Category: iui

appointed time · iui · pregnancy

On BFPs, betas, and baby bug(s)

isabelrn4 Comments

The test was positive!!

I was going to wait the full two weeks. I really was. But then it got to day 10 and I just couldn’t take it anymore. So I tested. In the evening. Just to get it over with.

And there was a line.

It was faint; but not as faint as I’d have expected the trigger to be at that point given what it looked like when I tested it out before. It was also a darker line than my last first positive at 12 dpo back in February.

And then the next day the line was still there. And still there (yes I tested several times).

And it was still there on day 12, and day 13…and lines continued to darken.

Two weeks after the IUI, my cheap test and a First Response both showed very clear positives. I called the clinic; they had me get my first lab draw.

First beta results at 14 dpIUI: 525

Second beta results today at 16 dpIUI: 1203.

Our ultrasound is scheduled for Wednesday November 6th.

I am excited, grateful…and absolutely terrified of another loss. I know there’s nothing I can do to prevent that from happening if it’s going to…but it’s so hard to be both so unconditionally in love with this little bug (or two lol) and yet to know from experience that it could be so very temporary.

But if this is it; if this is the one that we get to meet…I don’t want to look back on his or her early weeks and only remember being anxious and scared. So I’m trying to just take it one day at a time and be grateful for each day that it looks like things are going the way they are supposed to.

appointed time · baby dancing · iui · trying to conceive

IUI #4

isabelrn2 Comments

So IUI #3 didn’t work. I really didn’t expect it to between the one egg and husband and I having a fight that evening (and not BD’ing per MD’s instructions); but it still sucked seeing that negative pregnancy test. And then my period was 3 days late again; so it only prolonged the disappointment as each day without AF made me a sliver hopeful that I’d just tested too early. I hadn’t.

We jumped right back in to round 4; I figured if we waited a cycle we’d be starting to get closer to the holidays and wasn’t sure that was a good plan.

Doctor put me on follistim this time. Yowza, that price tag hurt. Going from $17.50 clomid per cycle to $924 for 900 IU of follistim was not enjoyable. Thankfully the medication itself wasn’t too bad; stung a little with injections but minimal (to no?) side effects. And it stimulated a huge follicle on the right with another coming along nicely behind it. Nothing on the left; odd since last month it was the right ovary with the follice…I thought they alternated.

Had the IUI this morning. For some reason, husband’s sperm count was *way* lower this time; doctor estimated between 2-3 million motile sperm in the sample. We were at 10 million(ish) last time. He hasn’t had any significant life changes in the last month, so I don’t know what’s going on.

When I texted him to update him (he’d already left the clinic to head to work); he sent back a simple “Judges 7:2 my love.” I looked it up…

“The Lord said to Gideon, “You have too many men. I cannot deliver Midian into their hands, or Israel would boast against me, ‘My own strength has saved me.’ ”

So here’s hoping that our tiny army of 2-3 million sperm is just what God plans to use to make our baby so that we can tell him/her and the world that it was nothing we did.

Here’s to another two week wait.

family · hope chest · how to · Infertility · iui · trying to conceive

IUIs and hope chests

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I’ve been busy with moving and settling in to our new home; and I started an Instagram account to document our infertility journey (@baby_hope_chest) so that’s been more my focus than this blog…but here’s a quick update.

We had our third IUI on Tuesday; I only produced one follicle in response to the clomid this time around so I’m not feeling quite as hopeful (given that #2 failed and there’s one less egg) but I guess it’s better to keep my expectations low so I’m not as disappointed if it didn’t work. My doctor said if this round doesn’t work, we can continue with IUIs but she will switch me to injectable meds since I seem to be developing resistance to the clomid.

I’ve been eating a thick slice of pineapple every morning since Tuesday; and I didn’t stop taking the estrogen this time. So maybe. Obviously none of that will help the egg actually get fertilized/develop; but if it does I want the lining thick enough to support it.

I started my hope chest. It’s really been so helpful; my mom was afraid it would be more harmful but it really is keeping my focus more on what I hope to have (and waiting well) than on what I don’t have right now. Plus the idea of having things purchased/made for our baby before he/she even exists is just really neat.

I purchased three items for the three failed cycles since the miscarriage; newborn onesies, matching socks, and a set of swaddles. I also put several of my stuffed animals in there and books I remember from when I was really little. I’m also working on a quilt and have been writing letters to the baby. My mother-in-law gave me the two blankets she made; and my mom is working on a white baby outfit with embroidered olive branches on it.

