Hysteroscopy Report

So, I had my post-op appointment today. Basically, I'm right back to where I was before the hysteroscopy. They found a little bit of weird tissue and removed it. It was polypoid in nature (or something like that). However, they don't believe that this would have had any affect on my getting or in my case--not getting--pregnant. Sigh..Nor do they have any idea as to why I would get pregnant three times in one year and then not get pregnant at all the following year. I'm really not sure where to go from here. I was hoping that this surgery would provide us with a reason.

Does anyone have any information on weight and ability to conceive? That's the only thing I can think of...as discussed here before multiple miscarriages, fertility meds, etc have caused me to pack on probably 30 pounds. I'm still within my bmi range and everything else blood pressure, etc is perfect. It's just the only other thing that's different. This weight should be easy to lose but I just have no motivation. I think its a combination of feeling sorry for myself and being pissed off at my body for betraying me. I need to do it though. I'll kick myself if I don't do everything possible to make sure ivf is successful. If only I didn't love food so much.

I also still have no idea what is going on with ivf/pgd. I am to call them next week when af arrives. They hope to have more information for me then. It is apparently extremely complicated when dealing with my insurance and pgd. I'm hoping by next week at this time we will have a concrete plan in place (a girl can dream, right).

Finally, I survived my sister's baby shower (made easier by the fact that I didn't have to physically be there). It went well and she got a lot of great presents. She's happy--so that's a great feeling.

Hysteroscopy Complete and Blogger Award

My hysteroscopy yesterday went well. I was in and out pretty quickly and had minimal pain. I have, however, had more then the "spotting" they indicated may happen. It was more like a light af yesterday but seems to be tapering off today. I've not yet heard what the results of this procedure were. I have a follow-up appointment at my REs office in two weeks and apparently that is when I will hear how the procedure went. Because I am a genetic mutant, I did overhear the nurses saying they removed some polyps. They assumed I would still be out but I processed the meds extremely quickly I guess. I heard comments from all 3 nurses that they've never had anyone so alert, ready to walk, etc immediately after surgery. Apparently I was the fastest discharge they've ever had. So, yeah--possibly polyp removal. It really wouldn't surprise me and would make me feel validated in pushing for this surgery. They can definitely cause implantation problems.

I also found out a bit more about financing for ivf/cgh this summer. The clinic is still unable to tell me exactly how much I will need to pay. As I mention earlier, I am the guinea pig for insurance coverage of cgh at my office. So, they aren't sure how to bill, how much to bill, etc. Earlier I was told that I would pay no more out of pocket then $2k for ivf/cgh. Who knows now...If it gets over the $5k range Mr. F and I are going to seriously discuss whether we want to go forward or go straight to ivf with donor egg. It's about $10k in the czech republic and the success rates are a lot higher then they are with my eggs.

Now, onto my blog award. Jo at Love That Moves the Stars awarded me with a stylish blogger award.The Rules are:

1. Link back to the person who gave you the award
2. Tell 7 things about yourself
3. Award other bloggers - The Stylish Blogger Award is to be awarded to 10 - 15 people.
4. Notify winners 

I'm going to give this to: 

Articia  Diary of a Mad Infertile Woman  (Please also send her your love and support as she is in the midst of a miscarriage)
LisainSk  Wanted One Good Embryo

Manny The Journey Continues

Stinky Beyond the Wallpaper

BrownIris The (In) Fertility Diaries

AP My Dusty Uterus

Shannon Chasing Rainbows

Adele Delinquent Eggs

Frenchie An Empty French Womb

Mary Hoping For A Miracle

Seven things About Myself

1) I own two dogs. We love them to pieces and treat them like babies. 

2) I have terrible eyesight. It's like -13 (to those of you in the know). 

3) I have two post bachelors degrees and am currently working on my third. Yes, I like school--a lot. 

4) Yesterday was the first time I've had surgery. (Besides removing my wisdom teeth which apparently doesn't count)

5) I like running, soccer, and surfing. 

6) I read, a lot. I tried to keep track this past year how many books I had read. I went about 9 months and had over 150 books on the list. 

7) I am a huge foodie--probably a lot of the reason I need to lose weight! Mr. F and I like to frequent restaurants that are considered "worlds best". I'm not a food snob though. I enjoy the simple things like hamburgers, pasta, etc as well. 

Happy ICLW!

It snuck up on me this month. Welcome to all of you from ICLW. My ttc history is on the left. It's not a very pretty story. We will be heading towards ivf/cgh this July after several unsuccessful IUIs. This month it's officially been one year since my last miscarriage---and I've not had one confirmed pregnancy since then. So, next week I will be having a hysteroscopy to make sure there's not something that's causing any problems. If anyone has any advice/stories to share about the procedure, I'd greatly appreciate it.

