Letrozole, You Sneaky Little Bitch

I know what your thinking.

Isn't she on CD8?

Those OPK test lines seem awfully dark for this point in her cycle.

Jeez, she'll probably get a positive in the morning.

Tomorrow Afternoon at the latest...

But what about the Ovidrel sitting in her fridge? I thought she is supposed to trigger with that later next week...

I KNOW!!!!!!

Dr. RAWKS told me to start testing on Sunday, which would be CD10. But I started to get that pinchy pressure in my abdomen that is oh-so-recognizable at this point in my IF career. So I decided I would test this evening. Just to see where I'm at. And a disturbingly dark line showed up right away. I realize this is not a positive test. And the picture may not do those lines justice, but they are pretty dark, and I seriously expect to go in this weekend for my IUI.

Have any of you who've taken Letrozole/Femara had a similar experience?

This is typically where a slur of gratuitous expletives would be spewing out on to the page with little regard for common decency. But since my last two cycles have been so wonky, I'm actually not as bothered by this as I think I normally would be... The main reason is because my incredibly amazing husband went to pick up and deliver our precious cargo to the clinic today. I initially thought I could do it next week, and then something inside made me press to get it done today. And my Mr. being his AMAZING self, obliged. I know it screwed up his schedule and he was frustrated with the short notice, but he didn't give me a hard time about it, even though I know it really threw a wrench in his day.

Thanks Dear.

I really hope this was your last trip over there.

As always, I'll keep you all posted.

My Forbidden Addiction

I think we've all been guilty of this from time to time. I'm sure I may have even admonished a few of you for what could be considered abuse. It's impossibly inviting, always available, and tremendously informative. It's Google. I am addicted to Google. Dear God, someone please remove it from my web browser, my iPhone, my home page, IF I SEE IT I'LL USE IT!!!

Today was exciting. And then sad. And then empty, because Brian forbid me to use google for the next few weeks. It was exciting because our "cargo" has been transferred to the clinic, without incident. They gave the count of about 60 Million per vial. But supposedly the thawed count will be lower. I spoke to my IUI coordinator today and she said that they will do a complete analysis before the IUI so that I have numbers to obsess over during my tww. That's where google comes in. It looks like our odds are significantly decreased with unmedicated cycles. We are looking at a 6 - 16% chance this cycle, depending on the final thawed counts. Seeing those numbers makes me want to call the clinic and order more vials, because they say it's four to eight cycles to get pregnant. Right now we have enough for three. Annnnd here comes the sad. It probably won't happen this cycle. I know it's early to seem like I'm losing hope. But I just need to be realistic about it.

I'm still happy that we are moving forward. I guess I just need to keep saying that. WE ARE MOVING FORWARD. Even if it doesn't work this time. We're doing something about it.

Gearing Up

Let the impatience begin. I am seriously counting down the minutes until Friday. Brian will be picking up our vials from the Cryo Bank that morning and delivering them via Nitrogen tank, to our clinic. We are super lucky that we are so close to a facility because shipping can cost anywhere from $200 - $500. We are only about 40 minutes away from the CB and the clinic is another 30 from there. He has an appointment with the CB at 9:30am and a scheduled delivery at 10:30 with our Clinic. I just want to know that our "cargo" is safely in the hands of our clinic, and ready to transfer to me next week.

We don't have a whole lot planned for this weekend, which by the way is my favorite kind of weekend, but I still feel like there is so much do to. Fortunately the bulk of that is pampering myself. Yeay. Late Saturday morning I will be meeting up with a very good childhood friend (Hey Weez!) She is one of the very few people I know IRL that are aware of this blog. We're going to do some serious window shopping and grab some lunch. Then later that afternoon I'm gonna get my hair did. Gotta get those highlights in before my tww. And SUNDAY, SUNDAY, SUNDAY, Brian and I are getting massages! Yahhooooo! I have a few Gift Certificates I was given for my birthday, so I'll be putting those towards 80 minutes of Toxin Releasing, Deep Tissue Massaging goodness. Brian is getting one because he works so very hard, and because he was so very jealous about my appointment. But he'll be getting 65 minutes. Ha.

