Post Transfer and Trip

After the transfer on Wednesday, I relaxed and finished some work from home (sitting at a desk) and prepared for our quick trip to Southern Utah.  

Thursday morning I woke up feeling a little achy and sore...primarily my pubic bone from having the ultrasound sound jammed into it for about 5 -10 minutes straight during the transfer.  Nothing much different than my last transfer in June.👍🏼

We ate breakfast and began on our 6.5 hour drive.  About an hour and a half in to the trip, I began getting a headache.  (I'm no stranger to migraines... unfortunately) Since I could be pregnant or becoming so very soon, the difference with this headache was I couldn't take anything for it.   Yuck!

My headaches typically turn from bad to worse if I don't intervene with some type of medication, (typically Excedrin) fast.  So I kept drinking water and tried to doze off and on (as comfortable as you can get in the passenger seat of a car)...without much help.  In true fashion it continued to get worse.  By the time we reached our destination...I felt so nauseous (headaches make me feel this way often) it took all I had to go to the pre-wedding festivities, we had traveled for! 😣

Luckily, I was able to lay down in the hotel bed for a few minutes before hopping back in the car and listening to several calming songs from M83 while enjoying the beautiful Utah scenery.  Although food sounded absolutely disgusting, it was one of those Cafe Rio style dinners (which I normally enjoy) so I made myself a small bowl of salad, skipping the rice and beans...and it actually hit the spot!  So glad.  It took the edge off and I was able to enjoy my time with our family and friends❤️

Friday morning was the wedding and although I don't remember having the headache in my sleep...I definitely woke up with one.  Womp, womp.  I was so bummed because last time I had the transfer, I didn't have any headaches until a week or so later.  

St. George Pizza Factory breadsticks 

My son and I... All dressed up❤️

We had some breakfast (an egg sandwich and hot cocoa) and I will say...while eating the egg sandwich, I started to notice some smells around and maybe from the sandwich ... I won't go into detail ..but started thinking that my "supersonic sniffer" was back in action.  IYKYK?!

The wedding was beautiful, it was in the Cedar City Church of Jesus Christ of Latter Day Saints Temple, which was the perfect place for me to completely relax and enjoy the peaceful environment.  My headache seemed to subside while inside, (yay) so Phil and I ventured out and grabbed a bite at St. George Pizza Factory"...which should not be confused with the Arizona and California Pizza Factories!  Haha much different and we didn't enjoy the experience, but hey we got out and I ate some more salad 🤣👍🏼. Of course we had to balance our meh meal with something we knew would be great, so it was Subzero Ice Cream for the win!  Rocky Road of course is the way to go😘😊

After salad, breadsticks, and ice cream we hit the hotel and napped hard for about two whole hours before the reception which was being held in Pine Valley (another drive).  The reception was beautiful, the couple is adorable, and our friends are the best!

Saturday morning I wake up without a headache!  Woo hoo!  It's also a travel day home, so it was definitely a win for me 😃

I never get car sick and about halfway through the drive I began to get really nauseous and a headache started coming back ..but almost off and on.  I never get headaches off and on like that, so it made me think I might need a neck adjustment (dad needs to come for a visit 😘)?!

Anyway we arrived home, the headache didn't really get worse and let me tell you...this in and of itself is a huge miracle!  As long as I can remember, I've suffered from migraines...but they have particularly gotten worse after a car accident I was in, back in 2014.  My headaches all turn to migraines and they can last for days if I don't immediately take medication.  I can't remember the last time a headache ever went away, without taking medication?!  (Even if I go to sleep...I will wake up with it if I don't take medicine!) So miracles for the win!

Sunday, I just felt blah.  Don't know how else to explain it.  Wasn't really hungry, didn't have a headache (YAY) but just didn't feel good.  Almost like I was a little car sick still.  Weird.  It's too soon to be having symptoms, if I was pregnant... right?

My sister shared the embryo pictures (shared below) that were implanted with me and the differences between the last ones and these ones were huge!  It appears that both of these embryos were hatching already!  So with this knowledge...they could have implanted right away.  Typically, after transfer, they say it takes 24-72 hours for the embryo(s) to attach to the uterine wall.  There's a sheath that they need to shed before they can attach...which can take a bit to lose.  The embryos that were implanted in me were both considered 5 day embryos, which means they were grown for 5-8 days in a specialized, state of the art laboratory, then frozen, 6 or 7 years ago, before being thawed and transferred to me on Wednesday.  Isn't that amazing??  It's truly a miracle that any of this can even happen!! 🙏🏼💖

Embryos transferred 6/19/23

Embryos transferred 9/13/23

See how you can see them coming out of their shell or sheath?? So amazing!

