Friday, November 9, 2012

Nothing goes smoothly

As I've said before, Hcg should double every 24-48 hours.

I've gone from 205 to 300 in 48 hours.

Next round of blood work is Tuesday. Now intruding on our vacation plans. We'll be waiting for their call before we can head to VT. If news is good, we'll be on our way. If news is bad, we'll be having an ultrasound.

Prayers and positive thoughts are strongly encouraged. Please and thank you!

First Trimester Advice?

Fear. It's what usually keeps us from doing something. Or it drives us not to do something. In IVF, fear is usually a huge factor. You fear you won't make any viable eggs. You fear your embryos won't grow. You fear you won't have any frozen embryos. You fear the embryos won't implant. You fear you won't create enough hcg. You fear scheduling anything remotely to do with future appointments. Especially if you've had previous miscarriages.

There's always that fear inside of you, dreading that the past will repeat its self. That you won't make it through the first trimester. That you'll schedule ultrasound appointments for 8 weeks, but you won't make it that long.

I am doing my best to remove the fear. Remove all those negative thoughts, concerns, past memories, anything that hinders giving these two little embybabies a chance. After all, this is a new pregnancy. It is new life that is growing. It's been 2 years, and I'm different. My body is different. (Sigh) This IVF cycle was different. Research has changed and prompted new protocols. Like taking progesterone until 10 weeks instead of 6. Things are just different.

How can you follow what your gut is telling you to do when that fear grips you from inside, and digs its nails in? Here's my thoughts on the matter.

1. Be your own advocate. Listen to what your body is telling you. Listen to your symptoms. If they seem to disappear, call your doctor and demand an appointment. If they get too severe, call your doctor.

2. Be proactive. Make appointments with your OB, even though you are still working with the fertility center. Let them know your past, and your fears, and be sure that you are being heard. Having those appointments scheduled will give you something to look forward to, and some peace of mind.

3. Listen to your gut. If you think you have issues with progesterone levels, ask your doctor for a prescription after voicing your concerns. If they are truly caring, they'll look into it further, or continue to monitor. From what I know and researched, extra progesterone isn't a bad thing.

4. Find something to do that keeps you calm. I don't care what it is, but if it works, stick with it. I never thought I'd be working full time and going through IVF, and let me tell you, sitting at a desk all day has reeked havoc on my health and stress levels. I've found listening to meditative/yoga music, really helps.

5. Stay active. You'll sleep better. Your stress levels will go down. You'll keep the weight gain under control. And hopefully you'll help to keep that fear away. Make sure to never get breathless, and don't start any strenuous routines will pregnant. Start simply by walking at a normal pace. As your body adjusts, listen to it.

6. Eat well. Let me rephrase that: Eat Healthy! Everything you take in, your baby takes in. And especially early on, your baby needs so many nutrients to grow. I'm a firm believer that what you eat while you're pregnant, is what your child will crave later on. Try to fight bad cravings, and ask your self "What nutrients does the baby and myself need?" before you decide on what to eat.

Anyone else have good advice on how to get through the first trimester?

Thursday, November 8, 2012

4 Weeks, 2 Days

It's early. I mean super early. In IVF, you are basically starting from Week 1 of pregnancy. And I don't mean the first week you know, because technically that's Week 4. Week one starts when your menstrual flow does. Your body begins by creating follicles on your ovaries after menstruation  These follicles are eggs. One of those lucky follicles will actually ovulate and release an egg (Week 2). It's this exact time, give or take a few days, that normally you and your spouse would have unbelievable amounts of unprotected sex. Then the sperm would penetrate the egg, fertilizing it. The cells would begin to split and eventually make their way down to your uterus (Week 3). Then implant its self in your lining. And about 5 days later, you'd start showing HcG elevation, most likely showing up on a home test (Week 4).

Not in IVF though.