OH MY GOD I forgot the most important part! I start OPKing Saturday morning! I should see a positive on Monday or Tuesday. So I'll go in for my back to back's as soon as I see that lovely smiley face! Sorry for all the exclamation points! But if you've read more than two of my posts, you'd know that I chronically over punctuate!!!! AND I DON'T CARE BECAUSE I AM SO VERY EXCITED TO GET THIS PARTY STARTED!!!!!

Panic, Anyone?

Hello ICLWer's, you can check out my original welcome here. Or just scroll down =).
So my first DIUI is tentatively scheduled for the middle of July. Brian and I finally chose a donor - yeay! What's next? How about excitement? Yes, that's a given. Hope? Yes, ever so cautiously. So what is this knot I feel in the bottom of my stomach? Oh right. It's SHEAR PANIC because I need my vials in three weeks and the bank just told me they need a month to process new recipients! WTF?!

I called yesterday to make THE purchase, and they gave me a lengthy list of hoops to jump through and told me that they usually need a month to process everything!!! The bank we decided on is a small non profit organization and the person who deals with registration only comes in TWICE A WEEK. So I have all these ridiculous consent forms that have to be filled out, two of which need to be approved and signed by my RE. That will be followed by incessant begging and groveling to the registration manager to process my application. I've sent email's and VM's to my clinic asking them to expedite the forms because of the time crunch and NO ONE HAS CALLED ME BACK!
The only exception is from my RE who graciously indulged my insanity by answering a silly question or two in an email. Now that I am a little more calm, I realize it was probably somewhat of an insult to question his plan of execution and timing of my cycle. Well done Melissa!
Here is the email:

Hello Dr. RAWKS,

I have my first DIUI tentatively scheduled for the middle of July. I noticed that once I get a positive LH test, I tend to get ovulation pains about 12 hours later. I know we have back to back IUI's planned, I just wonder if the window will be right...
So here are my questions:
1.Is the ovulation pain that I feel a legitimate/accurate way to judge/affirm ovulation?
2. If so, say I get a positive test in the morning and then come in for my 1st IUI, then ovulate that night- Is coming the next morning going to be too late? I've read that the egg can only last 12-24 hours...
I look forward to your response.

Here is his reply:

The pain around the time of ovulation usually precedes the actual event and I suspect it is due to the rapid follicle enlargement before, not the ovulation itself. Eggs live for about 24 hrs post ovulation so the 2 insemination's should cover things just fine. Timing has been confirmed by multiple studies over the years. See you soon.
Sincerely,
Dr. RAWKS

So anyway. I'm trying to hold my shit together, and praying that the registration manager will be a reasonable human being. Cross your fingers for me!


************************************************************

Update:

I just had a "Well I don't know WHO you talked to..." conversation with another person at the bank. Everything is going to be fine. She said I have plenty of time, and that she guarantee's my registration will be completed by Thursday, or Monday at the VERY latest. Which is AWEOME. Right after that my clinic sent me an email with the pdf's of the signed and approved consent forms that I needed. So I sent everything over to the bank and even called to confirm. THEY HAVE IT. We're set.

Pick and Choose

Okay, okay. I know I'm way over due for a post, but I've been hard at work on this one. I've had to walk away from it a few times just to make sure I covered all my bases. So buckle up, because it's gonna be a long one. I've wanted to write about how I've been dealing with DI for along time but I just didn't know where to start. And honestly I don't think I was ready.

My experience so far has been pretty tumultuous. There are just so many questions that come with DI, and the more I understand, the more I realize that it will be a lifelong process. Which seriously scared the crap out of me. I realize that choosing to have children is a lifelong commitment, and its well known to present demands and unexpected challenges. But this isn't something I was prepared for at all. Nor did I have much knowledge of, or experience with. I was so naive going into TTC, that I really didn't realize that DI was something that heterosexual couples had to deal with. I'm cringing as I re-read that sentence, but it's true. It just never occurred to me, that MFI was A. So prevalent, and B. So definitive in terms of conception limitations.

