Day 4 – So far so good.

4 days into this cycle and things are going ok. First lot of injections last night was ok but not exactly fun. I have to inject 300IU of Gonal F which is fine and 150IU of Pergoveris. The Pergoveris is a new drug for me and was a bit more complicated. It comes as 2 components, a powder and a liquid which need to be mixed before being injected. It was a little bit trickier than the Menopur I’ve had to mix before but I’m sure by the end of the week I will be an expert! The other downside to this drug is that is really stings! I may have sworn a few times in the 10 seconds or so it took me to inject it. I always apply ice for a few minutes before any injections to numb the area a bit so I hate to think how much it would sting without that! Just something I’m going to have to suck up and hope its all worth it later.

Otherwise I am feeling a little tired today which could be due to any reason (I am crazy busy at work this week), but I know I only have one more big day at work to get through this week. I have taken a couple of half days off next week to allow me some time to relax. I am usually very tired by the second week of injections so trying to be sensible and look after myself. I’m also taking what feels like a handful of vitamins every day including pre-natal vitamin, concentrated fish oil, Vitamin E, CoQ10, Iron, Zinc and a few herbal options from my Acupuncturist. I just have to keep reminding myself that the injections only last for such a short period of time and it will all be over before we know it.

 

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Enjoying a wine – Day 1, Stim Cycle 4

After a couple of months rest from IVF and a lovely 2 week holiday in the sunshine we are ready to go again. I saw our specialist last Thursday and he has written a new treatment plan with new drugs to try our luck again. 3 weeks ago I had a minor procedure (Hysteroscopy and Endometrial Scratch) which will hopefully help our little embryos implant better next time around. We also had ‘Natural Killer Cells’ testing done which came back clear. It’s nice to know this is not something else we need to add into the mix.

So I got my period this morning which means tomorrow morning I call the clinic to let them know (today is a Sunday) and then it’s all systems go! I’m excited to be trying again and confident that we are doing all we can. I have now come to the realization that it’s not a matter of ‘if’ we will become parents but when. Whether that be our own biological child, a child born using an egg donor or surrogate, or through adoption. While the 1st option is currently our goal I am more than willing to consider the others if our specialists recommend them down the track. We will take each step one at a time. I am now also at peace with the fact that I am only 31 and we have many years to make our dreams come true. While I would prefer that happens sooner rather than later, there is realistically no reason why we can’t do one or two cycles each year for the next 5 years.

So here I am, sitting on the couch in front of the fire enjoying what will probably be my last glass of wine for a month or so – hopefully even longer if things go to plan! Physically I feel the best I have before any of our IVF cycles and I can only assume that’s a good thing. We can only hope my body responds the way we want it to and things progress in the right direction. While I am so hopeful that our turn might finally be just around the corner I know exactly what the heartbreak of failure feels like and I’m terrified to feel it again. I just have to remember I have survived it before, even on the days I felt so alone and hopeless. If I have to, I can survive it again. To quote a fellow IVF patient – “I know good things take time, but this is fucking ridiculous!”

So I will enjoy these last few sips of wine and hope that it’s a while before I can enjoy them again. Fingers crossed, this might be our turn.

Planning the next move.

So I finally managed to have a follow up appointment with my specialist last week and we can now start moving forward again. My husband was unable to make it to the appointment at the last minute due to a massive public transport failure, however I had him on speaker phone so we could both ask questions.

Our specialist explained that he believes that I may have some kind of underlying endocrine condition that has not been discovered which is effecting the way my body produces hormones. Essentially the link between my brain and endocrine organs is not working appropriately causing me to not ovulate, and therefore not get a period, making pregnancy very difficult. He believes our embryos are OK and that the reason why we have now had 2 chemical pregnancies is because my lining is still not ‘optimum’ and the embryos are not able to properly implant.

A new drug has just become available which will hopefully improve my endometrial lining for our next cycle. Between now and then I will also have Hysteroscopy surgery combined with a ‘dilate and currette’ procedure. This will involve putting a camera inside my uterus to remove any fibroids or scar tissue not showing up on ultrasound and also performing an ‘endometrial scratch’ which is designed to help improve implantation. While I’m not excited about the prospect of another surgery (it will be the 4th in 12 months) if it helps to improve our chances for our next cycle then I’m all for it.