This baby (whenever/if they come to be…) is so very loved and I think that knowledge is helping me wait a little better too.

grief and loss · Infertility · iui · trying to conceive

Grieving a baby that never existed

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It’s weird to grieve a baby that never existed. But we were so very hopeful this time around; given that it worked before, there were two eggs and a good sperm count, and everything seemed to be lining up so perfectly (again).

So when yesterday brought another negative test, I found myself in a very emotional place. I knew it would be hard if we weren’t successful, I didn’t expect the grief to feel so intense.

I grieve the loss of a life that never even was, the continued emptiness of my womb, the loss of all the plans of a pregnancy over Christmas and a baby or two in the spring. I re-grieve the miscarriage and I grieve in advance for the upcoming due date that will not have the joy of a healthy pregnancy to offset it.

I am sad. I am angry. I am disappointed. I am frustrated. I am empty.

And I’m going to feel very silly posting this if I simply tested too early with a cheap test and things come out positive tomorrow (the official 14 day mark) or AF never shows; but I really don’t have much hope for that at this point.

Infertility · iui · trying to conceive

It’s not looking too promising

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I made the mistake of testing out my trigger shot. I knew it would probably be a bad idea and didn’t plan to do it,  but once my box of cheap tests arrived I almost couldn’t help myself.

Sunday afternoon (8 dpo, 10 dpt) there was the faintest line. I knew that was absolutely the trigger. Monday morning (9 dpo, 11 dpt) it was about the same. Given how faint it was on Sunday I got hopeful that the line I was seeing was the beginning of real hcg and not the remnant of trigger; though I didn’t use morning urine for the first test so I’m sure that was a factor.

Yesterday morning (10 dpo) the test was completely negative. Not even a hint of a possibility of a line.

I know 10 dpo is pretty early to get a positive, especially with the cheap tests…and if I had a later implantation it’s going to take a few more days for anything to show up. But my positive last time came at 12 dpo and it was enough of a line even on the cheap tests that it seems that the hcg had probably been around for a day or two prior.

So I’m trying not to lose hope since it’s still early, and I’m not out until AF arrives…but my sense of optimism all but disappeared with the trigger lines and I’m trying to mentally prepare myself for the negative I anticipate on Friday while still knowing that even if I prepare for the disappointment it’s still going to be really difficult to have it be true.

Note to future self: just don’t test out the trigger shot. The possibility of knowing just a day or two earlier is not worth the emotional roller coaster that comes with it.

appointed time · Infertility · iui · trying to conceive

Another IUI, another two week wait

isabelrn1 Comment

We had our second IUI on Saturday the 13th.

It went really well. I triggered on Thursday evening, felt a decent amount of right sided cramping Friday afternoon through Saturday morning, and a little bit of left cramping Saturday morning.

We were the only ones there in the morning so hopefully my husband felt a little less awkward doing his job (though I think it still bothers him quite a bit to have to do that and to have people know that’s what he’s doing); and we had a scheduled procedure time which was also such a nice change from before (a first come first served sort of situation).

The doctor actually did an ultrasound prior to the procedure; my lining had thickened up nicely on estrogen and she could see from the existing (smaller) follicles that an egg had already been released on each side (with a third follicle that could still release) that morning. Husband’s sperm counts were good (I think); so we are both really hopeful between that, the first one having been successful, and the knowledge that there’s at least two eggs that could potentially be fertilized. And maybe both will be?!?

I wasn’t even uncomfortable afterwards. I cramped most of the day after the first one and was really grateful to have the day to rest; so I expected the same here. I was pleasantly surprised!

So now we’re back in the two week wait. Essentially halfway done; I can probably test in a week and have the results be pretty accurate as the trigger shot should be out and pregnancy hormones should be detectable if they are present.

It’s different this time; there’s this sense of confidence that it definitely worked and it’s just a matter of waiting to confirm it, but I’m also trying to be realistic and not get my hopes too high in case it didn’t work. Plus I’ve been insanely busy (for me) with work; and we close escrow in a week so I’ve had plenty to keep me occupied without even having to try.

Here’s hoping I’ve got a couple little ones growing and that we get to start filling our new home next spring.

 

appointed time · home · Infertility · iui

Brief update

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Things have been busy around here; I haven’t even really had time to think about posting. But for the purposes of this blog/journal space…here’s a quick summary.

