Sometimes God has a different path in store for us. After being diagnosed with POF, I set out on a journey to "repair" my body and get pregnant naturally. Somewhere along the line, although pristine health and self care is my goal, the necessity to "prove" the doctors wrong became less important and we sought the perfect solution to grow our family. We decided on Embryo Donation / Adoption. Read about our journey. Blessings!
Showing posts with label hope. Show all posts
Showing posts with label hope. Show all posts

10dp5dt

Feb. 26, 2016

Getting so close to beta day! So many ladies go in at 9dp5dt or 10, but my clinic has been holding strict to 12, and since that is a Sunday, 13 it is. I'm feeling good though. Other than tender breasts and being incredibly tired, which I think has more to do with all the hormones than pregnancy this early in the game, I'm completely symptom free.

I haven't been too crazy testing. I test originally 4dp5dt and then again on 5 days, 7 days, 9 days. My line has always darkened. The last two days weren't crazy different, but significant enough to know it was progressing. I don't completely trust the "ink" on these Wondfos anyway. A lady in my EA forum completely freaked because hers was super light after being dark - sure enough she dipped another and it was dark again.


The top was 4 day and bottom was 9 day. I thought I was out of tests, but I found two mixed in with my old OPKs today. I might just go crazy and test again tomorrow ;) My OPKs I'll ship out to another Mama trying with hopes it'll bring her luck.

I'm down to my last Lovenox tonight. A friend had said she was sending me some, but it never arrived. Apparently her husband forgot to send them. I called around to all the area pharmacies and YOUCH! Some charge as much as $48 per vial (one vial per day.) Costco was the best bargain. I actually had my coordinator send a script for heparin because it was cheaper but figured why not give it a go with my insurance.

Turns out Lovenox IS covered, but ONLY if my Kaiser doctor prescribes it. After a bit of back and forth, she agreed to put in a prescription for two weeks. She doesn't understand my RE's decision to prescribe it to me, but honestly, she isn't a fertility doctor. He's one of the best and I trust him, so I'm going with what he says. I got the impression, I won't need it all through pregnancy, but just up until a point he feels certain my body won't reject the embryo. I'm sure I'll chat more with him in a few weeks at our first ultrasound about when that is.

I realized that I didn't tell you about my "spilling the beans" with my in-laws. Apparently, my husband who was with them for his grandma's funeral was having questions fired at him. They were unaware we'd transferred. I'd told them a month out, but with everything going on, I just think they forgot completely. Anyway, they asked when we were transferring and he said "We already have."

Then the questions started. How is it done? What is the procedure? When would we know? My poor hubby was just sitting there knowing all the while that we'd tested positive the day before. He finally text me "You have to call and tell them. I'll tell my mom you are calling to tell her about the procedure."

So, I called. When I got on the phone with her and she asked about it, I said "Well, Bryce wanted me to explain you'd be a grandma again in November."

Silence.

"Wait. What? Wait. It worked? It took?"

"Yes!"

She was overcome with emotion and having just said goodbye to a loved one, I think it was really an extra special thing for them to know a new baby would be blessing the family. Before she could tell Papa, I told her, let's FaceTime so my son could tell him. And boy did he ever. He just kept screaming "Big Brother" again into the phone.

My son is adamant we are having a girl. He tells me everyday "I want a girl." And, he's always pulling up my shirt and rubbing my belly and kissing it. I hope for his sake it's a girl...and if not, we will have several months trying to convince him how awesome a baby brother would be ;)

Anyway, just wanted to jump on and give you all an update. I'm feeling very peaceful and that God is in control. I've no fear for this pregnancy. I'm very hopeful for a nice strong beta and beautiful doubling. This little snowflake is well loved and cherished and we are so incredibly excited.

God bless!

Happy 4th of July, TCM update

July 4, 2015,

Happy Fourth of July!!!

Well, feverishly packing to get ready for our lengthy trip to visit my family. My son has been counting down the days to visit and I'm excited too. I had a last TCM appointment yesterday and left a bit deflated. My pulses were bad which I anticipated from lack of sleep.

They kind of sat me down for a heart to heart and said I absolutely must go back to daily herbs. I'd switched to every other day to save money and they weren't cutting it. They know my financial concerns and suggested I stop the acupuncture. When I reminded them I could be doing a FET in a few months there was a lot of back and forth quick talking in Chinese that I struggled to make out by facial expression.

Basically, they wanted me to start coming every week for new herbs and acupuncture. I'm leaving for MI though, so it was decided they'd do a super charged acupuncture session yesterday and give me a month of herbs. When I get back, they'd do weekly acupuncture to get my womb ready for transfer. They cut me a break too...half price acupuncture sessions. Thank you, God! I swear if I could get on an insurance plan that accepts acupuncture and chiropractic care, Heaven would really be smiling down on me.

For acupuncture, they did a two fold session. Normally, I just lie on my back and get the fertility acupuncture going, but yesterday, they had me start on my stomach. She put the needles on my back to really get my kidneys and kidney channel working. After a half hour she had me flip. The needles were a slightly different configuration and concentrated on pulling the menstruation energies down. She also did them straight up my scalp to the top of my head to increase Qi.

