Happy Halloween, Baby!

Pregnancy Day: 34 (4w6d)
Gestational Age: 20 days (2w6d)

Dear Baby,

Today, the little neighborhood kids came by our house to beg for candy. We got a bunch of miniature candy bars from the grocery store a few days ago, but then your dad ate a bunch of them, so I had to get more earlier today. Then we gave out most of the candy half way through the night, so Kevin had to go get more. :) Fortunately, or maybe unfortunately, almost all of the stuff Kevin got is left, so we'll have a lot of treats over the next few, uh, hours.

So how are you doing in there? You're almost 20 days old now. Wow, in your twenties! You have the beginnings of a brain, bronchial gills and you are no longer just a ball of cells. You don't have a beating heart yet, but it should come within the next week and a half or so. That's really a big step! I hope everything is working out for you. There are so many things that can go wrong, so I hope you figure it all out. I really want to get to know you!

I showed your dad a picture of what you look like at this stage, and he said you looked just like this primordial larvae that he read about in biology class. He's right, you look a little like something that could be found floating around on the ocean floor. Don't worry though, you'll look a little more human in a few weeks.

I'm trying to do everything I can to help you. I'm trying to eat better, and I've done pretty well, though I ate some french fries tonight. Not too many though! I had lots of vegetables and drank some orange juice. And had eggs for breakfast.

I've been sleeping a lot... last night I slept about 12 hours, and then I woke up to try to do some work, got sleepy again, and fell asleep on the couch. Then I woke up, went to the bathroom, got sleepy again, and went back to bed. I think I ended up sleeping for 16 hours. You must be sucking a lot of energy from my system! That's okay though, I hereby give it to you willingly. :)

My first ultrasound is Wednesday, and we hope to be able to see the beggings of the "fetal pole". We almost surely won't be able to hear your heartbeat, because it probably won't be beating at that point. :) I'll probably have another ultrasound in a week or so in the hopes of seeing a heartbeat.

Symptoms so far: No nausea or sickness, just sore boobs and fatigue. Some frequency of urination, but not much. Kinda hoping for some nausea actually, since that is an indicator of a strong pregnancy. So kick up those hormones hun! Show me what you got!

Talk to you later!

Love,

Mom

Doubling

Not much time to post: 441 HCG, more than double.

Progesterone: 41

First ultrasound next Wednesday.

Hang in there lil guy. :)

Positive blood test

Dear Baby,

Yesterday I had a positive blood test. You are producing enough HCG that I got a 188 on my Beta! That's a good number and in the upper range.

Tomorrow I go in for my second beta. It is supposed to double to indicate a healthy pregnancy. So keep pumping the stuff out so I can get a good result. :)

Talk to you later,

Mom

The online announcement

Dear Baby,

Some people congratulated me today, and I thought you'd think it was fun to read what they said. A little history first: As part of my TTC journey, I have frequented two main infertility communities, a group for maillist for women who are TTC and a message board for those with high FSH who are TTC.

It's odd, but I don't post much with the maillinglist group... they tend to have problems with PCOS and other problems, which I do not have. So I seem to relate more with the high FSH women. Now, the mailinglist group is very sensitive, and about once a month there is a little blowup where someone posts about their pregnancy discovery, and then it makes everyone sad. In fact, there is a rule: you can announce your pregnancy once, announce the first beta doubling, and announce the heartbeat, but you're not allowed to talk about your pregnancy otherwise.

So, I decided not to inform the mailing list, but I did post on the FSH board. Here is my first post:

Hi everyone!

It is 12dpiui and I just got the faintest pink line on my FRER pregnancy test. It is so faint you can't see it if you hold it at arm's length, but if you look close it is there.It wouldn't count as a positive by FRER standards, but I remember other infertility women say that any line that's pink is a good sign.I did have an HCG shot, but it's been 14 days since then.I will of course test again tomorrow or in a few days, but on a scale of 1 - 10, how optimistic should I be? I've never had even a spec of pink on any test before and I've been TTC 1 year, so I'm causiously hopeful right now.
Here is my BBT chart, if you're interested:
http://www2.fertilityfriend.com/home/291e9
Thanks!Christine

Basically, everyone posted that I should go get a Beta test. :) But, I waited another day, and I posted this:

