The winner is.....Mini IVF!! I had pretty mixed feelings about both of the different treatment arms, but overall, am really thrilled that this is the route we are going. My primary fears with conventional IVF were the multitude of shots and the amount of drugs that I would be pumping into my system. That said, I also appreciated the long history of success with conventional IVF, and the fact that I would have had a fresh transfer, likely more embryos to freeze, and two transferred. Mini IVF is a different ballgame. While it is relatively new in terms of treatment, the clinic and Dr's I am working with have really pioneered this technology, so I feel that I am in excellent hands.
The appointment:
Last Tuesday I went in to the clinic at 8:00 am to turn over all of my screening results and medical records from my previous clinic. I also had a blood draw, ultrasound and pap. Dr.Z, the RE who has spent his career researching and perfecting Mini IVF, and who is running the study, is the Dr.who completed my exam. He was so friendly and made me feel so comfortable, which put my mind at ease going into the randomization. After all that was done, I went to work and tried to get stuff done for several hours until I was supposed to go back in the afternoon to find out what study arm I would be participating in. Let me tell you - shit wasn't gettin' done. It was a weird situation in which I felt like I was at that stage of drunkenness where I was slap- happy, but sure that serious trouble was right around the corner. Is that just me?
In any case, I went back in the afternoon, and the research coordinator pulled a numbered envelope out of a locked file cabinet, and ceremoniously waved it in the air before slicing it open and pulling out my fate. After learning about my treatment, the research coordinator got me all of my prescriptions for my meds and sent me on my way.
The treatment:
Starting that day, I began birth control pills (which seems hilariously counter-intuitive). I will be taking Generess for 14 days total, and 2 days after my last pill (July 31st), I will go in for another exam and begin Clomid for 14 days, with the addition of 1-3 Follitism injections. Beginning at day 10 of my cycle, I will have daily ultrasounds to monitor my follicles and best determine how to time the egg retrieval. When all looks good, I will use Syranel (nasal spray) to induce ovulation, and then will go in with DH to collect a semen sample, and retrieve the eggs. They said this should be around mid-August. Typically with Mini IVF, there are 5-7 eggs retrieved, but the hypothesis is that they are typically of an excellent quality.(Fingers crossed!)
After the eggs are retrieved the embryologist will use ICSI to fertilize each egg with an individual sperm, and the following day, I should get a call letting me know how many eggs were retrieved, and how many were fertilized. They'll then watch the embryos for 5 days to see how they develop and will freeze them on day 5. After that....I wait. For a whole.stinking.month. Then again, after 32 months, I am pretty sure I can handle it. Once my cycle starts, I'll go in around CD19 for a single embryo transfer. Dr.Z said that he's going to do everything he can to have me pregnant by the end of September!
How I'm Feeling:
Super excited, hopeful and nervous. This 2 week period of taking BCP's is about as exciting as watching paint dry, but it's the first phase of the process, which is amazing. I haven't been on BCP since 2009 so I wasn't really sure what to expect for side effects, but essentially the only one I've experienced so far is that my boobs are tender and somehow, gigantic. I am literally spilling out of my bras and have taken to wearing sports bras as often as possible. DH isn't complaining though, so I'll take it. ;) As a part of the study I have to do a survey every day to note any side effects I am experiencing, and a much longer survey once a week to discuss my physical and emotional condition surrounding treatments. If big tits and feeling like a kid before Christmas is all I have to complain about I think that I am pretty lucky. :)
Sunday, July 21, 2013
Sunday, July 14, 2013
A Visit From The Good-News Fairy
For real, I don't know what to do with good news. It's been such a novelty over the last year! Today I found out that with the IVF clinical study I am participating in, that they will only include one egg retrieval, but up to SIX embryo transfers if the first is not successful. Come again?! I really really hope we don't need it, but dang it feels good to have a little bit of a back up plan!
I am only 2 days away from the appointment in which I find out what study arm we are in, and I am trying really hard, but fairly unsuccessfully to keep myself distracted. I worked all weekend, which normally would irritate me, but in this case, I loved it because I had a solid 2 days in which I had to divert my focus towards other things. Tomorrow I am working from home, and also plan to do as much of the last-minute wrap up before Tuesday's appointment as possible. We are still waiting on the results of my genetic testing as well as both me and my husband's infectious disease blood panels so that I can bring them to the new clinic, and I also have to complete a pre-treatment survey with a research coordinator regarding the stress of infertility and treatments. Stress? What stress??? ::insert maniacal laughter::: Ok, but really.....
And also, this.....
Because come Tuesday, this will be me:
Thursday, July 11, 2013
I'm On a Boat.....
Ahoy Mateys. It's been awhile, but I've been busy doing things.....like this.........
And also, kinda like this........
That's right biatches, I've been sailing, on a boat. As a Pisces, this is essentially a best case scenario. I love the water. But I can't really swim, and I'm too poor to own anything other than a canoe, so if given the chance, you can bet your bottom dollar I will get my ass on a boat. In this case, a Presidential Yacht, no big deal.
Through my work, we were given the opportunity to sail aboard a yacht that served 5 sitting US Presidents, including Truman, Eisenhower, Johnson, and Nixon, but most notably, President Kennedy, who spent a lot of time with his family aboard said yacht. Yet somehow this broad cruised on it as well.....and will again this weekend! Seriously, I do not lead a charmed life, but this is pretty epic.
In any case, all the boating has kept my mind occupied a bit, and conveniently OFF the fact that I am T minus 5 days from finding out which study arm I will be in for my IVF study. Say WHAT? Time flies. In the past couple of weeks, I have been getting my genetic testing done, getting some additional blood work done, transferring my medical records and my husband's medical records, and trying to prepare for this gigantic leap into the wild and crazy world of IVF.
If I am being honest with myself, there is only one thing that is truly terrifying me at this point, and that is intramuscular injections. The thought of jamming a needle into a major muscle group nearly makes me double over in a fit of hyperventilation and/or vomiting. I have not yet come to terms with the fact that this may (neigh, WILL) be my reality. Aside from that however, I am just anxious to get this show on the road.
Aside from being anxious to begin treatments, I am also officially the last man standing. Today I found out that my sister, who has also been struggling with infertility, got her BFP after her second IUI cycle w/injectibles. I am so thrilled for her, as we started trying at nearly the same time, and I know what a long road it's been. With absolutely zero insurance coverage, this was their Hail Mary, so I am very grateful that it worked. Her betas were really high so they aren't even going to re-test, just send her in for an ultrasound in 2 weeks. As a status update, my older sister has an 8 year old son, my youngest sister has a 2 year old son and is pregnant and due in December, and now my middle sister is pregnant and due in March. Me, welp, I'm still barren. I am the only one out of my siblings who swept right through her 20's without getting pregnant and now sits firmly in my 30's still praying for a baby. I am legitimately happy for my sister's BFP, but damn if I'm not selfish enough to wish that I had the same thing going for me.
5 days.
Then I'm on my way......
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