Showing posts with label implantation. Show all posts
Showing posts with label implantation. Show all posts

Tuesday, June 17, 2014

Phone Consult & Short Vacation

First off, I have to apologize for being MIA for a couple of weeks.  If you have been waiting for me to update here, I'm sorry it took me so long.

On 6/4, I had my post transfer phone consult with Dr. Keenan.  He was genuinely sorry and disappointed that our transfer didn't work out.  He said everyone at the clinic were shocked and disappointed that I was not pregnant.  He said there was no good reason why I did not get pregnant.  My lining was good.  The transfer went well.  The embryos were of good quality.  I had an endometrial biopsy done prior to my transfer, and that should have increased my chances.  He doesn't think it is an issue with the embryos since we had embryos from 3 different donor families for all three of my transfers, and each family has had successful pregnancies.

He suspects that I may have implantation issues.  I asked him what that means and he said there is something in the uterus that is not favorable for implantation, but it may be impossible to really know what it is.   He said there are not much research done on implantation issues in humans (since it would threaten a pregnancy).  I asked him about additional testing for issues such as autoimmune issues, as suggested by others.  He said there is no evidence of autoimmune issues causing EARLY pregnancy losses like a chemical pregnancy as in my case.

I asked about the 3 attempt per pregnancy policy at NEDC and if he would make an exception.  He said most women should get pregnant by their third try.  I can't remember his actual words, but it was pretty much no.  He did however bring up the topic of special needs embryos.  He said there is possibly a chance we could try again with special needs embryos, though he was not comfortable with it.  These are embryos that may have a higher risk of medical conditions and is usually overlooked by adoptive families, such as embryos where siblings have been born with a heart condition or downs syndrome, or a parent is HIV positive, etc.  A transfer wish these embryos would be treated the same as other transfers, meaning I would still need a current home study.   He said if that is something Babe and I are interested in, then he will have Angie, the coordinator contact us.  That afternoon itself, Angie emailed me that Dr. Keenan had approved us to do another transfer with special needs embryos and wanted to know if we wanted to see the profiles.  I told her we had not decided and would like her know when/if we were ready to see those profiles.

So, at this point, we don't really know what our next steps are.  We could do another round at NEDC with special needs embryos but I am not sure if I am comfortable with that at this point in time.  We could try another agency or clinic that does embryo adoption or embryo donation, but we would want to make sure if there are any issues that we can rule out that can affect implantation, such as autoimmune issues.  Or we could focus on going back on the route of traditional adoption.  We are currently in a holding pattern as to our next steps.

Instead of making a decision, Babe decided that I needed a break from all this and sent me on a short vacation to Florida.  He would have come with me but he does not have much vacations days.  I went to visit a friend from high school, one I have not seen since I was 15!  It was fun catching up, and it was nice to be able to chat with her about our journey.  She too had gone through infertility, had a couple  of miscarriages and now has a 5-year old son.  We went on a glass bottom boat ride in Key Largo, toured the Everglades on an airboat, checked out alligators, held a baby alligator in my hands, ate some fantastic key lime pies, and checked out the (in)famous South Beach of Miami.  And that is the reason for my delayed update here on my blog.

Checking out fish and corals on the glass bottom boat

View from the back of the boat

Some of the homes and boat in Key Largo

Our neighboring airboat hunting for alligators

The (in)famous South Beach of Miami

Sunday, May 25, 2014

Doubt

It is almost 5 am.  I should be sleeping right now, but I can't fall asleep.  I've been tossing and turning for awhile.  The sky is starting to get some light.

Last night, Babe and I stayed up and late and watched a couple of movies, including "Monuments Men" which by the way is an excellent movie.  As we were getting ready for bed, for some reason I was suddenly hit with a very strong feeling of doubt. That I. Am. Not. Pregnant.  Not really sure why.  Maybe because:

  1. I just don't feel pregnant.  I know this means nothing because many/most people do not feel pregnant this early on, though some (very few) do.  I didn't feel pregnant last time either.
  2. I have not had much cramping at all.  Usually having cramps is a good sign as it means the embryos are implanting into the uterine lining.  During my November 2 week wait,  I had cramping but not in January.  I can't really recall having cramp this time.  Maybe some "stirrings", but nothing noticeable.  So maybe this doesn't mean much either
  3. I did not have any implantation spotting.  My November transfer, I remember very well that I had implantation spotting right around 4dp5dt.  Not this time around.  Most women don't experience implantation spotting, but I did back in November, and it's hard not to compare.
  4. This may be a TMI.  One of my nipples is "flat".  I don't recall in November, but in January, I noticed that my flat nipple was more "perky" like the other one during my 2 week wait.  It could be due to the progesterone, or due to the fact that I was truly pregnant (though short lived) then.  However, on the morning of my 2nd beta where I found out that hCG numbers had dropped, I noticed that it had gone "flat" again.  I didn't think much of it until later in the day when I found out that the number had dropped that I tied those two together.  Maybe it is still unrelated, but I thought it was interesting and it made sense.  Well, my "flat" nipple was "perky" for a few days, but now I think it is "flat" again.  Not sure what to make of it.
  5. I am tired most of the time, but I think I am not as fatigued as I was back in January.  I would barely be able to keep my eyes open by 2 or 3 in the afternoon.  It could be due to the progesterone or the fact that my body is making make a baby.  I am tired, but not as fatigued as I was back in January.  
All these symptoms (or non-symptoms) above are really hard to make out really.  Both November and January transfers resulted in chemical pregnancies, meaning I was technically pregnant but had an early miscarriage.  

But the difference between these two is in November my beta numbers went from 13 to 4 in two days, and in January my beta numbers went from 159 (high for a first beta) to 44 in 4 days.  So in my mind at least, I was "more pregnant" in January.  For those not familiar with beta numbers, they are supposed to double every 48 hours or so to indicate a healthy pregnancy.  In both my last transfers, instead of doubling, it fell.

I have been pretty good about not wanting to take a home pregnancy test.  But for some reason tonight, it has hit me really hard that I am not pregnant.  No real concrete reason.  Just felt it very strongly tonight.  And out of the blue too.

I didn't think I was pregnant last time either, but I was, even if it was short lived.  Maybe I am wrong again this time?  Time to go back to bed and attempt to sleep.  The birds are chirping and there is light in the sky.

Less than 2 days to beta.