Hi guys!
So yesterday I posted about the faintest line in history.
Well, I tested again that night and it got a little darker.
Then I tested again this morning and it got a little darker.
Then I tested again just now (at work! haha!) and it is almost as dark as the control line maybe 70% as dark).
Currently I'm 13 dpiui.
So, I guess tomorrow I will test again and call my doc to schedule a beta. Do you get the beta results the same day? Wow I'm so excited. I hope this works.
So far I've had no symptoms... maybe a little fullness in my uterus like my period was going to start, but it seems like that's been happening almost since my IUI, so it might have to do with that. My boobs hurt after my HCG shot (15 days ago now!) but they don't hurt as much now. I hope I get some symptoms soon. I feel kind of sick to my stomach now, but I think it's because I'm so darn happy.
My husband said, "Right now, at this moment, I'm a dad! No matter what happens, I'm a dad!" Isn't that the cutest thing ever?
MelissaCA: Playing Sims2 got me pregnant, hope it does for you as well! Thanks everyone!
Christine

The Sims reference is due to the fact that I posted something about my character getting pregnant in the Sims2 game, and people said that maybe it was a sign of things to come. ;)

So, here were my congratulatory posts from the other members:

Omg... BFP. (possible pg mentioned!) View Thread - Christine on Oct 24, 7:53 PM
YEAH!!!! - CJ on Oct 24, 8:52 PM
Like they say.... - PatriciaCA on Oct 24, 10:22 PM
Wonderful!!! I Am Keeping My Fingers Crossed for a - Melissa on Oct 25, 3:49 AM
PUPO - trishfPA on Oct 25, 6:28 AM
Congratulations! - SaraD on Oct 25, 6:53 AM
Woo hoo!! - Melissa CA on Oct 25, 7:52 AM
Congrats Christine - have a healthy pg. nt - Ann on Oct 25, 9:07 AM
Congratulations! - Wendy on Oct 25, 10:20 AM
Wonderful news!! - CarynD on Oct 25, 10:48 AM
YIPPEE!!!! Can't wait for the confirmation! nt - percy on Oct 25, 12:05 PM
Good Luck, Christine! - P.F. on Oct 25, 12:27 PM
congrats! - suz on Oct 25, 12:45 PM
Christine :) - Julie on Oct 25, 2:39 PM
My protocol - Christine on Oct 25, 8:40 PM
baby Paige!!! - Belen on Oct 25, 5:14 PM

Isn't that nice? It makes me feel so good.

Now, Baby, you must stay around, or I will be forced to posted a sad message, and it will bum everyone out. So stick to the uterus for another 9 months or so, OK? :)

Love,

Mom

Greetings from your parents

Dear baby,

It was only yesterday that I learned of your existence. I'm not sure who you,are, what you're like or how long you'll stay, but I'm sure happy you decided to turn my pregnancy tests pink.

Yesterday, when I was at work, I told Kevin (your dad, but I guess if you're reading this you'll know that) that I had to pee before we went out to eat. He said, "Oh! Take a pregnancy test!" A pretty good idea, I should have thought of it myself! You see, I had several pregnancy tests that were really light, but we were still not 100% sure that you were here.

So I took a styrofoam cup from next to the coffee machine and I went into the bathroom and peed in it! As soon as I dipped the test stick in, the color marched across the strip, and the positive result just jumped out. I could barely control myself! I went over to where Kevin was sitting at his desk, and I said, "Do you want to see the test?" Of course, I was grinning from ear to ear and he knew right away it was good. (Later in the day, Kevin did a rather brutal impression of me as I walked over to his desk... trying hard not to smile too much, but face distorted with happiness.)

The test was clearly positive, and clearly getting darker, so we let our hearts accept the fact that you exist.

I know that lots can happen. Especially at this point, so early. But you're here. Even if you decide my uterus isn't terribly hospitible and you leave before I can meet you face to face, you are here now. As Kevin said the other night, "I'm a Dad! Even if something bad happens later, I'm a Dad right now!"

You might be wondering why I keep saying things like, "if something happens," or "if you decide to leave." It's still early, you see, and we must protect our hearts a little. There is a lot that can go wrong at this point. Heck, I haven't even had a blood test yet! I've been suffering from infertility for more than a year now, and in the infertility world the numbers of miscarriages and other problems are well known. I hope you understand.

I mean, this blog itself is a great example. If you read the very few entries, where I think I'm feeling certain pregnancy symptoms, and wonder if it is possible I can be so lucky as to get pregnant on the first try, it shows how hopeful and naive I can be.

However, the very fact that I'm writing this, reflects a certain amount of hope that I'm allowing myself to feel. It may be stupid hope, but I hope not. If you're reading this, obviously I was right. If, a few months from now, I look back at this entry and reflect upon how hopeful and naive I was, thinking that a positive pregnancy test meant I was going to have a baby (HA! As if!)... well, so be it.

