Sunday, December 07, 2008

Transfer Day - Fertilization Report Day 4

Today was the big day for us. We went into the clinic, me toting my full bladder, for the embryo transfer. We had two "great looking" embryos put back. They were at the morula stage, which is exactly where they should have been today. Above is a picture of a morula stage embryo (image kindly borrowed from the web). We still have 3 or 4 more embryos that continue to grow and divide, so there is a good chance that we will have some to cryopreserve. They will call us on Tuesday with the final cryo report.

I am now at home starting my two days of bedrest. I can sit up, but my legs must be up and stretched out on the couch. I am not allowed to do any cleaning, lifting, vacuuming, nor anything of the like, during my wait for my pregnancy test. Matt is already taking great care of me...he is out getting groceries and buying more wood for the woodburning stove.

I must go back to the clinic this week (Thursday?) for blood work to check my progesterone levels. They want to make sure they are at the appropriate levels to sustain a pregnancy in case I am pregnant. I then go back on December 17th for the official beta HCG pregnancy test. So, lots of excitment prior to the holidays. That day is the same day that we will hit the road for Chicago. If I do get a positive pregnancy test, I believe they would have me do follow-up HCG tests at a lab in the Chicago area. We will see when and if it comes to that!

Below are pictures that were requested by my friends. I went out shopping yesterday for an outfit for transfer. I knew that I wanted the "grow" t-shirt, as it is only appropriate for supporting our embryos as they come home. Well, I ended up getting the full gear for bedrest, too (socks and sweats...and the scarf to get me to and fro the clinic). So, friends..enjoy!

Thanks again for all of the support and encouragement during this cycle as it has meant so much to both of us. And, keep us in your happy thoughts and prayers over the next 10 days! For now we are thrilled to once again be at the stage that we have our minis back "home", and we can just sit back and hope for the best!

Saturday, December 06, 2008

Fertilization Report - Day 3

Well, I am "stuck" at home today while everyone else is out at the Army v. Navy football game...boooo! Still, I know it was the right decision for me to stay home and rest. I am feeling better again today, but I get pain in my ovaries when I go to sit down or stand up. A little tender with walking still, but overall...I am in much better shape today!

Received the daily embryo update from the nurse, and we have SIX that continue to divide and grow. We are set for our embryo transfer TOMORROW at 10:15am. My instructions are to empty my bladder at 8:15 am and then drink 18 oz. of water at that time. We are to arrive at the clinic by 10 am. We will probably be transferring back two embryos. I am hoping that we still have some good ones left over to freeze...3 to cryopreserve would be great. Wishful thinking never hurt, right? All I know is that the minis will be "home" tomorrow. I will be on bedrest all day tomorrow and all day on Monday. After that, I can resume all normal "light" activities. Sadly for Matt, though, I will not be allowed to vacuum!

We will update everyone tomorrow after transfer and also when we get a cryo report! Send some happy thoughts our way...

Friday, December 05, 2008

Fertilization Report - Day 2

The nurse called just a minute ago, and ALL SEVEN of our embryos continue to divide and grow. That is FANTASTIC news! We know that we will NOT be doing a three day transfer, which is great! When they call tomorrow they will have a much better idea when transfer will be. We know that it will take place either Sunday or Monday for sure.

I take my last antibiotic today, and I also started with the crinone (progesterone) gel and the medrol (anti-inflammatory steroid) this morning. The crinone gel will be used every day until the pregnancy test. With a positive pregnancy test, I would need to continue the gel through the 12th week (something we have sadly never seen before). The steroid is just a five day course. I can tell you that it tastes horrible! I need to remember to take it very quickly as to not have the taste left on my tongue! The gel and steroid are both taken in addition to my daily prenatal vitamin. Estrace will be added the day after transfer.

I am feeling better today. Not great. Not my usual "normal" self. But, better! I will take that for now. I am guessing that I will be in good shape by Sunday. Sadly, I think that I will not be attending the Army / Navy game tomorrow...the game that we have been looking forward to for so long. I just don't think I will be comfortable enough standing / sitting / walking for that amount of time. Matt and I think it would probably be best for me to stay relaxed in a warm environment. (Sigh)

And, so we continue on....

Thursday, December 04, 2008

Fertilization Report - Day 1

Still having a bit of a rough go this time around. My arm hurts, but I think the swelling has gone down for the most part. I am having bad aches and pains, I did not sleep well at all, and I am just trying to muscle through. Nothing that I am feeling is out of the realm of the common or ordinary, but it still doesn't mean that it is fun. Onto the good stuff, though...

My IVF nurse coordinator Kat called, and she said that of the 11 eggs that were retrieved, 7 fertilized normally. They had one that fertilized abnormally, so it is "out". There is still a chance that one or two more could fertilize late, and there is always the chance that a few could drop out of the race altogether. So, we wait again until tomorrow's report. Seven is a good start, though, so we are feeling optimistic at this point. We are hoping that the embryos continue going strong so that we will qualify for a 5 day transfer on Monday. That will mean things are looking good, and it will also give my body more time to heal prior to the transfer.

Wednesday, December 03, 2008

ER Day

Just stopping by for a minute before I lay back down. They were able to get 11 mature follies / eggs today. I will get the fert report in the morning to see how many fertilized. Feeling a little rough. They had a problem with my IV...anesthesiologist had a tough time finding a vein. He eventually did after about five tries. Well, when he went to "put me to sleep" I wasn't feeling anything, and my arm hurt. Turns out the IV wasn't really all the way in my vein, so a ton of fluid just went into my arm. He had to start a fresh IV in my left hand. Anyway, my right arm is all swollen with fluid now and feels sort of funny. Can't wait for that to clear up. Even though they gave me anti-nausea meds, I ended up feeling sick when we got home. Barely ate a half bowl of soup and then just slept for 2 hours. Doing a bit better now, but still in some discomfort.

Actually, starting to feel sick again...so, must go..

Monday, December 01, 2008

Monitoring Appointment #3 - Triggering Tonight!

I went in for my third (and final) monitoring appointment this morning. I guess the upped dose of Follistim did the trick, because I will be "triggering" tonight. I do not know exactly how many potential follicles I have, but my best guess would be a minimum of ten. There is still time for more to grow and mature, so we just never really know what we will get until the day of retrieval. When the nurse gave me all of my instructions today, though, she said that this was a "good" cycle...whatever that means!

I must set my alarm for just before midnight tonight, because the Ovidrel (triggering meds) injections must be given at an exact time. I must give the injections AT midnight because my egg retrieval is scheduled for noon on Wednesday, exactly 36 hours after the trigger. The Ovidrel will help the follicles reach maturation points and then be ready to be released (ovulation).

Starting today, I must take a five day dose of an antibiotic. I am now done with the lupron (suppresion) and Follistim (stimulation) injections. Yay! I am not allowed to eat or drink anything after midnight on Tuesday, given that the ER is done under light anesthesia. On the day of the retrieval I will take a pillow, blanket, and warm socks with me(they really are patient friendly at this clinic!). I also have to take some additional meds with that will be administered via my IV (one is an antibiotic due to my history of endometriosis and adhesions / the other is an anti-nausea med). I have to arrive at the clinic on Wednesday at 11:30am. Matt must be there for his "big show" (sperm collection) and to drive me home. We will be there for at least 3 hours. It is a big day...and it is now right around the corner!

The date of our egg transfer (ET) will be dependent upon the number of follicles that fertilize and produce embryos, and then how those embryos are progressing. If we have a decent amount of embryos that are progressing normally, then we will be able to do a 5 day transfer. If there are not a lot of embryos that survive and progress well, then a 3 day transfer will be in order. We will just have to wait and see how it all unfolds.

Friday, November 28, 2008

Monitoring Appointment #2

Early morning RE appt. the day after Thanksgiving! It is nice because Matt has the day off and was able to go with me. The best news is that I had my regular RE today, and he was able to quickly locate both ovaries. I have at least 7 medium size follicles that are looking good, and at least 9 other follicles that have the ability to catch up. Dr. Van Deerlin feels that we will have a "good harvest". He is upping my Follistim dose in hopes of getting the smaller follicles to grow, grow, grow! Of course, I do not have enough meds to get me by...and the specialty pharmacy is "closed" today...so, I am hoping that we can still work out a delivery of my refills by Monday. That would certainly be nice! I am waiting to hear back from my IVF nurse to see what the protocol is in this situation. I am sure it will be fine.

