Grief

I have been thinking about writing this post all week, but really dont know how to put my grief into words. No, this isnt about our new bundle of joy that means the world to us. He is doing great. 

This is about the struggle that stays with you after you become a mom…dealing with loss and infertility after motherhood.

Two years ago today, I underwent my last d & c at 10 weeks pregnant. It was our 3rd Frozen Embryo Transfer, and we thought we were almost out of the woods (or first trimester). I wont rehash all of the awful details with our loss, you can read about them in our archives back in March of 2015 if you are in a place where you need to relate. If you are, my prayers go out to you. However, I will say that this February day back in 2015 still haunts, or hurts me deeply. 

I sat in the bathtub last night, when I should have been relaxing after a long day filled with cluster feeds, dirty diapers, cries and sweet rainbow baby coos, only to find myself grieving deeply. 

You see, having a baby doesnt replace losing one. Having a miracle in your arms actually makes you wonder even more about what your other child would have been. All the moments you are enjoying now that you lost with them. There is even a smidge of guilt mixed in with the grief. 

We will never know why we lost Isaacs brother that winter day a few years ago, or why we lost all 5 of his other siblings before that. All we can do is thank God for what we have and cherish it even more. Pray for peace for all the babies taken too soon, and for all the moms that became moms the second those embryos were placed inside of them…regardless of the outcome. You are a mother even though many might not recognize it. The love starts way before the baby arrives. Losing many and now having one has made me realize it even more. 

Rest in peace Isaiah William with all the other angels gone too soon 💙 today we think of you 💙

Hello 3rd Trimester 

Its hard to believe both October & the 3rd trimester are upon us! Less than 12 weeks to go now.

I had my 1 hour glucose test this morning. I actually did a 2 hr test back when we were trying to figure out the cause of my recurrent pregnancy loss, so I was prepared for how yucky it is. This time I didnt get a flavor choice (boo!) and got stuck with orange. I did lemon lime the first time and it was much better! The orange burned as I was chugging it down and gave me a slight headache accompained by minor nausea. 

The nurse drew my blood for this and also did a CBC, my results should be in within the week. The midwife measured my fundal height which was between 28-29 weeks, and I am 28 weeks + 3 days so that was all good. She also did the doppler and his heartbeat was as usual. We chatted about movement, which I have noticed just in the past week has picked up a lot. I dont find myself needing to count like I was because its pretty consistent throughout the days now. I am happy about this bc counting sort of drives me mad! 

We also discussed vaginal v. c-section birth. I explained my fears both ways, and told her I just want to do whatever is safest for my baby. She listened and offered some personal stories in regards to my concerns. Long story short, she told me to prep for a vaginal birth as long as he isnt breech, or too large.  Our first labor class starts tomorrow and I am anxious for it. They told us to bring a yoga mat and 2 pillows…hopefully we will gain some valuable knowledge from these sessions! 

In other news…all good things must come to an end. Let me explain. We had our fresh IVF cycle back in March 2014, in which 7 out of our 8 embryos were frozen at that time. Since that time, we have had 4 total transfers (1 fresh + 3 frozen). Thankfully all of our embies have been kept free of charge at our RE’s office. We havent paid storage on any of our frosties, which has been wonderful as storage fees can get pretty pricey. Well, as I said, all good things must come to an end! We got a call this week from the storage company informing us that we need to update our forms on file as they will be picking up our one & only embryo at our RE’s office. I must say I was a bit sad, I loved our embryo being right where I know it is, safe & sound. However, I realize this is protocol and we got away with it for over 2 years now. Time to cough up more cash…nothing new in the world of IVF. 

As Im sure many of you know, the embryo storage forms make you think of morbid things like death of one partner, death of both partners, divorce, etc. In the middle of filling out the forms, I burst into tears. Thanks pregnancy hormones! I told hubby in the case I should die, I want him to have ownership of our embryo. I suggested that should he ever marry again, he could (have the option to) transfer our embryo into his new wife. He looked at me in disbelief, and thats when I lost it. This may sound odd to some, but its how I feel. We also agreed on the same should he pass before we transfer again. And if we both die, we elected to donate our child. Sounds really weird typing that. We couldnt come to terms with disposal, and we didnt want to transfer ownership to anyone and have that on their shoulders either. We will pay storage quarterly, and then revisit transferring Uno December of next year. 

