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Gambling with the Moon

~ A journey through infertility, IVF, and hope.

Gambling with the Moon

Category Archives: Procedures

Saltwater Taffy: The Saline Ultrasound

07 Wednesday May 2014

Posted by gamblingwiththemoon in Infertility, IVF, Procedures, Round 2, Tests

≈ 1 Comment

Tags

Fertility tests, fet, Infertility, IVF, saline ultrasound

So yesterday it began. What I like to call the “prep” phase. Like I said before, I was feeling a little anxiety about hopping on this ride again.  My last experience with this procedure was pretty painful.  Not as painful as the uterine biopsy– (That was more painful than birth), but painful all the same. However, the saline ultrasound, or sonohysterography as it is sometimes called, is an important step in determining infertility issues.  Here is a little background…*disclaimer:  The following is by no means intended to be medical advice and is solely intended to reflect my own experience and understanding.  You own experience may be different due to the advice and policies of your medical team*

The saline ultrasound generally takes about 3-10 minutes once it gets going.  You, of course, assume the position on the chair with the stirrups.  A speculum is inserted, which is the same instrument used in a PAP smear.  A catheter is then inserted into the cervical opening into the uterus, and a small amount of sterile saline (saltwater) solution injected into the uterus.  This will outline and highlight all the amazing stuff going on in there.  From there, an wand ultrasound is inserted and the doctor will examine all such amazing stuff, photograph it via the ultrasound machine, and give you the “what haps” on what he sees.  Here is a little diagram….

The purpose of the saline ultrasound is to determine if there are any polyps, fibroids, scarring or endometrium issues within the uterus.  It detects issues that generally cannot be seen with a traditional ultrasound.  Here are two examples  of the types of images produced by a saline ultrasound. The photo to the right shows the uterus before being blown up by the saline, and after the saline is injected (The black mass in the center).  This is what the results will look like for a normal, healthy saline ultrasound.  The photo to the right shows abnormal results with arrow A pointing to a large polyp, B is the Saline, and C is the wall of the uterus.

uter-hysterosono-norm[1]               uter-hysterosono-polyp[1]

You can see how a polyp might impede implantation!

So many people ask, “Is it painful?” This is a challenging question for me to answer. I remember the first one I had a few years ago being pretty painful…like a 7 out of 10. This was mostly due to the speculum, cramping and catheter insertion. Speculums have always been pinchy for me, but others have now problem with speculums. My procedure yesterday can only be described as moderately uncomfortable and was over in like 2 minutes. Yay!!! I think the experience is different for everyone, but it is an invaluable tool in helping to pinpoint your fertility issue.

So the good news is:  My ultrasound came back amazing!  My doc’s word were, “Everything looks perfect!”  Well hot dang…..

Summer FET Flashback: The “Almost Pregnant” option

22 Saturday Sep 2012

Posted by gamblingwiththemoon in FET, Infertility, Procedures

≈ 2 Comments

So…This blog has been quiet for awhile, but I recently started feeling drawn to continue the story. Over the summer, My husband and I underwent a FET, or Frozen Embryo Transfer, with our two remaining frozen embryos, or snowbaby prize fighters as we fondly called them.  All in all, the FET process was much less stressful than the traditional IVF cycle.  No two weeks of shots and ultrasounds.  No phone call anxiety each day as I wait for messages such as “Your estrogen isn’t high enough-we may have to cancel!”  or “Your estrogen is TOO high-we may have to cancel” or the myriad of mini-crises that happen day in and day out.  Essentially, during a FET cycle, you take some pills to enhance your lining and prevent ovulation.  Once enough time has passed and everything looks hunkie-dorie, you prepare to go into the office for the procedure, and your embryos are thawed.  Now this is the one point where it is a stressful waiting game.  Not all embryos that are thawed survive.  Some data suggests that roughly 60% of embryos survive the unfreezing process and continue to thrive.  We had two-so I was expected to hear the news that only one (or, God forbid, none) had survived.  However, we were elated when the embryologist called and said “Come on in!  Both little guys made it!”.  From this point the procedure is basically the same as a normal IVF.  You go in, the embryos are placed back in the uterus, and you go home to brave the 2 week wait.

While my fertility doctor has you return for your first pregnancy test, which measures HCG in the blood, two weeks after transfer, you often start to register positive on a pregnancy test 5-9 days after the transfer.  Of course, I couldn’t wait the entire two weeks (More on the crack that is commonly referred to as Peeing on a Stick, or POAS, later).  I began to register positive on pregnancy tests about 6 days after the transfer.  Needless to say, the first time I saw that +, I nearly went through the roof.  My soul sang with the knowledge that our journey was FINALLY over! We were PREGNANT.  I had waited 3 years to say that, so long that I could barely say it and have it register as the truth. “Pregnant” had been this word we had longed to be, a symbol of our life moving forward, the end of a long, hard fight for our dream of family.  Now this little + mark was ushering in all the possibilities of something we had secretly begun to think impossible.  I think I knelt on the bathroom floor for awhile repeating “We finally did it, its finally over”  over and over again.  I crept up behind my husband and handed him the test.  He turned white as a ghost and stared at me, unblinking, for what felt like forever.  I think he asked me if this was real, or was I playing a joke on him.  Then a brilliant smile lit his face and I knew his mind was echoing my own racing thoughts…We finally did it…It is over….We are having a BABY …..This is REALLY happening!…..

