Monday, March 12, 2012

Cycle 4 FAIL ... Time to Rest

Cycle 4 came to a screeching halt this past Thursday. I already knew we weren't pregnant, but like every infertile, I was holding out hope until AF showed.

To add insult to injury... DD and I were at a marriage conference at a beautiful resort this weekend. I had "my friend" the entire weekend... UGH. AND every single session of the conference, no matter where we sat in the ballroom... I was surrounded by pregnant women.

I'm happy for these women... I really am. I don't know a single thing about their stories. Did they conceive the first month of trying after spending their entire adulthood avoiding pregnancy? Did they struggle with infertility? Were they "surprised" by this pregnancy? Wanted, unwanted, planned, unplanned, 1st baby or 12th?... they all have what I long for. I feel guilty for being jealous of their pregnant state.

Sometimes, I feel unjustified in my hurt over infertility. I did bring 3 beautiful children into this world and I gained 2 more via marriage to Devoted Daddy. I am the Mama to 5 kiddos... I will always be insanely busy... I will never have to make the choice to "live child free"... I fit in during the parenting sessions of the conference... I'm an infertile with a full nest.

And I'm still incredibly sad. I long for a child that I can look at and not see my ex or DD's ex... a child that I can look at and see the reflection of this man I love above all else. This man who is my glorious gift after so many years of destruction and heartbreak. I long for a child that will provide all of our children with a joint sibling... a child that will "close the circle" between His and Hers. I would desire these things even if I didn't absolutely adore children... if I didn't love the feeling of being pregnant (even though I was violently ill every time)... if I didn't believe that children are a blessing...

Devoted Daddy is convinced that we will have a baby together in time... I'm losing hope. I know that God is real... and that He is good. I also know that we live in a fallen world where bad things happen. Maybe God's plan for us is to love the orphans... to foster and adopt children that are unwanted... maybe God's plan is that I need to learn patience and that things don't come in my timing...

Or maybe, we just have the rotten luck of faulty plumbing. I've put my reproductive organs through all kinds of trauma since my first bout of (resolved) infertility.

In other news, I asked to be added to our clinic's embryo adoption program. The wait is long (two years or more) because there are many waiting families and not many embryos available. DD and I know that enlarging our family via embryo adoption would mean that the resulting child(ren) would not be of our DNA, but we would be granting life to a child suspended in time... and we would love that child(ren) with every fiber of our being. The irony is... we can go through a FET with adopted embryos for $3800 whereas a round of IVF would cost us $8850 + $2-3,000 in meds.

On my mind... IVF. It was something I wasn't sure I'd ever seriously consider. BUT, here we are... four failed cycles later. We are resting for at least this cycle, maybe two depending on finances. I've crunched the numbers... we have about $2500 left in insurance benefits and on October 1 our FSA account starts over. We could increase that to the maximum which is $5,000 (annually). This would enable us to have $7500 toward the $8850 cost of IVF in October (two months prior to my dreaded 35th birthday). IF (and it's a big IF) we can save the remaining $1350 and start rounding up the medications... maybe, just maybe... we could give it a go. If round one doesn't work BUT we have embryos remaining, we could wait a couple months and pay $1250 for a FET.

I know without a doubt, that even if we conceived triplets on IVF #1, we'd have to proceed with FET of any remaining embryos at the earliest possible time. I cannot allow the start of life to stay indefinitely suspended in time or be destroyed. We'd have to give every embryo (no matter the quality) a shot at life. Our only other option would be embryo adoption... but I think I'm one of those women that is attached to my eggs and would have a great sense of loss over allowing them to be raised in another family... and if none became children, I'd wonder if they would have had a different outcome if I had chosen to transfer them... Because I'm crazy like that. :-)

I have a prescription here for 10 vials (75iu) of Menopur + 15 clomid pills + 10,000iu of Pregnyl. I can buy the Menopur cheaply via IVFMEDS.com for $187.50, this is about a fourth of the cost of an American pharmacy. My clinic recommends the generic HMG and even gave me the order form, so I am comfortable using it.

However, I have to make a decision... try Menopur + clomid + HCG (in April or May) with IUI and potentially waste another $1500... or wait and save... and pray and hope...

