family, IVF, parenthood, single mom by choice, SMC, trying to conceive, ttc, writing

Guest blogger: my sister B

My sister B came with me to the retrieval this morning and I asked her if she wanted to do a guest blog post. Here it is!

“Family is the most important thing,” I find myself saying to friends, colleagues and even strangers, on a regular basis in all sorts of contexts.  No question.   It was an honor to be with my sister K today for her retrieval, and to be the first guest blogger on solo mama project!

When she asked me to be there for her today I did not hesitate.  Yes, I gained clarity and conviction in making family a major priority in my life and schedule several years ago, however my strong drive to support K is as much a testament to her unwavering conviction and drive to create a family of her own.

One year ago we sat by a pond at the SF Botanical Gardens brainstorming on a name for her blog.  Her choice to write and express her feelings and her journey has been such a wonderful gift to herself and to us all.   What a journey the past year has been!  K has taught us all so much in the past year about perseverance, passion, and community.

She sat in the comfy chair at the clinic, with a hairnet and hospital gown, covered in a warm blanket, looking up at the nurse.  The nurse put the thermometer under her tongue and K kept her eyes on the nurse with gentle obedience.  She looked so much like a child and I felt a wave of emotion rise in my throat.  I took a breath and cherished the moment.  Her vulnerability was so beautiful and childlike.  She is laying it all on the line for her dream and she has been every day for the past year!

What are you willing to risk it all for?  What are you willing to challenge your emotional limits to create?  What are you willing to share with your community?

I am confident that K will become a parent, somehow some way.  Thank you to each and every one of you who is reading this blog, cheering her on and loving her every step of the way.  I speak on behalf of my whole family by saying that your words of encouragement, calls, texts and emails have meant the world to K and to all of us.

The details of our lives are different yet there is a “solo” in all of our “projects,” and journeys.  Whether we have several parents or one, several siblings or none, or a partner or none.  No matter what our lives look like there is a community, a world, of love and support when we open up to it.  K, thank you for following your dream.  Thank you for being you.  Thank you for sharing the journey with us.  I love you.  Family is the most important thing.

– K’s youngest sister B

anxiety, family, fertility, IVF, running, single mom by choice, SMC, trying to conceive, ttc

trigger!

At this morning’s appointment, I learned that my biggest follies had jumped from 15-16mm to 20-22mm and my estrogen jumped from 2900 to 3500. Which is a lot. The docs say that’s why they check every day at this point, and I’m “ready to go.” I watched my giant follies on the screen, exponentially bigger than when we started, and all snuggled up together. Hi, girls!

Of course, I can’t tell you how many, because I was pointedly not counting. I’d say there are “plenty.” I told my mom today that I think my total letting go of obsessively tracking data was purely a survival strategy for staying sane. It’s working.

I told Dr. Fujimoto, “Long time, no see!” and he said, “We’ve got to stop meeting like this!” I’ve seen him the last 4 days. He will do my retrieval, because Dr. Tran has a conflicting appointment. I requested Dr. T. just because he said he would try to be there if he could, but I feel fine about Dr. F. Everyone says I’m in good hands, and I believe it.

Afterward, I drank some ginger tea with two nurses in the hallway, Nurse Stephanie came in and said hi as she walked by, and Maria gave me two hugs and wished me luck because she’s taking Thursday off. I seriously feel like I work there.

Next, I went through all the trigger and surgery paperwork with another nurse, Jackie. Different protocol for tonight: Lupron between 6-7pm (check) and at 10:15pm, exactly 36 hours before my retrieval, I’ll do my HCG shot with Follistim co-trigger.

Hard to believe that tomorrow I have neither a morning appointment nor any injections. And I get to see Annie and Sam Lamott on retrieval eve with my friend C! So perfect! (PS no one took me up on the free ticket giveaway, so I invited C who secretly wanted to go!)

Thursday, my sister will come with me for my 10:15am appointment. After that, rest. And really no running for a little while. My ovaries will take a while to go back down to normal size. Fert report: Friday.

I bought some bright pink tulips that were all closed up the other day, a visual reminder of my blooming ovaries. They are also looking just about “ready to go.”

