IVF: Season 3, Episode 1 & 2

Date: 4.16.16 – 4.17.16

Starring: 75iu Menopur, 300iu Gonal-F, 5mg Melatonin, Ubiquinol, Pre-natal, Vit C, D, E, B12.

Synopsis: We’ve had a very full weekend. Day one of stims was actually yesterday but I was so tired I couldn’t be bothered jumping on the laptop. On Friday we went to see a Journey tribute band for N’s cousin’s birthday. I did drink and we got to bed after 2am so I was feeling a bit rough when we had to be up for a rehearsal for our friends’ daughter’s baptism and we spent most of the day with them. N and his friend bought Oculus Rifts but J’s came last week and N is still waiting for his so we spent most of the day playing with J’s. We got home just in time for shots. I actually had to set an alarm because I forgot that we had to be home for them. I’m glad about that. I’m not letting this round run shit. Shots were easy albeit burny. I was quite dizzy afterwards though. I’m feeling the same now. Dizzy and a weird metal taste at the back of my throat. But so far so good.

Today was the baptism. N is godfather. It was a good service and I even said a prayer for all of my ttc sisters out there. Especially my dear friend who I met on an IVF FB group. Today was her 6th transfer. They retrieved 11 eggs and immediately froze 9 fertilized embryos. She then prepared for an FET and they thawed her babies on Tuesday and thankfully she was able to transfer 3 beautiful embryos this morning. She’s been a rock for me since we were cycle buddies last year. I got a bfn and she got a bfp that, sadly, ended up being an ectopic. I’m really hoping that this is it for her. She’s been a real shining light in spite of going through so much. If you have a spare thought please use it on my friend K who is awesome and who I love very much :). Her beta is on my retrieval day. I’m hoping it’s going to be great days for both of us.

Okay, Fear the walking dead is on now. I hope everyone had a good weekend!

Food:
Yesterday
Breakfast: Skipped it. (whoops)
Lunch: Buffalo Chicken Sandwich
Dinner: Lamb sausage from Whole foods, fried egg and avocado.
Today
Breakfast: Leftover sausage and avocado
Lunch: Buffalo Chicken sandwich, Cake, chips, Prosecco
Dinner: See lunch.

Outakes:
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Baseline Appointment

Well Hello! I’ve been thinking about how I want to document this new cycle. I find myself referring back to the other 2 and they are a mess. I’m very envious of Dani‘s documenting of her cycles. Very cool. I’m going to try to do it like the last cycle. There was at least some semblance of organization. We’ll start that on Saturday when stims start.

This morning I was up at 3 (which really should be illegal) because one of the cats was puking and the other was trying to get into the food cabinet. It was a great start to the day. I’m amazed at how many people drive up to Boston at 5 in the morning. That made me sad. Everyone looked grumpy and cold. Maybe I was just projecting. I was in such a haze waking up, I forgot my water so I knew the blood draw would be “fun”. Then when I was laying down with my legs in the stirrups I realized I hadn’t taken my underwear off just as she walked in. Silly.

She really struggled to find my right ovary again. She said that as the cycle progresses it would become easier to find. She said she found it eventually but I wonder if she just said that to make me feel better. I didn’t ask for the antral follicle count because I’m sure I fell asleep on the table. There’s a first time for everything.

The day progressed very slowly. I don’t think I didn’t any work. The nurse called and I’m to start meds on Saturday. 300iu Gonal F and 75ml of Menopur and then my first monitoring appointment is next Wednesday.

This day has been awfully long and I’m just waiting to finish this post so that I can go to bed and if the universe is listening it will let me sleep all the way to Saturday just in time for my first shot.

In closing, I’m so excited for everyone right now. Starting stims! Just finished retrieval! In the 2ww! Pregnant! Doing that mommy thing! You’re all doing wonderfully and I am so very proud of all of you! Here’s to April!!!

Okay, I sleeps now.

Hysterscopy and Endometrial Biopsy

Well, that sucked.

I’ve written about my first hysterscopy here. This second one was much the same and I was way more nervous because I knew what was coming. Severe cramping for about 2 minutes. Just as I was about to tap out he said he was all done and the pain started to subside. But we weren’t done yet. I was so hoping that he could do the hysteroscopy and the biopsy in one fell swoop but that was not to be my destiny.

