Low Risk to More Risk

Posted on

Hi everyone!  I know, it’s been a while since my last post.  I think it’s obvious the baby is here, leaving me less time to write.  Lol.

Everything was going smoothly with all my appointments.  I was going every other week on Saturdays so I wouldn’t have to take time off from work.  That was my preference because I wanted to save my leave.  Well at 33 weeks, the nurse scheduled me for additional appointment the following week.  I thought it was weird because I previously scheduled all my appointments to the end – 40 weeks.  I agreed to come in for the appointment even though I was thinking they were mixed up on what week I was on.

Prior to that, my husband had been trying to get me to attend a co-worker’s new store open house.  I kept insisting that I didn’t think it was necessary to go to the open house.  I didn’t want to drive to town when I didn’t have an appointment.  So, when I got an additional appointment, which happened to be the day of the open house, I reluctantly agreed to go.  A few days before the open house, I began to question my husband about this “open house”.  I didn’t feel like he was telling me everything.  He told me to stop asking him about it, so I did.  But I kept thinking about it.  I thought his co-workers were going to have a baby shower at the “open house” but even I wasn’t convinced that was it.  I knew there was something going on but I couldn’t put my finger on it.

A few days before my appointment and the “open house” I thought about calling the doctor to verify that I was on week 34 and not 35.  Well, that didn’t happen.  I figured I’d just clarify with the doctor at that appointment and not worry about it.

The day of my appointment arrived.  At week 35, I was scheduled for an exam and ultrasound.  So, when I clarified it with the doctor, he agreed they made a mistake and I was 34 weeks.  But since I was there and undressed from the waist down, he decided to do an ultrasound.  During the ultrasound he noticed my amniotic fluid was high and was concerned about it.  He asked if we could go to Queen’s Labor and Delivery to complete a NST (Non Stress Test).  I looked at my husband because he wanted to go to the “open house”.  I was thinking we could skip the “open house” and do the NST.  My husband told the doctor we had something so we scheduled an appointment for the afternoon.

We left the doctor and headed toward the “open house”.  He told me it was at Manoa Marketplace.  As we were driving there I told him, “I know it’s been a long time since I’ve been to Manoa Marketplace but it’s it that way?”  I was pointing to the right as we were going left.  My husband shushed me and told me the “open house” was at Waioli Tea Room.  At this point I was super confused but I knew something was up.  We walked up to the front and were greeted by a woman who asked if we were here for a bridal shower or baby shower.  I looked at my husband and he had a big grin on his face.  We both laughed as he turned me to walk toward my group of friends.  SURPRISE!  It was definitely a surprise and a very enjoyable brunch.

After the brunch we headed to Queen’s Labor and Delivery for my first NST.  The NST was for the baby, not me.  If you’ve never had a NST, they do the same thing when you’re admitted.  Let me explain.  Due to the excess fluid, the doctor wanted to make sure my baby was doing well and he was not under stress.  Hence, the NST…Non Stress Test.  In Labor and Delivery, I sat up on the bed and lifted my shirt just to expose my belly.  The nurse placed 2 monitors on my stomach, 1 to monitor contractions and the other to monitor the baby’s heart beat & rate.  The nurse used wide elastic bands to obtain the right placement of the monitors.  It’s like a wrist watch.  The face of the contraction monitor is placed at the center of your belly and then they tighten the band.  The monitor for baby’s heart beat & rate is wherever baby is.  For me he was faced down so the monitor was below the contraction monitor.  Since my baby moved around A LOT, the nurse would often have to adjust the monitor.  My NST lasted about an hour and then I was free to go, not without scheduling my next one.

My first NST was quite painless.  One of the first things the nurse asked me is if I knew why I was there.  Lol.  I sure hope so.  I know there’s a technical name for excess amniotic fluid but I didn’t know it. (It’s call polyhydramnios.)  The nurse gave me water and the remote for the TV.  Ooh, I forgot!  Along with the 2 monitors the nurse gave me a button to press every time I felt the baby move.  The button reminds me of Wheel of Fortune where they are referred as “buzzers”.  It’s easy to grasp and great for pushing frequently.  Lol.

It was then that I realized my pregnancy was no longer “low risk”.  I had to do NSTs weekly until the doctor ordered otherwise.  Another thing to note about the NST, it varies in time.  For example, the first time I went it took an hour.  The next time I went it was longer.  The shortest time for me was half an hour.  The reason for the variation is because the nursing staff needed to contact my doctor to review the monitors and give the “ok” for me to leave.

Well, 34 weeks was just the start of what I call “pregnancy excitement” aka stress.  In upcoming weeks I experienced much more than I ever thought I would.  Twice a week appointments, twice a week NSTs, 2 more ultrasounds, and weekly vaginal exams.  The twice a week appointments, NSTs, and ultrasounds is how the doctor monitor my polyhydramnios.  I got quite use to it, although now that I think about it, it was pretty draining.  Having 2 more full fetal ultrasounds was nothing I expected but I was grateful for them.  Not only was I able to get more pictures, but I was able to see my baby more.  The ultrasounds looked at the fluid and the baby’s growth, including the heart.  One of the main concerns my doctor had about the excess fluid is the umbilical cord.  If my water broke the cord could come down before the baby which would result in an emergency c-section.  I was lucky to have the reviewing doctor present at each ultrasound.  He asked questions and watched the ultrasound technician take measurement.  Through discussion with us he determined that they did not know why there was excess fluid.  He noted that gestational diabetes was one common cause for excess fluid, which I did not have.  I never knew why I had so much fluid but I knew my fluid was about equal to the size of they baby.  I remember at 35 weeks the ultrasound gauged that the baby was 6 lbs 10 oz.  I thought, yikes!  Then at 37 weeks the ultrasound said 8 lbs 6 oz.  That created another concern for my doctor.  Of course the ultrasound has a range – room for error.

So, although my pregnancy began with little risk as time went on risk increased and the doctor induced labor.

Just as a side note….The only thing I will say about vaginal exams as a pregnant lady, is that’s they’re painful.  It’s nothing like a pap smear…at all.

Next post:  Inducing Labor


Screening Tests!

Posted on

I realized after I completed my last post, I didn’t tell you my due date!  Well, here it is: July 30.  The ultrasound revealed that I was pregnant with 1 baby.

Alright, moving on to screening tests.  Oh ya, I forgot to mention that on January 1st, my insurance changed making it necessary for me to find an OB/GYN.  I searched and got information from family and friends.  I wanted someone nearby but that option was not available.  I didn’t prefer having to drive to town but it was better than the doctor that was only available every Tuesdays.  Plus, starting a job, I didn’t have time to take off nor did I want to take unpaid leave.  I was looking for a doctor that was available on the weekends as well.  So, we decided to see on of my sister-in-laws OB in town.

