Saturday, September 19, 2015

Final catch up post and Fetal echocardiogram

Yep, the DNA test can now give you the baby's sex so early!  A girl!  So exciting!

Our anatomy scan at 19 weeks confirmed what we already knew from the blood test!
We also got to see her beautiful profile at our anatomy scan!

Weight at 19w3d was 10oz. which is the 35th percentile.
These chalkboard files are going to get photoshopped into our weekly bump pics...we just haven't done the photoshopping...is that a word?!

Oh, would you like to see some bump pics?  Sure!


We have one from each week, hopefully I'll get around to posting them all soon!

This past week, at 24w2d we had our fetal echocardiogram, which is an ultrasound where they focus on the baby's heart and blood flow.  With the twins, this was the first ultrasound where issues with blood flow were detected.  This time, everything looked perfect!  Her weight was 1lb7oz which is the 31st percentile.

Profile shot

A 3D shot, she looks like a sweetie already, though I think ultrasound photos are one of those things only a parent can love!

Next OB checkup at 27 weeks and next growth scan/ultrasound is at 28 weeks!


Jack and I snuggling on the couch before bedtime today!

Jack and Ben at Wooside Farm Creamery (local dairy) today.


Friday, September 11, 2015

Pregnant after IVF #2!

Those two pink lines kept getting darker. If you've never done IVF, you will think I'm a bit crazy.  Scratch that, even if you've done IVF you might think I'm a bit crazy!  Why?  Remember me saying a bought a 50 pack of cheap ($0.35 each) pregnancy tests from Amazon?  Yeah...well...true confession...I might have used up all 50 in 2 weeks time.  

There is so much uncertainty and after all of our failed cycles, it was so thrilling and joyful to see those two lines getting darker with each passing day.  Plus, they would have expired before we got a chance to try again.

Getting darker each day!

Getting really dark.  Blood test is coming up at 13dp5dt.

Of course the blood test brings more things to worry about.  They give you a numerical value that tells you how much HCG is in your blood.  So then you ask yourself, is it too low?  Too high?  


Then they repeat the test a few days later to see if the number is rising appropriately.  My first two numbers looked great!

I was a little worried since my numbers were "off the chart high."  More twins?  Oh.My.God.  If it's more twins I just might not survive!  I'd be blessed for sure, but blessed and scared out of my mind!


They repeat the blood test a third time, the number isn't as high and the rate of increase seemed to have slowed down.  Does this mean something is wrong with the baby?  Only more time will tell!

Comparison of my twin pregnancy numbers to this pregnancy.  So far, this pregnancy has higher HCG values.  Usually higher values are indicative of multiples, but it's unclear if identical twins have higher HCG values.  If we had another set, it would have to be identical twins again since we only transferred one embryo each time.

First ultrasound wasn't very revealing...confirmed an intrauterine pregnancy measuring appropriately for GA of 5w4d.  Too early to see a heartbeat.

Second ultrasound was one week later!  One perfect little heartbeat!  We were monitored weekly and everything looked great each time!

We decided to take weekly pictures this time!  Except printing the chalkboard style graphic each week is super expensive.  And hard to see as printed at 11x14.  So we are going to photoshop the chalkboard graphics into the frames. Except we haven't done that yet...  But, we have all the pictures and graphics made!

Measuring big at 10w4d.  The previous week, measurements were 3 days behind and I was so worried.  Unecessarily worried.  Again.

We announced our pregnancy after our first trimester screen and free fetal DNA tests came back low risk for genetic disorders (things that might lead to early miscarriage).

The new DNA tests are cool, they took my blood at 10w4d and we got results in 10 business days, including the baby's sex!  It's a....






Sunday, September 6, 2015

Catching up

I had planned on updating the blog with all the details of our infertility journey.  I haven't had the time to do that, but I'll at least take a moment to write down the highlights.  After my late December surgery, we proceeded with transferring our final frozen embryo in January.  She was our last hope for getting pregnant, our little Day 6 blast.  However, it just wasn't meant to be, 14 days after our embryo transfer, in early February, we got the call once again that our beta (blood pregnancy test) was negative.  We were devastated.