I feel proud to have made it to this point. “Homestretch,” says B.

acupuncture, anxiety, family, fertility, IVF, meditation, outdoors, pregnancy, running, single mom by choice, SMC, trying to conceive, ttc, writing

numbers

I think I’ve been avoiding writing, just like I sometimes avoid meditating–with anxiety following me around like a shadow, not wanting it to catch up.

What you need to know is that everything is going fine.

What’s going on behind the scenes is that I’m getting information every other day, and now every day, on my estrogen level and number and measurements of my growing follicles. And I’ve had to consciously back down from a) trying to be an overachiever, b) interpreting, c) doing math, and d) obsessing about the numbers as if it will help me control the final outcome. It won’t. You also need to understand that the numbers at this point are almost irrelevant–you can have dozens of follicles and only a few mature eggs. You could also have only a few follicles but one mature egg that results in a healthy singleton. And everything in between.

At the first appointment, I didn’t know what to expect. This is a vulnerable place.  I felt like the doctors had grim expressions and were disappointed in my number of follicles, which was around 13. It should be noted that they didn’t say anything (at all) to this effect, but when I walked out I felt like a failure and spent the day on the edge of tears. I texted B that I was spiraling and she said, “Don’t interpret. It’s too early to do that and trust your doctors–let them do the work.”

I went to acupuncture the following night and emerged so deeply drained. I asked him if he’d done anything differently than usual, and he said that when you’re that stressed, it’s a long journey to get back to your baseline.

For the second appointment, I brought my sister, who kept me plugged into the irrelevance of the numbers in the short term. Bringing my sis got the docs’ attention and suddenly Dr. Rosen seemed to realize that I was stuck on the anxiety channel and needed strong reassurances–and he gave them to me throughout the appointment. Everything looks really good, you’re doing everything you’re supposed to do, see here on the monitor? Everything is growing, that’s what we want. Don’t worry, you’re doing great, it looks really good. I wanted to celebrate, but my helpful sister reminded me that just like we wouldn’t get destroyed by numbers now, we’re also not going to celebrate. But I did feel way better. My acupuncturist confirmed that my pulse conveyed a much lower stress level the following night (another zapping session, though–afterward, I went home, ate pizza, and fell asleep at 7pm).

At the third appointment, on Saturday, I went alone. Different docs this time, and I didn’t even try to track the measurement of every follicle or do math in my head. I let go, just letting them take over, maybe finally realizing that, no matter what, it will be what it will be. There’s nothing to adjust, except my dosage of meds, which is totally up to Dr. Tran and he hasn’t changed anything since I started. I’m doing everything right, according to Dr. Rosen. All we can do is see how this cycle turns out and have faith that my baby is in there.

I did a pretty good job of letting go on Saturday but I also just happened to be in a terrible mood. I felt like crying about everything, couldn’t bring myself to do the dishes from Tuesday, etc. Still, I managed to finish my taxes AND do laundry, so why I didn’t feel my afternoon was a record-breaking success should be blamed on the hormones. I felt sad and lonely and stuck.

At around 4:45pm, I threw on my running clothes and drove out to Ocean Beach. As I sat in my car getting ready to run, a hurricane-like wind threatened to lift my car into the air. I opened the door and it swung open so hard I thought it may have been damaged. Stepping out into the gale force, I thought YES THIS IS WHAT I NEEDED and began my run along the boardwalk.

I almost couldn’t run straight it was so windy. Specks of sand blasted onto my bare skin, stinging. PERFECT. Despite its ponytail anchor, my hat flew off. Then my hat flew off again. Then it flew off AGAIN. I found myself screaming into the wind FUCK YOU, MOTHERFUCKER and suddenly woke up to my storm-like emotions. I actually started laughing.

Holding my hat in my hand, I continued up the boardwalk with my hair whipping around my face, forming a frenetic, lion-like frizz. I ran up the hill, past the Cliff House, and turning inland into Lands End, where the wind became a mild breeze, the golden afternoon sunlight at an angle that melts my heart.

I needed that. I kept thinking, “This is my natural Paxil.”

