Sunday, August 31, 2008

The Transfer

The transfer is complete, the bed rest is over and bathing has resumed - hooray! Everything went very smoothly. We arrived at the hospital on time and all was underway within 30 minutes. I took my ibuprofen and Valium at 10:30 am and drank the required amount of water. We were all surprised when Dr. G showed up before 11, since he's always running late.

C got to suit up in his "Dr. Turner" outfit prior to going back in the surgery room with me. Once we got back there everything happened really fast (too fast for the Valium to kick in). I was situated on the table in the stirrups and the ultrasound was started. Dr. G said he'd be placing 2 embryos in and there were 3 or 4 others they were still watching. The others would be frozen, depending on their outcome, in the next couple of days. He showed us a picture of both embryos to be implanted - they were beautiful!!! Most fabulous little balls of cells I'd ever seen!

C sat up by head on a stool and held my hand the whole time. He was very supportive and encouraging. The procedure felt very similar to a pap smear and we were able to view everything on the large ultrasound screen. The embryos were implanted with what looked like a syringe with a pliable catheter on the end. Once they were placed, we got an ultrasound picture of "The Turner Twins" to take home. I layed in kind of an upside down position for a few minutes in the procedure room, and was then moved back to the regular in vitro patient rooms where I hung up side down for another hour or so.

We left around 12:30 and headed home. C sent me straight to the bed and I remained there for the next 3 days. Occasionally I'd move out to the couch or love seat, but spent probably 90% of my time in our bedroom. Bed rest is soooo hard. I didn't feel sick or tired so it was hard to stay so still. C acted as a warden and kept me in line, I even ate most meals as close to horizontal as possible. He gave me some of my shots while lying down. A couple of times I pleaded to please let me stand up for them as I was afraid my legs would forget how to walk.

The hardest part was definitely the no showering or bathing part. C was super sweet and agreed that he'd stick to Team Turner rules and not shower with me...what a trooper!!! Lets just say that Saturday morning our water bill probably spiked three-fold! It was so nice to be clean again and have clean hair. I was constantly changing clothes during the no bathing period in an effort to try and feel "normal". Bathing is a beautiful thing!

Everything is back to normal now for the most part. There are a few limitations as to what I can do like no heavy lifting, no strenuous exercise, etc. I have been super tired over the past 24 hours or so and have had waves of nausea. Both of those can be side effects from the shots and hormones. I've started estrogen patches on my abdomen that get changed every 3 days and some estrogen pills that dissolve under my tongue 3 times a day. Tonight I'll go the fire station for C to give me my progesterone shot. That one is intramuscular in my hip and isn't one I can do myself. He's the best shot-giver ever!!

I'll go back for blood work on Tuesday morning and we'll continue the estrogen patches, estrogen pills and progesterone shots until its time for the big pregnancy test. That should occur 14 days after the transfer date - so a week from this coming Friday. Until then we just keep praying that "The Turner Twins" have latched on and continue to grow!!!

Wednesday, August 27, 2008

Today is the Day

I don't think Casey or I slept well at all last night. Both of us seem to be filled with excitement and nervousness as we think of how one of the biggest changes in our lives will put in motion today. There's also some fear and wondering about what if this doesn't work? We're both trying to stay as optimistic as possible and place our fears and worry in God's hands, however those occasional "what if" thoughts do creep in.
My stomach feels like total ball of nerves. We'll be leaving the house around 9 am and head to the hospital. I think the part that hits home the most is that just the 2 of us will be leaving, yet I'll come carrying at least 2 more Turners....that's just jaw dropping to me. We're both anxious to hear about the status of embryos and to of course learn how many will be implanted today, too.
I keep thinking of those Johnson & Johnson commercials where they say "a baby changes everything". While we're just starting on our journey, we can already see how true that statement is!

Oh and one last thought before I go bathe for the last time for the next 3 days (yuck!)............Lonnie and Jamie, I talked to Casey last night about Lonnie's suggestions for names. (This was our first conversation about names). Casey really got a big laugh about names Lonnie had chosen: Lonnie and Sergio. His favorite was by far the suggestion for the name Sam!!!! Good times!

I'll be carrying Casey's babies later today.....woo hoo!!!!

