Monday, July 29, 2013

Read and Share: The Intrauterine Insimination IUI

I'm an economist, not a doctor, but I can read and I can share

I love it when fertility clinics tell you exactly what should be going on and why!!! I hope you learned something today! I copied and pasted this directly from 
http://www.acfs2000.com/basic_services/intrauterine-insemination-iui.html . I wish I lived in Arizona or honeymooned there<3

 

Intrauterine Insemination (IUI) Procedure

At Arizona Center for Fertility Studies, Intrauterine Insemination (IUI) in done in the following manner.
Once the couple decides on going with a natural cycle versus a stimulated cycle, she calls on day 1-2 of her cycle and gets a screening vaginal ultrasound to rule out any ovarian cysts. If cysts are present, the IUI cycle is cancelled and she is offered birth control pills to get rid of the cysts. If no cysts are present, which is almost 100% of the time, than Clomid or HMG is started on the appropriate day of the cycle and ultrasounds are done every 2-3 days to monitor follicular (egg) numbers and development.
Once the follicles are mature, at least 18 mm in size, 10,000 IU of hCG is given to trigger ovulation. This will start the process of ovulation, or the release of the egg(s), predictably and very accurately, in about 38 hours. In human females, the process to actually release the egg takes about 4 hours. Therefore, 38 plus 4 equals 42, which is about the time the egg(s) will physically be released and picked up by the fallopian tube.
IUI, with the already washed sperm received 2-4+ hours earlier, is then placed into the uterine cavity using a small specialized catheter that is passed through the vagina and cervix. For the most part, there is minimum to no discomfort, however, a few women can experience mild cramping, and if they already know this, can take either Motrin, Alleve or Advil about a hour prior to the procedure.
The timing of IUI is critical, because there is a lot of evidence in the literature suggesting the sperm do not live in the uterus and only travel through it. Sperm, on the other hand, can live in the cervical mucus for an average of 3-4 days and from there travel up to the fallopian tube. It is estimated that sperm put in the uterus travels through it within 4-6 hours and afterwards it is all gone. If IUI is timed with anything other than the hCG trigger shot, there is a good probability that by the time ovulation occurs, and the egg is picked up by the fallopian tube, all the sperm are gone.
Examples of this would be:
  • If IUI was timed with the over the counter ovulation detection kits (ODK). Once the ODK turns positive, ovulation will occur in 26-40 hours. If IUI is done too soon or too late, by the time the fallopian tube picks up the egg(s), all the sperm may have already travelled out of the uterus and you will not be successful.
  • If IUI is timed with basal body temperature charts (BBT), by the time the temperature goes up indicating ovulation, the egg was released 36 hours earlier. Using BBT to time IUI is not much better than guessing when to do the insemination.
  • Timing IUI to when you think you should be ovulating, i.e. day 14 of a normal 28 day cycle or 16 of a normal 30 cycle, is also not much better than guessing, since sperm only stay in the uterus for approximately 4-6 hours, and you can not be sure ovulation is occurring when you think it is.
The best way to accurately time IUI is with a hCG trigger with insemination 42-43 hours later. Anything else, has a low probability of success and may explain why many IUIs are not successful. At Arizona Center for Fertility Studies, all cycles of natural-IUI or SO-IUI are done with hCG trigger; and yes, until we figure out how to have the ovary take the weekends off, work on the weekends, if that is when you need your IUI.
Intrauterine Insemination 


Graphic representation of the mechanics of doing intrauterine insemination (IUI)
Copied from: http://www.acfs2000.com/basic_services/intrauterine-insemination-iui.html

Friday, July 26, 2013

Like clockwork another cycle started at 14DPO. Win for my fertility. This month could be ours :-D

This month we are going to maintain our pregnitude half day doses. 

We are going to CMCWI to meet Dr. U at the end of August. 

Woot woot let the cycle begin!!!

Friday, July 19, 2013

Prolonging the Journey

So my fiance and I made a pretty intense decision. We are going to wait yet ANOTHER cycle before we do our first IUI.

But we are almost happier than ever. After I started talking more and more to other women and couples going though infertility we found that the little things that we heard about our first RE weren't uncommon. In fact what we heard from the women were down right awful. We didn't realize that we were in the midst of their complaints because we were so excited to FINALLY be on a plan to get our child.

