Tag Archives: egg retrieval

IVF: post-egg retrieval, pre-embryo transfer, all kinds of blah

It’s only been 5 days since the last time we chatted… and yet, three of them have been some of the roughest of my life, so it’s felt considerably longer. Can I get a wah wah?

Waaaah waah.

Wednesday morning was our egg retrieval surgery. As anxious as I was about the procedure, by Tuesday night my abdomen was in so much pain that all I wanted was to be knocked out.

egg retrieval surgery

We arrived at Generations at 7:00 am and by 8:30, I was in surgery. It was quick… especially to me as I’m quite susceptible to anesthesia… and we were back on the road headed home before 10:00.

Before the surgery, Seth, the nurse, and I made our guesses about how many eggs they would retrieve. I guessed 8, Seth 9, and Jen, RN, guessed 12 — double digits are ideal. Sadly, however, I was right. By the time I woke up, the eggies had been counted and 8 was the total. I was ok with 8 on Wednesday. We were told to expect fertilization of approximately 50%. I was even ok with 4 little embryos. (This is foreshadowing.)

Wednesday wasn’t so bad. I wasn’t in a ton of pain… a little, of course, as the only way to the ovaries is through the back wall of the vagina (oy) and the extreme ovarian swelling isn’t expected to decrease for at least a couple of weeks, but I was on good drugs and I sent most of the day in and out of sleep.

after surgery

Sometime well after midnight the headache started to creep in. And it grew and grew and grew to blinding pain. As I lay in bed Thursday morning, trying to crawl my way out form under the pillows piled on my head, my phone rang — it was the embryologist from the lab at Generations calling to update me on our embryos. Of the 8 eggs retrieved, only 6 were mature enough for fertilization. Following sperm injection, only three eggs were actually fertilized.

Three.

And my head was pounding and the room was spinning and I thought for sure I was going to vomit. I stumbled through the getting-ready-for-work motions, crying all the while… I was so sick. And I was so disappointed.

Just three.

In the end, I didn’t make it to work. Instead, I spent another day taking Percocet… in and out of sleep… with a box of tissues next to me… trying to talk myself out of disappointment, out of pain, and back to reality. To calm.

I drank a lot of gatorade, ingested a lot of salt (high levels of estrogen can make your vessels leaky, the salt helps them retain fluid– another stupid thing), laid around, and by Thursday evening, the headache had mostly subsided and I had talked myself into a state of satisfaction with my three maybe babies. Three is better than two… better than one… definitely better than zero. We still have a chance. Three chances, even. And with the lessening of the pain in my head, I became more and more able to handle the emotional toll as well.

After a good night’s sleep on Thursday, I woke up early on Friday and made it into work where I intended to spend a full day being as productive as possible. Except by 11:00 am, the headache was back with a vengeance. I wasn’t honestly certain that I could drive, but I couldn’t get a hold of Seth and I needed to get home so I stumbled to my car, the bile rising in my throat, not helped by a wicked case of hiccups, and somehow made it home to my bed where I laid like a corpse with pillow over my eyes, riding the waves of pain. By noon, it was so bad that Seth forced me to call Generations, who then forced me to go straight to urgent care over concerns about a clot…  another stupid estrogen thing. I spent a few more minutes crying over how much I did not want to go sit in urgent care with this insane headache before I set off. Long story short, I passed the tests, not a clot, took a massive dose of Aleve after talking to the nurse at Generations again (which is ok until embryo transfer), and spent yet another day on the couch in and out of sleep.

Another day wallowing in complete self pity.

I’m not strong anymore. I feel so done. Like my body and my mind have had just about enough.

But not yet.

On Thursday, in the midst of the headache and everything else, we started intramuscular progesterone injections. The progesterone is in oil and gets injected into the gluteus maximus — I can’t do it myself. Fortunately, Seth is a champ, and he’s done a really good job. I took heed of all the warnings and we’ve warmed it up in our hands first, used a sharpie to keep the targets marked, and spent a few minutes sitting on a heating pad afterward. So far so good.

On Monday, we head back to Generations for the embryo transfer. Day 5 embryo transfer, as opposed to the ideal day 3 transfer, can supposedly increase your chances of success if everything else is basically against you. When we get their on Monday, the doctor will discuss with us how the embryos look and how many they recommend transferring and all that. Then I pop a valium to relax my uterus, they pop the maybe baby (or babies) in, and we spend another two weeks waiting.

 

I guess the point of all this woe-is-me is to say that, honestly, I’m not nearly as calm, cool, or collected as I would really like to be. As I wish I were. I feel like I’m barely holding on. I’m feeling super sorry for myself and disappointed in the way things have gone so far. Although outwardly, I tried to keep my expectations low, in my deepest heart of hearts I was hoping for so much more. For eggs in the double digits. A fertilization rate that exceeded the norm. And for a big batch of maybe babies that we could store safely in the freezer and use to grow our family one transfer at a time.

But that’s not life. Certainly not mine. If things worked out that way, I wouldn’t be here at all — taking these desperate measures to have a family in the first place. That’s reality.

 

Honestly, I’m doing a little better today. I woke up early and went for a walk with the pup. I mowed the lawn. I made some cookies and a delicious dinner for Seth and his dad (who slaved all day long working in the garage). I took myself for a pedicure… and splurged on the “deluxe,” complete with hot stone massage and paraffin treatment. Most importantly, I didn’t cry even once. That was especially nice. And tomorrow’s another day.

Thanks be to the benevolent witness.

