Wednesday, October 21, 2015

Painted picture

This month is infertility and child loss awareness month.  My heart goes out to anyone who is trying to have a baby and has struggled for any length of time.  Whether you have children, or not, it is hard to want a child and not have it come easily or at all.  To those of you still venturing on this "lovely" road...keep on truckin".  For those of you who are wondering what it is like to bare they burden of infertility let me draw you a picture.  
Imagine, first of all, something you want more than anything in the world.  Some days you decide maybe I don't want a baby because the road ahead is so daunting, uncertain and full of mystery.  Still you move forward because there is this glimmer of hope that fertility treatments will work for you.  A glimmer that can often times be clouded over by the fact that nothing else has worked and you feel "broken".  
You visit the doctor and after a few months of tests and maybe some treatments the doctor finally suggests ivf.  You are heartbroken because of the amount of money you will need to find or scrounge up but you still can't imagine letting go of the dream of having your own children.  
Day one of IVF.  You don't realize this now but over the next year or more you will be poked, pinched and given ultrasounds in places you never knew was possible.  Your tummy becomes a pin cushion and covered in bruises.  You get rid of a bruise on your tummy just in time to give it another shot.  At the same time your hormones are not "normal" and you feel on edge a lot of the time.  You don't really feel like it's you inside your own body at times.  BUT...you keep moving forward with that hope.  Then comes the retrieval.  The best part of all of this is when they put you under light sedation to take those beautiful eggs out that you and your body worked so hard to grow.  You wake up and get to deal with the aftermath.  You feel nauseous, tired and sometimes sore.  All worth it...hopefully.  You wait a month or two and then retrieve again.  Then for some you implant and have to go through the 2 week waiting period to know if it was all worth the effort.  For others you get to wait another 2 or more months to start a transfer cycle.  This month consists of more birth control, a full month of shots every night as well as medication to help control EVERYTHING!  You have a million decisions to make during this month.  All of which you make while bouncing back and forth about whether your ready to have kids or if you even WANT them anymore.  Then your moment comes and it's time to transfer that embryo you've chosen and you get to wait 2 more weeks to know if it works or not. If it doesn't, for whatever reason you get to wait a few months just to be lit up with shots once again.  If it does work it is so wonderful and exciting and you STILL get to start injections or suppositories,daily, to help keep that baby safe and comfortable.  Then you get to wait 9 months for that baby to make it out safe.  The whole time you hope you are as sick as a dog with morning sickness just to be reassured that your baby is safe inside thriving.  From conception to birth the worry NEVER goes away...even after that.  
1 in 8 couples will face some sort of infertility. Infertility causes emotions in us women, and men, that we would rather not talk about. Sometimes we don't even understand it. In my experience I have felt CRAZY.   Injecting hundreds of shots into your abdomen, (most of which can cause some strange and unpleasant side effects), taking pills, ultrasounds sometimes once a day for a week...all to help our body do what the doctors need it to do to give you the best chances.  All in the hope of having a baby.  Who wouldn't that push off their rocker just a little bit?  
Understand that no matter where a person is in their own journey it is hard!  I have had to come to realize that infertility is THE trial for a lot of people.  For those who are able to have children easily maybe their trial is having children.  We all need to be patient with one another and more importantly ourselves.  
I know that as we go through these trials of infertility and child loss (or any trial in life.) we can become stronger people.  If we pray for COURAGE to accept His will,  our lives will be filled with peace.  Finding peace in such a tumultuous world is hard.  If we can do it through this trial we can find peace in any trial that is placed before us.  