The timing actually works out quite well as we have 2 weeks holidays planned in the middle of August. The surgery will be 2 days before we go so it minimizes how much time I have to take off work as well as allows me plenty of time to relax and recover in the sunshine. Assuming all goes well we will plan to do another cycle in September. I am feeling positive again and have pulled myself out of the hole I was in a weeks back. I have thrown myself into painting and decorating our new bedroom and I am so looking forward to our holiday. Hopefully we can both come back refreshed, re-charged and ready to take on cycle number 4.

Coming good.

So it has now been about 2 and a half weeks since the news our cycle had failed. I’ll be honest that it has been a really hard time and I have struggled more this time around than previous failed cycles. I think the longer this whole process goes on the tougher it is mentally and emotionally. You can cope with anything difficult for a short period of time but when the difficult stuff keeps dragging out and there is no end in sight it’s a real battle.

In the last few weeks I have really battled with my emotions. While feeling physically OK and thankful to not be taking buckets of drugs every day I have struggled more mentally than I have before. I had a period of a few days where I felt completely hopeless and like a total failure. I felt like there was nothing I could do right and that my body was letting me down. I felt so angry at the world and all the happy people going about their life complaining about simple little things when I had real issues going on. I was angry that there is no simple solution to our problem and no magic way to make me pregnant. I just wanted to go to bed and wake up when this period of our lives is over.

I was not a nice person to be around and I feel sorry for my poor husband. He has been amazing through the whole process but I resented the fact that he didn’t have to take all the horrible medications, endure the painful procedures and then feel like a failure at the end of it. I resented the fact that his body is working the way it should and yet mine isn’t. I also felt guilty and like I am letting him down. If he was married to anyone else he would already be a Dad and I feel like I’m holding him back.

I’ve learnt that a part of this process is feeling shitty sometimes. As long as the shitty feelings pass and you can be honest with those closest to you about how you are feeling then the days will get better. I am still sad and I am still disappointed. You can’t just make those feelings go away when you have invested so much energy and hope into something and then it doesn’t work. I have sat down and spent many hours talking and crying with both my Mum and my husband and I am feeling much better. I have learnt that you can’t just keep pretending you are OK and you need to let the emotions out. It’s not good to keep it all bottled up inside.

For the next few weeks I am trying to keep myself busy with re-decorating our bedroom at home and I am excited to see it coming together. We then have a 2 week holiday in the sunshine booked in 4 weeks time and I hope by the end of that I will be ready to take on another cycle. We are seeing our specialist next week to discuss the next step so we can be ready when we return from our holiday. So at this point in time I am OK. I’m not great, but I am in a much better place than I was a week ago. I have amazing support around me and I just need to open myself up to it. This blog has been my outlet at times but that’s not always enough. A good hug from your significant other as you cry into their shoulder is sometimes the best medicine. Oh, and chocolate. Chocolate is always a good idea.

A shout out to the loved ones of an infertile woman.

The last week has been hard. Really hard. Hard to stay motivated and positive. Hard to get through each day at work. Hard to pick myself back up again after another failed cycle. But it has also been very hard on those around me. I dare say I have not been easy to live with and I have struggled to keep my emotions in check around those that I care about the most.

I work in a job where I am face to face, one on one with patients all day. I am expected to be happy, helpful and on the ball to help people solve their foot problems. That is hard work having that expectation at the best of times. It becomes a whole lot harder to stay positive and happy when you are feeling terrible and like a failure. When you just want to burst into tears and yell that life is not fair. When you have to listen to people complaining about trivial little things in their life, like having to fly economy to Europe, like its the worst thing that could happen to them. When inside you are screaming ‘FIRST WORLD PROBLEMS PEOPLE!’, try battling IVF!