I used to be one of the dumbass fertiles, that I now curse for being so damn callow, and uniformed....

The first time we sat down and looked at donors wasn't too bad because it felt so far away. It wasn't real yet. We were pretty light hearted about it, looking for a genius with Brian's heritage and height. The next time we looked, a month or so later, made me want to jump off a bridge. It was terrifying because now - this was going to be our reality. And in my eyes, none of these donors would ever be as good as Brian, and I wasn't able to look past that. Because I hadn't fully accepted all of the complications that came with our choice to do DI. I felt overwhelmed by the unknown. And I was so caught up in my crap, that I didn't think Brian was being honest about his acceptance of all this.

Until that is, we got a little help. I have to say that seeing a counselor should be on the top of anyone's list who is considering DI, it's just too complex to deal with alone. Talking to a professional who is experienced in dealing with DI, and IF in general, played a pivotal role in helping me gain acceptance. She validated so many of my feelings, thoughts, and concerns. Seriously when you are dealing with something so paramount and you begin to struggle- don't wait until you find yourself staying in bed all day watching tivo'ed episodes of Scrubs, crying for no reason, and wearing the same pajama's Monday morning that you changed into Friday night. It's not healthy. GET HELP.

Okay the public service announcement portion of this post is over. On to the good news. We've narrowed it down to two donors. Initially we were very explicit about our requirements. We essentially were searching for Brian's clone. I'm not going to list all of our requirements out of respect to our future child(ren) and to Brian's privacy, but basically we were REALLY specific about not only physical characteristics and nationality, but interests, hobbies, education, religion, medical history, and family dynamics. And I think it was just too much information. We began to wonder how much of those details would really shape this human being that we are going to raise together. The more we discussed it, the less details we felt we needed as far as education, hobbies, etc. We believe that you are a product of your environment. So while genetics are a factor of our identities in obvious ways, our surroundings seem to shape much more of who we become. Basically we think we're quite capable of screwing up this kid no matter who's DNA it has. It's the concept of Nature vs Nurture, and it seems to be a common discussion in the DI world. Brian and I both have brother's who are VERY different from ourselves, so it kind of proves to us that where you come from genetically doesn't necessarily dictate who you will become. Nor will it make you the same as your parents, or brothers and sisters. People are going to be, who they're going to be... Simple as that.

Another aspect that became important is whether we choose an open or anonymous donor. Choosing an open donor will give our child the option to contact the donor when they turn 18. When we sat down with the counselor, she asked us if we planned to use an open or anonymous donor. We told her that we had planned to use an anonymous, because we would be the parents, and they'll have medical history and what not to refer too, so the donor's presence wouldn't really be necessary. She nodded and said that our reasoning sounded fair, but that she would like us to consider choosing an open donor. She gently explained that picking an open donor would at least give our child the choice to find their bio father. She said according to recent studies and surveys, most donor conceived children would prefer to have the option to contact their bio parent. EVEN WHEN they had happy childhoods and maintain a loving and healthy relationship with their parents. We sat on it for a bit and decided that we would want the option if we were in our childs position.

Please understand that I don't think there is anything wrong with choosing an anonymous donor. That was our preference for at first too, and everyone has their own valid reasons. There are other circumstances that could prevent always using an open donor as well. Because open donors are saught after, they are therefore more expensive and less available. So you typically end up having to give up certain phyiscal traits to stick with the open option. Which is exactly what happened to us. We have decided that choosing an open donor, with our heritage, and one particular physical trait will be the most important requirements we look for. After that the donors medical background and personal essay will be the deciding factors. So there it is. A big congratualtions if you made it through all that with out a nap and/or a bathroom break.

Fear Factor

Things that I fear about creating a DI family.

