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Trying-to-Conceive Blog

spazzle's blog

Tww begins tomorrow!

Yikes, I'm nervous! This tww feels so official, with the iui and trigger and all...

The iui itself was a little uncomfortable but nothing extreme and it was over fairly quickly. They're a little vague with results, I have noticed, but here's the gist of the data behind this cycle: cd 11 showed 23mm follicle, trigger shot, iui 26 hours later, post wash count was roughly 40 million / ml but post wash motility was about 24%, which is about half of what they like to see, however, the nurse did point out that a big part of the journey was completed for them so it's not like they have to swim that far, haha. 

Anyway, I'm not going to get too hung up on the data. This is the best shot we've ever had, and my googling about follicles and motility isn't going to help at all, it's just going to stress me out, so I'm going to stay positive. I'm thinking about doing the pineapple thing to "help" implantation. Couldn't hurt right? I would probably snort baby dust if I thought it would help at this point... :P Haha! 

Anyone joining me for the tww? I need all the good vibes and cycle buddies I can get. Fingers crossed!

Pulled the Trigger!

Finally some good news in my camp! After the ultrasound this morning, a nurse gave me the trigger shot, and our first iui is scheduled for tomorrow!  So it looks like I was right about the early O with Femara after all. :D I unfortunately don't have a lot of info about my follicles -- I think they had a talk with that tech about telling patients things like "no, it doesn't look like you already ovulated", bc she wasn't super descriptive or talkative -- so I have no hard data, but I plan to get the exact numbers tomorrow. All I know is my lining looked "great" and my follicles looked "really good". So scientific, right? Lol. I saw her measure two on my right and three on my left,  but of course I don't know how many are big enough (at least one, I suppose, which is what counts). I'm so relieved that this cycle is a go. I went into that appointment with zero expectations, especially since they were hesitant to schedule me "so early" (on cd 11) to begin with, but I am so relieved that everything is on track!!! Crossing my fingers, doing a fertility dance, and hoping all goes well tomorrow! :D

Feeling Antsy

If you think about it, I've been waiting since the second week in August for my first iui (since last cycle was canceled). I feel like one of those characters at the Mario Kart start line and no matter how much you push the go button your little kart doesn't go anywhere until the dino on the cloud waves the GO flag. Anyway, that's me. C'mon, Friday! I'm ready for the RE to be able to wave the GO flag already! 

Also, a quick shout out to my ovaries: I hope you're growing some eggs that'll knock the socks off that ultrasound tech. 

TWO DAYS!

Notes to self

Don't compare your journey to anyone else's. Don't get caught up with "why?", and let go of any idea that the universe hands out bfps based on some sort of merit system. You're a good person, even if you feel a little down about seeing the second pregnancy announcement of the week when you're battling yet another letrozole headache. You have a great life with an amazing soul mate of a husband, and he's your partner, and you're lucky. Things will go okay at the ultrasound on Friday, and even if they don't it will be okay because it's not the end. It's okay to stay in bed and cry if you want; that doesn't make you weak or crazy. It's okay to feel tired of this, it's okay to be scared that the journey will never end. It is all okay. It will be okay. Breathe. Give yourself a break. Smile. Call your husband and remind him that he's the light of your life. Love your body, even if it hasn't grown a baby yet; it is the reason you can see and feel and breathe and touch, the reason you can kiss your loved ones, drive with the windows down, sing along to the radio, snuggle to sleep at night.

Everything is all right. 

My Inner Eeyore

I think it was a long weekend and I'm a little down. With AF starting a day behind schedule, that throws my key days right across a weekend (again), which makes scheduling for everything even trickier. Apparently I'm just bad luck lately. :/

I handled the weekend pretty decently, but I feel like maybe it caught up with me. We were out of town for a wedding and saw lots of dh's extended family, which mainly consists of newlyweds (all married last year) who are all in their very early twenties and all had babies born earlier this year. The most any one couple was married before pregnancy was 6 months. Anyway. I was doing fine until the reception when a distant somebody nudged me to go up for the bouquet toss -- "All the single ladies," she said. I was sitting right next to my husband, so I just told her I was taken, and she persisted, "Single just means unmarried." And I said, "I know. We've been married over three years." And typically this wouldn't have been much of an annoyance except that the reason she seemed to assume we weren't married is because we didn't have a kid with us. She thought I was his girlfriend. Always delightful. Anyway, we had a good time with everyone and the wedding was lovely, but then the day after at a different gathering of mostly the same family everyone started speculating when the next baby would come, and everyone agreed that the new couple (both 21 yrs old) would have one right away. "What's 9 months from now?" someone joked. And it just stung. A lot. I felt like I did a great job of brushing things off all weekend only to find them lurking in the back of my mind once we got home. I'm sad that none of this seems to be working out, and I'm sad that so many people have it so damn easy. But I guess the silver lining is that nobody asked us when we're going to have kids this time. I suppose they either assume we're using all sorts of "sinful" birth control and don't want kids or something, when in truth we're just scheduling lots of "sinful" fertility treatments. (Sarcasm. Sort of.) Regardless, I admit I was grateful not to hear the question. 