At my first appointment, the nurse asked me a lot of questions and I filled out some questionnaire as well.  When I met with the doctor, we went over all the information and he asked if I wanted to participate in a screening.  I told him that it didn’t matter because either way, we would be keeping the baby.  The choice was up to me.  So, I agreed to complete the screening.  I thought it was only one but as we talked about it more, I understood that it was 2 screenings.  He gave me the time frames for when they’re completed and then said he would send a requisition to Queens Medical Center (QMC) because they do the screenings.  I agreed and that was it.  I left and had lunch with my husband.  While we were eating I got a call from QMC to schedule my 1st screening.  I was really surprised at the  prompt response, very impressive.  I scheduled my first screening.

First Screening

I really wish I could remember the names of the screenings but I can’t.  All I know is the first screening was an ultrasound and blood work for down syndrome.  I completed it at 11 weeks, almost 12 weeks.  I thought everything went well.  It was pretty cool that I had my own bathroom, adjustable lighting, and a curtain for privacy.  Also, the jelly they use for the ultrasound was in a warmer.  Lol.  It was thoughtful, rather than it be cold.  I liked the fact that the technician gave me a USB to put all the ultrasound pictures on.  She reminded me to bring the USB to the second screening as well.  Having the USB is really cool and quite up-to-speed with the technology available now.  I’m grateful to have that, in addition to the 8 pictures the technician put on it.  Also, the technician printed out all the pictures she placed on the USB and gave them to me before I left.  I remember her telling me that now I will have the pictures forever and I can put them on facebook or wherever.  I told her her I was happy to have them but probably won’t be placing it on facebook.  Lol.

A week or 2 after my first screening, my OB/GYN called and shared the results of the first screening.  He explained that I was low risk.  Phew, that was a relief.  After all we experienced trying to become pregnant, I figured I wouldn’t get too much relief when I actually got pregnant.  So, hearing the doctor tell me the results showed I was low risk, was awesome.  I was so relieved and at the same time, still not convinced that my pregnancy would be smooth sailing.  Nevertheless, I was grateful.

Second Screening

At my second screening, my husband came with me.  It was around week 18-19.  I knew this screening would be looking at the physical development of our baby.  For instance, a cleft lip.  Also, the screening looked at kidney function, blood flow through the heart, the blood flow from the umbilical cord to the baby, etc.  I gave the technician my USB and she loaded the pictures on it.  It was so interesting to me to watch the things she looked for.  One of the coolest things I saw was my baby’s nose and lips.  I know you may be wondering why I think that’s so cool, but I find it neat.  I knew she was looking for any physical concerns like a cleft lip.  This was the 3rd ultrasound I’ve had during my pregnancy and it was neat to see the growth.  But seeing my baby’s nose and lips was cool because at that point I knew our baby was still very small but the technician could zoom in for a closer look, something that would not have been as successful in previous ultrasounds, for obvious reasons.  Of course, there are a lot of cool things to see during an ultrasound.  I remember while my ultrasound was going on that the lab technician came in and drew my blood.  Either she was really good or I was too focused on the ultrasound to feel anything.  Lol.  I think she was good because she drew my blood from a different arm and found my vein right away.

Towards the end of the ultrasound, the technician asked if we wanted to know the gender of our baby.  I told her we did and then she proceeded to move the probe all over my stomach.  She did mention that she would try her best.  I knew that meant cooperation from the baby would be necessary.  Lol.  As we looked at the screen, it didn’t take long for her to scan our baby’s gender.  The technician said, “Well that’s pretty obvious, no questions there.”  I tried not to bust out laughing, instead I let out a little chuckle.  I immediately turned and looked at my husband.  We smiled and then I looked back at the screen.  We’re having a BOY!!

At the end of our ultrasound, the technician wanted to try the 3D probe.  We agreed.  For those of you that aren’t familiar with the 3D probe, it’s a little more rounded with something that looks like a ping pong ball at the tip.  Not sure if that helps.  The 3D probe was quite entertaining for us.  The technician tried so hard to get a good picture but our baby didn’t make it easy for her.  Each time she got a good view, he would move his hand and block his face.  We just laughed.  She printed pictures for us, 11 pictures to be exact.  Soon after, we left.

I was relieved, not because we’re having a boy, but because we were able to find out the gender of our baby. For my husband and I, we didn’t have a preference.  You know, when you wait so long (or what feels like so long) you take what the Lord gives you/trusts you with.  I was also relieved to be able to refer to my baby with a gender.  I read that it’s important to talk to your baby early in pregnancy and all this time, I’ve referred to the baby as it or baby.  Now I could say he!  Lol.  It seems so minor but it was definitely a relief for me. 🙂

Next post: Weight Gain


Our First Ultrasound

Posted on

Thinking back on our first ultrasound, I have to take you back to December 2012.  I remember it like it was just recently.  Prior to our first ultrasound, we discussed the best time to share the news of our pregnancy, with our families (immediate).  It was actually harder than I thought, but we both knew they would be happy whenever we told them.  Of course, there’s the first trimester risk for miscarriage.  That weighed heavy on me because I knew my mom experienced miscarriage, which meant that I could too.  My husband would remind me to “take it easy” and most of the time, refused to let me lift things.  I know he was just being cautious and it was his way of supporting me.  It was difficult for me, at times, because I wanted to do things.  Also, we didn’t want to tell our family too early.  Hope that makes sense.

When we discussed when to share the news with our family, we decided on 2 options…Christmas or New Year’s.  We ended up choosing New Year’s because of the date of our first ultrasound.  Our ultrasound was in between both days, which made our decision easier.  Although I wasn’t quite at 12 weeks, New Year’s made the most sense and we would have evidence to show – our ultrasound.

The purpose of our first ultrasound was to determine a due date by taking appropriate measurements.  So, that’s what happened.  I remember seeing a side profile of our baby and being simply amazed.  I didn’t have any words, nor could I believe that baby was inside of me!  I think my heart skipped a beat, or 2.  It was SO cool and very interesting to view.  It was awesome.  At that point, I couldn’t wonder about being pregnant, I had evidence!  We received 2 pictures from our ultrasound.

After our ultrasound we talked about how we would tell our families.  Hmm.  New Year’s Eve is my sister-in-law’s birthday and we spend it with my family.  We have a tradition of making toasts at midnight with sparkling cider.  Our toasts are pretty much resolutions for the new year and/or something we’re looking forward to in the new year.  We go in order according to age, oldest to youngest, starting with my dad.  Oh ya, we make 2 toasts each, so we waited until the 2nd round to say our clever toast.  Also, after each person says something, we lightly tap our glasses together.  When it was our turn, we decided I would say, “to our little baby” and then my husband would follow up with, “to a healthy pregnancy.”  We would see how this would go!