We knew our insurance coverage for fertility medications had met our lifetime maximum of $5,000 already.  The medications from one IVF cycle vary depending on your individual protocol vary, but we estimated our out-of-pocket costs for medication alone would be $12,000.  Plus doctors and procedures fees upwards of $3,000.  Mike got right on our income taxes, and decided to use our refund plus borrow against Mike's 401k to cover the estimated $15,000 expense.  We got started right away with our doctor.

Well, you don't just jump right into IVF, you start with a medication to suppress your hormones.  I needed to use Lupron due to my hypertension, an injection into the abdomen daily for a month.  Then they check your ovaries, uterus, and blood work to get a baseline before you are cleared to start your cycle.

We started stimulation meds on April 3, which happened to be Good Friday.  Since I am older and a poor responder, we did most of the meds twice per day!

All of our medication when it came in the mail!

Starting protocol, only 4 injections per day.

Add a fifth injection on day 4, adding near daily trips to the doctor for an ultrasound and blood work to monitor my progress.

We did our "trigger shot" of HCG on Saturday, April 11 at 11pm, day 9 of stims, one day earlier than our previous fresh cycle.  Our egg retrieval was 36 hours later on Monday, April 13.  They retrieved 18 eggs, but only 6 were mature.  We got an updat the next day that only 5 of the 6 eggs fertilized (used ICSI).  No updates on Day 2, they let the embryos incubate.  Day 3 update and all 5 embryos were still growing and dividing appropriately!  No update until embryo transfer on Day 5, Saturday, April 18.  

We transferred one perfect hactching Grade 5AA blastocyst.  

Three more embryos were able to be frozen, the fourth stopped growing before making it to the blastocyst stage. 
Frozen embryos are graded:
5BB
3BB
3BC

Now we wait until our blood pregnancy test a edited for a tortuously long 13 days after the embryo transfer.  

But...I'm not very good at waiting, nor am I patient.  I bought 50 uber cheap ($0.35) pregnancy test strips on Amazon!

I started testing the day after the transfer.  The trigger shot contains the same hormone detected by pregnancy tests, so the early tests are too early to test for pregnancy, but allowed me to make sure all of the hormone from the trigger had left my system.

Then, a miracle!  Or was it?  It was so faint but definitely something!
Abbreviation explanation: 4dp5dt means the test was taken 4 days after my embryo transfer and that the embryo we transferred was 5 days old at the time of transfer - 4 days post 5 day transfer.  

4dp5dt is the earliest anyone on the internet reports seeing that faint positive line indicating an early pregnancy.  Some women don't see a second line until as late as 9dp5dt, with 6dp5dt being the average.

So was it real, or some kind of fluke.  I was so desperate for the day to pass so I could test again first thing the next day!

Then this the next day...the line looked lighter.  While the tests are specifically quantitative, in general, as your pregnancy progresses, you make more of the hormone HCG detected in the tests, so the line on the tests gets darker.  This line looked lighter.  Maybe a chemical pregnancy.  Ugh!

I have 45 more tests, why not test more than once a day.  This second test seemed darker, but still not darker than my 4dp5dt test.  Not looking good:(

Totally going crazy wanting to know what was going on, so I took a third test.  Oh. My. God!  It's darker than the 4dp5dt test for sure.  What does it mean?  Why were the first two lighter?  Was my urine too dilute?  Is it a chemical pregnancy?  Ahh, still not sure what is going on!  Only time will tell...
I manage to wait until the next day to test again.  This time I try a new approach.  I read online that the amount of dye in the tests can vary, so some may look lighter/darker and the color should not be used to compare to previous days tests.  

So I decided to test by dipping 4 strips into the same cup of urine.  It's hard to tell in the pic, but the three that are the same brand all were a different shade.  
BUT...they all had one thing in common...I'm pregnant!  Woo!

I had to run to the store, so I bought one of the digital pregnancy tests just to see it in black and white.

So there it is, 6dp5dt, PREGNANT!

Of course, early miscarriage rates are high in IVF pregnancies, but I was feeling super optimistic at this point!