1. That our openness about D.I. will invite unwanted comments or discrimination towards our child when they are older.

2. Whether or not they will have resentment towards us and their conception.

3. About how this will impact any future medical issues.

4. That our child will feel different from the rest of the family.

5. What they are going to look like? If they take completely after the donor? How is that going to make both of us feel?

6. Genealogy projects in school.

7. When they choose to look for their biological father.

From the time that Brian and I began considering DI over IVF, we worried that it was "taking the easy way out". HOLY CRAP was I wrong about that. While IVF clearly has the market cornered on being physically invasive/demanding, I personally think DI has the market on being emotionally taxing. This process so far has left me more unstable than dealing with infertility alone, except the side effects are the same. Just when you think you have a few answers and you dust yourself off a little, something comes out of right field to knock you down again. And I mean DOWN. Like we either need to knock off a jewelry store for some IVF money or resign ourselves to the idea of not having kids at all, because this is SO HARD.

We purchased a few donor profiles Sunday night, and were swiftly reminded that none of them will ever be as good as Brian. While for the last few weeks I'd been eager to read up on the extended profiles with Facial Feature Reports and/or Baby pictures. I suddenly found myself repulsed by the staggering amount of information we'd received. It hit us both hard. Almost like we'd rather flip a coin or let someone else choose.

I started to feel really unsure about the process, and over the next few days neither Brian nor I brought it up. I thought that I had made a little progress on the "loss of a biological child" front. But clearly I haven't. Still, when I start to get too far down on it, I think about the fact that I would totally adopt if it wasn't also out of our price range. I would gladly donate a kidney tomorrow if it meant I could leave the hospital with an adopted child. Like a good deed provided in lieu of payment. I mean that. We would adopt in a heartbeat if it wasn't more expensive than IVF. And adoption isn't with out its emotional baggage either. I understand that. Which only reminds me why we'll be able to come to terms with DI. Of course it's not our first choice, but it's better than the alternative - no children at all. I don't mean to sound callous. OF COURSE we are going to LOVE any child we are blessed with. I just mean - FUCK! - why does it have to be so hard to start a family???!!!

I've talked with a few different women who conceived through DI, after dealing with MFI. They've all said that once that baby is in your arms nothing else matters... I believe them. I just wish I had that confidence now. It feels like such a colossal leap of faith. 

Could You Repeat That Please?

I finally heard from the Tissue Bank Director at my clinic. She will help us coordinate our purchase of the sperm. She let me know that I will need to call her as soon as I place an order for my shipment of sperm. Evidently I have to have an appointment to ship and deliver sperm. The coordinator needs to verify that the sperm that they receive is the sperm that I ordered. Do you see how many times I've said the word sperm in the last three sentences? Well that is a fraction of the amount of times that this woman mentioned it during our seven minute phone call. I don't know if you noticed but I have tactfully referred to the containers sperm, as vials in previous posts- Instead of saying the word SPERM, OVER AND OVER.

Literally first sentence I heard from her after I answered my cell phone was "Hi Melissa, I understand you have some questions about ordering sperm"... Am I being childish, or prude? Sperm is such a bizarre word. The sound of it is just so severe, clunky even.

Every time I hear it aloud I imagine it being printed in BIG BOLD CAPITAL LETTERS: SPERM.

I guess the reason it caught me off guard is because everyone else I've dealt with at my clinic speaks with such a delicate and reassuring inflection. This woman could have been confirming the delivery of my Rototiller.

Moving on, it's starting to feel that much more real now. It's exciting. Next thing on our list is to actually choose a donor. And order our VIALS.

Cryotastic

Tonight Brian and I visited the California Cryobank website. It's a starting point in looking for donors. We didn't make any purchases, but our searches were wholehearted.

I'll be honest. It's still a little surreal. I'm also a little taken back by my sudden excitement at the thought of (hopefully) being pregnant some time this year. We aren't rushing into anything. We won't be making any decisions for a few months. There is still a need to sort through the philosophical side of it. Like how this will impact our future child. A friend of mine that I met through an infertility forum, sent me the link to this article. It's about exploring the world of Donor Insemination. A place I suddenly feel compelled to examine. It also talks about families created through Donor Insemination and their acceptance.

I can't yet worry about what our families will think, I'm still too busy trying to figure out what we think...