Tiny Tab Flips my World

One little tab can make a huge impact. One week ago, I had my blood drawn (confirmed: not pregnant and not ovulating). The next day I put one small tab in my mouth, took a swig of water and shot my head back with a gulp.

The pill dissolved and my body responds.

Over the past 7+ days, each morning this same routine and it has triggered a reaction.

My body wakes me up at 2am, eyes wide, staring at the ceiling.

My body is restless.

I flop from the left to the right, my legs are hot, I kick off my sheets.

The cold air kisses my body, too much.

I’m too cold and pull the blanket back up.

It’s too early for me to get out of bed but I can’t go back to sleep.

I begin praying and trying to keep my mind simple. If I think too much, I know I’ll be awake for the rest of the night.

Slowly, I fall back asleep.

When I awake, I am irritated. Is it because I didn’t get a good nights rest and am tired or is there something else going on?

The tightness in my chest is back. This time it feels as though there is built up the pressure and I just want to PUNCH something to release the energy.

Such anger.

No reason for this, I actually am having great days, but this emotion is intense.

I go to acupuncture. She explains that my emotions are little UPS truckscar-crash-trucks-taxi-road-vector-64349546 (vehicles) delivering messages throughout my body. By going on medication for hormones, they are all getting into crashes, not knowing how to flow properly throughout the body. I lay on the table, the needling zings me, she must have hit the spot. I close my eyes. God, help my body calm down and receive this medication that is meant to help.


Today feels dark. My soul feels quiet. I have the sense that I have walked into a cave and it’s time to hibernate for the next few weeks.

653x490.jpgI was with some ladies who are moms and although they meant nothing by their words, I felt a longing and sadness. They have little ones and talk about them like they came into their lives so quickly.

Why not for us?

I saw another birth announcement on Facebook. Good for them. Truly.

Will we be able to have the same experience?

I can be happy for others and their seasons of excitement and joy. For today though, I find myself needing to retreat.

Up until this point, I feel I have been doing pretty well with this whole journey. I have my moments of breakdown and sorrow, but for the most part, I’m seeing this as a chance to learn and grow. Hubby and I continue to grow closer to each other and this desire grows deeper in us both.

Ladies offer their understanding of fertility and stories of others who they know have gone through this and up until now, I have been open to the conversation and hearing the ways God has worked in others.

Today, I feel more fear. Scared that the IVF treatment won’t work for us.

I decided to list out my fears:

  • My baseline ultrasound will show something and it will prevent us from being able to start the medication
  • My body won’t respond well to the follicle stimulation medication
  • We will have to postpone egg retrieval because my body isn’t responding
  • We will have to end the follicle stimulation medication because my body responded in the wrong way and we have to start over with a different approach
  • We won’t get a lot of eggs (less than 20) at the retrieval
  • The eggs won’t be good quality eggs to use.
  • The sperm and eggs won’t go well together and they won’t grow and the cells won’t multiply
  • We find out there are chromosome abnormalities and we will only have 1-2 blastocysts

My prayer is that we:

Are able to start the stimulation process on time and that my body responds well and everything goes smoothly with the follicle growth.

Have over 25 eggs, over 80% are good eggs to use and that the majority of them are growing at the normal rate.

Receive news that our blastocysts are chromosomally sound and that we have multiple (5-7) healthy wonderful blastocysts to begin transferring for a pregnancy.

I have one more week of birth control before we have our first round of tests to see if my body is ready for me to begin the stimulation medication.

This means I have this next week of prayer and surrender to what God wants and the release my tension of what I want to what give over to God what I cannot control.

IVF Timeline

1_5Yqfls2QmHfRxDiEmi4eVQ.pngWhat’s the timeline look like for us?

If all goes well… this is what the timing and protocol look like for us. The tricky thing to note is that it all depended upon how my body responds to the medication.

It’s my charge to be as calm and relaxed as possible during this time so my body can do what it needs to do. I already know that stress is a huge factor that causes my body to shut down so I will have to build in space for chill nights and calming days.

I put in red the things I’m doing to help this calming process.

