Big Update

Wow! Has it really been almost 3 weeks since I posted? I've been a bit busy with Wrigley as she tends to demand as much attention as I can possibly give her. We started obedience classes and she is doing very well. I think she is very smart, and I'm only a little biased. ;-) She is quickly learning our household rules and routines. She is getting along so well with Rufus--in fact, they are cuddled on the couch sleeping as I write this. She is still quite a challenge though. DH has been gone quite a bit with work, leaving me to deal with all her puppy energy, neediness, and general untrained behavior. I found myself getting very frustrated by the end of the day, so I enrolled her in puppy daycare to get some time to myself on my days off. She loves it there and the staff seem to love her too! In order to keep her well socialized (something we didn't do with Rufus and we truly regret) we are going to take her there once a week or so. It gives Rufus a break from all her puppy zoomies as well!

Last week we took our annual trip to Mexico for our anniversary. It was sunny and beautiful the whole week. We spent most of it at the beach, just reading and relaxing and playing in the water. We did have a bit of a rough patch when we realized that we have spent so much time apart lately that we aren't quite sure how to spend that much time together. We talked about a lot of ways to change that, primarily being our work schedules. So, I might be looking for a new job soon, but I'm not sure yet. DH is going to try to stay home more when it's possible, and I might try to take some trips with him.

I did come back from Mexico with a surprise--well, two surprises really--pneumonia and an E. coli infection. I started wheezing and coughing a bit last weekend while we were there, but didn't really think much of it since we stepped up our exercise a bit (to battle some of the damage from the all-inclusive food and lovely beverages) and I've been known to wheeze after overexertion in the past. When it continued on for the rest of the trip, I figured it would get better when we got home and back to drier air. Then, the day before we were due to come home, I spent the day in bed with what I figured was an upset stomach (diarrhea and nausea, but fortunately no vomiting) from something I ate or drank the night before. I was achy and feverish and slept for most of the day. It continued the next day for the trip home, but at least I could eat again, so I figured it was getting better. When both problems persisted the next morning, I gave in and went to the ER for confirmation of what I had already diagnosed as aspiration pneumonia from sea water and Montezuma's revenge. The chest x-ray showed pneumonia (he wouldn't say whether it was aspiration via the x-ray but admitted the possibility) and he diagnosed my tummy issues as E. coli infection from the water. The good news is that both infections can be treated with the same antibiotic--the bad news is that it's $173 for 5 pills since we haven't met our annual deductible yet. I started the meds on Thursday and I wish I could say I was feeling better, but I'm not there yet. I'm struggling to sleep since any position short of vertical causes coughing fits.

I put a call into the RE office to make sure that this lovely combination of illness and the meds used to treat it wouldn't cause a problem with IVF 2.0, which is due to start next week. The nurse said that the meds won't be an issue, but I need to be healthy for my cycle. I go in for my CD2 baseline labs and u/s on Monday, so I'm hoping that I will feel better by then. I've called in sick to work for the weekend so that I can rest up and give myself the best chance to be healthier by the time I start shots on Tuesday.

All the meds arrived yesterday, after I gave Caremark a large chunk of my money. I thought we had a problem when they sent the Gonal-F pen rather than the multi-dose vial like last time. I'm going to be giving all of my meds IM again and the pen needles just aren't anywhere near long enough for that. So, I'll just have to inject from the pen into another syringe that I can attach a longer needle to for the actual IM injection. Crisis averted!

Our BIG new addition

Our family has expanded! We adopted a new four-legged baby from the giant breed rescue last week. We had been working with them for a while--they have a pretty detailed application and adoption process. Once we were approved, though, it went pretty quickly. We drove across the state of Colorado to pick her up last Friday.

Say hello to Wrigley:



Wrigley is a 2.5-year-old female Great Dane. She is on the small end for Dane height at 30" at the shoulder and she is very skinny right now. She is just a sweetheart, though. She follows me around whenever I'm home, and wanders the house looking for me when I leave (according to DH). She loves to play and has tons of energy--quite a contrast to our 10-year-old boxer mix. The dogs are getting along great, which was a major concern for us.



She's had very little training, so obedience class will be our first order of business. She is quite the wild woman at the moment--loves to chase bunnies, bark at neighbor dogs, and pull me around when she's out going potty. We're planning on putting in a fence once the ground thaws so that she can have more freedom to run around the yard. I'm just loving her right now and I'm so happy to have another big dog in the house.

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?

Out!

I did it--I outed myself on Face.book. I've never spoken about our IF there and didn't really have much intention of bringing it up this way. Obviously, I couldn't talk about it there until after our families knew what was going on.