Monday, August 25, 2008

The Transfer is Coming

Dr. G's office called today. The transfer of the embryos will take place on Wednesday at 11 am. That means by 11:30 am, it should all be over and I should be knocked up!!! We still won't know Dr. G's recommendation on the number of embryos or the rating of each embryo until right before the procedure.
The progesterone shots are going well. I've had 2 so far and have had no soreness or knotting. C is quite the expert shot giver and takes time rub each injection site for several minutes after the shot is done. I'll be on complete bed rest for Wednesday, Thursday and Friday, so no blog updates until at least Saturday (unless I can convince C to do a posting for me). I'm really looking forward to the next posting when I can officially I'm pregnant. How fun is that?!?!?!?

Saturday, August 23, 2008

Fertilization

We got the call from Dr. G's office to say we had 11 successful fertilizations!! Way more than we were expecting. We are completely over the moon about the outcome of everything so far. Even the nurse said this was a wonderful number to be working with. The fertilized eggs/embryos are doing quite well, so we'll do the transfer on Wednesday. By waiting for Wednesday the eggs have a better chance of reaching the blastocyst stage which means the embryos will be stronger and more stable, and on track to becoming the next Turner! Holy nuts...can you believe it?!?!?

We'll get a call on Tuesday to let us know what time the transfer will be on Wednesday. I don't think we'll know the number of embryos that will be put back in me until the day of the transfer. We are so excited I honestly don't know how to put these feelings into words.

I will be off shots until tomorrow. Then I'll start daily progesterone injections and taking steroids. Blood work will continue every other day until its time to take a pregnancy test. That should be 10-14 days after the transfer. We're so happy and can't wait to see the outcome of the future pregnancy test. We just want one physically and mentally healthy baby - anything more than that will just be gravy!!!

Team Turner is ecstatic!!!!

Friday, August 22, 2008

The Retrieval

The retrieval went well today. We arrived at the hospital at 6 am and everything was underway by 7 am. We were excited to learn we had 15 follicles retrieved. All of the eggs should have been fertilized by now. Its pretty amazing to think that right now our future baby is waiting in a petri dish to be implanted in me next week. I was sore while in recovery but feel pretty good this evening - just tired from the anesthesia.
We should get a phone call tomorrow from the lab to tell us how many eggs were fertilized and if the transfer will take place on Monday or Wednesday. I'm not sure if we'll discuss how many eggs will actually be returned prior to the day of the procedure or not. That is the scary part for us right now.
C and I were discussing how many successful eggs we thought we'd end up with earlier today. My bet was 9, his bet was 4. So we're both anxious to learn more about how today's activities went. We have enjoyed not having to do any shots for the past 2 or 3 days, too. The short break has been nice. We have appreciated all the phone calls and text messages today, too. I'll update again tomorrow once we hear back from the lab....so excited!!!!

Wednesday, August 20, 2008

Woo Hoo Wednesday

Friday will be the big day, or I guess the first big day of several to come. We'll be doing the egg retrieval at 7 am on Friday. My blood work was good and my ultrasound was even better. I just got home from the fire station. C gave me my HCG injection since it was the first IM shot.

Friday afternoon I'll come home and rest, then on Saturday we should get a call to tell us if the embryo transfer will be Monday or Wednesday. That means I will be "knocked up" by this time next week. Who'd a thunk it (as my grandfather would say)?????? And best part....no more shots for a couple days....It really was a woo hoo Wednesday!!!

Tuesday, August 19, 2008

Still Cookin'....

Yep, I'm still making eggs. I had a really good ultrasound today. I have 8 eggs that are considered "mature" and measure over 18 mm. I have at least another 5-7 eggs that should mature to 18 mm overnight. No change to my meds and I have another ultrasound and blood test tomorrow. Hopefully then my hormone levels will be good and we can schedule the harvest for Friday. I know Friday isn't far, but if you think about each egg being about the size of marble and you have have 15-20 of those suckers filling your ovaries, you get a bit uncomfortable. More tomorrow....

Monday, August 18, 2008

Egg-cellent Progress

We had some egg-citing news today. My eggs made tremendous progress over the weekend. Even Dr. Gill's nurse was amazed. I had one 18 mm egg, a lot of 17 mm eggs and quite a few 15 mm eggs. At my last visit, I guess I got confused (not surprising on all these hormones) and thought the eggs were full size at 10-11 mm. False! The preferred range is 18-22 mm so we're really coming along. The nurse took a lot of measurements and had a long print out of all my eggs made.

