You can FedEx anything & other musings

Today I'm tracking our vial of donor sperm on FedEx's website. The precious cargo has arrived in my city but has not yet arrived at the RE's lab. Currently it is "On FedEx vehicle for delivery". We picked a new donor, with identity-release, meaning that if we have a child, at age 18 that child will be able to contact the donor. This has become important for us, for any donor-conceived child of ours to know his or her genetic parent(s). Maybe they'll want to know or maybe they won't, be we want to make sure that the option is there.

A close relative of mine recently made the remark: "Do you think God meant for you to not have children?" I was a little stunned at first but quickly recovered by saying that no I didn't, because I assume that God has given doctors, nurses, scientists, embryologists, etc., the knowledge and the skill to help couples achieve pregnancy. There's a lot of other things I was thinking at this time too but I most of them aren't fit to type out. Most people in our lives that know about our infertility have been super supportive so hearing this comment from a relative kind of blew my mind. I wonder if I should send this person a link to Infertility Etiquette?

Life continues to go on right now, we're just doing a lot of waiting, which I hate more than anything. It can seem that, at times, the whole rest of the world is moving forward at a dizzying pace and we're still here, waiting, seven years later. I'm trying so, so, so hard to lose the jealously, sadness and bitterness I'm carrying. I know it's not healthy but some days those feelings seep out in places and situations I don't even mean for them to. Although, as I say that I also have to say that I feel more positive about IVF #3. I was at acupuncture the other week and while I was lying there I just kept visualizing a nice, highly graded, non-fragmented embryo implanting and growing. Maybe I've just officially gone over the deep end but I keep thinking "It's got to work, third time's a charm. It will work." My daydreams about IVF cycles have morphed into daydreams about nursery decorating. However, despite the positively, there's still the very distinct possibility this cycle will not work either and we will have to make some difficult decisions. For now though, I'll keep daydreaming.

Taking care of myself

While we wait (again) I'm trying to be better to my body. There are some things that I'm willing to do and other things I am not (like give up the one latte/dose of caffeine I have per day). I have started seeing Dr. Needles (the acupuncturist) again. I'm going once a week and I am not drinking the herbal crap 'tea'. I still enjoy acupuncture and I feel like it helps my stress level tremendously.

I have also started yoga again. It's been over a year and a half since I was regularly practicing. I'm taking a class at a local studio and it's a restorative/deep relaxation class so it's me and about four other women (and one guy). I'm the only person in the class without some type of injury/physical limitation. I just wanted to take a less strenuous class, which is how I ended up there. It's kind of silly sometimes because I can do the poses without the supportive props but I remind myself I'm trying to be gentle to my body.

I've started vitamins/supplements again. I'm taking a prenatal, Vitamin D, fish oil and CoQ10. I'm not doing the DHEA yet because it gives me headaches and acne, even in small doses. Last year at my annual exam my OB/GYN noted that in my bloodwork that my Vitamin D levels were lower than normal so I hope the supplement helps. I go back on the 13th for my annual exam so maybe there will be some improvement.

The overall goal I'm working towards is less stress, less negativity, less jealously and bitterness, more hope. It's always hard, especially in the midst of friends who are expecting/just had babies. I went to Target yesterday for some random things and when I walked past the baby aisle I lingered for a minute, it smells overwhelmingly like baby (clean baby, not baby-with-poopy-diaper). Sometimes instead of suppressing the daydreams about us as parents, I let them bounce around in my head and entertain the thoughts of Doug rocking a baby that is all ours. Not a niece or a nephew or a friend's baby, just 100% ours. It's a sweet daydream.

AMH result is...

1.4, as of August 8th, 2011. Previously, as in May 2010, it was 1.2. I have to say I'm relieved it didn't drop dramatically as I had feared. Thank God for small favors.

Will wonders ever cease

Got some results from Monday. Antral follicle count was 15, still respectable. Estrogen was 40, AMH is not back yet, probably a week until its back. The oddest thing was my FSH was 6.2, which is the lowest it's ever been. Down from 9.21 in May 2010. Very weird. Although it doesn't change much I guess because you're only as good as your highest number, a whopping 12.3.

I'll be very interested to see what my AMH comes back at.

Blood type = crappy eggs?

I think I saw this mentioned before last year but it looks like the study was actually published. I'm O positive.

Blood type linked to earlier decline in fertility

Return to the RE's office

Before we get our hopes up about attempting IVF #3, I need to go get all my bloodwork checked out since it's been over a year since everything was last checked. This morning I made the all-too-familiar pilgrimage to the RE's office. The nurse was nice but tight lipped about my AFC count so I don't know if that was normal or not. I know I saw some but I don't know how many. I did get a "beautiful uterus" comment, thank goodness it's working well at least. They took four vials of blood (queue the queasy feeling) and are running my FSH, AMH, E2, progesterone, etc., etc. I won't get the results for at least a week, if not longer, but until then I'll live in a constant state of anxiety, positive that my FSH has jumped and my AMH has fallen down to the level of hopelessness. I've done a little more research on donor eggs. I'm not sure if our clinic has a donor pool or what, so if we wanted to use a egg donor we might have to go elsewhere. I shudder to think about how much a donor egg cycle would cost though.

Hitting the pause button

There has not been much to report around here in our reproductive life. The biggest bit of news is that we're putting the whole homestudy/donor embryo path on pause right now. We got the second packet of homestudy questionnaires and financial information requests and we even got an appointment at the NEDC. But then the tiny bit of waffling we had been doing got stronger and we both felt like we couldn't move forward just yet. It's a hard thing to say goodbye to your biology, to the dreams you had of a child that might resemble you or someone in your family. So we're holding on to our paperwork and waiting it out. We will most likely do IVF a third time before moving on the donor embryos. This time we'll know that statistically a third IVF cycle is not likely to work and we will most likely be spending $13,000 + without any return but at least we're kind of okay with that. At least we know we will have given our own DNA the best chance we could and after that it's alright to let go. I've had a lot of people (friends, my boss) tell me we should look at going to another clinic. That's been weighing on my mind heavily too. However when it comes down to it, doing an IVF cycle here, at a clinic 5 minutes from my office and 10 minutes from my home, is already hard - what would it be like flying to Denver or Las Vegas or even driving 5 hours to St. Louis? Plus we know the drill here, we know the staff, the surgery center, the doctors and they know us. I really like my RE, sure I haven't gotten pregnant yet but I don't blame the doctor. He's good, the practice is good, their SART numbers are good and frankly I don't want to start all over again somewhere else. We've been seeing this RE for almost seven years and my file is like an encyclopedia, I don't want to drag it elsewhere. Besides, if my eggs are bad, they're bad. We can try different protocols and medicines and supplements but going elsewhere isn't going to improve my egg quality, just like it isn't going to make Doug not sterile anymore.

I have to say that I never thought we'd be here all these years later. There are days when it feel hopeless, when everyone seems to be able to get pregnant without blinking an eye, when people are so clueless about the things they say and do, when the daydream of me being pregnant feels like it's going to stay just a daydream. But I have to snap out of it and realize how incredibly lucky we are, lucky to have each other, lucky that Doug survived cancer, lucky that we have options that others never had. We will get through this, we will be parents.