We were lucky to schedule at CMCWI with Dr. U next month! Around my anticipated CD1!! So soon! Our only worry is that we'll have to do a cycle of testing before we're able to do our cycle of treatment which will put us doing our first treatment around October (predicted ovulation being a week before our wedding).

Hopefully our our insurance cards will be in by then.

Wednesday, July 17, 2013

Time for A Change

I have decided today to switch our RE. That's right, our game plan to do our first IUI has been postponed to accommodate for wanting a better Reproductive Endocrinologist. Since I have started socializing with tmore women facing infertility I have been getting more and more feedback about their experiences with REs. The one I was planning on attending got the most I-was-there and I-left-and-never-looked back. So I have scheduled an appointment with Concord Women's Institute that has been receiving ravingly positive reviews and have a better IVF success rate than the REs I was planning on attending next week.

Even though we are postponing the creation of our family a little bit longer I think, for experience alone we will appreciate the switch.

Tuesday, July 9, 2013

Obsessions Through Time

Years ago I would gush to my fiancé(then boyfriend) about our children as adults. What they would would be like at our age: would they find love? Be an entrepreneur? Professional dancer?

The next year we talked more about our preteens. Those awkward coming of age years. 

The following we would spend hours talking about toddlers. Getting them educational toys and teaching them all the hard stuff early like complex theories, applied mathematics, all those big words in the photosynthesis cycle.

 Then babies & labor were all we could ever think about. Hospital or at home? circumcisum? Birthing aids and prenatal care. Breast feeding.

Last year we were obsessed with pregnancy. What we will and wont do, who we would and wouldnt tell. ultrasounds, classes, prep work.

Today, we are TTC experts and find ourselves crying over YouTube videos of pregnancy announcements lol. Oh the places we have been. I don't think we can do this another year...

What would we obsess over then??

Friday, July 5, 2013

TTC Photo Challenge

This photo a day Challenge was created by Dreaming of Dimples. I have decided that since this is my last month TTC (Cycle #60 is the Charm!) without medication that I would take this month off from actively TTC or TTCing at all. For one last month in my life I want to be normal... I will still be taking all of my lovely supplements though :-) I guess in July I will be pre-TTCing for the last time. Anyway! Onward to the Photo Challenge! A new photo will be posted every day of July!  

Monday, July 1: Quote


We have been trying to conceive our first child together for about 5 years now. For those of you ttc 2-6 months or 1year-2years you can almost imagine the degree of emotional termoil it has been putting us through. I'm 23 now so according to all of the amature self-designated experts (family and friends) "I still have time," and "don't worry it'll just happen, I heard of a woman who..." For 62 cycles now, it doesn't look like its happening. I put this quote on my window sill at home just to help me have a good day because for about the last 28 of those cycles all of my days have been either bad, terrible, or uninhabitable. I needed a change.

Tuesday, July 2 : Baby

CD3 or CD32

CD3 or CD32

For today's picture I'm posting what I see most often that reminds me of what's to come. I took this test this morning just for the sake of today's photo. The more I stare at it the more I can make out a second line haha.
 I just finally went to my first RESOLVE meeting last night; I should have started going years ago.

Wednesday, July 3rd 2013: Hope


My hope is faith. Faith that God has made me the mother I am in my heart for a reason, and that reason is so that I may be an outstanding mother in the future.
 In reality, hope and faith is all that keeps me on this journey to parenthood. My logic, the statistics, the pain of every failed cycle, everything else that I fall back on to verify our decisions tell me to walk away but still my inner voice tells me not to give up yet. It's very quiet and I only hear it when the chaos of doctor visits, prescriptions, another pregnancy announcement from family/friends, and work pause for a second to inhale but I hear it, hardly making out the words I feel what it's saying so I try one more time, one more time to become a mother.
Frankly we don't have $40,000 to have a surrogate, the $25,000 to adopt, or the $20,000 for a single IVF procedure so all we have is our IUIs and faith that this time we can become parents.

Thursday, July 4th 2013 : Drugs


I am not on any drugs, yet but I take a ton of supplements. Co Q-10 and Myo-Inositol are my primary supplements. Myo-Inositol improves egg quality and promotes implantation. I've been taking Myo-inositol since March or April and I have since seen my cycles become much more "textbook" perfect. I maintain 28 day cycles and a 14 day luthal phase (the days following ovulation before a new cycle begins). 28 day cycles is a big deal for someone who was averaged 88-365 day cycles for a few years!

