Oops, I definitely didn't realize that two weeks had passed since my last update. I am now 8 days past a transfer of one thawed 5-day embryo (with transfer day being day 0), which is referred to in the lingo as "8dp5dt."
Since my last post, we started the PIO shots. Overall, they are going well! We have received several tips that have made the process a little better for us (at least I think they have--we didn't have a control for this experiment). Warming the oil (either in a cup of warm water or in our armpits) helps thin the oil a bit, and going for a walk or easy run after has been helpful for my muscles. Admittedly, I have gone back to sleep more days than I have gotten up and moved. I definitely notice the difference when I don't exercise...it's that way with other parts of my body and exercise, too.
For comparison, I included a photograph of the needle Richard uses to inject the PIO compared to the one we use to inject Lupron. Since starting down this road, I have learned that a larger needle gauge means a smaller hole in the needle. Whereas the Lupron syringe (also commonly known as an insulin syringe) is a 31 gauge, the PIO needle is a 22 gauge. I think the Lupron needle is 5/8" long, compared to 1.5" for the PIO. Fortunately, the worst part is piercing the skin with the needle. The actual injection is not bad, and I eat a piece of chocolate every day when it's done, which is good. What might present a new challenge will be if I am actually pregnant, as I am traveling to a conference next week and will have to do my own injections or find a conference buddy and get really close with them really fast...but we aren't there yet.
|A comparison of needles: PIO vs Lupron|
Other than PIO injections, I had my last lab visit on Monday, October 18, and then Tuesday, October 19 was the transfer date. (Yay!) There is a risk (of course there is, there's always a risk) that something could go wrong in the thawing process, but our embryo thawed exactly as expected. Our doctor even called it "gorgeous" and gave us a picture as proof. While "gorgeous" is a different term from the "beautiful" word that I resist, it still makes me nervous to put much stock in those sorts of comments. Richard and I were not sure if the embryo looked more like him or me, but our doctor said the comparison is difficult to make unless we have photos of ourselves five days after the sperm met the egg, and technology has changed considerably since the 1980's. I guess time will tell.
Although I'd talked with a few people who have been through the FET process, I was still a little unsure of what to expect. It was a short process and was not painful, but it shares many uncomfortable characteristics with a pap smear, including a hospital gown, stirrups, and a speculum. (But as a bonus, I got a warm blanket for this one!) Something different about this procedure is that Richard was able to be in the room with me. I think his presence helped keep me calm. Also different was that it felt a little like being on a medical or scientific TV show. The embryologist entered the room and asked me to confirm my name, date of birth, and what I was there for. (I got all three correct.) Then, a few moments later, she returned and said, "One embryo for Davis," and passed it to the doctor. I didn't get a good look at the container, and I kind of regret not paying better attention. Richard was able to watch on the ultrasound screen while the doctor inserted the catheter and put the embryo in. I didn't really know what I was looking at, so I looked at the ceiling more than the screen. In total, the procedure only lasted a few minutes. A moment after we finished, the embryologist returned and stated "all clear." In other words, the catheter was empty--no embryo left behind. Our doctor was satisfied with the transfer and said it went exactly as it should have. That was good news!
After the transfer, we went to McDonald's to pick up lunch and lots of fries, because it's IVF community folklore that they're supposed to bring good luck after the transfer. (Richard and Scooter ate fries as well for good measure.) I rested all day after that and made sure to keep my feet warm (more IVF folklore). I continued to take it mostly easy for the rest of the week. Richard was off all week, so we enjoyed having down time at home together.
Over the last few days, the waiting has gotten more difficult. I've increased my napping frequency once more, which could be a sign of pregnancy or could be a sign of estradiol and progesterone. Friday (10/29) is the day I go to my doctor and have a blood test for pregnancy. The test is referred to as the Beta, short for beta human chorionic gonadotropin (HCG). HCG is known as the pregnancy hormone because blood or urine tests measuring HCG levels can confirm pregnancy. The over the counter/at home pregnancy tests check HCG levels in the urine.
On Sunday night, my mom asked me, "Why do you have to go to the doctor for a pregnancy test? Can't you just take a test at home?" Those are interesting questions indeed. The short answer is that while urine pregnancy tests are 97-99% accurate, blood pregnancy tests are more like 99% accurate. A risk of a false result on an at-home test could be worrisome or devastating for many reasons. With a false negative urine test and a positive blood test, I could be thinking the FET failed when it didn't. With a false positive urine test and a negative blood test, I could be getting my hopes up about a failed transfer. People make different decisions about whether to test at home, and the choice is highly personal. Regardless of testing choice, the wait until the beta doesn't go away.
My beta is Friday morning, so I am about a day and a half from the test and a little longer than that before we have results. I'm hoping that Thursday isn't too agonizing with the waiting. I have a few things scheduled that will keep me busy.
Something that made today great: I video chatted with Ashley and Emma and laughed about all kinds of silly stuff!
Time I woke up: 8:30 am