Journey to Baby #2

Two and a half years ago I decided to start a blog about our struggle with infertility. Our name, Meet the Hopefuls came from my infertile play on the movie title Meet the Parents. At the time, we were still working toward receiving an official diagnosis. We were completely naive in our understanding of fertility treatments. We thought a simple pill or better timing would allow us go home and get pregnant the good, old fashioned way. Initially, we told no one about what we were facing. In fact, if you’d have told me two years ago that one day I’d be more openly blogging about our struggles with infertility, I wouldn’t have believed you. Or I’d have thought sometime in the future I was going to completely lose my marbles. Nevertheless, I sit here with a stomach full of butterflies as I type our first non-anonymous blog post about our current steps in our building family journey. In moments where I lack courage, Chris says, “get your butterflies to fly in formation!” Bear with me as I harness these fluttery little suckers…

For our first two cycles of IVF we hid in a shroud of anonymity. Very few people even knew we were infertile. Even fewer knew we were pursuing fertility treatment. Even fewer knew about this blog and those who did were people we would’ve openly shared our feelings with anyway. Writing with anonymity felt safe and comfortable. We never censored ourselves. When people in real life made painful comments, we openly wrote about and processed our feelings in the blog. When we were scared, we our fears poured out of our fingertips and onto the keyboard. When we were devastated, we journaled our sorrows. When we got pregnant with Mason, we hesitantly shared our success. We shared all these emotions without a filter because so few people we knew personally were reading our raw emotions as they transpired.

This time things are a little different. For starters, having Mason changed us in a big way. He helped us heal from some of the heartache infertility put us through, and validated our experiences. Having Mason also made us less shy about talking about infertility. We’ve  grown so much by opening up about our personal challenges. Now, our family and friends know about our struggle. Most people are hugely supportive of us. After coming out of the infertility closet, we’ve learned how truly “not alone” we were all along. A surprising number of people in our lives have shared their stories of struggle, loss, and infertility with us too. They’ve told us how thankful they are for our transparency. We hope we’re making the topic of infertility less taboo by our willingness to talk about our experiences. On the other hand, some people in our lives seem to be scratching their head as to why we would share something so deeply personal. Everyone is different, and I hope on some level even our critics can respect our decision and pure motives in helping other people who, like we once did, feel lost, hopeless, alone.

While we’ve come a long way since our initial diagnosis, recently we’ve found many of those old infertile feelings and emotions coming back into play. It all started when we decided to start trying for baby #2. To state the obvious, in our case that doesn’t mean bow-chicka-wow-wow. It means email the nurse coordinator and ask her what the first steps are in starting another frozen embryo transfer. I know, super romantic. Shortly after reaching out to the clinic to get the ball rolling, it hit me. Even after having a baby, we are still just as infertile as ever. That’s right about the time I started noticing the pregnant women–they’re everywhere. We are involved in activities with other parents and babies and children. We’re in a sea of fertile people. Mason gives us the appearance that we fit right in, but at the core we never will.

Our journey to baby #2 quickly brought me back to our old stomping ground; the fertility clinic. My nurse scheduled me for a mandatory hysteroscopy, mock embryo transfer, and cultures, prior to starting our next cycle. The procedures went well. The HSC revealed that there are no polyps or fibroids; my uterus looks good after an emergency cesarean childbirth with Mason. The mock transfer gave my RE the information he needs to place our embryo in the best spot possible. Going under anesthesia this time felt different. When I was told to bring my advanced directive, my heart sank as I thought about my miracle son. Even if the chances of problems are slim, I felt guilty for putting myself in harm’s way when I have a child. Yet, if I want to give my child a sibling, it’s the only way.

Prepping for our third FET coming fall 2017!

Being in the clinic again made the memories come flooding back. I vividly remember sitting and waiting for our first appointment–we were interviewing a new clinic after a failed cycle at the clinic from hell. We were so apprehensive, guarded, and afraid. Yet, we moved forward because that’s the only choice you have with infertility. I remember going in for our egg retrieval with a full bladder, as directed, and how badly I had to use the bathroom! The nurse finally caved and let me pee–just a little bit–so I wouldn’t wet the waiting room chairs. I remember Chris getting in his hospital gown for his second MESA/TESE procedure, and the phone call that followed telling us there were millions of sperm that time around. I remember waiting for blood draws and beta tests and ultrasounds. I remember the agonizing wait to see the doctor the day the nurses suspected I’d had a miscarriage, and what a horrible sense of loss and emptiness we’d felt, only to yo-yo back to security when we found out Mason was okay. I found out my symptoms were due to a disease called adenomyosis I didn’t know I’d had all along. I remember the day we were discharged from the fertility clinic, and how exciting and scary it was to be released to a regular OBGYN’s care.

