IVF for Beginners

Many of you reading actually know me (and Brandon) in real life.  Before undergoing fertility treatments, we both had limited knowledge about ART.  When my SIL, Sheri, went through IF procedures, I found myself searching google constantly to have some type of understanding of what she was going through.  This post is intended to help my friends and family understand IVF.
*How can I ask you to pray for me if you don't know what to pray for?!?*

At this point in our journey, it's obvious that Brandon and I cannot conceive on our own.  A brief rundown of our IF diagnosis:

• Male Factor Infertility- poor morphology, low motility, and low count due to Testicular Cancer and Chemotherapy.  We do not have enough swimmers to even get pregnant via IUI at this point
  
• Uterine Septum- mostly corrected, but my uterus will always have the characteristics of a septate uterus.  It has a tiny curvature at the top that makes it unique.
• Annovulation- I do not ovulate without stimulation drugs (ex: Femara, Clomid, Follistim, Gonal F, Menopur, etc.)  I believe that I've only had 5 or so cycles where I ovulated without stimming drugs in the past 2 years.

We believe that God has led us to this place in our journey.  We have taken many factors into consideration and feel that this is our best option at the current time to have a child (children).  The likelihood of us ever conceiving on our own is miniscule.  We know that nothing is impossible with God.  We know that pursuing IVF is part of His plan.  We will listen to Him each step of the way.

We are pursuing IVF with ICSI to have a child.  

IVF refers to the process, and there are many steps along the way.


IVF with ICSI

In Vitro Fertilization is commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish. When the IVF procedure is successful, the process is combined with a procedure known as embryo transfer, which involves physically placing the embryo in the uterus. American Pregnancy Association

Intracytoplasmic sperm injection (ICSI) involves the direct injection of sperm into eggs obtained from IVF.  American Pregnancy Association

Here is a brief explanation of how the process of IVF works (in our scenario):

• A new cycle begins
• A baseline u/s and bw appointment is scheduled to check hormones and the uterus and tubes.
• Suppression is started.  In my case, we are beginning with BCP.
• After so many days of BCP, injectable medication is added as well.  
• In my case, I am prescribed Lupron injections for 12 days in addition to taking my BCP.  
• A suppression check is scheduled to ensure that there has been no follicle growth or thickening of the uterine lining.
• Begin stimulation drugs for ovulation induction.  
• In my case, we are taking Follistim and Menopur for at least 10 days.
• Many office visits are scheduled to monitor and observe the follicles (that produce the egg).
• Once the follicles reach the desired measurement, the HCG trigger shot is administered, and the Egg Retrieval is scheduled.  
• On average, 70% of follicles aspirated will provide one egg. 
• There are no guarantees that every follicle will contain an egg, and that every egg will fertilize.
• After the retrieval, the eggs collected are then fertilized with Brandon's sperm
• This is where ICSI is performed.  
• After fertilization takes place, the embryos are closely monitored.  
• The plan is a 5-day transfer.
• When the embryos are five days old, they select the best, which are then transferred via vaginal catheter with ultrasound guidance.
• We are planning on transferring 2 embryos.  
• If we have more good quality embryos remaining, we will freeze them for later use. 
• At this point, I am PUPO!
• I will try and remain as calm and peaceful as possible while we wait.
• Nine days after my ET (14dpo) and (9dp5dt), we will go in for our beta to see if we are pregnant

There is much stress involved in IVF.  I'm praying for peace as we go through this process.  Once we get results, I will update here.  Within my blog, I have created a page outlining our IVF attempt.  If we have great beta numbers, I will want us to tell our families before posting.  If our numbers aren't promising, it will be easier to post here so I don't have as many people to tell.  

For now, I'm praying for God's will in our situation.  Whether IVF gives us a child or not, we will give glory to Him.  God is the ultimate healer and giver of live.  

Please visit my Lingo page for further explanation about any acronyms used in this post. =)  The coming posts will begin to contain more and more as we continue to move forward.

Testing out the trigger

The line is even lighter today.  I feel like some of my symptoms are going away.  I don't feel as tired as I have been the past few days.  I'm just going to keep positive these next few days and hope to see a real BFP soon!!

Started testing

So I broke down and bought some pregnancy tests.  I took a cheapie once I got to work and the line is super faint.  The trigger must be leaving my system by now. I'm 7dpiui and 9 days post HCG trigger.  My SIL suggested that I keep testing it out of my system and watch for my BFP.  I'm not sure if I will test or not in the morning.  It's still super early and if I just started feeling implantation, it will take a few days for my body to start producing HCG. 

I had cramps yesterday and today.  Maybe I felt implantation?  So far I haven't had any spotting, but I'm starting to see a slight rise in my BBT.  I don't even know how I'm going to make it through the rest of the week.  The 2WW is terrible!!! 

I upset someone today and I feel terrible.  I've just been so consumed with wanting to start a family.  I don't understand why it has to be so difficult for us and all of the others that suffer from Infertility. FWIW I didn't mean to upset you, Corey.  I just want to experience everything that comes along with motherhood.

Half way through the 2 WW

Someone posted on FB this morning about how they miss their pre-child life.  I couldn't resist myself and had to comment.  I want to be on the other side of adult life.  I want MY baby.  She missed going to the movies and making impromptu trips to WalMart.  Seriously?!?  I want middle of the night feedings, Saturday morning cartoons and arguing about what he/she wants to eat for breakfast.  I want it all. 

I'm starting to get emotional.  My hormones are going crazy.  I still feel sick every time I eat.  I got so hungry last night that I made instant mashed potatoes at 8:30pm.  At least I'm half way through the 2 week wait now.  I'm pretty sure that I will start testing this weekend to watch the Trigger leave my system and then hopefully see a BFP!!

Trigger day!!!

Brandon is going to give me the HCG shot this evening at 8pm!  I'm so excited!

We slept in this morning and went to the late service at church.  They gave us our certificates for joining and introduced us to the entire congregation.  The pastor prayed over us and asked God to be with us during this special time.  The people there who know about our IUI this week are extremely excited for us and very uplifting.

After church, we went to see Papa Jo at the rehab center (he just had a knee replacement).  We told B's mother about the IUI this week and she seemed excited.  I called my mom today and told her as well.  At first, I hadn't wanted too many family members to know to protect them and myself from having to deliver any unwanted news.  I guess I'd rather them be in the loop and a part of the process.

After my nap this afternoon I remembered that we needed to "do the dance" and had no PreSeed.  I made B drive me to CVS in my pajamas to buy sperm friendly lube.  =)

Remember the Jeff Foxworthy "You might be a redneck" jokes?  I've got one for all you TTCers our there.  You might be TTC if you wake up and go out in public half asleep in mismatched clothing to purchase lube for scheduled intercourse.