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Category Archives: Artificial Insemination

Go, body, go!

I had my CD 13 monitoring ultrasound yesterday (Wednesday). My lead follicle (on the right) grew from 12.5 mm to … Wait for it … 20mm! In 2 days! I’ve never had that much growth that fast. There’s usually at least one u/s in between where I get to 15 or so.

Trigger was last night and IUI #7 is scheduled for 11am tomorrow. Hard to believe I’m ovulating (triggered or no) on day 15. How normal of me. I’m excited (well, excited and scared). Think happy thoughts for me tomorrow. Sorry for the boring-ass blog post. You get what ya get and you don’t get upset.

Stay tuned for some complaining-about-progesterone-suppositories posts.

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Try, try again

If you haven’t already ascertained from the title, today’s end to the two week wait brought a BFN with it.

I’m letting myself feel disappointed and dejected for a little bit, but already back on the self-talk bandwagon. “No big deal, we’ll just try again next cycle. Only 2-3 more weeks until we can try again – that’s not that long. Hey, at least I ovulated this time,” etc.

I was basically silent (but still lurking) on here for this two week wait. I think that this one is more disappointing to me than prior BFNs. I mean, it gets more disappointing each time. But in particular, I really got my hopes up yesterday. Usually my temperature slowly rises until about 7 or 8 dpo, then dances around until 12 dpo, when it starts to drop. Yesterday, at 13 dpo, I had a giant temp spike. I have been really good about getting up at 6-6:30 every morning to temp, so I know it wasn’t a time-related outlier. When I say spike, I mean it leapt from my normal “high temps” (around 97.9) at least .5 degrees to 98.4. I know that I should try to disregard temps while I’m on the Progesterone suppositories, but it really seemed notable.

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Anyway, it seemed notable enough that, paired with my nausea and lack of appetite, I was feeling really good about a BFP this month. So good that my wife and I decided I would test a day early (not something I usually do – I usually just test at 14 dpo so that I’m prepared for my blood test results when they call). Of course, as you now know, it was negative. I was so disappointed, but I also was able to talk myself (and my wife) into the possibility that it was the test. I had used an internet cheapie that a friend gifted to me, and it had some reviews online that pregnant women were saying their tests showed up negative even at like 6 weeks pregnant. All I needed was a little fuel to the fire and I was back on the hopeful bandwagon. Today’s temp was down again, but still way above the cover line, so my hope was up once again this morning when I peed in a cup and used one of my precious digital tests. I hopped in the shower hoping that when I poked my head out I would see “Pregnant 1-2 weeks” on the display. Nope. Man, those words “Not Pregnant” really cut through me this time.

Okay … onward and upward again! I talked to the clinic this afternoon when they called to tell me that I’m not pregnant twice (yes, they called twice. Like, one nurse called and told me, and then maybe didn’t mark my name off the list so another nurse called and told me again), and our plan moving forward is to jump right into another Femara cycle. I am waiting for a call back on 2 other things: 1) I asked the clinic to please try to submit for prior authorization for insurance to start covering. Because ultrasounds are damn expensive and someone told me like a year ago that the “12 documented IUIs” rule can be “6 document IUIs” if you have anovulatory cycles, which I do. So let’s see if that will happen. If it does not, there’s a chance I might try to skip the ultrasounds and trigger this time around. But if we’re being honest, I probably won’t. I really like the comfort of having the timing pinned down. Maybe I can avoid unnecessary early ultrasounds though. We shall see.

So that’s that. We’ll just keep on keeping on over here In the Baby Closet, and hope that one of these tries will take.

IUI #6

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IUI #6 was yesterday morning! I feel like it went well, all in all. I decided to take a half day off of work (I usually go in in the morning, leave for the IUI, and then go back – yesterday I didn’t go in until after the IUI), which was really lovely. Em and I were able to drive to the Cryobank together to pick up the sperm and drop it off at the clinic, and then we went to breakfast together at a sweet little creperie that I love. And I wore my lucky socks. Okay, well, I wore some new socks that I like and dubbed them my “pregnant socks.” I think they’re going to do the trick for me.

We showed up early for my IUI appointment – like, an hour early – because the scheduling lady told me that they could likely take me early if I was there. Of course, they couldn’t, so that was a bit stressful (no one likes sitting in waiting rooms). In my mind, though, it was worth the wait because my favorite nurse was doing the IUIs that morning. Silly me for thinking things would work out so perfectly. I ended up getting the NEW nurse, who is lovely, but oh so NEW. I had never met her in person, but spoken to her on the phone. She also had a more experienced nurse with her to supervise. I was definitely more than a little bit nervous, but happy that at least there was a supervisor there to make sure nothing went wrong.