We have been through a lot in that little clinic. It feels strange to be back. in some ways we feel like we beat infertility–we went on to have a successful pregnancy and healthy baby. At the same time, infertility still holds us captive. We haven’t experienced these feelings for a long time, but they’ve been silently in the background all along. I wonder what our future holds. We still have three frozen embryos–two boys and one girl. We just learned this week that our girl is our lowest quality at a 4BB. All along we planned to transfer her next. And when I found out her quality, all the sudden I found myself bracing for the emotional roller coaster ride. Regardless of our feelings in the matter, we’ll stay on this ride until we’re finished with our family building journey.

IVF #2: 5dpt Update

It’s only been five days since transfer, but it feels like it’s been so much longer! The two-week-wait is taking its jolly, sweet time. 

I don’t have tons to report other than (gasp) gas. It’s not lady-like, but I’m feeling pretty gassy, and have been ever since the first day after transfer. Every now and then, I’ll catch a wave of nausea, but I feel like it’s all stemming from my overly active digestive system. 

I had pain in the right side of my uterus yesterday, and the day before. Although, I had that in my failed IVF cycle too. I have seen zero signs of implantation bleeding, but for once, I’d really like to see just a tinge of blood! 

Last night I had a dream that I took a home pregnancy test and it was negative. I woke up feeling pretty bummed about that. Hopefully that’s just my fears coming through in my dreams, and it doesn’t mean anything. 

My close friends have been really sweet and checking in on me frequently. My good buddy brought me fonuts at work (they are delicious baked donuts, not fried. You’ve gotta try them) and a sweet card. I’m lucky to have such loving friends. 

Thanks, K! This was the perfect message for me. 💗


  

I went to therapy this week because I was feeling pretty blue. We talked about how difficult it is to go through this process again. The most frustrating part for me is the utter lack of control we have over the outcome. Chris and I are hard workers, and if we had any ability to influence the cycle, you bet we’d be doing whatever we could. It’s hard to feel so powerless. 

We are doing our best to stay positive, and when we start to doubt, or feel down, we just remind ourselves of the facts: our embryo is healthy, and good quality. My uterus looks great. Our transfer went beautifully. We have reasons to be hopeful, and we should keep our heads held high. 

Beta is next Friday, October 2nd. We’ll post the results here once we’ve had time together process the news. Thanks for all the good thoughts, prayers, and well-wishes we’ve received from you all. We feel such a strong support from this community. We’re sending all our warmth and love right back at all of you.  

 

IVF #2: Decision-Making Standstill

Stress-cartoon

We met with our RE on Friday for blood work and an ultrasound. As he was speaking with us, he mentioned our PGS results and said, “Now you guys just have to decide which embryo you want to transfer.”

“Just one?” I clarified.

He launched into an explanation of higher risks associated with multiples, and how if it were his kid and his choice, he’d choose just one. He added that at my age (31) I’m likely to bounce back from a singleton pregnancy, but twins would do a number on my body. “You don’t want all that saggy skin,” he harped.

No, I don’t want saggy skin. Most of all, I don’t want to put my babies at risk. I don’t want to put myself at risk, either. What do I want? To be pregnant. To deliver happy, healthy, baby(ies).

This advice from our RE is a little unexpected. When we interviewed Dr. W, we loved that he said we could transfer two embryos, and we would. Why the change of tune? I didn’t ask, because I was in too much shock. Is it because we did PGS and filtered out the ones he knew wouldn’t stick? I’m so confused, and frankly disappointed.

Last time we transferred one embryo, because it was all we had. In return, we got nothing but a negative beta, devastation, and complete heartache. I really liked the security of transferring two this time. In my mind, it sets us up for a greater chance of success. I wonder how much more we have the ability to endure. Are we strong enough to go through that pain again? I am afraid it might break me.

Then I think it through and realize, the thing that would break me more is to feel like I made the wrong choice. Heaven forbid we choose to transfer two embryos, and that decision is at the cost of the health or lives of our babies. Damn you, infertility. Fertile couples don’t have to make decisions like this.