So I'm off to buy some pregnancy tests...wish me luck🍀🤞🏼! It's still very early at 4 days post transfer, 5 day embryo aka "4dp5t" but let's see what happens 😊. 🙏🏼❤️

Today's the Day!

It's finally arrived, the second (and hopefully final) transfer day!  This time I didn't have acupuncture scheduled before hand, so I decided not to overfill my bladder, like last time.  I arrived 30 minutes early (as requested) and was pulled back for my blood draw and then put into a different room to change into my transfer gown, hat, and booties.

This time, being a little more experienced, I wore a dress.  So I would only have to remove my underwear prior to transfer, which was a lot quicker and I felt way more decent under my gown😛👍🏼

I actually had the gown backwards on accident...

Matching booties 😛

After slamming water for the next 20 minutes, it was finally time to go back.  Since I was not overly full this time, the walk was so much better...well everything really was!

This time it was our actual doctor performing the transfer, his bedside manner is just so much better.  He was talking the entire time, but not awkward, just the right amount.  He was able to find the location for the transfer so much quicker than the last doctor!  

Also no more Austin Powers yelling when they were ready!🤣 It was just a calm, "we are ready."  A woman came from behind the door carrying a thin tube and called out who the embryos belonged to (my sisters name) and then who they were being transfered in to (my name) then handed them to the doctor, who then put the tube into the catheter type tube he already had inserted and within a few seconds we could see the little white bubble in my uterus.  He said we will confirm both embryos are inside that bubble in a minute.

He gave the tube back to the woman who brought it, she went back through the door and within a few seconds she responded, "clear".  Which meant yes, no embryos were left in the tube, and both were in fact contained in that little air bubble on screen!

So crazy how amazing this whole process is.  You can take a frozen embryo, dethaw it, and place it in another human...and it has the possibility of growing into a human!

So after the quick procedure, I went back to a recovery room and experienced some acupuncture to help relieve stress and increase circulation.  

It takes approximately 24-72 hours for these little guys to implant🤞🏼...hoping this time it works!  I'm supposed to relax and take it easy for the rest of the day, so that's the plan.  I'm working from home the rest of the day and have a road trip planned to Southern Utah for a wedding tomorrow.  That should be relaxing, right? 😊 

Ultrasound, showing the little bubble with the embryos inside❤️

3rd Time's The Charm...

3rd time is the charm...so they say?!  So it's only been a few days since I've stopped taking all my medications and boom the mother of all mother periods have already began!  I thought I'd have at least a week before this next round...and by the reaction from the clinic, I think they did too🤭.

So the process so far has been cycle day 1 notify the fertility center, cycle day 2, start taking estrogen, and cycle day 4-5, take a baseline ultrasound to ensure my lining is basically gone.

Even though everything on my ERA testing said it should have the results completed with a week or two...the fertility center said they did not have the results back yet and would need to reach out to my sister to find out if she wants to proceed without the results or wait until my next cycle.

(Internally I'm thinking...aren't there additional options?? Like what about calling to check on the results with the lab, or starting the cycle as normal and then if the test results come back as oops we needed to change something early on, then skip to next cycle.  Why waste an entire cycle if it isn't necessary??)

I reach out to my sister and share a few of my thoughts...she's also been a reaching out to the fertility center separately on a different chain....so I wait.

Day 2 I hear nothing back.  But being a little hard headed and not wanting to have the cycle delayed by not have starting estrogen day 2...I start the estrogen day 2.  (Luckily I still have plenty from my last round and am good to go, at least until they have an update for me 🤞🏼)

Day 3 I get an update from the fertility center saying that they received my results, they wanted me to start taking estrogen and then make an appointment for a baseline ultrasound and bloodwork! I was shocked they felt they could still start it on day 3? 

So no one really explained the results of my ERA to me, I just saw on the new calendar they provided, that it had literal hours on it.  (See below)

So what I read and began to interpret myself is that "stimulation" happens when I begin to administer the PIO shots.  Progesterone stimulates my uterine lining to begin to be susceptible to carry a baby.  So in my prior cycles they just said 5 days before transfer begin taking the progesterone at 9pm...this one was oddly specific in saying to take the progesterone at 10:20pm, 5 days prior to transfer.