My next appointment was suppose to be on Wednesday, however she said I'd probably "trigger" tonight or tomorrow night. I'll be going back tomorrow for another ultrasound and more blood work. She estimated we'd be ready to harvest possibly as early as Wednesday, no later than Saturday. Can't wait to see what tomorrow brings!

Saturday, August 16, 2008

Making Eggs

Yep, thats what we've been doing...making eggs. Happy to say all is going very well. I've had several ultrasounds and blood draws done this week and all is good. It was quite exciting to see my eggs for the first time on the ultrasound.

As of the last count I think I had 6 eggs on the right side and 4 eggs on my left side. They are about 6-7 mm in size. Harvesting usually takes place when they reach about 10 or 11 mm. They grow approximately 1 mm per day. At this rate, it looks like next week we could be doing the harvest.

All of my blood results have been good and on track. I haven't had to change any of my medications, so we're continuing with 4 shots a day. Casey is really involved with everything. He rushes home to give me my shots whenever possible. This morning I let him sleep in since my shots are done between 5:30 and 6 am, and he gets to sleep in only one or 2 days a month. I think he was disappointed when I told him I had done them myself. He's been so hands on and caring with everything. He's even tolerating my mood swings quite well.

My shots don't really hurt, however my stomach is pretty bruised up just because of having to do 28 shots per week, (you kinda run out of room - even in my current state of fatness). I think everything on my body is swollen, too. My rings no longer fit and my fingers look and feel like hot dogs, and my toes feel like those nasty, canned Vienna sausages. Everything just feels supersized right now. The nurse told me it was just a side effect of all the hormones and it will more than likely increase, especially once I start to receive my HCG injections.

I am super excited to say I've had no pain - not even with the ultrasounds. I would have never believed I would be pain free during this process. It does feel weird in my stomach, the only way I can describe it is as a coffe perculator. My ovaries just feel bubbly and big - feels like I'm making eggs! My next appointment is Monday morning and the nurse said we'd see a huge difference in the egg development and size, so I can't wait to see how things progress over the weekend. Thanks to everyone for the thoughts and prayers and support. It is very much appreciated.

Saturday, August 9, 2008

Microdose Lupron - Day 1

I started my first round of injections today. I only had to do one shot in the morning and one in the evening.

Casey was such a trooper and got ready for work early so that he could be the one to stick me the first time. He did a great job and there was no pain or blood. Casey has become quiet the mother hen and has decided our kitchen table will be "mission control". All injections are orgainzed by supplies needed, time needed and syringes/needles needed. I believe his process will work quite well.

It felt really good to get that first stick under our belts. I had some plans for the rest of the day with a close friend from work (hi Kia!) today. We went and got hot stone spa pedicures, then ate at Shogun in Conroe. Kia is forever teaching and coaching me on how to improve my poor cooking skills. This evening she prepared a full meal for Casey and I to eat tomorrow. She made steak, rice and gravy, honey pepper greenbeans, banana pudding and the best Kool-Aid concoction I've ever had.

Even with all my "Cooking with Kia" lessons going on, I still managed to complete my second injection all by my self. I was quite proud!!!

Tomorrow Casey will be off for 24 hours and we'll be gearing up for the ususal 4 injections a day. Sure makes the process so much easier when you have such trust and faith in your husband. I know Casey will be so caring, gentle and loving with a teeny, tiny Turner just by the way he handles me.

Boy oh boy, did I get a keeper!!!!

Friday, August 8, 2008

Holy Nuts, I Started!!!

Yep, that's right - I started. Today I unexpectedly started my period and I officially started my invitro cycle. We were more than surprised by all of the events of today.

The morning started off by my mother-in-law texting me to say my meds had arrived at their house. Such a relief. I had been distracted with so much going on at work that I didn't call Dr. G's office to let them know everything had arrived. At lunch with my coworkers (while laughing hysterically) I started my period, and immediately called Dr. G when I realized today was the day!!

The nurse told me to come in ASAP so I could get my ultrasound and blood work done today. I was so excited to call Casey and tell him we were really starting. Theres been so much discussion, planning and anticipation, so to say "we're starting" felt SO GOOD!!!

I was back at work within 30 minutes or so and the drs office called not long after. My blood work looked good, and I start my micro-dose Lupron injections tomorrow morning. The other injections will start Sunday. My next office visit will be early Wednesday morning, this appt will be the start of my every other day ultrasounds and blood draws.