I go back to the RE on Monday morning for more monitoring. We are getting closer. I will trigger in the first half of the week (probably) and should be having ER by the end of the week. This could all change on a day to day basis, though, so stay tuned!

Tuesday, November 25, 2008

Monitoring Appointment #1

Today was my first monitoring appointment after starting the stims. I would like to tell you exactly how well or how poorly things are going, but I truly do not have a clue! The RE measured three follicles less than 8mm in my right ovary, although there were other smaller ones around that he didn't count / measure. He rooted around for about 5 minutes searching for my left ovary, but he was never able to find it. Fun, huh? TRUST ME when I say that it was not for a lack of looking for the damn thing. He pointed out my uterus (the lining is at about 6 right now, which is good). He pointed out the blood supply to my right ovary. He pointed out the right ovary. He "swept" the wand (as much as you really can, since it is an internal u/s) straight across from my right ovary, and he pointed out the blood supply to my left ovary. And....still, no left ovary. He pointed out my intestines. That was pretty much it for the show. This is only the second time that a RE or tech has not been able to find an ovary of mine. Apparently the large intestine can get in the way??? Who knows for sure. I know the ovary was there the other day when I had my baseline done! I am sure it will be "back" next time. So, for now, the RE is just guessing that I have at least 6 "measurable" follicles. When you can't find the follicles, guessing is all you can do!

I will know more once my blood work results are back this afternoon. The b/w measures my E2 (estrogen) levels. It will give a clearer picture of whether or not I am responding appropriately OR slowly to the stims. If I am on track, then I will just continue with 150 IU shots of Follistim every evening. If I am responding slowly, then I will probably have to up my dose of Follistim. Regardless, I am scheduled to go back on Friday morning for my next monitoring appointment. Hopefully it goes better than this one, and hopefully we have some good results!

UPDATE: No phone call from the nurse = no change in meds. I can only assume that all is on the right path at this point. I will continue at 150 IU nightly injections of Follistim and return to the clinic on Friday for monitoring.

Friday, November 21, 2008

Hoops and Hurdles - Let the Real Game Begin!


Well, we are finally here! I had my RE appointment this morning where they did b/w and u/s. The u/s showed that my uterus is fine and that both ovaries are still free of cysts. I have a minimum of 14 "follicles in waiting". These are all the reserve follicles that will be "stimmed" by the meds. I will begin my 150 IU follistim shots tonight. I will go back on Tuesday of next week for monitoring (b/w and u/s) to see how things are progressing. From that point, the monitoring will really pick up.

Above is a picture of the follistim "pen" that is used for dosing and injection. It comes with a pre-filled cartridge, and I just have to dial-up the correct dose, attach the needle, and shoot up. I am thinking that I will use my thighs for these shots, since I have already been doing all the lupron shots in my belly. This will give more surface area with which to work.

Wednesday, November 19, 2008

Hoops and Hurdles

Not much to report, but today I did drop down my lupron dose from 10 units to 5 units. One step closer to stims! Friday is coming....

Saturday, November 15, 2008

Hoops and Hurdles


Done with BCPs! Finally! Continuing on 10 unit shots of lupron every morning for the time being. Slowly, but surely, getting closer to the "real steps" of IVF.

Added note:
I have been doing lupron shots for one week now. On the day of my u/s appt. the nurse gave me my initial lupron shot, just as a demonstration for the IVF nurse coordinator in training. I have one bruise on my stomach. That bruise??? You guessed it...from the shot the nurse gave me! You would think she would be better at giving shots than me, but it seems that I am just a pro at this point! ;)

Monday, November 10, 2008

Florida, updates, and what-not


Matt and I are back from our Subaru sponsored trip to Orlando, FL. We had a GREAT time! We were given multi-day passes to both Universal Studios and Islands of Adventure. We took full advantage of both parks by riding several rollercoasters (Doctor Doom's Fearfall, The Hulk, Dueling Dragons), going on interactive rides (The Simpsons, Spiderman, Men in Black), taking a "river trip" with an unexpected drop (Jurassic Park), and experiencing what a real tornado might be like (Twister). The first night we had a group dinner at Jimmy Buffet's Margaritaville. The food was great, and the entertainment was a blast. They hired caricature artists to draw pictures of anyone who wanted them...or anyone who was coaxed into having one done (which would be us). Ours turned out really well (as you can see above), and we plan to frame it and hang it in the basement. Matt's brother Scott and his wife Renata came up from Tampa on Friday afternoon to join us for lunch at the Hard Rock Cafe. Good food and drinks there (Twisted Mac n' Cheese. Yum!). On Friday night we had an excellent meal at The Palm restaurant with one of Matt's dealers and his wife, in addition to Matt's boss and his family. The poolside at the hotel called out to us on a few occasions, as did the beachy drinks that they offer (Purple Haze...mmmmmmmm). On our last night, we were taken to see the Blue Man Group at Universal Studios. It is an amazing and highly entertaining show. It was better than we could have even imagined. We finished the evening off with a meal that included: lobster mashed poatoes served in martini glasses, sushi, beef tenderloin, pecan encrusted grouper, salads, a lobster pasta, and a dessert bar with cheesecake and pound cake served with a variety of fondue sauces. WOW! I think I gained five pounds with that meal alone! Well worth it, though.

We are back home now and back to the real world. Today I had my appointment at the RE's office for my u/s. My ovaries are both clear of cysts, and they are showing about 17 follicles under 10mm just hanging out. My uterus looks good. All was fine and right as usual. The IVF nurse (and an IVF nurse in training) reviewed with me all of my meds for this cycle. I started with my first lupron injection this morning, and that went off without at hitch. I will proceed with these shots throughout the majority of my IVF cycle. As of today, I only have 5 more BCPs to take...yay! On November 19th I drop down my dose of lupron from 10 units to 5 units. After that, my next appointment with the RE is scheduled for November 21st. On that day I will have my baseline u/s and b/w and will then begin stims shots. It was nice to have had that little FL getaway prior to all of the chaos of IVF really starting. I think we are very relaxed and prepared...so, bring it!

Tuesday, November 04, 2008

Friday, October 31, 2008

Meds are being shipped!

It is all starting to feel real again. Aetna called this afternoon to say that all of my authorizations have been finalized, and they are ready to ship my meds. They will all be arriving tomorrow. Now we can enjoy our trip to FL without anything hanging over our heads. Once we are back...the crazy ride begins! Well, at least another part of it.

Monday, October 27, 2008

The Official M & M IVF Season Begins!

Well, we are finally here again. Time to start up the maniacal IVF process. It all begins today. Here is a timeline / overview of how things will go:
  • Monday, October 27: begin taking BCPs
  • Monday, November 10: appt. at SJFC for u/s. begin lupron shots once a day. bring all meds to appt. for instructions and shot demonstrations. (waiting on Aetna to call this week to finalize med order and have them delivered prior to this appt. but not during our trip to FL...fun!)
  • Saturday, November 15: last BCP taken
  • Friday, November 21: u/s and b/w appt. first "monitoring" appt. start stims shots this evening, and continue with lupron shots.
  • Monday, November 24: beginning this day, monitoring appts. will be every to every other day to see how follicle growth and hormone levels are progressing.
  • Monday, December 1: ER (egg retrieval done under a light sedation / anesthesia) will be during this week. the date of ER is dependent upong monitoring and follicle progress. male partner provides "sample" at this time to be used for fertilization. crinone gel use is started for female partner the day after ER and is used to supplement progesterone production to help sustain a pregnancy IF one occurs.
  • Monday, December 8: ET (embryo transfer after fertilization and embryo development occurs) will be done around this time. it will occur 3, 4, or 5 days after ER (dependent upon how many eggs fertilize and how the embryos are progressing). ET is followed by 2 days of bedrest to help increase chances of implantation (sorry, but it is for the female partner only!)
  • 7 days after ER b/w is done to check progesterone levels (must be adequate to sustain a pg IF one occurs)
  • 14 days after ER b/w is done to check beta / HCG levels (official test for pregnancy)

Thanks to everyone for your support and encouragement during this process! We appreciate it, as always!

Sunday, October 26, 2008

Hoops and Hurdles

CD one has finally arrived! I need to call the IVF Nurse Coordinator at SJFC tomorrow morning to get my BCP prescription called in. They will also inform me what day I need to start the pills. During the first half of next week I will be waiting for a call from Aetna specialty pharmacy. They will be finalizing the ordering of the rest of my meds for my IVF cycle and then shipping them out. That is where things stand for now!