Other than that, I've been married for almost 9 years. We have two dogs that are our children. I love reading, soccer, and running--though I need to do more of the last two to burn off all this unable to have a child related weight game. Looking forward to meeting more of you.

Interesting Week(s)

So, in order to proceed with IVF I had to have an up to date yearly exam. So, I made the appt and trudged off to the doctor. (I had been consciously putting this off--I think because I'd already had enough poking and prodding there). While there my doctor found lumps on both of my breasts. So, I've spent this last few weeks worried about the outcome. I'm happy to report that the lumps are nothing--just my normal tissue. I wasn't really worried at all, at first. I have no family history, I'm young, and I don't have any other risk factors. Could it happen, sure...but for some reason I was calm. That was, until the few family and friends I told did their best to assure me that it would be nothing. They all used the phrase "the odds, statistics, etc". It was after their reassurances that I started to be concerned. I've had really, really crappy odds this last few years. I found out I'm a genetic mutant in two ways (bt and a rare heart issue). I also am on the wrong side of miscarriage statistics. Finally, however, I seem to be on the right side. I'm hoping this is a turning point.

While the above was going on, I also had my phone appt with the genetics lab. Everything is looking great. We will be using cgh and will be looking at all the chromosomes (not just for my bt). I don't have to have a probe built so they are ready to go. It's amazing how much technology has improved in just a few short years. I also found out that they've found for bt carriers that about 20% of embryos are normal. So, now I just have to hope that my RE is able to get a lot of embryos out of me. I'm still working out all the financial details but I'm just crossing my fingers that everything is going to fall smoothly into place.

In the meantime, I'm busy planning our trip and trying to keep my mind off of words like ovulation, dpo, etc. If it happens, it happens. If not, we've got ivf to look forward to.

Progress

So, we're getting there. We've nailed down July as our official IVF start date. Our RE should be calling us sometime soon to set up a calendar. They've also been in contact with the pgd lab. Though, it seems like we will actually being doing cgh. I think they are still trying to determine what exactly will be the best method to deal with our bt. I'm excited, nervous, fearful--pretty much every emotion. Of course I really want this to work but am so scared that it won't. On my worst days I think I should just say screw my eggs and go straight to donor egg. Then I talk myself out of it and decide it's really worth trying with my own eggs.

There's been a lot of stuff going on lately with friends and family and some of it has been really bothering me. I've had to listen to my sister complaining about her baby shower--she's upset that people aren't getting her things off her registry (or expensive enough things). It's really hard for me to bite my tongue during these conversations. I had a friend who was pregnant (accidentally of course). She chose to terminate and told me afterwards. So, I've been helping her through that. The b.itchy part of me thinking--wtf world is everybody going to pregnant except me. There's more but I don't share it on my blog, yet.

Back to ttc news, my hysteroscopy is going to be next month. It got delayed as there were scheduling difficulties. I'm not sure what I want the outcome to be. If they find something it'll make me feel like the last 12 months make sense. If not, then I'll worry something else is wrong. Most of the time I wish I had the ability to see into the future (maybe only for ttc events). I never know if I'm making the right decisions.

Au Naturale

My first natural cycle in a long time has been going great. I ovulated on day 14 (a first for me as I'm usually only able to do this on drugs). I'm now patiently waiting until test day. I can't help but hope that I'll get a bfp this cycle. There are so many stories of ladies doing cycle after cycle with REs/drugs and no results. Then, when taking a break their body does exactly what it's supposed to do and they go on to have a child. Wouldn't that be an awesome story?

In other news, I'm busy planning our trip to Asia. It's generally keeping my mind of ttc and that's a good thing. We are planning to go to both Malaysia and Thailand. I've not been to either so I'm pretty excited about checking out some new places--though a bit worried about the language barrier.

I've also sent out all the invitations for my sister's shower. I'm pretty much done with my responsibilities now and my mother is taking over from here. I'm glad I was able to do this for her even though it was emotionally pretty difficult. I'm not sure when we will get back to see her and the baby (she's due this summer). I'm sure that will be hard as well but for some reason my heart hasn't been as heavy lately. I think it's because I know that this will eventually work out for us. Someday we will have whatever child we were meant to have.

Still Here

I haven't heard anything from my REs office yet. Have to say that I expected this. I thought about calling but decided against it. I will go in for surgery next month and I'll ask then. If they haven't spoke to the genetics lab yet then I'm telling them we are waiting until July. This is for a couple of reasons. First, we are going on vacation to Asia in June and I'd prefer (when this works) not to be only a few weeks along at this point. Second, my health savings account plan starts over on july 1. So, I could use pre-tax dollars to pay my insurance co-pays. I'll let you all know soon what I find out.