In sharing the news with my husband’s family, we decided that he would call his parents before midnight and then send texts to his siblings at midnight.  So, during the evening my husband went outside to call his parents.  He went outside so no one else would hear before it was time to toast.  🙂

Midnight approached and it was time for our toasts.  My husband came inside after talking with my in-laws but he wasn’t able to talk to me about it because of the timing of things.  Then he told me his phone died.  He used up his battery and needed to use my phone to send the texts.  He tried at least 3 times to send the texts with the picture but it wouldn’t sent.  Lol.  So he ended up sending the texts and emailing the ultrasound picture.  He later told me that he had to do the same thing with his parents.  The picture wouldn’t send.  Lol.  I should have known that was a foreshadowing of things to come.

The glasses were ready and filled with cider.  Everyone made their toasts and we completed the first round.  The second round came and it was our turn to go.  I went first, because yes, I’m a few months older than my husband, only months.  Lol.  I said, “to our little baby.”  We all tapped our glasses and took a sip of cider.  Then my husband went, “to a healthy pregnancy” and the same thing happened.  We were about to move to my nephew when my dad leaned over to my mom and said, “did I hear that right?”  My mom confirmed that he had and there was a little pause.  I decided to intervene because I realized the news had gone over everyone’s head.  LOL.

I got up and brought out our ultrasound to share.  Before passing it around, I told everyone I was 10 weeks pregnant.    We passed the ultrasound around and everyone was surprised, except my mom of course, because she’s the only one that knew.  Our clever attempt to share the news didn’t exactly turn out the way we planned, but it’s ok.  It was definitely entertaining.  I know we’ll remember it for a long time. 🙂

Next post: Screening Test


Yikes!

Posted on

After accepting the job, it wasn’t long before I realized the scope of everything that occurred.  At the time, I was experiencing some pregnancy symptoms and wasn’t sure how I was going to work outside my home.  No, I didn’t have morning sickness, instead, I was super exhausted and peeing quite frequently throughout the day.  I felt like I was urinating so much during the day, it was ridiculous!  Lol.

I decided I was flushing the toilet way too much, so I would wait until I peed 3-4 times before I would flush the toilet. I know, some of you may consider that disgusting, but I don’t really care.  I do wash my hands after using the restroom.  Although, now that I think about it, I don’t have to justify flushing the toilet.  Lol.

Anyways!  I was worried about starting a new job and being pregnant.  I couldn’t even stay awake for 8 straight hours, how was I going to stay up at work?  I wasn’t worried I couldn’t do the work, I was worried that I would fall asleep at work.  It would definitely be an adjustment for me (& my husband).  I knew I would have at least a month before I started.  I hoped and prayed to gain some energy by then! 🙂

Being tired made me feel lazy, although I was not.  I accomplished tasks throughout the day, but at a much slower pace than I was comfortable with.  I wanted to do more, I just could not.  I would require a nap or 2 during the day, seriously.  By lunch time, I would need to rest and then again after lunch.  As I think about it now, it seems so crazy.  That’s how exhausted I was.

On a weekly basis I would drive to Waianae to help my mom clean and de-clutter.  At times I felt bad because I felt like I wasn’t really helping.  I think I needed more breaks than she did.  Nevertheless, we did what needed to be done.

I took things a day at a time.

1st Prenatal visit

I skipped ahead a little.  After confirming that I was in deed pregnant, I called the OB department and scheduled my first prenatal appointment.  (It actually occurred before I was offered the job.)  It was 3 days after found out.  My husband accompanied me and we spend A LOT of time waiting.  I mean, A LOT, way longer than I expected and beyond my patience limit.  We waited and hour and a half, which I deemed to be ridiculous.  I was quite annoyed but remained cordial with the staff.

So, what happened at the appointment?  Well, a group of about 5 couples sat in a room and viewed a ppt (power point presentation) given by a NP (Nurse Practitioner).  It was basically an overview of pregnancy.  Honestly, it was lame, especially after waiting all that time.  Then, we met with the NP to go over a questionnaire I completed while waiting.  Following that, I had a list of blood tests to complete.  We did that and then my next appointment was scheduled for the end of Dec for an ultrasound. (A about a month later).  That was it!

Next post: Our First Ultrasound


Day 10

Posted on

Sorry, I’ve been slacking on my posts!  This time of year tends to be like that.  Well, thank you for your patience!

Between our unsuccessful FET and now, I’ve been able to take a step back and relax.  Which is good, right?  Of course.  Ooh, before I forget, the FET completed our first IVF cycle…even though we started in May and got postponed until September.  Not sure if I mentioned this before.  Sorry if I have and you’re reading this again.  Lol

Alright, Day 10.  When I scheduled my exam with my IVF coordinator, I knew Dr. F would not be there.  Instead, I would be seen be his wife, also Dr. F and an OB/GYN.  It would be my first time meeting her.

On Day 10 I went in for my exam.  As I waited in the exam room I wondered how the appointment would go.  I hoped the lining of my uterus looked good enough so we could gain further insight on the best treatment for the next cycle – of whatever we decided.  Remember our 3 options?

After a brief waiting time, the female Dr. F came in.  She did the ultrasound and appeared to be enthralled at the lining of my uterus.  This both intrigued and worried me.  She did note that my uterus was a little different, but that it did appear to have its own trilateral pattern.  I didn’t know how to interpret what she said.  I was kind of at a loss for words.  I felt she was honest with me and I appreciated it.  I had so many questions in head.  I wondered if that meant I would be able to carry a baby or not.  As my exam continued and she looked at my ovaries closer, she recognized my endometriosis.  That explained the difference in the look of uterus.  Hopefully that makes sense.  Well, she took screen shots for Dr F to review and that was it.  After she left, I spoke with my IVF coordinator about our plans.

I was under the impression that we had 3 options.  As we talked, I realized that our options were limited to 2…FET or IVF cycles.  I thought that the fresh cycle with a little medication was a separate option.  But, it’s not.  It’s a fresh IVF cycle.  Lol.  I felt so dumb for not getting it before.  I did get a good laugh though.  Although our options were lessened, it doesn’t change the fact that we still have options…which is good.

Anyways!  In my discussion with my IVF coordinator, she requested that I give her 3 months notice before we start anything.  In previous conversations and emails, I told her that we wouldn’t be starting anything until January, at the earliest.  We laughed about how I would have to tell her now because in 3 months it will be the beginning of February.  We left it at that because we both were unsure of what Dr. F would recommend.  We decided to wait until Dr. F could review the images and then my IVF coordinator would contact me.

