Loud and Clear

I think my body is getting the message. I've been able to make it at least 48 hours in between pumping. Only getting between two and four ounces. I'm going to wean my body instead of stopping cold turkey and resorting to making coleslaw in my bra.

The rest of my body is catching on as well. I've noticed some...differences...in my nether regions. Either my lady parts are aiming to catch up for 8 1/2 months of missed periods (I haven't had any bleeding since postpartum), I'm going to ovulate a Grade A Cage Free Brown Egg, orrrrr - the Whore-Bag is back.  I've had all sorts of pinchy heaviness going on down there for several days. It's starting to get pretty uncomfortable.  I may even go see my Gyno or Acupuncturist. On top of that, I've had an outbreak of eczema, a reoccurrence of hemorrhoids, and a bout of insomnia.

I have an IRL friend who has Ovulatory PCOS as well and after her son was born; ended up with classic PCOS - irregular periods accompanied with regular cysts. Sounds terrific. She ended up having to go on Birth Control to temper the cysts. NOT what I want at all.

The next obstacle is MY ASS. It's umm...Well, it's huge right now.  I have only lost about 15 of the 35ish that I gained during my pregnancy. That 15 came off within a week of coming home, and after that nothing. Breastfeeding didn't do SHIT for weight loss up in here. 

But I also haven't been exercising or even remotely conservative with my diet. Not that I'm eating Junk Food - Leah didn't react well to fried foods, and by policy I try to stay away from a lot of processed stuff and products that contain MSG. I know how to lose weight. I've done it before. Just need to get back on it. Can you feel the motivation behind my words? 

Me neither. 

Aspiration Cancelled

Cause the bitch is GONE.

I thought long and hard about how to write this post in a way that would melodiously lay out the details of the entire ordeal without revealing the conclusion until the very end. But when have I ever been that tactful?

So yes, the cyst is gone. HOT. DOG.

We rushed to our 1pm appointment yesterday (we got bumped) because despite the fact that I had reminded everyone and their mother that yesterday was daylight savings, I neglected to heed my own caution and forgot to set my clocks forward. And being the torrid pile of lethargy that I am, had only gotten out of the shower about ten minutes before we were actually supposed to leave. (12: 30pm) The reason that's a big deal is because it takes a beastly load of effort and dedication for me to not look like a slovenly hobo before I leave the house.

So we get there on time, only to sit in the waiting room for twenty minutes while some jackass ignores is obnoxiously loud seven year old son, who is jumping up and down in place trying to hit the top of the 6 foot high magazine rack. And as much as I wanted to poke both him and his father in the eye, if the dad had left the room for just half a second I would stuffed my sock in that kids mouth to muffle his screams while I grabbed him and took him home to be our new son. A nurse I had never seen before walked in to the waiting room and called my name. She took us back to a room that had already been prepped for my impending detonation. It was fairly terrifying to see all of the paraphernalia laid out. I don't know even know what half of the instruments were, but it made me think of a scene from Fire In The Sky where Travis Walton was... Anyway. It was scary though, believe me. 

Dr. 3 entered the room just briefly after I threw a tantrum because Brian couldn't think of anything to talk about while we waited, (Yay for Lupron doing enough to make me a raving bitch!) He shook both of our hands and didn't waste a second before grabbing the wand to "have a look at things first". 

Left side = Good. 
Lining = Good. (still at 4mm)
Femoral Artery = Working. (YEAH, I'VE SEEN IT BEFORE, MOVE ON.) 
Right side with cyst = ..... No cyst located. Ovary quiet. Antra follicle count = As expected. 

Yippe kai yay, mutha f-.

Dr. 3 said everything looked great and pending another E2 check, I'd be able to start stims asap.




Soooooooooo, I just got the call back from my nurse and my E2 was 26!!!!!!!!!!!!!!

I START STIMS TOMORROW!!!

Too Close For Missiles, Switching To Guns

While I haven't exactly hung my hat on the idea that aspirating my cyst will be the answer to my prayers,  the concept of it getting me to the point of finally being able to start stims and actually finish this cycle has at the very least, appeased the impatient foot stomping 12 year old in me.


This week began promising when I noticed spotting first thing Monday morning. Though it was pretty light, it seemed promising enough. By yesterday morning however, it was gone. Since my lining was at 4mm last Thursday, part of me wonders if that was a period... Dr.3 said nothing of spotting, he specifically told me to look for a period, so who knows. I sent my nurse an email to let her know about the spotting and to ask if there's anything I need to know or do for prep. I'll go in Sunday around 11:30am, and pray that this will be the nail in that whorebag's 27mm coffin. 