Week 1 begins with Lupron which suppresses your ovaries. At this time, you might start creating follicles. Sometime around Day 10 you'll start taking Gonal F. The Gonal F helps to mature these follicles, and helps them to grow to appropriate ovulation sizes. Your doc will monitor and let you know when to take your Trigger shot (HcG) to help truly mature these eggs so that they'll be ready for Egg Retrieval (ER) (Week 2). ER harvests your eggs from all those growing follicles. It's at this time they'll take the man's sperm and either mix it in the dish with the eggs, or ICSI, inject them in the eggs. Then the'll watch them grow. And eventually, if you're lucky you'll have some gorgeous looking embryos. Then they'll take the embryo and implant it directly into your uterus (Week 2.5). A few days later, between days 4-10 post transfer, that little embryo will begin implanting it's self, or nuzzling as I like to call it, into your lining. Then 12 days post transfer, you'll have a blood test to determine if you're pregnant or not. (Week 4)

Now for those of us who are vocal about our experiences, as excited as we are that we've made it this far, and we want to yell it to everyone we know, it's still a scary time. Many times these pregnancies end in what they call chemical pregnancies, where the embryo implants, secrets HcG, but then stops growing. Or, your HcG may not elevate properly, meaning your body is not withholding the pregnancy.

Follow up blood work is usually done 2-3 days after your first positive blood test. This is to ensure that your HcG is increasing. Normally they like to see a 60% increase within 48 hours. Until that happens, you really aren't in the clear. Then there's the long wait for your first ultrasound to be sure there is a heartbeat.

Our first time around 2 years ago, my HcG was not elevating properly. I believe we ended up having 3-4 blood draws to monitor the increases. After the 3rd or 4th, my doctor insisted on an ultrasound to be sure we weren't having an ectopic pregnancy. Thankfully we weren't, and we had our first amazing little flickering heart beat appear on the screen. This was around 6 weeks. It was sometime between then and 9 weeks that that little heart beat failed to continue.

So ask me if I'm still paranoid about things? HELL YES!

Step 1 is really getting pregnant.

Step 2 is staying pregnant.

Hopefully we'll have a better idea if that is happening after tomorrow's blood draw. So please continue to pray for us, and sending all those positive thoughts. They are still greatly needed as we are just at 4 weeks and 2 days. (Most people wait until 12-13 weeks, the start of 2nd trimester, before they share their great news.) Thank you again for all your support, we have been truly blessed to have so many people looking out for us, and we appreciate your continued support!

Sometimes it helps to have a visual, so here they are, our two beautiful embryos. The one on the left was the very active one. I say left is a boy, and right is a girl. (I pictured her rolling her eyes at her brother doing somersaults.) Here's to hoping that they both have stuck around.


Wednesday, November 7, 2012

Step #1

sex and the city!

Somehow this seems so perfect for today. The stress, anxiety....the waiting......and waiting......and waiting.....it's never freaking ending. 

Of course of all days, my boss invites me to lunch with him and our new CEO to discuss our marketing strategies. The only thing I could think of was: "Are you kidding? My phone is going to ring!" How the heck am I supposed to take my phone call during that lunch. I contemplated letting them leave a voicemail. That way I could listen back to it. I could listen again if I black out. I would actually have all the information somewhere. 

So there I sat for a full hour, staring at my phone, praying it wouldn't ring. Praying I wouldn't have to excuse myself from the table, and not look like a crazy person as I sprint out the door to answer it. The walk to the car, phone in hand. Drive in the car, phone in hand. Leaving the restaurant, phone in hand.

So what happens?

Nothing. My phone never rang. Insert huge sigh of relief.

Now in the past, they usually call between 1 and 3pm. On occasion, they call later. I've noticed that the later calls usually pertain to scheduling another appointment. They wait until the end of the day to organize tomorrow's schedule. However, that doesn't effect me today. So what the hell was with the wait?

Then 3pm rolled around, and my phone was still not vibrating. 

Then 3:30. 

Then 4.

At this point I am super frustrated. So I call my nursing team only to get their voicemail. They stop checking messages at 4pm. 10 mins late. Good job Celia! 