Here’s my assessment of the newbie:

  • It was the most comfortable speculum insertion ever. I was very impressed.
  • She got the catheter in there and maybe had trouble aiming it? I don’t know. It was NOT comfortable at all, and then she asked for help.
  • I was happy she asked for help
  • Whatever she scraped did make me spot for the rest of the day
  • The supervisor nurse told her she did in fact have it in the right place, but she did the insertion anyway.

I understanding learning. I work at a teaching hospital, and I have graduate students who I supervise and allow to treat patients under my supervision. And I know that would never let them stray off course in a way that would negatively affect the patients. That experience definitely helped me be okay with having someone so green handling my very expensive sperm. Em, on the other hand, was mouthing to me that she wanted to ask her how many of these she had done before (because that would certainly inspire the confidence she needs to impregnate me, amiright?!) That said, it was definitely the least physically comfortable of my IUIs so far. But I still feel confident about this one. Regardless of the outcome, I feel good about the follicles I had, I feel good about the trigger and IUI timing, I felt myself ovulating yesterday morning, and it gave me a real confidence boost that this was well timed. It’s notable because I think it’s the first time I’ve felt good about (read: not spazzed out about) the timing.

Oh! Also our new ginger baby daddy juice was stellar! 75% motility, guys! On frozen sperm, post thaw! That’s fantastic. All of my awkward, icky feelings about having super young sperm are out the window – young guys make resilient little swimmers! And there were 52 million of them! I really hope that these awesome numbers and the great timing are not making me overly confident about this try (hint: they totally are).

Final random tidbit – I haven’t been to acupuncture in over 2 months (since the last cycle went bust). It was relaxing, but I felt like I was in a rut and needed to get out of it. I had been going weekly since May. And I actually feel somewhat less stressed now that I don’t have to worry about one more weekly appointment. So that’s one more difference this cycle. I don’t feel like that’s what is going to make the difference, but it is difference, and I figure it’s worthy of note (lezbehonest, every last one of my thoughts is “worthy of note” on this blog).

So here we go … 1dpo/1dpiui and just 13 more to go! I hope that I get a little shot of patience sometime in the next two weeks, because I am certainly not feeling it now. January 20th, just get here already! Here’s hoping that new drugs, new sperm, lucky pregnant socks, and positive attitude result in a BFP in a couple of weeks.

All Systems Go

Knock on wood, but it seems like Femara/Letrozole has done the trick for me this month! I went in for another monitoring ultrasound yesterday (Sunday), as a follow up to my CD13 ultrasound (Friday). On Friday, I had 2 lead follicles on my left ovary, at 15mm and 13mm. As of yesterday, one had grown to 21mm, and the other to almost 16mm. I got the go ahead to give myself the Ovidrel shot to trigger ovulation last night around 10:30, and scheduled an IUI for tomorrow (Tuesday) morning at 11:00.

The only hiccup so far is that my dear wife prematurely disposed of our sharps container that we got with my first Ovidrel shot without asking me, so I didn’t have anywhere to put the needle after giving myself the Ovidrel last night. I work at a hospital, so I can probably bring it in to work and find somewhere to dispose of it.

I’m excited. I feel confident about that 21mm follicle, and think that there is even a possibility that the 16mm follicle may have grown enough to ovulate as well. More eggs = higher chances? I don’t even know but it gives me more confidence.

Something weird tends to happen to me around ovulation time, that I have always attributed to hormone shifts – my teeth start to hurt. Does this happen to anyone else? I have actually recorded it in Fertility Friend and it happens about 50% of the time around ovulation time. That’s what I’m dealing with today – annoying tooth pain. I took some Tylenol this morning but really don’t want to take anything else due to my irrational fear that it will interfere with ovulation.

Sperm pick up is scheduled for first thing tomorrow, and the IUI is set to happen late morning. I canceled my patient for tomorrow morning and am all ready to take the morning off to have the IUI. I’m relieved and happy that everything seems to be falling into place. Here’s hoping we got the timing right! I’m also looking forward to hearing how our new donor measures up. I have a lot of hope but also a lot of uncertainty about this cycle, both because of the new protocol. New donor, new fertility meds, new year … hopefully that all measures up to a successful IUI and a BFP in 2 weeks! Any baby dust y’all have left to send my way would be much appreciated 🙂

Day 10 (and 13) Performance Review

Well, my ovaries have been subjected to two performance reviews in the last week. To review, I took 100mg of Clomid on days 3-7 this cycle. I went in for my first monitoring ultrasound on cycle day 10, and a follow-up on cycle day 13. This past Thursday was day 10 (and Sunday was day 13). Results of the performance review:

  • On day 10, I had 1 follicle on each ovary that was larger than 10mm.
  • RIGHTIE had a follicle at 12mm and LEFTIE had one at 10.8mm.
  • On day 13, the follicle on the LEFT had dropped off. RIGHTIE had grown to 14mm
  • My ovaries have scraped by this time, no pink slip.