On a completely random and unrelated note, but to save "post time", I am adding a link to some pictures from the early fall. We forgot to share the pics from our trip to OSU for the Buckeye football home opener!
Here you go: OSU photos

World Series 2008 - Game 3



Well, it wasn't rained out...although it came awfully close! We arrived at the park close to 7pm and waited in the car until there was a break in the torrential downpours. At our first "break" we ran for the park and headed for cover. We passed the rain time drinking Coors Light under cover with 45,000 of our "closeset friends". Finally by 10pm the rains had stopped and the festivities and game got under way. Can you say late start?!?! Oh well, it was worth the wait just to be a part of that fan crazy Philly environment. What a sports town! (I say that as both a good and bad thing, as Matt and I were actually "booed" earlier in the day at Costco just for wearing Ohio State clothing.) The rains never came back, and the full game was played. The Phillies started strong with a couple of homers early in the game. That lead did not hold, though, and the Rays came back to tie up the game 4 - 4. In the bottom of the ninth, luckily, the Phillies scored an ugly run that won them the game. Nobody ever said winning had to be pretty! So, the Phillies currently lead the series 2 - 1. Game 4 is tonight, and we will be watching that one from the comfort of our living room.

Here is a link to the rest of our photos from the game:
World Series 2008, Game 3

Wednesday, October 22, 2008

Another Hair Cut...

Well, one of these days I really will grow it back out again. I keep threatening that, anyway. I went in and had more cut off today, though. I am happy to report that the damage has mostly been cut out of my hair at this point. I really just needed to have it thinned out and have some shape put back into it so that I COULD actually grow it again. I think I am there...for now...maybe...




Tuesday, October 14, 2008

Hoops and Hurdles

Well, another hurdle has been cleared! We HAVE been approved through Aetna to do our IVF cycle at SJFC. What a relief! Now we just wait for SJFC to submit the paperwork to get authorization for the meds. Once that is done and authorized, SJFC can order the fertility meds through Aetna's own specialty pharmacy. So far, it looks like we are still on track to start the BCPs and lupron with my next cycle toward the end of the month.

Updated note: I spoke with the IVF Nurse Coordinator at SJFC. She said that I need to call them on CD1 of my next cycle, and they will call the prescription for the BCPs into a local pharmacy. It will be two weeks from that point in time to when I start the lupron, so during that two weeks they will coordinate with the Aetna specialty pharmacy to order the rest of my necessary meds and set up an estimated timeline. Aetna will then ship the lupron and all the stim meds for my IVF cycle directly to me. Simple enough, I guess. All I do now is wait for my CD1, which should be sometime around the 26th of October.

Wednesday, October 08, 2008

A Good Taste of the Blues - shared by Matt


I had a unique experience this week as I attended a private jam session performed by Buddy Guy, one of the greatest Blues legends of our time. Buddy was in Philly this week to record a live session for WXPN, a local radio station. I was invited by my friend Brian Cavalucci who works with Subaru's ad agency, Carmichael Lynch. There were less than 100 people invited to this event. Seats were right in front of the stage and Buddy came out and jammed for just over an hour. Of course, that description does not do it justice. Buddy doesn't just simply jam. His songs tell a story, and, between songs, he tells stories. He speaks of influencing Clapton and Hendrix and jamming with Muddy Waters and Howlin' Wolf..all legends in their own right. Buddy is a legend, and certainly of a different time, and I am honored to have met him.

The following is an excerpt from his website. Enjoy!

“He was for me what Elvis was probably like for other people… My course was set, and he was my pilot
- Eric Clapton

Any discussion of Buddy Guy invariably involves a recitation of his colossal musical resume and hard-earned accolades. He’s a Rock and Roll Hall of Fame inductee, a chief guitar influence to rock titans like Hendrix, Clapton, Beck and Vaughan, a pioneer of Chicago’s fabled West Side sound, and a living link to that city’s halcyon days of electric blues.

Tuesday, October 07, 2008

Mystic Reunion 2008

A fabulous time was had by all at the latest reunion held in Mystic, CT. Although we "talk" to each other every day, it is still so great to spend time together in person. We went out to eat, played games at the hotel, went out to eat some more, hung out at the hotel, went out for dessert....well, you get the idea.

Here are some pictures from our weekend.

(front:Leslie, Karen, Betsy, Marie, Michele, and Adrienne / back: Megan and Allie)

(PJ party)

(Catchphrase is fun!)

(back: Marie, Allie, Betsy, Karen, and Megan / front: Michele)

Friday, October 03, 2008

Hoops and Hurdles

Matt and I had our blood drawn on Monday. Results were all "normal" and good.

I had my trial transfer (uterine measurement), pelvic cutlures, and my sonohysterogram (SHG) today. I won't get results of the cultures for a week or so, but I can only assume that will be normal. If it comes back that I have a STD...Matt would have some explaining to do! The rest of the tests were normal, normal, normal. No fibroids in my uterus. No scarring of the uterine lining. Nothing abnormal in uterusland at all.

As long as all the insurance stuff gets submitted and approved, we are on track to do the BCPs and lupron with my next cycle in late October. After that, we would be doing the IVF cycle itself in late November / early December.

Tuesday, September 30, 2008

Reunion...Year Two

It is soon coming upon the second "reunion" that I have planned with my other fertility warriors. Those who know me well know that I have been conversing for a few years now on a support forum for people suffering with infertility issues. I have become close with two particular groups of women over that course of time. Last year, I took a leap of faith and agreed to meet up with a fairly large group of these women that stretch from all walks of life. I guess that certain struggles in life give you focus, courage, and a sense of self...at least they did for me. I felt empowered to meet these people, as if they were sisters in some sort of secret club that it took a certain degree of suffrage and challenge in which to be included. This is a special group of people.

On this second reunion we will be once again meeting in Mystic, CT. So many of us hail from the East coast (even more so now), and this seems to be a centralized location for most. We have no special plans. We have no special motives. We simply come together to be reunited in our common ground of struggle, perseverance, strength, faith...

Not all of the group is capable of making the trip, as we stretch from as far as Trinidad and Australia. Others simply do not have the time, nor the economic means to make the trip. Once again, we will all be there in spirit. Some of our group are examples of success stories, in that they have achieved the coveted end of parenthood. Others are success stories in that they have stared down the evil of infertility face to face, and they did not succumb to defeat...even though they might never be parents. Others still suffer on the road to an unknown end. In it all...through it all, we lean on each other for support.

I look forward to this adventure (as my husband so lovingly calls it, a "retreat") again this year. These women hold a special place in my heart, as only those who have walked in our shoes can truly understand the separation, anxiety, emptiness, strength, isolation, empowerment...and all the other random emotions that we feel at any given time. We welcome support and empathy in any form in which it is received...but it truly means so much coming from those who have drudged the path that we continue to travel. See you soon, friends....

Sunday, September 28, 2008

Hoops and Hurdles

Hoops and Hurdles is going to be our new "update" section. Anytime you see that title...it will just be a brief update on another hoop jumped through or hurdle jumped over on our track to IVF.

Matt had his semen analysis, and we just received the results on Friday. His sperm concentration came back at 207 million. 187 million were motile (moving), which translates to 90% motility. This is read as a "normal" semen analysis...but we think it is better than normal...we think it is pretty great! Matt especially. He claims the state of NJ is going to hold a parade in his honor because his results were soooo good.

Matt and I will both be going for our required bloodwork on Monday.

Matt and I both have to start a required course of antibiotics (Z-Pak) on Wednesday. We only take the five day dose, and we are done.

I will be going into SJFC for all of my other testing on Friday: uterine measurement / trial transfer, cervical cultures, pelvic ultrasound, and sonohysterogram.

Results of all testing will be posted when as we receive them!

Thursday, September 18, 2008

Calendar Coercion

It is an intricate and delicate choreograhpy of multiple items that needs to take place in order for our calendar to be appropriately coerced into suiting not only our social and work lives, but also our upcoming IVF cycle. I have been diligently working on this routine for the past week, and I have certainly made some progress. Things are decidedly falling into place, and I am amused that I have become so good at feeling out and setting up this process. Perhaps bemused is a better description. So many things need to happen at the exact "right times" in order for us to be able to: get all of the screenings done, get the appropriate approval for the IVF cycle, entertain friends coming to town, attend a class reunion, take a company trip to Orlando, AND enter the IVF cycle prior to Christmas. To those on the outside, it might not seem like this would be overly difficult to achieve...however, there is always SO much involvement, not only for the testing portion of all of this but also for the IVF cycle itself, that it can be a daunting task.

