Wednesday, February 16, 2011

Transfer Day Update

Today was the transfer! Yay! We drove over toward the doctor's office early so we could stop for breakfast to celebrate the husband's birthday.  After breakfast we got to our appointment about an hour early, but that was just fine, they were ready for us.  I dressed in my cap and gown and the hubby got to wear a cute blue pantsuit.  We talked to the nurse, talked to the doctor, signed our release to have two embryos transferred, and talked to the embryologist.  The embryologist gave us a picture of our embryos to be transferred! Out of the embryos we had yesterday we used the one that was at 8 cells yesterday and one of the ones that had been at 4 cells had almost caught up! Next we were wheeled back to the room they did my retrieval and would do the transfer.  There are two sets of doors and they are never open at the same time to try and keep as much of a sterile environment as possible.  Once we were all in the hallway we shut one door and opened the next.  We put on our little face masks anytime the embryos were out or the lab glass window was open.  At this point the doctor did an ultrasound to see if my bladder was full enough, it wasn't, so we waited.  He did another ultrasound and my bladder still wasn't full enough, so we waited some more.  Finally, I was ready to go.  The transfer itself is super easy.  They use a catheter filled with about 2cc of liquid and push the embryos in.  What was not fun was the catheter to drain my bladder. Ick. That pain quickly passed and I just layed there for an hour resting before being "discharged".  I've been laying down all day since and am just sending prayers and positive thoughts for these little embryos to implant!

Tuesday, February 15, 2011

Update - Night Before Transfer

This morning I had an ultrasound and labs.  My labs today included a urinalysis. I hate peeing in public bathrooms, especially when I know I need to give a urine sample.  I had to leave the lab and come back! At my ultrasound the doctor said I should definitely be able to pee because my bladder was full, I think it was just nerves. Anyway, there was some fluid in my abdomen and my ovaries were a little larger, but all in all I am okay.  I was glad that I didn't have OHSS or had hyper stimmed. I think there is still a small risk, but for now we are doing good. I am still keeping up on my fluids and drinking EmergenC.  I talked to the doctor and we are confident in our decision to put two oocytes in tomorrow.  Hopefully one or both of them implant! The embryologist said that this morning there was one 8 cell blastocyst, two 6 cell, and six two to four cell.  The ones that haven't grown as much have the rest of the week to grow, so that's okay.

Tomorrow is the hubby's birthday too! Should be an exciting day.  I am giddy thinking about tomorrow being such a big day!

Sunday, February 13, 2011

Day 15

This morning the doctor called to give us a fertilization report.  We had opted to use ICSI which is Intracytoplasmic Sperm Injection.  This process injects a single sperm into the oocyte in order to increase the chances of fertilization. Out of the 20 eggs, the doctor performed ICSI on 18 of them.  The benefit of keeping two off to the side is to see if they would have fertilized on their own, in our case they did not.  Out of the 18 that did fertilize, 9 are developing and growing normally so far.  This is a good number.  A lot of women only start with 10 eggs and go down from there, so to have 9 in the running is excellent.  In a strange way knowing that they fertilized only with ICSI is reaffirming too.  Moving on to IVF was the best move for us, because IUI (where they just inject the sperm into the uterus to mimic normal conception and is much less invasive) would not have been successful for us.  Between my tubes and needing to use ICSI, I am very confident we made an appropriate decision.  I won't get a report tomorrow, but the doctor does want to touch base with me to monitor for Ovarian Hyperstimulation Syndrome or OHSS.  In fact, I need to go weight myself as part of the monitoring.  I am feeling okay today, sleepy and sore, but doing okay.  I'm so relieved to know we have 9 little embryos in the making.