Within a week, my IVF coordinator called.  Since we plan to wait until January/February we have time to consider our options.  She instructed me to call her in January on Day 1 of my menses.  Dr. F has requested to do another SIS.  Fine with me, as long as it helps and allows Dr. F to continue to provide the best treatment for me.

Another factor in the process is that we will be switching medical insurance effective January 1st.  This is definitely a change but it also opens the option to a second IVF cycle, covered by insurance.  (I’ll talk about this again in a later post.)  In January, we will confirm our decision and take the necessary steps.  In the meantime, we wait… and read.

Next post: Endometriosis Diet


Now What?

Posted on

Wow, I can’t believe it’s been 2 weeks since my last post.  I’m sorry for not posting earlier.  I’ve been quite busy with a variety of projects.  I’m planning to post them on my other website soon.  Anyhow, I hope you are all doing well. 🙂

Coincidentally, the last post I wrote was the day I met with Dr. F to discuss our options.  Prior to our meeting, here are the options I thought we had:

1 – Do another FET, which FYI, insurance does not cover.  It’s an out-of-pocket expense that costs $4,000.

2 – Do another IVF cycle, which I estimated would cost another $3,000+.

and 3 – Nothing.  Take a break from all the medication and wait.

In my last post I mentioned that I was done and I didn’t want to continue trying anymore.  I felt that way because I was so hurt and the process is time consuming.  I recognized that a break was necessary but I didn’t want to take it.  Honestly, I wanted to do another FET but I knew what I needed to do…option 3…Nothing, at least for a little while.  Choosing to do another FET right away would have been more draining.  I knew my body needed to rest from all the medications and the emotional stress I experienced.

Doing another FET seemed to be only option but the price was not inviting.  Plus, money is always considered, whether or not I’m working outside my home.  I knew that we could afford to do another FET but I really had to think about whether that would be a smart decision.  I thought about the options we had and was still usure of what to do.  My husband & I discussed the options and decided we would wait until next year, 2013 to do anything, whatever it would be.  Of course, our decision also depended on Dr. F. recommendations.

The night before the meeting I wrote a couple of questions in my phone so I wouldn’t forget to ask them.  I really didn’t know what the objective of the meeting was and I didn’t know what to expect.  I figured we would discuss the FET and options, obviously, but other than that I didn’t know.

The day arrived for my follow up appointment with Dr. F.  I went by myself because my husband had a work meeting and was unable to attend.  When I arrived, they were apparently busy.  I knew I would be waiting a little longer than usual.  It wasn’t a problem because they have a TV and I have my phone to do shopkicks on.  When ready, Dr. F. and I walked to his office.  He shut the door and then talked with me while looking through my folder.  He allowed time for me to ask questions.  I only had 2.  The first questions was in regard to my endometriosis and if I should consider removing it.  I don’t remember the entire answer but I remember him explaining that removing it would be helpful if I experience a lot of pain.  I remember thinking that I do but I didn’t say anything.  I just thought about it.  The second question I had was about my menses.  I wanted to know why I didn’t get it prior to the blood test results.  Dr. F explained that during a normal menstrual cycle, a drop in progesterone levels would initiate my menses.  So, because I was still taking the progesterone I didn’t get a period until after I stopped the medication.  I was like, “Oh!”  After that I felt dumb because I felt like I should know that.  Lol.  After answering all my questions, we carried on with our discussion.

Dr. F. apologized for us not having any success.  I didn’t know what to say.  I felt he was genuine and I played it off by telling him, “it’s ok.”  That was awkward for me.  It wasn’t ok but I knew we both recognized that success was important.  Instead of dwelling on the lack of success, Dr. F focused on the embryos.

Dr. F used an analogy that helped me understand his perspective in the process, including our options.  I’ll call it…The Olympics.  He showed me pictures of our remaining 5 embryos and compared them to the olympics.  Seeing the embryos renewed my strength, hope, and purpose.  I completely understood the analogy and was again reminded of the risks involved with every step.  To make it to the freezing, each of the embryos are really good.  They’re the best athletes!  When it comes to the day of competition, you hope for an elite performance but never truly know how they will perform.  I may have exaggerated a little more than Dr. F, but you get the point right?  Dr. F. explained that he would expect 3-4 babies from the 7 embryos we originally had and with the 5 left, he still has that same expectation.  I know each embryo must meet a specific criteria so it was intriguing to me that the same expectation applies to the 5 remaining embryos.  Pretty cool actually!

We continued our meeting by discussion our options.  I was pretty accurate in my guesses for options.  Dr. F reviewed all the options, including the ones I thought about.  Dr. F, he’s so nice.  One more than one occasion, he’s told me I’m young.  Lol.  Sometimes I don’t feel young when I think of trying to have my first child at thirty-something.  But I am young! 🙂  Just a little note here…if the Dr. tells you you’re young, soak it up!  Lol.  Anyways!  Here’s a brief description of what we talked about:

1) FET.  Cost: $4,000   Begin: whenever we want.  This option is always available as long as we have frozen embryos…and we pay the storage fee.  Ya, I know, it reminds me of the all the storage facilities that have popped up on Oahu over the past 5+ years.  Except my embryos require much less space.  Lol.

2) IVF.  If we switched insurance companies we would get another “free” try.  Dr. F office would not charge us a copay for this second cycle.  Not sure if you remember but the copay price begins at $3,000.

3) Natural cycle with a little medicine.  I was not expecting this to be an option.  I told Dr. F that we weren’t planning to start anything until next year, end of January at the earliest.  He was respectful of that, which I really appreciated.  Now that I think about it, I don’t think we talked about how much this option would be.  I’m assuming that it is much cheaper than the other options.  I’m guess it’s like an IUI, which is a few hundred dollars.  Dr. F requested to do an ultrasound after we finished our discussion.  He wanted to see what the lining of my uterus looked like without medication, during a regular cycle.

Our meeting was done.  We walked out of Dr. F office and into an exam room.  I had a few minutes to change before he and my IVF coordinator knocked and came in.  During the exam, Dr. F inspected my uterus and remarked that it looked good.  What a relief!  I was hoping it would look ok.  I was so enthralled that Dr. F could tell I ovulated by the looking at my uterus.  It was amazing to me.  Dr. F wanted to see the lining of my uterus at different times during a normal cycle.  So, I have to call to schedule a day 10-12 exam.  Looks like the natural cycle is an option for now.  Yeah!

