IVF with donor eggs

PGS Results

Of our nine embryos, 6 are normal. This is excellent news and exactly what I expected best case scenario to be. However, we have one boy and five girls, and we really really really want a boy. I'm happy about our one, excellent looking, boy embryo. I don't ever want to seem like I'm not grateful for what we have been given. But I always promised that I would be honest in this blog, and I would not be honest if I didn't express a little bit of disappointment. And if it all came down to it, I'd be thrilled with a girl. Because as cliche as it is, I just want a healthy baby–obviously. We still have one chance though…let's just hope this one baby boy sticks. It's in God's hands now. Now, it's time to prep for this FET.

So in FET prep news–I've been on birth control for two weeks and Holy Moly it always amazes me what birth control does to me. My boobs have grown so big and they are so sore. I guess I'm just getting prepared for the progesterone that will make it ten times worse! It's just crazy how birth control, the simplest of hormones during this whole process, changes my body so much. 8 more days of this, and then my baseline ultrasound on August 10. Let's hope for no polyps or anything else that could get in the way for us moving forward with the FET.

And while we're praying…Ryan takes his boards on August 8. We really need him to pass this thing! He has been studying so hard and him passing would be one less thing for us to stress about.

Lots going on, lots to pray about, lots to be blessed about. We'll just keep chugging along!

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IVF with donor eggs

Sunday’s Report

Well, we have 8 embryos that have continued to grow to the blastocyst stage. They are all ranked good (the clinic rates them good, fair, and poor, so you can't get better than that!) The embryologist said that they are all at versions stages from multi cells to one that is actually hatching. Then we have one other embryo that is still growing, just doing it a little slower. They are going to keep watching it and if it doesn't arrest, they'll PGS and freeze that one as well. The other three stopped growing altogether. We should get another report on the ninth embryo sometime today.

I think I'm happy with 8 good embryos. It makes me nervous that the PGS testing could dwindle that down significantly, but I guess that's the idea, right? Waiting on those results over the next week will be excruciating!

UPDATE:
Just as I finished that post, I received the phone call from the lab. That ninth embryo continued to grow to a hatching blastocyst! So it was biopsied for PGS and frozen. It was rated "fair/good." Yay!

IVF with donor eggs

Embryo Report from Friday

I didn't have a chance to post the embryo report from Friday, so I'll post it now. We'll get another report sometime today, so I'll update on that when I get it.

So on Friday the lady from embryology called me to ask if we had decided to do PGS testing. I explained to her that we have sent in the paperwork checking off that yes we do, and I have told our nurse numerous times that we do. Ugh! The lack of organization in this place. Anyway, then she started to tell me that the were going to hatch our embryos and watch to see which ones grow, and they will freeze the eligible ones on day five (which is today). So she was telling me all of this, and I interrupted her and I said, "okay sounds great, but we haven't gotten our embryo report yet today. Could you tell me how many we currently have?" Again, the whole thing is just so confusing. Luckily, she was able to give us the report:

She said that at day three they want to see them at 3 cells or higher. We have 12 embryos that are between 4-8 cells. She said that one of our eggs fertilized after we had our fertilization report, so we actually had 13 fertilized eggs, and then 12 of those continued to grow to 4-8 cells. The one that fertilized late is at 5 cells. She said that all of them are ranked good to fair, which at this stage is great to see.

So I'm optimistic. The phone call today will be a biggie. It will tell us how many we are testing/freezing. And then it will be quiet for about a week which is when we will get our PGS results. That's going to be the phone call I'm most anxious about. We will know how many normals we have, as well has how many boys vs girls. Eek! Please keep the prayers coming!

IVF with donor eggs

Feeling better today

We received our update from the lab today. Apparently two more eggs matured, so we had a total of 14 mature eggs. They performed ICSI on all 14, and 12 fertilized. The numbers are still disappointing compared to what we were expecting, but I'm glad to have 12 fertilized embryos. As mamajo said in the comments yesterday, 10-15 eggs is considered the sweet spot for quality (thanks for reminding me of that!). So now we just hope that these 12 embryos keep on growing and dividing over he next several days. We will get our next report on Friday, so stay tuned!

