Fertility Chronicles: Part 9

I had my egg retrieval yesterday! What an experience! They put me under "conscious sedation" which means I wasn't totally out. I remember them talking and I remember the pain rather clearly. It took me awhile to recover enough from the anaesthesia to be able to leave. Every time I tried to sit up I got nauseous. The procedure only lasted about 30 minutes and I was in recovery for about an hour and a half. Before I left, they told me they'd retrieved 8 eggs! Woo hoo!! I spent most of yesterday in bed sleeping off the drugs and trying not to move too much. My right side is more tender than the left and I was still feeling woozy on occasion. Hot flashes, cold sweats, nausea..just general yuckiness. I'm still pretty tender today but came back to work anyway. I really wish I'd stayed home. Anyhow, my Dr. called me this morning and told me that of the 8 eggs, 6 were mature and of those..4 fertilized. I go in Saturday morning to have 2 transferred back to my uterus and they're going to freeze the other 2 for later, just in case.

I also started the estrogen patches and progesterone shots today. My hip hurts soooo bad!! I had no idea! I massaged it and used a hot compress like they told me, but it didn't seem to help much. Jeff's going out of town this weekend so I'm going to have to figure out how to do these shots myself while he's gone. The thought of having to do these shots everyday for 10 weeks seems daunting. Worth it though. I guess I'll get used to it...I hope. I told the Dr. that I was ok with having twins and I've been talking about that for a long time now, so last night, I asked Jeff how he felt about having twins and he said he hadn't given it much thought but that it would probably be a bad idea. The Dr. said if we put one embryo back, we have a 20-25% chance of getting pregnant and less than a 4% chance of twins. If we put back 2 embryos, we'd have a 40-50% chance of pregnancy but a 25% chance of twins. I just think that if Jeff hadn't lost his job, he may be ok w/ twins. I'd rather walk away with 2 than with none. I just have to trust that God will give me whatever He feels is best.

Jeff's last day of work is tomorrow and he's upset about it but I'm hoping he'll find something soon. Kelly also got laid off this week. Seems like a bad time to be having babies, but for me right now..it just seems right. For those reading this, please send up a prayer or two for Jeff and Kelly and their job situations and please say a prayer for Jeff and I and our future babies! God won't give me any more than I can handle and I just have to put all my trust and faith in Him. He's gotten me this far and won't let me down! God is sooo good!

Fertility Chronicles: Part 8

So..today I was cleared by the Dr. to have egg retrieval!! No more daily blood draws, no more follistim, no more lupron..no more daily drives to Durham! Woo hoo! Wednesday is egg retrieval...how ironic that the week of Easter the Dr's are going on an egg hunt. Hope they fill their basket! Today my follicles were around 24 mm..which is fantastic and she said that given the number and sizes of the follicles, they should get about 12 eggs. My hormones are so out of whack! My estrogen levels since the beginning of this have been 79, 218, 172, 113, 121, 418, 725, 1240 and 1830. I haven't heard what today's level was. You can look at the levels and see where my dose of follistim went up to 150. I'm excited! At the beginning of all this I thought mid April seemed so far away...and here it is. Embryo transfer will be Saturday. My progesterone shots start on Thursday I think. Jeff still plans on going to Roanoke for a week to visit since he'll be out of a job come Friday and he said he plans on leaving Saturday night. Um..the same night after transfer?? I'm a bit miffed over that..but at the same time, my hormones have been crazy..so he's probably trying to escape! LOL

I told him I felt like I was doing this alone and he didn't really say anything other than that he was overwhelmed. I understand that..and maybe it's the hormones...but I feel like I have a right to be selfish and have him here pampering me considering what I just put my body through. He does have a lot going on..and I get that..but it's no reason to withdraw. Again..this may be the hormones speaking b/c I've been all over the place the past few days. One minute I love Jeff and can't get enough of him and the next I want to put an ax between his eyes. This is the wildest roller coaster I've ever been on and I feel like he just doesn't seem to get it. I've been calling H and K to vent my frustrations...so that's been a huge help. That's what friends are for, right? I'll update again after retrieval and transfer! =)