I went to accup. yesterday and apparently there is a huge change in my pulses. We're speculating that this is because my body is currently drug free. I also ovulated either yesterday or today (according to cb.efm) on cd 14 or 15. This is a huge improvement for me as previously I was ovulating around cd 23. I'm excited to see what if any changes will be made to my luteal phase this cycle.

Other than that, life goes on. The break from drs appointments has been wonderful and I'm happy to not have to try to fit drs appointments around work and life.

Potentially, Possibly More Confused

I think I am becoming “that” patient. You know, the one that second guesses the doctor and asks all sorts of “annoying” questions.

I had my consult today. It wasn’t with my preferred RE but instead with her partner. He spent about 30 minutes explaining IVF to me. Luckily, because of the many blogs I’ve read, I already had an idea what the process would entail. It sounds like we will be doing the  long protocol and shooting for about 20 eggs. Apparently, this is a plausible number based on my previous response to injectibles and the number of resting follicles I have. We will then probably use ICSI to fertilize the embryos and send them away for pgd. I was told that he estimates a 50% likelihood that this will work for us (not sure how this number was estimated).

I am being scheduled for a hysteroscopy next month. If anyone has any words of advice, again they would be appreciated. I expressed concerns about my lining (it was 14.7 at last IUI). I was told it’s okay because my lining goes way back down at the beginning of my cycle. However, I also indicated that I haven’t got a bfp since last May. Before shelling out money, time, and energy for IVF I want to make sure nothing else is going on. So, the doctor said a hysteroscopy would be a good way to do this.

In the meantime, supposedly they are speaking to two different pgd labs to determine what is the best route for our situation is. Apparently, we will then begin the process of building the pgd probe. Once the probe is complete, I will be called in to start bcp and will stay on this for 10-14 days. I’m still a bit fuzzy on when I will be hearing about the probe and have my consultation with the genetics lab. If I haven’t heard anything by next week I am going to call and bother them again. It will likely take 2-3 months for the probe to be complete. In the meantime, I will be on no drugs. I’ll be completing my annual exam (yippee) and completing the hysteroscopy. As long as both of those are clear as soon as the probe is ready, we will be in business.

So, we’re looking at around May-June. I’m guessing it’s probably going to end up being July. Mr. F and I are planning a trip to Asia in June and I don’t imagine that ivf will fit well into this. I guess we’ll play it by ear and see how long the pgd lab takes. I’m really, really looking forward to the months of from monitoring and drugs. Of course, in the back of mind, I’m hoping that I’ll get that miracle natural bfp so many ladies have been getting. However, even if I don’t, I think it will be good for myself and Mr. F to get a little break.

There also seems to be a bit of confusion between the insurance company and my REs office. No one seems to be able to really tell me how much this is going to cost. I have a $1200 out of pocket maximum. So, this would seem to mean that I would pay no more than $1200. However, my REs office asks for $2k up front and then provided a host of other charges. I asked if I would then get reimbursed and I think they were really confused. Insurance company says yes, I will pay no more than $1200. So, I’m going to pretend this will work out in our favor and hold onto that $1200 like a life preserver. Either way, I know that we are getting a huge bargain. We would never move forward with this if we had to pay $20k. So, that’s it for now. We’ll see where this leads us. 

Consult Tomorrow

So, my consultation is tomorrow. Thanks so much for your questions and suggestions. I made a list and I will be speaking to my RE about each of them.  I also wanted to provide some information for those of you asking questions about PGD and my clinic.

PGD has been found to be useful for translocation carriers. It is one of the recommended course of treatments. It has been very successful for some and extremely unsuccessful for others. As a course of treatment for my BT, I’ve been told donor eggs, continue trying naturally (and withstand the miscarriages) or ivf/pgd. I’ve been trying superovulation in the hopes that a good egg would fertilize and implant. However, I’ve had no success.

My insurance will only cover ivf/pgd if I use specific doctors and stay in network. My geographic location and insurance coverage really preclude us from going anywhere else right now. I’ve looked up the SART rates for clinics in network and IVF success rates hover around 40%. At my particular clinic I am the only patient with a BT (honestly wouldn’t doubt if I’m the only one in the area). The clinic I am at has used pgd only 1-2x before. The SART rates seem to reflect even less usage at other clinics in network.

So, that being said, I feel like I’m forging this path all by myself. I’ve went back and forth between using PGD or instead pursuing an aggressive transfer (meaning 5+ embryos). I’ve seen both methods work for BT carriers. One woman implanted 9 untested embryos and ended up with twins. Most other aggressive transfers either failed or ended up with singleton pregnancies.