I have become very good a putting on my ‘happy facade’ at work and ‘soldiering on’. Pretending everything is ok and that life is great. The difficult thing about this is it takes up a huge amount of energy, which is not sustainable all the time. It means when I come home I am likely to crack and the tears start running down my face when I walk in the door. It means I snap at my husband even though he has been amazing and I am short with my parents when they are only trying to help. Yesterday I sat on a friends couch and cried my eyes out at how terrible I feel and the unfairness of our situation when my beautiful friend would so love to just have a supportive husband (she’s single) let alone be ready to have a baby.

So this short post is dedicated to those who are the unwavering support to someone going through infertility and IVF. It’s a rough road for them too. I know I have been a terrible wife, daughter and friend over the last few months and I feel bad that these people deserve the best of me, not the worst of me. I am so lucky to have them in my life and things would be so much harder if it wasn’t for them. So to those supporting someone through this process – you are loved and you are very much appreciated. We may not have the energy or the head space to show it but we still care about you so much. Hopefully when our turn comes to get off the roller coaster you will get your wife, daughter and friend back, plus a little bonus in the form of a child who will love you as unconditionally as their mum does.

 

And just like that, its all over again.

So I started doing HPTs (home pregnancy tests) last Wednesday, the day after my last Pregnyl shot, so that I could track how long it took for the HCG to leave my body. While the good news is I now know it takes exactly 5 days to be gone, I also know this cycle has failed. If I were in fact pregnant it should have started showing on a HPT by Saturday or Sunday. By this morning, still nothing. I knew in my gut it wasn’t going to work but that small piece of you can’t help hoping you are wrong.

I rang the nurses at my clinic this morning to ask if I could do the blood test earlier and they said that was fine. At least I can get confirmation sooner so I can stop taking meds and start feeling like myself again. I should get the results tomorrow morning but I know exactly what it’s going to say.

To say I’m shattered is an understatement. I was really sad yesterday, knowing it was all over, but I think I still managed to hold it together reasonably well. Today is a different story though. Today I woke up angry. Angry of the unfairness of this whole situation that everyone seems to be announcing pregnancies and having babies around me. Angry that we are still stuck on this stupid roller coaster of investing time and money and experiencing pain and heartache and still not being any closer to our dreams. Today I am also angry with my husband for wanting me to take a break. I understand where he is coming from and I know taking a break seems like a good idea but for me it just feels like I’m getting further away from being a mum. At least if I am doing IVF I feel like I am doing something to help our situation. Sitting back and waiting is not going to get me pregnant.

Mentally he thinks the break will be good for me to take my mind off it and I understand he probably needs a break from the monster that his wife turns into during IVF. For me though, there is no switching off. There is no just ‘not thinking about it’ for a little while. I have constant daily reminders of the lack of child in my belly and my life. Waiting only sounds even harder. It’s like delaying the inevitable, I don’t really see the point.

I am getting good at putting on a mask and pretending I’m fine and yet inside I just want to scream at the world and for someone to ‘fix me’ so I can get pregnant. I feel like my body has let me down and that I’m letting my husband down. I feel like life keeps playing cruel tricks on me and I just want to go to bed and wake up when this period of my life is over. I’m sick of the worry, of the feeling like crap, of the daily injections and forever popping pills. I just want to be a normal person who just ‘gets pregnant’ and can then move onto the next stage of life.

Nearly 2 years of this battle and my patience is wearing thin. I’m done with waiting to be a parent. I just want it to happen already.

I’m hoping that little rant will make me feel a bit better. Sometimes getting the words on a page rather than stuck in my head is the best thing of all. There is nothing anyone can say or do that will change how I feel at the moment, but I just have to trust this feeling won’t last.

I have made an appointment to see my specialist in 3 weeks time with the hope of planning our next step. Whether that be trying sooner or later I don’t know but I at least want to plan the cycle. There is no way I’m ready to give up on this dream yet. I have fought too hard already to not have it become a reality.

 

7 days post 3 day transfer.

So I had assumed I would update this straight after the transfer but given a less than ideal scenario I didn’t really want to think about it for a bit.

I got a call the morning of the transfer to let me know that of the 4 eggs we had on pick up day, 3 of them fertilized but then only 2 made it to day 3. Unfortunately one of the embryos had ‘too much DNA’ and was not deemed viable. Of the two remaining one was an 8 cell embryo – looking great for day 3 and the other was a 4 cell embryo, a little slower but still ok. The 4 cell embryo was exhibiting ‘divots’ which means it was likely to split to 8 cells soon.