Fertility Chronicles: Part 7.2

Today has sucked. I had another checkup this morning and I have 1 more follicle on the right side than I had before..but they're still the same size...and I lost 2 on the left which only leaves one. My estrogen is still dropping and I got a call a little bit ago from the Dr. telling me that b/c my estrogen hasn't come back up, it's been low for too many days and they want to stop my cycle and start over from scratch at a higher dose. =( I told her that my insurance ends April 30th and she said they could up my dose and push for a whole new crop of follicles, but that my endometrial lining is no longer in sync w/ my ovaries so that my pregnancy rate would be very low. However, they could go ahead and retrieve the eggs and freeze the embryos to do a frozen cycle later. That would lower my chances of pregnancy anyway b/c the embryos may not even survive the thawing process.

But..we can't afford to start another cycle. That means the expense of new meds and paying out cobra to make sure the insurance doesn't end. But..if we stop this one and don't start a new one, we've wasted the money we've already spent and the time we've already put into this. I'm so upset right now, but it makes the most sense to just retrieve the eggs and freeze them..at least we'd get something out of all this. Even continuing this cycle at a higher dosage means I have to pay out more money for meds. I'm just really upset over all this and losing hope fast.

An update within an update: I just got a call back from my Dr. who said that as long as I don't bleed, we can still continue forward w/ a fresh cycle. She upped my dosage to 150 and said that as long as my estrogen goes up by my visit on Thursday, we can proceed as planned. If it drops again or stays the same, we can recruit the eggs for a FET later. Maybe that would be better. It would give Jeff time to find a job and for us to get better insurance than what the state offers. The state's insurance is crap, just for the record. Better than nothing I guess.

I'm just frustrated and discouraged. I was great until I found out Jeff was having doubts about it. His negativity is like a wet blanket. It lands on you and you fight to try to get out from under it but give up because it keeps getting heavier and heavier. He has no faith and I'm tired of trying to be the positive one all the time. Why should I have to carry all the hopes for both of us? That's a heavy burden. Because he's always so negative, I'm always trying to encourage him and build him up so when others are negative towards him, it angers me because I'm trying to give him hope while others are tearing him down. I've been doing this for almost 10 years and it doesn't seem to have had any affect on him. I think we just have different encouragement needs. I encourage him the way I need to be encouraged..and that may not be what he needs. As one of my friends told me earlier today, things are happening the way they are supposed to and if it doesn't work, it just means that the baby I'm meant to have isn't ready yet. Like I said before..eh..we'll see.

Fertility Chronicles: Part 7

Quickie update...I'll elaborate later. My 1st 2 monitoring visits last week went great. Sunday's, not so much. My estrogen level had DROPPED and my follicles weren't any bigger so she upped my dosage. It basically means I hit a plateau and need a push. This means that w/ more medication and having to go so slowly to prevent overstimulation, I'll have to order more meds...and we can't afford that. Jeff's radiator blew up, he had to get new glasses, my car needed new brakes and we still owe federal taxes. I'm just discouraged. It's just happening a lot slower than I'd like. A woman I had IVF class with was in on Sunday too and she just got done w/ embryo transfer. At the class, she didn't even have her financials decided on yet. She must have just responded really well and started a few days before me. My ovaries are measuring around 11 and they have to get to 18 before they'll do egg retrieval. Sigh...I just hope that after all this that it's not for nothing, you know? I've also developed an apparent allergy to latex. I still have bandaid marks from last week. I nicked a blood vessel and have a huge bruise that's still healing. Eh..we'll see.