Well, those are our options.  I feel good and comfortable with them.  Another good thing is that I didn’t feel pressured from anyone to do anything.  The decisions were and are completely ours.  You know, after the FET was not successful, in some ways I felt like our options were limited to FET or IVF.  I’m glad that I had the opportunity to meet with Dr. F.

Still not sure what option we’ll choose.  We’ll see.

Next post: Considering the Options


Our FET

Posted on

After 5 days of taking all those medications, the day of the transfer arrived…September 10th.

My FET was scheduled for 10:30am.  I had to be there a 1/2 hour before, so we weren’t in a rush.  My husband & I leisurely woke up and got ready.  I had been instructed to do take the Crinone gel in the morning and to have a full bladder.  When we were ready, my husband gave me a blessing, and then we left.

Unfortunately, we locked ourselves out of the house.  My husband didn’t take his keys.  I left my keys in my church bag the day before and forgot to take it out.  He closed the door before I could reach for my keys.  Oops!  Lol.  I couldn’t believe it but it happened.  There wasn’t much we could do, except worry about it later.  I wasn’t going to be worried about that, we had an appointment.  While my husband drove, I called my mom.  She had keys to our place.  So we arranged a time to meet afterwards.  I estimated that we would be done around 11:30 – 12pm.  The plan was for me to call my mom when we left, that way, we would get there around the same time.

We arrived 1/2 hr before and sat in the waiting area.  A few minutes later we were called by my IVF coordinator.  We followed her to her office where she reviewed instructions for the ET.  I disregarded some of the instructions because they were related to pregnancy and would worry about that later.  I didn’t want to assume, neither did I want to feel overwhelmed by possibility.  The instructions were pretty straight forward and to me, quite obvious:

No swimming – for 1 week
Drink lots of fluids – In addition to water, juice and sports drinks
Use stool softener – as needed for constipation
Eat balanced meals
No strenuous activities

You got it, right?  In addition to all the instructions, I still had to take medications…until my IVF coordinator instructed me to stop.  I was taking the Crinone gel, Estrace, aspirin, & PNV.

The instructions also included 2 dates – Sept. 20th & 22nd.  On these dates I was scheduled for blood work only – to see if I was pregnant or not.

After meeting with my IVF coordinator we again sat in the waiting area.  I was called for my blood work and then we went to meet with Dr. F.  He explained the risk for multiple births and we asked questions.  We signed a couple of documents verifying our embryos.  I wanted to cry.  I had been so worried about the embryos.  When as I signed the documents I realized that my prayers had been answered and I felt relieved.  In a previous appointment, I asked Dr. F what the procedure is for thawing the embryos.  He explained that they are taken out one at a time.  If they are not growing, they are discarded and another embryo is taken out.  Knowing that we have 7, I didn’t know how many would be used to get 2 strong embryos.  I hope that makes sense.  As I signed the document, I understood that only 2 of our 7 embryos were thawed for this procedure.  I felt comforted and grateful.

Dr. F showed us 2 pictures of our 2 embryos.  It was SO cool!  The picture on the left were of the frozen embryos and the picture on the right was of the thawed embryos.  It seemed like they were magnified like a million times larger.  The images were huge, especially when you know they’re the size of an ink dot.  I was so intrigued by the pictures.  I thought it was amazing because it was personal.  They were OUR embryos, not the ones you see in a text book.  As I viewed the side-by-side pictures, they looked only slightly different to me.  Dr. F explained that before transferring them they would look somewhere in between both pictures.

After our meeting was done, we followed my IVF coordinator to the OR area.  It’s the same place I had my egg retrieval.  I was in the exact same room too.  We put our hair caps and booties on.  I removed my clothing from the waist down, wrapped myself with the large sheet that was provided.  I opened the curtain and we followed my IVF coordinator into the OR.  My husband sat on a stool (with wheels) and I laid on the bed.  I lifted my legs up to rest on these pole things and then scooted my bottom all the way to the edge of the table.  The poles are like ob/gyn stirrups for back of the knee.  I verified my name and birthday that were on the screen and then my IVF coordinator informed Dr. F that I was ready.

We waited for a while because there was something that Dr. F. needed to take care of.  I think we waited about 15-20 minutes, that’s my guess.  I wasn’t watching the clock.  When he arrived, he talked us through the procedure while getting started.  He put the speculum in and I think, a catheter.  I’m not exactly sure about the catheter.  He told the lady in the Lab that he was ready.  We looked at the screen and saw the 2 embryos.  Dr. F was right, the embryos looked somewhere in between the 2 pictures we saw, except this was LIVE.  We saw them super close and then the view zoomed back until they were tiny.  The catheter came in and sucked up the embryos.  The lady in the Lab brought the catheter to the adjacent door and gave it to Dr. F.  The door has a a little window that can be opened or closed.  It’s quite convenient actually.  Dr. F. took it and sat back down.  It took him a few minutes to insert the catheter.

Once the catheter was in, Dr. F had us turn our eyes to the ultrasound.  He told us that we would see a white line in the uterus and then the embryos would be released.  The embryos were released deep into the uterus, much like where they would be if it were a natural conception.  We saw the white line and that was it.  The embryos were SO tiny, I knew we wouldn’t see them.  That was it!  The catheter and speculum were removed.  Dr. F shook our hands and told us that there was nothing more we could do – let nature take its course.

I switched beds and got rolled to my room.  I laid there for 30 minutes.  Before we left, I emptied my bladder and put my clothes on.  My mom met us at home and we were able to get in.  Lol.  She made chili for us so we ate and then rested for the rest of the day.  It was so nice.

Now it was time to wait…

Next post:  The Next 10 Days

(Not sure if I’m going to post the picture of the embryos.  I have 1 of the 2 pictures we saw.  Thinking about it.)


My Surgery Date!

Posted on

Getting a surgery date was much harder than I expected.  When I called to talk with my OB/GYN, I was informed that he was on vacation for 2 weeks.  I just shook my head in disbelief.  Seriously?  I thought, “What are the odds of that?”  Lol.  The only option I had at that point was to schedule a phone call appointment with my OB/GYN upon his return.  I inquired about having another doctor do the surgery but when I talked to the nurse, that didn’t seem to be an option.  I couldn’t do anything about it…I just had to wait.  For the next couple of days, I was annoyed…just because.  I estimated that the earliest date for my surgery would be at the end of July or maybe early August.  Then I gauged that my ET would probably be pushed back to late August or September.  I wouldn’t be able to confirm that until after my phone call appointment on July 16th @ 4:30pm.

While I waited, I confirmed with my IVF coordinator, via email, that there was only 1 polyp.  She checked with Dr. Frattarelli and confirmed it – only 1 polyp.  I also spent my time researching polyps.  At that point I wasn’t sure how big or small the polyp was but I knew I would be ok.  A uterine polyp is pretty much a growth on the lining of the uterus.  It can look like a bump or hang like a tear drop and can range in size.  I know that sounds quite gross but that’s the only way I can explain it right now.  Lol.

