The Plan

After collaboration between my OB, RE, and family Dr., the decision was made that I will not be on any anti-depressants or anti-anxiety meds during a future pregnancy. I am OK with this decision. I trust the professionals and what they feel is best for me at this time. 

The bloodwork my Gastro Dr. ordered came back today. It was completely normal, with the exception of my elevated Bilirubin which is benign.  This being said, there will be no further evaluations needed in this area. 

  
The plan for our all natural FET will be as follows:

  • Make sure we get the “all clear” from our hysteroscopy scheduled in early Sept.
  • Day 3 ultrasound and bloodwork in late September 
  • Pee on OPK sticks starting cycle day 12
  • Go in for an ultrasound when we have the positive OPK, detecting LH surge, most likely on cycle day 14 
  • If ultrasound shows lining 8 or > and a follicle measuring at least 16mm, we will trigger that night
  • Start minimal progesterone supplementation 36 hours after trigger or 6 days prior to transfer (pretend retrieval day) 
  • Transfer 1 day 6 embryo 6 days after progesterone begins!! 
  • Bedrest for 48 hours
  • Pray for a BFP & a sticky baby due in late June 2016 ❤️

***As you can see, no estrogen, Lupron, or any of that jazz!!

I will also continue to see my therapist during this cycle. My goal for our upcoming session is to develop a plan for what we are comfortable doing beta and ultrasound wise should we get a BFP. It would probably be smart to devise a plan for a BFN as well. 

I am going to put a call in to my acupuncturist this week to start treatment again. Id like to get a package deal if possible, something they havent offered in the past. I was dropping $75 a visit and usually more than once a week for a few months. Ridiculous!  However, I love her and I know she knows what she is doing. It is also a natural remedy for my anxiety.  I have gone to my acupuncturist for all 3 of our transfers but only up until transfer day. I was always scared to continue after transfer, yet I read about you ladies doing it all time. I asked my RE about continuing after transfer and she said it was fine too. 

Please share with me your experiences with ongoing acupuncture after transfer! 

Lining Check #3, 2WW, & “Somethings”

This cycle I ovulated later than the prior 2 months. I got a positive OPK starting on day 16 and it lasted until day 18. Usually my positive test has been lasting only a full day at most, starting on day 14. I was happy about the longer window! 

Day 16 far right

On day 17, I felt the ovulation pains many of you have experienced. I havent had them in a such a long time, I almost forgot what they felt like! As many of you know, last month hubby and I baby danced everyday, twice a day, for 4 days straight (ugh lol!) We did NOT do that this month. The month before that, we BD’d every day, once a day, for 4 days straight. We did NOT do that this month either. Instead we tried to take it easy, and BD’d only every other day, for a total of 4 days. We will see how this worked out in about 10 days…currently in the 2WW. 

Anywho, I got my third lining check and it measured over an 8 again!! Whoot whoot!! Thats 3 months in a row of thick (enough) lining on my own, with no help. Remember, anything an 8 or greater is ideal (some RE’s even say a 7). That said, we are very pleased about my number! I could also see the triple stripe which is great news. My antral follicle count (aka egg reserve) still looks good, about 9 or so on each side.  

  

I got the lining check at the new RE, as our meeting with him just happened to fall during my ovulation  window. We also discussed my HSG more in depth as planned. If you recall correctly, the HSG last week went well overall, but he did say that day that he saw “something” small, which he thought could be scar tissue. 

Well, since he saw “something,” he wants to do an SIS to identify if its scar tissue or perhaps a polyp of some sort. If its a polyp *in the uterine cavity* we would need to do another H/S to remove it. Im not sure how I feel about this. Meaning, I dont know if I am willing to do all this again right now. I asked if a balloon would be involved in this removal, he said it was unlikely, but of course possible. No surprise there, I learned ahwile ago that anything is possible and nothing is guaranteed with all this. 

Then I told him–if it is a polyp or fibroid or whatever AGAIN, obviously they are going to just KEEP coming back. Shit, I just had one removed in May! He begged to disagree with me. He seemed confident that this “something” isnt a huge deal. Easy for him to say right? He hasnt miscarried (potentially with a fibroid as the cause) or been operated on numerous times.  He said the images of the HSG show my uterus looks “good” shape wise, tube wise, size wise, etc.  with the exception of the small “something.” 