My OB appts are now every 2 weeks, not sure of the MFM frequency as of yet. I see them this week for a growth scan, and I want to bring up a few things like NSTs and biophysical profiles. I dont want to fall to the wayside because things have continued to look good. I want to make sure we stay on top of things, especially monitoring later on as this can help prevent stillbirth. 

My baby shower is this weekend!!! How insane. I am super excited about it, but also anxious at the same time. I cried yesterday to hubby about it, and he reassured me that I deserve this shower. My aunt is flying in today, and then others follow throughout the week. I feel like I have so much to do still (thank God for cleaning ladies) before the shower…stop by the flower shop, finalize games, get my wedding ring cleaned, eyebrows waxed, nails done, etc. Im sure it will all come together though. Will post an update of it all soon! 

Diary of a Pregnant Woman, Vol. 4

We attended the Breastfeeding 101 class at the hospital this past week. I had already been to a prior boob class hosted by some local doulas, but that was with a friend and not with hubby. Hubby wanted to learn, and I figured the more info the better. And I did actually pick up on a few things that I hadnt in the doula session. Main points of the class-

  • Day 2 of breastfeeding is the hardest 
  • Various feeding positions (we practiced with dolls)
  • The 9 stages of the first hour after birth leading to feeding (the “golden” hour)
  • How much and how often baby feeds 
  • The role dad can play in the process (bring baby to mom, burp baby before and after, change baby before & after, make sure baby is latched right, positions, etc.) 
  • Bring pillows to the hospital so you are comfy breastfeeding 
  • When to introduce bottles
  • The benefits of breastfeeding 

And so much more! Im SURE this will be a learn as you go process, but hopefully we are well equipped with some strategies to help us should we run into any trouble. If not, the lactation specialists seem quite helpful too. 

News this week?

One of my best friends had her baby girl! She welcomed her into the world on 9/22 (first day of fall!) about a week past her due date. We visited them at the hospital and she is absolutely adorable! It was very surreal for hubby and I to go to the hospital to visit a baby. We have NEVER done this before. Its always been too hard. I was still nervous deep inside, but also so incredibly happy for them. I cant wait to raise our sweet babies together!! 

We are just over 27 weeks preggo now. I cant believe the 3rd trimester and our second viability goal of 28 weeks is upon us. Thank you, God! After this, it is 32 weeks. Getting there will be such a sigh of relief. Praying the time goes by without a hitch…our baby shower is in 2 weeks (all the RSVP’s are in & we will have just over 30 attending), and then our maternity photos. Also, our weekly labor & delivery classes begin & a few doctor appointments to see Miracle again.

I sent my RE some recent pics of me, hubby, & baby Isaac via Facebook. I hadnt talked to her since we were about 16 weeks and I missed her! We chatted back & forth, and I thanked her again for all she did for us over the past 3 years and 4 IVF cycles. She never gave up on us. After our boy is here we will surely be taking him in to see her! Oh, and I snuck in the question about our 1 & only frozen embryo left…what is the recommended time frame between delivering a baby and transferring an embryo? Answer-1 year. Hubby & I have some plans about it, but Ill save that for a much later post. Lets just get Miracle here safe & sound! 

Symptoms? 

Braxton Hicks. The other day they were very frequent and I got worried and thought about heading to L & D for a check. Thankfully, they subsided and I didnt need to go. Stay away BH!  

Baby boy & my uterus have def grown because Im feeling him and seeing him above my belly button now. So crazy, yet amazing at the same time. 

FET #3: Transfer Day

After waiting almost a year & a half since our last transfer, & 2 years from the first, yesterday was FINALLY the BIG day! 

Our transfer wasnt scheduled until 1 pm in the afternoon, which had both positives and negatives to it. More time to get things in order, on the other hand more time to let my mind wonder. 

We woke up around 8, took the dogs for a walk, & did my daily injection on PIO. Next, we went to the grocery store & got a couple last minute items that we hadnt got over the weekend. When we got back, I showered while he cooked us brunch. We ate eggs, chicken breast, tomatoes, & wheat muffins.

Then I showered, prayed with my mom over the phone, read devotional with hubby (which ironically for the first time ever discussed infertility) & popped in my Circle + Bloom transfer day CD. I have been listening to the sessions religiously this cycle and was super excited to put this one in!!! Praying, reading, & meditating where exactly what I needed to calm my nerves. 