The day of my phone appointment arrived, July 16th.  When 4:30pm rolled around, I expected my phone to ring.  I tried to keep my phone nearby so I would’t miss the call.  I had all day to think about what the doctor might say.  Time seemed to tick away and still no call.  4:35pm, 4:40pm, 4:45pm.  Still no call.  I wondered if my OB/GYN would call or not.  I thought, “I really don’t want to call tomorrow wondering why no one called me.”  4:50pm, 4:55pm, my patience was being tested.  Then a little after 5:00pm, my phone rang…it was my OB/GYN.  Phew!

As I explained the purpose of the appointment, my OB/GYN noted that he had not received any information from Dr. Frattarelli.  He noted that he briefly check his mail but hadn’t seen anything, but he still had more to look through.  I was quite surprised that after 2 weeks, my OB/GYN hadn’t received information about my polyp.  So, I briefly updated my OB/GYN.  He said he would follow up with Dr. Frattarelli.

I waited as he looked for an open date for the operation room.  My OB/GYN quickly scheduled my surgery for July 31st and said he would have his nurse call me the next day.  I agreed, of course!  Wouldn’t you?  I just wanted it to be done with so I took the earliest date I was offered.  The phone appointment took about 20-25 minutes total.  I realized after we hung up that I knew the date, but not the time.  Oops!  But it was ok because I knew the nurse was going to call me the next day.  This is one way I feel that being laid off has been a blessing.  I didn’t need to take the day off or call in sick or anything like that.  Much less stress.

The following day, the nurse called me.  She scheduled a pre-op appointment for July 27th & reviewed some of the things I needed to prepare for.  I asked her about the time of the surgery and she told me 10:00am.  Then she explained that at my pre-op appointment, she would review more information with me and I would most likely have to do blood work.  That was fine with me!

It was such a relief to have my surgery date.  I assumed it would be similar to my egg retrieval.  I didn’t worry about it.

The date for my pre-op appointment came quickly.  I checked in and sat on a chair waiting to be called.  I saw a note on the board that said my OB/GYN was running 45 minutes to an hour late.  Oh dear, I thought.  I geared up for a long wait.  To my surprise, my name was called about 10 minutes later.  I’m grateful I didn’t wait too long.

The nurse took my height, weight, and vitals – blood pressure, temperature, and pulse.  She asked me a few questions related to family history and date of the first day of my last menses.  You know, the same basic questions.  She escorted me to the exam room where she asked me to remove my clothing from the waist down.  The nurse gave me a disposable sheet and then told me the doctor would be in soon.

A few minutes later, my OB/GYN knocked on the door and came in with the nurse.  He briefly checked my uterus and breathing.  It was a really quick appointment, maybe 5 minutes.  Then, as instructed I changed & met with the doctor in his office.

He explained, with a visual aid what a polyp looks like in the uterus.  He continued with talking me through the procedure.  I listened attentively and learned that the doctor would be using a camera to look into my uterus.  Apparently, using a camera is much more accurate than the ultrasound when it comes to locating polyps.  So cool.  We discussed some of the side effects and that I should expect some spotting for a few days.  The doctor also explained that the polyp would be cut off with a scissors.  I’m sure it’s a special kind of scissors.  Pretty interesting to me!

My OB/GYN also told me what time I needed to arrive at the hospital.  Since my surgery was scheduled for 10:00am I needed to be there 2 hours prior – 8am.  I was also instructed (just like my egg retrieval) not to eat anything after midnight the night before my procedure.  The day of the surgery, I was instructed to take my thyroid medicine with a sip of water.  That was it, nothing else.  Since I was having an outpatient surgery and would be receiving light sedation, I needed to arrange to be picked up.  I would not be allowed to drive home nor would I be released without an adult.  Lol.  That sounds funny but they’re quite adement about someone being with you.  We reviewed the pre-op instructions, which I just explained, and then signed.  We also reviewed a consent which stated the purpose of the procedure, anesthesia, and medical treatment.  The doctor & I signed that form.  He asked if I had any questions.  At the time I only had one question.

My question was this….since he was removing the polyp, could he also remove the ovarian cysts?  I figured since I was going to be under anesthesia, why not?  Lol.  Well, the answer was no.  But it was ok.  The doctor explained that ovarian cysts are removed through the belly button, not vaginally.  I thought that was interesting and it made sense.  It seemed so obvious after he explained it.

After leaving his office I walked a short distance to the nurses desk.  She briefly reviewed the pre-op paper and the consent.  She put the originals in an envelop labeled for the O.R. with my name on it.  She instructed me to bring that envelop with me on the day of my surgery and hand it to the receptionist at the O.R.  Then she gave me my copies of the two forms and I was off to the lab.

At the lab, I did a urine test and blood work.  First the urine test, which I always seems weird to me, and then I waited to be called for blood work.  There were a handful of people waiting so I knew I had a few minutes before I would be called.  It wasn’t long before it was my turn.  I went in and requested the wrap instead of the tape.  I make it a point to ask for the wrap because the tape is horrible.  It rips the hairs off my skin and leaves a residue that has to be scraped off.  Not fun.  Plus, I think going to Dr. Frattarelli’s has spoiled me.  They always use the wrap, which is great.  The phlebotomist found my vein easily so I was out of there fast.  My entire pre-op appointment, including lab work, was about an hour.

All done!  Now, all I had to do was wait a few more days until the surgery.  In the meantime, I emailed my IVF coordinator and she sent me an updated calendar.  With all the postponing and changes that arose, this was my 3rd and hopefully last calendar.

I was ready! 🙂

Next post: My Surgery – Polyp Removal


My SIS

Posted on

We have some new subscribers!!  Yay!  Thank you for joining in on the journey! 🙂

Almost immediately after I published my last post, I said out loud, “Oops!”  I realized that I forgot to mention something, something big.  I don’t know how it slipped my mind!  So, before I talk about my SIS, I’m going to rewind a little.

Ok, here it is.  A week and a half after beginning the birth control pills again (early June) I was informed by my employer that they would be restructuring.  I was not alone in this, at all.  2 weeks and then I would be out of a job.  Words can’t adequately express the many emotions I felt at that time.  I felt SO many different emotions.  I felt angry, worthless, disposable, protective (of others), distraught, etc.  For the first few days after receiving this news, I was furious.  I did not like the way the lay off was done.  I went in one day and cleaned out everything!  I made the decision to use some of my leave and not return.  I think I went in one more day but that was it.

