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Wednesday, September 20, 2006

CD20: 1DP3.5DT (FET)

Yesterday was our transfer day.

We arrived at Dr. Moustache's office before our 8:30AM appointment and waited a little bit for the Dr's assistant to call us in. I checked on proceedings at the Immunology Board and popped my 10mg of piroxicam, an anti-prostaglandin that shows promise as helping embryos to implant. No sooner than I posted a message...they came to fetch us.

When we entered his office, I saw the embryo report. At first glance I only saw two check marks. Two embryos? I panicked. I sat down. J wasn't behind me. Dr. Moustache said, "Isn't J going to join us today?" I felt abandoned for just a second, slightly embarrassed that he might think I came alone today. But J opened the office door and was there by my side.

Dr. Moustache slid the embryo report at me. "You have five beautiful embryos." Ah, I had missed seeing three to the side of the paper. Three that had progressed to morulas. No wonder I didn't see them. The two that I had seen were 7 and 8 celled embryos. The morulas were grade 1, the other two, grade 2. He explained that they weren't quite four days old but that he'd called them "three and a half day embryos". So today is 1DP3.5DT. :-)

There wasn't any question about putting them all back in. Like I really wanted to refreeze any of them and risk losing another embryo? The one that we did lose was our only grade 1 embryo, and now it was gone.

We were dropped off in the waiting room to hover about until a nurse came to escort us to the O/R. I quickly jotted off a note to my RI sistahs about the embryo counts and before I could finish all that I had wanted to say, my fav nurse "A" came to get us. I quickly sent and logged off and we were on our way.

We donned our silly hospital garb, surgical head covers, and walked to the O/R. I crawled up on the table. Nurse "A" asked if I needed to empty my bladder. "Nah, I'm okay." She said she could do an U/S to see if I had more than enough liquid...and upon closer inspection found that I was just about right and shouldn't empty at all. It was nice of her to offer that to me. Very sweet.

About 10:00AM we were in the O/R waiting for Dr. Moustache and the embryologist to return with our 5 embryos. He returned with a copy of the embryo report and a photo of the little guys. Since they were assessed at 8:10AM, the morulas had grown to "early blast" and the other two had progressed to morulas.

Wow! Now that's rapid growth!!

The rest of the protocol was just a standard transfer except that this was likely the most painful speculum experience I think I have even endured. Although I asked for double the valium this time, I didn't feel a darned thing. Not even a bit of lightheadedness. I wonder if it did anything at all to relax my smooth muscles given that it did little for my state of mind.

So we drove the hour long drive home and I stayed in bed like a good girl for 24 hours. Today I've been up and down a bit more than yesterday, but not really doing a whole lot.

There's a lot of controversy about how much one should do after a transfer. Dr. Moustache thinks the first day should be 100 percent bedrest and light activity the next two days, but no shopping, walking much, etc. It's hard to know what I should or should not be doing with such ambiguous instructions, but I'm leaving towards being a bit conservative.

So I've got six FRED POAS's ready for testing and, yes, I do plan on using them DAILY starting on Friday. I want to know if I am having repeated implantation failure and according to Dr Beer it's good to test on CD22, CD24, and CD26 (or CD23, CD25, and CD27). I plan on being a bit more manic than that in my testing as "I've just gotta know". I also feel that testing beforehand will make a potential BFN all the more bearable as it won't be a complete shock to me.

A couple of angels came out an offered me some PIO in ethyl oleate...thank you so much! I am self medicating with PIO in addition to my progesterone suppositories. I confided in my self medicating to Nurse "A" and she didn't seem the least bit concerned about my taking extra progesterone or doxycycline. In fact, my self medicating with parlodel was actually on my chart! So maybe Dr. Moustache isn't such a stick in the mud after all.

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Comments on "CD20: 1DP3.5DT (FET)"

 

Anonymous statia said ... (8:26 AM) : 

Every doctor is different on their bedrest requirements. Dr. Moustache says yes, pompy says resume normal activity (within reason of course), but I think you have to go with your gut on this one, honestly. Last time, we were in the middle of moving an I really couldn't spend 24 hours in bed. I took it easy, but I had so much shit to do and not enough time to even think about whether I was doing too much or not.

After everything you're putting yourself through, do what you feel most comfortable doing, and if that's watching bad Mama's House reruns from bed all day, well, that doesn't sound so bad does it?

And let me know if you want the PIO.

When's the beta?

 

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Ultrasound of a 9 week old fetus

Diagnosis:
elevated NKs, NKUs, 3 +APAs (2 borderline), heterozygous for MTHFR A1298C. Slightly low thyroid.

dq-α:
me: 1.1, 4.1
dh: 1.2, 3.1

Low LADs were treated in Mexico and elsewhere with LIT.
Anti-sperm antibodies
Article: LIT and the FDA

No: ANAs, normal TH1/TH2 Cytokine ratio, or x-DNA/Histones.

IF Treatments:
-Clomid #1: Sept 2005
-Clomid #2: Sept 2005
-HSG: Oct 2005
-Lap/Chromo: Oct 2005
-Nat'l IUI: Nov 2005
-IVF #1: Jan 2006, β1=2.0, β2=0.9
-IVF #2: May 2006, β1=<1.0
-Myomectomy (5), salpingectomy (both), & endo removed via lap on 6.6.6
-LIT#1 in Nogales: 6.16.6
-LIT#2: July 2006
-FET #1: Sept 2006, β1=2.48, β2=<2.0
-Dr. Hungarian Dx Oct 2006
-Dr. Hungarian Tx Dec 2006-Mar 2007
-IVF#3: Mar 2007 Canceled myself right before retrieval
-IVF#4: April/May 2007 Canceled due to dominant follicle
-IVF#4: August 2007, β1<2.0
-IVF#5: December 2007

Pre-ET
Feng Shui'd the House
500mg Zithromax starting with stims
4 LIT Treatments
17 Weeks of Humira or Enbrel
30g IVIg CD5 of IVF cycle (day 2 or 3 of stims)
30g IVIg 2 days before transfer
1mg Dexamethazone starting with stims
30mg Lovenox, 2X's/Day
0.0375mg Synthroid
Lexapro
Prenatal
Folguard 2.2 2x's/day
Extra 1g C (Stop at ET)
Extra 1g Calcium
Extra 400mg E (Stop at ET)
Nettle Tea & Capsules
2g Bromelain
Extra D3
Keep BMI<24
4-6g Fish Oil/Day
Baby Aspirin
Eating Loads of Protein!
Nettle Caplets
Femoral Massage (Stop at ET)
Acupuncture (Stop at ET)
TCM Diet: No cold or slippery foods
Immune Friendly Diet: No non-sprouted wheat, sugar, starches. Little fruit.
No nightshades
No caffeine
No coffee, not even decaf
No soy when in cycle
10 days Doxycycline

Day of Transfer
Light activity

Post ET Changes
Visualization
200mg progesterone capsules
Take it easy days 2&3
No sex til beta#1
Cut out egg yolks (contains immunogenic acid)






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