Monday, December 8, 2008

Gimme a break...

On Thursday I went to the RE for a follow of b/w and u/s. My lining was 3.8mm, down from 9mm 11 days prior. I was told the spot they are seeing by my Right ovary did not get bigger or smaller. So I was to wait for the results of my HCG. Meanwhile, I have been having major bathroom issues and have not been able to go w/o assistance. Not going has been causing major pain on my left side. I was in a lot of pain on Tuesday night, bought some softeners on Wednesday and was able to go and felt relief. I figured I would rinse and repeat on Thursday. Well, I took the pills before I left work at 4pm. I figured since these things tend to work quicker than what the bottle says, I would be ready to go by the time I got home. I sat at my desk waiting for the RE to call and left 15 minutes late w/ no call yet. Half way home I got the worse cramps of my life! I thought my innards were being ripped out. It hurt so so bad. I was cursing the Softeners manufacturer for writing 'cramp free' on the bottle. Shoot, how about crampful!!! I got home and tried to go but no luck. Checked the voicemail from work and my HCG is down to 190. YES!!!!! I go back this weekend for follow-up. So there I am in so much pain DH yelling for me to go to the ER and stubborn me saying no no, I have to give it time to work. And...it never did, so at 8pm i told DH to come on let's go. I could not take the pain any longer. This is why I hate ERs. You wait, and wait and wait and wait and did I mention you wait? Finally got to see the triage and she is so focused on my eyebrows and other things, she has to repeat questions and retake my temp. Thank goodness the wait to go back in the ER was not so much after I seen her. I had to tell them I had an ectopic and was still m/cing. Everyone I encountered in this place kept focusing on that. Hello, I can't go to the bathroom people. I told them I just seen my doc for the ectopic this morning and told them my lining and HCG. But nope everything was focused around this. Finally I dosed off waiting for the ER doc not the nurse and when the nurse came into to the room to check vitals she put some pressure on my stomach which caused pain and the urge to urinate. I went to the bathroom and O-M-G. The pain was unbearable. It hurt when I went, it hurt from the pressure. I walked back to my room and told DH to find the nurse. At this point I was screaming and yelling b/c the pain was so bad. I know DH was embarrassed. Finally the doc came and I had to explain it all over to him. Why don't these people just get it I need to use the bathroom. He told the nurse to give me some pain meds which worked immediately as it was via IV. But I could still feel the pain from when I urinated. They sent me for an u/s and this tech was the first one that actually let me see the screen while he was working, and he talked to me about what he was doing...usually in the ER they keep the monitor away from you. So he said he had to check my kidneys first. And then he checked my ovaries. He said that the right one had a cyst on it, and the left was extremely enlarged. The fact that it was so large could be causing it to push against my bowels make it so hard for me to go. So I went back to my room where I found out that our u/s are not read by someone in the hospital, but sent to Australia to be read. WTF!! This meant more waiting. At about 5am the nurse came in w/ this bottle of stuff for me to drink...I was getting a CAT scan. She said my white blood was high indicating an infection, but they don't know where. Oh, great! It takes 2.5 hours to drink this stuff b/c i had to drink 8oz every half hour. At 730am I go for my CAT scan. I go back to my room and sleep and at 12 noon my OB/GYN comes in to tell me that....there is a 7mm mass on the left side and they are not sure if it is attached to my ovary, they are not sure if it is part of the ectopic. So I explained to him a 7mm mass would surely cause my HCG to be higher than 190 and he agreed. He said he will resend me for u/s and then make a determination....at this point one of my options is for him to go in and he may have to remove ovary and tube. OMG!!! I just want to poop!!!!! I am going nuts and I start crying. He leaves to order the u/s. And guess what....I poop!!!!! I think him wanting to take my ovary and tube literally scared the sh*t out of me. I go for my second u/s and this lady keeps the screen from me and she hurts when she is doing it and i just feel like kicking her. I go back to my room and a few hours later comes the ER doc to tell me that the u/s does not show the mass only the CAT Scan, but to follow up w/ my RE and GYN. Does she mention my poop, no. So I do, and she tells me to take softeners...O-M-G I did and guess where that landed me woman!!!!! It is 3pm I have been in the ER since 8pm the day before have not eaten, have barely had any water and I am so ready to just get home. The pain had eased up. I am wondering if this mass they seen on the CAT scan was not just my poop?!?!?