Today, after 9 hours of sleep, I woke up better. A gloriously clear day. I picked up my friend C who graciously offered to come with me to my appointment, which are now every day because we’re getting close. It was lovely to have her along although I feel sufficiently detached now, not even particularly asking questions. They’ll tell me if there’s something I need to know or decide.

My likely retrieval day is this Thursday, to be confirmed at tomorrow’s appointment. Then we’ll have real numbers to contemplate: number of eggs retrieved and then the number fertilized. My letting-go skills are getting honed.

My sister has me focused on what it will feel like to have a baby. I’m skipping all these steps in my mind and visualizing the final outcome–the only thing that matters.

Yesterday, my estrogen level was 2,014 (aka my baby’s birth year).

All it takes is one.

dating, pregnancy, single mom by choice, SMC, trying to conceive, ttc, two week wait

anniversary

Happy anniversary, blog!

Yes, it was one year ago today that I began this writing project that has become a complete archive of my journey. I was in the first week of my first two week wait (how sweet!).

I don’t have the energy for a full retrospective (my eyes have been at half mast all day), and plus I did one around New Year’s. I’m grateful to be where I am. This process has been my best teacher–it has put me through my paces. I am stronger. I fall down seven times and get up eight. I have a wider circle and more love in my life than I did before April 8, 2012. I have four local SMC friends who are so dear to me. And I have this blog, which was the most brilliant idea I’ve had maybe ever. It is how I make sense of this whole ride. It is my creative outlet, my work of art, my community, my lifeline, my storyline, my book in its nascent stages. My status report. Without you, it would be merely my journal.

In honor of the anniversary of the Solo Mama Project, I would love to hear from you! Either in a comment or an email (thesolomamaproject@gmail.com) or a text or a phone call–what does this blog mean to you? what do you most enjoy reading about? do you wish I’d go on more hilarious dates? do you pull your car over when you see a new post has come in? do you want clarification on any particular aspect of the process? are you thinking about having a baby on your own? do you share my blog with friends? do you wish there was more pregnancy and birth on my blog (me too)? would you buy the book? are you hanging in there with me, one year later?

We have no PayPal tip jar here (something I should maybe consider as I just calculated my medical bills for 2012), so please show your appreciation in the form of words! Let me know you’re out there–from northern Michigan to NYC to England to Australia to Mexico, friends and strangers.

I am so grateful for all of you. Thanks for reading.

anxiety, donor sperm, fertility, IVF, meditation, running, single mom by choice, SMC, trying to conceive, ttc

stims

So far, so good. On Thursday, I had my baseline and essentially combined four appointments in one. First, I went to PRS when they opened to pick up McPiercy’s five remaining vials. I realized it was likely my last time going to PRS, perhaps ever, and I’ve lost count of how many vial transports I’ve done but this is at least three. Hilariously, when I got outside with the box, I posed it next to a silver Prius that is not mine but was parked a few spots down from mine! This is not my car, but these are my guys:

mcpiercy3

 

After parking at UCSF, I remember standing at the corner of Sutter and Divisadero waiting for the light to change, having this distinct sense that my child is coming together now, literally–half is in me, half is in one of the millions of sperm, frozen in time, in this box.

I checked in and the receptionist said kindly, “I see here we need to collect a large sum of money from you today.” Indeed. I took out my checkbook (and later regretted not using a fancy credit card with points–it’s been on my list of things to do forever now…) Olga came out to have me sign the ICSI forms. I dragged the box around with me while I gave blood (to check my estrogen level) and went in for an ultrasound. During the ultrasound, Nurse Jennifer asked if I was a runner and for a second I thought she saw something in my uterus that betrayed this fact about me–but when I said yes, she said, “I saw you running at Lands End. I never know if people want me to say hi.” I laughed and said, “OH, yes, I want you to say hi!” She said she was with her yellow lab so I told her I’ll watch for yellow labs next time.

She kept saying “great, perfect, excellent.” All was quiet on the ovarian front, which is what you want for the baseline. She said they’d call in the afternoon with the blood results to give me the green light on beginning stims.