In the mean time, Brian and I have taken our first tiny step towards Foster Adoption. The county we live in holds orientations twice per month, so we agreed to go to the first one in April and I emailed an RSVP for that date as well as requesting an information packet. I don't know how close we are to moving forward, or if I/we are even 100% ready to move in that direction yet. Part me thinks it's my way of giving this cycle a hardy Johnny Cash-esque, middle finger coping with the monumental disaster that is our first attempt at IVF. And a small part of me sees our four year ttc anniversary steadily approaching and can't imagine drinking my way through one more of them without having something solid in the pipeline. It's just fucking time for us to be parents. I can't take this limbo shit anymore. 


Anyway. Wish me luck on Sunday. And if you've been through it before I'd be grateful for any tips or warnings. Thank you all again for your unwavering support. I'm just so grateful for all of you. 

Hey Progesterone: You Suck.

Sorry for the delay, yesterday was super chaotic at work and by the time I got home I just didn’t have it in me to post. My morning began with another peculiar dream. Dr.3 was running late, so a nurse came in to instruct me on how to complete my own u/s. I checked my lining, it looked like… my uterus, I guess so that was good. But before I could move on to check for my whore-bag of a constant companion I was interrupted by another nurse who wanted to administer a rather unorthodox remedy for my situation. This part however, is truly too humiliating to describe. Even to you. But while I lay there on the table waiting for their remedy to cure my cyst, I noticed that Dr.3 was in the room working with another patient. This is where it got weirder. He was hunched over talking to the patient and his scrubs were just low enough on his backside that I could see he was wearing… a thong. The nurse cackled loudly while bringing it to his attention and they both ended up having a good chuckle about it. But I was, and am profoundly mortified by it even as we speak.. I was seriously still so disturbed by the image, that I could barely look him in the eye at my appointment. Oh, but there were no picture windows this time. Bonus.

In reality Dr. 3 was right on time and started the u/s without me having to lift a finger. But not before he complimented my polka-dot socks. Which he’s done more than once and I have to say I’m a little weirded out by it. Not because his mentioning my socks is in anyway inappropriate. I actually think it’s his way of breaking the ice – by being nice and offering a compliment. But I only recently started keeping my socks on during my stints in the stirrups, so I’m a little self-conscience about it. Honestly, up until last month I always removed my socks before an exam but one day before one of my other monitoring appointments while waiting for Dr. 3 to show, I had in internal debate over whether or not to take them off. But before I could make up my mind, Dr. 3 came in and effectively made the decision for me. Do you leave ‘em on, or take ‘em off? I digress.   So. My lining.  Down to 4mm, from 5mm last week. A very good sign. Left ovary – still politely behaving as expected. Righty, whom I’ve named Satan’s whore, still showed a large cyst. But it’s smaller it’s at 27.5 x 27.5, from 25.5 x 35.5. This is when I made my move. But instead of spewing my infertile rage at him I sheepishly confessed that I was extraordinarily frustrated with the now six week delay, and was hoping he’d be open to taking a more aggressive approach.  He then of course made me sorry for the desperately written rant filled with misguided anger that I published yesterday. He told me he had been baffled by this delay and truly felt that the cyst should have resolved itself considering the amount of Lupron I was on. He said in any other situation a person on my dosage of Lupron would have seen menopausal E2 levels a few weeks ago…

He explained further: Because my E2 levels dropped so significantly at my last appointment and based on the fact that my cyst measured smaller today, he had a feeling that my levels would show another substantial drop. The Estrogen was what was feeding the cyst – so that number going down would be a great indicator. He genuinely believes that my period will come in the next week. (I know, check’s in the mail, right?) But if it doesn’t he wants me to come back in so that he can aspirate it. He booked me for the appointment for next weekend to do so, still believing that AF will finally show before then.

Later in the afternoon the nurse called me with my E2 number. It’s 45. A very, very good thing- and exactly what Dr. 3 said would happen. However my Progesterone is at 1.7 (should be under 1.0), so at this point it’s the only thing that is holding up my period. The nurse explained that once my body realizes my Estrogen is so low, it will recognize get this: I’m not pregnant; my progesterone will drop and I’ll get my period… And at that point, I will be able to start stims right away. Or we aspirate the little fucker, my estrogen and progesterone drops – I get my period – then start stims.

