Friday, November 28, 2008

Is it normal

Is it normal to feel guilty about my IF friends I'm "leaving behind" if this is a real and true pregnancy?
I feel so bad for them, remembering how I would be happy for them, but at the same time so destroyed for myself. There were only ever a handful I could feel completely and unreservedly happy for, with no "why not ME?" questions.

Is it normal to have had the initial rush of happiness and now feel surrounded by huge maybe's? Every time I find myself getting excited, or making mental plans, the "caution" sign flashes in my mind, reminding me nothing is concrete.

I feel like I'm in limbo, which is still infinitely better than BFN-despair. I don't feel confident enough to start getting attached to this pregnancy and (dare I say it) baby. If I'm not gagging and feeling ill constantly, I'm wondering if thats a bad sign, and maybe things aren't going well. I've never loved feeling ill so much.

And at the same time I'm trying not to over-think this.

I'm still trying to hold off telling anyone at work, but they're getting cluey. I think I might need to say something next week. Should I let them keep guessing and only tell them after the scan? I hate feeling like I'm deliberately keeping things from them, when they would be just so happy, but at the same time, I'm nervous about having to deal with their reactions if things don't go well.

So much for not overthinking things.

Thursday, November 27, 2008

So far, so good

Beta was in 2 days ago - 561 at 15dpo! Progesterone was 190 too! Even better - no more pessaries.

So I do have morning sickness, sore breasts, and even my masseuse noticed they are.....ummm bigger. There goes my dignity. Lucky I had none left anyway. And I'm used to it, since I hear childbirth involves very little dignity whatsoever.

Our first scan is on the 11th of Dec. 2 weeks today. Feeling pretty good, and nothing to do from here but rest, take it easy and cross fingers. I'm over the moon, but holding it in check, certainly no "unreserved excitement" like there was with the chemical pregnancy - cautiously optimistic best describes the mood at home. Neither of us are discussing the ugly what ifs, but also not making definitive plans, just kind of hopeful ones. Like - I might miss my 10 year university reunion with all my vet buddies if we get that far. I'd be due 3 weeks after the reunion, so it could be tricky getting to the venue, which is either a 16 hour drive, or 2 hour plane flight.

I've told my bosses, and they're unreservedly happy for us, so I figure everyone else will probably know very shortly. And if they're not told, I think they'll work it out in the next week when I gag every time a smoker walks in or a dog has diarrhoea. I need to learn to school my expressions better.

K has his "quit smoking" date for next saturday, he's been on champix, so we're hoping that will give him the edge, but if becoming a daddy doesn't provide enough motivation - I've no idea what will.

Now I'm off to bed - these hormones are messing with my head, and I can hardly keep my eyes open.

Sunday, November 23, 2008


Ahhhhh, I caved. So shoot me. At least I have justification for getting beta out of the way tomorrow instead of when I'm at work Wednesday. Its not official until I see those rising beta's, however this confirms the symptoms of the last week. I'm going to be so nervous until there is a baby in my arms though. I'm scared to jinx this.....

Home at last

Well we arrived home from Sydney 6 days ago, I've been putting off the next post because it just seemed too daunting.
As you see, Sir Salvador Sturgeonduck had a great time!

My E2 levels rose VERY nicely - 173, 1547, 4000, 11000! At our last scan, they thought we'd still need to stim a few days, but once they got the oestradiol numbers back - Hell no, you're going to retrieval on monday and we're dropping your dose of meds right down. By the way, we're worried about OHSS, so drink 3 litres of water each day too. Basically my FSH dose got progressively lower for the final 5 days of stims, and considering it was only 10 days of stimming in total - that's pretty darned good for me!
We also had an appointment with the specialist to discuss K's pathology resuts, and he thought it was worth doing a testicular biopsy to try and find us some sperm. Wow. Obviously no guarantees on embryo quality, but considering this was potentially one of our last cycles, we figured we'd pull out all the stops. The donor sperm was there as backup in case they couldn't get sperm on the day.

We retrieved 27 eggs.

Of those, 19 were mature and suitable for ICSI, and they found 19 sperm suitable to fertilise!

10 fertilised normally, and on day 5, we had two perfect AA blasts, and one AB (the inner cell mass that becomes the baby was graded A, the trophoderm that becomes the placenta was graded B). We transferred one AA, and froze the other two.

Kieran was feeling a little better by day5 - still pretty sore, but rather proud of himself and his embies! I found ER really easy, despite having produced a veritable truckload of eggs, recovered well, no signs of OHSS.

Beta is now only 2 days away, and its 14dpo. So I'm debating testing at home early - I have symptoms just like last time, but that ended as a chemical, so I'm scared to see two lines and have that dashed in 48h. At the same time, I'll be at work all day Wednesday, so its going to be torture! If I get lines, I can justify doing the test tomorrow!

