Monday, January 11, 2016

Endless thoughts

Make the thinking stop! I hate this waiting game. I am a planner - type A, OCD, crazy person, planner. I can't help it. It's part of my nature and it's something I have accepted about myself. It drives Ryan crazy because he is the complete opposite. In fact, our fights usually revolve around me having a plan, time frame to get things done, etc. and him, well, not.

Usually, I am proud of my planning tendencies. I am fairly organized and prepared (well, most of the time). But it's what makes times like this, in my world of infertility, so excruciatingly painful. I'm ready to plan. I'm ready to know when we're going to cycle, if we're going to cycle. I'm ready to start the process of choosing a donor, if we have to choose a donor. But none of that can be planned until we know the answers. So now, all that's left to do is wonder and make several plans, all of which probably won't happen the way I plan them, but alas it makes me feel better anyway.

So, all of that is to say that I  have been thinking..a lot. I have been preparing myself for the worst in regards to news we'll get at the work up in February. Call me a pessimist if you want, but it has become my coping strategy. It dates back to that horrible day I found out my tubes were "blocked." I went in there with the idea that it may solve our problems, and came out realizing my problems were far worse than I ever anticipated. And then I got my hopes up for that first IVF since I was so young and "only had a tube problem." After those failures, and finding out I also have an egg problem, I figured out that it's best to never get my hopes up in regards to my fertility. Expect the worst, pray for something better.

So, that leads me to now - I'm expecting them to say I need to use donor eggs. Actually, that wouldn't be the worst thing they could tell me. If I'm truly honest, I could think of several things they could tell me that would be far worse - like my uterus is too damaged to ever carry a baby again - but we just simply won't go there. In fact, I'm just hoping for some clear cut answers. I don't want to go there and them say "well, you might have a chance with your eggs, but we're just not sure." I don't want to have to make the decision. I either want them to say, "yes, we can do this" or "no, we can't."

Okay, I keep getting off track. My whole point of this post is that I am preparing myself for the idea of using donor eggs. I'm trying to get my head wrapped around it, and I'm actually warming up to the idea. I know I won't love the child any less.  There have been studies that show that a fetus actually acquires genetic tissue from the mother while in the womb. That the bonding that happens in the womb far out ways the genetic material from the egg itself. Using donor eggs would mean a much better shot at being pregnant and having second child. We know that for a fact. It would also, most likely, give us enough embryos to freeze to possibly go for a third child later on, if we so desired. Using donor eggs would mean subjecting myself to fewer hormones, less physical pain (no egg retrieval, bloated ovaries, etc), and less time commitment (daily ultrasounds, etc). So, I'm seeing the pros more than the cons.

But, the big con I do see is this: what will other people think? I don't mean what they will think of me. I could care less what they think of me. What will they think of my child - the one that I haven't even conceived yet. Will they compare that child to the biological one that I have? Will they think this child less mine than the one I have? I have already heard comments from some of my family members - who told other family members - and of course it got back to me. They said "I just hope she doesn't go the donor egg route because that's just weird." What a horrible thing to say! What if I do go the donor egg route? Should I take that as you feel awkward around that child? Will you think of him or her as less of your nephew or niece? (yes, it was my brother who apparently said it). I'll be honest. It kind of breaks my heart to think about it. I think I just won't tell anyone. But then I wonder, will I be able to keep that kind of secret? This blog is what helps me get my ideas out and feel support from some of you. Will I have to keep it a secret here, too? Should I just not tell anyone?

Sorry for all of the ramblings. This is seriously what has been going on constantly in my head over the last several weeks. And the annoying thing is, I can't truly answer any of these questions until we get answers ourselves - Feb. 5th. Can it get here already?