IVF Procedure- Step 1: Egg retrieval

Take birth control- 2 weeks

Baseline ultrasound & blood work- Day after last birth control pill

Day 1: Begin medications- 2 days after baseline ultrasound

  • Medication: Gonal F & Menopur
  • Calming: acupuncture

Day 3: Calming: light workout, acupuncture

Day 4: Monitor appointment (potential to increase medication)

  • Medication: Gonal F & Menopur
  • Calming: massage

Day 5: Calming: light workout, acupuncture

Day 6: Monitor appointment (potential to increase medication)

  • Medication: Gonal F & Menopur
  • Calming: acupuncture

Day 7: Fly to Shady Grove

  • Medication: Gonal F & Menopur, begin Cetrotide

Day 8: Monitor appointment (potential to increase medication)

  • Medication: Gonal F & Menopur, Cetrotide
  • Calming: walk, acupuncture

Day 9: Monitor appointment (potential to increase medication)

  • Medication: Gonal F & Menopur, Cetrotide
  • Calming: walk

Day 10: Monitor appointment (potential to increase medication)

  • Medication: Gonal F & Menopur, Cetrotide
  • Calming: walk, acupuncture

Day 11: Monitor appointment & trigger shots and meds

  • Medication: Cetrotide, Lupron & HCG shot
  • Calming: walk

Day 12: Blood work (LH, P4 & HCG) to ensure trigger shot worked

  • Medication: (unsure)

Day 13: Egg retrieval

  • Calming: acupuncture

Day 14: Egg retrieval results/ follow-up appointment

  • Calming: acupuncture

Day 15: Return to Colorado

Day 20-21: Egg/sperm cell growth results- 5-6 days after retrieval

  • Freeze blastocysts that are healthy

—-WAITING GAME—-

Day 30: Receive period

  • Go on birth control until we receive test results

Receive PGS/ chromosome testing results- 3 weeks from egg retrieval

Consult with Doctor O to decide next steps for Step 2: frozen embryo transfer protocol.

Fuel for IVF

Many have asked what sort of food I have been eating while preparing for IVF. Keeping my intake simple, I have stuck to the following:

  • Vegetables4dc81320651e4.image.jpg
  • Protein
  • Grain
  • Fruit
  • Yogurt
  • Olive oil

Here are the specific foods that have been suggested:

  • During the menstruation period:
    • Increased iron: meat, fish, leafy greens (chard, kale, collard greens, spinach)
    • Bell peppers, tomatoes, broccoli, kiwi, citrus
  • During the follicle growth period:
    • Broccoli, kale, cabbage, cauliflower, pork, fish, olive oil, avocado, eggs, berries
  • During the Ovulation period:
    • Leafy greens (chard, kale, collard greens, spinach), eggs, meat, fish
  • During the luteal period: (warm foods)
    • Carrots, pineapple, cantaloupe, sweet potato, bananas

I have a cocktail of vitamins as recommended from the fertility clinic. There were more recommendations but they either had traces of caffeine in them or were sleep aids, both which I choose to stay away from.

  • Myo-Inositol- 2000
  • CoQ10- 800
  • L’Arginine- 2000
  • DHA- 1000
  • Vitamin E- 400
  • Vitamin C- 500
  • Vitamin D- 3000
  • Vitamin B- 500
  • Pre-Natal/Folate- 400
  • NAC- 1000

*I’m not a doctor or nutritionist. Please consult yours before taking these supplements.

Peace in the Wait

This is not easy. I have turned a corner and I feel as though I’m heading into a cave. I know I have been MIA.

We made the decision to move forward with IVF at Shady Grove in Maryland just about 6 weeks ago. We contemplated jumping right into the cycle as soon as we made the decision, but my chest grew tight with the thought of trying to squeezing it into our already full schedule and reworking some things seemed a little rushed.

Calm.jpgNo, we will wait the extra month and some change before we begin the process. That seems like the best idea and the calmest and serene and yet the waiting has not been easy. I have tried to keep my mind occupied with other things and use this waiting period as an exercise in trusting God, focusing on the here and now, and practicing the belief that what is in front of me is exactly what I’m supposed to be spending my time on, not the future.

I have plenty of projects to keep my body busy, but it’s my heart that I cannot control. The longing to know the outcome.

