Mini Road Trip Reflections

I just got back from an epic 2 hour trek to my clinic to draw one vial of blood for karyotype testing they thought would be a good idea.

I want to say I don’t mind that drive because I usually don’t but I think it was because it’s Saturday and it was early I was just getting increasingly gloomy the further I drove. It was a tough morning. I kept thinking of all my friends without fertility issues who never have to take this drive. I thought of how happy everyone must be to wake up to baby snuggles and not 1 inch needles going into their arms. I thought of the oldest man in the world driving 30 in the fast lane in front of me and simply would not move over. Why old man? Why?

To add insult to injure, yesterday I called the insurance and I guess I won’t be reimbursed for the PGD testing. I’ve made my peace with it. I mean at least we won’t be shelling out $7000 like last time. I’ll pay out of pocket for PGD every day if I have to.

I took a look at my calendar and realized that my next cycle will fall extremely close in time to my last cycle. A year. A full year between cycles has passed. Wow. I remember when our cycle failed I went through moments where I thought I wouldn’t even bother trying again. I’m trying to reflect on those and I remember being absolutely hopeless. And here I sit, a year on, hopeful again. I guess time really does heal.

Sure this morning I was grumpy and sad about our situation and the stupid HMO crap but that drive is entirely too long to garner any join from anyway.

I feel like infertility is testing me every step of the way. It sees I’m happy and ready to start round two and it’s like “Oh no she didn’t!”.. I’m not going to let it win!! I’m nervous but I’m excited by golly!! I’m ready!

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HMO my goodness!

Goals goals goals!!

Now that we’ve started this very huge slow moving ball rolling, I’ve had to make a litany of phone calls to get all my shit together for our next cycle. It was a bit of a roller coaster but I’ve made my peace with it and I’m ready to set up goals and get my body and mind ready for round 2.

First, I had to call the PGD clinic again to make sure everything was all set there. We had a really good talk and she said that they do accept my insurance and that I wouldn’t have to pay anything, they would bill my insurance. I was over the moon!!! Then when I got the email from her it said that they don’t accept HMO policies… which, of course, is what I have. I think at that point I figured out what the saying “taking the wind out of my sails” meant. That’s exactly what it felt like. But I took the day and dusted myself off. Called my clinic and had them switch me to another PGD lab. This one charges $2400 for 8 embryos and $250 for every embryo above that and then $350 for the courier fee. And the good news is that I can self submit a claim to my insurance and they’ll likely refund everything except the courier fee.

Then today my nurse told me that I had filled out some of the consent forms incorrectly and that my PCP sent over the wrong physical exam report. Fixed the consent form issue lickatty split but now I have to make more calls to the PCP to get them to send the correct forms.

And finally, my nurse requested that I do a karyotyping blood test. Not sure if I’m spelling that correctly. Anyway, luckily they can do that on Saturday so I’ll do that then.

So I feel like we’ve accomplished a bit this week and now I can set up some goals for the next cycle. I’m still really sad that the PGD lab takes PPO policies but not HMO and there was a PPO policy available but I didn’t take it because I didn’t understand the difference until now. Apparently PPO is more flexible but generally more expensive and I actually read somewhere that “If you prefer to have your care coordinated through a single doctor, an HMO plan might be right for you. If you want greater flexibility or if you see a lot of specialists, a PPO plan might be what you’re looking for.” Why didn’t I read this when I was signing up? ARrrggh!!! I was really sad yesterday, even writing it now is making me sad again and I need to look ahead so we won’t dwell on it too much.

I suspect it will take me about 2 months to save up the money so I’m going into super save mode again. I’ve done it before with our last cycle so I’m not too worried about it. I’ll also be out of probation at work I think I’ll be ready to talk to my boss about coming in late on monitoring days. Yes, it’ll take about 2 months to work up the nerve.

Here are my goals:

  1. Save up the necessary money.
  2. Successfully follow the ketogenic diet plan I’ve been trying to follow
  3. Try Insanity workouts again (ugh, do I have to… okay that’s not the right attitude.. gotta hustle!!)
  4. Plan at least 6 fun cheap things to do on weekends so I can keep my mind occupied. That’s about 1 thing every two weeks until we can start. Luckily we have things lined up for the next 3 weekends so that’s cool.