My wall of past and present calendars and shot instructions 

I'm still not exactly sure how they know all of this or what specifically they found during my test.  I'm curious as to whether anything had to change from the first cycle to now or not?  So many questions!  But for now...I will follow my protocol and update if anything changes 😊

ERA Day

Okay so it's arrived...today I was scheduled for my ERA, which was described to me a few different ways.  I was told it would be similar to a transfer (so far, one was difficult and one was easy) so I had an idea of how that part would go...then instead of a release of eggs...it would be a quick pin prick feeling inside my uterus while they capture the lining to see what stage my uterus was in and if it would have been receptive to a blastocyst implanting or whether my timing is not like the average girl (shocking) and need to move.

The second way it was described was that it would be very similar to a pap smear.  Hmm okay..both things not extremely joyful, I would describe them as uncomfortable.  I've never had my husband or anyone around for those...so I let him know I'm done to go by myself to this appointment.

Okay so let me start by saying the nurse practitioner who performed it was very nice and did a wonderful job explaining what she was doing and even showed me the biopsy she got after she was done, which made the ordeal a little easier.

But this was NOTHING like a pap smear or a small pin prick!  They use a small vacuum tube with a blunt end and ram it into your uterine lining over and over to agitate it, suck it into the tube and continue doing so until they have what I can only describe as like a pencil sized tube with the eraser sized tissue crammed into it.

It was very uncomfortable and now that it's done am very thankful that I don't have to go through with it again.  Let's hope we truly get the results we need out of this! 🤞🏻🤞🏻

Next steps?

Tonight I no longer take the progesterone shots and instead begin taking a medication that's supposed to regulate your cycle and continue the estrogen together, for five days.  After those 5 days I stop taking both and within a week I should start my next period....which means round 3!  

Stay tuned ...

You're late...

 So this morning around 8:45am, I'm at work and I get a text saying, "Hi Summer, you've missed your appointment this morning for lab work, are you on your way?"

Uh, what?  I quickly look over the appointment paper that they gave me...no appointment.  Then I look over the string of messages they send on this app called Klara...nothing about an appointment. So now armed with this information, I feel confident that they are reaching out to the wrong Summer.

After a few exchanges back and forth...I guess it is me they want.  Although my last labs from Monday came back as negative for progesterone they want to check again to ensure that before I begin taking PIO shots tonight...that my levels are still very low.  (Having progesterone in my system early would mean by body could ovulate on its own, instead of allowing them to hijack it on their timeline, which is what IVF does)

Okay sure I'll let work know that there was an appointment scheduled that they forgot to notify me about and I have to go to Gilbert to complete lab work.  Ugh.  Oh well...it is what it is and luckily my job is very flexible. Whew.

My biggest concern at this point is I've been wearing long sleeve shirts because my left arm still has a major bruise from the phlebotomist royally sucking it up.  

...a few hours later I roll up, quickly get called back and low and behold it's the same phlebotomist!  Oy vey...she asks to see my right arm because it's closest today.  (I think to myself...there's no way she's gonna screw this one up too.  I'm sure it was a one off.  The funny thing is...I've been going here for months...and I don't think I've ever had the same person draw my blood.  Yet I have some how won the bad phlebotomist lottery and lucky me get her twice when my other arm still looks like a junkie 💉😬)

After a less painful draw...I leave bandaged up and scurry back to work.  After about an hour I remember I have this darn bandage on my arm!  So I pulled it off and boom...looks like she screwed up this arm too😞.  

In 100+ degree weather...I will now be wearing long sleeves for the foreseeable future thanks to Ms. Jabby Jabberson the horrible phlebotomist.

For your viewing pleasure...here's my lovely arm pokes after about two hours on both arms.  (Monday and Wednesday)

Monday (8/7) two hours post jab left arm

Wednesday (8/9) two hours post jab right arm

I didn't end up getting a photo of them both a few days after...but trust me, the people who saw them were like holy canoli keep those covered up 🥲.