Afterwards I chatted with them a bit about my situation. Basically they said Qi is like a river behind a damn. When it breaks, it should flow quickly, freely and strongly downstream. Mine was trickling. "Soooo...basically, I'm so intuitive I'm like my environment, right?" He looked at my quizzically. "I'm in a drought. I need rainfall." For some reason, he thought that was hysterical. "Yes yes yes. Drought. You're in a drought."

Well, I was sent away and instructed to relax relax relax which is kind of MY mantra they've prescribed me. I also have a boat load of herbs to drink up. It's sad, but they don't even taste bad to me anymore. Never in a million years would I have believed them it was an acquired taste, but I drink it the same as someone would drink coffee in the morning.

I halfheartedly said maybe my body will cooperated and fall into line before our transfer and he said "I wish." Sometimes sensitivity is lost in translation, so I will interpret that as "That is my wish as well" and remove all the negative connotation I placed on it.

They insisted I give my mom a hug and discussed some health issues she was having. I had to chuckle. He said she should avoid surgery and get acupuncture, that they might help, but not as well as he would, "of course." I appreciate his confidence in himself ;)

Well, off to pack my bags. I'm really looking forward to our trip. It's the longest we've gone back, ever. Three and a half weeks. I'm not sure what will happen with our embryo adoption journey and when we'll be able to head back again, so I want Reed to get a good healthy dose of family. TV filming should be picking up right as we get back, so I won't miss but a week or two of auditions, and fortunately I can carry my "day job" with me anyway. With my husband traveling five days a week, some good family time is just what the doctor has ordered.

I hope everyone has a safe and happy 4th of July! Much love.

God Bless.

Endocrinologist and EA Oh My!

April 22, 2015

WELCOME TO MY 100TH POST!!!

Well, shortly after I hit "post" the other day, my endocrinologist's office called to schedule me for a next day appointment. Um, either that is crazy efficient or I should be worried, right??

Well, after my appointment, I decided, they are just super efficient. I will be honest, I braced myself to go in there and fight a battle for not medicating and being pushed to take pharmaceuticals. Thankfully, my doctor was extremely like minded. Her philosophy is there are great meds on the market, yes; however they should be used with caution, sparingly and appropriately. When I'm 65, then is the time to start meds for osteoporosis. Now, she felt it was unethical because there have not been long term studies done with these medications. 5 years. Sure. 10 years. Maybe, but even then she prescribes her patients to rotate on then off the medications.

If you remember, about a year ago I spoke about a condition I have called hemochromatosis. Bascially, what it is, is my body holds on to iron. I have too much. She said that this could be exacerbating my bone loss. If iron is being "caught" by my pituitary gland, it could be disrupting endocrine function (my hormones) and basically leaching calcium.

I have a lot of strikes against me in the bone health department. My mom was diagnosed with osteoporosis at 48 which is super young. I'm slender (higher bmi equals less risk of bone loss) at 103 lbs. I have small bones to start with. With POF I have estrogen deficiency. If my thyroid or pituitary is having issues that will compound the issue.

So, I have to hand it to her, she ordered 25 blood tests. Count them. 25! After today we should really know all my hormone levels. I won't even bother type them here. I took a photo of the lab order.


In addition to all these labs she ordered a 24 hour urine collection kit. She's checking for calcium in my urine. If there is, it could be a kidney issue where they just excrete all the calcium versus my body absorbing it.

Good news is, if there is a reason for bone loss other than the above mentioned, she's being very thorough to catch it and correct it. I asked if the hemochromatosis or an underlying issue could be causing POF. Although she said she's not a reproductive endocrinologist, she doesn't believe so. She feels that my elevated FSH indicates I have no eggs.

I think we all know I think that is, well, BS, but I let it slide. I did say the fertility specialist I met with said it could absolutely be an endocrine or hormonal disruption preventing the eggs from being recruited. She kind of shrugged it off saying she can't help me conceive, but can fix my underlying issues.

My book. Score. I'm of firm mind a healthy body is a healthy body inside and out (and all around.)

My score was, I believe she said -2.4. She said it's not fair to say I have osteoporosis because it's diagnosed on a bell curve according to age. I can't be compared to those in my age. The only certain thing is I have osteopenia, which means lower bone density than what I should.

She did say I should really consider HRT unless I have a family history of breast cancer. Um, my maternal grandma and aunt had it and mom has already had numerous biopsies...yeah, I'd really like to pass. She said once we rule out all other causes, and if I'm left with estrogen deficiency alone to think it over. She DID say she'd support me treating holistically with herbs, supplements and EOs under her monitoring for a couple years. If still in two years I'm losing bone mass, she'd ask I revisit HRT again. Ok, two years out, I'll agree to consider it ;)

When I got to the lab this morning - I had to have the blood draw between 8 and 9 am, the woman checking me in said "Holy Granola! You have a LOT of labs here. Are you ok with all these?"

Well, yeah, stick me once. I'm not paying a $40 copay for each visit thank you very much. She grabbed my urine collector kit which was a sterile container to collect urine and an orange tub 3000 ml (101.44 oz.) Um, give me two or three. She looked at me blank faced like I was crazy. "It's only 24 hrs."

"Yeah, give me several." She gave me two. Full disclosure, I got home at 8:30 am. It's 1:21 pm here and I already have the first full to the 2600 ml mark. I drink a lot of water. I knew this about myself. No one believes me. I'm thinking the last eight hours or so I'm sleeping so I think it'll be enough...either that or I'll be seriously limiting my intake this evening.