I think that ought to do it for now. 2 months isn’t far away. I think I can do it if nothing expensive comes up haha. Now if you’ll excuse me, I have some subscription boxes I have to cancel *sigh*.

Yay for Friday tomorrow!!

So this is 34

I’ll be 34 for one month tomorrow. That’s a lot of time to take stock of my life thus far. How far I’ve come. What type of person am I? Am I proud to be me? Am I happy? What can I change?

I often have these discussions with myself when I’m driving home from work and I was meaning to write it down on my actual birthday but as with all things, I blinked and it was a month later so here’s who I am now at 34.

My taste buds have changed. Let’s start with the easy stuff. One day I woke up and I realized I can’t eat eggs anymore. I tried for a few weeks but I simply can’t stomach them. I tried all the different ways of cooking them and lately I’ve managed to find a way to choke down hard boiled eggs but even that I don’t do often. So eggs, no thanks.

Obviously, my body has changed yet again. Every year, once you hit your 30’s, things just start changing. I do feel like some things don’t have to take a downturn, though. In your 30’s you’re young enough to take control of your health so you really shouldn’t be complaining about 2 day hangovers, just stop drinking like you did in your 20’s. Stop complaining about being squishier and don’t eat like you did in your 20’s. But there are some things that change no matter what you do. My new thing? Heartburn. I just randomly get heartburn for no reason now. First it was when I drank dark coloured alcohol. But now I have to take a mental note of what I eat so that in the event that I get heartburn I can narrow it down to possible culprits. I have it narrowed down to carbs now. One of my favourite things in the whole world. It’s really depressing. Why can’t eggs give me heartburn?

I’ve said “no” to more people than my younger self would be okay with. A friend recently asked me to go to the beach with her and I was so proud of myself when I looked her right in the eye and said “no”. Okay, it was more of a “Hmm, weeell, actuallyyyy, I don’t really like the beach”. I immediately broke into a cold sweat as I imagined her breaking down and crying “Whyyy? whyyy don’t you love meee? I thought we were frieeends! I’ll never be able to forgive you!” but all she said was “really? okay”… What? The world didn’t come to a  stand still? She actually texted me a few days later to chat, so she wasn’t angry with me? So weird. I decided to try it again. Okay another lie, I did not enjoy saying no but I have been saying it lot more often, thankfully via text. My fear really is that people won’t like me if I say “no”. But it turns out people’s lives don’t revolve around me being there so I guess people pleasing is something 33 year old’s do and I’m a little relieved. Very little. Okay, I would still prefer to people please a little bit but I am happy I don’t have to go to the beach anymore. Don’t get me wrong, I love the ocean. I feel better if I live near the ocean but going to the beach is too much work. It’s too sandy, the sea water makes my skin sticky. I get motion sick when I swim. It’s just not my thing. But I digress.

I am not the best wife. I haven’t been married for a long time but it’s been real. Like really real. Marriage forces you to be introspective and it forces you to be better. Not better for yourself only but for your partner since you’re a team now. Sometimes my husband complains about things and only lately has he changed his language from complaining to explaining (because he’s trying to be better too) and now I’m realizing I haven’t been working for the team as much as I should be but now that I know, I can start trying.

I have become my mother. It happened. I thought it wouldn’t but it did. My mother and I both do this thing where we rock back and forth for no apparent reason when we’re sitting down but now I notice that aside from our mannerisms being the same, I feel like we’re intrinsically becoming the same person. I worry, like she does. I’m a big softie now. I’m always crying. I frown and purse my lips at bad behaviour like she does. My friend jokingly calls me auntie all the time now. But I also love my family so much it hurts and I care a great deal about people. Everyone loves my mother so I’m not too mad about that. I would be even less mad if I had her legs.