I received a call from Kat, the IVF nurse coordinator at SJFC, and she will be helping me to work through and choreograph this process. She had to wait until she had all of our information back from the billing department before she could call me and start the planning. Billing interfaces with the insurance company in order to find out what hoops we all need to jump through while on this course. The billing department notified Kat that in order to even get the ball rolling for the IVF approval process, Matt and I both need to have our infectious diseases bw done, Matt needs to do his SA, and I have to have cycle day (CD) 3 bw done to test my FSH levels. However, in order for Matt to do his SA, he first has to have a referreal from our primary care physician (PCP). See how this starts to get complicated? Well, that is just for starters!

My next cycle is coming up...and in order to move forward with an IVF cycle prior to the end of the year, I would need to have ALL of my RE required screenings done with this upcoming cycle. So, I asked Kat if this was feasible and possible. She said that I need to be sure that I have approval for all of the screenings, so Kat referred me to the billing department. The billing department "thought" that I would be covered for all of the testing, but they recommended that I call Aetna just to be on the safe side. So, I called Aetna...and lo and behold...I am covered for all of the screenings. Several hours and phone calls later into this mission, I now had answers! As long as SJFC can fit me into their schedule, I will be able to complete all of my tests with my upcoming cycle..and this DOES keep us on course to do ER and ET prior to Christmas. It also would allow us to keep all of our committments that we had penned on the calendar prior to reentering the world of IF and IVF.

For those of you who are well-versed in the world of IF and expect these miniscule details, or for those of you who are just simply interested, this is what is in store for this cycle:

  • SA for Matt
  • infectious disease panels for both Matt and I
  • blood typing for Matt
  • CD3 bw for me to test my FSH and E2 levels (ovarian reserve)
  • pelvic evaluation for me, to include: uterine measurement (trial transfer), cervical cultures (to check for disease or infection), and a pelvic u/s to check ovaries
  • sonohysterogram for me: they will inject saline solution into my uterus through a catheter. they will then use transvaginal u/s to check the uterus for abnormalities (fibroids, tumors, scar tissue, etc.). this will reveal whether or not there is anything in my uterus that could affect implantation or that could cause m/c

Once all of this has been accomplished, AND we have received our approval to do the IVF cycle...the treatment part will actually begin. It can be a dizzying venture, but for old pros like Matt and myself...these pieces of the venture are just simple and necessary evils.

Tuesday, September 09, 2008

Not our first rodeo

Altogether true. Wholly, an understatement. We have been here many times already and have thus far been quite disappointed. Each time is always full of new hopes, anxieties, and excitement, as we allow ourselves to dream just a little. Not too much that a defeat will knock us down and not allow us to get back up, but just enough to make the effort worth it. Each time is filled with a new bit of cynicism, too. We are wounded but not ultimately defeated.

So, to the rodeo we travel once again. I think going back into treatments is somewhat bittersweet. As much as we enjoy the prospect that maybe this time will be THE time, it is hard not to be a wee bit apprehensive. We have been enjoying just being a couple, doing the things that couples do when they aren't worried about black clouds hanging over their heads. Starting this process once again throws us into a whirlwind of unknown and sometimes unexpected emotions. We now have to start planning ahead, changing plans to fit into or around any upcoming cycles. Everything starts to be affected by what we will or may possibly be doing on a given day or during a given week. Everything is affected by how things will or may end up. Some people who haven't walked in similar shoes, albeit unintentionally, start to tread lightly around us because they just have no way of fully understanding. None of this is easy, but ALL of this IS outweighed by the potential reward. We cling to that. We have to.

Today was in someways a "kickoff" to all of the above. I had my initial consult with South Jersey Fertility Center (moving forward, known as SJFC). I met with my new RE, Dr. Van Deerlin to discuss our fertility history and our fertility future. Dr. Van Deerlin was extremely sincere, thorough, and likeable. He made a point to memorize our history prior to coming in to speak with me. This was impressive and the first time that an RE had really put forth such an effort. It was refreshing. The recommended treatment our RE proposes is quite simple: IVF. Getting to that point is a little bit stickier, but it will happen. Here is what things look like for us:

  • Matt needs to see our PCP in order to receive a referral for a SA
  • Once the referral is in place, the SA will be done at SJFC
  • I need to contact the IVF Nurse Coordinator to get set up for all of my screenings. She will need to coordinate all authorizations and approvals with Aetna.
  • We will both need to repeat testing that we had done in the past, namely the infectious disease screening (for HIV, AIDS, Hepatitis B and C, measles, etc.)
  • Starting with my next cycle, I will have a plethora of things that need to be done: pelvic evaluation, uterine measurement, cervical cultures, a
    sonohysterography (which checks for uterine abnormalities), and day 3 FSH and E2 bw

All of this will take at least one cycle to complete, so it will be at least one to two months before we will even begin the actual IVF cycle. The cycle will be a straightforward IVF cycle. Nothing too fancy. Nothing too new. Much more on the actual IVF cycle will be noted once we get closer to that time.

So, we have unofficially blown the dust off of the cowboy boots and are ready to climb up on that bull and get back in the ring. Hold onto your hats...rodeos can be rough...

Tuesday, September 02, 2008

Red Tape

As usual, there is always red tape to get through in the infertility world. I finally looked into what needed to happen for me to be able to make a consultation appointment with the Reproductive Endocrinologist. I first spoke with a lovely woman on the Member Services line for Aetna. She answered some very general questions for me regarding all of our coverages, referrals, referral processes, and more. She could not offer me any detailed information regarding infertility coverages, though. Luckily, Aetna has its own dedicated Infertility Services department / line for the state of New Jersey. See, NJ is a "mandate state" for infertility benefits. Go, NJ!!!

The woman I spoke with on their dedicated IF line was VERY helpful. Imagine that...a helpful benefits representative! She walked me through the entire process. I need to get "authorization" from the HMO in order to go for the initial consult. The rep handled that over the phone through a brief, yet detailed interview. I am now approved and authorized to go for a consultation AND to have the South Jersey Fertility Center put me through a "monitoring cycle". This cycle will involve bloodwork and ultrasounds in order to show that all looks good and that I am ovulating. After this cycle, the Reproductive Endocrinologist will decide if any more testing for Matt or me is necessary AND / OR what the next treatment steps would be. When we get to this point, all authorizations will be applied for by the RE's office and approved (hopefully) by Aetna. I will personally be out of the red tape loop!

So, our consultation is now scheduled for Wedensday, September 10th at 3pm. I will be seeing Dr. Van Deerlin. I scheduled this appointment, of course, on the only day that Matt was not available. Given that we are "old pros" at this game, we decided it didn't matter, so I will be going solo.

Here is what I learned today about our GERNEROUS coverages:
* UNLIMITED lifetime IUI cycles (artificial insemination)
* Four lifetime fresh IVF cycles (includes past covered attempts, so we have 3 left)
* UNLIMITED frozen embryo tranfers
* diagnosis, treatments, and related meds are all covered

* cyropreservation is NOT covered
* PGD is only covered on a case by case basis, and at this point I would be denied

All in all, looks really great!!! Aetna also uses a "less before more" approach, so you have to exhaust less invasive and less costly treatments before you will be authorized for more invasive and more costly treatments. Given that I have already been through 4 IUIs (not to mention IVF and FETs), the rep from Aetna thinks I will be have no trouble getting approved for IVF right off the bat. All that needs to happen is the RE's office has to fax over my past IUI cycle information / results to Aetna so that they can review them and hopefully approve them (aka:"behind the scenes" red tape). No big deal.

That is the scoop for now.

I am including in this post some general abbreviations for amateurs in the world of Infertility (IF). This will be the last post in which I write out all the big words...just takes too much time, and, after all, this is MY WORLD...you are just visiting it!!

