Pre-cycle visit #1

I went in yesterday for the first of many pre-cycle visits. They drew 8 vials of blood for whatever tests the RE wanted to run before we cycle again--AMH, immunology labs, DHEA, testosterone, etc. I think they also drew stuff for the genetic screening lab that we will be using for any embryos this cycle.

They also did a resting follicle count and uterine artery doppler. She said my doppler results were fine, which I was a little worried about since I forgot they were doing it and had caffeine with breakfast. My right ovary has a nice cyst on it, which I think is still left over from the follicle the surgeon saw in December at my pre-op appointment. My total follicle count was 22, which is an increase from the 13 I had with my last cycle.

Who knows, maybe the meds and supplements are working after all?

No POAS for me

Well, I skipped the POAS drama. I talked to one of the docs I work with and we decided that I really didn't need the prophylactic antibiotics. I only had the patient for an hour and barely went into her room. When I did, I was wearing a mask and then I put a mask on the patient for transport to the floor. He said that if I was going to get meningitis from her, I would have had some symptoms in the week it took employee health to decide to contact us. Overall, it just wasn't worth the icky side effects of the antibiotics for something that was such a low risk exposure. So, I didn't POAS and I didn't take the meds--I'm still alive to tell the tale, so I guess it wasn't too crazy of a decision.

I finally called the RE office today about my missing AF. I guess they didn't get the operative report from my myomectomy in December, so they aren't sure what to do about it yet. I had to call the surgeon's office to get the report faxed over and I should hear back tomorrow on what my next steps should be. Unfortunately, I will be in a re-certification class all day tomorrow and Friday, so I can't even get in for a blood test until Saturday at the earliest (more likely next week when I can go to the closer office).

Random thoughts

Lots of little things going on, but nothing big enough to make into its own post.

• We may have figured out a way to get insurance to pay for another cycle of IVF. We get our insurance through my husband's employer, and they offer 2 choices for health insurance. We've always gone with one and never had a problem, but we've maxed out our IF coverage for procedures. Since the other plan offered also covers IF, it is possible that they will pay for another $25k worth of meds and procedures. So, we switched to the other plan. Now, it's possible that this little plan of ours won't work and we'll be stuck coming up with the money out of pocket. But that's what we would have had to do if we stayed with the other plan anyway. The RE office is in-network with both plans, so it's worth a try.


• I've been doing lots of holiday baking since getting home from our Thanksgiving visit. I like to bake, but I don't really want all the yummy treats in the house for me to inhale, so I take them all to work. It makes my co-workers happy and gives us all something to munch on when the nights are so crazy busy. But I can't help remembering doing all of this with my grandma. I miss her every day and make most of her favorites every year. When I started this tradition a few years ago, I pictured myself eventually doing all this baking with my child and how it would create some of the same fond memories for him/her. This year, with one failed IVF under my belt, I'm becoming more and more afraid that my little fantasy will not come to pass. I fear that the next cycle will fail and I will be forced to face the prospect of not becoming a mother. Unfortunately, this fear has taken some of the fun out of my holiday baking.


• Have I mentioned how much I love my husband? He was so great at staving off all of the ass-vice when we told our families. Tonight, when I was getting a bit anxious about our upcoming visit to his niece's house for Christmas (complete with 5-week-old baby), he offered to talk to his mom and sister about being sensitive to how hard it might be for us. I told him that I don't expect them all to understand, but if his niece starts griping about lack of sleep, sore nips, etc., I just might lose it and say something that would upset everyone. So, he called his mom to explain that we might need her help to steer conversation away from the difficulty of having two small children, and that we might need to walk away or leave for a while if it gets too overwhelming.