The lay off brought much more dynamics to what I already felt was a complicated task – IVF.  At that point I felt such a burden.  I wondered what would come of our efforts to try to start a family.  I contemplated whether or not to search for work.  I had so many more questions than I had answers for.  I knew what I had to do, I just didn’t want to do it.  There were 2 things I knew for sure…1 I had to file for unemployment, and 2, I had to pay COBRA.

In order to maintain my medical coverage and continue with IVF, I had to pay for COBRA.  During open enrollment, my husband changed insurance companies so at the time of the lay off, we had different medical coverages.  Unfortunately, in the state of Hawaii, when you do IVF and something comes up, if you don’t continue coverage, you forfeit the only opportunity you’ll have.  I was not about to give that up.  Technically, insurance only covers one chance.  It felt like such a huge sacrifice because now I had to pay the full coverage for medical insurance.  But, it was necessary and temporary.  I can switch to my husband’s insurance once the IVF cycle is completed.

Filing for unemployment was another frustrating process.  Even with the handbook, powerpoint, and instructions, the process proved to be a daunting one.  I’m glad I didn’t go through it alone.  Once you get through the first few steps, it gets easier.  I think that’s all I’m going to say about that.  If you need assistance, let me know.  I’ll help you!!

Through all of those emotions (and this experience), I still felt relieved.  It might seem to be kind of weird but I was glad to leave.  My philosophy and thoughts on the lay off simply come down to this – a company that doesn’t value me doesn’t deserve me.  I decided not to let the lay off bother me and moved on to more important things.  The lay off has been a blessing.

Ok, now that you’re all caught up with that, I can talk about my SIS.

So, like I mentioned in my last post, my IVF coordinator emailed me my new calendar and scheduled my next appointment.  My new calendar revealed that my ET (embryo transfer) would now be scheduled for July 30th.  It was pushed back because of the delay in my thyroid test results.  So my once July 25th ET was now 5 days later.  I sarcastically told my husband, “I’ve been waiting forever already, what’s 5 more days.”  Lol.  Things can always be worse, but why dwell on that…it doesn’t help.  Honestly, you really have to be able to laugh, put things in perspective, and at times search for joy in the little successes.  It’s not always easy to do but it has its rewards.

I went in on July 2 for my SIS, in preparation for my ET on July 30th.  Prior to this, I’d never heard of a SIS.  Saline Infusion Sonogram (SIS), also called a sonohysterography, is a test that looks at the shape of the uterus.  The saline solution is like the dye of HSG test, it acts as a contrast to help the doctor look at the uterus, using ultrasound.  The SIS is similar to the HSG test, I’ve mentioned previously.  Minor cramping can occur.  It took less than 5 minutes.

On the day of my appointment, I forgot about the SIS and I didn’t do my research.  I guess I was distracted with the lay off that I didn’t read up about it.  Maybe that was a good thing, maybe not.  The doctor was behind schedule so I had time to talk with my IVF coordinator.  She reviewed with me the calendar and the medicines I would be starting that evening.  I didn’t have my blood taken just my vitals – blood pressure, pulse, and temperature.  The doctor came in and did the SIS.  He put the speculum in, catheter and then the solution.  I felt a bit of cramping but it was bearable.  The doctor pushed the monitor toward me so I could see.  I saw a little oval.  The doctor took a picture of it and then zoomed in closer for a better view.

With a closer view, I saw bigger oval with a white line through most of it.  Dr. Frattarelli explained that the oval shape was a polyp, which would hinder our embryos from attaching to the lining of the uterus.  Therefore, it needed to be removed surgically…before proceeding any further.  I was absolutely speechless and it felt as though things were going in slow motion.  I was overcome with disbelief and then reality set it.  Yet another postponing of the ET.

When I began this journey I compared it to a roller coaster ride, this was definitely one of those rides.  I cried the whole drive home (about 30 minutes).  It felt like deja vu.  I questioned my pursuit of becoming pregnant.  I felt like there was so much adversity, it was too much to bear.  I felt so sensitive that day, I needed time to myself.  But having too much time to think about things isn’t always helpful either.

That evening, my sister-in-law called inviting us over to play “Dance Central 2” on xbox 360.  I was so emotional I thought it would be better to stay home.  I reluctantly agree to go.  I knew my parents were there and I was apprehensive because I knew the moment I saw any member of my family, I would immediately start crying.  I  wasn’t ready for that, so I thought.  As I made the less than 5 minute drive over, my eyes watered in anticipation.  What was I going to do?

I wiped the tears from my face, took a few deep breaths, told myself it would be ok, and went in.  I was met with so much love and kindness, I was surprised I kept my composure.  I wanted to cry but I felt that was selfish.  I needed to forget myself – my heartache, pain, and sorrow – and enjoy the moment.  In other words, I had to suck it up and leave my personal feelings outside.  It was more than just about me.

I tried my best.  As I’ve reflected on that night, I had such a fun evening with my family.  I don’t think they will ever know how much they helped me that night.  As I made the short drive home, I felt such relief.  I was so proud of myself…I didn’t cry.

I was responsible for contacting my regular OB/GYN to schedule surgery.  I knew the surgery date was not up to me.  I could gage when the surgery might be but I wouldn’t know until I called my OB/GYN.  Dr. Frattarelli requested that I give my OB/GYN a day before calling, that way he had time to send the appropriate notes/information to my OB/GYN.  So, I called my OB/GYN the next day.

Little did I know, I would have to endure a little more…

Next post: My Surgery Date!

FYI: I’m going to be launching another website soon…www.madebykainui.com!  I’m excited!! 🙂


Are You Serious?

Posted on

Where was I?  Oh yes, my next appointment.  I think I may have mentioned this but each time I went in for an appointment, I had blood work.  So, not only was I injecting myself, I was being poked in the arm every few days.

Anyways, getting back to my appointment.  I was still bleeding and I made sure to ask the doctor about the pain I felt over the past few days.  He attributed much of the pain to coming off birth control (having been on it for almost 2 months).  I just went with it, even though I felt like something was wrong.  What were they going to do?

The ultrasound revealed at least 10 follicles growing.  I can’t remember the exact number.  I was quite amazed to see all of that.  The doctor would call out numbers that confused me…I didn’t know what some of the numbers meant.  For example, if the doctor said “one twelve, two tens.”  What he was doing was counting the follicles and measuring them at the same time.  So, one twelve meant that there was one follicle that measured 12mm.  The same for two tens, that meant that there were 2 follicles, 10mm in size.  Make sense?