She scheduled a phone consult with me in two weeks, on May 4 at noon to go over the results. My labs post immediately as entered online, so unfortunately, that leaves me way way way too much time to consult Dr. Google. Be honest, you all know him/her too.

As a result of my post the other day on Facebook, a woman approached us about EA. Her requirement is we have at least two children with her embryos. If blessed with twins straight out of the gate, awesome. But, our hesitation is if the first FET doesn't work, or if we only get one child, we would have to do it again. Which, well, it's expensive. We had a lovely correspondence, but I told her we needed some time to pray about it. In the mean time if she found a home for them, I understood, but we'd chat with her soon. If it's God's will I know they'll still be there if we decide on them.

(EDIT - after I published this, the phone rang and it was our fertility clinic. They decided if we find outside embryos they will waive the $3000 administrative fee. What??? I'm stunned. The clinic was thrilled to hear about the 6 day blasts and the excellent quality. I also found out from the woman that offered her embryos that her grandparents lived in the town my husband grew up in. Spooky coincidence. We still have to prayerfully consider this option because her only request is we have bio siblings from her set as long as embryos remain. The good news either way, if we wait, the fee is waived so we can pursue outside embryos now without that looming over us. The clinic also told me they may have an in house match available pending donor final approval. I'm a bit overwhelmed things are happening so quickly and I'm not sure we are ready to move forward yet. Many prayers and conversations for my husband and I...)

Our pastor from church, whom I spoke with his wife on Sunday about a referral for fost adopt, actually called yesterday and had written a glowing letter for us already. Incredible how quickly people offer help. He said he'd be more than happy to counsel us through the process and also with any emotions or issues that arose. He too has adopted within the foster system, older children, and has helped some people within the church as well.

So much is happening so quickly.

Well, I'm sure we'll chat before my results are all in so I can agonize over them, but for the time being, stay strong. Even with all the headway on EA and fost adopt (look at me getting all the lingo right, it's not foster to adopt, but fost adopt) my husband and I were chatting on the phone while I drove to my blood draw today. He said he was praying and he's is at utter peace for natural conception. And, you know what. I feel at peace with it too. I'll be thrilled either way however our child comes, but there's peace there.

God's in control. Always is.

God Bless.

National Infertility Awareness Week and Going Public with POF

This week, April 19-25 (or 20-26 depending on what site you reference) is National Infertility Awareness Week. I'm doing something a year and a half ago I thought I was incapable of. Coming forward publicly. I'm still writing this blog anonymously so I'm able to digest, rationalize, whine, be raw and honest, and live in "real time" all my trials and tribulations without censoring myself, but this is the letter below I crafted to put on to Facebook to "come out of the closet." 

I'm nervous how people will react and bracing myself for any harsh words and criticism, but after praying about it, I think there are many more women and men living in the shadows who can hopefully benefit by transparency on the matter. You've my permission to share my story or blog with others you think need some encouragement.

If you want to "come out" yourself here are some banners for Facebook. For those of you NOT struggling but want to show your support, you can go here to put a small ribbon on your profile pic.

Well, here goes. This is my announcement I will publish tomorrow... Wish me luck...





"This week is National Infertility Awareness Week. For a year and a half, I’ve carried a secret. A dark, painful secret. We are one in eight couples, we struggle with infertility.

A year and a half ago, I was diagnosed with Premature Ovarian Failure (POF) and I was told I was irreversibly infertile. I was told my ovaries did not work, nor would they ever work again. I was told I would never be able to conceive without a donor egg, and my hormones were so atrocious, I would never even be able to ovulate. My hormones were that of a 120 year old post menopausal woman.

My world, crashed. For anyone who knows me, my greatest joy, is my son. I’ve been blessed with one incredible child, but having that choice taken away to have another child, that innate right as a living being, dashed, left me devastated. Even down to single cell organisms, their purpose is to reproduce and propagate life. For those who chose not to, it is by choice. To have it taken, it hurts.

I was mad, hurt and I felt isolated. Most of all, I felt broken. The painful part of infertility is, your head can tell you one thing, but your heart says another. I didn’t feel like a woman anymore. I didn’t feel in control.  I felt like I was spiraling, and it was humbling to realize I had absolutely no control, over my body, my emotions, nothing. I felt ashamed I’d taken away my husband’s opportunity to be a father again, guilty I’d taken away my son’s right as a brother. My husband and I did the only thing we knew we could do, we turned to God and leaned on each other.

Each time I debated coming forward or sharing our journey with someone outside the small group of support we had, I got scared. The internet, although a safe haven for me during my darkest hours reading blogs of people coping and through various online support communities is also very cruel. Infertility is treated as a flippant condition full of narcissistic silly people. So, I got scared.

Scared I’d be ridiculed for choosing to pursue holistic treatment versus a lifetime of medication within the confines of Western medicine. Scared I’d be criticized for not being “grateful” enough for the one son I had and being told I was selfish for wanting more children. Scared I’d get well intentioned, unsolicited advice for how to treat or build our family.  With POF, you either have no eggs, or the pathways that recruit and grow follicles are disrupted so there is no “treatment.” There is no IVF.