• I finally talked the RE office into doing my repeat saline sonogram last week. I wanted to do it last cycle, but they wanted to wait until closer to when we might cycle again since my arrogant RE was sure we wouldn't find anything. Well, it's a good thing we did it, because they found another fibroid. Um hello, estrogen can accelerate fibroid growth in susceptible women, and I've done 5 IUI's and 1 IVF since my last surgery. It's not as big as the last one he removed, but still big enough and in a location that might interfere with my lining and, therefore, implantation or fetal growth. So, I have an appointment on Monday with the surgeon that my RE referred me to in order to see about getting it removed. I would love to get it done before the end of the year so that it can go on this year's insurance--since we've met our out-of-pocket max for the year, we wouldn't have to pay a dime for the surgery. I kind of doubt I can get it scheduled so quickly, but I sure as heck will try. Plus, if it's like last time, the RE office will want me to have a full cycle to heal before resuming treatment. Since we were aiming for starting stims in early March, an end-of-December surgery would just leave January to heal before BCP's start in February.

Well, I better get back to baking if I'm going to have enough to get me through 3 shifts at work this weekend!

RE follow-up appt

Even though my talk with DH went well on Sunday night, the meeting with the RE on Monday didn't go so well. He started off my saying how sorry he was that the IVF didn't work and how, as an office, they really go through the cycle with you. Yeah, right, you pompous ass--you're just pissed cuz I'm bringing your numbers down! (Clarification--I like my RE, he's good and has numbers on par with CCRM, but he's an arrogant jerk)

So, we ask him what we learned from this cycle and he points out the embryology report that said poor quality eggs despite the beautiful-looking stim. Of course, none of this was relayed to us during the cycle, which I told him was just one example of the poor communication that they have set up during the post-ER part of the cycle. Anyway, I asked him about the fibroid that the u/s tech had seen on my last few scans and he rudely dismissed the tech's findings, despite the fact that he removed several fibroids last year. Then he essentially told us he was too busy with IVF's to bother with another myomectomy, so he would refer us to someone else to get it done if needed.

Then he jumped back into the poor egg quality and was pushing us toward donor eggs. DH is definitely against that (I'm not as opposed as I was before) but the RE kept pushing it, even though we already told him we wouldn't go that route. So back to my piss-poor eggs. I asked him about ways to improve egg quality, and he went on and on about DHEA and how he was the first in the area to use it and how CCRM didn't start using it until after he did. Ugh!

He did say that he would want to do genetic testing on all of our embryos if we went ahead with another cycle with my eggs. He didn't really want to hear that we wanted to do it this time but that his staff talked us out of it because we seemingly didn't have any risk factors. He finally admitted that he should do another SSH prior to cycling again, just to make sure that the fibroid wasn't causing a problem. He said that he would put me on DHEA for 8-12 weeks before another cycle if we wanted to go ahead with using my eggs.

Then he told us that we needed to take a break and get away from it for a while. We couldn't cycle again this year, partly because of the DHEA and partly because they shut down at the end of the year for routine embryology lab maintenance. He encouraged us to just relax and enjoy the holidays without this hanging over our heads. Then, he was done--he didn't really want to talk anymore or answer any more questions. He apparently had told us all that he wanted to tell us, and our time was up. I had gotten through most of my list of questions, so off we went. He made a copy of the embryology report and our cycle monitoring sheet for us, and we were on our way.

Needless to say, I cried most of the way home. I called my mom and cried about how unfair it was that I went about things the right way (job, marriage, house, then baby) and that I felt like I was being punished for it. She brought up using my sisters as egg donors, this time suggesting not just the older fertile myrtle, but my crazy younger sister too. I couldn't seem to get through to her that I wanted my baby, not just a baby. I met DH for dinner (we had taken 2 cars to the appt since he had been at work) and managed not to cry at the restaurant. It was a very quiet dinner, though--not much talking since just about anything would have set me off on another crying fit.

I've gotten past most of the crying now. I spent a good part of the day yesterday looking up ways to improve egg quality. I went to the store and bought some supplements (maca, royal jelly, l-arginine, wheat grass, CoQ-10) though I can't find anywhere how much of this stuff I'm supposed to take. I'm going to get my baseline labs drawn for the DHEA and get started on that. I'm still not sure if I want to cycle again, but if we do decide to try again, I don't want to have to wait even longer. At this point, it will be the end of January before I've done my 12 weeks of DHEA--hopefully we will have made a decision by then.

If anyone knows of other ways to improve egg quality (heck, I'll stand on my head 3 hours a day if I need to), please pass the info along. Or, if you can tell me how much of these stinking supplements I'm supposed to take, let me know.