (45-minute appt.). Then I will drink my water and check in for my FET appt. After the procedure, I will go back and do my post-FET acupuncture appointment, then go home and rest.

I will take it easy for 2-3 days (no lifting anything over 25 lb.), and continue my oral/vaginal Estrace and Progesterone injections until my first blood pregnancy test (scheduled for Wednesday, 11/23/16).

I am a little less nervous/anxious this time around, but of course I'm sure that will change as I enter the 2WW! 

FET Schedule for Thursday, 11/10/16:

• 12:00pm – 1^st Acupuncture Appt.
• 12:45pm – Empty bladder, then drink 20 oz. of water before 1:00pm
• 1:30pm – Check in (4^th floor) for FET Appt. (Bring photo ID)
• 2:00pm – FET procedure
• ~2:450pm – 2^nd Acupuncture Appt. (exact time TBD)

After Transfer:

• Take it easy for 2-3 days; no heavy lifting
• Continue medications  until first blood pregnancy test

Here We Go Again...

After our negative pregnancy test (7/28/16) and then stopping the Estrogen and Progesterone injections, I got my menses relatively quickly (8/3/16)...but I kept waiting and waiting for it to come again so we could start birth control to prepare for our next FET, and it just wouldn't come. After nearly 60 days, I had the nurse order a no menses panel which included: STAT Estrogen (E2), Progesterone (P4), and HCG (Quantitative) blood tests...so I drove 3 hours to the closest fertility clinic that could fit me in (on 9/23/16)...only to find out later that day that my menses "was on its way" and the doctor felt I should wait instead of inducing. It did end up coming a few days later (on 9/27/16). I was finally able to get my official protocol for our FET (scheduled for 11/10/16).

I started birth control on 10/1/16 and took my last pill on 10/15/16. Two days later, I drove another 3 hours to get my bloodwork done at an outside lab and then went to (yet another) fertility clinic for my baseline ultrasound. Long story short, I found out later that afternoon that the lab I went to did not/was not able to STAT one of my tests, so my nurse/doctor never got the results and didn't call me to tell me if I should begin my Estrogen. I was incredibly frustrated with this situation, as I had only made my appointment with this particular lab after calling first to find out if same-day results were available, and what the price was. (It was significantly cheaper than having it done at the fertility clinic.) Things turned out ok in the end (after multiple calls to the lab as well as the answering service and on-call nurse at my clinic). I started oral Estrace that evening (10/17/16). 

There is currently a nationwide shortage of injectable Estrogen so the doctor switched me to oral Estrace (2mg tablets 2x/day). My next appointment (bloodwork and u/s lining check) are scheduled for 11/5/16. I do have to say that oral Estrace (though I have to take it twice a day, 12 hours apart) is a lot easier than having to do IM injections, since I have to have someone do those injections for me. When/if I start Progesterone after my lining check, I will have to begin daily injections of those. 

My plan for the FET is to fly to my parents' house that Wednesday (11/9/16), do the transfer on 11/10/16, then fly back here on Monday, 11/14/16. I'm hoping that resting for ~3 to 4 days will be enough before I have to go back to work. I am not getting my hopes up for this transfer, specifically because the embryo had to be biopsied twice (thawed and frozen twice), which decreases the chances a little bit...but of course part of me is still hoping (and praying) it will work. I did end up finding an acupuncturist here in town that specializes in fertility, and my first appointment was last Friday (10/14/16). I will go to her another three times and will also do appointments at the place connected to my clinic before and after the transfer.

Trying to manage everything with outside clinics (3 hours away) and my home clinic (which is 3 hours ahead of us) while teaching full-time, has been somewhat of a nightmare. Not only do I have an extra busy semester this fall, but I also made the (crazy?) decision to take on a supplemental position with the business school, which requires an additional 8 hours/week of my time. I have been working 10-11 hour days, 6 days a week...and it's been exhausting. David and I were able to escape to Disneyland two weeks ago for a much needed 4-night, 5-day getaway, and an absolute blast. :)

The second time around, I am hoping my emotions will be less up and down. I am hoping that now that I know what to expect, I will be able to relax more and that I will be able to bounce back more quickly from any disappointment. I am determined that one of these six cycles will eventually work...