Calling today to get things scheduled for this cycle. Hopefully everything is in order. By looking at the dates I'll have to cancel an event I've had planned for months. Oh bother.

Sorry for the ramble.

Long luteal phase... letrozole?

I know I ovulated on cd 13 or earlier, bc I had no follicles on cd 14 and my progesterone on cd 21 indicated a strong O, but today is cd 29.  My lp is always 14 days. I don't have any signs of AF, but I tested bfn on frer this morning. I'm at least 16dpo today. I'm supposed to have progesterone drawn again today. Of course the timing for my next iui just gets worse and worse as AF delays. Bah. I know I'm not considered late until Thursday by RE standards, but this is a bit frustrating. Oh well, que será será.

Anyone have experience with a longer than normal lp on letrozole / femara (no trigger)? I would appreciate any info. 

HA!

Remember how I went to my cd 14 ultrasound and the snotty tech told me I had no follicles, and when I said I thought I ovulated early she said no because she didn't notice any fluid, and then the doctor canceled my cycle and said I needed double the dosage of Femara? Well I had day 21 progesterone drawn yesterday because I wanted to prove to myself (and them) that I did ovulate, and guess what? Not only does it look like I ovulated, but I ovulated like a boss. The reference range for luteal phase is 2.5 - 28 ng/ml.  My natural confirmed ovulation last cycle was prog 24.1. This month? 33.1.  THIRTY THREE POINT ONE. Guess what can cause high progesterone levels like that? Ovulating more than one egg.  So HA! Double HA! I knew I ovulated early and now I have supporting evidence! I am vindicated! (This also explains why I've been so damn hot lately and sweating all night, but I digress.)  I am now making my plans to call the nurse and explain that I ovulated early on Femara and discuss plans for next cycle.

Anyway, I basically want to shout this from the rooftops, but this is as close as I can get.  ;)  HA!

Moving forward

Following my no follicles ultrasound on cd 14, I am employing the following tactics:

- requesting cd 21 progesterone (Labs are free for me so idgaf if they think i didn't ovulate early; I had ewcm and O pains on cd 12 - 13; never hurts to check.)

- taking opks and monitoring cm from now until I either get a positive, labs that confirm early O, or AF. If i get a positive at some point, i will call for a second scan.

- the doc wanted cd 28 progesterone, so I'll do that too. (Like i said, it's free so what's a little blood.)

- dh & i are 100% on the same page about next cycle being natural, even though the doc just wanted to double femara dosage (i cannot even imagine what hell that would be...). I will take opks, i would like an ultrasound at some point to confirm follicle growth, and hopefully if all goes well we can do a natural/surge iui. I think a monitored natural cycle will at least give us a look at what's going on without the meds, and then we can make better decisions about how we feel comfortable proceeding.

I am still decompressing from the canceled cycle, but just making this list makes me feel better and gives me a sense of forward motion. Everything is all right. I have my dh. I would just like to get a handle on what happened this cycle and use that knowledge to move forward.

Sending everyone my best. ♡

 

Canceled Cycle

I had my cd 14 ultrasound today, and they indicated they saw no measurable follicles. They called me later today to cancel the cycle. I have googled to no avail, but i cannot find evidence of letrozole / femara causing someone who was seemingly already ovulating not to ovulate. All of my previous tests, labs, charts all point to ovulation. I could even track it. I haven't had my usual pattern of anything on this drug, so I really don't know what to think. I had pink ewcm on cd 11, tons of watery stuff on cd 12, but not much to speak of any other day / now. I wish i had done a monitored natural cycle before doing this so i would at least have something to compare it to. I asked if they thought i had already ovulated and the tech said no. I have toyed with the idea of buying cheapie opks and testing over the course of the next week to see if anything happens, but part of me feels like i just need to accept this and move on. Obviously the doctor thinks this is a bust if he canceled. I have no idea when to expect AF. I feel so lost. And sad. Dh is being really sweet but i think he thinks I've legit lost it (I'm sure I'm just projecting and that he doesn't actually think that). Anyway. That's where I am... *huge sigh*

Aside: My ovaries / uterus have been in pain since approximately day 2 of the meds. I'm thinking of calling tomorrow to ask some questions about that. I felt like i had a pulled muscle in my ovaries when i was walking into the clinic this morning only to find out there's no activity so who knows why I'm hurting... :( I suck at this ttc thing. 

Low point

Tomorrow is my mid cycle ultrasound to see what the Femara has done. I'm currently sitting in bed crying because i have a feeling that what Femara has done is make me ovulate super early. I just know I'm going to go to my appointment tomorrow and pay them $149 to tell me I've already ovulated bc of these awful pills i didn't need but got talked into anyway, and then we'll have to wait a whole month to try this all over again. I am sad, partially bc my hormones feel very unbalanced since i took the meds but also bc the whole point of this was iui, which won't happen if i already ovulated. I'm prematurely devastated. I'm so very tired of all of this. I guess it would help to get out of bed and stop crying but I can't. Or I won't. Either way, today sucks. :(

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