Sunday, October 4, 2015

My opinion

Doing genetic testing we were able to choose to find out the sex of each individual embryo.  It is crazy and wonderful at the same time.  That being said...it makes the process harder! (at least in my opinion)
In a normal pregnancy you wouldn't find out the sex of your baby until 20 weeks and you had no control over what sex your baby was.  Imagine being able to pick the sex of your baby beforehand!  For some that would be awesome.  Especially if you are trying to family balance.  For others they would say picking the sex of your baby is playing God.  I would say it is a great responsibility to pick the sex of your baby.  It would require a lot of prayer and meditation.  In the end it is still not up to us how many children we have but I would suggest following the peace.  There is no price you can put on the peace you have when you are on a good or right path.  Sometimes it takes us making a hard decision before that peaceful confirmation comes.  Dealing with fertility and child loss there are a lot of ups and downs.  The one thing we can look forward to is feeling that peace surround us when things are hard.  Especially if we follow that peace to begin with.


p.s.  My husband and I have decided to keep our decisions regarding how many embryos we will implant and the sex of the embryo or embryos a secret.  It is our way of keeping people on their toes!  In your journey you can keep people on their toes as much or as little as you want.  Some couples need the support from their families in everything.  Others prefer to keep it between themselves.  Whatever you decide, decide together.  Use this journey to grow together as a couple.  

Transferring process

It has been a while since I last posted.  This last week we were able to start our transfer cycle.  I initially called the nurse and said we're ready to start.  It's cycle day one!  ( I was way nervous.)  The nurse called me back the next evening and told me she was talking with the doctor about starting as he usually has people wait for 2 full cycles and not just 2 periods. (you have a period after they retireve which is not considered a cycle.)  We would have had to wait another month, which isn't bad in the whole scheme of things, but you get pretty antsy to start!  The doctor had me go in for an ultrasound to make sure my ovaries were back to their normal size.  Also just to make sure we were ready to safely start a transfer cycle.  Luckily for us we were ready!  The nurse had me start birth control and sent me a calendar of what our transfer cycle would look like.  I never realized how much went into a transfer cycle!  I thought you had a period, implanted embryos two weeks later and BAM!  You were pregnant...if it worked.  I was wrong! Let me walk you through the process, as I know it, that one goes through in order to implant an embryo.

First you are on birth control for 2 weeks.  (perma-grumpy face for 2 weeks) During the second week you will likely start a shot, lupron and such,  that will essentially put your reproductive organs to "sleep"...at least that is how I see it.  You do these shots at a higher dosage that will decrease a bit and stop once you start progesterone shots or suppositories later...gross .  Anyways.  You stop you birth control after two weeks, have a mini cycle and go in for a suppression ultrasound to make sure there are no cysts on your ovaries as well as a blood draw to check other important hormones.  You will then decrease the amount in your "sleeping" shots  by about half and start taking some form of the hormone Estrodiol (estrogen).  This you will start with a smaller amount that gets bigger as you progress through your cycle.  These steps all happen in the same day.  Four days later you will go in for a blood test to check your estrodiol levels...likely to make sure they are going up and doing what they should be.  After one week on estrodiol you will increase the amount you take from about 1 milligram every 12 hours to 2 mg's three times a day.  On day 11 of your cycle, just shy of one month after starting birth control in the first place, you will go in for your final monitoring or ultrasound to check the lining of your uterus.  If the lining is thick enough you will start your progesterone shots or suppositories and stop your "sleeping" shots completely.  You will continue with your estrodiol and prenatal vitamins.  Less than a week later...5 days in our case, you will implant the embryos.
According to our situation they will defrost the embryos the morning of our implantation date.  If the embryo doesn't survive the defrost they will call to see if we want to defrost another embryo.  The nurses told me for at least 2 weeks you are considered pregnant.  Two weeks after you implantation they do a blood HCG test to make sure the numbers look good and are going up.  They may do a couple blood tests spaced out with a day or two in between as HCG is supposed to double every few days in early pregnancy.  They don't suggest doing a home pregnancy test in the mean time as there are some things they give you that can give you false results.  Such as the HCG trigger shot if you are doing a fresh cycle.  Unfortunately with fertility stuff it doesn't eliminate the two week waiting period.  It does eliminate all the other stuff though!
Don't be afraid to ask the doctor his professional opinion at any time during this process.  He is there to guide you through these decisions.  It is better to ask than to make an expensive mistake because you thought your question was stupid.  Keep in mind they answer a bazillion questions daily.  I can guarantee your question has been asked before.  Once again when making decisions during this time, follow the peace.  If in the end things didn't work out, at least you can say I followed the peace and maybe there is something else out there for us.