At last, it was time to get ready to go! If you know me, you know I usually dont wear make-up unless Im heading out for a fancy dinner or something of the sorts. Well, I decided to do myself up yesterday. As I was putting on make-up, hubby was like, “are you putting on make-up?” Haha! I replied with, “yes, arent we getting ready to make a baby? Under normal circumstances, if we had just started trying, I would be getting prettied up for you!” We both chuckled. 

Thanks to all of the suppport we have in our life, I was decked out from head to toe in items we have been given for his cycle. I had on my pineapple headband (hubby), my pineapple earrings (bestie), baby charm bracelet (cousin), a Pandora ring (my mom), hope necklace (aunt), 4 leaf clover necklace (blogger), bad ass undies (me), and stork socks (me). I also had an angel in my pocket from one of my co-workers, along with a yellow bracelet. I felt very special & surrounded by love. 

Hubby & I decided to stop by the water before we went to the RE’s office. Its just a few minutes away, and its in a beautiful, more ritzy area. What a gorgeous day out! The sun was shining with a breeze, truly a spring day in Florida. We took some selfies, skipped rocks, and talked about the future. On our way to the car, I popped my valium. 

  
As soon as we got to the office, I could tell they might be running a little behind. They are very quick for regular appointments, but for retrievals, transfers, & the like they arent. Im not complaining; I dont want them to rush me when Im back there! Anyways, they finally took us back around 1:45.

The nurse took my blood & my vitals, then we headed back to transfer room. I got in my sheet skirt (so cute…not!) and put on my cap. Shortly after, the embryologist came in to show us our embies (now named Itty & Bitty), and tell us how they did thawing. Nervewracking part. She showed us a pic of 1 embie (our AB graded) & you could see it was clearly hatching already! She was really pleased with how it only took it an hour to do so once thawed, as compared to normally 3 hours. Here she is…

  
When I asked how the other one did, she was like “what other 1? Arent we only doing 1?” Hubs and I just stared at each other, and I cant remember who spoke up first. We informed her we are transferring 2. She acted like it wouldnt be a big deal, as she could see my stress level rising a bit. She left to go talk to my RE.

At this point, hubby got up and asked me if I wanted to pray together. I was so thankful for this. He prayed over us, as I listened, and it was just perfect. A few minutes later, my RE came back in, and apologized, saying there must have been a miscommunication between the nurse and her somewhere. She said they would de thaw it now, and hoped we wouldnt mind waiting another hour. 

When 3 pm finally rolled around, the embryologist came back in with embie number 2’s photo. He survived just fine too! Most of his hatching will take place inside of me since he wasnt out thawing as long. 

  
By now, my valium had long worn off & we were ready to get this show on the road! My RE, nurse, & medical assistant (I asked if she could stay, it was the first transfer she got to see!) all piled in the room about 3:30. They inserted the catheter, filled my bladder, & as we watched the screen, on the count of 3, we saw Itty & Bitty released back into their home!!! So cool to watch. 

During the transfer, my RE said my uterus has looked better than it ever has before. Thank you God! When it was complete, she gave us my discharge instructions, wished us well, & said she would see us soon. After that I still had to lay with my feet up for about 20 minutes, and by now it was 4 pm! The time delay was worth it though. 

We eventually got home at about 5 and had dinner. More chicken breast, salad with carrots, cucs, mushrooms, & tomatoes, followed by an avocado & banana smoothie with pineapple core & brazilian nuts for dessert. Hubs put in Pippi Longstocking for me & I watched that, smiling often! I havent seen it since I was a child & I bought it just for this occassion. 

We were both super tired by 8pm, so I listened to my Circle + Bloom CD one more time, & actually fell asleep in the process. Ill take that as a good thing! I did wake up a few times through the night to pee as usual, but the difference this time was that my mind started to race when usually its shut off during the wee hours. I felt a few cramps and of course, tried to analyze them. Soon, I fell back asleep. 

Today (2dp6dt), I have already meditated to my CD. Later, I plan to read my new book, color, watch the new series I bought, etc. Hubs is back to work, so its just me & the boys here. My mom might stop by too. 

Please keep us in your prayers while I am PUPO!! Thank you!

TTC Old Wives Tales

Over the years I have come across plenty of TTC tales. Just as there are Old Wives Tales when it comes to predicting the gender of a baby, there are ones out there on how to up the chances of getting pregnant too.
Unlike the momma-to-be having acne, or baby having a certain heartrate, the tales regarding how to get pregnant seem to revolve mostly around nutrition.  