As soon as I came to my senses I was asked to sit up with the speculum still in me so that the solution could drain out. That was so weird. It just felt all kinds of wrong and uncomfortable but at least not painful. What was painful was when I laid back down he had to re-adjust the damned speculum. Fun times.

I asked a friend, who had a un-sedated biopsy, what it would feel like and she said that it feels like really awful cramps for 10 seconds and then it would be over. I was shaking and nervous at this point but I figured 10 seconds is bearable. Boy was I wrong.

If you’ve ever had an IUD put in, this is very similar with a much more painful ending. He said he would count to three and have me cough. When he put the torture device in it was a very very sharp cramp that I could locate. Like, I almost knew exactly where he was getting the biopsy from. The hysteroscopy cramp was more of an overall period cramp that radiates down your legs (and up your spine if you’re lucky). This was very localized and had me yelling out explatives as quietly as I could.

Then he counted to 3 and I had to cough but it came out “*COUGH* FUCK! FUCK! *COUGH* *COUGH* *COUGH* FUCK! *COUGH*”. And I barely heard him say he was all done. Guys, it was terrible. Terrible, I say! That same localized cramp x 10. Terrible.

I was in a shaky haze after that but I did hear that the hyseroscopy was all clear and we’ll get the results of the biopsy in about a week. He also asked me if I’d taken the pain killers I was supposed to (indicating that I am perhaps a wimp). I had, of course. I took a lot more than I should have I’m sure. I just don’t think that Tylenol extra strength does the trick. If I have to do this again (and I seriously hope I don’t) I’m going to ask if I can take something prescribed and possibly have my husband drive me. This was not fun at all.

And there you have it. Again, I’m not the yard stick with which to measure these procedures by as my pain threshold is one above zero. But at least you know how the procedure works if you have to go through it.

I have no idea how I’m going to give birth one day. Goodness me.

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modern day torture device

Feed Me, Seymour!

Let’s talk about food!

I’ve always tried to be healthy in preparation for and IVF cycle. I already don’t smoke and I don’t drink coffee or anything with caffeine for that matter. We all know I’m a big drinker but I always quit about a week or 2 before a cycle.

When it comes to food I’ve always tried to keep it low in refined carbs and lately we’ve tried like hell to cut out sugar. I even have a healthy Instagram account to keep accountable and all that.

But there are times when I fall off the wagon and when I fall, I fall hard. And since we’re trying to conceive I feel so guilty. Like guilty to the point where I think the cycle’s already ruined after one burger from Wendy’s or a giant Twix (or both.. You gotta have something savoury after something sweet right?). After the guilt has passed I start to get really angry. Why can everyone who can get pregnant on their own eat anything they want?? Why do I have to be extra healthy? It’s just not fair!!!

And then there’s the question of which diet is the best for fertility? I’ve read that dairy is good. Then I read that dairy is evil and Vegan is the way to go. “It Starts With The Egg” says Mediterranean Diet. Some RE’s say Ketogenic. There’s also Paleo. So I don’t really know what I’m doing. At home I’m about 90% low carb and no sugar (or what I call, Kinda Keto) but if I don’t meal plan or don’t have leftovers for work or that little monster in my tummy wants chocolate, then all bets are off.

After this last failure I went on a complete bender and I really haven’t even exercised. And yesterday I had dirty boxed mac n cheese and a giant Twix and I’m still feeling guilty about it. Did I just fuck up everything? Are these eggs already shit? Who knows.

I think it’s because I don’t buy that there’s a specific diet that’s good for fertility based on the fact there’s so many conflicting stories. Maybe you all can help me out, please. If you’re pregnant from IVF, what did you eat and what food or diet did you think was the golden ticket? And if you’re not pregnant yet, what are you eating in preparation for treatment?

What are your thoughts on fertility diets?

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CD 1 for real this time

Just a quickie update. CD 1 has arrived. No bells or whistles just very slowly, teasing me since Saturday afternoon. But nonetheless here it is.

My blood pregnancy test in on Saturday after which I’ll be on birth control until the 11th. Start stims on the 12th and tentative retrieval set for the 28th.