Next, I went to the lab to drop off the box which only took a few minutes. Then I went to see Lili, my genetic counselor, to sign some more forms and give a cheek swab sample. Yep, that’s all they need to get your genetic makeup. Lili is my new BFF. She kept telling me I’m fabulous and that my chances are amazing and at one point she raised both arms in the air and said, “I LOVE MY SINGLE LADIES!” On my way out, she grabbed my jacket and said, “OH my God, is this from REI? This is the exact jacket I want,” and quizzed me about it. I am verging on asking her on a friend date although I’d probably want to talk shop the whole time which would be boring for her!

All that AND I made it back home in time for a meeting. That afternoon, I got the call that my estrogen was at 57, go ahead and start the stims on Friday night.

On Friday night, I got home a little later than intended and hadn’t walked myself through the whole process by reading through the materials and watching the videos, etc. So I felt a little anxious and also exhausted, not the picture of IVF serenity that I had hoped. Lupron was no prob–just decreased the dose by half. Follistim is pretty foolproof–it’s a pen and you just dial up the dose. When I got to the Menopur, which requires drawing up sodium cloride, injecting it into the Menopur vial, swishing it so the powder dissolves into the fluid, drawing it back up, injecting it into a second vial, swishing it around, and drawing it back up again, I freaked out because a) there was a ton of air and b) there wasn’t nearly as much fluid as I started with. I have a bad habit of trying to destroy the evidence of my mistakes and plowing ahead with a fresh start as if nothing happened (cooking is another good example)–so I found myself dumping the fluid with one vial of powder into the sink and starting over. It was dumb (and expensive). But if that’s the price of my learning, so be it. The second attempt was successful, although I went to bed nervous because I had used the same syringe and if there were traces of a third vial maybe I just overdosed myself…

Yesterday, I got some advice on the boards and talked to Dr. B. and last night went much better. I wish you could see how many steps it is, how freaking long it takes, how much there is to dispose, recycle, and drop into the sharps container for just one evening’s worth. But, I’m getting it. And my belly is hanging in there.

I slept fitfully–sweating, waking up disoriented, dreaming. Woke up and went directly on a six-mile run–a gift to me. The countdown is on if I’m going to stop running on day 5 of stims. Came home to make delicious almond butter pancakes and a smoothie. Took a bath. Meditated. Took a 2-hour nap. Went w/ Dr. B. for a foot massage. I basically nailed Saturday.

Slept great last night. I have an appt in 25 minutes for a blood draw at UCSF, so I best be getting out of my pajamas. The first ultrasound will be Tuesday and then we’ll be off to the races! Here’s hoping for a 20-way tie!

family, parenthood, single mom by choice, SMC, trying to conceive, ttc

birthday card for my dad

So, it’s April 3 for at least another couple of hours on the west coast, and I’d like to honor my dear Dad on his birthday.

If you know my dad, you know that he wears his heart on his sleeve, tearing up with joy (or sadness) at the tiniest provocation–and this only gets more intense as he gets older. Years ago, he would raise a glass at the family dinner table to give a holiday toast and barely get a few words out before getting choked up. Now he just raises a glass and gets choked up wordlessly and we all laugh/cry and clink glasses and know what he was going to say: I’m so happy we’re all together.

I am starting with the tears because I’m sitting here teary as I consider all the things I could write.

My dad is someone who truly lives in the moment. He can get deeply happy about a cheddar cheese sandwich with kalamata olives and Miracle Whip. He will enthusiastically invite you to try one of his margaritas like they were just invented. He can’t wait to tell you about the YouTube videos he stumbled on, or the treasure he just found at the antique store for $30, or the crazy story he heard from some guy he met today at the tennis court. He treats everyone with deep interest and respect, whether at a dinner party or the grocery store. “How’s your day going?”

My dad has been wearing his collar up since before it was cool. Usually with a handkerchief tied around his neck. His sense of style is timeless.

Most important to me over the years is that my dad has always Been There for my sisters and me. I mean that literally and figuratively–he worked from home starting when I was in kindergarten, which meant that he was my Room Dad in school (likely inaugurating the title of Room Dad as this was in the 70s). Our parents were (and are) Around.