IVF with donor eggs

Egg Retrieval

Egg retrieval is complete and I just got the call from the lab. They retrieved 18 eggs, 12 of which were mature. I'll be honest, I'm disappointed. I feel terrible that I'm disappointed because I realize 12 mature eggs is a great number. I know so many women who would kill for that many eggs- I was one of them! But when you're paying $9,000 to a donor with a history of having on average 23 mature eggs in her previous cycles, 12 is a disappointing number. I grateful for what we have. I have to find faith that the lab will keep them healthy, they won't be damaged during PGS testing, and that most of them test as PGS normal. I just have this fear that it's going to take us multiple transfers to get pregnant, and I'm afraid we won't have many to work with. This is where I wish I could have the optimism of an infertility newbie- I've just been burned too much and have heard too many bad stories. But I'll try to stay optimistic, and I'll start praying for these 12 eggs to become embryos. That's the next phase. We will get the fertilization report tomorrow.

IVF with donor eggs

Sunday Ultrasound Update

Our donor went in for a final ultrasound today and everything looks great. They are now predicting that they will retrieve 29 mature eggs. Yep, 29! WHAT?!?! Apparently she must have had some follicles that we’re measuring just under 14 mm (the minimal cutoff for the probability of housing a mature egg) and they must have grown overnight because we went from having 19 to 29 in just a day. I’m just amazed!

Anyway, eggs retrieval is set for Tuesday morning. Ryan is in San Diego now and says it is absolutely beautiful. It felt really weird this morning saying goodbye to him. I mean, he was going to make our embryos–without me. I’m trying not to think too much about the emotions that draws up. It is what it is. And really, it’s okay. It’s what we signed up for, and more than anything I’m just in shock that we are finally to this point! I mean, it’s really happening!

IVF with donor eggs

Follicle Counts and Egg Retrieval

omg-its-really-happening-thumb

So we have kind of been on standby waiting to hear how our donor is doing before making travel plans, and it’s been driving us a little crazy. We received an update on Wednesday, and at that point our donor was showing 30 follicles, 5 of which were 10-14 mm. Our nurse told us then that in previous cycles our donor had egg retrieval on Wednesday, so we were kind of gearing up for Ryan to go out there Tuesday morning and come back Thursday afternoon. We were looking at flights for those days, and just sitting and waiting all day for today’s ultrasound update before actually booking them. There were times that I thought, “to Hell with it” and wanted to book the flights, but something kept telling me to hold off for our update. Thank goodness we did!

So the nurse emailed us today and said that our donor is looking great. She still has 30 follicles showing, 5 are 18-23 mm, and 14 follicles are are over 14 mm. I’m not sure if that means we have a total of 19 follicles measuring over 14 mm, or if the over 14 mm follicles include the first 5 that were mentioned. Either way, they are good numbers and we should have plenty of eggs to work with. I’d be lying though if I didn’t say that 14 total follicles would be a little disappointing considering she has had 21-25 eggs retrieved in her previous cycles. But I hate to be that way, and I’ll obviously be grateful for what we have, regardless.

But the big news is that she said that egg retrieval will most likely be MONDAY! Monday wasn’t even ever on our radar. Our estimated retrieval for the whole time has always been Tuesday – Friday, so Monday seems like such a shock! So we changed everything around and booked his flight for Sunday afternoon and coming back Tuesday night. The nurse said that retrieval will be Tuesday at the very latest, so him coming back on a 6:00 pm flight should cover that possibility.

We also finally got some questions answered on our Wednesday email – most importantly our antibiotics question. Apparently she finally talked to Dr. Kettle, and he said that they used to prescribe antibiotics, but because of new technologies in ICSI, it isn’t necessary anymore. So we feel better about that. She also answered our question about how long Ryan was supposed to abstain from, well, you know, and she said 3-5 days. So that’s kind of the bummer about the egg retrieval being on Monday thing – Ryan thought he has at least another day before abstaining. OOPS! We are right at 3 days prior to retrieval now – sorry that was probably TMI.

So, it’s really happening! All of this waiting, waiting, waiting, and then all of a sudden the past hour has been BUSY!