Chris and I have talked circles around what to do, and what the best decision will be for us and for our family. All we’ve concluded is that this is a more difficult conversation than we realized it would be. To be honest, we are pretty stressed about making the right choice, and that has resulted in us treating each other less than our best. I love that we’re aware of this, and we’re doing everything in our power to turn it around, work together, and get on the same page. We know we’ll figure this out together. Eventually. 😉

IVF #2: Cycle Update and PGS Results

Aunt Flo decided to grace us with her presence on Monday. TMI alert: this month she’s been ugly. Super heavy flow, horrible cramps…pretty much miserable. I know it was heavy after our first IVF cycle, but I don’t remember it being THIS bad. Regardless, sometimes in IVF seeing your period is pretty exciting.  It means things are rolling again, so bring it on!

Our transfer date is scheduled for September 21st. In preparation for transfer, I started taking birth control again, and I’ll be on that for about 10 days. At the beginning of September, I start Delestrogen injections, which I’ll do every third day. This is different than my last doctor who had me on estrogen pills. The medication is in castor oil, and it looks super thick. It’ll be interesting to see how that feels to inject. I’ll also be taking Endometrin vaginally 3x/day (which means I get to take it to work–oh how fun!). Additionally, I will be taking Progestrone lozenges 3x daily underneath the tongue. They are weird looking purple squares that smell like grapes:

Lovely lozenges 😉


Our nurse called this morning to tell us our PGS results were in, and ask of we’d like to know the genders. In this crazy process, I try to look for all the cool aspects. Of course I want to know the genders! That’s not something fertile couples get to know right away. I want all to experience all the “perks” IVF has to offer, because let’s be honest, there aren’t a ton!

Of our seven embryos, all are boys expect for ONE! Of the seven, FOUR are normal. I’m grateful to say, my one little princess is among the “normal” ones! It’s always sad to see embryos not develop, or develop abnormally. We’re really happy to have four still, but there’s a little bit of heartache that comes with learning some of our embies have chromosomal issues.

 

Our PGS results in detail.


I’m so grateful we decided to do PGS. I feel like it will ultimately save us a lot of heartache. It’s really fun to know the genders, and to think about what decision we are going to make regarding transfer. We would like to transfer two embryos, and we’d love at least one boy and one girl in our family. I’ve always wanted a little girl, so I am really hoping she is a strong fighter, and makes it all the way. Of course, we wish that for all of them. 

We keep going back and forth about which gender combo to transfer first. There are benefits to both. If we transfer two boys, and are lucky enough to deliver two bouncing babies, they’ll have a built in playmate for life. If we transfer a boy and a girl and both make it, it’ll be really amazing to raise boy/girl twins who have an understanding and compassion for the opposite sex. Hopefully our doctor can help guide our decision a bit further with embryo grading information. We’re feeling pretty torn about which direction to go, but so thankful to feel like we have a choice. 💙💗

 

 

IVF #2: Embryo Report

  
Our little miracles have been growing away in the lab, and the time has come to announce our final count for blastocysts for round #2! On day five (yesterday) of development, we had a total of five blastocysts. The embryologist decided to keep watching a couple other slightly slower growing embryos into day six, and we gained two more. Our grand total for round two is SEVEN blastocysts!!! We are elated! 

I am still in shock. The sting of our first round made me so cautious with my emotions. IVF #1 was traumatizing. This result for round two feels surreal. I know we still have a long way to go, and it’s far from over, but we are definitely seeing signs of wonderful progress. We are staying super positive, and hope this good news keeps coming!

Next on the agenda is PGS on all our blastocysts. We’ll get the results back in about two weeks, which means a bit more waiting. However, having several blasts gives us reassurance. We are confident there will be some very healthy little embabies in the group. Best case scenario, we’ll never have to do a full round of IVF again. Wow, I like the sound of that!

We’re not sure of our transfer date at this point. I am supposed to phone our nurse when my period arrives, and we’ll go from there. Nothing is certain, but I have a really good feeling about this. For the first time in months, maybe even years, I feel confident about our future as parents. 💗

IVF #2: Fertilzation Quickie Update

  
After a very excited, relatively sleepless night, I was jarred awake by the sound of the telephone. One look at the area code, and I knew it was the doctors office. I took a deep breath and answered. 

The nurse told me she had great news, and she wasn’t kidding. Of our 25 eggs, they were able to perform ICSI on 19 of them and 17 fertilized. 

17!!!!!! Is this real life?!