Feeling so great that the pain has let up, I get up and go take a shower on Saturday and what do I do?? I twisted my back causing my Siatic nerve to pinch. Can I just catch a break?? Huh? Can I????

Monday, November 24, 2008

...

HCG from Saturday was 1100. He said after the D&C and went down and then platued. So I got the Methotrexate shot on Sunday. I go back in a week or so.

Please let this end already.

Saturday, November 22, 2008

And the saga continues...

I know I know I know I have not been around. I needed and still need time away. I felt it’s time I update all that has been going on, not only to keep for my record, but so that my supporters know I am still alive and well.

I spotted from October 19th – November 5th. My appointment after my hospital episode was November 6th. My lining was 29mm and my HCG was 7400 UP from 3500 two weeks earlier. That was not good. I took 6 Cytotec pills, vaginally, that night. I had a horrid, horrid, night. I barely slept. I was in pain and passing loads of clots. Went in the next day November 7th and my lining had dropped to 15mm and my HCG was 6200. I went back November 10th and my Lining was 16mm and we did a D & C. It was painful, done right there in the office, I was not under. My HCG was 4400. Went back on the 12th and my lining was still thick 16-17mm. I didn’t get my HCG for that day. On November 14th, I woke up with a lot of pain. By the time I got to work and used the bathroom I passed a silver dollar size drop of blood, not a clot as it was bright red. All day I was passing smalls bits and pieces. When I got home that night and used the bathroom, I felt something…when I got up and looked in the toilet it was about 2-3 inches long. I was scared. I thought of calling my DH, but since he gets totally grossed out by all things vaginal, I didn’t. I pondered taking it out, but I had nothing steril to put it in, and didn’t know what to do with it. So..I flushed it. Later that night, I told DH and he got mad that I did not call him. Since then, I have been bleeding, like a medium AF. It has been very mucousy. I also have developed extreme constipation.

And this brings me to this mornings appointment. My lining this time was 9mm. I am so glad it’s coming down. They will call me later to tell me what my HCG is at. The RE is already talking about starting again after the new year. I am scared. We are going to do another HSG, since the D&C did not reveal anything in the uterus and the u/s sometimes shows something near the right tube. He said it’s nothing in danger of rupturing, but wants to make sure the tube is ok before we go on. I was actually going to suggest another one before we started anyway. I am also going to start taking Baby Aspirin to thin my blood. I had my wonderful u/s Tech today ( during all that I typed above she was not my u/s …the ones that I was working w/ must not know how to find ovaries and stuff in a fat chick…they were hurting the heck out of me). She said that the chart shows my Ovaries were hiding last time, but she was able to locate them w/ minimal pain. I love her!!! She is so informative. She talks to me about everything she sees. She’s be doing this for 34 years she said. She told me that the previous u/s showed a large amount of blood by my cervix (yea thanks to the other tech for sharing that bit of info w/ me), but my cervix looks tons better now. I am assuming the mass I passed last Friday was what they were seeing on the u/s. I will update again once I know my HCG.

I am sorry I have not commented on your blogs. I am reading them and keep each and every one of you in my thoughts and prayers.

Tuesday, October 28, 2008

See SPOT run, see SPOT hide, see SPOT again

So that's all I have been doing for 1 week 2 days...spotting. I have not actually bleed yet. My boobs still hurt which makes me think that my progesterone has not gone down even though it was 9.6 a few weeks ago. I stopped my supplement last Monday. The spotting is driving me nuts. I just want this over with.

Thursday, October 23, 2008

Medical Mystery aka Where's Waldo?

