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Friday, February 15, 2008
40 days and 40 nights
TCOYF Chart
Today is officially CD 1. We can begin a new cycle!
I've been having a great internal debate about what to do this cycle. Do we try on our own with an unmedicated cyle or should I push for Femara?
I'm having all the bad side effects from Clomid. My CM is hostile which forces us to do IUI instead of the much cheaper timed intercourse. I ovulated early the second cycle of Clomid and had a thin uterine lining on CD 11. And I'm experience ovarian disfunction by the way of 9 monster ovarian cysts.
Add those side effects to the fact that we're having trouble taking off so much work for the monitoring and IUI appointments, and I think we have a good case to switch to Femara.
Femara doesn't cause hostile CM or thining of the uterine lining. Hopefully I won't get the cysts either. With Femara, we shouldn't need IUI so that will save us time and money!
Reasons for TTC unmedicated this cycle:
We have a funeral to attend for a cousin that was like a brother to my husband. Chris is understandably off his game from Al's unexpected death. He doesn't need any additional stress right now.
This would give the acupuncture time to work.
I wouldn't have to worry about days off for doctor's appointments.
I could get back my diet in earnest.
Waiting could mean that the next medicated cycle might be when I have a less stressful job that doesn't require travel.
Reasons to TTC with Femara this cycle:
I'm losing approx 10,000 eggs a cycle with an already suspect ovarian reserve.
My EDD for the previous m/c and the chances for a 2008 baby are flying by.
I'm tired of TTC with ill timed procdures and only getting cysts.
Maybe they would let us just have Timed Intercourse instead of IUI.
I wanted a baby 4 years ago. I really, really wanted a baby when we started TTC a year ago. I really, really, really wanted a baby on my EDD of 1/28/08. And I really, really, really, really want a baby NOW! (Yeah, minor tantrum. Sorry)
I think the reasons to wait, out weigh the reasons to push for Femara this cycle. The big reason is Christopher's grieving for his cousin. He doesn't need the extra pressure to perform for the sake of a medicated cycle. This will give us both some breathing room free of tests and procedures.
We'll probably just try on our own this cycle. That's probably best. Right? I'm so torn.
I scheduled the baseline u/s for Monday. Hopefully I don't have any more left over cysts. I'm feeling a little crampy so it's entirely possible that some are still there. We'll have to make the decision to TTC on our own or go on a medicine to suppress my ovary function again. I know which way I'm voting! I'll also pitch my idea of switching to Femara for the next cycle. Wish me luck. :)
Friday, February 8, 2008
I'm so sad.
The first cycle, the IUI was ill timed because of the PCT.
Second cycle I ovulated way early and we only had sex on the day of ovulation.
And then the third cycle, I had the 9 cysts and was on a medicine that was supposed to suppress ovulation and bring on a period. Well my stupid body, decides to disobey doctor's orders and ovulate on CD 30! So now we didn't have well timed intercourse because I was bleeding from the progestin and my egg quality probably sucks from it being so late in my cycle.
I'm not very hopeful that I could be pregnant with the late ovulation and the fact that we only had sex on Monday and Tuesday.
There's always the chance though. And technically my ovaries were suppressed for 21 days. I know the follicle didn't grow until last week because of the two u/s. Stupid body couldn't just sit out the cycle like the doctor wanted, had to bust a move to ovulate.
I just spent way too much time playing with TCOYF and FF. Neither one wants to give me cross hairs no matter what info I took out or put in. I tried taking out the spotting since it was caused by the progestin and it still wasn't happy. I think the long cycle just blows their mind.
TCOYF Chart
Fertility Friend
TCOYF is setting my coverline super high for some reason. I see 3-4 good high temps. I really dislike it right now but I have a feeling it's correct. When I first entered in my info, it forecasted my period to start today. Well, I'm spotting bright red and have achy ovaries. Maybe the progestin withdraw finally kicked in. I don't know what I changed but now it's forecasting my period for Tuesday.
But the more I sit here, the more it feels like I'm having AF cramps.
Please dear God, give me a normal cycle. Without cysts would be a nice bonus.
I'm close to asking about trying Femara instead of Clomid. Wonder if we could do TI instead of IUI because the CM isn't supposed to be affected. That would help with my days off work for monitoring.
Most days I just want to cry. Oh, hell. I might as well cry. Maybe I'll feel better
Friday, February 1, 2008
This isn't working
The first cycle the IUI was 48 hours post trigger because we did a Post Coital Test at 24 hours. Awful timing. A single IUI should be at 36 hours post trigger shot. So not much chance of that one working from the get go after the failed PCT.
The second Clomid cycle it looks like I ovulated on CD 10 based on when my period started. I didn't start using OPK that cycle until after my u/s on CD 11. My nurse had assured me that it wasn't neccessary. Of course I kicked myself for not starting it sooner. We didn't even have sex until CD 10 that cycle. My lining was thin on CD 11 so there probably wasn't a chance even if we'd had timed intercourse before. Then I ended up with 9 cysts on my ovaries which required us to take a break cycle. After enduring the progestin hell, I'm taking stock of our situation.