Wish me luck...PIO shots start tonight.💉😲

Lining Check Pre ERA

This morning I went in for another ultrasound, to check my lining.  The doctor quickly looked at my left side and I saw him take at least one measurement of what appeared to be a cyst.  He said it was approximately 3-4cms, but so far wasn't producing any hormones, which is great, and wasn't cause for concern.  (Okay...I guess this is kinda normal...I read that they can get large up to 10cms before they become a concern.  Usually these cysts rupture on their own and become a non issue.  Their cause?? Hormones.  Increased levels of Estrogen can be a cause. Haha sooo, shouldn't be surprised.)

 Other than the measurements nothing really of note to share.  He mentioned that he wanted me to have blood work done to measure my hormones again, specifically progesterone to see if the cyst is still not producing anything, and mentioned he would talk to my sister and let her know that either ERA test would be fine.  He said they should get the results within a week or two and it should be perfectly timed for my next cycle.

After a quick "goo" cleanup on aisle thigh...I got dressed and stopped over at the lab to get a quick jab.  (Ouch!  I'm not sure the gal knew what she was doing...a little rough and I have easy veins!)

Okay...next appointment will be Monday, August 14th for the ERA.  I'm a little nervous, but the doctor assured me that as long as I take some ibuprofen it will feel just like a little pin prick 📍.  So here's to hoping it's simple and fairly pain free.🤞🏻 

P.s. Progesterone shots 💉 start again on Wednesday 👀not sure if Phil has mentally recovered from the last round so I better make sure he's prepared 😜!

CD5 Baseline Check

On Friday morning (7/28) I notified the clinic that it was my CD1.  Shortly thereafter I received my new ERA schedule from them along with a question about which ERA testing group I'd like to go through with.  (They must have sent the same information to my sister, because she sent me a screen shot of her response to them asking which test company the doctor recommended shortly afterwards.)  

I still had Estrace left over from my last go around in June, so that was easier to start this time (last go around was like racing against a clock)!  The progesterone will need to be refilled, but according to this calendar...I've got some time.  

As you can see, my appointments for the month had also been scheduled, so I quickly made some arrangements to be available for my Tuesday, 8/1 ultrasound check.

**Flashback**When I went through this in June, it was rather unpleasant.  I was on CD4 then and was still having a regular flow.  (As I have gotten older my periods only last about 5 days.  Heavy CD2-3 but light until about CD5 and by 6, I'm golden.) They assured me they were expecting a flow and this would ensure my lining was at its thinnest.  

**Present**Okay so this time around my CD4 is like CD5... because today was CD5 and guess what? No flow.  Like none.  I was ecstatic about not having to deal with flow and an ultra sound "wand" again. Everything else about the period was pretty normal, other than the flow just lightened up pretty quickly, so I wasn't really worried or questioning anything at this point.  

I arrive at my appointment, get called back rather quickly and then am told the doctor is busy doing "retrievals" all day so he would be in when he could.  First I thought, wow this is like the second time I've had to wait longer than 5 minutes...why didn't they just schedule me with a nurse like they always do? (Last go around I didn't see the doctor once!  Not once.)  Anyhoo for now, I'm not going to question it! Haha they had me scheduled with the doctor for both my appointments this cycle so far, which is a welcomed change, so I'm not questioning or complaining.

After waiting for about 20 minutes, a knock came to the door and the doctor was greeting me with a friendly hello.

Okay so these visits are never the greatest, I mean...it's awkward.  You're laying on a table, legs spread, covered in a cheap napkin, with a wand being moved around inside of you, making small talk, all while trying to decipher what the heck is what on the screen 🤪?!  However, having been to several dozen of these types of visits over the course of my pregnancies, I will say that he made it a little smoother.  

In a quick few minutes he was able to spot my ovaries, follicles, and two cysts growing on my left side.  He noted that my lining was growing quicker than expected, even said it was close to being thick enough for an ERA now, technically.  He wasn't worried about the cysts, since that's how we ovulate, however he was concerned that they might be producing hormones.  So he requested blood work, to check my thyroid, progesterone, and leutenizing hormones and told me that once the blood work returned the results, he would ensure his team followed up with me on any updates to my current treatment calendar.

**Next Day Update** My thyroid levels were a 3.2, which are within normal range; however, aren't optimal for what the doctor is looking for.  So he's increasing my dose by an extra 100mcgs a week. (Adding pills to my normal daily dose, a few times a week)

My progesterone levels were >.01 (which means my cysts aren't producing hormones... yay!) and my LH levels were normal and showing that I am not about to ovulate.

They would like me to continue Estrace as prescribed and would see me back on Monday for my second lining check on Monday.