Fertility Chronicles: Part 6

This coming Monday will mark 2 weeks since I started my daily Lupron shots. The only side affect I've experienced is headaches. I'm just happy to be off of the Doxy!! It made me jittery, anxious and a bit nauseous! Today, I had my baseline ultrasound and blood work. According to the Dr., I have gorgeous ovaries and a perfect uterus. Aw shucks, that's what all the boys say! My estridol level was good, so I was cleared to start the Follistim on Saturday evening. So, in the morning, my Lupron will drop from 10u to 5u and in the evenings I'll give myself 100u of Follistim. Next Wednesday, April 1st, I'll have my first monitoring visit and then go in every other day until they decide that my follicles where they need to be and I get my instructions to take Ovidrel. Three days after that is egg retrieval. I'm getting really excited! It still doesn't seem real somehow. I was on the table today waiting for the Dr. to come in and just thought.."Holy crap..I'm really doing this. Woah."

Jeff sounded so excited when I told him I was cleared for take off that it made me smile and I wished that I'd been there to give him a hug. He was gone before I got home this morning, so I have to wait until tomorrow morning to see him. We've been discussing names and I keep getting frustrated. I can think of girls names all day long..but never any boys names. I just feel like we'll have a girl. Jeff's mom says it'll be a boy b/c boys run in their family. Ok..well girls run in ours. Even though the sex is determined by the man, b/c we're doing ICSI, it's a total toss up and even more random. They just pick 1 sperm from the group and inject it into the egg. There's no telling what the sex is more likely to be. I really want a girl..Jeff wants both..LOL. I'm still fine w/ twins even though I know it'll be really hard, at least I'd know we don't have to go through this all again...we'd be done!

I also found out that our insurance and the bank have already paid our Dr's office, so Jeff is now clear to take another job if he finds it. His last day is April 17th anyway and until we found out it was paid, he was going to be force to say until the last day to make sure our insurance lasts..but since it's paid, he's free to move on. He's had several people interested, so we'll see what happens. A lot of people have really questioned our decision to do this now considering the current state of the economy and the fact that Jeff may not have a job that pays as much. It might not make sense to you, but it was just the right time for us. God's timing is perfect and I can't question that. He's opened many doors to make this possible, even if it seems like it's a bad time. He's holding my hand through all of this and showing me the way and I feel content about it.

I feel like in a world where children have an overinflated sense of entitlement and self importance, and who aren't held accountable for their actions, I need to have a child who understands that if they do wrong, there's consequences and if they do right, rewards. They need to know that the things that are given to them are earned by hard work and dedication. No one else seems to grasp that concept so I think there should be at least one person who can act responsibly and lead others to do the same. I hope I can be the kind of parent who raises a child to be a great leader, be responsible, trustworthy, honorable and fair. Most parents probably wish that of their children but it doesn't work out that way very often.

Based on experience, somehow the world has started rewarding the lazy and punishing the hard workers. The ones who speak up, stand up for themselves, work hard, and try to change things for the better get labeled as trouble makers, tattle-tales, whistle blowers and usurpers. The ones who don't care enough to say anything and keep their mouth shut and do just enough work to get by, they somehow get privileges and pats on the back for doing NOTHING. This society is based on getting stuff for nothing and has a weak work ethic...and it has to change.

Take NC's governor for example. She depleted the education fund to pay for parole reform, based on what 2 people did while on parole. So..now the kids are in schools with leaky roofs, not enough classrooms, and not enough teachers while the money is basically going to the criminals who do nothing to contribute to the good of society. It makes no sense to take the money from children who have a chance to change the world and give it to people who have little chance of being a productive member of society. So again..the lazy get rewarded. Without education or discipline, these students have a higher chance of being on parole one day..and it just perpetuates the cycle. And then, they wonder why NC has some of the lowest test scores in the country! So..to make up for the money taken from the education fund, new taxes have been put in place. Why?? So she can rape the fund again?? It angers me to no end and THAT is why I want to have a child.

I have high hopes that between Jeff and I, we can raise a child that can make great changes in this world. I think that's why I am SO excited and empowered over the thought of being a mother. Even if my child doesn't change the world, I know they'll at least make it a better place and that just inspires me. Please keep us in your prayers and I'll update next week after my monitoring visit!