None of those things are happening as quickly as I'd like but Dr. 3 prefers not to interfere if possible, and I was grateful for the time he spent with me yesterday to explain all that. A big thank you to all of you, who've been so supportive and put up with my schizo posting. You're thoughful comments have meant the world to me, I'm sorry I haven't been giving back as much as I'd like to in that department.

Defying Science

Ninety-nine percent of women using Lupron for more than 38 days would have seen a cyst/follicle collapse, and experienced bleeding shortly thereafter.

But not me.

According to Dr.3, my body is "defying science"…

Yesterday was CD30, so with no spotting to speak of I promptly picked up my phone and left a message for one of the nurses at my clinic. She called me back and with sincere sympathy asked if I’d be free for an u/s and blood draw first thing this morning.

I woke up early after being startled by a dream where at my ultrasound they found two more cysts and my lining was at 30mm (can you imagine? That would be the period to end all periods) Oh and the clinic was set up downtown and my room had a big giant picture window on the corner of a busy street. Making my hoohaa part of their window display. Dr.3 kept telling me not to worry about thaaat...

I didn’t go to this u/s expecting great news. I went in praying to receive a glimmer of hope and at the very least some information as to what the crap is going on.

The cyst is still there. And it’s bigger. BUT it’s bigger laterally – as in not round. It’s an oblong shape which implies that it’s in the process of collapsing. And my lining is down from 8mm, to 5mm. Which is good. The Lupron and my body are doing what they are supposed to, just at a profoundly slow rate. Dr. 3 thinks I could see my period within the next week, but to be safe they scheduled me for an u/s and blood draw for a week from today in case I don’t get my period by then.

I have mixed feelings about this information mostly because it appears as though my body is doing everything it's supposed to but at a snails fucking pace.  And then there are the mysterious goings on that have led to nothing: A)Three weeks ago I felt Ovulation pains. It's a very distinct type of pressure, that is to me, unmistakable. But obviously this thing is still around - so what the hell was that then??? 2) The Rage - what the crap was that all about? I literally felt crazy and I have the blog post to prove it. C) The other pms symptoms I usually get have come and gone... Oilier than normal hair and skin, sore/swollen breasts, bloating. Now nothing. I feel great. And what's worse is according to Dr.3 I should be having significant hot flashes as an indication that my estrogen is going down.  But, nope. I'm right as the mail. 

I feel angry and cheated by my body and circumstances. I wanted a January cycle, and with the long lupron protocol scheduling, I ended up in February. Now with this stupid delay I'm looking at a March retrieval and transfer. I STARTED THIS DAMN CYCLE IN DECEMBER- there must be a metal or badge or free fucking toaster for having the longest IVF cycle ever recorded. In the whole wide world. EVER.

But on a better note, I just got the call and my E2 is down to 125. From 346, and 414, and 391. So thank fucking Karl Lagerfeld for that. Except if my levels keep moving down at the same rate I'm looking at another nine days before I'm below 70 to get the go-ahead for stims. So I'll hang on to my white flag, and continue with obsessively check the toilet paper for some sign of menses. ANY SIGN.

Thanks for putting up with my ridiculousness. And mood swings. At least most of you can be thankful you don't know me in real life. Save Brian... Poor monkey.

Melissa G. - OUT.

Waiting It Out

I’m pretty sure I must have been a complete asshole in my past life. I’ve come to that conclusion because there is no other possible explanation as to why this cycle is going the way it is.

It’s taken me three days to write this post because I’m having a hard time breaking down the information enough so that my tiny brain can even process the basic facts, but here's what I've got.

On 1/25: My E2 was 346 (no u/s) which was CD2 for reference

On 1/27: Went back for an u/s which showed a cyst/follicle at 23mm, E2 was 414, Progesterone 2.0

Dr. 3’s Notes: Surprised that you were able to have a period while your E2 was so high.

Melissa’s notes: Fucking figures.

On 2/1: Morning u/s #2 shows an increase in size of cyst/follicle at 24.5 mm

Dr. 3’s Notes: We have to wait this out. Stay on 10 Units of Lupron. Call me when you get your period. Good luck with that.

Melissa’s Notes: Dr. 3 = Cyborg. All hope of having bio children fades. Break down -Open bottle of wine. Shortly after glass of Sauvignon Blanc I get pains similar to Ovulation. Of course.