We also went ahead and booked our flights for our trip for transfer in August. Here’s hoping that I am cleared for going through with it. August 10th is my baseline ultrasound – please pray for no polyps, good hormone levels, etc. It would suck to have to cancel those flights (and of course the transfer)!

So, yeah, next week is going to be full of embryology reports! So Get Ready, Get Set, GO!

 

PS – I feel like I should also mention the other stuff going on in my life right now, so everyone can understand the additional stress we are under (and so I can remember it down the road – not that I really want to). So, I was in a wreck two days ago. Anadine was in the care with me, too, which made it super scary. We are both fine, thank goodness! But now I’m dealing with insurance, car repair, etc. And my body feels completely beat up. I am so glad I am not doing my portion of the cycle right now. Added hormones and shots would not make things better. But poor Ryan. He did not need the added stress while he is also studying for boards. Plus things are super busy at work for him. I guess no time is a good time, but it hasn’t been easy. I’m just so glad we are okay and he is so supportive.

 

IVF with donor eggs

Here We Go!

Our donor went in for her first appointment today for a baseline ultrasound and blood work. I just received the update that everything is a go! They saw 30 resting follicles and she started taking Gonal F today. I wouldn’t even know what 30 follicles looks like on the ultra sound screen. The most I ever saw was 8! The nurse said that typically 70-80% of testing follicles will produce a mature egg. So, of course I did the math. 70% of 30 is 21. Assuming all of those fertilize, and going by the stats that say usually half of embryos test PGS normal, then we could essentially end up with 10, genetically normal embryos. That’s insane!

So now we are on standby. She will go back next Wednesday for a follow up ultrasound. At that point, we may have a better idea of when Ryan needs to go out there. We know it will be around the 18th, but won’t know for sure until we get closer and they see how she’s responding. 

Meanwhile, I’ve been back and forth with our nurse trying to get some answers to some questions. So in previous cycles, Ryan has always had to take antibiotics before egg retrieval. It’s just been a part of the protocol at every other clinic. But it wasn’t mentioned in any of our material we got a month ago. When I asked our nurse about it, she said that they don’t do that, but that both of us will be on antibiotics before transfer. Huh? It makes total sense that I would take antibiotics before transfer, but why Ryan? So yesterday I sent her an email asking for clarification. I also asked if he could take antibiotics before egg retrieval, just for our peace of mind. In a previous semen analysis, doctors have seen white blood cells in his semen, indicating infection or enlarged prostate. It’s an easy fix with antibiotics, so especially since he hasn’t had a semen analysis in over a year, we would both just feel more confident with doing everything we can to assure his best sample possible. I also asked if there was anything else he could be doing: multi vitamin, abstinence for a few days prior, etc. We already know the answers to these questions (this ain’t our first rodeo) but the point was that in all of the paper work, Ryan’s part of the process simply was not mentioned. Anyway, her response was that they have never prescribed antibiotics prior to egg retrieval before, the doctor is out of the office this week, and she’s going to have to ask him when he comes back next week. She didn’t even answer my other questions. 

So here’s what it all boils down to–I’m about fed up with the communication, or lack therof, at SDFC (or at least with our nurse). I feel like they are completely catering to our donor, and we’re the ones paying the big bucks. I feel so out of sorts about the idea that our potential baby is being made this month, and I have nothing to do with it. When we were using my eggs, I was giving myself shots, going to appointments, etc. Now I’m across the country and waiting on an email to get results. However, Ryan does have something to do with it, and he deserves some attention, instruction, and respect for his part of it. Especially when I ask specific questions, I expect for them to be answered. Oh, I also had to ask her for my orders to send to my clinic for my monitoring in August. You would think that would have been included in the millions of other pages of paperwork she sent me. I haven’t gotten my prescriptions for my meds either. I realize I don’t start for another month, but I’d like to have them in hand so as to avoid a rush with my pharmacy. 

I hate to complain. I think it really all stems from feeing out of control and out of touch with the cycle. I’ll focus on the 30 follicles, praying for each one, and continue to ask my questions. And I’ll hope that we get to fill out some sort of survey at the end of this, because they could really use some lessons in patient relations.