Saturday, February 12, 2011

Day 14- Retrieval

We got up at 5 this morning to be to the doctor's office by 6.  The sleeping pill wasn't at all what I expected.  It took me a bit to fall asleep and the only difference I noticed was not remembering my dreams.  I woke up to my alarm clock just fine.  The hubby gave me valium this morning.  I kept my eyes closed all the way there I think.  When we arrived they took me down to my pre-op room. It was decorated very comfortably, like a guest bedroom.  They rubbed some numbing medicine on my hand before giving me my IV. I was glad, because it still pinched a tiny bit.  Can't imagine if they hadn't! I just took off the cotton ball and have a bump and bruise.  They hooked up the monitors and the doctor slowly gave me some anti-nausea medicine, some drugs for conscious sedation, and something else I think.  He injected them really slow so they wouldn't burn.  Other than a few seconds of mild burn, it was not bad at all.  After prepping me, they had the hubby give me a good bye kiss.  They wheeled me to the operating room.  I didn't think I could feel the sedation, until it was time to roll to the other bed.  My body just didn't want to move.  Of course I was able to cooperate and got up on the table fine.  They put my legs in holsters and had me scoot to the edge of the table.  From that point it felt like an annual exam.  I could feel the speculum, them prepping the area by cleaning it, etc. 
Retrieval from my right ovary went smoothly.  I don't remember any pinching.  My left ovary was trickier.  They did not have to go through the bladder like they thought, but it was still a lot of pinching sort of pain.  To put this in perspective, there is a long needle attached to a vaginal ultrasound probe.  Since they have to be so careful, I have to lay very still.  I was thankful during some of the painful ultrasounds he had worked with me to take deep breaths.  Anytime I felt pain, I just breathed in deep, held it, and exhaled slow.  At one point I was breathing lots of deep breaths, but it got me through.  I tried so hard to lay still, but it was difficult.  I grabbed the edges of the bed to stabilize myself and that helped.  I also did not go ever go all the way under.  Afterword they told the hubby it might have just been how nervous I was that I stayed so conscious.  I don't remember feeling nervous, was just so curious about the procedure and what they were doing with my potential babies!
After the procedure the doctor said it was the most difficult retrieval he had done.  This is just because of where my left ovary is located.  It tucks in between my other organs and is very lateral.  Out of the 20 eggs they retrieved, only 7 were from the left.  They sent me with a prescription for pain medication.  This is because they thought I'd be sore from working so hard to get to the left ovary.  Overall things went really well.  My 20 eggs is a great outcome.  Out of those, I expect around 15 to fertilize.  Tomorrow we get a phone call to let us know.  Hopefully, we will have some to transfer and some to freeze. 
I am feeling a little nauseated and pretty groggy. I slept when we got home.  I finally had a little to eat about an hour ago.  I am feeling okay, but to be very honest I am nervous to pee.  The catheter still pinched, even with some sedation and numbing medicine.  It was not as bad as the one I had in the emergency room, but it still really hurts.  The nurses and doctor were so kind though.  They kept tell me I did a good job and were telling me how well I did. I had the easy part, they had the difficult one!  One of the nurses stood beside me the whole time just to comfort me, which was so nice to just feel like someone was monitoring me in ways a machine can't.  They figured out quickly that I wiggle my toes when I am in pain, ha ha.
The hubby has been taking good care of me. He made us breakfast burritos for lunch.  I told him to make something soft because chewing would be way too tiring.  I also drank some EmergenC.  A random thing I learned that all of you could use, is to get in electrolytes a lot of people think Gatorade.  To put it bluntly the nurse said Gatorade is crap.  She instead suggested V8 or EmergenC.  I will admit the EmergenC is not the best drink I've ever had.  It takes like diluted vitamins, but it does the trick. 
Oh and the funny moment, to me anyway, is that when they were finishing up I felt a very cold sensation down under.  I asked the doctor what he was doing and they said it was the speculum, that he was just doing a final check.  I said, "Oh, okay, I was worried you were putting an ice cube in." We all laughed.
Well, I am pretty tired, so I am signing off.  Since I know part of the medications were to leave me with little memory of the process, I wanted to write while I could still remember as much as possible.
Thanks for all your prayers and support. Hopefully, tomorrow I will update with how many have fertilized and how the hubby did giving me my progesterone shot.  Have a nice day.

Friday, February 11, 2011

Day 12 and 13

Day 12  was exciting! At my ultrasound the doctor decided it was time to give me directions for my trigger shot.  This shot gets the eggs ready for ovulation.  This was also the first shot Jasotn had to do. He did a good job.
Day 13 was easy, no shots! I have taken a sleeping pill and am just waiting for it to kick in.  Tomorrow morning we will go in for my egg retrieval! I am so excited! Hopefully  there will  be lots of eggs and a smooth retrieval.  They may have to go through my bladder to get to the left ovary, but otherwise it should be a straight forward procedure.  Now off to bed, hope my sleeping pill kicks in.

Wednesday, February 9, 2011

Day 11 update

This morning the doctor informed me that its looking more like Sunday or Monday now.  I was a little disappointed. We have been so patient and it just keeps feeling like the wait is longer and longer.  I realize it's like one or two days, but that's one or two more days of shots, waiting, blood draws, trips out of town, etc.  I started out thinking, I can do anything for 9 days. Now that I am on day 11 of shots and looking out to a few more days, it's difficult not to know when the retrieval will be.  They kept my dose up today.  They are worried if they back off I will regress.  I am feeling more cramped every day.  I think this God forcing me to learn patience.  This is a crazy process, that's for sure.  Oh and I had the lab use my left arm again, which felt like a hard pinch and she barely got the blood to flow. Back to the right arm again tomorrow I guess.  My left arm bruised quite a bit too.  I have bruises on both arms, but maybe the right one will feel better since it had a couple days "off".  Keep praying for growth.

Tuesday, February 8, 2011

Day 10 Update

This morning started out a little rough. There was bad weather, crappy roads, and it took longer to get to my appointment.  I called to let the office know I would either be on time or be late if I went to get my labs done first.  We are suppose to get labs done first usually.  They said to go ahead and get labs done, then come in.  Well when I got to the lab they didn't have my lab slip. So, I had to wait while the doctor's office faxed them over.  I had the lab tech draw my blood from my left arm today, it felt a lot better. We were nervous for a second because it took a little extra tap on the needle to get my blood flowing.  I couldn't believe how different it felt in my other arm.  I think I will have them draw from the left arm tomorrow as well.  I'm trying to keep up on my fluids so that it's easier to do the blood draws, so far it's working.  In this process I know I have done well over 40 vials of blood and it's not even close to over.  After my lab work I had to wait for an opening at the doctor's office. I was a little frustrated because I didn't realize when they said I could come in later that I'd totally give up my earlier appointment.  I want to be fair to the other people there, but I wish they would have told me I would've been bumped so far out of the schedule.  I was frustrated waiting.  Especially because it would not have been a big deal to go there first and the lab second.

The ultrasound went well.  There is lots of growth which is good.  Our prayers are being answered! We are still looking for growth, so keep praying! Today the doctor said it is looking even more like a Saturday retrieval! This afternoon the nurse called and said my E2 finally broke 1,000 in fact it was almost 1,500! This good news totally made up for being cranky this morning at bad roads and having to wait for my appointment. I'm so curious to see how many eggs there are and keep moving through this process.