So... how are you doing in there? Right now, you're the size of... well, let's just say you're pretty damn small. Like maybe the size of the period at the end of this sentence. But, according to my bathroom scale, you already weigh 5 pounds! Haha, okay just kidding, that was the ice cream, I think.

Anyway, you are probably still just a ball of cells. In fact, not to be rude or anything, but you probably look kind of gross up close. I saw a picture, and, well, it's not pretty.

I can tell you though, you're already a freakin' genius. You've begun ordering your cells around, telling each beginning to become something different. "You! Over there! Get down and become the umbilical cord! You! Yes, YOU! You think you're smart? We'll see. You can be the central nervous system!" Just be careful though! One wrong move at this stage could take you from Bill Gates to Bill & Ted.

Are you a girl or a boy? You know right now, even though you haven't yet revealed the parts. Kevin says you're a girl, but I'm leaning towards a boy. If you're a boy, you're probably not reading this, is men are not into baby stuff as much. If you're a girl, maybe you're reading this right before you starting trying to have a baby of your own. My advice to you? Don't have sluggish ovaries or fibroids. Oh, and by the way, they are genetic traits, so it will be hard advice to follow.

So I thought it would be fun to type out some of my plans for your short period within my womb, your birth and the beginnings of your life.

The reason this will be fun is not because it is cute or well-prepared, but rather because a year from now I can look back and laugh at how stupid all my plans were. But hey, it is fun thinking about this stuff.

PREGNANCY:
- I'm going to try to eat well. Uh, starting, like tomorrow. I'm vegetarian, so I need to figure out how to eat to give you the best building materials. Of course, since you're virtually a parasite, you will just take what you need at my expense. Which is fine with me, go right ahead.

- I'm going to start doing my pregnancy video tapes. I actually have some good ones that promote stretching and connection to the baby. They're more difficult that they look, however.

- I will play music to you in the womb. Yes, I will play Bach and other classical music, but you also might get a little of The Beatles, Morrissey and maybe Jimmy Eat World.

- I want to learn a song, that I can sing well, so I can sing it throughout my pregnancy. Then, after you're born, I will softly sing this song to you. It will be soothing to you because it is familiar and it reminds you of the womb environment. Right now the best I have is "Part of Your World" from The Little Mermaid, which isn't very touching.

LABOR:
- I want to try to have as natural of a birth as possible, but I will forgive myself if I find it isn't possible. I'd like to have you without an epidural so you're more awake the first time we meet. And, I want to try various positions, so an epidural wouldn't be helpful for standing or squatting.

- I'd also like to have you placed on my chest immediately after birth, so we can say hello. I hate it when doctors display the baby quickly to the mother (like a worker at a deli will display a cut of cheese to make sure it is the right thickness, then pack it briskly away) and zip them off to perform tasks of momentous importance such as footprinting.

- I have also asked Kevin to make sure that he never leaves your side. If for whatever reason they have to take you away, he will go with you. There will be no mixups.

YOUR FIRST DAYS OF LIFE:
- I will do what I can to make it easy for you AND me. I want to relax and not stress. If you cry, I will help you. I don't believe in letting a baby "cry it out." God, how frustrating is that? Your only means of communication is crying. How horrible must it be to try to communicate, but no one listens? No, I will be there when you cry.

- I want you to sleep with me. I know it isn't totally safe to have a baby in the adult bed, so I'm going to get a mini-crib thing that hooks up with the side of the bed. So you'll be sitting right next to me, and I can reach over and pat your belly whenever I want, but you're also safe in your own protected little zone. Do babies snore? I'm a light sleeper, so don't snore, okay? Of course, both Kevin and I snore a little bit, so I hope YOU are not a light sleeper too. :)

- You might not have a nursery when you're born. Is that bad of me? Does it make me a bad mother? It just seems like a waste of money. You won't really care, right? Anyway, you'll be sleeping in our room. We have a room picked out for you already of course, and I'm sure I'll get a diaper changing station and a dresser for all your little clothes, but I hope you don't actually live there for some time. Then, we can skip the "baby" stage of the nursery and skip right to the toddler stage. Instead of baby bears you'll go right to baseball (or whatever). If this pisses you off, kick me twice. . . . Didn't feel anything, so I figure it is okay. (I know, I know, you don't have legs yet. But if you really didn't like it, you would have made it known!) Anyway, I figure the babies usually want to be with their parents as much as possible, at least in the beginning. It's nice to have someone actually LIKE me that much, and I want to keep you around. :)