Monday afternoon I went to the ER b/c of spotting and sudden cramps on my left side. I was there from 3:30pm-10:30pm and was then transferred to another hospital b/c this one did not have ob/gyn services. Why did it take them 7 hours to tell me this? They should have told me that the moment I told them I was pregnant. At the first hospital they took blood and did u/s. I was told they were having trouble reading the u/s. I felt like telling them to let me see, I can tell them if there’s a baby in there or not. So finally this doctor comes and tells me that w/ a BETA of 5400, they should be able to see something and since they can’t and I am having the pain on my left side, they are going to transfer me to another hospital that should be able to see if it’s ectopic. I was so mad that they kept me for so long. Once I was transferred, I had blood and u/s done again immediately, and again, nothing on the u/s. I was told that they are going to admit me. Since nothing was seen on the u/s again, they may have to do laparoscopic surgery and check the tube. I didn’t want to lose my tube.

So, Tuesday morning a total of 4 doctors came to see me, all at different times. I had to keep answering the same questions. They could not understand why I was taking a diabetic medication if I was not Type II, they did not understand why I was on Prometrium for my low progesterone. They thought it was ectopic too. They were going to give me Methotraxate, but wanted to wait since they knew it was a wanted pregnancy. I kept telling them to call my RE. The doctor said he did not have privileges in this hospital. I know that!! I didn’t want you to call him so he can come see me, I wanted them to know what happened…and hopefully b/c ya’ll are stumped he could tell you what to do!! The one doctor kept asking me if I had invitro I said no, and explained my cycle again telling him I had an IUI for better chance. They just didn’t know!! And it frustrated me to no end. I was told that my BETA went down to 4500 so they are going to keep me another day and watch what it does. Now, I am not a doctor, but you are telling me my BETA is going down, what is there to be stumped about, I am having a miscarriage. I kind of felt like they were giving me false hope, when I knew it was already over. They sent me for another u/s. The u/s tech told me to tell them to stop sending me, that I was too early, that I may have miscalculated when I conceived. I told her that I had a monitored cycle and I could tell her w/in a few hours difference exactly when I ovulated, I am not off in my days. She said I had a lot of cysts, and free fluid (due to being hyperstimmed), but still nothing in or out of the uterus. So, I stayed and waited. Meanwhile after not having much pain all day, it became excruciating that night and always on my left side. I was so scared it was ectopic and my tube was going to burst. The pain eventually subsided again.

The lady doctor came back Wednesday morning and said they were going to run another BETA and based on that make a determination. This was 7am. BETA drawn shortly after. And I waited and waited and waited. Meanwhile, I am not bleeding heavy, just mostly spotting. Only feeling pain if I move a certain way or when I get up to go to the bathroom. Hubby comes to see me and finally at 3pm the doctor comes back. She says that she just spoke to my RE (YAY!!) and since nothing is found on the u/s I have already passed the baby. My BETA is 3500. I am having a natural m/c. And to follow up w/ my RE in 2 weeks to have my levels checked. We are not sure yet why I m/c again. I think it’s stress related. I can’t seem to keep calm, work issues, home issues w/ my step son, and the whole OMG I am going to lose this baby and checking the TP every time I go to the bathroom thing. And there’s the progesterone issue.

Hubby and I decided we are going to take a break. 2 m/c within 5 mos is too much for us. We have waited 10 years, what’s a few more months…right? When I see the RE in a few weeks I am going to discuss going on BCP b/c I don’t want another 21 day bleeding episode. I am going to take advantage of the gym my job has opened and try to lose some weight too. After the New Year when my heart and body are healed, we will try again.

Thank you all for your thoughts, prayers, and love.

Monday, October 20, 2008

5w6d

Will I ever make it to an u/s where I can see a bean???

Started bleeding red yesterday, DH wanted to see if it would stop like my other spottings did. Well, it's not heavier, but it's not stopping either. I am going to the ER so they can tell me what I already know...I am a baby killer.

Why does this keep happening? How can you be above 40 on progesterone and a mere 5 days later shoot down to 9.6??? I just don't get it. I was foolish enough to think this was the one ...shit my beta was 442!!!!!! We were worried about multiples...now....worried if we have one survivor in there. Doubt it.

I am lost.

Thursday, October 16, 2008

5w2d

Thank you all for your kind words.

I was supposed to go in today, but b/c of what happened on Tuesday I went then. Now have to wait until next Thursday. I hope I make it that far.

No spotting and no cramping to report. Seriously can't find anything to eat that won't make me gag.