After the ultrasound, the doctor talked to us about the lining of the uterus.  It wasn’t doing what they want it to do…grow!  At my first appointment the lining of my uterus was thick, that was before I got my period.  At my second appointment the doctor expected me to get my menses.  At this third appointment I was still bleeding and the lining of my uterus was not cooperating.  So, the doctor discussed the option to freeze the embryos after the egg retrieval and transfer them at a later date.  It wasn’t part of the plan, but it made sense.  If the doctor transferred the embryos the probability for pregnancy would pretty much be zero.  The lining of my uterus was not thick enough to support an embryo transfer…they wouldn’t have anything to attach to.  It would be a wasted IVF cycle.  The decision wasn’t finalized, we just had a discussion about it.  We would have to see how the next 1-2 appointments go before deciding.

At the end of this, my third appointment I was given further instructions by my doctor and IVF coordinator.  I was going to start a second injection…Ganirelix.  If you’ve read some of my previous posts, you would have seen a picture of this injection.  It is in a clear glass syringe and pre-filled.  The purpose of this injection is to prevent ovulation.  Oh boy!  Now I had to keep track of both injections!  It’s not that hard, but 2 injections in one night?  Oh dear.  One is already enough.  Having to take 2 would be much more interesting.  Since my follicles were growing it was important that my body not ovulate on it’s own and release and unknown amount of eggs…hence the Ganirelix.

My next appointment (4th) was scheduled 2 days later.

Before I get to that appointment, I want to talk about the Ganirelix injection.  The Ganirelix shot was so sore!  I haven’t figured out why yet.  The box says that it’s the same sized needles as the other injections.  It hurt and caused bruising…not fun.  Since I had the other injection, I did that one first and then the Ganirelix.  I alternated sides, not injecting anything into the same side or near the same injection site.  So, I had to do the same thing…pinch the skin about 1-2 inches to left or right of the naval, alcohol prep it, and then inject.  I took a deep breath between the injections!  The Ganirelix injection needle hurt going in, but injecting the medicine didn’t hurt at all.  That shot was the most painful injection.  I knew that I had a limited supply of the Ganirelix injection, phew!  After that first Ganirelix injection, I wasn’t sure how I was going to make through 3 more!  Yikes!  Luckily, I only did one more Ganirelix shot!  It hurt the second time too!

There was something else going on…the lining of my uterus.  So, despite having to do all the injections, the lining of my uterus was going crazy!  I didn’t know what was going on!  At random, the lining of my uterus would shed…and I needed to be near a bathroom or my clothes would be completely soaked in blood.  I first noticed it at the end of my work day (in between my 3rd & 4th appointments).  I was in a meeting and I felt this surge of blood.  It was weird.  My meeting ended soon after and I went to the bathroom…where a huge chunk of the lining of my uterus came out.  This continued at random for 2 more days…with the same pattern, a surge of blood and then a chunk or more of the the lining of my uterus.  I didn’t know what to do.  I thought it was a side effect of the all the medications.  Since I was scheduled for an appointment the next day, I decided to bring it up then.

So, I did.  At my 4th appointment the doctor confirmed that it was most likely a side effect of the medications.  Just as I suspected.  When the doctor did the ultrasound I couldn’t keep up with the number of follicles, there were just SO many…I gave up counting.  I was reminded to take the injections one last time…one more Ganirelix and one more of the Bravelle and Menopur mixture.  It was at that appointment that the doctor decided we would freeze the embryos on egg retrieval day.  We would instead focus on the follicles.  On top of that, I was scheduled for an appointment…the next day.  That was not on the schedule.  I didn’t expect to have an appointment the next day but I just had to go with it.  Like I’ve mentioned before…flexibility.

I wasn’t too happy about having to postpone the embryo transfer because I knew that meant I would have to wait longer to know whether the IVF cycle was successful or not.  I was frustrated though, only because I had to wait.  I felt as though I’d waited for so long already.  I thought, “You have got to be kidding me!”  There’s really nothing I could do about it.  The follicles and the lining of my uterus were the new focus and priority.

So, that night after my appointment, right at 6:00pm I did my last 2 injections!  Well, not exactly…but close enough.  I knew I still had 1 more injection, the HCG shot.  The Ganirelix still hurt but I was relieved to be done with that.  Up to this point I had done 8 consecutive days of injections, 10 total injections.  The last 2/8 days were 2 injections each.

Ok, the next day I went in for my 5th appointment.  It was a Sunday and due to the time of my appointment, I was unable to attend church.  Just in case you’re wondering, we went after we came back.  Getting to the appointment was little different.  The building where the doctor is located is closed on Sundays.  So, we had to call so they could let us in.  I think it’s more work for the employees because they have to run around everywhere and be available for the next client coming in.  We made it and everything went smoothly.

The ultrasound went well and I still lost count of the number of follicles.  I didn’t care at that point, I knew it would be enough when it came time for the egg retrieval.  We left with more instructions and injections.  The doctor made me a special dosage of HCG and added a second injection of Lupron.  While he made those for me, my IVF coordinator talked to me about the antibiotic (Doxycycline).  My husband and I were given the same instructions to take one pill each that night and the next (2 days total).  It was an antibiotic to prepare us for the egg retrieval.  The doctor gave me the 2 injections with instructions to refrigerate them until it was time to inject them at 9pm.

Here is a picture of the antibiotic Doxycycline (left), and the alcohol prep pad.  I used an alcohol prep pad for each injection.  A little further down you’ll see the last 2 injections.

  

The HCG shot makes you ovulate and it is given at a specific time, 36 hours before the egg retrieval.  Lupron is used to treat endometriosis, which I have.  So, at 9pm that night the shots were injected one at a time.  I have to say, I think the needles were smaller.  I didn’t feel anything.  No pain, nothing!  That was awesome and such a relief after the Ganirelix injections!

Below you will see the 2 injections.  The injection on top is the Lupron and the one on the bottom is the HCG.  They are not labeled so I’m guessing here. But I’m pretty sure I’m right because the one on the bottom is a higher dosage (75 units), exactly what I was prescribed for the HCG injection.  The one on top is a thinner syringe that has 35 units.

The next day I went in again just for blood work.  I also brought in my HCG shot.  Since the doctor made one for me, I still had one at home.  He said I could give them mine, so I did.  That was one less medication to worry about.  The lining of my uterus stopped shedding.  I believe it was the Lupron injection that stopped the random shedding for 3 days.  That was a blessing and very helpful.  We took our antibiotics that night and reviewed the instructions for the egg retrieval.

As promised, here is the video!!  It shows how to mix the injections.  I’m just going to apologize in advance, it’s a long video.  I’m not a professional.  Lol.  I hope you have a better idea of how it’s done.

Thanks for reading and watching! 🙂

Next post:  Egg Retrieval Day