So, the two medicated cycles have been a big bust. That's three wasted cycles.
We TTC on our own, for three unmedicated cycles and got pregnant twice. And miscarried twice of course.
So the score is:
Medicated cycles: 0-3
Unmedicated cycles: 2-3
Hmmm? Yeah. It's like that.
We both work for the same company and I feel like we've burned up some of their good graces by all the days we've already asked off for testing and procedures. We travel for work and a doctor appointment requires a complete day off.
There's been 5 firings in the past two days so I'm afraid to push our luck and jeopardize our jobs right now by asking for 2-3 days off for monitoring and IUI. Since they want to start doing follicle checks on CD 8 because of my early ovulation on Clomid, it might take two appointments before I could trigger. Then a third day would be required for the IUI. It's just getting too stressful right now.
I'm leaning towards taking a cycle or two off to TTC on our own without Clomid or IUI. There's no medical reason that we can't. It's only my age and thus questionable eggs that are bad quality which could be the reason for the miscarriages. But my hormones and his sperm are all normal.
TTC on our own with just the CBEFM and some Presed will reduce the stress level by 90%. It will also give me time to allow the accupunture to work. I have my first appointment on Monday!
Then we can do another cycle or two of Clomid/IUI before starting injectibles. That would be around May. We plan to stop traveling in May. I may have a different job by then.
Before we do injects, I would need to be home any way because the monitoring is a lot more often. I think you almost have to go every other day as they change your injectible dosage.
So we're going back to basics. I would be thrilled to death if I got pregnant again with a sticky baby. Of course the second I get pregnant again, I'll be scared to death. But I'd rather be pregnant and scared than unpregnant without hope.
I have a baseline u/s on Monday. I'm going to spring our plan on my nurse and see what she has to say.
Wednesday, December 26, 2007
Some rumblings are a good sign
But I'm starting to get some ovary cramps so hopefully it's show time soon. Please, Lord! Please!
I have to admit that I peed through 7 digital OPK in four days. Bad, bad, crazy lady.
I'm really not sure how I managed to do that, but the bag that I keep them was empty. Maybe the elves took them?
Ok, so I'm a nervous wreck right now since the IUI was canceled. I'm afraid to trust my CBEFM since sometimes you can miss your peak while on Clomid. I went to the store and bought two, yes TWO more boxes of the CBE digitals. Those of you in the know, understand what an expensive purchase that was.
Did I mention that I'm being crazy? Like a loon? I will gladly donate the other box if I get a BFP this cycle.
Oh, and happy birthday to me. I'm officially 37. Although all my doctors having been calling me that all year. Geesh. "For a 37 year old..." and "Since you are 37..." GTF out.
Apparently there's something in the internet ether. 3 out of 4 of my close internet friends are pregnant. And the fourth is starting Clomid if this cycle isn't successful. I'm sure she'll be next!
I'm praying for those ladies with BFP.
GL to everyone reading. May 2008 be a better year for everyone.
Monday, December 24, 2007
Black Hole On Christmas Eve
My left ovary has a cyst that is too big for me to continue with a medicated cycle. It measures 34.6 mm. At 35 mm, I risk ovary torsion if I trigger with the Ovidrel. If you're too lazy to click, it's a serious complication that would require emergency surgery or risk losing the ovary.
The black hole monster follicle is too big and likely overmature at this point even if it still has an egg in it.
My other follicles aren't so great. I have one that maybe be mature in a few days.
So no Ovidrel to trigger ovulation and no inseminations.
Right:
13.4 mm
8.5 mm
10.3
Left:
34.6 Black Hole
19.0 Hopeful follicle to mature
12.1
Endo: 6.73 not very thick yet but I'm only on CD 11. I think it has time.
We are allowed to still TTC this cycle but no medications. No Ovidrel and no progesterone support. I'm to check for an LH surge and hope it comes in the next few days. If it doesn't happen soon that this cycle may be a complete bust. After I get an LH surge, then I'm supposed to schedule a progesterone blood draw.
We've gotten pregnant on our own 2 out of 3 cycles we TTC. So there's definitely a chance for us to be successful.
The nurse was nice. She said that IF my period started, I'll come back for another ultrasound. That was nice that she didn't say when your period starts. Every little bit of hope helps.
If the cysts are still there, then I'll go on a form of BCP to quieten my ovaries. I'm not looking forward to that. I don't have good experience with BCP helping cysts go away. In 2006, I spent close to 8 months monitoring cysts while on BCP. It took that long for them to go away. I feel like I don't have 8 months to waste now!
I'm ready to have a pity party instead of a Christmas or a birthday party. But the show must go on. At least we "celebrated" my birthday yesterday so we were able to enjoy that without any shadows over it. But it still sucks.
And my husband is secretly releaved. He was dreading doing the IUI business. Men!
Monday, December 10, 2007
"You do testes?"
Imagine in a thick Spanish accent: She says, "You do testes at home?"
I say, "WHAT?" Meanwhile I'm thinking my DH would enjoy this conversation.