Casey is headed home now - he's picking up my meds from his parents. I can't wait to see him, he was is so excited. Tonight we'll sit down and get everything lined out for the injections to start tomorrow.

I do have to admit I cried like a baby while waiting for the nurse to do my ultrasound today - I just couldn't believe that a process we had talked about for months was really getting underway. What a great Friday afternoon surprise!!!

Can't wait to see my Casey!!!!

Frustration

C and I are very eager to start our IVF cycle...problem is we don't have all the meds just yet. Due to the fantastic benefits my employer provides, invitro is covered by my medical insurance at almost 100%. Getting the pharmacies that specialize in infertility to believe that I have full coverage is another story.

I actually had one pharmacy tell me that I could pay $2,300 for one injection or they could maybe run it through our insurance and see if it was covered. Gee......hard decision: $2300 for just one med or a $30 copay. Even the pharmacist just kinda blew me off when I explained in detail the medication was a fully covered benefit under my medical plan.

We now have half of the meds - just waiting on the actual injections. We have received 6 or 7 bottles of pills, a sharps container, some hormone patches and alcohol preps. The other stuff should be delivered today.

I was quite happy to receive the first delivery so I know I'll be even more pumped to receive the rest. I actually held the box over my head and shook it as I ran down a row of coworkers sitting in their cubicles at work. Thankfully we're a close enough group that most were just as excited as I was. Three of the other women I work were all successful at having babies with the assistance of Dr. Gill. One is even carrying twins (sadly she had triplets, but lost one of the babies recently)!!!

I took my last birth control pill last night and now we'll just be waiting for me to start my period. Once that happens it will be Operation Baby full steam ahead!!!!

Monday, August 4, 2008

The Scan and Eduardo

Today was the appointment for my scan. Not sure why its called that, was really just a vaginal ultrasound to check on my uterus and ovaries. Ummm..... yeah......I think I've already broke the record for number of times the the word "vaginal" has been used in a single blog.

We got good news - everything looks good - no cysts. This means all systems are go!!!! The next minor hurdle is Eduardo....the tropical storm lurking in the Gulf. All of my medications are suppose to be delivered on Wednesday, barring no major incidents due to the nasty weather being predicted.

Once my shots arrive, I'll stop taking the pill and should start my period 3-4 days later. Once I began my cycle, the shots, bloodwork and ultrasound fun will begin.

Its pretty amazing to think there could be a new Turner growing in my belly by the end of the month!!!!

Sunday, August 3, 2008

Testing and Teaching

So we spent last Wednesday being tested and taught. It was overwhelming to say the least. We went into the appointment knowing there would be daily shots along with frequent blood tests and ultrasounds - boy was that an understatement!!!!

I'll have to have a minimum of 4 shots a day. Later on additional shots and pills will be added. Casey will have to take antibiotics, too. We spent well over an hour with the sweetest nurse ever. We focused on learning and absorbing as much information as possible. I became pretty well educated on IVF in preparation for our first cycle, yet it was still soooooo much information. I'm very fortunate to have Casey be in the line of work that he is. Learning to inject myself on on top of keeping all the meds and injections sites straight would be a lot. After my many rounds of Lupron, Casey is comfortable "shooting me up".

Once the injections begin, I'll have to go in for a blood test and vaginal ultrasound (good times!!!!) every other day. This process will also take place over weekends and holidays. We'll know a day and half before the egg harvesting is scheduled. It should be a 20-30 minute procedure done in the hospital under general anesthesia. C will provide his specimen on this day, too. The rest of the day I will just rest at home. Then 3-5 days after the harvesting, we'll return to the hospital for the actual implantation. This procedure only requires a valium and is suppose to be similar to the mild discomfort felt during a PAP smear. Two to four embryos will be returned to my uterus. After the implantation I'll be on strict bedrest for 3 days. I'm only suppose to leave the bed/couch to go to the restroom. Even bathing and showering is strictly prohibited!!!

The injections will continue even after the implanation. Blood tests will also continue. A pregnancy test will be administered approx 2 weeks after the implantation. I really hope we're successful. Dr. Gill was very clear that he felt we only had one shot at this, given my prior gynecological history.

I really feel good about what our future holds. Even if my pain returns due to the injections, I'll do everything I can to continue with our plan. At least this time, I'll know why I'm hurting and that the pain can ultimately lead to a little Casey Adam running around the house.

Oh to hear the pitter patter of little feet.....