I feel good about how things are going so far this cycle. I was hoping for more than one large follicle, but I’m fine with my body just doing what it’s supposed to do. I’m also very grateful that things seem to be moving along much quicker this cycle (probably thanks to increasing from 50mg to 100mg of Clomid). If you recall, I had ultrasounds on days 11, 14, and 17 last cycle with no change at all, and ended up having to pay for 6 ultrasounds (baseline, day 11, day 14, day 17, day 19, and day 21 I think). I scheduled a follow up for tomorrow morning (CD 15) to see how things went with rightie. I am hoping that the growth jumped quickly, the way it did last cycle (I went from 15mm to 21mm in 2 days), so that we can get things going and hopefully avoid another ultrasound. It would be magical to only have to pay for 4 this time around.

If that follicle is at least 18mm tomorrow, I will likely trigger with Ovidrel tomorrow night and go in for an IUI on Thursday morning. That timing would be excellent as I don’t work on Thursdays, so I could really relax after the IUI, and go to my regularly scheduled acupuncture appointment as well. I’m anxious to see how our new donor dude’s swimmers measure up. He is younger than our last guy so I’m hopeful that that means they are stronger. Does anyone else feel super creepy using a 19 year old’s swimmers?

In other news, Em and I got married one year ago. Our wedding anniversary was yesterday. I’m thinking about putting up another post with some pics in the next couple of days, but I’ll definitely password protect it. For all y’all using the WP Reader, I’ll put up a link in a regular post. If you want the password – shoot me an e-mail at:

inthebabycloset AT gmail DOT com

On to number 6

Alright, folks – Em and Kate’s TTC #6 is on like Donkey Kong.

Today was my day 3/baseline ultrasound to kick off the cycle. No cysts, so everything is a-go for starting Clomid tonight, and continuing for 5 days. My RE increased my dose from 50mg to 100mg. The plan is to start ultrasound monitoring (ugh $$$$) on day 10 (so next Thursday) to see how things go on 100mg. I have heard enough stories of bodies reacting wildly differently between cycles on Clomid, so I’m on board with starting the monitoring super early again (even though we didn’t see any movement until CD17 last cycle), but I’m not thrilled at the prospect of another $1,000 worth of ultrasounds next cycle. Oh well.

I inquired about the HSG. I spoke to two nurses about it (one new nurse, and my fav/usual nurse Tracy), and Tracy talked to my RE. I also spoke to the billing lady about it. Basically, it will not be covered by insurance (because they don’t have a diagnosis under which to bill it – it isn’t a treatment/diagnostic test for PCOS or any of the other diagnoses I have, and they can’t diagnose me as “infertile” until I do 12 medically supervised cycles) and it costs about $1000. I got the opinion of my RE, who said she “doesn’t believe it is medically necessary” because I don’t have a history of appendix issues, fibroids, or abdominal surgery. Of course there is still a slight chance that they are blocked, but at this point we decided to continue to risk it.

Same protocol as last cycle – Clomid, ultrasound monitoring, Ovidrel trigger, IUI 36 hours later, Crinone in the vag every day until test day (and hopefully thereafter, God willing).

Here’s the bigger issue: we ran out of sperm. Oh man, straight ladies – you don’t know what you have. So we’re about to drop the big bucks (all of our hard earned cash basically) on some more sperm. Donor #1 was our fav, and apparently was everyone else’s too because he’s sold out. So it’s back to the drawing board. Remember way back when, when we were choosing sperm the first time around?? Was totally hoping I wouldn’t have to do it again, but here we are. In the end, I just want sperm that swims fast and hard and doesn’t come with egregious genetic woes. Here’s hoping we can find that without too much heartache. Screen Shot 2014-10-30 at 8.44.12 PM

Tomorrow

Tomorrow is test day for IUI #5. I’ve tried to stay away from any symptom BINGO and Googling because I’m on progesterone and know it will throw me for a loop if I let it. No home pregnancy tests this month either. Why spend the money when they want me in for a blood test anyway? And it’s always nice to have an extra day (or few hours) of hope.

Em decided we should have a code word for when I call her to report the results of the blood test tomorrow, so that I don’t have to say “it was negative” or “I’m not pregnant,” and she won’t have to hear it. The code word is origami. I’m hoping there is no mention of paper folding of any kind tomorrow. Everything is crossed. I’m off to sleep now, but send vibes/prayers/baby dust my way if you have it in you, blog world.

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