IF = infertility
tx = treatment
dx = diagnosis
RE = reproductive endocrinologist (aka, fertility specialist)
IUI = intrauterine insemination (aka, artificial insemination)
IVF = invitro fertilization (eggs removed / fertilization with sperm in petri dish / embryos grow / placed back into uterus)
PGD = pre-implantation genetic diagnosis (testing of embryos for chromosomal abnormalities prior to being placed back in uterus)
b/w = bloodwork
u/s = ultrasound
pg = pregnant / pregnancy
BFP = big fat positive (positive pg test)
BFN = big fat negative (negative pg test)
OV = ovulation
OPK = ovulation predictor kit (at home)
endo = endometriosis
m/c = miscarriage
s/a = semen analysis
POAS = "pee on a stick" (home pg test)

If we think of any others moving forward, I will try to fill you in!

Stay tuned...

Wednesday, August 27, 2008

A chopping we will go....

Hair chopping, that is. I finally took the plunge and had all of my hair hacked off. I needed to get rid of all the damage from the unfortunate color mishap that took place back in CO. There were also some funky layers left from my last haircut in CO, and it all looked disconnected. So, I am starting from scratch to get my hair healthy so I can grow it back out again. Oh the joys of being a woman...

Sunday, August 24, 2008

Housewarming




Matt and I had our first housewarming party. I now live closer to some of my friends that I met through the fertility support board, and they came out to spend the afternoon with us. It was nice for Matt to finally be able to put faces and names together, and it was fun having the husbands all there. A great afternoon, and we can't wait to do it again! I look forward to having more parties at the house to really "break it in". It certainly is feeling like home now for both of us. The area / location just could not be any better for us, and we look forward to sharing more of our new adventures as they take shape. I am sure there will be oodles of them knowing us.


Monday, August 04, 2008

Our New Home - Slideshow now available

Hello there! I have finally taken photos of our new home and compiled them into a slideshow. Instead of embedding the show on this site, I am providing you all with a link to our web album. This way you can see and read all the captions, too. Once you click on the link below, it will take you to the web album of our house. On that page, simply click on the "Slideshow" button...and it will do the rest! I hope you enjoy it!

Matt and Megan's new home

Thanks for stopping by!

Thursday, July 24, 2008

House is SOLD...now living in South Jersey

So, for those who might not know, our house in Colorado is sold. We closed on it last week, so we are down to owning just one home. (Thank you Travis for your help with the closing!!!!) Whew! That makes life a bit better and easier to handle. Now we are in Haddon Heights putting together our new home. We are getting there! The main floor is completely put away, set up, and decorated. The upper level is a work in progress, but we are close! The guest room and master bathroom are complete. The office is Matt's project, but it is at least halfway done. The master bedroom is decorated and is not too far from being complete. At least all the boxes are gone! That is a start, and certainly not bad for one week's work!

I will take pictures of the house once it is all done, and I will post a link to our Picasa web album.

Batman LOVES his new yard and screened in porch. He thinks squirrels and chipmunks are the coolest toys ever! If only he could catch them. He has nearly ripped my arm off a couple of times while going for a jog in the morning...stupid squirrels!

Matt is back to work after his relocation period, but it is great just getting to see him every night and every weekend! Woo hoo!

Outside of that, not much to talk about. We will be enrolling in our new benefit program this week, so we will have fertility benefits again. Guess we will be exploring that sometime in the near future. We will keep you up to date as we move forward!

Sunday, June 29, 2008

Aruba, Jamaica...oooooo, I want to take you to Bermuda, Bahama...

Ok, so it was only Aruba...but we will take it! We just enjoyed the most fabulous "vacation", generously provided by Subaru. It was a part of a sales contest / reward trip for the Subaru dealers, and Matt got to go as the RSM for the Mid-Atlantic region. We stayed five days / four nights at the Marriott Renaissance Marina hotel. This hotel has its own private island! This private island also just happened to be the location for Timbaland's (music industry mogul) big wedding! There were up to 300 people invited to this wedding. It is rumored that the following were actually at the wedding: Mary J. Blige, Missy Elliott, Beyonce, Maddona, and more! Most of his guests were staying at our hotel, and the day after the wedding we just happened into conversation with Timbaland's uncle (Marcus) at the pool. This uncle is also the president of Timbaland's record company. Marcus' girlfriend, with whom we were also speaking, is a fashion / wadrobe person for network TV. She does a lot of work on Mark Burnett shows (as well as others), and she just recently spent time at fasion week in Paris. So, yup...just hob-nobbing with the rich and famous as usual!

One of the highlights of our trip was a half day snorkel trip which inlcuded three snorkel stops (lots of tropical fish, a shipwreck, and more tropical fish), lunch, and the ever-importatnt open bar. What a blast!! And, you just can't believe the color of the water in Aruba. It is surreal.

In addition, we also went on a submarine ride. We went as low as 132 feet under the water. We got to get even better views of all the underwater life, the corral reefs, and the shipwreck. We were lucky enough to sneak a peek at an eagle ray (huge underwater creature!) and another smaller ray, as well.

We had two amazing meals. One was at The Flying Fishbone. They actually set up tables out on the beach and serve you dinner while watching the sun set. AMAZING! Another great meal was at Pincho's. This restaurant sits on stilts out in the water. You walk down the pier over the water to get to the restaurant. Everything is open-air seating directly overlooking the water.

Lots of pool time, drinking time, shopping time, casino time, etc. Exactly what a trip should be!

For the picture slideshow of the trip, feel free to visit our web album:
Matt and Megan's Aruba trip

Now (sniff, sniff) I am back in Colorado, and Matt is back in New Jersey. We are both in earnest preparation for our big move to Haddon Heights. Must get in gear to finish all the chores! I will be sure to post more after we have settled in!

Wednesday, June 11, 2008

Updates!

To start things off...I lied in my last blog. Not intentionally, but I did. We are moving to a gorgeous little home in Haddon Heights, NJ...but it is 78 years old, not 40. Sorry!

I finally got to see the house for myself one day prior to closing. It is an oldie but a goodie. Very charming with a plethora of unique features. Certainly not cookie-cutter! It will be interesting living in an older home since we have always lived in new homes...but I am excited about it!

I gave notice to my employer on Monday. My boss is sad, which is nice...if she were happy then I probably had not been doing my job very well! My cube mate ("officle" mate") would like to kill me, but she will get over it in time. My last official day with Great West will be July 3rd, but I have made myself available on the 7th and 8th for training purposes / emergencies. We will see how it goes. The rest of my group (and hopefully my other boss and his region that I support) will find out tomorrow.

I just whacked all of my hair off again. Super short and funky just suits me, I guess. I keep going back to it, so it must!

Matt and I will be going to Aruba with Subaru in about a week and a half. Submarine ride and other fun adventures are planned! Yay! I am looking forward to that for sure. After that...it is practically move time. It is wonderful to think about living with my husband again, and it would be even more wonderful had we already sold our house in CO. Oh well...it will happen one day.

That is the scoop for now! Thanks for checking in!

Sunday, April 20, 2008

Here we go....again!

Here is a picture of our new house in Haddon Heights, NJ. Gorgeous 40 year old home with a BEAUTIFUL yard. Batman will be thrilled!

For those who don't know (which there can't be many), Matt has accepted a new position as a Regional Sales Manager for Subaru of America. He is overseeing the Mid-Atlantic region for the company, so he is based out of Westampton, NJ. He is in charge of a team of District Managers, and has responsibility for sales at 96 dealerships in the region. This is a big job, and a great challenge for Matt. So far, he is loving it.

We are still trying to sell our house in Parker, and we are hopeful that that will happen soon. I am staying back in CO until we have a contract on the house. During that time I continue to work at Great-West as a Corporate 401(k) Sales Assistant for the Southeast region. The job is fine, I have a great co-worker, and the money is a big help.

No other big news for the moment, except we will have fertility benefits again after the move. NJ is a "mandate" state, so we will actually have fertility benefits covered at 100%. Not sure how many IVF attempts that gets us, nor do I know if they cover PGD...but something is certainly better than nothing!

Wish us luck in selling the house and in yet another new adventure (this one appears to have lasting power)!!!!!

Sunday, March 09, 2008

We have great neighbors!!!

We really really do. Our neighbors Ken and Ginger coordinated a 1970s themed Murder Party. There were four couples total, and we each had an assigned role. The players: Polly Esther Stuffincupp, Manny Baritone, Belle Bedham, Knight Feevah, Brady Bunsch, Angina Palpatori, Vinny V. Divichi, and Chaka Moon. Matt played Vinny,and I played Chaka Moon. Turns out that I was the murderer! Bad me! Anyway, the party was a total blast, and the theme was taken so seriously that Pabst Blue Ribbon was even being served. Nice!