The Next Step

Today I met with the doctor to discuss the next steps. At first we discussed doing the FET of the final embryo this December/January while I'm on Winter Break, but after realizing that the chances of pregnancy/implantation are lower (due to the re-biopsy and re-freezing), I asked what he thought about just going into another cycle. He suggested that we do the FET some time in early November, and should that fail, plan to start another cycle in December (with ER in January). With this plan, I will hopefully be able to do another FET during Spring Break (in March) and then go from there.

I felt better after coming up with this plan, because I'll start BC again soon which makes me feel like I'm actually doing something even if it's just syncing up my period to the right date. He didn't really have an answer as to why the FET failed, and said there could have been a number of different things. My uterine lining was at ~8.6mm (and they aim for over 8). He said that with the next FET cycle, he wanted to add in an Estrace suppository in addition to the Del Estrogen and Progesterone linings and aim for 9mm. He also mentioned that there is a uterine lining test that can be done, but he usually doesn't recommend that until multiple failed transfers.

I am still feeling a little down, but am much better than I was. I think the fact that the school year is starting (and that I am not prepared) definitely affected my mood too. I am headed back home tomorrow (with my dad and dog) and will hopefully get back into the groove of things soon. Although I am not looking forward to starting school again, I'm hoping that teaching and working again will help keep me occupied until November!

David and I are also looking into planning a little anniversary vacation somewhere warm! :) 

This. Is. The. Worst.

The TWW is THE WORST. Throughout this entire process--the countless injections, the numerous visits to the doctor, all the ultrasounds, the daily blood draws, the violating ultrasounds, the bloating and headaches--this is the worst!

I am currently 5dp5dt (5 days post 5-day [embryo] transfer) and I still have 8 days until my beta pregnancy test (7.27.16). I seriously don't know how I will last that long. I have 2 boxes of FRER Pregnancy Tests sitting on the kitchen table, but I am hoping I will somehow make it to the beta without opening them! Perusing all the online forums, so many women begin POAS (peeing on a stick) starting on day 5, although many of them get a negative at such an early stage. I don't know if I have it in me to do it and get a disappointing result. More seem to get (very) faint lines starting on days 7-9. Day 9 (for me) is this Saturday (7.23.16), which is only a day after I should be expecting Aunt Flo, and only 4 days before the beta, so I keep telling myself if I can wait that long, I can wait a few days more. Who knows. I'm literally taking things a day at a time...an hour at a time?

I cannot even begin to describe how ridiculously difficult these first 5 days has been. Right after the transfer, you start noticing, feeling, and being aware of the tiniest things you (and your body) are doing. Am I peeing too hard? Am I putting too much weight in each step as I walk? Should I drink/eat that? Did I stretch myself too much when I was: putting on my seat belt, reaching for the remote, grabbing my phone, petting the dog, using the microwave, tying my shoe, washing my hair, laughing, breathing, sleeping...every movement, every gesture, every thought, you are worried about jeopardizing the implantation of the embryo(s). You're just certain that that one decision you made (drinking something too cold, laughing too hard, putting on your shirt, reaching for that towel, eating that piece of chocolate) has jeopardized the embryo in some way/shape form! It's a nightmare.

IM injection sites: Honestly, the bruising
and pain is nothing compared to the TWW!

Don't even get me started on the hormones! At this stage, I'm taking nightly injections of Progesterone as well as injections of Del Estrogen every 3 nights. (Del Estrogen is an injectable form of estrogen that is given to help thicken the endometrial lining. Progesterone is produced by the ovary after ovulation, and is given to support embryo implantation.) So here you are naturally worrying about the implantation that is supposed to occur over this 2-week period, and your hormones are completely out of wack. Don't forget that if God forbid, you aren't pregnant, then that means you're about to start your period, so you're possibly PMSing...and if you are pregnant, you have all those hormonal changes/imbalances going on too. I was watching an old episode of 16 and Pregnant yesterday where Farrah gave birth, and as soon as the baby was born and the doctor said "Happy Birthday," I burst into tears. 