I have a lot of questions that I don’t think will be answered at my consultation. I know from reading others experiences that a probe will need to be built. My understanding is this can take up to 12 weeks. In the meantime, I’m not sure what my RE will want to do. However, I’m leaning toward drug free (including bcps) for the 2-3 months it takes to build the probe. I’d like to give my body time to be hormone free, continuing losing the weight that’s crept on, and just generally take care of myself. We will continue ttc those 2 months with the assumption it’s probably not going to work but worth a shot.

I’m also interested to see how this will affect cycling. I imagine most people who go in for a consult and ready to start the process. I feel like I’m a long way off still. So, not sure how helpful this consultation is really going to be. I often feel like all I do is sit and wait; for tests, a new cycle, impending miscarriage, etc. Unfortunately I am not a patient person.

Of course, I’ll let you all know how it goes tomorrow. Hopefully I come away with fewer questions instead of more. 

IVF It is, I think..

So, AF arrived today--even through the progesterone. Clearly this cycle was a bust even with the faint bfp internet cheapies. I called my clinic and set up an IVF consultation appointment for Tuesday. I asked for the appointment to be a combo questions for my RE/IVF appointment. I want to make sure that this is where the RE thinks we should go next. I wouldn't be surprised if she said to try one more IUI cycle.
I've been trying to think of questions to ask at the appointment. So, if anyone has anything they wish they would have asked or think is really important to ask, please let me know. So far, I want to make sure that going forward doesn't preclude us from moving backwards if the IVF fails. My insurance will only cover 1x IVF and then I'll have to switch providers to get coverage 1 more time. In the meantime, I want to make sure that I can go back to IUIs if I want to. I also want to ask if there is any possibility that I could have scar tissue, etc that is preventing implantation. I had a HSG months ago and it came back normal. However, Dr. Google tells me that an HSG doesn't pick up all abnormalities. Some REs have their patients do laps before IVF and I want to get my REs point of view on this. Anything else? Thanks so much everyone for your words of advice and support thus far. It is greatly appreciated!

12dpiui and IVF/PGD

Well, I took a FRER this morning and it was starkly negative. The ic has the same faint line as yesterday. Not sure what to think. Normally this is the point where I would stop progesterone and let AF come. I decided, however, to give it one more day. If I get another faint line tomorrow I'm not taking any more progesterone. Sigh.

I'm starting to worry that there is something wrong with me besides the bt. The first year we were ttc I managed to get pregnant 3 times unassisted. This year I have got pregnant 0 times and this is with assistance. It seems strange to me that with the extra eggs, progesterone, and perfect timing nothing is sticking. Even if it only lasted a week--I could at least feel like something was happening.

Now the question is where do we go from here. Before I thought, I'll try this one more time. Now, I'm not so sure. We have awesome insurance. Even so, with co-pays and sperm washes we've spent $1500 on 5 iui's. Each of which has proved to be a big failure. I'm approved for IVF and PGD. For ladies without bt's--this is by no means a slam dunk for those of us with them. There are many, many stories of 20 plus fertilized eggs and not a single 1 that isn't affected with some chromosomal problem. Like I said, I have awesome insurance (which I am extremely grateful for) and IVF/PGD would cost us around $1200. We've got the money but I'm still hesitant. I'm not sure why..maybe fear or the thought of getting 0 good eggs. I'm leaning more towards going for it..Screw doing another IUI and bring out the big guns. Mr F and I will be moving sometime in the near future and more then likely this is the only time/place where we will be willing to do pgd. If we're going to spend big money it's going to be on a DE cycle--the odds are just much better there. So, what do you all think? Does anyone have any words of advice for me? They would be much, much appreciated.

11 dpiui

Yes, I tested. Is it positive? Who would know--it seems to be the story of my testing after IUIs. This time, I tested the trigger out of my system on internet cheapies. Mostly, because I was sick of seeing super, super faint lines around this time and wondering trigger or chemical. There was no line yesterday, the test was completely blank. Today, a super, super faint line. I will post it so you can all see (or more then likely not see) what I am talking about.  I hope you greatly appreciate that it is sitting on a TP roll--it's dry though I swear.

I'm not really feeling it though. I've been cramping since yesterday. Usually AF would be here today but due to the progesterone it is being held off. I have a horrible headache--also an AF symptom and my skin went haywire seemingly overnight. All signs point to AF. So, why IC must you torture me this way? Does this mean that I've been having chemical pregnancy after chemical pregnancy after IUI? It just seems so weird to me that the line would be gone yesterday and then come back (albeit lightly) to haunt me.