A link for some photos of the evening follows, enjoy!

http://www.picasaweb.google.com/ritter911


There are now actually two albums from the party on the web page now. One is for the pics that Matt took, and the other (take two...) album is the pics our neighbor took. They are probably the best ones....OMG....way too funny!

Thursday, February 07, 2008

Interview # 2 - Job Offer

Well, I received a call for a second interview. I interviewed yesterday with a Regional Vice President for the company, and it went really well. He told me that some of the answers I gave were the best that he had heard yet. He also mentioned that I had a really good personality, seemed fun, and would fit in really well. He told me that he would give me a "thumbs up" to the hiring manager. At the end of the interview he noted that they had done first interviews with 45 people already, and I was one of four people brought back for a second interview. Of the three other people, one of them was not hired.

Well, the good word was put in, and I was offered the job today. So, being in a group of three people chosen from 45 candidates is not bad at all. I will take it! The starting pay is decent, and the company seems really solid and employee / family-focused. I will start my new position (Sales Assistant for Great-West Life and Annuity, FASCore Division)on Monday, March 10th. I will be giving my two-weeks notice to the school on this coming Monday. I am allowing myself a two week break prior to starting back to work full-time. I deserve that, right?

Outside of that...not much to report. We are all doing well. Skiing has been ultra-fantastic. Dog is goofy. Husband is handsome and lovely-as-ever. Life is good!

Wednesday, January 30, 2008

Interview

Well, I have an interview for a fulltime/ "real" job. It is scheduled for Friday at 2pm. Should take about an hour. Not going to get into all the details, because if I don't get offered the position, or if I don't take it....what difference does it really make? I am very well prepared. I have done my homework on the parent company as well as the specific division with which I am interviewing. I have an updated resume and references prepared. I have a company / job specific cover letter ready. The company application has been printed and filled-out. I even typed up a list of questions to ask the hiring manager. If nothing else, I am a good little interviewer!

Outside of that, just going skiing this weekend and having a small SuperBowl party (think chili-cookoff). Fun!

More posts as anything interesting happens....

Sunday, January 20, 2008

Not much going on....

I know we haven't posted anything for awhile. I guess there isn't a lot to post about. We are still loving life here in CO. The skiing is fantastic this year...powder, powder, powder. It has been a beautiful winter, and we always seem to have some snow on the ground. Not a bad sight to see.

I am still working at the elementary school, although I am not sure what I really want to do at this point. I may look into going full time, either at the same school, or at another school in the district. I also might try to get a corporate full time gig. Who really knows. Mostly I am looking for an opportunity to make, and therefore save, more money. More money will allow us to be able to attempt IVF with PGD. So, we will see what happens.

Batman is still the best dog in the whole wide world (completely unbiased statment, I assure you).

Looking forward to a new year with new prospects and possibilities!!! Well-wishes to all!!!!

Sunday, December 02, 2007

IUI Failed...no big suprise

So, another attempt and another failure. Not a big suprise to us given the odds of success that we were given, but still not a happy thing for sure. I think we have decided to not do any more IUIs given that the more you do without success, the worse your odds become of succeeding. I feel it would be somewhat foolish and irresponsible to spend a $1000 here and there just to give us a sense of hope from time to time. I feel we are better off trying to save the $21,000 that it will take to do the fertility treatment that all of the REs recommend for us (IVF with PGD). Given the amount of money it will require to even try, it will be a VERY long time before we move forward with this process....we'll see when we can actually make it happen. Time is not going to be kind in this equation since after the age of 35 (for women) the odds get worse. Oh well. We will continue to try on our own in the interim and hold onto hope for our chance at a miracle.

Monday, November 19, 2007

IUI

Well, it is all done with. The IUI took place this morning. This wasn't the greatest IUI cycle for us by any means. It wasn't horrible, either. I had two follicles which should have been mature by the IUI today. Our sperm count was a bit low, especially compared to all of the other cycles we have done. They want a washed motile sperm count to be at least above 5 million for IUI. Our final washed motile count today was 7.6 million. An ideal count for IUI would be between 20 and 30 million, although anything above 10 million is pretty good. So, our chances are not the best for this cycle to have worked....but then again, things have never worked out great for us, so this wouldn't be any different. At least this cycle wasn't too invasive or too expensive. I will have a progesterone check in one week. Outside of that, we just wait and do a HPT in two weeks to see if we are pregnant or not. Stay tuned...but don't get too excited...we aren't...

Saturday, November 17, 2007

IUI Update

RE appt. for monitoring on Friday was a bit disappointing. I only had one large follicle...and one smaller one. I was told to shoot up one more ampule of menopur and come back on Saturday for more monitoring.

Well, today (Saturday) is of course Ohio State / Michigan game day. Matt ended up dropping me off at the doctor's office for my bloodwork appt. at 7:30am and my u/s appt. at 8am. He left from there to go to the Ohio State alumni bar...he needed to secure parking and then a seat for us for the game. The bar was opening at 8am. Well, while he was doing that, my appointment went just fine. I now have two good follicles for my IUI. After my appointment I had to call a cab company to come get me and then drop me off at the bar. Nurse called and left a message. Apparently my estrogen is high, so they are having me do my IM trigger shot tonight. My IUI will then take place on Monday morning (36 hours after the shot). Well, after all of that....BUCKEYES WIN!!! So, all in all, a very good day. Oh, the things we go through in an effort to start a family AND for the love of football!

Saturday, November 10, 2007

New Dress / Updated 'Do





This was before going to the CSU wine tasting event at the historic Oxford Hotel in Lodo. Finally found a stylist who knows how to deal with my hair...she can bust a thick wig like no other. So, my hair is all cleaned up and shaped properly for the first time in about 6 months. Matt and I had a great time at the event downtown. Very fun! On a separate note...already experiencing hot flashes and extremely vivid dreams thanks to the clomid. Only my second day on it, too. This will be fun for sure!

Thursday, November 08, 2007

IUI - November 2007

The baseline ultrasound took place today. Perfect as usual. All is quiet on the uterine and ovarian front. I received all of my prescriptions today, and things kickoff tomorrow. I will start the clomid tomorrow (taken cycle days 5 through 9). Two pills once a day...total of 100 mg each day (hot flashes, moodiness, and other side effects go along with this med). On cycle days 9 and 10 I will do one ampule of menopur (one subcutaneous shot each day in the belly). I go back one week from tomorrow for monitoring: bloodwork and u/s. Turns out that I will be doing a trigger shot, and unfortunately it will be an intramuscular injection (think huge needle / butt shot). Just one IM injection isn't too bad, though. So...here we go. Wish we were more excited, but this time we are just sort of going through the motions because the IUI is our cheapest option. Stay tuned....riveting, I know!

Sunday, November 04, 2007

Happy Halloween 2007

Haven't updated for a little while. Not much to share, I guess. Just living life in beautiful Colorado. Thought I would put a couple of our Halloween pics on the blog for fun. Batman was an awesome sport, per the usual. Such a good boy!



Thursday, October 11, 2007

Gambling in Vegas...or the equivalent of it in the IF world

So, after really no thinking at all, we decided NOT to do the IVF with genetic embryo testing. $20K is way too much money to spend on a possibility. We just aren't into flushing that much money down the toilet at this point. Not sure we will ever be into that, actually.

Dr. Surrey at CCRM told us that in our case doing an IUI would be like gambling in Vegas: the odds are certainly stacked against us. We figured, using his analogy, that there are also circumstances where people beat the odds and win big. So, that is what we are going to do....gamble.

We are all set to do an IUI (with injectables) cycle in November. My biggest hope at this point is that it does not affect the travel that Matt has scheduled for that time. It will be within days of his planned trip, so we are cutting it close. At Kaiser, though, they do not do IUIs in December....and I plan to travel to Chicago in January. It is now or not for quite some time. We chose now.

Here is the rundown:
  • call the clinic on CD 1
  • go in anytime prior to CD 5 for ultrasound and bloodwork
  • take clomid on CD 5 through CD 9
  • do injections of either menopur or repronex (FSH) on CD 9 and CD 10
  • go in on CD 12 for ultrasound and bloodwork
  • wait for natural LH surge (no trigger shot for this cycle!)
  • after surge is detected, schedule IUI for the following day (I think)


  • We are not putting a lot of faith or hope into this cycle working. We do know the odds. Even if it does work, I would have at least a 30% chance of another miscarriage. We are willing to take all of the chances, though, because an IUI cycle will only cost us about $1000. I like betting in small amounts.....