Scared I’d be reminded to be happy or relieved I don’t have something serious like cancer. I know I don’t and thank God for that. But, demeaning any pain I feel still hurts, no matter how insignificant it looks from the outside. Reminding me to be grateful for the health I have in a moment of despair makes the guilt I already feel over feeling bad only magnified, because I already know how lucky I am and I’m grateful. I am.

Scared I’d be told I was narcissistic for not “just” adopting, which is easier said than done. I’ll let you in on a little secret. It’d not “just” that easy. It’s invasive, time consuming, expensive and there is often a lot of red tape and heartbreak. Most times people are exploring that option, so cut them a little slack. Contrary to public opinion, there aren’t babies lying around waiting for families. Each child that is born, thousands more parents wait to be picked as parents, both foreign and domestic.

Children waiting within the system often times need families with unique sensitivities and training to accommodate medical or psychological needs, which is incredibly rewarding, but adoptive parents need to be honest with themselves regarding their abilities and desires. Other children waiting come with large sibling sets, so a waiting family sometimes has to be willing to adopt three, four or five children at a time. All rewarding and certainly a blessing for these families, but something to be entered into with careful consideration and with your heart wide open.

You see, unless you’ve walked the walk, there’s so much you can’t understand. Infertility is an emotional and raw journey. It deals with the most intimate acts between spouses and for that reason, often whispered about in the shadows. It’s raw because it deals with real pain where you are left to grapple with decisions about your family, your livelihood.

Infertility can be expensive, and add strain to a marriage. Treatments typically aren’t covered, and in my case, my care wasn’t either because my condition was a result of “infertility.” I couldn’t even meet with a doctor who was familiar with my condition (which is too rare for the average OBGYN to be knowledgeable in it) because they were all considered “fertility” doctors and my insurance wouldn’t even cover a consult, let alone care or fertility options.

There are real physical limitations to infertility. With my condition, I left the doctor’s office with a projected 5-10 year shortened lifespan. An almost guarantee of osteoporosis and a very real heightened risk of stroke, heart disease and cancer. I would also struggle with symptoms such as night sweats, hot flashes, low libido, brain fog, extreme mood swings, bloat, and insomnia.  Imagine going through menopause…for 20 years. Diseases like PCOS and endometriosis and many others related to infertility also come with their own set of physical setbacks.

After a year and a half, with my husband by my side, I’ve decided to come forward with my journey. Why? Because. I was the one in the shadows before. I was scared. I was alone. I was weak. I was emotional. I want to let people who are struggling with this know they are not alone, and for others, I hope to offer a subtle reminder why compassion, understanding and acceptance is so important. Those with infertility don’t want pity. They don’t want suggestions. They don’t want scorn or judgment.

Over the last year and a half, I’ve grown. My health condition has made us take a serious look at our lives. POF is often times a result of chemotherapy, cancer treatments, autoimmune diseases or a genetic condition. My POF is unexplained.  Different doctors theorize it may have been in utero damage that stopped my egg production, or more probably environmental toxins and stress.

I credit everything to my Lord and Savior for giving me strength when I was weak and healing during my darkest hours. With prayer and consideration, I’ve explored Traditional Chinese Medicine and treat with prescribed herbs, acupuncture, chiropractic care, supplements, essential oils and a lot of meditation and prayer. We eat organically and whole foods, ridded our house of harmful chemicals and I started making our cleaners and personal care products. I’m monitored by my doctor with bone density scans and hormonal testing every six months or so. My decision came from not wanting to mask or treat symptoms of my disorder for the rest of my life, which would give temporary relief, but heal my body as a whole and support it’s functioning on its own.

I am asymptomatic now and my hormones have improved. Although I fluctuate between perimenopausal and menopausal, the greatest odds I’ve been given to date is a conception odds of one in a million. In fact, the last doctor I met with, said my labs were so bad, that his guess is I had this condition for years and Reed was my miracle of miracles, my one in a million.

My “healing” thus far has astounded doctors. I cycle on my own occasionally, something they said was impossible, and my estrogen level of “0” is now within low “normal” ranges. I whole heartedly believe our bodies are miraculous and their healing capabilities are beyond the scope of medical understanding. I believe God is capable of all healing and miracles.

My husband and I are on a wait list for embryo adoption, have started the process of foster to adopt and are still optimistic of another miracle through natural conception.  We trust the Lord completely that our child or children will come just the way they were intended and we will rejoice to welcome that blessing or blessings into our home, completing our family. For the time being, we enjoy every moment with our boy who brings immense joy into our lives.

To all my friends out there who struggle in the shadows, my thoughts, my prayers and all the love I can muster surround you. You are not alone and I promise I will walk this journey along side you if you need a hand to hold. Stay strong. God Bless."


Acu update and Embryo Adoption 101

April 9, 2015

Back to my TCM today. My pulses were good. Like, good. Not, meh, good for me, but normal. My left side was a tad weaker, but after my acupuncture session he said it was nice and strong. I told him about my no herbs theory and he wasn't too keen on it. He said, if I had to choose between one or the other to do herbs. I reminded him how he said I always responded so well to acupuncture and he said yes, but that is a temporary fix, herbs build long term strength in my body. Read between the lines...a lifetime of taking them. Sigh. I did manage to get a discount on the herbs. $10 off, but hey, $10 off.