Vet Ventilation

The quickest definition of ventilation is movement of air in and out of an enclosed space. Circulating it, purifying it..replacing toxic air with clean air. Sometimes that's just what has to be done to clear your system and the purpose of this blog. Last Friday, I had to take 2 of my dogs to the vet for their Rabies vaccines so we could board them. Jazz had only been once before and didn't have a good experience, so I knew we'd have some struggles again. Patches has been going there for 7 years, so I didn't think it'd be a big issue. I was so wrong and the experience I had has me wanting to switch vets.

I took Jazz in first while leaving Patches in the car. I told them they couldn't take her from me without some rebellion on her part, so they weighed her and brought her back in the room for the rest of the work. They asked me to put a muzzle on her and I obliged b/c she doesn't like strangers..especially when they're poking her with stuff. I had my arm around her neck and was petting her head while the vet tech prepared to take her temp. Jazz is very sensitive about her butt anyway and doesn't even want her tail touched, so temperature is a huge issue anyway. The tech didn't tell me she was ready and when she put the thermometer in, Jazz sat down and bucked her head up, slamming me in the jaw and nose. The tech doing the temp goes, "Well..we'll just make a note in her file not to do her temp unless she's really sick." I told her I just wasn't ready and wasn't holding her tight enough and to go ahead and try again. I put my leg up under Jazz's belly to keep her from sitting down and held her head against my shoulder and told the tech to go ahead...and she just stared at me like, "You want me to do what??" So, I said, "If you're going to do it, do it now." She was just very tentative and I kept thinking.."Good Lord! Just do it already!!" So..she finally got her temp..no problem.

Ok..next step was drawing her blood for a heartworm check and the tech chose to do her back leg...I don't know if that's standard or if she was afraid of being near her head..even though she was muzzled. The first try was an epic fail. So was the 2nd, 3rd, and 4th try. All the same needle...she'd stick it in, not get anything, pull back a little and stick it back in. AT this point, Jazz is getting angry and starting to shake with fear while trying to get free. She turns her head and looks at the vet tech with a look that clearly says, "If I didn't have this muzzle on, you'd be lunch meat right now." So, I asked her if the other vet tech could try and she said that Jazz just had shallow veins. Ok..well is there someone with more experience that could hit a shallow vein? She tried the other leg and Jazz gave me that, "Oh Mama please help me" look and I felt so bad for her. Attempt number 5 failed. So did #6. Finally..with needle # 2 and attempt 7, they got enough blood to run the test. I got to take her muzzle off...but not before they backed up to the farthest side of the room as if she was a raging bull. All she did was wag her tail, hide behind me and press against my leg. It just angered me that they treated her that way.

Then the vet herself came in..made me remuzzle her, gave her her rabies shot, checked a few things, said she was a good weight, had a negative heartworm test, had good joints, etc..and then said that b/c of the difficulty in getting her temp. and blood, they may have to start sedating her to get it. Um..NO. I asked for sedatives in order to trim her claws and they refused..so if they're not going to do it for that..they're not doing it at all. They still got her temp and blood..but who said anything in life was supposed to be easy?? Jazz was fine..but they were so afraid of her that she was feeding off of their fear. I was just so frustrated with them for being pansies. I'm not saying they should've been aggressive and force Jazz into a corner or anything..but at least show some compassion for the dog's fear and some persistance. If they're that afraid of being bit, they're in the wrong job.

Anyway, after taking her muzzle off, the Dr. gave her a cookie and Jazz was so gentle in taking it out of her hand that it made me that much more upset that they treated her like some crazed wild dog. I know the muzzle was for protection..and I was ok w/ that b/c if Jazz doesn't like something, she'll put her teeth on you to let you know..but doesn't bite. I would not however, want to take that chance w/ strangers. Jazz is very sweet and gentle and wants so much to be loved on and part of what you're doing that she gets so excited and rambunctious at the thought of you playing with her. She's just very high spirited and can scare some people b/c she likes to jump. Ok..so that's the end of Jazz's story. On to Patches.