He took us on roadtrips to visit his parents in New England–his own father truly his opposite, an engineer who missed social cues, barked orders, and didn’t particularly express love. His mom, on the other hand, my sweet namesake, is where he got the goods.

These days, we do an incredibly good job of getting together despite being far apart, still giving each other the gift of Time. We talk on the phone. We Skype. We fly several times a year and pile into someone’s house.

Recently, my dad emailed me after reading a post to tell me how happy is that he’s my dad. And I just know that his dad didn’t tell him that, and many dads don’t tell their kids that, and my kid won’t ever hear that because he or she won’t even have a dad. And I feel so lucky that I’m his daughter. And excited that my kid will have a Grandpa Cha Cha.

There is no bigger supporter of the Solo Mama Project. My parents are tied for first place.

I remember my dad coming home from the hospital to bring me the news of the birth of each of my sisters. I remember sitting with him on the stairs while he wept with joy.

Thanks for keeping the joy flowing, Dad.

 

anxiety, fertility, IVF, ovulation, pregnancy, running, single mom by choice, SMC, trying to conceive, ttc, two week wait

the science

It’s a quiet Tuesday evening at home. The light is beginning to wane, and the fog is so thick that I can’t even see the hills. Big puffs of fog roll intermittently down my street. I’m getting used to this phase of not doing much… Just talked myself out of doing work tonight since it can all just simmer down and wait until tomorrow. I also decided not to start my taxes (again). We can’t be driven by the to-do list every hour of every day. Am I right?

Last night was IVF orientation class at UCSF. I got to meet my Patient Navigator, the woman I eventually need to talk to about the financials. Maria from the front desk was there and gave me a hug. The auditorium was full of around 80 people considering or beginning IVF treatment, all roughly my age, all likely having been through the ringer on this already. I walked in and took a seat in front so I wouldn’t be too tempted to peoplewatch and make up stories about what each couple was going through. A woman my age sat next to me–I eyed her wedding ring. Why wouldn’t her husband be here? I felt solidarity with her, and annoyed that he felt he had something better to do.

Dr. Cedars, who I believe had the longest wait when I first called UCSF, got us started with a PowerPoint slide of all the physicians on staff, including, yep, Dr. Tran. I gazed at his photo fondly. She went through all their background info and areas of research (they really seem like a bunch of pals), and then we covered the basics: pre-conception testing, various protocols, the retrieval process, the transfer process, success rates. I knew a lot of it already (it’s amazing how much medical knowledge you can retain when it’s about you), but it was good to hear it from start to finish. I learned that the uterus is actually “potential space” and when it’s empty it’s flat like a pancake with the sides touching. Also, the ovaries aren’t really hanging way out on the sides like a Georgia O’Keeffe painting; they are usually hanging next to the vagina, just millimeters away. Closer to the opening, making the retrieval process not as terribly invasive as one might initially think.

Dr. Cedars says she is more conservative than her younger colleagues who recommend that the only thing you should not do between transfer and pregnancy test is skydive. She no longer recommends bed rest but forbids anything bouncy (which actually brought tears to my eyes as I considered abstaining from running at such a stressful time). She doesn’t want the uterus to contract for any reason–the Valium for transfer day is a muscle relaxer to prevent cramping when the catheter is inserted. She also forbids fish oil (which I’m currently taking) and herbal treatments because they can supposedly cause your blood to not clot well. She said to stop the fish oil when starting stims.

Then we moved on to Dr. Rosen, the lab director, for a bunch of amazing photos and videos from the embryology lab. We got a virtual tour of the lab, with its super-pure air (pushed through 5 filtration systems), incubators with each shelf dedicated to one patient at a time, and these futuristic-looking machines were the operator sits holding a joystick in each hand–ostensibly to guide the needle into the egg and inject the sperm.

The ICSI needle is 1/10 the diameter of a human hair, and the egg is about the size of the period at the end of this sentence. (Probably smaller, actually.) This video game requires some serious precision. About 75% of their IVF patients do ICSI.