Either way... I'm taking March off. Who knows, maybe we will get lucky on our own. I started the OPK today (First Response Daily), I like that this kit watches (and remembers) my personal levels of LH to detect my surge... since I have a short (and possibly weak) surge this is a good thing. I'm also diligently tracking my BBT, cervix position and CM. By taking March off, I can skip the day 3 ultrasound at my clinic and shave $470 off the next cycle. My RE only requires baselines in back to back medicated cycles.

Our next cycle will consist of a call on CD1 to let them know my new cycle started... clomid days 3-7, Menopur (if we decide to use it) CD7-12+, a monitoring scan on CD12 followed by a trigger (if my eggs are ready to go). Technically, this could be a tad cheaper than my previous cycles because of skipping the baseline scan... but if my scan on CD12 reveals follicles that aren't ready to trigger, I could end up with another scan (or two) before we can trigger.

Honestly, if money weren't a factor right now... I'd be forging ahead into the next cycle as we speak.

Monday, March 5, 2012

POAS Obsession...

I'm pretty sure every infertile has it (and plenty of those without IF issues)... I really tried to be more patient this cycle...

But I caved... I tested at 10dpIUI and got a negative... 12dpIUI negative again.

I know there is a good chance that I ovulated those three eggs between CD13 & 15 (IUI was on CD13, trigger CD12 AM), so my brain understands that this may have been too early to test... but the practical side of me is assuming I'm not knocked up and planning what comes next.

What I learned today...

Our Medical FSA will be exhausted after we pay for our current cycle until October 1 (new plan year). We have approximately $1500 left of insurance coverage for IF (paid at 50%). I called the clinic to get a coded list of all the billings since this journey started AND I called the insurance company to get a detailed list of EOB's since January 1, 2011. This way, I can compare all the IF payments and make sure we don't lose out on any benefits due to improper coding.

What else I learned today... One cycle of IVF is $8850 + meds ($2-$4K). A frozen embryo transfer (FET) is $1250.

In hindsight... I could have jumped in with one shot at IVF... between our insurance coverage and what we've spent so far, we could have funded ONE IVF cycle... If only we could know these things in advance... at my age, in my health, with my stats... I'm an "excellent" outcome for IVF so the chance of one shot working is high. At this point, we just can't afford it. Maybe, if we save our kiesters off we could afford a cycle in a year. However, by the end of 2012, I will be 35 and my success rate will drop dramatically.

I just don't see it ever being an option for us... neither is private adoption because the cost is insurmountable in our current situation. We have other things that all our extra money MUST go to in the next 12 months in order to avoid selling our home when the co-owners want bought out (looooong story) early next year.

If I had the option, I would increase my work load to net as much income as I could in the next several months... however, I'm regulated by the state and can't increase my load. Since DD is a teacher, his salary is capped (not to mention the pay cuts he's taken each of the last three years). So, barring a miracle this may be the end of the road for us.

I know that technically we aren't out until AF shows up (this weekend... while we are at a much needed weekend retreat).

Symptom wise, here's where I'm at:
Skin breakout, HOLY CRIPES. My chin is a cystic volcano mess. Ouch.
Heartburn (constant)
Slight cramps here and there (since 3 or 4dpIUI)
Sore breasts
Bloating
Lots of watery and creamy CM
Sensitivity to smells
Not emotional (this is very odd considering the hormonal drug induced rage I normally have at this point in my cycle).
Craving LEMON, this has never happened before. It's been unbearable for the last 3 days. I bought a giant bag of lemons at Costco...

Barring the negative pee sticks on 10 and 12 dpIUI, I'd swear this lady was knocked up... given those tests I'm thinking this is all drug induced (and perhaps related to high progesterone from 3 follicles forming CL cysts).

Tuesday, February 28, 2012

Early Pregnancy Symptoms or Over Active Brain?

5dpo- vague lower abdominal cramping (like I normally get 2-3 days before AF), DD mentions a different taste and smell "down there", lots of milky CM.

6dpo- vague cramping continues, temp dip, lots of milky CM, increased sex drive (like during the fertile/ovulation phase). Tested out HCG trigger- negative.

7dpo- vague cramping continues, some left side twinges (CL?), lower backache, skin break out, peeing like crazy, good temp rise after yesterdays dip, still a wet feeling but less noticeable CM.