I took Jazz out, brought Patches in and the 2 vet tech's walked in the room and started to approach Patches. It seemed all good b/c she was wagging, but as soon as they got close to her, she barked and backed up...and they jumped back as if she'd already bitten them. They took her to be weighed, took her temp, etc..and then I heard some huffing, puffing and little dog feet scrambling. They'd muzzled her. She's almost 9 and has NEVER been muzzled..and they were getting snippy w/ her b/c she was fighting them. She was clawing at her face, huffing, tongue hanging out through her teeth, drooling and the most horrible look of fear in her eyes I've ever seen. Rage started bubbling up inside me and it apparently showed on my face b/c the vet tech goes, "She got a little snarly when we tried to draw her blood." Ok..I understand, but it didn't make me any less angry to see my girl like that.

They did a quick exam and while the vet was listening to her heart, she reached up and clamped Patches mouth closed b/c she was huffing and breathing so heavily. I know it was to hear her heart better, but it just freaked Patches out more. As soon as the vet let go, she started shaking her head back and forth and pawing at the muzzle...and both the vet tech's and vet backed up..1 actually left the room. She's muzzled you morons!! What's she going to do?? After Patches calmed a little bit, they let me take the muzzle off and she just sat there..totally fine. It probably didn't help that they called her fat..maybe Patches is sensitive. =) I know she needs to lose about 23 lbs, but we had her thyroid tested and should get the results back in a few weeks. The vet said Cushing's Disease could explain her weight too..so we'll probably have to have her tested for that too.

It was just an upsetting vet trip. The vet tech's were too timid and scared...which only scared my dogs when they were already on alert. They weren't very friendly and I can't say they were inexperienced..b/c I've seen them there for a few years now. I know they mean well..but I just wasn't happy with the way my dogs were treated and they completely freak out when I pull into the parking lot there...so I think it's time for a change. Patches did fine when we took her to a different vet for a ruptured tick cyst and our vet was closed. Granted...Jeff was with her and she's his dog. She doesn't trust me like she does him. She loves me...but she's a daddy's girl, no doubt. I'm considering going to a mobile vet who will come out and charge me a $50 house visit and treat all my animals. I had Patches and Jazz's appt at the same time and they charged me $30 a piece for an office visit. I paid out almost $300 for that one visit. Insane! Anyhow..I just wanted to vent a little on my bad experience and get it off my chest. I felt bad for my girls so when we got home, they each got a yummy doggie mini-bagel from the Bone Appetit Pet Bakery in Myrtle Beach. They love that place and despite a horrible day, they had a great weekend with Terri!!

Fertility Chronicles: Part 5.1

This will be more of blogette..a quickie update. I got my medications yesterday. Huge box..lots of stuff. It seemed a bit overwhelming at first, but it was mostly syringes and alcohol wipes. The actual medications took up very little space. Just before Fed Ex arrived, the nurse called and told me my Lupron start date would be Monday. Yep..it's getting very real now. I'm very excited though!!! After doing some math, I've figured that the earliest possible embryo transfer date would be April 10th and that's when you count the shortest distance between each step. That's highly unlikely..but still possible. The latest possible date given the longest distance between each step would be April 24th for a blastocyst transfer. That's the only timeline I can give you. I'm deciding on a comfortable medium and going to say it's probably going to be around April 16th. It'll still be awhile before I know exact dates..but I'll keep you posted! =)

Fertility Chronicles: Part 5

Sorry I didn't update this last week, but I was busy! Jeff and I had our IVF medication instruction class last Thursday. There were 4 other couples in the class and it lasted about 2 hours, but was filled with a LOT of information. She gave us the details of which meds to take and when and for how long and showed us how to draw the meds. She left very few questions unanswered. I'm really glad Jeff went with me b/c it was a lot of information to get in such a short amount of time. The progesterone needle was the only part that made me go.."hoollly crap". Two inches long..all the way in my hip..every day for 10 weeks after the embryo transfer. If the embryo's don't attach and I'm not pregnant, then I don't have to take it..otherwise, it's through most of the 1st trimester. OUCH.