- I'm not going to be snobbish about your furniture of clothes. You may end up with a lot of used things from garage sales or second hand stores. Why would I spend 100 bucks on an outfit you're going to puke on in 5 minutes? In fact, I already have two cute items I bought for 25 cents (each, not combined, sheesh I'm not that cheap) at a garage sale a year ago. One is a white turtle neck ribbed shirt. It is so cute. Another is a tan sweater with a furry bear on the front. They are pretty big, so you'll have to grow for a several months to a year before you can wear them, but they will sure look cute until you puke on them. (By the way, this is not to say that

- I will, however, splurge on important things, such as: the best baby car seat, a very good breast pump so I can breastfeed while working, and freakin' cool toys. I'm sure there are other things that are important, but I can't think of any right now. But they're think that I think you would appreciate, things that influence your safety and your heath, rather than things that make you cute. :)

- I will try as hard as I possibly can to breastfeed you as long as I possibly can. I will not feel like a failure if I can't do it, but I will keep trying even if it is hard. Unfortuately I will have to go back to work very soon after you're born, but I will try to pump at work so that you can have the benefit of my breast milk. That said, I won't breast feed you once you can talk! That just freaks me out, sorry. So it it while you can. :)

Hmm... all this talk about breast milk has given me a craving for ice cream. So I'd better go.

I hope this point doesn't seem stupid a week from now. I hope it ends up being touching and toughtful, rather than naive and overly optimistic. You do your part to stay in there, and I'll do mine. Kevin gives us a 70% chance of having a healthy baby at this point. Hey, I'll take it.

Love,

Mom

The faint pink line continues to live on

Well, last night (after the initial faint line) I took another FRER test and it showed another line, perhaps darker. Now when I say "darker" I mean it was barely darker, you almost couldn't tell the difference. Kevin and I did many tests where we mixed the tests up and covered up the numbers (1 & 2 to tell the difference) I wrote on them with black marker, then tried to determine which was darker. We always chose #2.

So this morning, I purchased another pregnancy test ("Answer") that claims to detect pregnancy early. Unfortunately, it ended up being made by the same company! It looks like it is just the cheap version of the FRER test, with no cap to go over the urine collection swab (looks like I won't be keeping this test in my scrapbook!). Gross!

But, it showed about the same results, probably slightly lighter than the FRER tests, but a pink line is definitely there.

The day after tomorrow will be the first day of my missed period (I will surely miss it even if I'm not pregnant since I'm on progesterone supplements, so not getting my period tomorrow doesn't mean anything). So I will take a good test, like an ept or Clear Blue Easy. I guess we'll see what those say.

Boobs were a little sore yesterday, but not so much this morning (was hoping for an increase in symptoms...)

A faint pink line

So I haven't posted for a while... not much to say. I have had some sore boobs and stuff, but I could tell that was caused by the HCG shot. I have also had this full feeling in my uterus, almost like I was going to start my period, even though it is too early for that. It might be the progesterone, or it might just be a side effect of my IUI.

Anyway, so this morning, I took a First Response Early Result pregnancy test.

There was a very faint, pink line that showed up within a minute or so.

Now, let me take a moment to describe this line, and you'll realize why this post doesn't start off with "OH MY GOD I'M PREGNANT!!" or something. You see, the line was so faint, that it was almost hard to see. If you held it at arm's length, you almost couldn't see it. But if you looked close... there it was. It's so faint that one side of the line fades into nothing... though the other side is darker.

Kevin agreed it was there. He can confirm it, so it isn't like I'm making things up.

There are some things that you should know about my situation.

First, the test was read within the given time frame (they say that if you read a test the next day and it shows a slight positive, it is not accurate).

Second, I did have an HCG trigger shot which puts pregnancy hormone into my bloodstream. But, that was 14 days ago, and HCG should be out of your system within 8 - 10 days. Maybe I just don't disperse the HCG has quickly as others, and my pregnancy test detected some leftover HCG from my trigger shot?

Third, it is only 12 days past my IUI, so it's REALLY early. In fact, it was ludicrous to test! Insane! Mononic! But for some reason I did it.

Fourth, there is something called "evaporation lines" on pregnancy tests. These are spots on the tests where you can see some kind of line, but in reality it is just that you can see the strip of chemicals that react to the HCG. They tend to be grey in color. So, I'm pretty sure I am not looking at an evaporation line, since it is pink.

And now I must deal with this line. The faintest pink line in history.

I'm trying to prepare myself for tomorrow and the next day, and what those pregnancy tests will show. Will the line remain the same, or will it get darker or lighter? Will tomorrow be a happy day, or another nail-biter?

Lookin' good.

Good.

Good. Good, good, good. My temperature went up.

It wasn't the fastest temperature spike ever, but it means I ovulated, and on time. So, now we just want my temperature to stay up... for, like, 9 months. :)

I feel silly now for writing that cutesy, creative entry yesterday.