I can technically test in 7 days at 14 days past IUI... but part of me wants to wait until 17 days past since that was the length of my LP last cycle... With my first baby I tested at 18dpo... after 18 sustained high temps because I was young and when my RE said "if your temp is up for 18 days you are probably pregnant", so I didn't even consider testing before then. My 2nd baby was a bit unexpected as I'd not had a postpartum AF yet, so I was 6 weeks in (and extremely smell sensitive) before I tested. Baby number 3 I tested on the day AF was due and got a faint positive.

I'm trying to hold out. :-) I know anything before 10dpo is silly to test. My brain tells me to wait until at least 14dpo and my not wanting to be crushed says wait until 17dpo if temp is still up then test...

Monday, February 20, 2012

Things Crazy Infertiles Do...

When DD and I married, we figured a baby would be soon to follow. I'm not sure why I was that naive... I knew from previous experience (12 medicated fertility cycles) with baby girl #1 that I don't make babies easily. Perhaps the 12 years in between dulled my memory. Baby girl #2 followed on the heels of her slow in arriving sister with conception from my first post baby ovulation (11 months old, still breastfeeding) and then refused to move out despite her ginormous size and obvious lack of space. Baby girl #3 required 6 cycles of medicated fertility cycles following 6 months non medicated TTC after a spontaneous pregnancy and early miscarriage (chemical pregnancy).

Since my baby is now 7 years and 1 month old, we can count my last conception to 7 years and 10 months ago.

And, grown up me thought this time would be a walk in the park.

As soon as the ink dried on our marriage certificate, I began purchasing maternity clothes (used)... I justified that I couldn't pass up the great prices and surely I'd be pregnant any day now.

Then I started buying my cloth diaper system. I was convinced that I wanted Flip diapers and decided I'd accumulate my stash by the time the baby arrived without feeling any financial pain (1 or 2 a month and we would be good to go). Jenny over at What the Blog? has made me ponder multiples and a simple diaper strategy vs one size Flips...

One day I happened to be in the cute little baby boutique and consignment shop and came across a fabulous PPB nappy bag. It was $50 (retail $200). So, of course, I was obligated to snatch it up!

I may or not have purchased numerous cute bodysuits and a certain black and hot pink rockstar tutu... and maybe a couple of cute dress shoe/booties from a certain daily deal site.

There is also the possibility that I have a card stashed away to help share the exciting news with DD...

A few months back, I gave away most of my maternity clothes stash to DD's co-teacher (who has since already delivered that baby). My thinking was that it might help my mojo to divest my closet of big bellied clothing.

Then a short while later, a friend had a darling little angel girl and I stuffed a goodie bag with several of the darling bodysuits, tutu, and shoes.

I still have my diapers stashed away (and growing)... and a few other odds and ends.

I can't stay out of baby stores... possibly because I run an in home childcare and always need something for the littles I care for... possibly because I love babies... possibly because it's become an obsession...

Today I discovered I have three happy, fat eggs waiting to pop and do the happy dance with DD's sperm... what do I do? I start reading triplet blogs. The last cycle that I had 3 happy, fat eggs (of which none turned into a baby), I was researching triplet strollers and insurance. (I did find out that in the state of CA you can buy AFLAC insurance AFTER you are pregnant...and you don't have to live there to do that... good news for those carrying more than one baby.)

My brain knows that the likelihood that one egg will meet up with sperm is lowish... the likelihood that all three will... well, that's almost ridiculous given our history. Don't get me wrong, the prospect of triplets scares the bejeebers out of me, but it's also slightly exciting... maybe it's something only infertiles understand... 3 babies is certainly better than 0.

I'm ridiculous... I know. This cycle will probably end like the others... without a healthy pregnancy. But I can't help being a bit optimistic.

It's a GO

Today is CD12. Scan revealed 3 nice follicles. There is a 27mm biggie on the right and two on the left at 18 & 21mm. We came home and DD gave me the trigger shot. I think the shot stings a bit* but is really no big deal... (keep in mind, I'm one of the tough girls... high pain threshold).

Dr. Awesome asked me before the scan which ovary I thought was going... I said, both... my right and left have both been giving me pain but that yesterday my left out stepped my right a bit on the tenderness scale. After looking, he said "you sure know your ovaries".

He then went on to joke about triplets. How it'd be a walk in the park with all my other help at home... I could just lounge in my silk bed and let the older kids hold babies and bring them to me for nursing rotation. :-) I then added in how my body likes to keep my babies in forever so they'd come out nice and big... Dr. A said, yep 9 pounders around! Haha... as if.