Thursday, January 7, 2016

One Day Work Up Scheduled

I finally talked to the nurse yesterday and scheduled our one day work up for February 5th. We'll fly out there the day before and stay through the weekend. I'm really excited to have this time with Ryan out there because I feel like he missed out so much on the Colorado experience before. When we went to our egg retrieval 4 years ago, we flew out there Thursday night, ODWU on Friday, and flew out Saturday morning. I got a lot of tourist time when I was out there for the IVF cycle, but he only got to come out for the egg retrieval and bed rest part of it. So it will be nice to have a full day to just piddle around. Plus, now that we have Anadine, it's extra nice to get that time away with each other. She'll stay with my mom in Jackson while we go out there. AND there's an IKEA out there now that wasn't there before. Fun fun! So, I guess until then there won't be much news to post. But I'm getting excited to get some real answers and know what our next steps are.

Wednesday, December 30, 2015

Follow up with Dr. Surrey RE: day three blood results

Before I get too much into what the good doc said, here is information regarding my hormone levels, more specifically compared to my levels in 2011.

FSH levels (determines egg quality and ovarian reserve)
Normal: below 10, Mine in 2011: 9.7, Mine now: 14.4

Estradiol (estrogen levels)
Normal: below 50, Mine in 2011: 78, Mine now: 48

AMH (determines egg quantity)
Normal: 1.8, Mine in 2011: 0.9, Mine now: 0.8

Okay, so the biggest difference is my FSH level. It has risen quite significantly. According to the doc, this obviously isn't great, but the good news is that my estrogen levels dropped to a normal range. He said something about how the FSH levels and estrogen levels work together and if one is high, you want the other to be low and vice versa...I didn't really follow and the more research that I do online the more confused I get. From what I can tell, low estrogen levels aren't a good thing and it just means I'm closer to menopause, but I suppose I'll trust the doc for now and ask more questions when the time is right. My AMH levels haven't changed much, which is good, although they are very definitely in a not so great range. Dr. Surrey said that from what he's looking at right now, I'm not in the range where he's going to say no way, no how. But, he's also not fully confident in my chance of success. He said that considering in my last cycle, while it is obviously considered a success, it still wasn't a great outcome in that I only retrieved 7 eggs, only 5 of those eggs fertilized, and of those 5, only 1 made it. And while we are glad for that 1, it doesn't necessarily predict great success for another IVF 4 years later.

He then went on to say that there are two more pieces to the puzzle that will really give us a clear picture of what we're working with: an antral follicle count and a glimpse into my uterus. Both require an ultrasound that they want to perform in Colorado. So then came the news I've been waiting for: he wants us to come out for the one day work up. I'm totally okay with that (even kind of excited). I remember feeling so informed after going for the ODWU last time, and I really feel like it would give me peace of mind.

Ryan and I did have a conversation last night about all of this and I shared what we discussed with Dr. Surrey. We are both pretty adamant that we don't want to go through multiple IVFs to achieve our goal. I simply don't want to put all those hormones into my body. It's been shown that they increase chances of ovarian and breast cancer, among other things like making you crazy and fat!! That's not saying we don't desperately want another baby, but we're just more willing to use other means to achieve that goal this time, like using donor eggs. When I mentioned that to Dr. Surrey, he said that using donor eggs would give me about an 80% chance of success, and could even end up being the most cost effective. However, he made it clear that he doesn't want me to rule out using my own eggs just yet, at least not until we get the missing pieces to the puzzle at the ODWU. He did say that he would make sure we had meetings set up to discuss the donor egg process while we're out there. It will be much easier to discuss all of these possibilities in person instead of over the phone.

So anyway, now I just wait for the nurse to call and we'll schedule to go out there. I'm thinking it will end up being towards the beginning of February. It has to be done between cycle days 5-14, so that either means next weekend (eek!) or February. I just don't think I can get my act together in time for next  weekend. Especially since this go around I have to figure out child care. So, now it's just the waiting game. In the meantime, I'll try to get healthy and prepare my body to be poked and prodded. I need to eat healthier, drink less wine at night, and drink lots more water! New year resolutions!!