My endometrial biopsy is on Monday. I’m a little nervous about that but I’m trying to put it out of my mind for now.

I don’t have anything else to report. Sending you all loads of strength to get through tomorrow if you see any “I’m preggo” April fool’s jokes. Boycott Social media for the weekend I say. Safer that way.

CD 1 ish

Man, I have had the worst week. All thanks to the insurance. I think we’ve cleared it all up but I was at the end of my tether today. Let me see, where did I leave off?

So awesome D at the insurance gave me his email and said he would help expedite my claim since it had been sitting with them untouched for 2 months. He wanted me to send him and itemized receipt from the PGD lab with the procedure codes and the diagnosis codes.

Easy, right? Sent and email to the lab after calling them and was sent the itemized bill that day which was awesome. I sent it over to D with a big smile on my face. The next day I get an email from him saying that that bill had the procedure codes but not the diagnosis codes. he needs one with both.

Back to the lab again but they tell me that I need to get a letter of medical necessity from my clinic with the diagnosis codes. They don’t do that. Okay fine, email my clinic for the letter. She said she’d sent it right over. Yay! I asked if she could email me one if it would be quicker. Sure she sent it right over. Whoo… no, this letter is neither on a letterhead nor is it signed. Email back to point this out. No problem, they’ll have him sign it and snail mail it to me (Can medical places get new technology please? Why are we still faxing and snail mailing when there are scanners about?). Two days later I get the letters… Two letters. One on a letterhead but not signed and the other signed but no letterhead. *breathe*

I decide to send the letter head one to D as it looked more professional. No reply that day. The next day (yesterday) I emailed again to see if he got it, then I called as well to see what was up. The guy on the phone, though very apologetic, couldn’t help me. He just saw that the claim was pending. At 7pm D replies (very curtly I might add) that the letter I sent didn’t have the diagnosis codes and that I should get an itemized bill from the lab with both the diagnosis codes and the procedure codes.

I’m convinced I had a tiny aneurysm and my whole body just deflated. The diagnosis codes were clear as day on that letter. I don’t know if he wanted them labeled “here are the diagnosis codes”. I don’t know if those were the right codes. I was under the impression that the doctors write these things all the time, why would they mess it up? Who was wrong here? What the hell was going on?

My reply to him was less than professional but I managed to keep the swears out of it. I was so out of sorts and depressed after reading his email that I silently cried myself to sleep. I felt utterly defeated.

This morning I sent two pleading emails to my lab and clinic to please help me with this and I attached all the paperwork I have. The lab was very helpful saying that they don’t do diagnosis codes because they’re a diagnostic lab and she said that the letter had the diagnosis codes and that should be all I need, she advised calling my billing department at the clinic to find out if I needed anything else. Perhaps receipts for the biopsy of the embryos. The clinic shuffled me off to billing because I could get and itemized receipt from them. Now I’m fucking confused and a bit livid because they never mentioned any of this before. In fact they never helped me with anything about this self claim. They never told me anything about itemized receipts or letters of medical necessity. But I guess I can’t expect them to spoon feed me but still, a little heads up would have been nice. Anyway.

Obviously the young lady in billing had no clue how to help me and shuffled me back to the clinic to speak to the financial coordinator. While she was apologizing my eyes started welling up again and I croaked out a quick thank you before hanging up abruptly. I sent another long email to the financial coordinator explaining what I’m trying to do and why and how desperate I am since I’m going to have to go through all of this again in a few weeks. I don’t know how, at this point, I haven’t snapped. N told me to cc everyone on one email and let them hash it out but even in my rage I still felt guilty about putting everyone on the spot and was worried that I would anger them and have even less chance of getting help. She replied quite quickly saying that she doesn’t know how to help me but she cc’d her supervisor to assist.

A few hours later the supervisor confirmed that the lab sends the itemized bill with the procedure code. The RE sends the letter of medical necessity with the diagnosis codes. She said that I shouldn’t have to submit anything else since the insurance should have the approval on file but she sent over a document with the approval number anyway. And I have an authorization letter from the insurance as well.

