IVF # 5 – Blood Clot – The 411

ivf 5 - blood clot

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So, I spent the night after retrieval in excruciating pain.  First it was the awful gas bubbles in my tummy that were trapped and had no where to go.  I was ridiculously uncomfortable.  I way lying in bed and then noticed the backs of my knees were also hurting pretty bad.  I could not get comfortable and  my right knee pain was radiating down into my calf.  I was finally able to fall asleep after the Dulcolax I took earlier in the day kicked in.  I was still bloated and the abdomen was distended and my legs ached.  I told my camera man to keep an eye on me and if he noticed my breathing change to call 911 immediately.

I talked to my nurse when she called with the fertilization report and she suggested I go to Albany Medical Center.

When the camera crew was leaving, I arranged for a cab to come pick me up to and take me to the emergency room. I got there in about 20 mins, checked in and waited for a room.  I was seen by an ER doc and then sent to radiology in the middle of his interview.  I gave him my list of meds that CNY printed out for me to take over the next few days and off I was rolled to radiology.  That was THE longest ride ever !  I had a doppler done of the groin and both legs and the scan did not show anything above the knee.   After I was done, I was rolled back to the room #13 that I was previously in and two more ER docs and an assistant came in shortly after and explained that doppler scans and xrays do not show much below the knee and that it was suspected that I had a clot in the right leg in the calf. The good thing was that the Lovenox was started again after egg retrieval, so it will help dissolve any clots, being that it works very quickly, unlike Cumadin and other blood thinners that take days to build up in the system.  Lovenox begins to work within two hours of the injection. Next, the insurance coordinator came in and got my information, registered me, and took copies of my insurance card and id.  I relaxed on the cot and watched television for two more hours before they finally let me go.  It took AN HOUR for a cab (after calling 2 different companies) to show up to pick me up and take me back to the hotel.  I ordered pizza on the way back and it arrived within 20 mins of my return.

I was instructed to walk several times a day to increase blood flow and to monitor for various symptoms.

The leg pain was gone by last night before bed, so I was happy about that.  The bloating has done down some and I am no longer in pain.

This morning, I got up an inserted the estrace, Endometrin, did the PIO injection, took the antibiotic, and later took the Prednisone, Claritin, and prenatal vitamin.  I have to insert the Estrace three times a day and the Endometrin twice a day.  I was going to do the Delestrogen, but since my elevated hormone levels are the cause of the blood clot, I will just stick to the vaginal dosage.

Tomorrow, I have to report to CNY Fertility Center and Spa in Albany at 9 am for acupuncture and then I will be having my transfer of prayerfully all three of my embryos at 10:30 am.  I called today, but they do not check the embryos again until tomorrow so I am praying and hoping all three of them are still with us and growing and dividing strongly.  I won’t know about the 4th one until tomorrow either.  I have had dreams about three and so has my mom, so I am going to go with THREE !

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IVF #4 Upcoming – The 411

baby - ivf egg and sperm

Last night, Dr. Robert Kiltz, who owns CNY Fertility Center and Spa, called me and said he wanted to schedule a phone consult with me for Saturday morning.  He said he was reviewing my file and would call me.  This morning, as promised, he called to discuss my latest failed cycle and to make a plan to move forward.

He wants me to try one more cycle with my own eggs prior to moving on to donor eggs.  He feels that I have good equality and is happy that he sees all my embryos making to blast.  He feels that I need to do a few things:

–  Add Saizen / human growth hormone to my cycle to improve maturation and egg quality

– Use neupogen post transfer

– Do a neupogen wash

–  Do a Hysteroscopy with biopsy

– Do an endometrial scratch on day two of my cycle to improve implantation

– Continue on an estrogen priming protocol

– Use 300 Gonal-F and 300 Menopur with Lupron for stims again

I have decided to give my own eggs one more last shot while I am saving up for a donor egg cycle.  I am going to detox my body first.  All of these hormones have take a toll on my body.   I am going to start a protein train on Monday (protein shakes only, apple sauce, sf popsicles, sf jello, water, diluted apple juice, oatmeal).  I will actually start by drinking only water with lemon, cayenne pepper and grade A maple syrup for two days to detox my body from my sugar habit.  It really does work !  By drinking loads of the lemon cayenne tea, it cuts sugar cravings and helps you follow the Bariatric diet more easily.

For those that did not know, I had gastric bypass surgery March 31, 2004.  When I follow a strict diet for short periods, it helps me refocus and I also drop weight pretty quickly.  I want to get back to my starting weight prior to starting stims.  I should be able to drop the few pounds I have gained due to the hormones.  It can only help with my quest to get pregnant.  Weight loss releases the hormones that are stored in body fat back into the bloodstream.  This is why a lot of women who became infertile due to obesity find themselves pregnant unexpectedly after gastric bypass, lapband, or significant weight loss.

Ironically, one of my friends out of the blue reached out to me late yesterday and said that God had laid on their spirit to relay to me to hold on…. that my bundles of joy were on the way.  I told my friend to go back and relay a message for me…  I will hold on, but can He speed up this timeline ! lol

IVF #3 Stim Day 9 – The 411

baby - 12 eggs

This morning, I had a monitoring appointment and am delighted to say that I have 12 measurable follicles and a few more small ones developing.  My E2 levels have come up to almost 500, which I am really happy about.  I will be stimming for 3 more days so it is a good sign that it more than doubled in two days.

Tomorrow, I will be going in for an acupuncture session. That should be a bit relaxing.

Tonight, I mixed my meds and injected with ease.  Just when this becomes second nature, it is time to stop the injections.

I am looking forward to leaving for Albany on Sunday.  I am meeting a few ladies who are at my clinic having their procedures done this week.

As far as how I am feeling, my right ovary feels SWOLLEN !  I feel a bit of pressure on both sides but more so on the right, although my left has more follicles.

Moving Along In The Process – the 411

I am moving along in my process and will be starting my estrogen priming protocol in a few weeks.  I have to take Estrace for 7 days with the start of my period and go in for baseline and ultrasound.  After this, the next month, I start my injection meds, which are going to be a lot less costly than I thought now that I have been introduced to Freedom Fertility Pharmacy. 

I have selected one donor that I think is somewhat the male version of me LOL.  I am still combing through profiles on two cryobank sites looking for 3-4 more donors and then my siblings, mom, and friends will have a donor selection party to select “HIM”.

I can not wait until March when I go in for my retrieval and transfer.  I am praying that all goes well with my medication protocol and that I produce healthy eggs and enough that I can have twins.  I was speaking to another lady today and she transferred three embryos and is having TRIPLETS !  That I do not think I could handle, but I know I will never do selective reduction either.  I guess I will cross that bridge when I get to it.  I will see where I am after the retrieval and decide then how many embryos to transfer.  The doctor suggested transferring as many as 5.  SAY WHAT?  I can not see that happening, being that they may ALL take !