For the most part, though, I have been pretty surrendered to the process. Open handed to the fact that we don’t have all the answers at this point and we might not in the future. My body feels calm and my mind is relaxed.

Onto the Next Chapter…

We have found ourselves to be on the same page.

Thank you, God, we are able to discuss our options and see that we have landed feet-first on the answer.

I would have liked to have come to this decision many months ago, but I now see we needed to gather as much information as possible and let ourselves truly sit in prayer and quiet with this decision.

clarity.jpg

We will move forward with Dr. O’Brien at Shady Grove Fertility in Maryland.

My heart is calm and there is a smile on my face.

I feel a sense of relief and excitement as I know we are making the best decision at this moment with the information that is being presented.

With Hubby experiencing the same calming feeling, we began looking at the calendar to see when it makes sense to start this next step.

I’ll be honest, I want to get this thing going right now.

…No time to waste.

The issue is that I’m needing to focus on what in on my plate right now and when I get quiet with myself I know that starting the protocol right now would be too much.

I want my body to be in the best condition to truly relax and provide the best quality of eggs. Not to mention to prepare me with the overabundance of medications that are about to be pumped into my body.

This isn’t something that can be ‘fit in’ to the rest of an already busy schedule.

We both decide it’s best to wait the 2 months necessary to when our work and social schedules are calmer and we are able to give this first step our best shot.

Painful as it is to hurry up and wait, I trust that we are being wise with the decision we have made.

I am giddy.

We begin to look at flights… Just looking.

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Ok not just looking.

We end up booking what we think will be our target dates.

(Thank you Southwest miles for your no-penalty refund policy).

Eek, we are really doing this.

I can’t get too excited though, there is still a lot of time between now and then and a lot that needs to happen.

To do list:

  • Blood work for infectious/communicable diseases (check and safe!)
  • Mandatory consult with PGS Genetic testing lab (scheduled)
  • Watch an hour of short videos with questions in order to sign consent forms (great Friday night date, check)
  • Outline additional expenses to have a detailed idea of what to expect (check)
  • Check in with our nurse regarding all the random questions (see below)
  • Continue a healthy workout and eating routine (check)
  • Show up to my life as it is and wait (uh…working on it)

As someone who is prone to ‘do’ all the time, I can handle the action items well.

I light up with things to physically do as it makes me feel like I have control over if this will work and it makes me feel like I am contributing, which I am. What I need to recognize though is that my doing is not going to better my chances of having a good retrieval (full of great eggs) or that I will be able to control the outcome.

All I can do is what is in front of me (which is only about 1%) and let God do the rest (the other 99%).

Random questions we asked our nurse:

  1. Q: What medications are needed for the FET?
    A: Estrace (pill, 3x/day), Progesterone oil (shots)
  2. Q: Do we need to come in for a mock embryo transfer?
    A: Nope, they can pass the catheter at the time of the retrieval to make sure everything is open and ready for FET.
  3. Q: What types of office visits will we need to do prior to the IVF egg retrieval?
    A: One baseline appointment (ultrasound, estrogen, HCG, progesterone), a couple check in appointments (ultrasound, estrogen).
  4. Q: What are your thoughts/recommendations for acupuncture?
    A: It seems to help calm anxiety and there is a possibility of doing it at the clinic wellness center.
  5. Q: What foods and supplements should I be taking?
    A: Pre-Natal (400mg folic acid), Myo-Inositol (2000mg)
  6. Q: What outdoor activities can I do (i.e. skiing, working out)?
    A: Stay away from any high-impact workouts
    (so if I go slow, can I still ski?)
  7. Q: If we get a positive pregnancy test, what do we next?
    A: Pregnancy test through blood work, day 13 after FET, day 15 after FET and day 17 after FET to make sure hormone levels are going up.
  8. Q: How long after a live birth does SG recommend waiting to do a 2nd round for baby #2 (yes, I’m totally hopeful and future-tripping)?
    A: I would have to be done with breastfeeding prior to starting the next cycle.
  9. Q: How consistent do I need to be with the timing each day with the injections and do I need to consider the time change for when we travel to Maryland for the days prior to the retrieval?
    A: It would be good to be consistent with the time of injections and consider the time change, although doing the injections an hour or two off isn’t the worst.