I was just reading about how they dehydrate the embryos so they don’t burst while frozen, and apply antifreeze (cryoprotectorant) so they don’t shrivel. It sounds so sad! Don’t tell my kid. Assisted hatching is something they do for women older than 38, since their eggs’ shells can be too hard. The methylprednisolone, whose purpose eluded me when my meds box arrived, is a steroid hormone with immunosuppressive potency, potentially helping the hatched embryo survive in the new environment of the uterus. For some reason not explained in my handout, it helps them implant better. (Did I sound like a med student until that last sentence?)

Suddenly, regular conception or even IUIs  seem practically irresponsible for how much they leave up to chance!

The last slide was a photo of a newborn with an extremely scrunched-up face, and the caption said, “A Healthy Singleton.” Which is the goal. And, honestly, all of the above science doesn’t necessarily feel all that connected to actual pregnancy and birth. I guess that’s why you get nine months.

It occurs to me just how action-packed this blog is going to get in the coming weeks. First, the baseline ultrasound. Then the play by play on stimming–watching for how many follies grow with ultrasounds every other day. I am already anxious about the successful injection of the HCG trigger 36 hours before retrieval–the timing has to be exact. Then: retrieval, the daily fertilization reports until Day 5, the two-week wait for the genetic test results, and then gearing up for the transfer cycle (I don’t even have that calendar yet).

We won’t know anything definitive for two months but MAN will we be busy. And by we I mean me.

 

anxiety, depression, family, fertility, IVF, outdoors, pregnancy, single mom by choice, SMC, trying to conceive, ttc

the ride

This past week went fine–a busy work week, relaxing evenings, injections at 10pm. My friend C asked me on the phone last night if I was feeling anything yet and I said I didn’t think so–a little more tired, maybe, but that was it.

Today I started to feel it. I woke up around 7am and cleaned my kitchen from top to bottom, including every cupboard and inside the refrigerator (super abnormal behavior). I made myself breakfast and soon after started feeling sick to my stomach. I sat down on the couch and felt overwhelmingly tired. I wondered if I’d feel well enough to hike with my sister. Then it started to rain. And the tears started to fall.

I know that it was the hormones because I wasn’t crying about anything. There was no trigger, nothing in particular on my mind. I just looked out at the rainy streets and cried, and then, as long as I was crying, I cried about having to put my body through this, and about not knowing what’s next, and what if it only gets worse, and it will because I’m only 6 days into Lupron and the big guns come out in about a week.

My sister texted that she was on her way over, and I pulled it together and showered and got ready. As soon as she got here, I felt better. We planned an urban hike. Even though rain was forecast through the entire weekend, it really only rained for about 10 minutes this morning and then transformed into a glorious, warm, sunny day with only the mildest of breezes. We walked to the new Bi-Rite on Divis to get sandwiches, oranges, popcorn, and kombucha, and went over to the Panhandle and then to the tippy top of Buena Vista Park.

I noticed the beauty all around–the plum and cherry blossoms, the daffodils, a blue jay. The erratic streaks of clouds across the blue sky as our storm apparently sideswiped us. I felt relaxed because I had nothing to do later, nothing to check, nothing to get done. We came back to my apartment and watched The Hunger Games, which I read last summer and she just finished..another good distraction (and better than I expected). She went to have dinner with a friend while I stayed in and ate homemade black bean chili and cornbread.

And, here I sit, warm from today’s time in the sun, with the window open next to me and the sounds of cars passing by on the wet streets. As the sun was setting, I went up on the roof and took this:

rainy sunset

I did a little googling of Lupron side effects and found that pretty much anything goes; the lists are long. The drug originated as a treatment for prostate cancer. We’re playing with the pituitary gland which seems like the epicenter of hormones, so it kinda makes sense that things could get a little nutty.

But not totally–I feel fine right now and had an awesome day. I just think I expected to have no side effects–I even wrote that in my last post–much like me and Ms. R. thought we’d (obviously) get prego on the first try. I’d call it naïveté, or maybe even willful ignorance, or false confidence–it doesn’t always work out the way you expected.

I texted my friend Dr. B.: “Uh oh, tears just hit,” and she said, “Hang in there. It’s a ride.”

So true. And calling it a ride kind of makes it sound more fun, like an adventure. What will happen next? Stay tuned!