Meanwhile I get an email from D saying that there’s been so much back and forth that he’s just going to submit what I gave him and see what happens. Really dude? Are you going to acknowledge that the diagnosis codes are there in the letter? Whatever. I emailed him back and copied the confirmation email from the clinic telling me what I need and the the other email from the lab saying what to get from them and I attached the 2 authorization documents for just in case. I ended of really nicely thanking him for his patience and I was sure that he was about as done with this as I was. He sent a nicer response saying that he’ll get everything attached and see what he can do to get the claim paid.

Phew! All while this was going on I started spotting. My period is expected to start on Thursday and all I could think last night and this morning was that I was over it already. I simply couldn’t get on board with a new cycle just yet. I really haven’t prepped adequately for this cycle. I haven’t been as healthy as I could have been and here it is already. The one good thing I can say is that aside from this insurance thing, I’m not stressed about the cycle at all. I really haven’t given it a second thought aside from last night. I did say that I want to treat it like a trip to the dentist so at least in that regard I’ve been successful.

My meds have been ordered and should be here on Friday. Maybe I’ll be excited by then. Getting the meds is always exciting for me.

Here’s to a stress free round 3. Breathe in, breathe out.

When This is Over

I’m missing one of my bestest friend’s wedding today. It was a choice I made consciously to put my pursuit of a family first. But today I’m feeling like a shitty friend and I wish I’d been there. I even painted my nails blue today to match the rest of the bridesmaids even though nail polish is bad for fertility. lol.

I’ve been thinking about a lot of stuff I’ve had to put on hold during this journey. I’m not bitter about these things generally but today I’m feeling the full weight of these choices. So here’s a list of things I want to do when this is over. They’re mostly self-indulgent and most likely unnecessary but they will make me happy, even if for a short while.

When this is over:

I’m going to order a large pizza from Pizza Hut and a giant shamrock shake from Mcdonald’s and eat it all by myself. No splitsees! (This gross meal changes weekly but it’s going to be big and gross and all for me)

I’m going to host a dinner party and I’m going to cook everything myself. 5 courses minimum.

I’m going to apply for citizenship.

We’re going to go to Switzerland and London to visit my best friends!

I’m going to buy a pair of Jimmy Choo’s

I’m going to order everything on my wish list on Amazon.

I’m going to resubscribe to all my subscription boxes and get the 3 more I’ve had my eye on.

I’m not going to miss anymore fucking weddings!!!

February Favourites

We’re just going to ignore the fact that it’s mid-March, okay :). I don’t have many favourites from Feb anyway as I was still enjoying January’s favourites.
Foie Gras and Chicken Liver Pâté:
I mentioned before that I went to this restaurant and had foie gras for the first time and fell in love. I don’t like the word foodie, it conjures up images of snooty kids with scarves taking pictures of their meals and I also feel like you can only be a foodie if you enjoy expensive niche food in tiny portions. I love food but I do not discriminate. I will eat anything and everything at least once. I am a mac n cheese connoisseur and pizza aficionado. But I also hold a special place in my heart for truffle oil, oysters and now foie gras. They served it in a little jar with a layer of jam on top of it and the bread that it came with had walnuts and dried fruit in it. It was amaaazing! I never thought that jam would go with liver. I, of course, took some home as leftovers and had some the next day. Unfortunately, perhaps because I was floating on a cloud of foie gras happiness, I may have accidentally thrown the rest away. I don’t remember what I did with it and forgot about it until 2 days later at work. And I was so excited to get home to finish it off but alas it was no where to be found. I looked for it online and that’s when I realized how expensive it is… wow. But I had to get another fix and that’s when I decided to make chicken liver pâté instead. I had been sitting on this recipe for months from pinterest and I’m so glad I tried it out. It was delicious. I must’ve eaten pate for 2 weeks straight. The recipe makes a whole lot of pate and I still have a whole bowl left. Right now I think I’m tapped out on all things pâté for a while but that was a really fun discovery for me. I don’t know when I’ll be able to have some again but I’ll remember our time together fondly.
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Chicken Live Pate

 

