IVF

When I first met with my therapist in 2013 (yeah, you read that right - 2013) I vividly remember saying that IVF was not in the cards for Phil and I. It wasn't something that I was morally against, but, just.. no.

Fast forward 5 years.
I had a revelation at our last appointment when she/my therapist said 'Why aren't you doing IVF?'. It was a bold question and I didn't have an answer. Why weren't we? When I quickly answered 'no' in 2013 I had the the luxury of time. I was naive. There was no way that the process of having a baby would take this long. News flash: it is.

When I left, I called Phil and through tears I told him that IVF was our next step. His response; "I'm on board". Sounds simple enough, right? The undying support makes my heart explode.

Over the next few months we talked, thought, weighed our options and got excited about the future. Well, here we are.

We finally had our informational meeting with our clinic of choice last night.

We sat in a room with 10 other couples and learned about the next steps, process, doctors, best practices and yes, the money. It's so overwhelming.

We have appointments to finalize the details in the coming weeks and then the race is on.


There isn't much else to report today but I wanted to give an update. I wanted to let whoever is reading that I'm an open book. This journey isn't just ours, it's everyone who's supported us throughout the years and lead us to this point. The future is so exciting and we're ready.

Now we go..

cycle 10/ month 21

My last post was less than a month ago, which shouldn't be a huge accomplishment. This cycle was a roller coaster of emotions:

Started on August 30 with the normal routine; ultrasound, plan, go. We decided to go with Femara of 5mg for five days and then reevaluation of what was going on.

On September 12, I had my normal ultrasound which showed no growth of follicles and I left the office thinking that we were done again this cycle. I got a phone call from Dr. E later in the afternoon and she suggested we strongly consider IVF since she's having a difficult time making me ovulate. Phil and I have discussed IVF in the past and it's absolutely off the table at the current moment - it's not even up for discussion. This was particularly devastating to me: you can't make me ovulate? this is my only option? what? She made the determination that we were going to go with a 'stair-step'. This means that instead of taking provera and waiting for AF we were going to jump right back into Femara and do another 5 day dose but at 7.5 mg this time. Drugs, ultrasound, repeat.

On September 23, another ultrasound which showed two follicles of measurable size; a 11.5 mm and a 15 mm and good lining! It was time to use the stored HCG (Ovidrel) shot that we've had in the fridge since May! That night, Phil followed the instructions and stabbed me with the needle. The following two days, the 24th and 25th, I had two positive Ovulations tests - that's new!

Then, I (im)patiently waited for October 7 to take a pregnancy test. Negative. Negative. Negative.

Are we bummed? Yes, of course. But, we have a plan that 'worked' and hopefully it will again. This treatment coupled with getting my Prolactin levels figured out could be a winning combination. Fingers crossed, right? Here we go - on to the next one.

september updates

A looong overdue update - sorry I have been MIA lately. Things in our life, outside of baby making, have been pretty cool. We just got home from Tahoe and it was amazingly beautiful and a fun time with good friends. Phil and I both said that it is one the few places that we would really, really love to go back to!

UPDATES:

• We are in the middle of our 10th cycle, cycle day 11 to be exact. I'm at the doc tomorrow morning for an ultrasound that hopefully shows something more than the previous few. This cycle we stuck with the Femara and gave it one more go before we change drugs, dosages or both. This time it made me a little bit more irritable and had a few more headaches but it is much better compared to the Clomid the first round.  If good thoughts and cheers could be spared - we would take some tomorrow morning.

• I met this morning with another specialist - Dr. Chow and Endocrinology of Minneapolis to talk about my prolactin levels and what that means in the scope of getting pregnant. I learned so many things about the pituitary gland and how very important it is in controlling not only prolactin but a multitude of others functions

Growth Hormone (GH):

Thyroid-stimulating hormone (TSH)

Adrenocorticotropic hormone (ACTH)

Beta-endorphin (CRH)

Prolactin

Lutenizing hormone (LH)

Follicle Stimulating hormone (FSH) - this is the big one that could be affected. 

There is a possibility that there is a very small 'tumor' (non-cancerous) on the pituitary gland that would be interrupting the dopamine and would be increasing the prolactin. In order to determine all of these things I had to give mooorreee blood and if that comes back elevated again, we have to do an MRI to determine if it really is the small tumor that is causing the problems. If it is less than 1cm, we move ahead with drugs to increase the dopamine to take over the small mass. If it is greater than 1cm, it would require surgery to remove the mass and move forward with a different plan.

I really liked this doctor and he seemed to think that all roads lead to getting some answers that coupled with the fertility treatments that we’re already doing would result in a pregnancy!

I have been down this road of ‘hope’ before and have thought ‘this is it’ and then we’re still stuck in the same old pattern – so I am optimistic, but not overly so. We still have to wait a week for the results of the blood work before we even decide if there will be an MRI. So, again, if you have any extra well-wishes or cheers, Phil and I would love to take them off your hands!

xo - Amanda

CD1ish

We're back in the saddle - Thursday is my second baseline ultrasound. I am hoping for better results than last time. Fingers, eyes, toes, ears, arms and nose crossed.. everything crossed that we will actually be able to move ahead with our plan.