I should probably have prefaced this post by saying I am *not* superstitious in the least.  I am, however, all about reaping the benefits of eating healthy foods. In my opinion, food is the best medicine out there. So I cant deny that these tales are a little intriguing to me. 

Here are a few TTC tales that stick out-

  1. Upping your Bromelian intake, or eating pineapples 🍍🍍🍍 – starting on transfer day, or ovulation day, for about a week, eat a slice of pineapple a day, making sure to keep the core attached to what you eat. I have eaten pineapple on transfer day for a few transfers now. I dont think I continued it past transfer though, not 100% sure.  Supposedly eating this fruit helps with implantation.  Read more about this tale here 
  2. Boosting Selenium, or eating (Brazilian) nuts 🌰🌰🌰-never tried this one, although I have heard about it from a lot of you ladies. Again, some suggest it assists with embryo implantation.  Read more here
  3. Pom Juice for a healthy uterine lining and increased blood flow-again, never tried this tale. I did try Raspberry Red Leaf Tea for this particular reason during one cycle. It did happen to be the cycle my lining thickened quite a bit, not sure if it played a part in it or not. Poms and other fertility friendly food reading 
  4. Keeping your feet warm, or body warm-my nana always taught me this was a smart move since I was a kid, and I have gone on to hear about the health benefits of it in general over the years. I just recently saw it as a TTC tip. More on this here

So my questions for you ladies are…

  • Did you try any of these during your cycle? If so, which ones?
  • Are there any other tales you think are worth while? 
  • Did you achieve success or failure using any of these? 
  • If you havent tried any of these yet, do you plan to try any in the future?

I have no idea if I will pursue any of these tales during our future FET or not. I do know I will continue to keep it healthy though which I believe is most important! 

PGS Help

Okay, IVF ladies, I need your help.  When my husband & I did our fresh cycle back in early 2014, we opted out of PGS (Pre-Implantation Genetic Screening) testing of our embryos. At the time, we did not think we would need it. On paper we looked great- young, healthy, no losses, no medical histories, MF diagnosis…pretty much by the textbook for success.  

But after going through 3 miscarriages and 5 embryos, neither my husband or I feel overally comfortable transferring one of our remaining 3 embies without having them genetically tested.  Of course, every mother wishes for a healthy child, but I must be honest with you- my fear now is much greater than anytime I was ever pregnant before.  

So, we discussed the possibility of PGS testing our remaining frosties with our RE yesterday.  I guess it can be done, but it is not as commonly done or recommended as doing it on fresh embies (makes sense).  

Basically, they would have to be thawed, tested, refrozen, and then thawed again to be transferred. I keep thinking of taking meat out of the freezer, thawing it, then refreezing it, and then thawing it again….ehhhh.  IDK.

But heres the thing-my RE and embryologist seem to think that whether or not they could survive this double feeeze/thaw would be mainly based on their quality to begin with. For example, really strong embryos will make it regardless of the double freeze whereas the others wouldnt.  

I am curious if any of you ladies have successfully or unsuccessfully tried PGS on your frosties (not fresh)? Please share! 

The dilemma I am faced with is what if they tell us all 3 are genetically unhealthy? What will we do then? Thats a tough thing to consider. Would we

  • Still transfer? Doesnt seem to make sense, why even test in the first place then? 
  • Donate to science?
  • Dispose? Seems kind of selfish & cruel in a way
  • Go through another fresh cycle? So much more money, drugs, which is really all just strain on my body
  • Give up on IVF altogether? 

My mind races thinking about all this.  

  • Do we just chance it like we have the past 3 transfers and pray for the best? 
  • Forget the PGS?
  • What if we get a ton of embryos from doing another fresh cycle? It might sound crazy, but we do not want this.  I know most people dont usually say this, its the other way around. But we got 8 day 6 blasts our first time, and I am not looking for 8 more in all honesty. Maybe it is what we have gone through, I dont know…I am just being honest. If these 3 remaining are good, that is more than enough for us (if my uterus cooperates).

My RE did point out that if all 3 of the embryos we have now come back genetically unhealthy, and we know we would want to go through another fresh cycle for more embryos, then we should do the fresh cycle and then test all of those embryos and the frozen embryos we have now at the same time.  

She says this only because of cost for us.  It is a flat fee to do PGS-as many embryos as you want can be tested, but the testing has to be all at the same time.  For example, if we test these 3 now, it will not include any testing down the road. God forbid they are unhealthy and we still want to move forward, we would have to pay the same price to test all of those new embies.