All in all, Sydney was a fruitful experience - we would never have gotten results like this with our old clinic, and never with Kieran's sperm. It was a big decision to go ahead with that rather than the donor. There were all the questions on whether a baby might have the same kind of problems as Kieran has had, and even though medicine has advanced considerably, its still a lot to go through, when it might not be necessary. But we felt we needed to tick all the boxes - the ability to give a child the certainty of where they came from was something we weighed against the possible health risks. It made for an interesting few days.

And we managed some sight seeing in Sydney. Sir Salvador had great fun visiting the Chinese Gardens at Darling Harbour, Centrepoint, the french patisserie around the corner from the hotel we stayed at, Hyde park, St Mary's. He's clocking up some frequent flyer points!

Friday, October 31, 2008

Vampires for Halloween

I had another blood draw today - E2 was 173, which is pretty good for d3 of stims. I've had cycles where it was lower on d5. My progesterone and LH are where they should be also, so looks like the low dose lucrin is doing the trick so far. At least I'm not oversuppressed.

So the plan:
Mon 3/11 - bloods and scan locally
Tue 4/11 - fly to Sydney, staying with a friend for a week, then in the city.
Wed 5/11 - bloods and scan in the city
Thurs 6/11 - appt with Dr P to discuss the TESE results and what they mean.

Then I'm just doing what I'm told. I imagine ER will be somewhere around the 11th or 12th, but its anyone's guess right now.
We'll probably just be doing donor this cycle, and make any other decisions on Kieran's "lads" later on. My research suggests some clinics don't like to do a TESE within 6 months of a previous TESE or previous perineal surgery. Which would count K out on both. I really don't know what this clinic's preference would be, but I'll be guided by what they say. I feel much more confident with them.

We had our sofa-bed ottoman delivered 2 days ago as well, so the spare room is much less cluttered, and we now have a great excuse to try and get rid of a whole heap of other stuff! I'd really like to move all the painting gear in here as well, but I don't know how that will work. We may just put the ottoman into the lounge room, but that won't happen before we get a new entertainment unit (downsizing) and sell the old one!

Meanwhile, I'm still working on my application, its a struggle getting selection criteria organised when you've never done it before. I do like a challenge.......(rolls eyes)

Monday, October 27, 2008

Glitches

Its up, and its down. K and I had a LOOOOONG discussion over the previous few days about what to do with these new TESE results. We can't get an appointment to speak to our Dr until next week either, so I don't know that we'll have enough time to organise a TESE based on that. Sigh. And then there is the problem of knowing whether we'll have a good chance based on the histopath. Need more info.
K is also worried about the chance of all this being heritable too, which is hanging there like an axe waiting to fall.

So the plan is talk to our Dr next week when we're in Sydney, and if we can get K in for a TESE we will, if we can't, or Dr P doesn't think its going to give us a good chance (not just "a" chance, it needs to be a good chance, probabilities are important here), then we stick with the original sperm donor plan.

And because I'm working on "extracurricular" projects too, I've been getting very little done at home. K has smashed the way I addressed the selection criteria, so its back to square one and pay a bit more attention. Maybe tomorrow. I'm tired from all this thinking.

Good news is I get to start FSH on Wednesday night. My bloods today were all good, and results actually came through the same day!! Shock of shocks. So far, the 1/2 dose of lucrin is doing what it should, but then my ovaries are too lazy to do anything at this point in my cycle anyway.
Need to book flights to Sydney for the 4th, so we're there for a scan on the 5th. Then estimated ER somewhere between the 10th and 12th of Nov....its all happening now.

Tuesday, October 21, 2008

The sun shines down....

Indeed, someone is smiling on us from above today.

Kieran got the pathology results from his TESE back today - he does not, I repeat, not, have Sertoli-cell only syndrome. There are good numbers of primary spermatocytes (baby baby sperm), progressing through to rare mature spermatids (almost grown up sperm). My, this is unexpected.

In my hasty research this evening, it looks like it could be hypospermatogenesis - so there are mature forms there, but they're rare as hen's teeth. Or, spermatogenic arrest, but that could still be managable, maybe just maybe.

So, with our donor sperm safely in Sydney, it may end up relegated to "understudy". My word, the thought of actually being able to have my husband's baby is just weird now. Perfectly, beautifully, gloriously weird. I'm excited, but still a little scared, in case IVF specialist says that our chances are still slim. Right now though, I've never been so happy another doctor was wrong.

The lotus I planted way back when seems to have introduced some lovely fertile vibes to our home. The fish are flourishing, and from 2 females, we've gone to dozens of small fry, since both were pregnant. Now I have to work out how to stop them from breeding. I'm hoping those baby vibes will rub off onto me and Kieran.

Oh, and Kieran is adjusting to his new life as a non-smoker now that "the boys" are probably going to be put to work. And the catheter came out today with no problems, but he's a little sore and sorry.

Its so nice to have something good to report.