I'm toying with the idea of asking for a month long herb concoction (remember, I only do every other day so that's only a two week prescription) and just getting acupuncture when I go for a refill once a month. I really have to sit with this though because up until now, my uterus and ovaries have not only done well, but great. They are normal size and I can't help but credit adequate blood flow as part of the reason. So many woman with POF don't even have ovaries anymore. They can shrivel up like raisins. This, I want to avoid. My ultimate goal (of course is to get a nice plum egg out of them) but long term, to keep them healthy and producing hormone on their own.

It's funny. In the midst of all my moving forward on EA, I find I'm growing more and more certain of my own body being able to ovulate, conceive and carry. I really feel the Lord at work. My body has grown so much stronger just over the course of these past few weeks.

I also tried out a gym, and I have to say, I love it. I went two nights after I read my son stories for bedtime. I did a Zumba class and a pilates class. It was fun to meet up with my friend. It was a nice adult time out with a friend, which I think is so important and has been lacking in my life, but also great for my body. I really can't help but wonder if my problems are exacerbated by the fact, I'm not getting my heart pumping as much any more. Yes, I walk, chase my son, do little things here and there, but before he was born I worked out everyday for an hour. Usually hikes, brisk walks or some sort of dance type aerobics.

If I can get the blood pumping and work on more strength training, I think that will only be beneficial, not only to long term health but getting blood to my reproductive organs. It's an added expense every month, but I'm starting to feel a legitimate one that I need. Both physically, and emotionally. I get so stressed, so so stressed, and I find just working out really helps. I know that. I've always known that, but I know think the membership fee is well worth it. And, like I said, a bit of adult time with friends a few nights a week...so worth it. They've a kid's program there as well for $10 a month. Basically, it includes care for my son for two hours every day. Even if I just used that a few times a month, well worth the $10.

My sister-in-law text me with a bunch of questions about embryo adoption and I said I'd email her all about it, but I figured why not put it here. I'm sure a lot of people have questions. Here goes, my embryo adoption 101.

The term embryo adoption is a bit of a misnomer as it isn't a "technical adoption." To adopt, would mean it's a "life" and without getting into all the logistics and politics of it, some people are uncomfortable viewing it that way.

Aside from some double donor programs (there is a donor egg and donor sperm - one with extremely high success rates if you go this route is California Conceptions with a price tag of about $12,000 for three cycles, but most people qualify for a full refund if all three are unsuccessful) the embryos are not "created" for the people adopting or receiving the donor embryos. Most are left over from IVF cycles. Left over? Well, when people go through IVF there are normally some left over embryos. Example, a woman has 15 eggs retrieved. Maybe 13 fertilize. By day 3, perhaps 10 remain growing and there are 8 left by day 5. Most women have 1 or 2 embryos implanted. That means she would have 6 or 7 remaining. These are frozen.

If a couple decides they are done having children they have options. Leave the embryos on ice (which can get extremely expensive paying $700 or so a year to keep them frozen), donate them to science, destroy them or donate them. For many people, having strived for so long with fertility issues of their own, they can't fathom destroying their embryos so decide to bless a couple who cannot conceive with these potential little blessings.

There are several ways to pursue embryo adoption. One, you can hire an agency. This is most like a normal adoption. Potential donors can pick you as the adoptee. You must complete a home study as in traditional adoption. This is the most expensive route. Many agencies charge fees up to $8000 and when you add in home studies, legal documents, shipping and the fees for the FET (frozen embryo transfer) and medications, it ends up being the same price as many traditional adoptions. The bummer is, the federal tax credit does not apply in this case as it's not considered a true adoption.

Another method of pursuing embryo adoption is a private match. There are various websites out there where you an advertise you are looking and like above, a donating family can find you. Some of these too require home studies. You can also advertise in various forums and groups (I'm on one on Facebook) for potential matches. With this you would hire an attorney to do the legal paperwork, arrange for shipping of the embryos and do the transfer at the clinic of your choosing, or travel to the clinic the embryos are at. Some clinics however charge coordinating or administrative fees for using outside donors. One clinic, the one I met with charges more for the coordinating fee than the FET itself.

The last method of embryo adoption is more aptly coined embryo donation program. It is within the clinic itself. As people's storage comes due and they don't want to keep paying, they release the embryos to the clinic. Most are anonymous donations and go to the next person in line. Some people receiving embryos have certain criteria (a certain minority for example that they want.) Some donors I'm sure have criteria as well. I've seen some want certain religions for example.

The adopting couples do know some information about the donors. If open, you can get to know the couple as much as you want. Semi-open there is usually some degree of communication as well. For closed anonymous donation type scenarios, there is usually a stat sheet with the physical description, ethnic background and medical background of the donating couple as well as most times an embryology report that lists if there was genetic testing and the amount and grades of each of the embryos. The grading scale is too complex for me to go in here, but here's a website that breaks it down in case you want to learn more.

Here is a link to Day 3 grading. And, here is a link to Day 5 grading.

Some clinics prefer day 3, some day 5. It really depends on the clinic you choose and the health of the embryos. I briefly asked at the clinic I went to, and they said sometimes they prefer day 3 if the embryo is advanced and ready to break out of the shell. In that case, they transfer earlier to avoid it arresting before day 5. I've heard other people say their clinics wait through day 5 once it officially is a blastolyst because they think the more advanced it is in development, the stronger it is and it increases the likelihood of attaching and developing properly. The argument for day 5 is, you never know if a day 3 embryo will arrest by day 5 once in you. The flip side is, do they arrest because they aren't in the environment to grow. It all comes down to how much you trust your doctor to advise you.