So..where do we stand now? I got a letter from Duke telling me the amount I owed after insurance paid, which is $3518. I faxed that to ARC Sunday night and they called me back confirming that they got it and were just waiting on the clinic to fax the prescriptions. Duke faxed those to ARC today and she called telling me the price on those was $2328.48, for a total loan amount of $5846.48. She said she'd get the loan paperwork up and ready to go and fax them to me tonight...which I never received..but then I just sign them, fax them back, they order the drugs and have them overnighted to me..and away we go! I still have to go in for my baseline ultrasound before I can start the drugs, but hopefully I can start them the first of next week.

Jeff got me all freaked out the other night because he told me his contract expires on April 15th and I thought we had until April 30th. If I had started the drugs tomorrow, we'd be looking at an embryo transfer date of around April 13th. That's cutting it verrrrry close. The only way this is going to work now..is if Jeff gets the COBRA insurance through the end of the month. That's also really expensive, but still cheaper than paying full price for IVF. If his insurance hadn't covered any of it, we would've paid about $13,000 for everything. We're hoping that his insurance doesn't end the day of his contract, but at the end of the month during which his contract ends. We'll see. I can't stress over it b/c there's nothing I can do, you know?

The fact that this might not work hasn't even set in really. I'm just confident that it will work...I have to think that way. I'm trying not to get my hopes up, but at the same time, I'm thinking of names, who to pick for an OB, how I'll do the nursery and wondering how fat I'll get. My biggest concern is that Jeff can't get another job until this cycle is over with b/c of the insurance. So..he'll be technically without a job before we even have the embryo transfer and that scares me. I know we'll be ok because we always have been...it just works itself out...but that doesn't mean it'll be easy. Our first year was rough b/c he got laid off..and even if he gets another job, he may not be making as much...and we need to prepare for that. I'm putting away as much as I can to help cushion it a bit, but it's not going to be enough. The job market for IT people in this area has slowed to less than a crawl. It's kind of like a baby who's just lying on the floor, drooling, rocking back and forth but not going anywhere. He's looked for jobs outside of the Triangle and in other states, but the truth is that we don't want to move. Despite the strange weather and unbearable summers, we like it here. We're close to just about everything and there's never a shortage of anything to do..but...you have to do what you have to do. If we can't make it through the next 18 months and wait for the economy to turn around, we'll have no choice but to go elsewhere. That makes me sad.

I'm just so thankful to have a very supportive family who I know will help us out when and how they can. All I can do is pray. So, here's to a successful IVF cycle, a new job for Jeff, and strengthening our bond by extending our family!

Fertility Chronicles: Part 4

Seems like a lot has happened since last Thursday! I hope this isn't TMI, but it's kind of important..so just put on your big girl panties and deal w/ it. Late in the afternoon Friday, I got my period..which means day 1 of my cycle. I needed to have blood work done on Day 3 to determine my medication dosage. Day 3 was Sunday...and they're closed, and they closed at 3pm on Friday..so I couldn't call to ask what I needed to do. I decided to call the RE on call and after a short wait, she called me back. Dr. H was awesome and not upset that I had her paged for a fairly minor issue. She's there to handle emergencies after hours. Anyhow, she told me that I could have my blood work done Monday morning and it would still be valid. I was also supposed to call on Day 1 to schedule my 3D Sonogram..and they were closed..so that also had to wait.

I called Monday morning to schedule my lab work and thought since they were already going to be drawing blood for my hormone levels, I could also go ahead and get my IVF screening labs done as well. When I told them what I needed, they discovered they had an appt. opening that day for a 3D Sono and that I could just have everything done at one time. Wow..I wasn't expecting to have the 3D Sono done until later in the week. She told me it has to be done between days 3 and 11..so I guess day 4 was just perfect. The appt. time wasn't until 1:30, so I asked if the blood work for my hormones would be ok if put off until then and they said it was fine. So..at 1:30, I headed into the office where they filled 8 tubes of blood. Yep...I said 8. They have to test for FSH, TSH, and Prolactin...plus HIV, Hep B&C, Rubella, Blood Type & Screen, and um..something. I can't remember..I'll find it later. Jeff also had to go in Tuesday to have his blood work done and they only filled 4 tubes for him.

