Transfer

I worked overnight October 25 until 6am October 26. I went home and was able to get about 30 minutes of sleep before my husby dropped me off for breakfast with my IM. She had flown in the night before and was planning to leave right after transfer.

We met for breakfast at 8am, talked and talked and talked, she’s amazing by the way, and got to know each other a little better. She then drove me to CCRM for 9:30 check in. Our ConceiveAbilities  case manager met us there as well. She offered hugs, warm wishes, and sticky thoughts.

After a quick blood draw and some signatures from my IM we were taken upstairs to prepare for transfer. We were both excited and nervous and ready! The nurse came in to have me change and make me take my giant Valium. I was able to chat a little more with my IM before they came in to do my acupuncture. I  was exhausted and so relaxed that I fell asleep. I am discovering I really enjoy acupuncture.

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One perfect little embryo

After about 20 mins, they were ready for transfer. My husby showed up just in time, however he had received a call from school they my eldest daughter had thrown up and needed to be picked up. He was able to stay for transfer and my IM offered to give me a ride home.

They rolled the little embryo in on an incubator and allowed my IM to take a few pictures. They did an ultrasound to check how full my bladder was, but it was a little low despite me sipping water since breakfast. This only meant she had to push pretty hard to get a good picture of my uterus for transfer.

Transfer is not the most comfortable thing in the world, it’s very similar to getting a PAP done, speculum and all. They use a little tiny needle that looks like a straw to pick up the embryo and put it gently in your uterus. There is a tiny air bubble that can be seen on the ultrasound to show things have been moved. They double check to make sure the embryo is no longer in the needle and that’s it. We transferred one perfect little embryo in what felt like 10 seconds.

My nurse came in to discuss my daughter being sick. She wanted us separated completely and was hoping I had somewhere else to stay or someone who could take my daughter while I was on bedrest, but unfortunately that was not the case. The main concern was fever because if I develop a fever, my body would reject the embryo completely and that was the last thing I wanted.

During my second round of acupuncture, in which I fell asleep again, my IM and nurse discussed our situation a little more.  We decided it was best for me to stay in a hotel while on bedrest. I have to admit I was a little bummed because my husby had taken the time off in hopes we would get some time together because we work opposite night shifts and have little to no time awake together.It was especially hard because they didn’t want him to even come visit me just in case.

My IM’s mom had frantically been calling around to try to get us a room, my IM was staying too, and had changed her flight to the next afternoon. She was able to find us a hotel close to my house so my husby could bring me a change of clothes, a toothbrush, and all my meds. He even brought me dinner for the evening.

I mostly just slept the next two days away. My IM flew out the next morning so a friend and another amazing employee of ConceiveAbilities brought me some snacks and dinner to get me by. I also watched a few movies and some junk tv. Ithe was tough, especially because they want you mostly horizontal and not sitting up more than 45° except to use the bathroom.

I was bored, and lonely, and bummed because it was not how I had planned, but I understood and everytime my IM apologized I simply reminded her I was here for her. This little embryo will hopefully make itself at home and soon be her little baby. She has every right to want to give it the best shot possible!

The past few days I have been exhausted. All  I want to do is sleep. I am staying hopeful, but also trying to prepare myself just in case . First Beta is Friday and we will know if this little one decided to camp out or not!

 

Giant Needles

Due to my underwhelming lining at my first monitoring appointment, I had another appointment Monday the 17th. Thankfully, the little blue pills were helping! My lining was up to 9.2mm (needed to be >6) and my estradiol was at 206 (needed to be >200.)

I had another monitoring appointment Thursday the 20th. Things were perfect in preparation for transfer! Lining was at 10mm (needed to be 8-12), estradiol was at 2106 (anything >300 is good with no max), and progesterone was 0.22 (needed to be <1). We got an email from the nurse titled “Ready, Set, Transfer”. It was also my last Lupron injection!

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These are all my fun pills. The little blue and the GIANT white are both vaginal suppositories

October 21 I had the pleasure of starting Endometrin (vaginal suppositories), Medrol, Doxycycline, and PIO (the butt shots!) The needle is HUGE and it’s intramuscular, ouch! This time around, my husband has a little practice under his belt so they don’t hurt quite as much. (Like a DART!) I’m not using the ice pack before the shot and it seems to be helping because I’m not getting lumps anymore.

I had one final blood draw yesterday, but everything still looked perfect! We are set for transfer at 11am on Wednesday the 26th!

My IM is ecstatic, and so am I. She is flying out Tuesday night and will fly back home after transfer. I’m kind of bummed we won’t get to spend more

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Giant needle

time together, but we’re already planning to meet for breakfast (assuming I can figure out child care), she will be there with me for transfer, and we are going to be wearing lucky Chucks!

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Progesterone in Oil (PIO)

Now we just wait these last two days, continue all my meds, and hope everything still looks perfect on Wednesday!