I always knew I would talk about it there, but I figured I would wait until NIAW or something. I guess it's the impending nature of IVF 2.0 that made me bring it up sooner. It was so hard to hide such an important life event the last time we went through this. I posted lots of vague sad things when we got our last BFN, and those who knew about the cycle knew why, but I think it worried others.

I must say that posting about it felt liberating. I was so nervous before I hit that "share" button, but it felt so freeing once it was out there. So many of us suffer in relative silence, sharing with those in the IF blogosphere, but not people in our lives. Blogging affords a large amount of anonymity, which is necessary when venting, crying, etc. is needed. I have no intention of sharing my blog address with the world, as I still feel that I need the safe space to get out the thoughts and feelings that aren't easy to even acknowledge, much less talk about. After all, the rest of the fertile world thinks that hope is an unqualified good thing, when we all know the double-edged sword that it brings. I don't want to have to explain that to people--I still need to be able to put it out there with a wonderful community who just "get it".

Still, the response to my FB "outing" was incredible. I was afraid I would get some negative comments or people telling me to keep it to myself. What I received was quite the opposite--within minutes, I had messages of love and support. I had 4 people respond that they had been through IF treatments, too--woohoo!--one outing leads to another! Not a single negative comment was left on my post.

I plan to continue posting about our IVF cycle on FB. I will try to ask for support when I need it from those who know me IRL, which is actually much harder than asking the IF blogosphere. I want to continue to put my story out there--who knows who might be helped by it?

Moving Forward

I went back today for my follow-up with the surgeon. I drove over 2 hours round trip for a measly 15-minute appointment. Essentially, I arrived, gave them my new insurance card, filled out a questionnaire on my surgery and recovery experiences, then met the doctor in the ultrasound room. A quick dildo-cam revealed that all seems to be healing well. No obvious fibroids that he could see, and no major hematomas in the uterus. He said we can proceed with our next IVF whenever we feel ready. After telling me to let him know if I get pregnant, I was out the door. It's a good thing I could stand to get a few things at a nearby Whole Paycheck so that the long trip wasn't a complete waste of time.

He did see some free blood because...AF finally arrived today!!! After 6 days of spotting (sure hope this is not a new trend), she arrived this morning full force. No cramping, though, which is lovely. With the surgeon's blessing, and CD1's arrival, I called the RE office to see where to go from here. When the IVF nurse called back on my drive home, she informed me that the RE wants to run a few more tests. After scheduling all of my tests (blood work, SSH, hysteroscopy, trial embryo transfer), she called in the prescription for my BCP's. I start them on Friday and take them for 21 days, then start stims on 3/6.

IVF 2.0, here we come!

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).

Welcome ICLW!

Wow, I just realized that today starts ICLW and I haven't written a single post all year. Holy crap! Can you say slacker?

The year is starting off pretty well. I'm finally starting to shake the cold that I got at the beginning of the year. Yeah for no more coughing!

I've stuck to my commitment to 100 consecutive days of exercise. I was very frustrated after the first two weeks since I lost a combined 1.6 pounds in those two weeks. It didn't help that DH lost almost 7 in the same time frame--men! When I looked at it, though, I realized that I was still eating crap despite professing my desire to shed some poundage. So, I started back on my eating plan that I used last summer when I lost some weight before IVF. I stuck to it pretty faithfully and lost 3 pounds this week. DH just got home after being gone all week, so the diet will go out the window for a nice dinner out tonight.

We are still on a treatment break to let my uterus heal from the myomectomy in December. I haven't seen AF since November, but I'm hesitant to request her presence just yet. I've been doing the calculations and, if I call the RE office now, they'll put me on prometrium to bring her visit. So, if I start that now, take it for 10 days, then get AF a couple days after that, I'll be getting her visit around the end of the month. Which would likely mean that I could expect her again at the end of next month and I definitely don't want her around then. See, DH and I have booked our lovely anniversary trip to Mexico for the end of next month and AF would kind of kill the vibe, if ya know what I mean. So, I'm going to wait until next week (or maybe the next one) to call the office and get the process started.

I find it a little sad, actually, that I don't even have the slightest bit of hope for my missed period to mean a pregnancy. Most normal (aka fertile) women would have peed on at least one stick by now, but I haven't even seriously considered doing that. I guess it's just another sign that this has become so ingrained in my brain that I can't even imagine a missed period meaning anything other than my body being screwed up again. How sad is that!


ETA: It looks like I'm going to have to POAS anyway. I was exposed to meningitis last weekend at work, and the infectious disease doc wants to put those of us exposed on a short course of prophylactic antibiotics. Since the meds they generally use are not safe for pregnancy, I need to make sure that I'm not pg before I can take the meds. I'm pretty darn sure I'm not and it's just the surgery that screwed with my cycle, but I would be devastated to find out later that I was and that the meds caused problems. So, I will be POAS tomorrow before I get the meds, just to be sure.