The decision was made to transfer both of our little embryos and keep our other one from our last cycle frozen at this stage. I went to an acupuncture session in the morning to make my uterus as receptive as possible and crossed my fingers as I headed in to the clinic. My husband met me there and given how the transfer panned out I was so grateful to have him holding my hand. Unfortunately my usual fertility specialist was in surgery that day so the head of the clinic offered to step in and do the transfer for us. He was very kind throughout the whole procedure but it was still incredibly painful and awful.

So turns out when they tried to do the transfer my cervix decided it didn’t want to dilate. Normally it is no problem to insert the small tube containing the embryo and ‘squirt’ them into the uterus. Once again my body fell into the 1% of difficult cases and they basically had to shove the tube up my cervix to get the embryos in the place. It was incredibly uncomfortable and while I tried so hard to stay calm I really just wanted it to be over. My husband ended up with rather crushed fingers but I’m so glad he was there for support. Thankfully they embryos finally made it into my uterus and I could head off for my second acupuncture session for the day.

As soon as I got back into the privacy of my car the tears started flowing. It was just such a horrible experience even though I know the doctor was doing everything he could to be as gentle as possible. I couldn’t even be excited about the possibility of being pregnant when all I felt was pain and sadness that this had to be so bad. I cried again when I got to the acupuncturist’s clinic and she asked me how it went. I’m just generally sick of things being harder than they have to. Not only having to do IVF in the first place but that my body never seems to respond the way we expect.

At least I was able to have a couple of very quiet days with a long weekend away after that and I’m feeling much better about things. Still not super positive in regards to the results but there is nothing else I can do at this point other than wait. I have done two 1500 Pregnyl shots since the transfer and I am continuing with progesterone in oil injections every 3rd day, plus 8mg of progynova each day and 2x 8% Crinone gel suppositories too. I did my first home pregnancy test for this cycle this morning and it was positive however this will still be the Pregnyl at this stage. I figure if I test every day I can see how long it take for the Pregnyl to leave my body so by mid to late next week I should know if the tests are accurate or not.

7 more days until blood test day and will know for sure if our lives are due to change for the better or if this roller coaster of IVF treatments continues. Keeping everything crossed but not feeling confident at this stage.

Egg Pick Up #3.

Yesterday was our 3rd Egg Pick Up and it went as well as we could have hoped. 4 little eggs which is the most we have ever got and I got the call this morning to say 3 of them had fertilized over night which was great news. At this stage we are heading for a 3 day transfer on Thursday, hoping they are good enough quality to make it that far.

I was a little nervous before the procedure yesterday which I think is only normal but overall it was at least nice to know what to expect. Everything went smoothly and while I felt a bit ‘spacey’ for most of the day and was a bit sore, really nothing to complain about. I managed to watch and entire season of Sex and the City which was actually fitting given it was the episodes where Charlotte is going through IVF. The nurse who looked after me in recovery said she had a positive feeling that she wouldn’t be seeing me again so I hope that’s a good omen.

Today I had to start the horrible Crinone pessaries + 2x Prognova tablets morning and night + the scary Progesterone in Oil injections. I’m not exactly thrilled to be back on them but I’m will to do whatever it takes to get our little miracle. This weekend is another long weekend and we are heading to Phillip Island for some RnR with lots of relaxing time reading and walking on the beach. I’m hoping that’s exactly what this little embryo need to stick (assuming transfer goes ahead on Thursday).

Not too much more to report at this stage other than feeling ‘cautiously hopeful’. Keep everything crossed for me!!!

Day 12 – nearly there!!

So it has been far longer between posts than I had intended but a head cold has had me stuck on the couch feeling miserable this week and I have not had the energy to open up my laptop. Thankfully feeling a little more human today and hopefully it will have completely passed by the time we get around to doing a transfer.