Friday, July 5th 2013 : Cycle

 

This cycle started off weird. I was almost convinced that I successfully got pregnant!  My cycle started on cue but instead of having days of full flow I have been spotting on and off until it just stopped. The Countdown begins 22 days until our IUI cycle begins! I look forward to cherishing every moment we get closer to our goal!

June 6, 2013: Infertility



Infertility for me means finding signs that we should try one more time. This picture wa taken today at 9:20am I had to stop and post it. I have never been this close to the end of a rainbow, (I continued driving and yes I went through it :-), it barely touched the road) and it has me thinking that I'm close to our goal. We will have our family soon.

July 7, 2013 : Love

Me and the love of my life. I get the fabulous opportunity to marry this man in a few short months! We've been together five years and we'll be together forever more. This is my best friend. My opposite. My twin.


July 8, 2013: Needle


My favorite needles are the ones from acupuncture. We do it every week hoping and praying that this is our last time needing treatment. We haven't conceived from it but it has calmed my nerves enough to see good in our days.
http://nickandzuzu.com/2010/05/fertility/

"People say to me, 'You're still young,' but I'm already past my point of being super fertile," she says. "It's a very insensitive thing to say to someone going through infertility, especially for us who are younger. I don't feel like time is on my side." " -Jennifer Hampshire

July 9, 2013: Family

July 4th 2012

This is just my immediate family! We are a large bunch! I love each and every one of them!! Apparently, I am the first in my family to have any sort of infertility issues :-/

July 10, 2013: Distraction

My largest distraction is planning our upcoming wedding... only 13 weeks away. This is my general inspiration board! I can hear what you're thinking "What you're planning your wedding now and you have been trying to conceive for how many years???" It's a very long story. I knew since I was very young that I wanted to be a mother. Since I had no expectations of finding a spouse, I just didn't think it would happen, I was preparing to be a single mother and had a marvelous plan for supporting the child and getting through school. When I met Garr, everything changed. He wasn't my first boyfriend by far but we realized very quickly that our meeting wasn't a chance encounter but part of a larger plan hand crafted by God himself. We met in October and by December we were chocking back that three letter phrase and began talking about forever, children, and happily ever after. 
We were young so our parents didn't want to approve of the hasty commitment we had for each other and since it was so hasty they didn't think it would last. We talked about eloping, and figured that since we both want a family we would try to conceive and get married the day of our positive pregnancy test. Fast forward four years we were still desperately trying to conceive. We had a chemical pregnancy and about a week later he officially proposed in the most romantic way in April, realizing that it was going to take a while to conceive. 
We set our wedding date for October the following year anticipating a surprise pregnancy to happen very soon, but it never did. In reality we could/should have gotten married instead of cowardly choosing to start our family and using it as an easy excuse to get married. We should have faced our families and told them that we knew we wanted to be together, that we were both ready and willing to work for our relationship and family to the end of time. But, that's so difficult to do when you know that from their perspective these two strangers know nothing about being in love and what it takes to uphold a lasting relationship, which was true. In a few short weeks, we will stand in front of our families for the biggest "I Told You So" celebration as we unite as husband and wife <3

July 11, 2013: Body


Running tests and getting 0 conclusive answers
I have a love hate relationship with my body. I love myself and want to protect my body but at the same time my body is a huge fan of being uncooperative. I follow a paleolithic diet, I exercise at least everyother day, and I'm still overweight. I have high cholesterol and low blood pressure. My body doesn't metabolize sugar efficiently but I fall into hypoglycemia very quickly (within a month of cutting out high sugar vegetables and fruits). My iron is low, but a daily regimen of vitamins doesn't seem to increase the count (6 months of iron supplements and multivitamins). Despite not being average, it works fine and has been keeping me alive and happy for many years now.

July 12, 2013: Partner

Engagement Photo

My best friend! My lover, My Future-Husband!! I love this man so much! He is my rock!


July12,2013 : Summer


What Summer? I stopped having summers when we started trying to conceive!! Now it's just another season nothing special to it. This is my rosebush that has been with me, potted since 2008. She LOVES the spring and summer!

July 13, 2013: Support


I have only just started but (besides my partner and family) RESOLVE is probably the most uplifting support group I have ever attended. It's all of us long term TTCers coming together and affirming each other, learning, growing, sharing stories, and understanding one another. My biggest issues when trying to conceive is feeling so insane, dismissed and not understood. Thanks RESOLVE you have helped us try one more month.