I'm not too worried about getting triplets although I know there's a chance... but I've had 3 follicles before and didn't get even one to fertilize.

This is it... I'm feeling good. I feel really positive about this cycle. I know that in a couple days the HCG will kick in and I'll start to feel pregnant and my emotions will be all over the place, but for today, I feel positive. 1, 2, or 3... we will be thrilled and deal with whatever. DD may have a stroke, but we will get through. :-)

IUI at 9:45 AM tomorrow, 2/21/12. Praying like a mad woman! (BTW, we've been good at spacing BD so that we have a good swimmer count... BD on CD10, IUI on CD13, then BD at will).

*DD just disclosed to me that the reason my belly fat is feeling a bit stingy and bruised is because he {oops} pulled the syringe out at an angle and it kind of popped out... think needle dragging sideways instead of going straight in and out. Hmmmm... that explains the discomfort. Praying we don't have to get better at giving shots.

Keep in mind, this is the man that was worried about stabbing my intestines "or something"... my snorted response was "have you seen my belly fat?". It's just a little bruise people. Nothing to get excited about.

Oh, and the gas has started. Is it just me... right before ovulation I get GASSY. Not stinky like... just a lot of bloat and pressure and gas like a tire leak... I'm just saying...

Wednesday, February 15, 2012

Cycle 4 Marches On... Hormones & Moods

Today is CD7 and I took my last dose of Clomid (150mg) today. My Pregnyl will arrive Friday. Monday (CD12), we go back to the clinic for a scan which will decide whether we trigger that day or wait a bit longer.

I've been a hormonal, emotional mess... it seems to get worse with each cycle (build up of medications?) and with the addition of HCG last cycle. I'm weepy... for the last week or so of my cycle I couldn't have a rational conversation... everything was overwhelming.

Anyway... time marches on... funds are dwindling. I'm pretty sure this is our last cycle for a while. I'll know more once the cycle is finished and I can look at the remaining funds. Either way, we will be taking a treatment break soon while we regroup and save. I feel like October will be the earliest we could tackle a fertility cycle again.

I'm really feeling the call to foster parenting. DD isn't convinced yet... but I think we may start tackling certification soon. Perhaps, my love for children is the very reason we haven't conceived... perhaps, God's plan is for us to love the orphans. I'm good with that.

Thursday, February 9, 2012

Cycle 4 Begins

Today is CD1... the start of our next cycle. We are going with the same routine as last cycle... baseline scan on CD3, clomid CD3-7, monitoring scan on CD12, Pregnyl 10,000 trigger injection when follicles are big and happy, followed by IUI 24 hours later.

The good news... we took in Devoted Daddy's swimmers for a check up on Monday, everything looks spiffy and we are good to go for this cycle... we just know that the 3 day abstinence is a MUST.

I'm still going for weekly acupuncture... I feel like I am getting more relaxed during treatment... almost like a heaviness over me, but I'm still semi-aware. Today, I didn't open my eyes at all during the treatment but I do remember sounds around me. It was a nice feeling.

I must say... the HCG trigger gave me some interesting PMS symptoms. My new cycle started 18 days post trigger (17 days post O)... so, my LP was longer than normal (could this be due to the higher progesterone with multiple follicles?). My ability to cope was limited the last few days to week... it's just not a good time to have a serious conversation with me. My sense of smell was heightened to an almost ridiculous level. I was tired... all the time.

I tested out the HCG shot on CD4 and CD5 with a digital test (I had freebies from my ovulation packs here). CD4 proclaimed "pregnant" (when I knew otherwise, evil device!)... CD5 was correct with "not pregnant". I tested again at CD11 and CD12 with First Response Early Tests... just in case we managed a miracle despite our low swimmer count... they were both negative, of course. When my LP reached 16 days, I was hopeful that I was in for a late positive... but my temp had dropped so I knew better.

Part of me wants to go on fertility vacation... quit worrying about it for a while. The practical part of me knows that I'm much to OCD and would still stalk my chart and obsess over the possibility... so it wouldn't be a break... it would just be no assistance.

That said... I'm surrounded by pregnant women lately. What's up with that??? Torture or signs of things to come... or just plain dumb luck...