Decisions, decisions…

A New Month Begins, and Another Door Slams Shut

Got the “official” MRI reading back from my RE late this afternoon.  Here is what she sent me:

  
As you can see, not the best news. Of course, both cases were bad news, but another fibroid could at least be removed with hopes of it not coming back again.  Not that I was even positive I was ready for surgery again, or that it wouldnt come back, but still, it was a possibility.  I guess many women have achieved successful pregnancies after fibroids, so in the back of my mind there was a tiny glimmer of hope it was that. 

But, it doesnt appear thats the case..surprise surprise! Anyways, like you read, I will get a more in depth report next week.  However, in the meantime, here is what I already know from our prior discussions about the MRI showing adenomyosis/adenomyomas:

  • Further surgery is not an option
  • This is a chronic condition
  • The only way to completely rid the uterus of adenomyosis is via hysterectomy 
  • We can try shrinking the adenomyomas using Lupron for about 3 months 
  • If that fails, a gestational carrier is the board of RE’s recommendation 

Right now, my plan is to generate a list of questions about shrinking it.  Heres whats off the top of my mind–

  • Since this is a chronic condition, is it even worth trying to shrink it? Injecting myself everyday for 3 months…and thats just to get to another hysteroscopy to see if it worked.  Im not interested in the BS percentages of it working, Im insterested in hands-on experience…has anyone of these RE’s actually seen Lupron suppression work for this before? 
  • How quickly is it all going to grow back after I stop taking the Lupron? Long enough to even transfer one of our embryos? 
  • What about if we transferred and got pregnant? What are the chances it will grow back then? Another miscarriage? 
  • Lastly, where the HELL do we even start with a surrogate? 

I have so many questions about the last bullet, but dont know if I am ready to ask them or hear the answers.  Ill be honest, it is pretty hard for us to swallow.  I think I will post more about it soon.  

Decision Time

We have been praying for peace about which RE to go with, as we wanted to make our decision by the end of this week. Enough dragging it out already, we are ready to be done with this step and move on.  As you very well know (and may be getting sick of hearing about), we have been unsure of whether or not we wanted to stay at our current clinic.  While there are many things we love about them…Things We Love there are also things we don’t… Always Room for Improvement

Earlier this week, we met with the new RE ( New RE FET consult ), and he reviewed his plan for a future FET, the results of our HSG, and did a lining check where he saw the “something.”  I failed to mention the FET protocol he prescribed in my prior post.  I think I was too worked up about the “something”  to go into much detail at the time.  Anyways, he was not for a natural, a.k.a. un-medicated cycle.  His reasoning was that he feels that they can do better than I can do on my own. Hmmmm, I don’t know about that.

Anyone who has been following along knows we ideally want to be as drug-free as possible due to our negative experiences on the meds, especially the estrogen.  When I told him that taking it can feed the growth of masses he argued that my body is producing it anyways.  But if you ask me, the estrogen I am producing naturally is not the same as the synthetic stuff he wants me to go on that I have been on before.  So basically, the protocol would be the same at his place as it had been for our previous FET’s.  Although the protocol would be the same, the price is still $1,000 more than our current RE.

Today, we met with our current RE (where our 3 frosties are housed) for an ultrasound, and FET consult.  Going into the visit, we felt like it was almost a last ditch effort.  We wanted to see what she would want to do differently moving forward, if anything at all.  Many of you are aware of my anxiety, and a major fear of mine is how I would feel being at the same place in the same rooms where I have lost our 5 babies.  Needless to say, I have been carrying around my homeopathic anxiety drops, and I was pretty sure I would need them going here.  Heck, I needed them earlier in the week as I sat in the waiting room for the new RE so why would it be any different today?

We were greeted pleasantly upon arrival.  We know the staff very well, and it’s been awhile since I have seen them all.  Before being called back, the nurse handed me a rough draft of a letter that my RE wrote for us.  This letter was required for the financial grant we want to apply for.  Our paperwork (all 21 pages) is ready to go, with the exception of this letter. I asked for the letter a few weeks ago through email, and even though we weren’t sure which clinic we would end up at, I wanted to get the ball rolling just in case.  I know this may sound a little child-like or game-like, but I didn’t want to ask again about getting this letter after my first request.  I wanted to see that they would do it without being hassled for it.  I wanted to be handed it today, and I was. The nurse asked me to look it over, and if it was to my liking, they would sign it and type it up on letterhead for me.  I thought it was great…here it is…

  
About an hour into the visit, I was pleasantly surprised when I realized I had not felt any anxiety or any need for my drops. We started off with the ultrasound. I am currently in the Luteal phase after ovulation, when the progesterone my body naturally produces should have compacted my lining a little.  In other words, it wouldn’t normally look as thick as it had before or during my LH surge.  This made me nervous.  How much thinner would it be?  Well, the good news folks is that even compacted, it still measured an 8.5!  Talk about exciting.  Thank you, God!