1-Currently in IUI cycle 2. My period started Friday, got in to the clinic that afternoon; and apparently everything was clear to go. So I have one more day of Clomid and a monitoring appointment Monday; but given that the maturation process for me even on Clomid was still on the slow side, I don’t anticipate much growth. But regardless, assuming all goes well, we could know by the end of the month if we are pregnant again. I told the doctor we were ordering twins this time; she laughed. (No significant side effects from Clomid noted this time around; maybe some sleep disruption? I’m usually able to fall asleep quickly, especially after a certain point in the night…last few nights it’s been really hard to go to sleep. Small price to pay I guess, there could be worse things!)

2-We are in escrow on our first home (no more apartment life)!!! We are due to close at the end of this month as well…so it’s going to be a busy few weeks. (On the bright side, it will keep me distracted during the wait for the IUI and the wait after the IUI). We are so….everything. Excited and still in a bit of shock (it happened very quickly), feeling the stress of taking on such a big financial burden (and a substantial increase to our monthly expenses), nervous about the responsibilities of maintaining a home, and just relishing the moments of planning what everything should look like and getting to imagine our life in our new home. It’s a three bedroom house; and everything really lined up so beautifully that it really seems that this is exactly where God wants us (I’ll write another post on this whole thing later even though it’s not fertility related)….so maybe this is his way of showing us that we just need to trust in him and that he does have children in store for us. I so desperately want that to be the case.

 

Infertility · iui

A miscellany

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After a whole headache’s worth of phone calls on Wednesday between our medical group, our insurance provider, and the clinic…finally got all the authorizations we needed. Unfortunately we still have to pay 50% of everything, and insurance won’t cover the actual IUI procedure, but it’s better than 100% of everything.

It was probably the fastest “initial consult” of all time. Since I’m new to this clinic, I had to schedule an initial consult with the doctor. But she already knows me and knows our history…so it was basically a “well, the protocol we did last time worked well, so I’d like to just try that exact same thing again…call on the first day of your cycle and we’ll get started!” We chatted a bit about what could have gone wrong before (she still thinks it was most likely a chromosome issue, but assured me if it happens again that she’ll do a workup on me), but I was in there no more than 5-10 minute. She was happy to see me, it was very sweet and that made me feel encouraged.

Also just grateful to know that we can jump back in right away. I’m expecting AF sometime the end of this week or anytime next week…so assuming there’s no problems (cysts etc), we could maybe be pregnant again by the end of July? I guess in the grand scheme of things that’s really not that far away.

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Still just feeling super blah and disinterested overall. I was keeping a thankfulness and productivity log and after a stressful couple of work days last week I sorta got out of the habit. Maybe I’ll try to start again on Monday, it definitely keeps me more accountable. I’m keeping up with my chore chart and trying to occupy some of my time with productive activities but I just don’t see the point in any of it and I’m really struggling with a lack of purpose. Tried bringing that up in my most recent spiritual care meetings but it didn’t seem to get heard.

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Definitely had a very memorable highlight this week; my favorite artist was in the area (ish) and was going to be performing at a convention. He *never* comes to the West Coast, so I had made note of the event some time ago. I had forgotten to follow up on the dates of the convention or look into tickets or anything until Thursday…and as of Thursday afternoon I realized that his concert was *that night* and that I had no way to find out if there were even still tickets available; so I didn’t think it was worth it to make the two hour plus drive in the chance that we couldn’t even get in. I was so bummed out that I’d missed an opportunity to finally see him perform.

My husband is basically the greatest; he gave up his evening with no advance warning and drove us out there anyway. He has heard a song or two by this guy, but doesn’t really know his music so had no real interest in going other than to make me happy. We made it to the convention center (barely!); had no problem getting tickets and were able to get seats surprisingly close to the front.

So I got to see Andrew Peterson perform. It was so good. I especially enjoyed getting to hear him talk about some of the stories behind the songs that he played; it really gives them another layer of meaning.

And then at the end we were able to go through the book signing line and meet him. It’s one of those awkward “I have so many things I want to say but I have to try to condense it into a short couple sentences for the sake of everyone else in line; and chances are he’s heard this ten thousand times so I’m just another face saying the same things but I still want him to know his music has meant something to me.” So I managed something, he signed the book we purchased, husband snapped a photo of him signing with me on the other side of the table, and we headed back home.

 

after miscarriage · grief and loss · Infertility · iui · pregnancy loss · sermon takeaways · trying to conceive

The valley of “should be”

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I can’t help but think about the fact that today I should be halfway through my pregnancy. We should already know our baby’s gender, we should be planning for baby showers and where to fit a crib in our apartment…I should be starting to show and…and…and…

I thought when my period came a few weeks ago that things clicked into place and that I was ready to be okay again. In some ways, I have been; I’ve at least been able to be productive and not zone out in front of the TV for hours on end (see previous post).