Wednesday, July 3, 2013

Living Lies

I want so badly to post, sing, scream and tell everyone about our infertility. I want everyone to know and to identify my friends who are also suffering, I know they are out there.

I want to be able to look at my parents and say "No, it wont just happen. We've been trying for five years, if it were going to happen it would have happened within those five years of trying. We need help from a doctor."

I am tired of hiding, brushing it off, and feeling as though this is something to keep from people. What adverse reactions could we receive besides disapproval? And really would the disapproval be harder to deal with than fudging the truth to make it more palatable for our family and friends?

Because this, persuing infertility treatment and pretending that we are waiting, sucks. Pretending that we have hope that it would just happen when we start trying after the wedding sucks. Being false activists for doing things "in the right order" suck. Who cares the order in which things are done as long as you have the mature commitment and support from your partner that results in a strong family foundation. Heck, who cares if you have a partner if you have the mental and financial support it would take to sustain a healthy family?

I sure don't care. I don't know why anyone else would besides their feeling entitled to pass unsupported judgment on how you should live your life. And my opinion on people who pass judgments on other people is that unless they are supporting you financially, or are willing to support you financially and walk you through each step in your life their opinion does not actually matter. My neighbor can express how "too young" we are to get married or have children but their lives are in no way affected by our decisions (and our lives are in no way affected by their approval or disapproval), they have nothing to lose by the outcome of whatever opinion they have which makes their opinion invalid.

I must digress.

I'm in a particular mood today because I have realized that our five years of trying to conceive have become such a long journey because we have taken the un-solicited advice from so many of our peers and un-affiliated adults to wait, to not investigate our then-assumed infertility, to embrace that we had plenty of time, to enjoy not having children now, to not want to be parents now, to not get married until we're much older and 'lived life', etcetera. I want to go back in time and give younger-us the motivations to go after our dreams and not let other people motivate how we live our lives. We only have one life, it should have been our choice when we did all of these things.

The truth is we have been talking about marriage since 2008 and eloping since 2010. It's now 2013 and we are over the politics of marriage, babies, and age. It's all really dumb after you spend five years waiting to be older because that will somehow make everyone we interact with happier.

Our life isn't about their happiness it is about our own, and right now we are not happy. We regret waiting and regret not having enough voice/confidence to be more public and open about what we are going through. I hate that I feel ashamed of trying to conceive with the love of my life, I hate that I am promote doing it "the right way" every time I use it as an method masking our infertility, I have that I am protecting ourselves from people knowing the truth.

I would much rather live in the truth.

I have never been a part of the LGBTQ group (besides a really awesome friend! Love yall!) but I can only imaging that this frustration is similar prior to coming out. Take me as I am or leave me. This is who I am, this is what I'm doing. It hurts more to not be who I am and surrounding myself with people who cannot support me as I pursue my endeavors (my happiness, my heart, my love, my calling, my meaning for being on this earth) than it is to pretend that I am something that I am not.

Right now I feel livid every time I must coke back the truth. When someone talks about "at least you're doing it right!" and all I want to do is cry because it is completely against our will. I feel angry that I live a double life, I feel sad that I live a double life, I feel little because I have to live a double life in order to feel emotionally safe.

Soon everyone I will be going public about our infertility. I will make it a point that the world know the truth. I will be doing it very soon. Everyone in America can know but everyone in America isn't the people whose opinions matter to me, it's my familiy's. I have to tell our families the truth the whole truth, for God doesn't want us to live lies, lying hurts. I am hurt.

Tuesday, July 2, 2013

Knock on Wood

So now that my cycles have finally gotten regular; 28 day regular, textbook regular, they have dissipated? I thought I was having my period but it turns out that I'm just having excessive spotting. Usually, well every period I have ever had in the history of forever have been at least some sort of full flow that lasted a few days. This time around I'm just spotting. I had one day of medium flow that I counted as CD1 but the remainder of the days have been spotting, not enough to saturate a pantyliner. Sometimes I toss a tampon in there and when I go to pull it out 6 hours later it's unblemished then I'll get on again light spotting like I get before my cycle begins.

It's dark red/brown....

Please no uterus, we are so close to our IUI cycle.  Don't start acting crazy again!

((()))))Feeling Nervous(((()))))