But….it was not to be.  See, nobody told my there was an “almost” option.  I always thought once we got that YES- we were done.  + pregnancy test + 9 months=baby.  But life is never as elegantly simple as math.  There are no rules, no certainties, no absolutes.  As the days went on, that + on each test we took began to grow lighter and lighter.  We remained positive and hopeful with each other, but in my private reflections I knew that test lines getting lighter and lighter translated to less and less HCG hormone in my system-no matter what the the box said, or the internet said, or the  Clearblue company helpline said (Yes-it got just a little crazy around here for a while). By the time my actual blood test came around, that hot pink neon line had faded to the point where I had to twist the test in the light to make sure it was there.  Sure enough, my first HCG test came back at 60.  It should have been in the 1000s by this point.  The nurse had that cautious tone in her voice.  She said, “Well, you were definitely pregnant at some point, and may still be, but I wouldn’t hold out hope or tell your family-come back in two days”.  That test came back at 30, and I was officially declared as having a Chemical Pregnancy.  A chemical pregnancy is when the embryo implants long enough for the body to produce HCG, but a miscarriage happens very early on. Today’s home tests are so sensitive that they can pick up these trace amounts of HCG, whereas in the past you may never have even known that you were technically pregnant then miscarried.  So in the end, I guess you could say I was “almost” or “kinda” pregnant, at least for a little while.

I will not lie, it all felt like some sort of cruel joke.  Like being handed something precious and having it ripped away-I would dare to say that hurts worse than never having it at all.  We mourned, flailed our fists, did all the things you do to put bad experiences behind you- but in the end, my husband and I are who we are- we don’t give up, we keep moving forward, we find the will, and we try again.  And so it begins again….on to another fresh IVF cycle….stay tuned….

Day 31: The house wins….

15 Thursday Mar 2012

Posted by gamblingwiththemoon in Infertility, IVF, Procedures, Uncategorized

≈ 5 Comments

This is probably one of the harder posts to write.  Today was my beta blood test, which is when the clinic takes a sample of blood and tests it for HcG-the hormone you produce when pregnant.  We are now 14 days past the transfer, so those embryos should have dug in and given the body the signal to produce HcG by now.  The nurse called today at around 3pm to let me know my Hcg test was negative and that I was not pregnant.  Our first IVF cycle is officially a bust.

Now I have had a little time to prepare for this devastating news.  I started taking home pregnancy tests (the most sensitive kind) about 6 days ago-just to see.  Some people do not do this, but I am not one of those people.  I am by nature impatient and need to adjust to news a dose at a time.  There is NO WAY I could have hoped this whole time, sat around today waiting for the call, and THEN have a nurse tell me negative for the first time.  I cannot fathom how people do that!  More power to ’em.  Needless to say, each home test came up negative.  I knew I was testing a little early, but as more time passed, I was able to bear the thought that this truly might not have worked (while secretly hoping I would see that second line the next time I got the guts to take one).  So today more confirmed what I already knew-but it still was not easy news to get.

Its hard not to get bogged down in why this didn’t work-or more starkly-why don’t I work/why is this happening to us.  IVF isn’t a sure thing…its a gamble and sometimes that house has to win.  I knew going in it only has a little over a 60% success rate…but I REALLY wanted us to be in that 60%.  I believed in my heart we would be.  But, alas, that was not to be.

So what now……We pick ourselves up by our bootstraps and keep fighting forward.  I will not pretend that I am not weary of all this.  Sometimes I wonder about just jumping this particular track and starting a new track…a new life’s dream.  Like sailing around the world for a few years with my husband, or dragging him to Africa with me to live in the wild and try to save the gorillas or something.  But I don’t think I have lost all my will just yet.  This is something we truly want…and the best of things are worth the fight.  I believe that we will get through this and come out on the end grateful that we stuck this out-that we kept trying.  But MAN, I can’t imagine going through another medicated cycle right now!

On a positive note-no more NEEDLES..no more SHOTS…no more WAITING FOR NEWS…On the negative…got about 10 pounds I need to run off.  4x the hormones and limited to no physical activity for a month (plus those dang Girl Scouts) have really done a number on me.  So I’ll start there…have a cry (one of those frustrated ones where you pound your fist on the bed)….take a deep breath…eat a big fat cheeseburger/drink a big cup of coffee…..then regroup!

In the meantime,  I got my eye on those snow baby prize fighters I was telling you about.  Two 6 day blastocysts (way more further developed than my 2 3days that were transfered) are waiting in the wings (or the freezer) for whenever we are ready to do a Frozen Embryo Trasfer (FET).  I am going to take a month off and then get back to business.  When we first started this IVF process, my husband and I each wrote down our predictions on how many cycles (fresh and frozen) it would take for us to get pregnant.  Turns out we both picked our first FET.  All in all, I’d say its a decent bet…..

A little visual of ICSI and the IVF process

29 Wednesday Feb 2012

Posted by gamblingwiththemoon in IVF, Procedures, Tests

≈ 2 Comments

This video gives you a little visual of the ICSI process that is happening to my little eggs in the lab right now.

Recent Posts

  • Another Roll of the Dice
  • FlashBack 11/15/2012: 6weeks 1 day: Hearts all a flutter
  • Saltwater Taffy: The Saline Ultrasound
  • Gambler’s Anonymous
  • Reflections on my 8 month old!

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