The not so good news is that she did see the “something” in my uterus as well.  Although I don’t want this “thing” there by any means, it was additional reassurance that both her and the other RE are on the same page with what they see.  When two sets of eyes see the same “thing” at different times, you know it’s got to be “something.”  She also said she was not sure what it could be like he did.  Her recommendation was to do another Hysteroscopy to explore it.  I figured this much.  After loss 3, we agreed that before we ever did another transfer again we would do a Hysteroscopy before it anyways.

I got dressed and went into her office for the most important part–the plan for moving forward.  We started off the discussion with how I have been–my visits with my therapist and my family Dr.  She was very pleased to hear that I have been seeing Dr. G for therapy, as some of her other patients do too.   

Soon after, we jumped in to the protocol for a FET.  I thought I might be hearing things when she softly said, “I know in the past I have not been all for an un-medicated cycle, but I really feel like a natural cycle would be best for you now.”  Wow! What? I hadn’t even mentioned the thought of an all natural cycle to her in months upon months. My hubby and I both assumed she would hand us the same old calendar with the same old BC, Lupron, E2, and progesterone on it, but thankfully we were wrong; we didn’t even have to initiate the discussion of what we wanted.

Of course we asked her why she felt this way now.  She explained that based on how we have been tracking my lining it seems the best idea. My lining gets thinner on estrogen–the exact opposite of what it is supposed to do when on it during a cycle.  We have checked it for 3 consecutive months now, and it has been thick enough to be considered ideal.  When on estrogen, and we are talking aggressive amounts, it is thinner.  Plus, she agreed it can feed growth of masses and with our history it doesn’t seem like a good idea to chance it.  I cannot begin to tell you how elated we were to hear all of this. 

She went on to say that we are not the typical patients, and that what works for the majority isn’t working well for us.  In addition, she provided literature on new studies that are showing all natural FET’s are quite successful, especially for a patient who has already been pregnant off IVF each time they transferred (ME!).

We talked about transferring 1 embryo versus 2 and all agreed on 1 as the best bet at this point.  We conferred about who would do the monitoring ultrasounds should we choose to move forward, another important factor for us.  We would only be getting them done by the RE herself-no nurses. At the other RE’s clinic, the nurses would be doing them for us, not the RE. I should note that it’s not like we don’t trust the nurses at these clinics…we just feel that having the person who will be transferring that embryo looking at my uterus each time is better.  We did have a slight problem arise in the past that has influenced this way of thinking.  

Another topic of discussion was in what case a natural cycle could get cancelled. The great part about this awful thing (cancellation of a cycle) is that when it is natural, no meds have been wasted or much money spent at all.  Plus, the overall cost of an un-medicated cycle is much cheaper to begin with anyways (about half the cost of a medicated FET).

We sat down to look at calendars next.  We didn’t get the generic calendar handed to us that we have in the past.  Instead, we sat down with 3 blank calendars, August-October, in front of all of us. 

  
At the other RE’s we did not look at calendar’s, it was verbal, and I tried to input as much as I could into my cell phone as they told me dates.  Anyways, we compared doing a September transfer versus an October.  An October transfer was the only option at the other RE if we wanted him to do it, not any of his partners (the 6 partners rotate transfers and his week isn’t until October again).  We decided that September would be too soon for us, especially getting another H/S done beforehand.  This being said, regardless of clinic, October will be our month.  Yes, you heard me right, we will be transferring our future baby in October!

It could have only been God watching over us today.  As we sat and went through the dates and times for things, everything was falling into place.  I will barely miss any time off, and not by my doing; it just happened that way.  We do not have a “set date” for a transfer, something we hated having in the past and would still have at the new RE’s if we want him to do it. 

Since we are un-medicated, we cannot nail down an exact day until we get much much closer.  My body is in charge this time, not the meds.  We do have an idea of the 2 week time frame the transfer will be in, but that is all for now.