The ultrasound lining check also showed “something” unusual in the cavity. So annoying and not what I wanted to hear after getting positive news about my lining.  Whatever this “something” was, I clearly saw it too. He has been practicing for 30 years and he said, “very unusual” and I replied with, “of course it is.”

I probed on whether or not this ultrasound “something” is the same “something” showing on the HSG. Unknown at this time, but he is leaning towards no. Again, not what I wanted to hear. Now we possibly have 2 “things” that may not be related. 

On the ultrasound, this “something” looked like mucus he said (not fluid, polyps or fibroids) which is rare for the location I guess. I was really frustrated and started to tune out at this time. I didnt care to ask about this odd “mucus” if its even harmful, why its caused, or how it goes away. He is hoping the SIS will provide further clarity. Anyone here who has had similar mucus like this, please feel free to share your experiences…I am a feeling like my listening ears are back on now.  I have had fluid, but not mucus, and supposedly there is a difference. 

If we choose to move forward with this new RE, our transfer will be in October sometime. We reviewed the calendars and logistics of it all as our 3 hour meeting came to a close. 

Feeling a little annoyed with the fact that the HSG and ultrasound couldnt look picture perfect at this point.  In June, it all looked just fine. Starting to wonder if my body is just failing and not able to do what it needs to do to even move forward with a FET.  Maybe I am not cut out for this.  

Lining Check #1

Our post-op for my most recent Hysteroscopy was today.  We reviewed the positive news and images from last week while I was sober and the hubs was with me.

It worked out that we could also do my first lining check at this appointment since I am on day 12 of my cycle and finally off the pill (woo-hoo!).  Although I am on day 12, I haven’t gotten a positive OPK yet, and I started serial testing on day 8.  I haven’t taken a OPK in sooo long, that I wasn’t sure if I was doing something wrong or not.

The good news is that I wasn’t doing anything wrong.  The ultrasound showed that I have not ovulated yet, and I am producing a good amount of nicely sized follicles on my own (without any meds). As many of you know, I was really nervous I might not be able to do so after all the crap my body has been through the past year and a half.  In all honesty, I was scared to death to even get an ultrasound at all because of all the negativity we associate with them now. Let alone one in the same room I was in when I found out our baby had passed away. I was literally feeling sick from my nerves in the waiting room.

Thankfully, God answered our prayers & I still am good in the egg department.  My RE guesses I will get a positive OPK by this weekend, which is when my lining will be at its thickest. He also helped me conquer the fear of having an ultrasound done again.

As for my lining today, it measured 5mm.  Could be better, but could be a lot worse.  Remember, this measurement is un-medicated, after 4 procedures in the past 4 months, with no acupuncture or real exercise routine in place. Since the uterine lining is supposed to grow about 2mm each day, who knows, maybe by ovulation time it could actually be 6 or 7mm. I don’t plan to go back and check again this month though, I will just wait until my positive OPK in July.

Trust me, I know that 5, or even 6 or 7mm is still thin. That is not the point. Here is the point. Today gives us hope that we may be able to get my lining where it needs to be without an excessive amount of estrogen. And hope is a wonderful thing!

We discussed again at our appointment how Estrogen can cause masses in the uterus to grow, and we aren’t willing to risk that given our history. While I understand that many patients never grow a fibroid in response to estrogen, I also know many do. Everyone is different. And we have learned that I am not a by the book patient at all (if such a thing even exists).

When we were on a boat load of estrogen for IVF #1 my lining measured just 7 mm, and IVF #2, barely 6mm. And before any IVF’s, it measured it measured only 3mm at one point. Finally, for IVF #3 it got up to 11mm, but I firmly believe that was in response to how active I was and how much acupuncture I was receiving at the time compared to the other times, not because of the estrogen.

Our RE wholeheartedly agreed that we may not need to do all that estrogen again either. She really seems to believe that time will heal things up down there, and I am happy to hear her going in this direction, even though I wish we weren’t waiting so long. Our ultimate desire is to have things as natural as possible when pursuing our next pregnancy. And if that takes more time, so be it.  Prayers for even more growth next cycle please!