But every time I see a baby I want to cry. Every time I hear about another pregnancy it’s a gut punch. Every day of my cycle feels like it’s another day closer to be reminded of failure; because at this point I really don’t have a whole lot of confidence that we’ll be able to conceive completely naturally.

I’m just so tired of this being all consuming. But I honestly don’t know how to think about anything else.

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On a separate note, at least things are in process again with infertility treatments. It was super stressful for a couple weeks; I was beginning to be afraid that our new insurance wouldn’t be accepted anywhere (though technically I didn’t even know enough about our plan to get accurate information from any of the clinics I called).

But after a bunch of phone calls and (unnecessary) stress…I was able to switch our insurance ‘group’ to the one that is accepted at the clinic where our previous RE already works. I’m very hopeful that because she knows us she will just let us jump right in to another round of IUI with my upcoming cycle and not make us go through all the testing again; though if it’s a matter of getting insurance to cover things maybe she’ll still have to. I don’t know. I’m just grateful to be able to go back to her; it’s a small blessing in all of this.

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I’ll close with a couple reflections from one of my pastor’s recent sermons. He just finished going through Psalm 23; and the sermon on verse 4 (“Yea, though I walk through the valley of the shadow of death, I will fear no evil, for you are with me”) had some especially helpful observations.

First was just the quote that he started with…an ancient proverb or something. “All sunshine and no rain makes a desert.” Enough said about that.

He also pointed out the following observation, something I’d never noticed before. The first three verses of the psalm refer to the Lord as “He.” (he leads me, he restores…etc) After the valley…after the first part of verse 4, David refers to the Lord as “you.” (“You are with me, you prepare, you anoint…). Walking through the inevitable valleys of life deepen our relationship with our shepherd and make it personal. We’re not just sheep being herded around…we are children walking through life with a father who pursues us with goodness and mercy. (that was in today’s sermon; the word for follow in verse 6 actually can be translated as “pursue.”)

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And as I pondered a title for this post I realized that the whiny first part is it’s own type of valley…so I guess I need to actually take what I just shared to heart. Hopefully it encourages someone else but apparently I also needed to be reminded of it again.

after miscarriage · appointed time · Infertility · iui · pregnancy · Uncategorized

Updates

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My repeat labs a week ago showed an increase in HCG (from 80 to 252 in 3 days!) and a very comfortable progesterone (44.2). My first ultrasound is scheduled at the clinic on March 6th; I’ll be 6 weeks and 3 days.

Symptoms so far have included mild cramping, sore breasts, intermittent fatigue, and a desire to eat constantly. In a twisted way I’m eager to at least have the morning sickness start (though it doesn’t have to stay!) just so I’ll feel more pregnant.

I’ve continued taking tests every couple days just to monitor the lines (I know, I should stop…it won’t do anything either way…but seeing them get darker is just so reassuring). The line yesterday was almost identical to Friday’s line, but I think I’m more on a ‘every 72 hours’ sort of schedule so I’m hoping tomorrow’s test is darker.

At this point, I’m pretty sure that I’ve already made it farther than the first time. I thought I was 5 weeks and change when I miscarried based on my period dates, but given how faint my tests were (and never got any darker all week), I’m beginning to think that the fertilized egg attempted to implant, released a little bit of hormone, and didn’t stick. Just enough to register on a test, but barely. Hence the light tests and the low blood levels the day I started bleeding. I can’t have even been 4 weeks; it must have been a true chemical miscarriage.

So if I’m already at a definite 5 weeks (since I know my ovulation date this time), the embryo has already firmly implanted. So that risk has already gone away. The question now is whether it’s growing. And there’s no way I can know that until next Wednesday. I’m so desperately hoping baby EL measures where it needs to be for 6 weeks and change, and that maybe we’ll even get to see the heartbeat.

I wanted it before; I’ve wanted to be a mom forever. But I want it so much more now that we’ve worked so hard to get here. There’s a deeper attachment to this little one already. I know I’ll be okay even if things don’t go the way we hope…I still trust that God is good and faithful…but it’s going to be so much deeper of a loss since this one feels more real and more sure somehow.

In the meantime, all I can do is try to stay as calm as possible (which work is making difficult…I need to talk to my manager this week and explain my situation so she understands why I’m pushing back on taking certain assignments), eat as healthy as possible, and stay hydrated.

And be grateful for each day that I am still pregnant. We’re at 12 days of knowing. Already 5 days more than last time. So every day is a gift, every week is a new milestone and I’m trying to rest in that.