Anyway, so after my blood work by the very talented Lab Tech..who left no bruising...I headed into the ultrasound room. I'll admit I was nervous because I knew the 3D Sono was similar to an HSG..which was NOT pleasant in the least. I hurt for several hours after that one. The Dr. came in and told me they would push a catheter through my cervix and fill my uterus very slowly with saline and that if it hurt they would stop. The catheter didn't hurt...so if you ever have to have one done, do it as early in your cycle as you can. I had the HSG done around day 10, after my cycle was over and my cervix wasn't as open...thus the pain. Once she took the speculum out, I was fine. She put in the ultrasound wand..then the saline started...very uncomfortable. Not painful...but there was discomfort. I'm watching the screen as my uterus expands and I'm fascinated at how little it actually is. I started having some cramping because my uterus was rebelling at being filled so fast, but I was ok. According to the Dr., my uterus is perfect..no polyps or malformations of any kind and my lining was good.

She also looked at my ovaries and said they were perfect. Oh really?? I have PCOS..which means cysts on my ovaries...and she's telling me there are none?!? Then why can't I ovulate or get pregnant??? I found that interesting. I could see the follicles and they were a little larger than normal ones..but they looked like they're supposed to. After I cleaned up, She gave me a prescription for Doxycycline to prevent infection. I spoke to the nurse who gave me a prescription for birth control which I also started Monday and I scheduled my IVF Class for next Thursday. That day I should also get my medication dosage and prescription. After leaving and having paid my 25% to the tune of $460, my only issues for the rest of the day was the saline leaking back out and the headache and upset stomach from the birth control and Doxy.

When I got home from the Dr., I called ARC(Advanced Reproductive Care) and asked them about financing the IVF cycle. They gave me the rundown of what they needed and who they financed through. Our best option was Capital One and we got pre-approved for $9,000 at 9.9% for 60 months...which is the best you can get for that loan term for the amount we asked for. It shouldn't cost anywhere near that, but it gives us a bit of a cushion to work with. Now, I just have to have Duke fax my prescriptions to ARC, they find the cheapest pharmacy to provide the meds, let Capital One know what the total cost is going to be and then they send me the loan forms, I sign them, send them back..and then they pay Duke. Voila. My insurance will cover some of the costs of the medication if I go through their pharmacy..so they may be the cheapest route to go w/o having ARC find me a pharmacy. I just want the smallest out of pocket expense!

My next step after the class is my baseline ultrasound and medication start. My Dr. also called me Tuesday to go over Jeff's results from the semen analysis...which gave me a lot of answers to questions that I had in my last blog. Dr. W said that Jeff is normal but there's still a 1 in 6 chance that there could be no fertilization and that the the ICSI procedure is basically an insurance. With all we're putting into this procedure, why not guarantee that we're going to get an embryo? I hate knowing we have to pay the extra $1700..but our insurance covers it..so I don't think it'll really cost us that much out of pocket.

I don't know how they determine which sperm to inject into the egg though. I guess they just pick the one that has the best motility and morphology..and therefore the strongest to fertilize the egg. I still wish they'd just put it in the dish so that some of this is left to chance, you know? I guess technically..it's still chance b/c there's no way of knowing which sperm is going to be used..it's random. Anyway, if the timeline falls the way I've figured it, I should be having the embryos implanted in late March or early April..and know by mid-April if I'm pregnant or not. There's still a lot left to chance though. Just because we have embryos doesn't mean the embryos will attach or that I can sustain the pregnancy, so there's a lot of stress still ahead of me. I need to find a way to deal with it and not hang on to it...that could cause the whole thing not to work. Maybe weekly massages throughout this whole thing wouldn't be a bad investment. Eh..we'll see.