This site says that P4 in the first trimester could range from 9-47.

Progesterone levels also can have quite a variance at this stage of pregnancy. They can range from 9-47ng/ml in the first trimester, with an average of 12-20ng/ml in the first 5-6 weeks of pregnancy.

With both hCG levels and progesterone levels, it is not the single value that can predict a healthy pregnancy outcome. It is more important to evaluate two different values to see if the numbers are increasing. Levels of hCG should be increasing by at least 60 % every 2-3 days, but ideally doubling every 48-72 hours. Progesterone levels rise much differently than hCG levels, with an average of 1-3ng/ml every couple days until they reach their peak for that trimester. In situations when there is a concern of an ectopic pregnancy or miscarriage, hCG levels will often start out normal, but will not show a significant increase or will stop rising all together, and progesterone levels will be low from the beginning.

I know...I am looking for any and all hope that when I go back my baby or babies will be ok.

Wednesday, October 15, 2008

5w1d

I had a scare yesterday at 5w. I woke up to pink spotting. It lasted from 5am to about 8am. I went in to see the RE and had b/w and u/s. Lining is still thick, 13mm, which he says is good, but still nothing on the u/s to see. Bad news is my P4 dropped from greater than 40 to 9.6. My Beta is 1200 which it should be around 1600 if doubling every other day. I just don’t know what to do. I have not had anymore spotting and am now taking 200mg of prometrium twice a day. I can’t do this again. The doubling time is 3.5 days.

I have been put on 100% pelvic rest. And must keep my feet up when I am home and at work no lifting or walking if I don’t have to.

Thursday, October 9, 2008

16dpo ~ Beta Results

I waited all day for their call!!! They normally call after 3pm EST. I called them at 3:45pm and said...listen I know we are supposed to be patient and wait but I am at the edge of my seat here. The receptionist said that the nurses were discussing todays cases with the doctor and should start making calls soon.

So...drumroll please...BETA is



442!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!


progesterone greater than 40!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Tuesday, October 7, 2008

14dpiui - Official Test Day

It's still a BFP!!!

Photobucket

The one on the bottom is from today.

Monday, October 6, 2008

13dpiui

Here is my play by play of the weekend…

On Friday aka 10dpiui I took a $store test in the AM, the line was only one sided and I don’t know if it appeared in time, b/c I went to sleep. On Saturday 1:45am I took another $store test and this time the line filled the entire space, but it was barely there. It appeared w/in 10 minutes, but I had to turn certain lights on hold it at a certain angel and open the cartridge. At 1:50pm Saturday, I took another test, this time you could see the line…still very faint, but didn’t have to strain as much as with the first one. I told DH I needed to go by some real test before I drive myself nuts. So, with my $2 internet coupon and $3.50 CVS extra bucks, I got 2 FRER test. I went to the bathroom in the 1am hour of Sunday aka 12dpiui and there was some pink spotting. I wanted to die. I came out of the bathroom and said to DH, it’s over before it even begins. He just said huh, I said never mind and tried to go to sleep. Of course, I had my moments of OMG it’s implantation spotting, but when I look at other charts it usually happens at 8-9dpo. At 5 am I went to the bathroom w/ my FRER, peed in a cup, but before dipping the stick, I checked the TP and there was nothing there …PHEW!!! So, I got a very noticeable second line, not as dark as the control line, but visible enough that I did not have to hold it a certain angle or under a certain light and it showed up w/in the time frame. Throughout the day I was freaking and praying that I would not get any more spotting. I didn’t get any pink on the TP, but my CM looked yellowish, I have never seen that before. I am so scared I will go to the bathroom and see pink. I did not test this morning. I have one more test and I am saving it for tomorrow morning aka 14dpiui.

Part of me wants to be excited, but part of me is so scared. I don’t have any symptoms. My boobs don’t hurt except for the occasional tenderness of the nipple. I have been sick as a dog with a cold all weekend. And then there are the WHAT IFs. The biggest one being…what if it’s still the HCG Booster….and the second biggest…what if there is no second line tomorrow.

I am going nuts here!!!!

I will post a pic of the test when a buddy from work gets in w/ their camera

phone.