Most times, assisted hatching is used before transfer. This is to ensure the embryo is able to break out of it's shell. I've read that freezing an embryo before it hatches can thicken the shell which is why a lot of clinics suggest using this technology. Other clinics ensure they are hatched before freezing thinking it optimizes the chances of a successful live birth after transfer. Again, find a doctor you can trust. The assisted hatching is a small laser cut in the shell. It's brief and precise and does not harm the embryo.

All off the above can be open, semi-open or closed adoptions. It is illegal to buy an embryo or request money for one. It IS legal to ask that the adopting family pay your legal fees, storage or transportation of the embryo. If anyone EVER asks you for money for their embryo report them.

Traditionally, EA IVF is cheaper than normal IVF. I say traditionally because if you go through an agency, you could end up paying more in fees. The procedure itself however is much cheaper. The reason is you are just doing a frozen embryo transfer. You do not have to stimulate the ovaries or have eggs retrieved and it requires far less monitoring. You are just doing the last step of what would be involved in the IVF cycle which is putting the embryo in.

There is however more prep with medications to prepare your body for transfer from what I understand because you are creating the environment to be ready for transfer which does require weekly monitoring to ensure your endometrial lining is the correct thickness. IVF cycles average about $12,400 according to the American Society of Reproductive Medicine. This fee does not include medications and there may be additional cost with ultra sounds, mock transfers and freezing and storing left over embryos.

A FET cycle seems to range between $3000-$5000. It's important to realize that this, as well as with IVF, does not always include everything like assisted hatching, mock transfers, consults, refreezing and it does not include any medications which can range from $1000-$3000 depending on what you need. Something else to keep in mind are the legal documents (some require you hire an attorney, some anonymous donations just require a notarized document saying you are accepting them.) Some clinics require FDA testing on the embryos, some don't unless it's donor egg or sperm. Some clinics don't include ultra sounds or pregnancy testing.

Ask a lot of questions regarding every kind of possible fee or out of pocket cost. If we do an EA through our clinic, procedures I anticipate will cost around $4200 with medications a few thousand on top of that. FDA testing would be anywhere between $400-$1000 from what I hear (if it hasn't been done) and depending on the situation if I have to hire a lawyer, or just do a notarized transfer, legal bills. For me, I'd also have to do a round of testing ahead of time, as you would with a traditional IVF of STD testing and thyroid functions to ensure the meds will be ok. This, I can have ordered through insurance, so the cost won't be as high as through a clinic. Still much cheaper than DE IVF (with a price tag between $20,000-$40,000) and traditional adoption around $25,000.

Is your head spinning yet? Mine sure was. There are a lot of great websites out there to learn more and answer your questions. If you ever consider it, please message me. I will add you to an outstanding support group to learn more on Facebook. I feel like I've learned far more through women's personal experiences than trying to navigate this alone.

As always, God Bless. Stay strong. Have faith. Always.


One in a million

April 1, 2015

The funny, funny ha ha of this day has not slipped past me, but there are no jokes in this post.

As I was pulling into the appointment my husband called to tell me he got our tax info and we owed $4000. What?!?!?? That is incredulous! You are kidding me! How is that even possible? We don't have any money? Every single cent we earned last year went to bills. Everything. Apparently all the thousands I spent on medical bills and appointments don't count for anything because it was under our $12,400 married filing jointly deduction so it doesn't matter if I spent $12,399, we get the same deduction as someone who spent $0. Since I'm self employed, I was slammed with a double tax (as I always am) but I'd honestly thought our medical bills would offset some of this.

I did go through out claim with a fine tooth comb and found our accountant didn't include my husbands car deduction and our fee for paying him last year. I'm hoping those two deductions can bring it down a tad, but $4000??? And that doesn't count what we owe in quarterlies in two weeks. I want to bury my head in the sand.

So, basically, I am an emotional wreck and holding back tears walking IN to my appointment. Lovely. Fast forward to the 45 minutes I waited to see the doctor. Big ball of emotional tears. As I was ushered in, the doctor was very polite, and I could tell right away he was a nice guy. A nice guy who was about to give me bad news.

He asked a few questions and asked "Do you know what the high FSH means." Yes, doctor, yes I do. He laid out the aging egg document and basically told me the whole speech again. I have no eggs, need a donor, blah blah blah

I asked him if it was possible that I HAD eggs, but there was some sort of interruption between my brain, hormonal path, etc that was preventing the ovaries from stimulating them and he said, basically, yes, anything is possible. Shy of cutting my ovaries open and looking, they'd never know. I could have thousands of eggs, or no eggs.

He then told me about some experimental procedures they are developing for people with POF. That, I was happy to hear. He told me they are about a year out from some breakthrough new procedures. I should add these are not done within the United States. He mentioned Canada, Panama and he is actually responsible for opening a clinic in Singapore in the next year or so.

You can check these procedures out at www.ovascience.com Basically he spoke to me about two procedures. One is called Augment. In this procedure, which IS available now abroad, they take out eggs from within the ovary. They then stimulate the ovaries and harvest the mature eggs, but use the mitochondria from the eggs from within the ovary to make them better quality. This procedure would not work with a patient with POF because it isn't possible to stimulate the ovaries.