As we left today, we felt total peace and a sense of joy, just what we prayed for! Most importantly, we feel confident in our current RE’s hands as we move forward.  In no way do we regret getting a second opinion at all–in fact it has helped us to feel the confidence we feel today.  

As you can see, we have made our decision to stay where we are at.  We welcome all the positive vibes from our wonderful friends and family about our decision! We are so excited for what our future has in store– Jeremiah 29:11

Second Opinion #1

This week has been full of surprises! Right now, I am going to focus on the RE piece, and save the other stuff for later.

We had an appointment with another well-known RE for a 2nd opinion about our IVF and RPL situation this week.  Overall, it went extremely well!  He spent 3 hours (no joke) going through our records and discussing them. 

Before I get into detail, I should first start off by saying that according to ASRM, this clinics success rate for live IVF births is equivalent to the clinic we are at now (about 60% which is quite good if you research clinics across the US).

Here are some of the main points we covered at our consultation:

  • I need to be tested for Vitamin D deficiency as I have never been.  Went and got this done today.
  • I need to be tested for Celiac Disease.  Celiac disease can be linked to recurrent pregnancy loss, but is not on the usual RPL panel work-up & of course, I have not been tested for it yet either.  You would think since it is a simple blood test, why wouldn’t my current RE just order it? If I did end up having have Celiac disease, it would require a gluten-free diet. I also got this test done today.
  • Husband needs to get his testosterone, LH, FSH, Prolactin, etc. run again so we can see if Clomid would be of any use in upping his count.  It has been about 5 years since we tested these in him. They were all in normal range before, so using Clomid was not an option (it doesn’t assist with just a low count, there has to be a hormonal imbalance happening too).  Got this test done this a.m. as well.
  • This RE was very impressed with my husbands improvement from pre-varicocele surgery to now, 2 years post surgery.  He said our chances of conceiving on our own have gone from a measly 1% to about 15%.  And if we got him on Clomid, there would be an even higher chance on our own or via IUI, about 25%.  Hey, we will take what we can get here!
  • At this clinic, we can pick any day for our transfer, as we go along in our cycle.  It does not need to be done in advance.  This is HUGE to us.  Our current clinic only does transfers 1 week out of the month, and hence, they try to control everyone’s cycles with BC and Lupron, picking out the exact transfer date months in advance.  I despise this! This clinic does transfers 365 days a year if needed, depending on the woman’s individual body/cycle. Just call on day 1 of your period and off to the races you go!
  • He would only want to transfer 1 embryo in a future FET.  Great news!!!  Why do we need to transfer two if I get pregnant with twins every time we transfer two?  If we transferred just 1, we would most likely still get pregnant like we did the first time when we transferred 1! Obviously, I do not do very well with twins, and he felt that there is a chance that one twin vanishing could have affected the other making it.  Of course, there are lots of times where one vanishes and the other does perfectly fine, but not always.  There is no solid way to prove or disprove if losing one twin could have played a role in losing the other.  
  • He would do a non medicated FET like we have been pushing for.  Since my cycles are regular, & my lining looks well post surgeries, there is no reason not to.  This could involve the use of trigger or not, which we can decide down the road.
  • He wants to investigate my super high progesterone levels during each pregnancy. Our current RE said my levels are the highest she has ever seen, but also said it wasn’t an issue as far as loss goes; only low progesterone is a cause of RPL.  I know that low progesterone can cause loss, but there is something strange about how high these levels are when pregnant.  When this RE saw them, he also said they are also the highest he has ever seen.  He has been practicing for 30 years.  Hmmm…sounds fishy to me.  Our last pregnancy my progesterone level was around 300, and we are talking about with my first beta it was this high. First trimester progesterone levels are usually under 80!  They stayed consistently high like this too until every loss.  I was using Crinone for my progesterone supplementation during each cycle.  Obviously, I did not need to be doing the Crinone 2 times per day at $15 per insert for 10 weeks with a progesterone like that.  When I mentioned this concern to my current RE when pregnant, she said to keep doing them as I was regardless of how high the levels were.  Uh, OK.  The new RE said he would like to discuss the levels with his partners at the practice, which we really liked to hear.  Never once has my current doctor said she would like to consult with another person about us.  2 minds are better than 1, right??
  • He wants to perform a mock transfer if we choose to move forward at his clinic, and another Hysteroscopy to be sure my uterus is all clear.
  • Relocating our embryos will cost us $100 (dirt cheap in the IVF world), it’s a simple form to fill out, and takes about 2 weeks to get done start to finish (both clinics use the same transportation/storage facility which is good).  Also, the embryo medium is the same between clinics, they have had several patients transfer back and forth between the 2 before without issues.
  • He feels our chances of carrying to term are still quite good; I didn’t bother asking for a percentage.  He said he has had patients that have carried to term after 3 unexplained IVF losses with no prior children.  Hope!!!
  • He cannot definitively say that the submucosal fibroid caused our last loss.  Mainly because we do not even know with certainty that it was there during the pregnancy since the Hysteroscopy that identified it was not performed until 2 months after.  We figured this already.
  • We discussed anti-depressants, and post-partum depression, which due to my situation, I am at high risk for. You would think it would be the opposite, but its not. More to follow on this soon. 
  • Saving the best for last, his practice has a blood and ultrasound monitoring center literally 10 minutes from our house! Almost unreal, right? We are used to traveling about 70 miles per visit.