I’m currently listening to The Invention of Wings by Sue Monk Kidd. It’s so excellent. A million and one times better than stupid The Girl on the Train, which was in no way redeemed even after ignoring the whole “pathetic, fat Rachel” (in a British accent, even! Ray-chul…) thing that set me off initially (I finished it this morning). I knew Sue Monk Kidd wouldn’t let me down though. Not after the beautiful Bees and Mermaids. In fact, early on, I fell completely in love with this line:

“There’s no pain on earth that doesn’t crave a benevolent witness.”

And it’s so appropriate right now that I can barely find the words.

Except words are my thing, so I’ll manage something…

 

Infertility is a super painful and super personal thing. There’s not a lot I can do about it and certainly nothing that you can do for me. So why talk about it? Why share my story? Why have the conversation at all?

Lots of people have said that it’s because I’m brave and strong (which makes me feel embarrassed and super impostery). That they’re thinking of me and praying for me, sending me positive brain waves and maybe even some pixie dust or something (which makes me feel so unworthy). So many really, really nice things. Really genuine, kind, heart-felt, loving things.

It was all so nice that for a second I let it get dark… because sometimes nice makes me go there. And nice laced with hormones? Yeah…

I’m not brave or strong. I’m just honest. And wordy. And maybe people think I’m only saying it so that they’ll think I am, in fact, brave or strong. But that’s not true. I’m really, really not.

And maybe I’m soaking up too much nice, too much love, too many prayers and positive thoughts, getting high on all the pixie dust. All those things that could be better spent on someone else who really is suffering.

Maybe no one really wants to hear any of it at all and the comments and likes and texts and emails and phone calls and little IG hearts are all just gratuitous — a way of saying FINE. Talk about it enough and we’ll acknowledge you, but only because we feel like we have to. I imagine myself up on my tippy toes, fists balled up at my chest, eyes squeezed shut, screaming “acknowledge meeeeeeeeeee!”

Maybe my mom and dad resent the time, the plane tickets, the boring week of nothing but travel to and from the top of the middle to the bottom of the middle of Wisconsin, over and over again. Nothing but work and tv and movies and whining and injections in between. All without any guarantee of actual, living, breathing, human grandchildren in the end. And they’ve got some of those already. Really cute ones… wouldn’t their time be better spent with them???

God, I’m so annoying. So self-indulgent. Self-pitying. Self, self, self-ish.

 

But then Sue Monk Kidd said it — said what it really was. Infertility is painful. So painful. Emotionally, spiritually, financially, physically. And when I talked about it, out loud (on the internet), I was really asking for a benevolent witness.

And I got one. I got ten. And so many more. I got so very many benevolent witnesses. I got you. My goodness, I got so lucky.

 

It’s really hard not to be super emotional right now. Every word, every comment, every like, every text, email, phone call, whatever, has been unreal. So appreciated. All I wanted was a benevolent witness and I got so much more. Benevolence in the extreme. So when my friend Erika offered to wear ugly shoes if only it would help me to be a mom… and my grandma told me that it’s at times like these that she still misses her mom and was so glad my mom was here with me… and my cousin Beth(y) offered up her house for overnight stays in Madison along with best wishes and other nice words… and my in-laws made a special trip to and from Marshfield just to shuttle my mom back to the airport… and so many other big and little things (that all feel like big things to me) in the past couple of weeks… oh the tears. So many tears. Big fat tears of thankfulness and gratitude and what-on-earth-did-I-do-to-deserve-to-be-surrounded-by-so-much-kindness-ness.

I really wish I had brought my mascara with me this morning… could definitely have used a touch up before heading straight into the office.

 

So, by way of a long and emotional outpouring of gratitude for the insanely generous support you’ve given me, seriously, even just by reading… another quick update.

Today’s appointment at Generations confirmed that my eggy little ovaries are ready for the trigger shot. Seth’s currently setting up a Dexter-style kill room (11% off at Menard’s, perfect time to stock up on plastic sheeting) and at precisely 8:30 pm, we’ll do a big injection of HCG, which will set us up for egg retrieval exactly 36 hours later on Wednesday morning. The best part of it being trigger day: one more injection tonight (as opposed to three) and a completely injection-free day tomorrow. My super sore abdomen is already trembling with relief. (Actually, that’s probably just more fluid on it’s way… but we’ll call it relief for the moment.)

I’m definitely at a peak level of insanity — a state of nervous excitement under hormonal extremes that is entirely novel. (FYI: normal pre-menopausal estradiol levels range from 30 – 400 pg/ml… mine are currently upwards of 2000 pg/ml and on the exponentially upward part of the drug-induced curve, so…) I feel so excited by the possibility, by the fact that my response so far has been “textbook” (oh how I Hermione-ly loved hearing those words come out of Dr. Stanic’s mouth this morning), and that we really are just about to be with our maybe baby. I also feel terrified that it’s only maybe and that I have to have surgery on Wednesday and that there’s nothing I can do to make anything better, but then again, also relieved that there’s nothing I can do to make it worse.

 

I keep saying “we’re almost there,” but honestly, every step of the way has been a choice. A conscious decision to do this thing, despite all the different varieties of tough, because it’s something that we think will be worth it in the end. That our end is as a family of more than two humans, one puppy girl, and several semi-sentient plants that hate me just a little bit for not being watered quite as often as they ought to be. As such, we’re never really “almost there”… we’re just there. In the thick of it. Choice or not, though, it has been painful.

For this pain, my soul has craved a benevolent witness. I so appreciated those words, that sentiment, and that I have absolutely not been disappointed. Thanks. Seriously. Thank you.