I am very afraid of losing my parents. This is new to me. I don’t know if it’s because I live far away from home or because my parents are always travelling and making me worry (see above about me being a worrier). They’re only 65 but I feel like they’re so fragile now. Sure they’re older and slower but they’re not at all fragile. I don’t know why, but I constantly worry about waking up to a message about one of my parents dying and I don’t like it. Thankfully, they’re always just a Skype call and a Whatsapp message away. Love those two, man.

I’m more okay with myself now. People will tell you the best thing about hitting your 30’s is that you become more comfortable in your skin and as a result more confident. I think I may have misinterpreted that a bit. I think you become more self aware (thank goodness) and hence more accepting of who you are and then more comfortable in your skin and in turn confident about who you are and what your abilities and shortcomings are. I was under the impression confident meant being able to talk to strangers and being wise and all knowing. What I’ve learned is that I am not at all good at talking to strangers. I may never be and I’m okay with that. What I’ve learned is that I’m not wise at all. I am the sum of my experiences and I have experienced only a fraction of what there is out there. How can I possibly be wise? I can appear wise to other people younger than me who have walked a similar path but honestly, everyone’s path is so different. What I’ve learned is that I probably know less than Jon Snow and I’m comfortable with that. What I’ve learned is that I know what I’m good at, I know what I’ll never be good at, I know where I can improve and I know how to do it. And that’s where my confidence lies.

So yes, thirty four has been good to me so far. I highly recommend it if you haven’t done it yet :). It’s scary that we only get to be an age once for a very short time, seeing how fast time goes lately, so we really have to appreciate every second. Haha, that’s such and old person thing to say.

I Survived

First things first, It hurt! I’ve said it before and I’ll say it again. I don’t do pain. I’m the one who takes pain killers as soon as she sees her period starts. That way I don’t have to deal with the pain when it comes. They told me to take 600mg of Ibuprofen, I took 800 and it was still unbearable. That being said, if you’re waiting to do a hysteroscopy, this is not the post to read. I am an outlier.

I arrived at the clinic and hour early of course and we got going almost right on time. Me, Dr G, new nurse and veteran nurse showing her the ropes. They were doing less nursing and more standing in the corner judging my loser behaviour. I did ask the doctor why we were just looking today and not going in there with a pair of scissors and lopping off whatever didn’t belong. He said that he’s not sure that there’s anything there in the first place and if it’s a fibroid they wouldn’t be able to “lop” it off anyway. The other procedure is like a surgery and it might not be necessary here. I guess he was right, so I let him continue.

The speculum didn’t hurt more than it normally does, the iodine (I think that’s what it was) was uncomfy. The camera going in was painless and then came the saline solution. Cue cramps and swearing. It just felt like really bad period cramps. But more sharp. Localized in my ass for some reason. Anyway, over the internal screams in my head, I kept hearing the doctor say “picture” … “you’re doing great, just 10 more seconds”… “picture” (10 seconds later) “just 8 more seconds” (what?!!) “you’re doing great”… “picture”… “picture”…”aand we’re done”. And that was it.

The pain went away immediately after he took everything out. There was a gush of saline solution. Awesome. And then he took his sweet time to tell me that he saw nothing. I was so relieved because there was a 10 second pause where he looked a bit worried. But there you have it. He said can start the next cycle with my next period. Woohoo!!

No not yet… there’s still the matter of payment. So it looks like we have to pay for PGD testing up front. It does get fully reimbursed which is great. So I really can’t look a gift horse in the mouth, but we don’t have 5K lying around so we have to make a plan for that. Hopefully we can find a quick solution. But that also brings me to my next issue.

So, luckily my clinic opens at 6:30 for monitoring appointments and Monday I had to do a blood preggo test but work starts at 7 and I rolled in at 7:20. I’m not happy about that. My boss is cool about coming in late. He said coming in around 7:15 is fine but I really wasn’t happy and it doesn’t sit well with me that I’ll have to do this almost every day for 2 weeks without a good reason (I know this is best reason but it’s too soon to share this with him). Especially since it’s a new job and I’m still on probation.