Sorry it's so blurry it's the best we got.

Photobucket

Wednesday, October 1, 2008

8DPIUI aka 2DP2500IU of HCG

So, DH didn't want me to buy test, b/c the RE said to wait 8 more days. Well, while in the $store the other day I said I was going to buy some so that I could see when the HCG booster left. DH was totally against it. So what does a POAS addict do to get her fix. She tells DH after work yesterday to take her to the $store. So he goes to find a parking and I say why are you parking you don't have to come in. LOL He was happy enough so he just waited curbside. I went in and bought 5 test and hurried and put them in the back seat.

What happens when you POAS with a $store cheapie @ 8DPIUI aka 2DP2500IU of HCG, you ask?!!? You get the faintest of faint lines. That's good right...that means it is leaving. PHEW!!! Now for the scary part, what if ...you know...what if...that second line....doesn't show back up???!!!??? I am so scared.

On the boob front, still got some soreness, not as much as the past two days. The extra soreness could have been b/c of the booster shot.

My next test, will I get a 'Period Pimple' tomorrow. During June and July's 2ww, I got a pimple at 9DPO.

QUESTION~A Beta HCG is measured in mIU/ml and the HCG shot is measured in IU. So how many mIUs are in an IU?? Would 2500IU = 25mIU??

Tuesday, September 30, 2008

7DPIUI ~ 1 Down 1 To Go

I felt awful last week, the bloatedness, heaviness, achyness, did not go away until Sunday. But now that I had my 2500IU booster of HCG yesterday, it is back. Not as bad as when it started, but it's noticable.

I had an u/s and I have some fluid by the Left Ovary. They are not as big as they were when I was about to O. Had b/w done as well, and my P4 was 25.9. My P4 when I got a +Beta was only 11.9, so I hope I hope I hope.

For the last few days I have been having cervix aches if there is such a thing. All I know is that I have become very aware of my cervix and that has only happened once before, but I refuse to say when. >wink<

I must say I was frightened to wake up this morning. During my 2ww in June and July, my boobs stopped being sore around 7/8DPO. So far so good. PHEW!!!

Thursday, September 25, 2008

Signs All Around Us

Ok has anyone watched Final Destination? Well, if you have you now it's all about following the signs.

Here are mine:

April cycle(BFP m/c) ~ call about LH surge 4/21, IUIs 4/22 and 4/23.
Sept cycle ~ call about LH surge 9/22, IUI 9/23
***Both months have 30 days in them.

April cycle ~ U/S after first IUI preformed by Mary.
Sept cycle ~ U/S after IUI preformed by Mary.
***These are the only two times I have EVER seen Mary!

April cycle ~ Tested on 5/7/08
Sept cycle ~ Testing on 10/7/08

April cycle ~ Started a pain in the arse project at work.
Sept cycle ~ Started Part 2 of this same project at work.



I know I know I know I am reading to far into this....I know it.

2DPIUI ~ I can float!

I feel so bloated I think I would float on my own like a bouy. Tender, achy, sore. More noticable when I walk and move in bed.

Called my Nurse b/c I read (and also got confirmation from a former patient of my clinic) that the booster HCG shot can worsen OHSS. She said to keep my appointment and they will do an u/s and based on that and how I am feeling determine if I get the booster or oral progesterone. I asked if I get a P4, she said yes, P4, E2 and Beta!!! I didn't think to ask, but I guess the beta is to see how much of the first HCG shot is left in my system. LOL I was just excited at the word Beta!

Wednesday, September 24, 2008

Give me Space(s)

Why doesn't blogger want to add the spaces between paragraphs??

CD 14 ~ It's raining...spermies!!!

My CD13 levels:

E2 ~ >2000

P4 ~ 1.56

LH ~ 38.9

My Final Follie Count:

Right ~ 23mm, 22mm, (2)15mm, (2)16mm, 12mm

Left ~ 25mm, 17mm, 15mm, (2)14mm, (2) 13mm, 12mm

IUI stats:

Pre-wash ~ 48 million, 35%

Post-wash ~ 58 million, 45%.