I look at my phone after and realize, I have old voicemails. Probably should delete them. 5 to be exact. (I suck at checking messages.)

#5 however was quite interesting, seeing as I've had my phone with me all day! My nurse has called, stating she wishes she had reached me in person.......to congratulate us!

We are officially pregnant!


But I already knew that. ;)


Step #1 has been achieved! Step#2 is staying pregnant. Follow up blood work on Friday to recheck HcG levels. Then about 3.5 weeks later is the ultrasound.

Thank you so much everyone for all your positive thoughts, prayers, words of encouragement. 
They are so greatly appreciated!


Tuesday, November 6, 2012

The "T" word

There is a word that keeps coming up, all around me. It's starting to frighten me. More so because we honestly don't know what's happening at the moment. Yet every where we turn, the dreaded word keeps appearing. In stories of others. Around coworkers. E-V-E-R-Y-W-H-E-R-E!

Now don't get me wrong, we will welcome whatever life has thrown our way. I just find it odd, that every where we turn, someone else is telling us about

TRIPLETS


At our embryo transfer appointment, the receptionist told us about a recent patient who walked out of their ultrasound crying. Come to find out, after 3 years of trying, they were expecting 3! And dad was ghostly white with panic. (Kind of how I picture my hubby turning if that happens to us.)

We've joked that that active little embryo doing somersaults in his dish (we pictured him saying "WEEEEEEE!!!!!) split. Just because the little guy wouldn't sit still.

Come to find out, 3 day transfers have a higher chance of splitting. That's why most docs prefer day 5 transfers to help cut down on the odds.

Friends and family have both joked that we'll end up with 3.

I just over heard a coworker talking about friends that had triplets.

I am one of three. Both my sisters have 3 kids.

So what are the odds? Well, I guess we'll find out.

First things first though, am I pregnant?


Monday, November 5, 2012

2 Days and Counting

What a great weekend! And a perfect distraction. We headed out of work early on Friday, and headed up to Waterville Valley for the wedding of one of my dearest friends. We arrived around 5:30 and hauled all our stuff up to our condo. Then headed over to the bride and groom's suite.

Spent Friday evening among friends with a family style potluck dinner. Some drinks (not for me of course). Lots of desserts. And a few games. I was wiped around 7pm, as per usual. I snuck off a few times, and ended up getting in my pjs around 9pm. Yoga pants seem to become a dear friend over the past week. Between cramping and some serious bloating, elastics are like heaven.

Now I rarely sleep well in other places, which I am used to. I always pack ear plugs now, and keep to my normal nightly routine. Brush. Wash my face. Put on my noise machine. Read for about 30 mins, or until my eyes get heavy. I'm guessing I was asleep by 10:30.

At 3:15 I woke up, for some reason I had ripped my ear plugs out, and my bladder was feeling like it might explode. So I tip toed to the bathroom where I released, what felt like, a gallon of water. Then crept back into bed. And at 5:20, my bladder was feeling full again. So off I went for round 2. Then round 3 at 7:30. So needless to say, I slept like shit. But was amazingly pretty much awake all day.

The wedding was gorgeous, and the bride looked absolutely stunning. Exceptional food for dinner, and surrounded by friends. What more can you ask for? Oh, um.....how about no intense cramps so you can enjoy the reception? Around 7pm, I was so completely consumed by exhaustion. I usually spend the entire evening on the dance floor. Instead spent most of the night in my seat. I made the mistake of wearing Spanx, seeing as I feel like a fat blob at the moment. Those ended up getting taken off around 9pm, and shoved in hubby's coat.

Reception wrapped up around 10pm, at which time we headed back to our condo to change. And yes, out came the yoga pants. There wasn't a chance in hell I was putting on jeans. Yoga pants, long sleeve shirt, and down vest. We headed back down to the local bar where there was a 70's themed birthday party complete with wigs, Go Go boots, bell bottoms, the works. Attempted to dance a little more, but headed out around 11:30.