I was excited, you see. It was the farthest I have gotten in this quest to have a baby.

But, today I there was a hitch. My temperature didn't go up, as it should after I ovulate. I might have ovulated late, or maybe I ovulated and my temperature didn't rise. Whose knows. The nurse swears that I HAD to have ovulated. I would be the first person in history not to ovulate after my protocol. LOL.

Oh well. Let's hope my temperature goes up tomorrow.

It's like after you work out really hard, and your arms are heavy and sore the next day. Every time you feel the dull pain as you grab a coffee cup off the shelf, you think, "Wow, I'm getting stronger."

That's how I feel today.

My IUI, which I had this morning, has left me with a dull cramping in my uterus. It hurts a little bit, but every time I feel a twang of pain, I think, "It's working." It hurts so good! :)

We don't really know what the final count of follicles was... anywhere between 1 and 3. But we do know that Kevin had 26 million washed sperm, with 98% motility! So now we just need ONE of those eggs and ONE of those sperm to hook up... and we're on our way.

We rented a hotel room in Chicago so that we didn't have to drive 2 hours in the morning before the IUI. It also gave us a good place to collect the "specimen."

Then, we hurried to the hospital with the little cup tucked in my bra, to keep it warm. When we got there, we handed it over to the doctor who asked us if we wanted to look at it under the microscope. Of course, we said yes! It was so fun to see the little swimmers. Some were really screwed up, one had its head bent backwards and it was flailing around everywhere, helpless. Others were cute and healthy, slashing quickly and heartily through the liquid under the microscope.

We had to wait an hour for the sperm to be washed, and then we had to wait ANOTHER HOUR to get a room to do the IUI. We were really pissed off, and we sat in the waiting room, sighing impatiently to get the receptionist's attention. The nurse said that the hour wait wouldn't affect the sperm - but I say every minute counts, even if it is already washed. Those suckers die fast, you know?

The IUI part was pretty easy (in fact, I find it hard to believe it cost $650!). The nurse had trouble finding my cervix, which was interesting. She really had to fish around to find it. I wonder how that affects my fertility. Then, after just a few minutes, I had to rest and let the washed sperm swim around.

That's about it. I start progesterone treatments on Thursday.

I've said it before, but I'll say it again: I hope this works!

So today I went in for my Day 9 ultrasound. On Day 6, I had four follies: 7mm, 12 mm, 12 mm and 14 mm. Today, I had 8 mm, 8 mm, 12 mm, 14 mm and 21 mm.

My estradiol was only 199, which concerns me, because I wanted it to be quite a bit higher. The doctor said he was really surprised by my response to the stims, though. He said that the stims really sped me up, and we were lucky I am taking Cetrotide or I'd be ovulating now.

Unfortunately, the FSH treatment seems to speed up my egg production, rather than increase it. Ideally, we want to have a few follicles at a similar size, instead of a dominant follicle. But, I still am making a dominant follicle. That's frustrating.

So, tonight I gave myself my last FSH shot, and another Cetrotide shot, and I'll do my last Cetrotide tomorrow morning. Then, I'll give myself an HCG trigger to tell the eggs to release.

Then - and here is the big news! - I go in for an IUI Monday morning.

Nervous, nervous. I hope it works.

My day 6 ultrasound was okay... four follicles: 7mm, 11 mm, 12 mm and 14 mm. I started Cetrotide and increased FSH to compensate (Cetrotide will cancel out any natural FSH my body produces). Now I'm taking 225 IU per day. It's gettin' up there! My estradiol was 118.

Tomorrow morning I have yet another ultrasound. So, I have to get up at 5 am and drive to Chicago in the morning. It's very fun. Woo. Let's hope we see some good eggs.

So far, I like this cycle. I want to see some better estradiol levels, but otherwise everything is nice. Good number of follicles, growing nicely, good size spacing (there isn't one 14 mm one, and the rest are 7 mm, you see?). That means they have a better chance of maturing together.

Well, I have to go to bed now in order to get up early. I feel tired and sore. My stomach and thigh are still sore from where I injected myself a few hours ago. This infertility stuff sucks.

Good news! My baseline ultrasound couldn't have gone better.

Well, actually, if the technician had said, "Oh my God, I see a baby in here!" then I guess that would have been better. But, unfortunately, that didn't happen.

What did happen was that she said that there were NO cysts (hooray!). There were a handful of antral follicles less than 10 mm - around 3 on the right ovary and maybe 2 on the left. The edometrium was 3.5 mm, which she said is good and very thin.