I just signed up for 3 upcoming events and wanted to let any friends in on it who may want to join me.

First: two back to back events at Spirit Rock:

As I told my sister today, at the beginning of June I’ll be in “some kind of state of mind…” so a couple of daylongs will be well-timed.

And, finally, I would like to announce my first Blog Giveaway in honor of the upcoming first anniversary of The Solo Mama Project. I have two tickets to see Annie Lamott and her son Sam do a reading at St. Andrew’s Presbyterian Church in Marin City on Wed, 4/17 at 8pm. Email me if you want to go with me–first friend to contact me gets to come with. One of my favorite authors, in the very church about which she frequently writes, and one of the original voices of a single mom by choice. It’s a benefit for St. Andrew’s. I only heard about it because Annie herself posted it on facebook and I follow her. Excited!

Don’t cry for me, Argentina! My sister says I’m rockin’ this.

donor sperm, fertility, IVF, pregnancy, pregnancy loss, single mom by choice, SMC, trying to conceive, ttc

peace of mind

I’m on the iPad tonight and feeling sleepy… But before bed, i wanted to share this lil parcel which arrived in the mail for me today:

20130321-221046.jpg

Here we go, yo.

After my last post, my IVF veteran friends called one by one, sharing their experiences. I realized I was still swimming in uncertainty about Day 3 vs. Day 5 and genetic testing. Then I talked to Dr. B, my friend who is pregnant after 2 IVFs–first time she did a Day 3 transfer and it didn’t work. Second time: genetic testing and a frozen embryo transfer a month later–worked. She also reminded me of a woman we know from the national boards who, like me, got pregnant easily and had early losses. She got tons of eggs, and 6 embryos made it to Day 5. After testing, they found that only one was normal. And that’s the one she’s pregnant with now! They can’t eyeball these things… And at my age, 2/3 of my eggs aren’t going to work.

I realized that putting 3-4 embies in on Day 3 would feel like “spray and pray.” And why not find out which ones have the right chromosome count when the technology is there? And mitigate the risk of miscarriage? They only want to put back one to ensure that this blog doesn’t turn into solo mama with twins (as if I could keep blogging!). The risks are: losing a normal one between Days 3 and 5 (impossible to know if this happens or not), ending up with all abnormal, or ending up with nothing.

I sat with it, did a pro/con list. I have to say, the pro/con list never fails me when it comes to big decisions. What rose to the top as the favorite pro? Peace of mind.

Today I met with the genetic counselor along with a doctor who was observing. We were all women around the same age. I learned so much nerdy science stuff that I can’t adequately convey while typing on the iPad. Let’s just say that the technology is mind blowing. Particularly the part where they map the genetics of me and McPiercy and it’s where the code veers from either of ours that they determine it’s abnormal. That and missing or extra chromosomes.

They felt I was a strong candidate for PGS given my age and my high ovarian reserve. So, I’m going for the method that has the highest rate of success. Why not knock this out in one round? My favorite stat: they predict I have a 93% chance of getting at least one normal embryo. (and, if it works, there is a 100% chance it was the right one.)

I emailed Dr. T because he gave me his card and said I could. I apologized for changing my mind but apparently needed more time and now I’m clear. All he had done was “order the labs” so I think all he had to do was revise the order. He wrote back, “No Problem, K” and I liked how he capitalized No Problem. He acknowledged that it’s a very difficult decision and copied in Olga and Lili (the genetic counselor), so now we’re all on the same page.

So, sports fans, I just added a month to the final result. The biopsies, a few cells from the part of each embie that will become the placenta gets couriered down to San Carlos where the results take two weeks. So I’ll catch the next cycle and transfer in early May. After a little R&R and detox from all those drugs you see on my dining room table. My baby will be born in 2014.

Good night, friends. I leave you with this light fixture in the restaurant where I had dinner tonight with my friend C. Am I hallucinating or do you see it too?

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anxiety, dating, donor sperm, family, fertility, IVF, outdoors, pregnancy, pregnancy loss, single mom by choice, SMC, trying to conceive, ttc, writing

ivf. omg.

This morning, I said to Dr. Tran, “I feel like I’m about to climb Mount Everest.”