I’m eager to start my next cycle. I’m so ready. I’m so very ready, but I also want to make a good impression because I really love this job. Where do I find a balance? I feel like I should sit out the next cycle and try for November (if we get the funds). I’ll be out of probation by then and I’ll find out if my boss even wants me to stay. And also, We may have to save up for a long time too so this could all be a moot point.

Sorry this was a long rambling post. I apologize for being all over the place. Thank you for keeping me in my thoughts and sending well wishes. They all seem to have worked.

Pre-Game Jitters

After a few hiccups this morning, I’m all set for my hysteroscopy tomorrow. For some reason they hadn’t received my referral from my pcp so I had to make a few calls but we got it sorted out but then I spent the rest of the morning freaking out about the procedure.

I think I’m okay now. I did the obligatory shaving. I even tried a shower beer. Recommended to me by a good friend and Buzzfeed. I think I might be to old for a shower beer. I wasn’t sure if I should wash myself then drink or vice versa. I felt like there should be music. I don’t know. If anyone does this please help.

Hubby’s working late so I’m comfortably under the covers munching on non-keto snacks (chocolate biscuits/cookies and sweets/candy lol) and reading Gone Girl.

The crazy fog from this morning has lifted and now I just want it over and done with. I obviously really don’t want there to be any polyps or worse but if there is anything… then there is.

I finally caught up to a gazillion blogs over the weekend. I’m pleased everyone is doing well and journeys are progressing. You are all rockstars. Don’t forget it.

Have a good evening everyone xxx.

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What a month!!

I know it’s not over yet but boy it’s been jam packed for once. The obvious highlight being me turning 34. I went through the usual “OMG I’m so old, I probably shouldn’t be saying OMG anymore”. But on the big day I was calm and ready and so far so good. There’s no obvious changes. I don’t feel taller like I used to when I was growing up but I’m enjoying it so far. And honestly, the one thing that made me very happy was that thought that this could be the age that I get pregnant. Nothing is certain but just the thought of it makes me a little giddy. This could be it! 34 and pregnant. I like the sound of that. Lemme give you a quick run down of the month. There are ups and downs. Get comfy.

This month was the month hubby and I decided to do something new (hopefully outside) every weekend because we spend too much time on the couch and it’s unacceptable. The deal is we each get a turn to choose on alternating weekends. The first weekend was his choice and of course he chose kayaking. We used his dad’s two man kayak and hit the river like bosses. We were out there for what seemed like 3 days but it was probably 5 hours. We got sufficiently sunburned but what fun! I think I like outside. Afterwards his father gave us a mountain of stuffed quahogs. He makes the best quahogs. I like quahogs. I like the word quahogs.

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The following weekend was my birthday and the general theme was debauchery. I drank Thursday through Sunday so I think I celebrated well and nothing was planned which was awesome. I was feeling very down that I couldn’t decide on what to do for my birthday and I’m so very happy that everything happened organically and it turned out to be a super fun weekend. The buffet N and I went to was so amazing. They bring you meat on skewers to your table and slice off pieces for you. I just want to live there.

[edit: picture removed for anonymity]

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gift from my friend. i love her. she knows me.

Dinner with hubby on the day. Brazilian buffet. Meat meat meat!

Dinner with hubby on the day. Brazilian buffet. Meat meat meat!

Saturday night shenanigans

Saturday night shenanigans

The amount of crap I ate this month was ridiculous. The lowest (and the highest I’m ashamed to say) was the lobster roll from Mcdonalds. Hey, at least I can say I did it. Here’s some of the crap I ate. Needless to say, I had to make a few cookbook purchases to help get my act together. I’m not fully motivated yet because I haven’t gone grocery shopping but I did make carb free bread and crackers so we’re getting there. This week is my turn to choose a thing to do so we’re going to the Planetarium tomorrow then Whole Foods. Yes, my idea of a fun time is grocery shopping.

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I also squeezed in a little TTC stuff. My new insurance requires me to have a primary care physician. I’ve never had one before and I needed one to get a referral to my ivf clinic. This was also the month I was supposed to have my hysteroscopy but I couldn’t get it done after my pcp appointment which was a bummer. So we’re pushing the hysteroscopy back another month but them’s the breaks, I guess. But on the upside my PCP is great. I dunno why I didn’t do this sooner.