So, I'm all set to start FSH injections tomorrow! I have another ultrasound on Wednesday, at which point I'll add Cetrotide, and maybe lower the FSH (or raise it) depending on what the follicles do.

This is a great start!

So, I have my baseline ultrasound tomorrow! I hope, hope, hope it shows no cysts. If it does, I'll have to delay the cycle, and a few hundred dollars of medication will expire! :(

They are indeed upping my FSH dosage to 150 units per day. I think this is good based on my previous response. Get a bunch of follicles growing in the beginning, then slow down on the FSH and grow them slowly.

Then, I start Cetrotide on Wednesday most likely, which will be day 6.

Please let it work this time!

My period started today!

Yay, because that means I will start a new cycle with a new protocol as soon as possible.

Boo, because that means I wasn't miraculously pregnant this last cycle.

Oh well. This cycle we are probably going to up my dosage of FSH in the beginning to try to stimulate production of more follicles earlier. Then, if necessary, we will lower it later on.

Also, I will be taking a medication called Cetrotide to stop be from ovulating. On two out of three medicated cycles I've had, I've ovulated early. So hopefully this Cetrotide will reign in my anxious hormones. :)

I'm totally excited about starting a new protocol. I feel like we know much better how I respond to the meds. I also feel like we made two mistakes last month which hurt the cycle:

1. I tried to do the ultrasounds locally (instead of my RE's office in Chicago) to save on driving time. However, I think the difference in ultrasound techniques caused some confusion which may have messed up my treatment.

2. Last month I had two cysts on day 3, but we went ahead with the cycle anyway, and those cysts ended up popping and screwing things up because they produced progesterone. So this time, I want to make sure there are no cysts that will get in the way. If I have to wait and go on birth control pills to get the cysts under control, that's fine. I just want to start off this new cycle with fresh, clean ovaries. :)

I hope this works, because it is damn expensive!

So my temperature stayed up, which means pretty much for sure that I ovulated on day 8 or so. Bleh. Part of me hoped that it would drop down and then jump up as I REALLY ovulated (instead of just the cyst popping). But the part of me that thought that is now hiding under the bed with the cat, and she won't come back again until next month, when there will be more silly hopes to entertain.

Ah next month. When will it start? Who knows! If I DID ovulate on day 8 or 9, which is what my temperature indicates, then I should start my period in another 7 days or so. Sad, my vacation will be over. It was nice being able to drive up to Chicago for fertility treatments without having to take time off work. Then again, it is very possible that I will start early, since I most likely will end up with a luteal phase defect because of the messed up month. Oh well.

I need to buy some Cetritide for next cycle. Yay, another $400!

Well, it's been six months. So I have a lot to update.

I'll start with the cycle below. I left the blog last as I was going to get an ultrasound. The ultrasound wasn't great - the tech found free fluid and an 11 mm uterine lining.

The nurse freaked out. She said that my fibroid had grown (it was now 5 cm) and was now eating its way into my uterine lining, causing the uterine lining to be larger than it should be. Perhaps the Clomid caused it to grow very quickly in two months. She said I should see a specialist and have the fibroid removed. She said I shouldn't try to conceive until I saw someone because the fibroid was so huge it would cause problems in the case that I DID get pregnant.

I was pretty devasted. The cycle I was so excited about was over, and now I had to wait to get an appointment with a specialist. I made an appointment as soon as I could, which was 2 and a half months away.

At the same time, we were moving into the new house (which is great by the way). So a combination of being busy with the house and being frustrated with fertility proved to be an end to my blog. At least temporarily.

But now I'm back, baby! So here is what happened since then:

During the 2 months where I was waiting for an appointment, I didn't take my prenatal vitamins, I didn't track my ovulation, and we didn't try to conceive. Looking back, it was a huge waste of time. Any time I don't try to get pregnant is a huge waste of time.

Finally, I started seeing a reproductive endocrinologist at the University of Chicago. Unfortunately this means that I have to drive an hour or more to get there. But, he's good, and he accepts my insurance, so that's that.

The first thing he wanted to do was a saline-injected ultrasound to check on my fibroid. Basically, this is a procedure where they inject saline into your uterus and look at it through the ultrasound machine. Because the saline is clearly visible on the ultrasound, they end up with a 3-D vision of my uterus. They can see where the fibroid is, how much it hangs into the uterus (and thus interferes with fertility) and any other problems.

After the procedure, there was good news and bad news.

Firstly, the bad news. He said that the fibroid was actually 8 - 10 cm. This was a huge growth from the previous month. My heart fell into my stomach.