    We will keep you posted. This cycle will be completed prior to the Thanksgiving holiday. Keep us in your thoughts and wish us luck. We could use some....

    Thursday, October 04, 2007

    Appointment with Dr. Surrey at CCRM

    So, we really didn't learn anything new. It was basically what we were expecting. Our best option (and the one Dr. Surrey is recommending) is IVF with genetic testing of embryos prior to putting them back. PGD costs about an additional $4000. They are also doing a study right now at CCRM on a new genetic testing procedure where they test all the embryo cells for all the most common abnormalities. This testing would take 3 to 4 weeks, so all the embryos would have to then be frozen for a later transfer. Because it is a study, it would only cost an additional $1000 (versus the $4000 for PGD). Sadly, they don't discount the cycle itself. You don't have to pay for a full FET cycle, but you still pay for the transfer. He would have us repeat a TON of testing (including FSH...which I JUST DID!), in addition to doing some new sperm tests. All in all, a cycle would cost us at least $20K. Hmmmm...doesn't sound so great to me! Dr. Surrey said even if all the embryos turned out to be bad and we couldn't do a transfer, at least we would have one answer.....yeah, for the low low cost of $20K. Not bad!

    Dr. Surrey equated us doing an IUI cycle with gambling in Vegas. It COULD work, but the odds are certainly against us. Yes, but at $1500 a pop, it seems like a nicer bet to take! I think dh and I have decided to do an IUI through our carrier /doctor(Kaiser) in November. I am going to ask him about taking baby aspirin and steroids just as a precaution going into the cycle. If it doesn't hurt, why not?

    Anyway, that is the state of the union. His only thought on the miscarriage issue is that it is just bad luck with chromosomal abnormalities of the embryos. Each cycle / batch is different, so we still have hope. No second thoughts on my endometriosis, except he doesn't recommend another surgery, which is good.

    So, there ya have it!

    More to come down the road, I am sure......

    Thursday, September 13, 2007

    Happy Anniversary to Me!!!!

    Well, yesterday (September 12th) was our 4 year wedding anniversary. Yay! I celebrated the occasion by taking Matt out to dinner at Maggianos in the DTC (Denver Tech Center). Great wine, food, and company!

    Matt one-upped me for sure with his present....we are going sky-diving on Saturday!!! We will be sky-diving with Mile-Hi-Skydiving in Longmont. We will free-fall for approximately one minute at 134 mph. Wow! There will be views of the mountains from where we drop. I have wanted to do this forever, so I really cannot wait! We will update with photos/ video when we can!

    On a completely different note, we are going to see a specialist at CCRM on October 4th. Dr. Surrey is an internationally recongnized researcher / specialist in endometriosis. He also works for the #1 fertility clinic in the US. Not bad. If nothing else, knowledge is power. We are looking for insight into our miscarriage issues / the possiblity of success with additional IUIs or other tx. We shall see. We will update after our consult.

    In addition, I am leaving on October 5th to meet up with my other "Infertilty Warriors". For the partakers, we are SUPERSTARS AND SURVIVORS! You all know who you are, and I love you dearly! I can't wait to meet you in Mystic, CT!!!!!

    Onward and Upward!

    Friday, August 17, 2007

    Truncated version of the letter sent to the Oprah Show

    The Oprah Show wants to know what you have to say in 2000 characters (including spaces) or less, so this is what it had to be:

    Part of me will be forever empty without being able to create and bear a child with the man I love. In 4 yrs. my husband and I have done 3 rounds of Clomid, 3 IUIs, 1 fresh IVF cycle, and 2 FETs. I have been pregnant 3 times through treatment, but have lost all 3 pregnancies. When the proliferation of what I am feeling at a certain moment seems overwhelming, I have to remind myself every day that I am nowhere near alone in my suffering. I am one of a countless number of women or couples who have similar stories. Infertility does not discriminate, and it is surely not kind. It affects people of all races, ages, religions, and socio-economic backgrounds. Look at ANY face that you encounter in your life on any given day, and that could be the face of infertility. I attribute my “survival” to my husband and a special group of women whom I have never met face to face. We were all brought together by our similar circumstances and found each other on Fertility Neighborhood website. We come together because we all know what it is like to be asked every day, do you have children? And we all try to nicely shout out “CHILDLESS NOT BY CHOICE!” We have all experienced the same insensitivities put upon us by others who have not walked in our shoes. We come from the US, Trinidad, Greece, and Australia. We have decided to meet for the first time in Oct. in what we are calling a reunion. The whole group can’t come, but we will ALL be there in spirit. I guess if I never get to realize my dream, I can at least say that I found the silver lining in my dark cloud: my other infertility warriors. I would not have known them if not for my struggles. Sometimes we have to dig deep to find our purpose in life, but this group all believes that we have found this out through each other. Brought together by sadness, but triumphant through the unwavering support that we give and receive every day. We wish for peace for all of us in whatever form it comes.

    Letter submitted to the editor at People Magazine

    Your magazine is titled, People. The title suggests that it actually represents just that, however, the multitude of stories you plaster on your cover aren’t about REAL people. They are about this superfluous group of the upper-echelon of our society that most of us have no real attachment to or understanding of. I applaud the magazine when your do focus on stories which tell about a true cross-section of the real world and give us a glimpse into a life that could very well be our own. Sometimes we want to escape, but other times we desperately want to relate.


    So many recent issues focus on the celebrity pregnancy phenomenon of late. Everywhere you turn a new celebrity is sporting a baby bump. The media makes it seem like getting pregnant and having a baby is so easy and that we all should celebrate along with these stars. You have recently touched on the fact, though, that it is NOT that easy for everyone. The story you shared regarding Martha Stewart’s daughter reveals a harsher reality that a large number of women (and couples) face every day, the reality of infertility. I do respect the fact that the article did shed some light upon the hardships involved, but I still feel that it only began to scratch the surface of what infertility is really like. Martha Stewart’s daughter expresses how lucky she is to be able to go through treatments without dire financial consequences. This is sadly not a luxury most people can easily afford. I also know of all the coverage involving Brooke Shields and her journey through infertility. I do not take anything away from Brooke. She truly did suffer and knows the heartache involved in this process. She represents the situation well. However, she also had the financial freedom to continue pursuing her dream for as long as she wanted or could. She also received her miracles and happy endings. So many do not. If you want to know what infertility is REALLY like, I would love to introduce you to myself and a small group of amazing women that I am blessed to know.


    I write to you because I am one of the suffering. I am one that looks at the pages of magazines every day and wishes so desperately that I could experience the same joys of pregnancy and motherhood that are displayed in every corner of the print and broadcast world. I listen to the lyrics of the song “I Would Die For That” by Kellie Coffey and think….that is exactly how I feel. I (embarrassingly) internally cringe, wince, and feel sad every time I see a pregnant woman on the streets, at the store, or at the gym. I am happy for friends that achieve this dream with or without effort, but also grieve for myself every time since I am not able to share in or relate to their experiences. At this point in my life, it is not in my cards to join that special club.


    I am relatively young (33). I am in excellent health. I have an amazing relationship with my husband. In all of this I am blessed. But, part of me will be forever empty without being able to create and bear a child with the man I love. I suffer from mild endometriosis, but outside of that, there is no explanation for my inability to conceive. I have been through every test under the sun to no avail. I have been through a total of over two years of trying to conceive the natural way. I have been through almost two years of treatments as well. My husband and I have tried 3 rounds of Clomid, three IUIs, one fresh IVF cycle, and two FETs. The amount of shots I have received or given myself is too numerous to tally. I have managed to become pregnant three times through treatment, but have devastatingly lost all three chances at motherhood early on. Suffering from recurrent pregnancy loss or recurrent miscarriage is an added complication to our situation. I have been through all the tests related to miscarriage as well, but once again, there is no explanation for my situation, except for bad luck. Becoming pregnant in the future sadly does not guarantee us a happy ending.


    I cannot even begin to put into words the roller-coaster of emotions that have accompanied our journey thus far. At this point, my husband and I no longer have the proper insurance coverage to pursue more attempts, and we do not have enough rainy day cash to pay for the treatments all by ourselves. And, although we are strong, we are not sure that we have gained back enough emotional strength to try again. We are in limbo. We do not know our fate at this time, but we have to hold on to the belief that we will be given our blessing in time.