So.. this cycle has been different to my others in a good way (other than the sickness). On day 2 I had an Elonva injection which is a long acting FSH (follicle stimulating hormone) which meant I didn’t need to do any more injections until day 6! It was a weird feeling knowing we had started a full IVF stim cycle and yet I was cruising along and not having the daily reminder of injections. I had a nasty headache the day I had the Elonva injection but otherwise was pretty good. Apparently the headache is a common side effect and if I have to go with this cycle again I will know to expect that. Otherwise I felt pretty good. I had a lovely little ‘staycation’ weekend with my husband in Melbourne which was really chilled and relaxing. We wandered the city, enjoyed great food and had a lovely night in a hotel, followed up by the Van Gogh exhibition at the National Gallery of Victoria. ¬†Other than having to do a quick pit stop for an Orgalutran injection after dinner it was a really nice little break away.

Monday morning I had my first scan for this cycle. I had an absolute night-mare getting there as there was a fault with the train lines and had to drive an extra long way around to get there resulting in me being 40mins late to the appointment. My husband knows how stressful this was for me given I am the person who is 10 minutes early for everything. At least the doctor got caught in the traffic jam too and was also late so it wasn’t so much of a big deal. The scan showed 8 healthy little follicles (5 on the right and 3 on the left) all at approximately 8mm. This was a great result + my lining was sitting at 5mm which is normal for this stage of the cycle. Monday night was the start of 3 injections per day!!! 150 units of Gonal F, 300 units of Menopur and 250 units of Orgalutran. Ouch!!

Along came Tuesday morning and I woke up feeling terrible with a nasty head cold. I wen’t into work thinking I could brave it but after 2 hours went home to bed. My puppy was thrilled to have a snuggle buddy even if I wasn’t great company. I dragged myself out of bed Wednesday morning still feeling terrible. I cancelled work for the day but still had to drive 20mins to go in for my scan appointment. This was now day 10 and again things were looking good. The top up of Menopur and Gonal F had me now sitting at 10 follicles of around 13mm and lining of 6.4mm. I was thrilled my lining was continuing to thicken and we are heading in the right direction! Egg Pick Up booked for Monday morning.

Wednesday and Thursday brought more time on the couch trying to get better. The hardest part is not being able to take any medications for my cold and just having to ride it out. I would normally pop some cold and flu tablets and just keep soldiering on but I have had to listen to my body and take it easy.

Back to work today and looking forward to Egg Pick Up on Monday. The pressure to get a few eggs is slightly reduced knowing we have one little embryo in the freezer but I would so love to get a few more to add into the mix. Fingers crossed we can go ahead with a transfer mid to late next week and have another shot at this pregnancy business! Feeling confident and relaxed at this stage but I know the nerves will kick in as we get closer to Monday. I have to remember there is nothing I can do other than relax and trust the experts to do their job. It’s all out of my control now!

Day 1 again – Yay!

Woohoo! I never thought I’d be so excited for Aunt Flo to arrive! I have become so used to my body not responding to meds the way it’s expected to I had already assumed this cycle would be put off for a few more weeks with a change of medication before we could get started. But nope, this morning I got a little surprise that made my day. Never did I dream they day I go my period would be one to celebrate.

I will go into the clinic tomorrow to pick up my meds but from what I know this cycle will be different again with a slightly different protocol and we can only hope my body is happy with this change. At this point I am excited to get started but I know in a couple of weeks things will be tough and I probably won’t be so thrilled but that’s the joys of IVF. My husband and I are both in a good place mentally at the moment and we have a nice little weekend away planned for this coming weekend which couldn’t be better timing. I’m planning to go home this afternoon and do a massive cook up with lots of yummy, nutritious foods to keep me going when things get tough.

I was not expecting to get started so soon and as such have not told any family or friends where we are at. I think I would like to keep it that way for the moment and will just monitor how we feel about things as we go through. At least I know I have a great support base around me and people I can call on – no questions asked, if there is anything we need. I plan to take things pretty easy over the next month, enjoy walks in the sunshine with my pup and eat lots of yummy vitamin rich food. I will keep up my regular pilates and acupuncture but will likely go a bit quiet on the social side. Time to sit back, relax and go with the flow as things are now handed over to my specialists and I just do exactly what they tell me to. Keep your fingers crossed for me that it will be a smooth journey this time around.