IVF#2: After 12 Days of Stims… We Trigger Tonight!

Well here we are, after 12 days of Gonal-F doses ranging from 200IU to 250IU, finally, we trigger tonight!

Yesterday I waited by the phone, self-soothing with spoonfuls of coconut butter (you must try coconut butter- not oil- it is so rich and creamy and delicious. It’s the only food I could really taste yesterday), for a phone call that never came. This morning I went to my monitoring appointment, had more blood drawn (so many holes in my arms now), and went for my daily meditative dildo-wanding.

These are my stats:

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As you can see, it was a good call for my RE to have me stim for one more day. A good amount of growth happened, and some of the mid-sized follicles have grown to potential maturation size. The ultrasound technician says that in her experience, the follicles 16mm and greater will probably be mature by egg retrieval. The 15mm ones are iffy, and anything smaller is unlikely to yield a mature egg by egg collection. So right now, we’re looking at 18 or so potentially mature eggs, which is great. Obviously, you never know until egg retrieval, but I love to speculate. TTC had made me a master speculator. I have self-diagnosed a whole shit tonne of things already, most of which has actually been correct.

Anyways, there’s a lot of snow around here, and I’m dying to take the dogs out, but the conservation area doesn’t get plowed, and the snow is knee-height. Juno killed and ate 90% of a raccoon a couple of days ago (we lost her in the conservation park and then found her laying in a mess of fur and blood, so we speculate (see master speculator!) that it must’ve been a small raccoon based on the fur). She has been crapping fur poops, which can’t be fun. I might throw on my gators and go for a jaunt with her. Oh, that dog… Eating things she shouldn’t eat.

Speaking of eating, I have been feeling quite a bit less bloated in the belly lately. I believe that it is due to some changes that I’ve made to my diet:

1. Cut down my carb intake a bit. Because of the amount I was working out before stims, I was eating 40-50g of carbs with each meal (so 4-5 times a day). I’ve cut that down to 20-30g of carbs with each meal, sometimes less, depending on the meal. I always feel a bit better eating less carbs. It’s not a weight loss thing, it’s an overall homeostasis thing.

2. I’m force-feeding myself protein with each meal, even with snacks. I ate a lot of protein before (at least 35g per meal x 4-5 times a day), but feeling like crap doesn’t make you want to cook or eat things that require a knife.

3. I’m consuming a lot more salt than usual. I usually consume very little salt, but thanks to some advice from this lovely blogger at Plan B Chronicles, I’m eating way more salty foods. I’m adding salt to my soups, eating more salty snacks, etc.

4. Metamucil is my friend. I’m taking two scoops of the Orange flavoured powder once a day. DW says it makes her poops “nice and fluffy”, which makes me giggle. I don’t think my poops are ever fluffy, but I’m crapping at least once a day right now, which makes me happy.

Having so many follicles, I’m aware that OHSS is quite likely on the horizon. All of the above mentioned efforts are also to prevent it. Last year’s IVF had 36 growing follicles, 19 of which were mature. I felt super shitty for 6 days after egg retrieval, and then started to feel a lot better. All in all, it took 2 weeks for me to be able to take a dump without crying alone in the bathroom (due to enlarged ovaries). I was bloated and in pain, but didn’t have nausea or troubles breathing like some women do. I definitely had ascites, and got to practice some diagnostic tests that I had learned in professional school.

Lindsey at Awaiting Autumn also mentioned taking Dostinex (Cabergoline) for OHSS, and I’ve sent an email to my primary nurse asking about being prescribed some. This study shows that it doesn’t negatively affect egg maturation, implantation rates, or pregnancy rates.

So yeah, we trigger tonight, and egg retrieval is on Friday, though I’m still waiting for a call from the nurse to find out the exact time for both events.

Last year I said that I’d never do this again (because of the pain and trauma to my insides), and here we are, doing it again. I hope that we finally get some babies out of this.

Provera, Diarrhea, and Waiting for AF

What a title eh?

Well, I finished my last dose of Provera on Saturday night. I was on a 10mg daily dose for 7 days, overlapping with Lupron. The Provera didn’t make me sleepy like the oral Prometrium usually does, which was disappointing (especially for the insomnia).

Some side effects that I did notice from the Provera were:
– constant back ache
– sore breasts toward the latter end of the week
– cramps roughly 12 hours after each dose, with the worst cramps from days 3-5, lasting 1-2 hours
– frequent urination at night- 3-4 times a night
– major constipation!

It’s hard to tease out what side effects were from the Lupron, but after consulting with the information sheet that came with my medication, as well as some IVF blogs, I think the following side effects are care of Lupron:
– super hungry (increases cell uptake of blood sugar and causes hypoglycaemia)
– insomnia
– mild headaches

For two days now, I’ve only been on the Lupron, and I’ve had the headaches. They aren’t bad, but have me retreating into the depths of a dark bedroom for a while.

As the Provera wears off, so has the constipation. Today, I have had frequent episodes of the runs. Fun times. Notice that I didn’t give you a TMI warning? (People who want babies should become desensitized to poop issues.) Diarrhea is a good thing though, as I would like my meals from three days ago to finally vacate my body. Diarrhea also means that my period is coming… Soon! *Fingers crossed* I can’t wait for CD1 and to start my stimulation drugs!

I have been tracking my BBT the past two days, so that I can get an idea of when to expect AF. Many women report not getting their period for up to two weeks after stopping Provera, so I’m a bit anxious about it. I’m super OCD about scheduling, so waiting for AF is pure torture for me. But my BBT has been hopeful, as this morning, my temperature dropped almost to half of the overall spike temperature. So I might start to bleed any day now. My withdrawal bleeds after Endometrin came three days later, so if I am consistent with that, I should get my period late tonight, or tomorrow.

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For now, we wait.

IUI#4: Five Days Post Ovulation

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So far the progesterone has been great for sleeping, but last night I barely penetrated deeper than a light sleep. I imagine my sleep was like that of a fugitive on the run, sleeping in the wilderness, predators both animal and human to watch out for. Sleeping with one eye open.

Part of the reason why my sleep sucked is because I had the nastiest gas and bloating ever. I looked 6 months pregnant, and smelled like a nasty cloud of egg farts. Poor DW.

I tried to squeeze out a little turd to relieve some of the pressure, but was left unsatisfied. Constipation, ugh.

This morning I had 3 diarrhea-like poops before noon. I still feel bloated though.

Some other symptoms I’ve experienced today: very mild dull cramps (could’ve been due to the digestive upset, as the third bout of diarrhea happened shortly after the cramps), and mild headache.

Oh, and majorly craving sweets.

Who knows what’s going on.

Lastly, I am loving the pineapple I’ve got chopped up and rationed out. I’m very tempted to eat more than the suggested serving, and wonder how much is too much pineapple?