I was given the option to go back and do another IUI today, but I opted for BDing in the AM on and again on Thursday to have my bases covered.

I go back Monday for the booster shot of HCG. I asked if the booster is in place of progesterone and he said yes. I am at risk for OHSS. Was told to drink loads of Gatorade and eat soup. Salty stuffs. I can tell you shortly after the procedure I started to feel bloated! I am tender, not from the IUI, in the abdomen. I have to walk slow so it doesn't bother me. I started feeling things going on in my ovaries yesterday morning.

And guess what, this is the earliest I have ever O'd. I hope, I hope, I hope.

Monday, September 22, 2008

So, like, um...I AM SURGING!!!!!!!!!

How??? OMG!!!!!!!!!

The nurse just called and said my E2 is over 2000. They are mature and I am ready. OMG am I ready?? So I have to take 2 of the 4 cc's of HCG as soon as I get home. IUI is set up for 1pm tomorrow.

Thought, prayers, and dust.... please?!?!?

CD13 Yowsa!!!!

My levels from CD8:

E2 ~ 180
P4 ~ .43
LH ~ 5.57

My Follie Count for CD 13:

Lining: 11.7

Right ~ 13mm, 12mm, 12mm
Left ~ 14mm, 14mm, 13mm, 12mm, 10mm, 10mm, 9mm

Where the hell did they all come from????

So the plan is to do 2 more days of 150IU of Follistim. Go back on Wednesday, trigger either Wednesday night or Thursday night and one IUI on either Friday or Saturday w/ some BDing thrown in there.

I got the selective reduction talk. He said he ideally would not like for me to carry more than twins. I am a fluffy gal, I know I could not manage more than twins. I know it's such a difficult decision to make. I am personally on the fence. I would not like to harm my babies in anyway by trying to carry too many, nor would I want to basically abort any of them. I don't mean to offend anyone with that last statement, I know it's got to be the most painful decision to make and I hope to God I never have to make it.

Is it too early to be getting uber excited? I hope not, b/c I am STOKED!!!!!!

Wednesday, September 17, 2008

CD8 - Things-a-Brewin'

Had my RE appointment today. I have a 7.2mm lining. I don't get it, on CD3 prior to the heavy bleeding and clotting, my lining was 7.8mm, how could it have only gone down .6mm after what I just experienced??

I have 3 follies on the Right side that are being watched - 11mm, 9mm and 8mm and 2 follies on my Left side that are being watched - 7mmX2. I have an 18mm follie with irregular borders that was there on CD 3 as well. We are ignoring that one. Funny thing, I Usually O from my Left side and it seems Righty is doing pretty good this time around. The last time Righty had a follie I got a BFP.

So, I will be doing 150iu of Follistim for 5 more days and I go back on Monday w/ my HCG shot. Now, this could all change based on the B/W. So, we'll see.

I also took a peep at my CD3 blood work…

E2 - 37.0

P4 - .2

FSH - 5.3

LH - 4.8

What do you think??

I looked it up here FertilityPlus.

CD3 E2 levels should be between 25-75 - Levels on the lower end tend to be better for stimulating. Abnormally high levels on day 3 may indicate existence of a functional cyst or diminished ovarian reserve.

CD3 P4 levels should be <1.5>Often called the follicular phase level. An elevated level may indicate a lower pregnancy rate.

CD3 FSH levels should be between 3-20 - FSH is often used as a gauge of ovarian reserve. In general, under 6 is excellent, 6-9 is good, 9-10 fair, 10-13 diminished reserve, 13+ very hard to stimulate. In PCOS testing, the LH:FSH ratio may be used in the diagnosis. The ratio is usually close to 1:1, but if the LH is higher, it is one possible indication of PCOS.

CD3 LH levels should be <7>A normal LH level is similar to FSH. An LH that is higher than FSH is one indication of PCOS.

I think I am doing good..huh?? So why no baby yet!!!!

I called the pharmacy this is the price quote I got for Follistim:

300iu $382.80

600iu $765.60

900iu $1148.40

I was given a 300iu and 600iu in the beginning by my RE, and now I was just given 2 - 300iu. $1914 worth of meds. I can't afford that each month. Dam this better work.