The other little blue pill

I had my first monitoring appointment yesterday, and things didn’t go exactly as I had hoped. My lining was a little thin, only 3.5mm, but did have a triple pattern, and my estradiol was 39 but should be around 50.

This was expected, sort of, because Mother Nature took her sweet time in getting Aunt Flo to arrive, but was still a little disappointing. As surrogates we are always shocked and upset when something happens or doesn’t go as planned because, for most of us, we haven’t had any problems in the past. We sometimes forget that life happens and we really have very limited control over this whole process. My IM is still amazing, of course, and doesn’t seem concerned if the transfer has to get pushed back a few days. She is so laid back and positive and supportive. We are very lucky to have her!

20161014_203413My situation is not the end of the world. I just have to add another medication, I mean I’m already taking so many, what is one more?? This one, however, is a little blue pill that can be taken orally or vaginally called Estrace. I am SO LUCKY because I get to take it vaginally, YAY! (can you sense my sarcasm?) It’s really not so bad compared to the other suppositories which are HUGE. I will have to do a side by side comparison once I start taking the others.

Anyway, this should help to correct both issues from my monitoring appointment and will hopefully get things on track to maintain a transfer date of October 26. They have scheduled another appointment for Monday October 17 to see if the pill is helping and we will just go from there. CCRM is pretty amazing and they obviously know what they’re doing, so I believe this will help.  Only 12 more days to transfer!

 

Shots, shots, and more shots. (And not the alcoholic kind)

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The wonderful med kit

I started my Lupron shots last week so things are really starting to move forward. These shots are a piece of cake or 💉=🍰 as my IM put it in emoji form. We are getting excited and counting down the days until transfer. Less than 3 weeks left! My IM insisted I could call to yell at her anytime I gave myself a shot and it hurt. I have yet to yell.

Surrogacy is the ONLY time anyone ever gets excited for their Aunt Flo to show up. It’s also when she decides to be extremely LATE to the party! I was supposed to start on Tuesday and not even a hint that she was on her way by Thursday. I knew it would be a little off because I was on birth control for two weeks then off for a (sort of) period and then back on for two weeks and now off again to get things moving. She most likely just got confused and lost. Anyone know how to get her a GPS?

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Lupron needle on the left, PIO (butt shots) on the right

I emailed my nurse because I was a little concerned that my period was so late. They decided to bring me in for an ultrasound and labs the following day, Friday, just to see what was going on. I was so nervous because I was terrified something was wrong or it would completely throw off the calendar. They told me my lining was thin…ish. It wasn’t so thin that they could just say skip it and go straight to the next meds, but it also wasn’t thick enough to say just give it a few days. She needed to wait for my labs to come back and talk to the doctor to know anything for sure. This was not the greatest news ever. I mean it wasn’t the worst, but I was still in limbo until my labs came back. At this point I still hadn’t said anything to my IM because there is no point telling her “hey, I have no idea what’s going on.” My AMAZING nurse said she would send an email to all of us, myself, my IM, and my case manager, as soon as she knew what the new plan was.

I got an email from my nurse at 4:47pm. My lining was 4.6mm (medium), estradiol was 89 (good), progesterone 6.1 (high), and LH was 1.3 (going back down after surge). Which meant my stupid, and fashionably late, Aunt Flo was on her way so we just had to wait it out, which meant transfer could possibly be delayed.

I was devastated and frustrated and confused and emotional. Knowing it was coming did provide a little relief because I was FREAKING OUT! My cycle is very regular and I had been on the patch for months prior and I could almost time it to the hour of starting. I don’t know if it was just the chaos of going on and off birth control or if it was stress related or what, but I was unprepared for this little speed bump. Your first thought is always of your IPs. I felt terrible that I may be delaying this process any further. My IM has waited a long time for this and I’m sure being so close is agonizing. I felt like I was disappointing her a little bit, but she is INCREDIBLE. She sent me a text message “…just a quick text to say will go with the flow! Or let the flow go with you.” HAHAHA. It put a smile on my face and helped me relax a little.

Today I had my monthly support group and talked about my current issues and how excited I had been to transfer on the twins 1st birthday, but apparently that was the kick start mother nature needed. (I guess she doesn’t like people talking bad about her behind her back!) So I immediately sent a, very relieved, email to my IM and nurse and we got EXCELLENT news, we will be able to keep the same transfer date! They changed my med schedule up just a bit and it will all still depend on my lining checks, but I am cautiously optimistic.

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A small fraction of the total number of needles I will use

Anyway. Now that my least favorite relative has decided to show her ugly face I will begin the new meds. I am not looking forward to the vaginal suppositories because, frankly, they are disgusting. I will take the butt shots over the suppositories any day. The only downside to the butt shots is the GIANT needle, but I think my husby has finally figured out the proper technique so they will be far less painful this go around. The patches are also not the greatest because they leave this terrible sticky residue on your skin that is nearly impossible to get off. BUT, it is all still worth it. Every single pokey, sticky, disgusting second is worth it.