The other procedure, which is said should be releasing by the end of 2015 (internationally) or beyond is OvaPrime. In this procedure, they actually harvest a piece of your ovary. They take the eggs from within and transfer them back into the woman on to her ovaries where they can then be stimulated during the IVF process. In theory, it should help a woman who has low egg reserve increase her egg count because eggs that were not being "recruited" before will be.

He has no clue when these procedures will be offered in the US because of the FDA. I was happy to hear that there is work being done to reverse the problem with diminished egg reserve. Now, if only they can work on curing POF. Again, as with so many issues I have with the current medical system, there is research in place to alleviate symptoms (there's money there) and research in place to do IVF (there's money there) but I still have yet to hear treatment how to restore full ovarian and hormone function (no money there.)

I inquired how he thought it was possible I got POF after having just conceived so easily since I have no autoimmune or genetic markers. He said his best guess was I either had a low egg count to start because of something that happened in utero; either a toxin my mom came into contact with or a sickness she got at the exact moment eggs were forming in me as an embryo that stalled the process, or something that happened to me during the pregnancy that basically threw off my body's communication system hormonally. He said most times it comes from chemo or serious surgery scarring that disrupts the system. I didn't get into the whole environmental toxin / stress theory.

He did also say that it is extremely possible that I had few eggs before and we by some great miracle caught one. He said my son could have very well been my one in a million and a miracle of miracles.

We then proceeded to the internal ultra sound. He said that my uterus looked good, very little "activity" because of low estrogen. He then found my ovaries. One had no follicles to be found. The other he found one dark spot that "could" be a follicle but it didn't look circular like most follicles are. So, basically, I have one "maybe" follicle. His whole ultra sound was about 60 seconds long. I was then instructed to get dressed and meet him and the nurse coordinator in a different room.

When I walked in, he sympathetically told me that my best option was DE IVF. I told him it was out of the question. "Is it the money? We have options to get the price down using frozen eggs. Only around $17-$20,000 plus meds." If I wasn't holding back tears, it would have been laughter. Um, no. "Ok, because a typical DE IVF would be around $30,000-$40,000."

Good grief. I told him if we do anything it'd be embryo adoption. I inquired if their clinic has embryos and he told me, yes, a ton, but not good quality. If they were going to do it, they'd want some exceptional embryos to come available. I asked to be wait listed and he said I could give my criteria to the nurse. Criteria? What we wanted them to look like, their education, etc. Well, I don't care. I just want a healthy baby. Well then, our wait would be far less. He said if minority wasn't a concern for us, they could definitely find us an embryo.

Next, he gave me a warm hug and excused himself and the nurse told me what it would all entail. Basically, when embryos came available, I'd have to have all the STD screenings done as well as thyroid and CBC and various blood tests. Next, I'd have to do a saline sonogram and mock trial. What this is, is they insert saline into your uterus so it blows up and he can examine it for polpys, scars, etc. The mock transfer is him measuring and inserting the equipment to see how far back he'd drop the embryos.

If I wasn't cycling on my own at this point, they'd put me on birth control to prime my uterus and then induce a period. The Sono and mock would be between day 7-11. The transfer itself would entail a lot of medication. Estrogen shots would be started (I believe) five weeks ahead of time. As I got to the "ovulation" timing I'd start the progesterone shots as well. Transfer would depend on a 3 day or 5 day frozen embryo would dictate. 12 days after transfer would be my pregnancy test and then I'd (hopefully) be relinquished to my doctor after two follow up blood draws to check betas.

After all this technical mumbo jumbo, the heart of the matter is, I'm pretty raw, drained and emotionally spent. The good news? My uterus looked good. When I asked him about my ovaries he said they were surprisingly large and he'd expected them to be tiny or shriveled. He credits the acupuncture for adequate blood flow (and the nurse encouraged me to keep doing what I'm doing as she was astounded at how much better my labs have gotten in the span of a year.) They both agreed that if I keep doing what I'm doing I increase my odds of both a successful conception should a miracle occur or a successful transfer and pregnancy. If I'm ever lucky enough to go in full remission (or even part) my bits are still there and functioning so that gives me some hope.

I feel a deep sadness. I feel really upset and pissed that everything I've been doing to take care of myself hasn't worked better or faster. I feel like I was diagnosed all over again.

I really don't know how to proceed. After processing this all day, I've grown resolute that it is God's will what will be done. If this has taught me anything it's that I cannot control this one bit. I've taken care of myself holistically and health wise and my ovaries and uterus still appear healthy so I'll chalk that up for a win. My husband and I had a good talk when I got home. Basically, we trust God will bring our baby to us. I don't know if that will be the "natural" way or through an embryo or adoption. I am just praying that He provide a sign or answer that is undeniable. I am full of doubt, fear and questioning everything and I honestly can't deal with any half truths or ideas.

A small part of me finds a bit of comfort to relinquish the reigns. I've tried so had mentally, physically and emotionally to "will" it to happen. Now, I can just let go. When I got home I put away my thermometer. I don't have OPKs anymore, I never reordered them. I've decided, at least for now to discontinue my Chinese herbs when I run out because it's just too much money. I will keep with acupuncture and chiropractic care as that's imperative for my longevity and health. My supplements and essential oils I'll keep to nourish my body to help avoid HRT. If the lack of herbs is a detriment I'll possibly start again in the future.