Saturday night, I slept great. Thank the Lord! From about midnight to 7am, which was technically 8am with day light savings time. But again, was woken up by a full bladder, otherwise I probably would have slept for several more hours. We packed up and headed home around 10am. Dropped off our friend, and stepped in our front door around  12:30. At which time, I again threw on some yoga pants, and curled up on the sofa with hubby. Ended up taking a much needed 2 hour nap.

Definitely felt some intense implantation cramping after our nap. So glad we took the day to lounge and relax, I certainly needed it. Only 2 days left until the blood test. My impatience has definitely gotten the best of me though, so I have an idea of what the results will be.

Thursday, November 1, 2012

The Beauty of Acupuncture

I realize that many people are not pro-acupuncture, like I am. But let me tell you, it makes a difference! I've been seeing Maya from Maya Acupuncture in Concord. From the moment we first spoke, I knew she would be/is truly amazing. She is a complete wealth of knowledge and is so thorough.

My first appointment she was able to squeeze in last minute on the day of our transfer. She only had 45 mins, but the 30 mins I was sitting there all poked and prodded  I was completely relaxed. Most of the needles I couldn't even feel. There were a couple in my feet/ankles, one in each knee, a couple in my ears, on my neck....and the last one she put in was right between my eye brows. I felt nothing until that last one went in. Immediately it started radiating down to the couple around my collar bone. We were channeling Qi. (For those of you not familiar with the term, you can read more here.)

That first appointment I didn't feel much, besides complete relaxation. At one point I'm pretty sure I fell asleep. But yesterday I went back for another round, this time a full hour. Similar placement of the needles. Except for one new one. She asked at the beginning of the appointment how I was feeling. "Well, I'm feeling pregnant." She smiled, and seemed surprised. I wasn't kidding though. I went through everything I've been feeling with her, as she continued to smile.

Once all the usual needles were in, she put one right on the top of my head. I was slightly nervous, and may have cringed a little when she told me to take a deep breath in then out. But I hardly felt it. She said this needle will help pull my energy up since I've been so tired. I just smiled and laid there, not entirely believing that this was even possible. She also kept feeling my pulse. At one point I asked what it was she was looking for. Apparently during pregnancy, your heartbeat becomes more liquid-y  not as intense. (I know she used a different word, but for the life of my, I can't remember.) Supposedly mine was doing just that. Then she followed up with the fact that progesterone is known to do the same thing. Damn.

I had a difficult time relaxing. I noticed a few times I twinged a little, and my shoulders kept tensing up around my ears. I tried to focus on deep breaths and removing myself from the room. It took a while, but I finally got there. Complete relaxation for about 10 mins. At least it's something!

Now usually, around 2 or 3pm everyday, I start to lose steam. My body starts dragging even more, and my steps slow to a leisurely pace. Not yesterday. That little needle at the top of my head apparently worked wonders, because I was full steam until about 7pm. And that's when I hit the wall. I stayed late at work, then popped into the grocery store for a few things. Made it all the way home, and BAM! Wall. Thankfully my husband was already home and in no rush for dinner.

Easy night. Pretty sure I fell asleep around 8:30 on the sofa.

Having that extra energy though, as much as I welcome it, it made me doubt myself. Since 3 days post transfer, I've been convinced I'm pregnant. The acupuncture has been working, and relieving some of those symptoms. Making me doubt whether what I'm feeling is real, or just the side effects of the progesterone supplement. And as much as I enjoy the relief, I think I enjoy the signs much more. It's the signs that are giving me hope. It's the signs that are getting me through those spells of exhaustion.

I woke up this morning feeling great. No signs all morning while getting ready for work. Showered. Make up. Hair. Breakfast. Drove to work. And as soon as I stepped out of my car, there it was. The cramps. The amazing cramps reminding me that there are two little embryos in there working hard to continue to grow. 2 little ones that continued to make me nauseous, and kept me from inhaling my breakfast.

6 more days. (half way through the long wait)