On 2/2: Find out 2/1’s blood test results: E2 was 391, Progesterone 1.4 DOWN FROM 1/27. Email Dr.3 because the multitude of questions over what the crap is going on with this cycle is keeping me up at night.

The gist of that email went a little something like this:

Me: Am I being stimulated instead of suppressed by the Lupron? Could my lower E2 suggest that the follicle was getting ready to rupture? Is staying on the same dosage of Lupron possibly delaying the ultimate goal of getting this thing to mature and collapse? Will the Lupron shorten my luteal phase? WHY IS THIS HAPPENING???? SOMEBODY HOLD ME.

Dr. 3: You had one rogue follicle that was not suppressed by the Lupron. It will either mature and rupture on its own or the Lupron will suppress it and it will shrink. There is nothing you can do about it. There is nothing I can do about it. We have to let the meds and the follicle take its course. CALL  ME WHEN YOU GET YOUR PERIOD.

So that's it. I'm done. I'm exhausted and so is my Zen. I'm trying not to give myself a hard time for losing my shit over all of this, but I wish I could have processed everything with a little more grace. But graceful, I am not. And that's what makes me, me. So I'll call Dr. 3 when I get my period, and I'll do my best to catch my breath from here.  And I promise if more shit goes wrong with this cycle, I will set new standards for what it is to be considered "mentally unstable".

Namaste.

Still A No-Go.

The whore-bag cyst is not only still entirely present, but has grown another 1.5 mm. Putting her at a vast 24.5mm total. And my lining is growing like it would in a normal cycle. Fuck.

I am so incredibly disappointed.

Dr.3 wants to wait it out, so I’ll be staying on the ten units of Lupron. Which by the way, makes no fucking sense to me at all. Why would we do anything to prohibit or suppress this thing from maturing/rupturing??? And if the Lupron isn't suprressing me enough, than staying on it is really just slowing the down the inevitable right??? I wish I could say I thought to ask him all this, but I was concentrating on not bursting into tears and looking like a complete douche. 

Yeah, he’s the RE and I’m not, and I do trust him entirely – but dammat I really wanted to be given a plan of attack if it got to this point. It’s been five days since my last u/s and I’ve had follicles get at least as big as 27mm, so at the rate I’m going it could be another ten days before this thing ruptures. And on top of that he wants me to have another period before we move forward. He checked my lining during the u/s and it’s thickening up like it normally would because of the high levels of estrogen and progesterone.  He did explain that we’re not looking at another 30 day wait for my period, it’s more likely to be 6-10 days before I bleed again (if that thing collapses soon). But that is very little consolation considering that today should have been my first monitoring appointment, and my retrieval could have been this weekend.

I can’t even explain the level of disappointment I’m feeling right now.

This fucking blows.

Benched

I really like my new clinic and Dr.3 for that matter, but if there is one complaint I have that runs true with all doctors I seem to have, it's tardiness. I always try to get the first appointment of the day so that there is less likelihood I will be stuck waiting because they're backed up by workload or because of some asshole that was late before me. And stuff happens, I totally get that. But let me at least keep my pants on until you're ready, mmmkay?

End Rant.

So we know that my appointment ran late, as per my diatribe. And we also now know why my E2 is all ridonkulous. It's a big, giant whore-bag cyst. A GIANT. WHORE-BAG. CYST. On my right side, where I mentioned having a slight pinchy twinge. It's a little over 23mm. He says it was a follicle that turned into a cyst, and it's just full of fluid and it will rupture in it's own sweet-ass time. (I don't really know the origins of cysts in general, but that's what mine is) He says he thinks it could happen relatively soon - hopefully this weekend. So for now, I continue with the 10 units of Lupron per day, curse the whore-bag cyst that lies within my lady parts, and wait for this shit to pass. They did do a blood draw, though Dr.3 thinks my E2 will likely be higher than it was two days ago, and will continue to rise until that bitch pops.

My acu lady will see me again on Saturday. I'm hoping she has a needle long enough to aspirate the little bastard, but that probably isn't the case...

I know this is not the end of the world, or my IVF cycle for that matter, but I'm pretty bummed. I go back in on Tuesday for another E2 check and an u/s. Hopefully then I will get the green light to start stims. Thank you so much for all of your support and information, please send some cyst rupturing juju my way when you get a chance.