So it was really a great month all-in-all and then on Tuesday, bad news. I woke up to messages from home. A childhood friend had passed due to complications from a surgery. He had just turned 34 last month. We didn’t speak often at all and the last time I saw him was at our wedding 4 years ago. But we grew up together so he was a big part of our lives up until they moved away when we were about 11. And even then we would visit them every holiday until they moved even further away then it was just 21st birthdays then weddings. What a great guy. What a huge loss. I wish he had lived a long full life but the short life he did live was full that’s for sure.

August will be over soon. It was one for the books. But I’m ready for September now. I think I’m ready for baby time. I hope everyone had a good August and if not, don’t worry, September will be here in 3 days. Hang in there.

LINK: How To Support Someone Going Through IVF

LG&LG's avatar2ndaryclass Citizen

http://www.popsugar.com/moms/How-Support-Someone-Going-Through-IVF-38109574

I VERY much agree with all of these suggestions! What I wouldn’t give for those who know what we’re going through to just ask if I want to talk about it and not pretend it doesn’t exist. I told you for a reason and the fact that you’re ignoring the elephant in the room is REALLY annoying! Also, DON”T ASK ME WHEN IT’S ALL GOING TO HAPPEN! If we can abide by these rules, then I’m all about sharing what I’m going through.  This is all I ask.

Don’t Ignore the Elephant

Your friend may not want to talk about what’s going on, but at least ask her how she’s doing and see if she wants to talk. If she says she doesn’t want to talk about it, then leave her be, but ignoring the topic altogether is uncomfortable and makes your friend feel as if people are too…

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There Must Be Something In The Water

On Friday afternoon we spent the day at the bank attempting to adult. While we were there we had to see a notary for paperwork for the IVF clinic. There was a quiet in the room while we were signing. The familiar quiet that happens when someone wants to say something but doesn’t know how to begin. Neither of us looked up from our papers but I could feel the notary staring at us waiting for her gap.

“You guys doing In-vitro?” she asked. “No no, we’re filling this paperwork out for another couple, after you’ve just told us that it’s illegal to do so”.

Of course I didn’t say that, though. When she was looking over the papers part of me already knew that she either did IVF herself or knew someone who did. Call it infertili-sense. Turns out her sister has a 5 year old through IVF. It was twins but, sadly, one of them didn’t make it.

Now I’m not sure if it’s like when you’re in the market for a new car you suddenly see that car everywhere but it really seems like everyone I know is struggling to have a kid. So many people I know personally. It’s a little scary to me actually.

Granted I’m still seeing FB pregnancy announcements every other week but I wonder, if infertility wasn’t such an ugly step child, would there be an equal number of “Surprise, we’re infertile!” announcements. It sure feels like there would be.

I don’t think there was any point to this post but it was just something I noticed since we started this journey and I’m sure most of you will agree, there must be something in the water.

Vitamins and Supplements for Him

As you know, we’re dealing with MFI and I feel like we may not be able to do much to get his count up we can at least do what we can to improve the quality. Again, I’ll just put out there that you shouldn’t take any of these without talking to your doctor first. Let’s begin shall we?

L-Arginine

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This stuff is supposed to be the bee’s knees. It’s attributed to help with sperm formation, maturation, count and motility. Right now he’s on 1000mg a day but I think we should be upping this.

L-Carnitine

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This is an antioxidant that protects against sperm damage and helps with motility. My only worry with this is that it’s said that motility drops sharply if you stop taking l-carnitine.

Ubiquinol

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This is another big dog. Helps with motility, morphology and sperm density. Yeah more of that! He’s taking 200mg

Vitamin D

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Helps with sperm cell development and maintains semen quality and it boosts testosterone. I have him on 2,000iu per day.

Vitamin E

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Said to be beneficial during ICSI for IVF. Uh, yes please.

Vitamin C

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Antioxidants yo!! This stops free radicals from destroying sperm.

Vitamin B12

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This is said to be good for DNA maturatioin and duplication and general sperm health. He’s on 100mg a day.