Every day, night, hour, I am feeling different symptoms that could mean implantation or could mean miscarriage or could mean my period is coming. And unfortunately, after an FET, with all these different things going on, and especially because of the hormone injections, could mean absolutely anything. Also, the Progesterone could prevent a period from coming, so even if you aren't pregnant, and you should be getting your period, you might not, because of the Progesterone.

Normally I can take my mind off things by going to the gym for a couple hours or taking the dog for a walk, but both of these things are a no-no. I can't do my normal stress-reducing workouts and it's too hot during the day to take the dog out (plus he pulls on the leash)...so I am stuck at home watching TV, trying not to eat too much, and constantly perusing message boards (which I need to stop doing).

July 27 cannot come soon enough!

Egg Retrieval

Yesterday (Tuesday), the nurse called me with my bw results: Progesterone level at 5.3 (they look for 3+); Luteinizing Hormone (LH) level at 49.2 (they look for 15+). Everything was all set to go for my egg retrieval (ER)!

The ER was scheduled for this morning at 9:45. David and I arrived at 8:15am and I was taken to the hospital area and given a gown, booties, and hair cap. I signed all my forms, discussed my discharge instructions, got changed, and then the anesthesiologist (Dr. Steve) came in with more paperwork and started my saline IV. He joked that I was a human pin cushion after seeing my arms, and despite the local lidocaine he gave me before inserting the catheter, I hated having that thing in my arm. I have probably had a handful of saline IVs (emergency room visit, wisdom teeth removal, etc.) but there's something about having that thing my arm that I can't stand. Dr. Steve was so nice, but as soon as he left, I started getting nervous and a little teary-eyed. It was so great having David there to comfort me; he showed me my favorite sloth video and I was laughing again in no time. Soon David was taken away for his sample, and I was alone in the room for a little bit.

All dressed up and no place to go. :)

Throughout the process, I could see and hear a little bit of what was going on in the next room on the other side of the curtain...this was great because I could mentally prepare myself as far as which nurse/doctor/tech I'd see next, and what the time frame was. When the woman next door was taken away to the OR, I knew I'd probably be in there in the next 30-40 minutes. David came back right before the nurse came for me to make sure I relieved my bladder before going to the OR. Then we walked David to the exit (to the waiting room), and she brought me into the OR. In the OR I saw Dr. Steve again, as well as 3 nurses. The embryologist came in to confirm my personal information, and then Dr. Steve started my anesthesia. Before I knew it, I woke up in my room with Nurse Sabrina. She asked me if I was in pain, and gave me IV pain medication when I told her I was, which helped, and then told me to go back to sleep. 

The next time I woke up, David was sitting next to my bed in the chair. The nurse returned and gave me some saltines and water, had David give me some oral Norco for the pain, and had me drink some Sprite to increase my sugar levels. She went over discharge instructions with me again, and relayed dietary instructions to David, and then told me that my doctor would come in to speak to me before we could leave. I could hear another woman that was crying from the anesthesia wearing off (it was heartbreaking!). I asked Nurse Sabrina if I had done that, and she said no, but that I was extremely funny. I asked her why, and she said I kept asking questions about how I got to my bed and who brought me there. She said she loved my voice (which was a little scratchy), that it reminded her of a character from Gravity Falls, and that I should do voiceovers. :)

My doctor came to see how I was, and told me he had retrieved 19 eggs. I was hoping to hit an even 20, but he said he was happy with anything over 15. We discussed the protocol for the next few days, and the PGS and tentative FET schedules. Then I was able to get dressed and leave. After stopping at Arby's and KFC, we got home just before noon.

Nurse Sabrina had instructed David to make sure I focus on consuming Gatorade, protein (meat, nuts, cheese), and broth, all of which David kindly got for me from the store after I woke up from a nap. I've had some spotting throughout the day, but nothing excessive. The pain is uncomfortable (similar to really bad menstrual cramps). It gets worse when the Norco wears off, but it's not unbearable. I took it easy the rest of the day, napping and resting on the couch. Tomorrow the doctor will call me to tell me how many eggs were mature and fertilized with ICSI.

David's parents are coming tomorrow for a quick visit; I'm hoping I am feeling up for the company. Unfortunately it didn't work out in their schedule for them to come a little later, and David will also be leaving after the weekend, so we are making do!