So, now what?  Well, we still have an appointment with another new RE set up for July 22nd.  However, we have started to ask ourselves if we should even go for another opinion??  Will it just confuse us even more?

In addition, we have an appointment back at our current RE August 6.  I feel like this appointment is almost a last-ditch effort; one last chance to tell us what we can do differently moving forward.  Each day though, I wonder if I even want to bother with it.  I guess the question is, if we like this new RE’s opinion & experience, should we just make the decision to go there and be done with it? Perhaps more information will just cloud our vision even further. 

  

“I’ll Take an All-Natural FET, Please”

What causes Adenomyosis? After we discussed how we plan to get rid of it, that was the next “big” question on my mind.

Here’s what we got:

  • Damage to the uterine lining
  • Excessive estrogen
  • Pre-menopause
  • Unknown reasons

Damage to the uterine lining is a possibility for us.  We have had d & c’s done, and every time you do, the lining of the uterus is scraped.  I have also had a history of thin lining which goes hand in hand with this.

Estrogen.  Too much freaking estrogen.  I have been taking synthetic estrogen for 8 out of the past 12 months (1 fresh and 2 frozen cycles).  And of course, since I have thin lining, I am prescribed even more estrogen than the average woman in an IVF cycle. This is because estrogen is what causes the uterine lining to thicken.  As you can see, it’s totally a catch 22 here. I need estrogen for a thick uterine lining, but excessive estrogen can not only cause Adenomyosis, but feed it.

adenomyosis

The last FET we did my estrogen levels were through the roof.  I felt like I was on speed the week before the transfer.  It was horrible (don’t worry you can’t hyperstimulate like you would with levels like that on a fresh cycle).  During a FET, a woman’s estrogen levels are supposed to be close to that of a woman who conceives naturally…mine were quadrupled, but hey, I had my lining of an 11 or 12!  And, remember, at the time we didn’t know we were feeding a monster either. So, the question becomes how can we even consider pumping more estrogen into my body during a future cycle, now that we are aware of this new diagnosis? We have two options.  Do a “super quick” FET, with estrogen, supposedly not allowing much time for Adenomyoma growth, or do a natural FET with no hormones (aka non-medicated FET). We are all about the latter, therefore I brought it up to our RE.   She said she would be willing to try an all natural FET with us. No estrogen patches and pills, no shoving progesterone up my who-ha 3x a day.  Just taking our sweet little embryo and transferring into my uterus at the right time.  Amen! She warned us that pregnancy rates are not as good for a natural FET, and that a lot more monitoring (blood and ultras) is involved.  Pregnancy rates are not as good because your body is not as controlled (more specific details about how a natural FET works coming soon in another post).  She said she has had a “few” pregnancies result from a natural FET.  I didnt ask for a percentage, because I really dont care what it is anyway. Any success stories from my TTC sisters is welcomed here!!

Let me tell you, I will go in there everyday for an ultrasound and blood if I can stay away from all the damn hormones.  And again, we have gotten pregnant every single time we transfer, so the “pregnancy rates aren’t as good” part doesn’t necessarily apply to our situation.  We want to stay pregnant.

Another reason this sounds appealing is because I have never had an issue with my progesterone either, in fact, it is always high (ruled out as a cause for our RPL). As far as growing my lining, I feel it can happen without the synthetic estrogen, with God’s help of course (and some yoga, acupuncture, and super foods).

At this point, we just feel like it’s at least worth a shot.