For now, I am really turning my focus to enjoy my family and son, my miracle of miracles, and to spend time on working out again (I really want to join a gym) and my acting career. I was blessed enough last week to be on set and I've missed it so. It really fulfills me and I've been lacking in that area for so long.

I am 100% giving it to God to let me know when the timing is right and in what way our child will come.

God Bless.

Renewed Hope

Dec. 7, 2014

I love the Christmas season! What a wonderful weekend. My son and I were busy crafting and playing yesterday and today was full of church, Christmas festivities and a kid's concert and church and meal. During the service, we were studying Luke and the story of the angel Gabriel visiting Mary to tell her that she would conceive Jesus. In that story, is the story of Elisabeth (Luke 1:7-1:24) who was barren and advanced in age, but became pregnant with John the Baptist. I started tearing up a bit because again, as the bible says 

"Thou shalt be blessed above all people: there shall not be male or female barren among you, or among your cattle.: Deuteronomy 7:14

Heck, if God can give a baby to a virgin, he sure can make my ovaries squeeze out an egg, am I right?

It gives me renewed hope.

Yesterday was back to my TCM. I felt really bad because her father had passed away. I hugged her as she arrived and she began tearing up.

She felt my pulses and was pleased they were feeling stronger. According to my tongue, she could see I still had a touch of my cold. I'd stopped my herbs at the onset, so I still had a lot left. She too looked at my chart and saw a clear ovulation pattern. The problem is, now, I'm starting to doubt if it was ovulation, or perhaps slightly elevated temperatures from when I was sick. If the temps do indicate ovulation, it shows my period should be coming with the temp drop (most likely.) However, I still think it's weird I've had all fertile sings in every other area (cm, cervix position, OPKs) so I'm really not convinced I ovulated, despite the beautiful chart.



Pretty picture perfect, right? It would show a normal length LP phase (although, even if this "is" an accurate chart, I'm still thinking my actual ovulation date would be CD17) a pretty normal ovulation date, good raise of temp indicating good progesterone... We'll see. 

At my session she told me to drink more water. I drink an insane amount already, but alrighty, I'll keep on. She also told me I could begin my herbs again. During acupuncture she put a new needle in and when I asked what it was for she told me my cough. I still had a lingering tickle. During my whole session, not one cough. Pretty amazing.

And it was PAINFUL with a all capitals. Youch! The ones on my reproductive organs were insanely painful, especially my left ovary. It was a take my breath away poke! My legs and feet were also incredibly sensitive. She remarked I was extra sensitive today. Was I ever! It was kind of nice though, she let me lay there for a full hour, so I got to unwind and relax. It's been hectic, so I treasured the extra time.

I was a bit worried my cold would make me go backwards in treatment, which my body seems to do when anything is haywire, but she said I'm still gradually improving, to just keep what I'm doing.

Last night, oddly enough, I had a dream I had twins. It was a long dream figuring out how to nurse them both, but that's my practical mind at work ;) 

I will say, I've felt kind of "icky" the last few days because I've felt extremely bloated. My pants feel tight (and no it wasn't Thanksgiving catching up on me!!) and I got a few pimples, which is a first for a long time. My thought is, although as ucky as it makes me feel, it's hormones at work. Sooooo, my body making hormones equals good things.

For now, I'm just trying to focus on the holidays and treasure my family time. The reality is, no sense paying too much attention to my chart or cycle because I can't "change" it. I can just keep healthy and keep plugging along. I'm feeling great. Sleeping well. I've been focused, in good spirits and don't have any "symptoms" so I'm thankful.

God bless!



Embryo Adoption Awareness Day

Nov. 25, 2014

Happy Embryo Adoption Awareness Day!!! Did you know about it before my blog? If so, you were leaps and bounds ahead of myself. I only became aware this was an option about a month ago. I'm still struggling with if this will be our path as I feel deep rooted in my soul my body is healing and my bio baby is coming soon (say that with that deep voice from the movie previews...)

I do however think it's important to get the message out that Embryo Adoption is a beautiful, affordable choice that gives beautiful snowflakes a chance at life! I also think it's important that people who have embies on ice know there are options other than just letting them sit freezing for decades or be thawed and disposed of. So many people that have undergone IVF know the struggles of fertility and every single embryo or egg harvested is a precious life in their eyes created through a harrowing journey of often blood, sweat and tears.

Our friends who have five embryos was telling me the other day she doesn't know what to do and doesn't want to just donate them because it'd sicken her not knowing what kind of family they had. I told her about embryo adoption and she was astounded. She could choose the family her babes went to. She could even have the choice to keep in touch, or end the relationship there knowing her babies went to families with similar ideals.

A very cool option for the donor and the adoptee. So, take a moment to learn more about it. You can adopt, and still experience a pregnancy, delivery and nursing your baby.

I saw this link to a snowflake necklace and thought if I ever do decide to go this route, I will wear something like this in honor of our miracle, and to raise awareness so others can learn what a cool option this is.

In other news, two blazing OPKs. One yesterday and one this morning. The timing is right for that of a "normal" cycle if my body follows through. All other sings point to fertile too. CD15 here! Fingers crossed. We had our first son on Thanksgiving, so maybe this little one will have a little Turkey Day story in him or her too.

God Bless!