We’ll update after the blastocyst report on Wednesday. We hope the news continues to be this mind-blowingly awesome. 😊

IVF #2: Egg Retrieval and MESA Results are in!

 What do the following have in common: the number typically reserved for the best slugger on a baseball team, the atomic number of the element manganese, and the minimum age for candidates for the United States House of Representatives? They all represent the same number–25! That’s ALSO the number of eggs we got at our retrieval today! In IVF #1 back in May we had 15 eggs, so we’re happy to have 10 more chances at embryos this time around. That’s great news, but the good news doesn’t stop there. 

As we’ve previously shared, Chris has congenital bilateral absence of the vas deferens. Simply put, it’s like being born with an irreversible vasectomy. We have to do IVF in order to have kids because his sperm doesn’t come out of his testicles when he ejaculates seminal fluid. Those of you who followed our journey with IVF #1 might remember last time around, Chris’s procedure did not go very well. During round one, on the day of his MESA, the urologist could not find any sperm in the epididymal tissue. He had to dig deeper, making the procedure a last-minute TESE. After taking a biopsy of Chris’s right testical they only found one twitching sperm. Over a few days of incubation, they were able to find more twitchers, but the quality and motility was very poor. This resulted in only one viable embryo from round one. It didn’t implant, and we were devastated. 

After taking Clomid and Naturally Smart for Men for several months, Chris was hopeful his sperm quality would be better for round two. The urologist started the procedure off as a MESA, once again. This time, they found sperm in the epididymis, and not just a few…MILLIONS! The urologist said under the microscope they were darting around like normal, ejaculated sperm. He told Chris the technicians in the lab were literally high-fiving one another! This makes their job with ICSI so much easier. We are thrilled!!!

Tomorrow we’ll find out how many of our eggs fertilized. Next Wednesday we’ll hear how many are blastocysts that will be frozen. Then, the blastocysts will be biopsied for PGS, and we will get those results back in two weeks. It’s crazy that in two and a half weeks we’re going to know a lot of info about our babies. 

We know from personal experience that IVF can be times of very high highs, and others can be very low lows. We don’t have our head in the clouds, and are staying very grounded. However, this news makes us feel like there is hope for us. We’re not out of the game. That is definitely something to celebrate. 

Thank you for all the good thoughts and prayers. We feel your love, and we are incredibly grateful for all the support! 💗

IVF/ICSI/TESE #2: Tomorrow

The past 24 hours have been a complete blur. We received the sad news that Chris’s uncle lost his battle with cancer late yesterday. Chris has been such a pillar of strength for his family throughout his uncle’s treatment and hospice care. Today has been rough on him. We’re comforted by knowing his uncle is now in a much better place; free from suffering and pain. We haven’t been able to slow down to fully process this loss, as our plans with IVF are in full swing at the moment. 

I had my first trigger shot at 12:15 AM, and my second at 12:15 PM today. My first shot was an hCG/Lupron combo, and the second shot was solely Lupron. The nurses performed a blood test to make sure that my body was responding well to the hCG in the trigger. Everything looks like it’s on track, and going smoothly, and we’re very grateful for that. 

 

We hope all these little vials will aid us in creating the love of our lives!

 
Chris spoke with his urologist, who performed a blood test to see how his body had been responding to the Clomid and antioxidants. In the words of the urologist, he’s responded to the meds “ridiculously well.” Testosterone levels should be at about 1200, and Chris’s testosterone levels are currently at 1204. The urologist cautioned us that this cannot be a complete predictor for sperm quality, but we’re still incredibly encouraged by this news.

It’s a big day for us tomorrow. First, I will be admitted for my egg retrieval which will take place around 11:15 AM. Then, Chris will have his TESE procedure sometime around 1 PM. After that, the lab will be immediately performing IVF via ICSI. This is the most involved form of IVF, where the lab will directly inject a single sperm into each mature egg. Then, the waiting begins again. We’re ready for a weekend on the couch, watching movies, taking it easy, and being together. 
After five days, we will know how many embryos have made it to the blastocyst stage of development. These will be frozen for future transfer, as my body recovers from all the hormones. We’ve also opted to go with pre-genetic screening (PGS) of each embryo this round. This will automatically filter out the embryos that are not healthy, or fit to transfer. We’ve chosen this option as a way to protect ourselves from the pain of a loss, although PGS does not completely rule that out. We are sincerely hoping for the best, while simultaneously trying to keep a realistic perspective. 

Thanks in advance for keeping our family in your thoughts and prayers. 💗