"You do testes already?" She repeats it again and I get that she is saying tests as in pregnancy tests. LMAO! My ear does not "hear" Spanglish very good. Too much of my life was spent in Ohio.
ME: "Yes, I got a negative this morning."
Nurse: "We have a lot of women get pregnant on the second cycle."
ME: Thinking this, not saying it out loud because she's getting ready to stick me. "Well if I'd known that, I could have only paid $32 for the Clomid. Taken it and called it done. Next cycle, please. I could have skipped paying $566 for monitoring and the IUI. This whole month would have been a lot cheaper, easier, and less painful."
I talked to another nurse, Tania, about the irritation from the progesterone suppositories. She said it's not a yeast infection and that Aquaphor from Eucerin is the best soothing treatment. I bought a huge container of it at Walmart today. I'm ready to take a bath in that stuff!
I'll have my test result after 3 pm today. But it pretty much has to be negative unless it's another pregnancy gone bad. There's no doubt when I ovulated.
3:09 PM and the results: Negative
Sunday, December 2, 2007
Are my ovaries the size of softballs?
This must be payback since I had none of my normal ovulation cramping when I was supposed to be ovulating from the trigger.
This cramping stuff started after my IUI and reached a crescendo today. I've got typical cramps in my ovary areas and now this pinching in the center started. I have no illusions that the center pain isn't related to my ovary size. I've had pretty massive cysts before and the pain didn't confine itself to just my little old ovary. There's only so much room in there after all.
This can be totally normal after ovulation so I'm not currently freaking out. It's just that all that constant rumbling makes it difficult to put all this suspense of the 2WW out of my mind.
I just hope it means there's some healthy CL cysts in there and not really softballs.
Overall I'm doing well. The germ factory (aka my husband) has finally sent a shipment of his finest product my way. I started with a sore throat in early morning that I kept trying to play off as allergies or the air conditioning bothering me. By evening time, I know I have his cold. No doubt about it.
Why would should any 2WW be uneventful?
I have some hope for a success but I think it's realistic hope tempered by the sperm count. At least we know my ovaries can respond well to the Clomid.
Take that Dr Creepy Skulker.
Tuesday, November 27, 2007
IUI...no one came to the party
Post wash number of sperm inseminated: 3.8 MIL with 90 % motility.
Forward progression 2+
They like to see 10 million post wash. I know it's better than nothing, but crap. Not what I wanted to see. I wanted to cry on the table but kept my tears inside. The nurse tried to make it sound better by saying the 90% motility was great. Well there's not very damn many of them. And the forward progression isn't awesome. It's close/within normal range. 2.5 FP would have been better. I guess this was in between 2.0-2.5.
And the IUI hurt like a MFer. It hurt more than any other procedure that I ever had. More than the SHG, HSG, Uterus lining biopsy, copo with biopsy. She asked me if it was hurting really bad and I couldn't speak. I could only breathe.
Prior to the IUI, the nurse asked me to empty my bladder. I read on T-TTC that a full bladder can make it less painful to put the catheter through the cervix. Next time I'm not going to pee!
And yeah, I'm pretty sure there's going to be a next time.
And next cycle I want Chris to do another Semen Analysis prior to the Clomid and IUI. I want to make sure his levels are back up before we try this stunt again.
Also I want to make sure he doesn't have an infection and a lot of white blood cells in the semen.
A fever could impact sperm for up to 3 months since it damages the immature sperm in the testes too. Sperm take 3 months to mature. So in 3 months there will be a fresh crop of sperm that weren't exposed to the fever.
There's so sense wasting our time off and money. This is too expensive OOP on top of us both losing complete days of work with no pay.
What a fricking time to get a cold. Chris ever the tough guy, had refused to take the Tylenol Cold medicine. It could have helped with the damn fever on Sunday. Maybe it would have broke sooner.
Post IUI, I'm still a little crampy and bloated. I was bloated feeling prior though so it may just be my ovaries all out of joint from working so hard.
I feel like those four potential eggs are all lonely right now. No one came to the party. Crap. Now I'm crying. :(
Monday, November 26, 2007
Hopefully I killed his sperm
I had the Post Coital today. My RE used a catheter and syringe to pull out a sample of my CM from inside my cervix. She was disappointed in the amount of CM and she had trouble getting the sample. I had a small amount of EWCM on Saturday but none yesterday or today.
I killed all of Chris' sperm. There was only one alive and still swimming. Well hopefully I killed his sperm. If not then the fever did him in.
There was one other alive sperm, but it was not swimming right. She said the pass or fail is 5 alive and swimming sperm in the field of study under the microscope. She said there were a lot of sperm, just all dead. She thinks it's the Clomid that made me hostile to the sperm. To get around this Clomid side effect we are doing the IUI tomorrow. I asked her if the fever Chris had could cause sperm count problems and she agreed that it could. Lousy timing, she said. Yeah, real lousy and costing us a lot with time off work plus the cost of the IUI.
My RE said we'll know tomorrow when they do the sample. If there's a lot of dead sperm or a low count, then the fever is affecting it. If tomorrow's sperm count is bad, we won't have much of a chance. The IUI is all or nothing.