Bill Burr:
This is a tough one because I have so many favourite comedians but let’s just say Bill is my favourite for February. I think what makes him funny is that when he’s on stage it feels like he’s having a conversation with you and his descriptions of things is insanely funny. And he also really has no shame in his game. Him and Louis C.K. push the envelope with their material. Louis C.K. is the only person I found myself laughing until my sides hurt and I couldn’t breathe because he was talking about parents murdering their kids if murder was legal. But this is about Bill Burr. He has a cartoon on Netflix called F is for Family. I highly recommend it if you like his comedy. It’s only 8 episodes. I hope there’s a second season. He has some great specials on Netflix too. I love you Bill!
Jeggings from Rue 21:
I’m slowly falling very deeply in love with jeggings and skinny jeans. I struggle to find pants to fit my giant booty so when I found these I was over the moon. I bought 2 and I need to go back to get more in different colours. Not much else to say but jeggings ftw!!
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This is it for February. I have some goodies for March. I’ll be sure to post on time! Hope everyone had a good February!! xxx

Updates Updates Updates

I went to the wtf appointment by myself yesterday. We had words about it but whatev’s, I’m over it now. I was doing really well when the doctor came to get me. We were chit chatting about the weather and stuff but when I sat down he got really serious and quiet and apologised for the negative and he can’t imagine the toll this is taking on us, blah blah blah. I was fine up until then, then I had to blink away tears and make an awkward joke. I can’t even remember what it was.

So he said a few things. It could be my lining so we’re going to do an endometrial biopsy and another hysteroscopy at the same time. Thankfully we’ll do this with the next cycle while I’m on bcp’s so there’ll not be a delay. Yay! He said it could also still be other genetic issues with the embryos that they can’t pick up in PGS. Bleh. We’ll try this next round with the biopsy and go from there. He keeps saying that all his translocation patients have to work a little harder and have to do more rounds than any other couple would so I’m trying to mentally prepare myself for a long road.

I asked if there’s a chance I could have endometriosis and he said that from what he has on file and what I’ve told him that it’s not likely and if I did that it wouldn’t be worse than stage 1 or 2 and he wouldn’t want to do a laparoscopy out since it’s invasive. 20 bucks says by round 5 I’ll be booked for one, stat :).

What else did he say? Oh, I asked about egg quality and he checked his notes and said that the folks in the lab commented that they weren’t the prettiest and they weren’t jumping up and down about them but also that in his experience he’s seen women with the same comments go one to have successful pregnancies and we’re getting fertilization and blastocysts so he’s not worried about that.

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As for protocol, my first round I was on a 75iu Menopur and Gonal F  and we slowly increased and triggered with HCG in the butt. I ended up with 14 eggs, 13 mature. The second I was on 150iu Menopur and Gonal F (I believe) and we slowly increased and triggered with HCG in the tummy. I ended up with 12 eggs, 7 mature. So he decided to do a mix of both rounds and use a Lupron trigger next time. So we’re doing 75iu Menopur and 150 Gonal F and we’ll go from there. Also, the clinic has switched from Ganirelix to Cetrotide for insurance purposes. Yay for no more blunt needles!

I also got to meet the new nurse D. He was really sweet. I feel bad for being mean to him now. But all in all it was a good appointment I think. I always forget to ask questions. But I think I covered everything. Whatever, can we just start? If my body plays along, we should be ready to kick things off in 16 days. Whoop! Let’s go!

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And some shitty insurance news of course… Because what IVF cycle would be complete without insurance woes. So they still haven’t paid my claim for the genetics testing. I called about a month ago and the young lady said that the claim was there but that it takes about 40 days. Okay, fine. It’s now been 2 months and I called again (I really should have called sooner) only to find out that some genius tagged the claim as Fitness & Wellness and not Medical so no one’s looked at it…for 2 months… 2 months.

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Thankfully, the guy (another D.. his name is D. Not D as in, well, you know), gave me his email address and he said he’d have them expedite the claim and he’d get it sorted out asap. Yaaaa…What?  Nope, D found another issue. Apparently, I’d sent the wrong bill. It didn’t have any of the codes that were needed.

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But again, D said to just call the genetics lab and have them send over the correct bill and to forward to him directly so that we can get it fixed up real quick. Great. I quickly hopped on the line with the genetics lab and very nice yet somewhat unsure-of-herself older woman told me that they should send me an itemized bill in about 5 business days. I have a feeling I’m going to have to follow up on this but for now we’ll leave it up to the infertility gods.