The good news though was that it was all on the outside of my uterus, and didn't go into the uterine cavity at all. That is good for fertility. He said the only potential fertility problems it could cause was that it was so big that it pushed my organs around - namely my left ovary. This is why my left ovary is always hard to see on ultrasounds.

So I talked with the ultrasound technician for a long time after the doctor left. I was so concered about the growth. Were talking about it growing from 3 cm to 10 cm in three months!

If you're not familiar with stuff like this, the problem with stuff growing at a large rate in your body is that it can be malignant. Meaning, cancer. I mean, a fibroid IS a tumor afterall. And if it is growing rapidly, you then have a rapidly-growing tumor. That's never good, and it's often very bad.

But, luckily, the ultrasound technician was able to explain everything to me very clearly and together we figured out the issue. She said that there were multiple fibroids forming a big lump on the outside of my uterus. That one lump could be measured at 8 - 10 cm. Inside the lump there were various fibroids, measuring different sizes. They can easily be measured anywhere from 3 - 5 cm, thus explaining the various sizes I've gotten in previous ultrasounds.

The main measurement to look for is the overall size of my uterus, which includes the fibroid. This number hasn't grown at all in the last year or so, which is terrific news.

We also figured out that the reason for my nurse freaking out before was that I had actually ovulated! Hence the free fluid. The lining that measured 11 mm was actually very healthy for around ovulation time, it had nothing to do with the fibroid at all. That nurse freaked out over nothing. And I wasted 3 months over nothing.

After we found out that that fibroid was OK, Kevin and I decided we would do 3 months of natural cycles. I had lost some weight, my cycles were getting longer, and we thought we'd have a chance.

All negative.

So back to the RE.

The new RE had me take a blood test to start off his treatment. I kept asking him about the FSH to LH ratio - my FSH was a higher than my LH, and they are supposed to be about the same. Everything was still within normal limits, but it was something I was curious about. He said we would go ahead and test it again. I also asked him to include an insulin test, since I've been losing weight and lifting weights and hoped I had lowered my previously-elevated score.

Again, we got good news and bad news. The good news is that my insulin level was lowered, and was now within normal limits (It is supposed to be below 17. Previously it was 18, now it is 11. Yay!)

The bad news is that my FSH was 13.6. They are looking for a number at least under 10, hopefully under 6. Now, for those of you who aren't obsessed with fertility issues, FSH stands for follicle stimulating hormone. This is the hormone that your body creates in order to get the ovaries to produce eggs. A higher score means that your body has trouble telling your ovaries to make eggs, so it needs to pump out more FSH to continue a normal cycle. This is bad. It means that my ovaries are sluggish for some reason. The RE wouldn't call it "premature ovarian failure" but it is sort of a preindicator of it. It also means that if we try to stimulate my ovaries to produce more eggs (say, for an IVF treatment), it will be more difficult because my ovaries are resistant.

This of course sent me into a tailspin. Everything online said that if you have an FSH higher than 10, you should look into donor eggs. I spent a long time looking through possible egg donors, I figured that if I couldn't provide the egg, at least I could get an egg upgrade!

When I met with the doctor he said that my age (31) meant that I still should be able to produce my own eggs. The high FSH number just meant that I might need higher doses of medications.

However, he recommended that I skip the Clomid phase which we were originally going to start with, and move directly to FSH injections. The idea here is that the FSH injections would stimulate my ovaries to produce more, stronger eggs without the negative side effects of Clomid. The downside is that they are much more expensive.

But, we took the dive into expensive, not-covered-by-insurance fertility treatments.

Here is something I posted to my favorite message board, to explain my first injectible cycle. I'll end it there for today, because I think that makes my blog up to date:

Well, I'm doing an FSH injectible cycle with IUI, and I started off with two cysts (one was 12 mm and one was 18 mm on day 3). The doctor said to go ahead and start injectibles and I did (75 units a day).

On day 6, I had one 12 mm follicle and a 5 mm, plus the two cysts, my estradiol was 190. The 18 mm cyst had grown to 30 mm! But the RE said to continue.

Then on day 8, the 30 mm cyst had popped (there was fluid in the cul-de-sac and it was gone). My estradiol dropped to 104 but I still had three 5 mm follicles and one 15 mm follicle.

The RE said it was because the cyst popped that the estradiol went down, and that I should continue.

So, on day 11, they looked again, and my biggest follicle was still 15 mm but the 3 smaller ones were now around 10 mm. But there was still fluid, and I've been charting my BBT and my temp was still up since day 9 or so.

So this time I asked them to take a progesterone test to see if I ovulated. The nurse was kind of resistant, but the RE agreed. He said the chances of someone spontaneously ovulating on this medication is less than 5%. Also, he said that since I was using a fertility monitor, I would have picked up an LH surge if I had ovulated spontaneously.