Calcium, Magnesium and Zinc

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Everywhere I look I see how important zinc is for fertility. I’ve also read that too much is bad. So I’ve got him on 25mg a day with this supplement. Calcium helps the sperm penetrate the egg and gives the sperm its energy. Magnesium helps you absorb calcium if I’m not mistaken so best to take them together.

Folate

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This one helps reduce sperm abnormalities. Read my previous post on why I’m choosing folate over folic acid. 400mcg a day.

Fish Oil

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This helps with general sperm quality. He’s taking 2,400mg as well.

I think that’s it for him. I’ve read that selenium is good for male and female infertility but I read that it’s toxic if you have too much and that enough of it can be found in brazil nuts and eggs so I’m a little wary to take a supplement for it.

Thanks for taking the time to read this. If you have anything you think I should add or remove or anything or if you have any other tips.

Here are some sites I found some info on.

http://www.fertilityafter40.com/vitamins-supplements–male-fertility.html

http://www.whattoexpect.com/blogs/daddydazemycoworkersweardiapers/preconception-advice-for-men–vitamins-that-can-he

Vitamins and Supplements for Her

I’ve done a bit of pseudo research about which vitamins and supplements both of us should be taking to help with fertility. All of this was done with a few google searches and some notes I took from the book “It Starts With The Egg”. Please note that this is what my husband and I are taking and obviously is not law and probably shouldn’t be taken without talking to your doctor first. Also, if you think of anything you feel I should be adding or removing please let me know. Most of these were bought on Amazon.

Ubiquinol

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I did a post previously about which brand of ubiquinol is the best. I ended up going with the Life Extension brand even though it’s very expensive (about $65 for a month’s supply for both of us). We’re both taking 200mg a day. Ubiquinol seems to be the infertility must-have. It’s an antioxidant that improves egg and sperm quality. I went to this site to decide which was the best one to go for. When looking at the ingredient labels it should say ubiquinol and not CoQ10 or ubiquinone. Most articles say that ubiquinol is superior but I did find one article that said it doesn’t matter which because your body will use both forms correctly. I’m sticking with ubiquinol though.

Fish Oil

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I’m taking 2,400mg (2 pills) a day. This is good if you’re doing IVF treatments as it’s supposed to help with embryo quality. They say not to take Flax Seed (has phytoestrogens that may cause miscarriage) or Cod Liver oil (may put you over your vitamin A limit that should be in your prenatal already).

Vitamin B12

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We each take one of these chewable tablets a day. They say a deficiency in B12 could interfere with ovulation and normal cell division and we can’t have any of that.

Vitamin E

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Another antioxidant that helps with infertility. There is vitamin E in my prenatal but not not enough so I’m adding 1 of these a day.

Vitamin D

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We all know how important vitamin D is for fertility and life in general but if not this article says it perfectly. I’m taking 2,000iu a day.

Vitamin C

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Another antioxidant. It’s said to help prevent luteal phase defects. Also it helps with ovulation when taken alongside clomid.

Folate

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Another must-have. If not the biggest must-have for women before pregnancy to help prevent neural tube defects. Folic acid can be found in your prenatal but I read that folate is better than folic acid so I’m taking 400mcg of folate a day.

Prenatal Multivitamin

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Now, I’m taking this out of habit because you’re supposed to take a prenatal before pregnancy. But right now I’m taking it mostly for the zinc and iron. Zinc is important for everything from keeping hormone levels stable to help eggs mature for fertilization. Iron helps with ovulation.

And that’s it for me. Tomorrow I’ll tell you what hubby is taking. If you have any other fertility supplement information please let me know. I’m not taking Vitex or Maca. Even though I’ve heard good things about them I’m not sure they’re good to take in combination with IVF hormone treatment. Do you have any input on these herbal supplements?

You can check out these sites to see where I got my information from:

http://www.thebump.com/a/vitamins-you-need-to-conceive

http://www.marilynglenville.com/womens-health-issues/fertility/

http://wellnessmama.com/1326/get-pregnant-naturally/

http://natural-fertility-info.com/vitamins-good-for-fertility