    I have to remind myself every day that I am nowhere near alone in my suffering. This sad but simple fact is what keeps me from feeling too sorry for myself, even when the proliferation of what I am feeling at a certain moment can seem suffocating. I am one of a countless number of women or couples who have similar stories. Infertility does not discriminate, and it is surely not kind. It affects people of all races, ages, religions, and socio-economic backgrounds. Look at ANY face that you encounter in your life on any given day, and that could be the face of infertility.


    I have survived my journey to this point by gaining strength through each step and failure, and by knowing that I will be okay in the end, no matter the outcome. I try to hold onto the thought that I was faced with this challenge because I could handle it, where others could not. My marriage is stronger today because my husband and I have a faced all of this together. We share a bond that many others could not truly understand. In our grief and our perseverance we have grown closer.


    My husband is not the only reason that I have come through this with my dignity, my sense of humor, and most of myself intact. I also attribute my “survival” to a special group of women whom I have never met face to face. We were all brought together by our similar circumstances, and by our need to reach out to others who could understand. We have been “by each other’s sides” throughout various parts of our journeys, and we continue to support each other every day. We have all found each other on the Fertility Neighborhood website on a posting thread entitled “Anyone in 2ww – 2007”. We share the good and bad times, and through it all have become great friends. We bring levity to our situations by talking about everyday topics in addition to the common link that brought us together. We come from NJ, MA, PA, IL, MI, CO, CA, Trinidad, Greece, and Australia. Some of us have realized our dreams, while others are still pursuing them. It is an amazing thing that we have found….true friendship and understanding.


    This friendship and understanding is what is bringing some of our group together in person for the first time. We have decided to meet in what we are calling a “reunion”. At least 8 of us will be meeting up in Mystic, CT in October this year. Others are not able to come at the time for various reasons. Some of our friends are continuing treatment and cannot travel. Others do not have the financial means to join us given that they are saving up to pay for their next attempt. Others are living in foreign countries, and it just isn’t feasible for them to make the trip at this time. HOWEVER, we will ALL be there in spirit.


    We come together because we all know what it is like to be asked every day… do you have children? We can share in the sometimes uncomfortable responses, trying to nicely shout out “CHILDLESS NOT BY CHOICE!” We understand members of our group who have a child, but who have suffered for them, and who are currently suffering to have another. We know the realities: you will not automatically get pregnant if you “relax”, you will not be granted a pregnancy just because you have now chosen to adopt, you will not be blessed just because you stopped caring. In other words, we have all experienced the same insensitivities put upon us by others who have not walked in our shoes.


    Some people think we are crazy or too trusting to pack our bags and hop on a plane or drive to a destination to meet a bunch of people we only “know” from the internet. But, I can guarantee you, nobody knows me better than this small melting pot of women. Nobody understands my good days and bad days in a more profound way. I guess if I never get to realize my dream of being a mommy, I can at least say that I found the silver lining in my dark cloud: my other infertility warriors. I would have never known them had it not been for my struggles. Sometimes we have to dig deep to find our purpose in life or to find the meaning of our fates, but this group all believes that we have found those things through each other. We were brought together by misery and struggle, but we triumph through the unwavering support that we give and receive on this special board every day.


    We all hope that by sharing our stories (whether through the support boards, through the media, or just through our interactions with each other) that we will help other people out there who feel they are suffering through this alone. We hope to educate in order to facilitate a better understanding with our “fertile friends” out there. We wish for peace for all of us in whatever form it comes.

    Friday, July 20, 2007

    CCT Results

    The CCT is now complete, and the results are in. Everything looks really good, and I have a good ovarian reserve (good eggs).

    FSH levels day 3: 6.3
    FSH levels day 10: 4.0

    E2 levels day 3: 26
    E2 levels day 10: 178

    They want the FSH levels to be under 10, and they like to see a decrease in the levels between day three and day ten. The E2 level on day three should be less than 80. On day 10 it should have increased. Mature follicles (right before ovulation) general have an E2 level of 200. With mine being 178, it indicates that I have one follicle near maturation and that ovulation will happen soon.

    Anyway, since our results are good, we are free to continue trying naturally...and we are also candidates to do IUIs (and/or IVF) in the future if we want. All good news.

    Sunday, July 15, 2007

    Clomid Challenge Test (CCT)

    My RE with Kaiser suggested doing a CCT in order to find out if my ovaries are still acting their age. Everything else has been ruled out as an issue, so he felt it only made sense to do this one last thing. If everything is fine with the test, it means that we should be able to continue trying on our own, or with treatment....nothing really standing in our way.

    The test consists of a blood draw on cycle day3, taking clomid from cycle days 5 through 9, and repeating the blood draw on cycle day 10. They are checking FSH (follicle stimulating hormone) and estradiol (estrogen / E2) levels.

    My cycle day three draw resulted in the following:
    FSH level of 6.3 (anything under 10 is promising)
    E2 level of 26 (anything under 80 is a good sign...mine is on the low side of normal, but not probelmatic)

    So, now I am taking clomid (think moodiness, headaches / dizziness, hot flashes). Will keep you posted on the next results.

    Monday, May 07, 2007

    Not much to report....

    Not a whole lot to report on here. Everything is going swimmingly here in C-O-L-O-R-A-D-O. The weather has been a bit sloppy and ugly here the past week, but we look forward to great weather in the week ahead. Last weekend we dusted off the mountain bikes and road from Parker to Cherry Creek Resevoir. Great ride, but a little much for the first outing of the season (about 40 miles round trip). We've been entertaining family and friends this past weekend (betting on the Kentucky Derby and celebrating Cinco de Mayo) and now have to get back to running errands and finishing up punch list items at the house. Nothing new on the fertility front because....we are done with that bit for now and maybe forever. Ahhhh...feels kind of nice not to be stuck full of holes and drowning in hormones. Gotta run....updates will be posted on an erratic and unscheduled basis.

    Tuesday, April 17, 2007

    Ground Zero

    Well, we are now at a technical negative. I went to a clinic here in Parker to have my beta done again last Wednesday. It came back at an 8, which this lab considers a negative pregnancy test. I am all in the clear and have been released from my RE. Now, we do nothing but enjoy our new home, our new town, and each other. It feels kind of nice for a change.

    The house is coming together quite well. EVERYTHING is unpacked, and most everything is put away and decorated. We don't waste any time. I love cooking in my huge new kitchen. It is quite lovely. To view some pics of the new place (we didn't take an exterior photo/nor did we take any of the master or the baths), feel free to visit our photo website: http://www.picasaweb.google.com/ritter911

    Take care!

    Monday, April 09, 2007

    Track Marks

    Well, apparently I get to continue adding to my track mark collection. My numbers on Wednesday last week were still positive at 26.2. My RE is requesting to still monitor my numbers down to negative even though I have moved out of state. I will be going for another blood draw this Wednesday and hoping for the best. I can't even begin to tell you how sick I am of this process. It takes twice as long to go through the miscarriage process as anything else it seems. Oh well.

    We are now in our new home in Colorado. That is the good news! The bad news is the contract on our home in VA fell through, so we now technically own two homes. Oh joy! We desperately hope that it sells quickly now that it is back on the market. Wish us luck! It is beautiful in our new home and new neighborhood. The neighbors are great as well. I think this is going to be a great move all around for us.

    Monday, April 02, 2007

    On the move!

    Hi all! This is Megan's husband Matt that is posting today. Megan wanted me to report that she must return for one more blood test as her hormone levels were still above 30 as of this morning. She will return on Thursday for one final test.

    Thursday also happens to be the day we are moving from Virginia to our new home in Parker, CO. I have spent the last two months there at my new job and recently closed on a home for us. We are now in a golf course community with access to the Cherry Creek bike path system, which means we can ride from our home in Parker, through Cherry Creek, and into downtown Denver!! It is really one of the best bike systems in the country. Our home has views of Pike's Peak from the loft area as well as front range views from the master bedroom. We welcome all visitors, so book your flight today.

    Talk to you soon from the Mile High City!

    M&M

    Wednesday, March 28, 2007

    We have no bananas today...

    I have no idea what that is supposed to mean. It has nothing to do with anything really, but that is what was running through my head when I was posting, so there ya have it.

    My beta HCG levels were down again today, but still not low enough for me to be released. They came back at 69.5....uuggghhh! I have to test again on Monday, and that should be the last blood draw. Good thing, too, since we are moving next week. Oh well.