UPDATE: Here's Videos!

Here's one of Egg Retrieval: http://www.youtube.com/watch?v=ulFp3N6D4Oo
Another one better explaining the egg retrieval: http://www.youtube.com/watch?v=TC9UaNtpweE
I also found a video of ICSI! http://www.youtube.com/watch?v=nPBZ7jURBXg
And one of the embryo transfer: http://www.youtube.com/watch?v=CHCE3ale7sI
Hope this helps you guys better understand the process!

Fertility Chronicles: Part 3

Alright, so here's what's going on...and my dilemmas (yes, that's plural!) Jeff got his test results back today and it was a thumbs up, but they said they would recommend that we still do ICSI. That's where they inject the sperm directly into the egg to fertilize it. My question is, if Jeff's little soldiers are fine..why do we need to do ICSI and incur the extra cost of doing it? Apparently the nurse told Jeff that if they just put the sperm in the dish w/ the eggs and hope for the best, there's only a 15% chance that it will work. Um..what??! How can it be that low when the sperm and eggs are all there together hanging out? Say..6 eggs..and 2 million sperm...and it's still only 15%??? Bollocks to that! I think she just wants us to spend the extra money. ICSI is for couples who have infertility issues with both partners. If Jeff's "boys" are A-OK....then I don't see a reason to pay the extra $1500-$1800 to have it done. Oh..and that's out of pocket..insurance doesn't cover that. So this dilemma is: do I pay the extra money to guarantee we have embryos..which still may not result in a viable pregnancy..or let the fertilization happen naturally?

Ok..on to the next dilemma. Jeff may lose his job in April when his contract runs out..which means the insurance goes with it. We're hoping they'll make his position permanent..but we have to plan otherwise. IBM's insurance is AWESOME! No copays and they cover 2 cycles of IVF. If we lose that April 30th, I have to go on NC's State Insurance..which is hideous! Ridiculous copay and co-insurance fees and they don't cover IVF...plus you have to wait a year for payment on preexisting conditions. I should also mention that I would have to cover Jeff too..and the Employee/Spouse plan..is something like $350 a month. The family plan is $450. We're paying $80 through IBM for both of us...and their family plan is only $110...or something close to that.

If the IVF works and I become pregnant and then have to switch insurance companies..wouldn't the pregnancy be considered a preexisting condition?? In that case, they would cover NONE of the birth expenses...or any of the work I have to have done relating to the pregnancy at all. I can't lie and say I didn't know b/c it's insurance fraud and they could check w/ IBM's insurance and find out we had IVF. Even if the birth goes the way it's supposed to, you're looking at probably $12,000 or more....and if it's complicated, it could be $50,000 or more. Plus..what if Jeff still doesn't have a job? I realize all this sounds like I'm being a Debbie Downer, but I have to plan for the worst even while hoping for the best. What do I do? Do I still go ahead w/ the IVF knowing that Jeff may not have a job and that insurance wouldn't cover any pregnancy expenses? I know our parents would help us out..but they're in a tight bind right now too. Dad may lose 3/4 of his retirement, Jeff's parents just built a new house and are still supporting his brother and his family...so I wouldn't want to be a burden. I rarely ask for help anyway.

I'm just unsure about a lot of stuff. Now that I'm ready to do this...it's the absolute worst time to be ready for it. Our economy will be in the hole for another few years...but I'm not getting any younger and really don't want to wait that long to have a baby. I feel like my window of opportunity to have one is closing on me in the next 5 years, so I don't feel like waiting is an option. I keep trying to remind myself that Jeff's parents lived off of Beanie Weanies for a month in order get by after having Jeff....and they made it. Do I look at all of these roadblocks as a sign that we shouldn't be doing this or do I look at them as trials from God that I have to get through? Maybe God's testing the strength of my desire to have children. Maybe this is when He wanted me to be ready, even though it makes no sense to me. I just know I could use a lot of prayers right now. If you have any ideas or words of advice for me, please email me!