He looked at me solemnly and responded, “You are.”

I’ve begun my IVF protocol, without a break, careening straight into a full calendar and a giant box of meds. It is so huge. I hope I can adequately convey to you how big this is.

It was a good time to take a break from the blog considering this monumental transition and the fact that I had no bandwidth for writing (or even thinking) while traveling and working and spending time with family and processing the neg bomb. I have not even close to sufficiently responded to all the love that poured in after my last post. I needed an escape, I took a break from everything, including you. But not including work–it’s my busiest time of year. I spent time in therapy talking through the way I channel a lot of my anxiety about fertility into my job, trying to stay on top of it, trying to control it. But while my job is a priority, it is not THE priority.

I am myopically focused on the priority. The intensity of it is awesome in the old-fashioned sense of the word.

IVF began in Indianapolis, when I emailed Olga to give the green light on this cycle. Yes, it was short notice to get all of our ducks in a row but her next email bowled me over: you need to go to IVF orientation, sign a consent form in person, attend an injection class, have a saline sonogram, do a test transfer, meet with Dr. Tran, meet with a genetic counselor, order your meds, start birth control pills, start antibiotics, have a financial consult, and clear your schedule. Next, I called the pharmacy and got bowled over again: Lupron, Gonal-F, Menopur, Methylpredisolone (I actually don’t even know what this one is), Progesterone, Estrace, more syringes than I want to count, 3 different gauges of needles, and 10mg of Valium. I could have used the Valium at the top of this paragraph.

Are you feeling overwhelmed? Because if not, you did not read carefully. This is Mount Everest.

I have mountains of compassion for all women who have gone through this and I have only just started. Having a full life and then taking on IVF is like a second full-time job. And I have only just begun–what’s going to happen to my body, my finances, my mind?? And, the biggest question of all: will it work?

I am about a week into birth control and started the antibiotics last night (coincidentally I have a cold and maybe it will help with that). I attended injection class, along with 2 straight couples, a lesbian couple, and a couple of single women freezing their eggs–very educational. I learned that triplets are rare (maybe 4x/yr at UCSF) and cause for many staff meetings where they discuss “where did we go wrong???” Not your every day occurrence. I paid attention during Gonal-F but zoned out during Follistim, then got an email from Olga that I’ll be switching to Follistim because Gonal-F isn’t covered on my insurance (my reaction: yay, medication covered on my insurance! but damn–should have paid more attention during the Follistim presentation). Had my saline sonogram and mock transfer yesterday, thankfully not at all painful (I had visions of the HSG test and hives)–Dr. Renato said the transfer will be really easy and none of my fibroids are in the cavity: cleared to go forward.

Today, I met with Dr. Tran. As I have mentioned, I love him (as in IN love with him). Today he was in a tie and white coat, his coffee from Peet’s. He is masterful at drawing upside down. I had more or less decided to go with PGS (genetic testing on Day 5) and then had second thoughts when weighing out the cost and the risks. You can either: transfer 3-4 embryos on Day 3 and freeze the rest at that point or let them go to Day 5, lose 60%, genetically test them, freeze them, and later on put back the 1-2 normal ones (for an additional $7k on top of approx $12k). There are huge pros and cons on both sides and no guarantees for any of it, so it’s very complicated and gave me visions of gambling in Reno.. At this point, and on his recommendation, I am hedging my bets–opting for Day 3 in an effort to have a fresh transfer, enough leftover to freeze, and at least a little money left in case I have to do it all again. Higher risk of miscarriage which is terrifying. But I feel like there’s safety in numbers… I’m meeting with a genetic counselor tomorrow just to be informed.

And I start Lupron on Monday night. I might be on the road and this time I know to bring a doctor’s note for airport security (wisdom of experience). I have put my schedule and life and online dating and pretty much everything on hold–everything is canceled except work and health-related appointments. I still need to walk in the fresh air with friends and talk on the phone so–don’t let me drop off the face of the earth. Just know that I am consolidating resources and hunkering down. And I’ll probably write a lot because, as you can tell, this is going to be quite an experience.

And I need you along for the ride xo