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Anyway, that’s all I have for now. Life is going to be dull again for the next 16 days but I’ll find some stuff to blog about.

Time to catch up on what’s going on in your lives.

xx

The Audacity of Hope

So yesterday marks 2 weeks since our second failed cycle. This one has been easier to process, thankfully, and I really want to thank everyone who left messages on my BFN post. I really appreciate all of your kinds words.
We had a very busy weekend after the news which was good and bad. Good because I needed to take my mind off things and bad because the full weight of it only hit me the following Monday on my way to work and I was just so incredibly angry with everything and everyone. The past two weeks have been murder at work also but we’re back to a lull in the office so I’m at least able to write a little bit.
The Friday after the call. I immediately called for my follow-up appointment, which is next Monday (that 2ww for a follow up was the beginning of my rage), and we took a shower and got ready for dinner. N was great as always. We hugged and tried to keep our chins up. I was actually very okay on Friday. We went to dinner with our dear friends B and B and had the best time. It was a French restaurant and I had foie gras for the first time and now I am obsessed. My father always told me that I have an expensive palette hahaha. I actually spent most of the following week trying to find out where I buy some foie gras. Man, that stuff is expensive. I am aware about the controversy around ethical treatment of ducks to make foie gras but I found other sites that made me feel a little better about myself. But I digress.
It turns out we had such a good time at the restaurant that I forgot my phone there and had to go back in the early hours of Saturday to retrieve it. If they were actually open for business at the time I would have gotten more foie gras because I misplaced my leftovers from the night before! I’m still upset about that. I lost my phone and my new favourite food.
We met our other friends J and H at their house and the 4 of us drove down to Connecticut for the night. J is N’s best friend from high school and the only person he’s opened up to about IVF. I’m so proud of him for that. He is very candid with him and I think it makes them a little uncomfortable because they don’t know how to react or what to say but they were very supportive and even paid for dinner that night :). Hey, I’ll take it. We were in Connecticut to see Bill Burr. The show was hilarious as expected and the rest of the evening was a lot of fun too. We lost about $60 at the penny slots and had a lot to drink and we ended the night with Domino’s pizza. A 24hr Domino’s at a gas station, like the universe intended.
We got home on Sunday and didn’t really do much else. But I wish we could go on little trips like that more often. Actually, I shouldn’t wish. I should just make it happen. Anyway, on Tuesday I found the strength (somewhat) to tell my boss that we’re doing IVF. I’ll write another post on that later.
As I said, this last failure didn’t break me down or make me sad. It made me extremely angry. I wonder if each failed cycle is a step in the grief cycle. I’ll certainly be bargaining if round 3 fails.
I was angry with my RE and my body and myself mostly. I don’t understand what’s going on. I was angry at my RE for just not getting me pregnant yet and making me wait to start again. The day I got my period I was so angry, I’m sure I pulled a muscle in my neck. I was Angry at my body for failing again and I was so very angry at myself for having the audacity to hope that this would work.
With the odds so heavily stacked against us, why would any of this work? How dare I believe that this would go any other way but south? What I learned from this cycle is that you can have the most perfect stim cycle, perfect lining, a perfect hatching embryo and all the hope in the world still end up with a big fat fuck all. Nothing means anything, so really, all my hoping didn’t mean shit. So why did I hope this round would work? Why am I doing another round? Why, as I’m writing this, I’m already hoping round 3 will work?
It’s simple really. Hope is what’s getting me out of bed and what’s keeping me going. Hope and faith are said to go hand in hand and my faith falters a lot because I’ve had so many doors closed in my face. So hope carries me in the absence of faith.
There’s a painting called Hope by George Frederic Watts that I think describes what I’ve been feeling about hope. It’s a lady, blindfolded, looking rather shabby, clutching a lyre and it looks like she’s trying to listen to the music made by the last string. I feel like that sometimes. When everything goes to shit around me, I still have the audacity to make a little music.
So while I’m still a little down-trodden, I haven’t given up. Why would I?  We’re only on round 2. The game is far from over. With every fail I gain a bit of wisdom and a bit of empathy and a bit of strength and a bit (a very teeny tiny bit) of patience and I’m taking that with me into round 3.
I’m so ready and I really really hope round 3 works.
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source: wikipedia