I also asked if the cyst that popped could be producing the progesterone - he said it is rare, but it could happen, and that would mean that the cycle is busted (since the progesterone produced by the cyst would interfere with the hormonal balance of the cycle).

Well guess what? My progesterone was 8.5. So they now say I ovulated after all! It's very rare, she said, but it looks like it happened. Luckily, we had sex on day 9 and 10, so she thinks we may have caught the egg. I really hope so.

However, I've also been using a Clear Blue fertility monitor, and I haven't gotten a peak on it yet, indicating an LH surge. Personally I don't think I have ovulated yet and it was just the cyst that popped.Anyone have anything like this happen?

Regardless, next cycle I'm going to make sure I don't start out with any cysts. He is also going to include Cetrocide since I like to ovulate on my own. I've had three medicated cycles, two with Clomid and one with injectibles - on two of those cycles I ovulated on day 8 when they said I shouldn't have!.

I'm done with the Clomid and now waiting to ovulate. My temps have been up recently, I'm not sure if I'm sick or maybe stressed from moving. Or maybe it is because I haven't been sleeping too well. I hope it isn't because I ovulated!

Today I have my ultrasound. It is so hard fitting my baby stuff in with all the moving stuff. We close on the house tomorrow and are moving on Friday. So I have LOTS of little things I need to get done.

Other than the strange temps, I'm excited about this cycle. I got some PreSeed lubricant, which is supposed to help the sperm swim. I also have a new theory about how to BD that I'm going to try (won't get into details here!). I hope everything works out, I'd love to have a positive pregnancy test in my new house!

Speaking of the new house, it just looks so awesome! It is totally done now, we're just waiting to close on it. We did the walk through on Monday, and pretty much the only things needing fixing were some scrapes on the walls and some paint splatters on the trim. The appraiser valued the house at 5,000 more than we will pay for it, so we got a good deal. We already have 9% equity in the house, and we haven't made a single payment. She also said that if our house was located in Crown Point or St. John, it would be worth $225,000! Of course, the property values in Lowell where our house is will keep going up, so eventually we should be in that range. That's a nice increase in value!

I posted this on a board today, so I'll use it as my update:

My insurance doesn't cover infertility, so my OB has been billing my treatments as PCOS. This is now my third cycle with this OB, and I'm starting to get bills from my first cycle (where we were trying to get a diagnosis of what was going on) and my first ultrasound has been denied by my insurance company. The insurance company says that even though the ultrasound was billed as PCOS, they consider it infertility treatment. The insurance company wants the office notes from my OB to determine if it was related to infertility or not.

Now, for the second cycle, I can understand the insurance company's point (since at that point we determined I had PCOS and IR, and the second ultrasound was more to determine how I was responding to Clomid). But the FIRST cycle was really trying to get a diagnosis of what was wrong with me - and that should be covered.

I haven't spoken to my OB directly yet, so I'm not sure what she'll say. But, if the worst case scenerio happens, and my treatments won't be covered, what options do I have?

The ultrasounds are $420. The CD 21 bloodwork is $210 (the insurance company hasn't argued about this yet, but I assume they will try). Clomid costs $25 and HCG shot costs $49. Progesterone treatment is $10. Obviously, this is a lot of money each cycle, and I'm not even into IUIs or injections yet (though I'm responding GREAT to Clomid, so I assume they won't be necessary).

Here are my thoughts:

1. I might be able to "talk down" some of the prices since these are what they are charging the insurance company, and usually they give a break to people when insurance doesn't pay.

2. Perhaps I could see an RE or something who has a package deal for people who don't have insurance. Like $300 a cycle or so, right? Maybe I'll get better treatment that way too?

3. Maybe I could get additional insurance somehow? That might be as expensive as $300 a cycle though. Plus, if I enter into the insurance with my current infertility situation, perhaps they won't cover me, knowing that's what I'm looking for.

4. I could always have an unmonitored Clomid cycle, but so far I've gotten the impression that my OB's office doesn't like to do that. (Though, perhaps now that they've seen how I react to one cycle, maybe they'll be fine doing the same treatment without monitoring?)

My period started today! I added the exclaimation point because I'm relieved it finally showed up. Sometimes it can take a week (or more!) for your period to start after you take progesterone supplements (because the high levels of progesterone actually delay the start of your period). In some women it doesn't start at all, and it must be brought on with another medication. Luckily it only took me a few days. Never have I been so happy to start my period.

I've given two weeks notice to my apartment complex - which means it looks like we'll actually be moving in two weeks. God, I hope! I need to try to do some packing today.