If you didn’t catch Operation IVF Sibling Part 1 you can find it here in my last post: http://wp.me/p3DEbq-2P. The abridged version to bring you up to speed is that we’re halfway through the IVF rollercoaster with my eggs being extracted this morning. Yes, extracted with a big fuck off needle into my ovaries, although on the bright side I got some awesome anaesthetic induced sleep. Which brings us to now.
Day 14 – Part 2: A nurse from the clinic calls in the afternoon and I have a minor internal panic as husband hands me the phone – why is she calling already? Has something gone horribly wrong? Did all the eggs die on the way back to the clinic? Did someone in the lab drop them? Are all my eggs broken???!!! No to all of the above as it turns out, she’s just calling to check how I’m feeling. I’m so relieved I feel a bit sick. I tell her I’m fine (minor mental instability aside), nope, no pain and no need for painkillers thank you. She sounds dubious and advises a dose of panadol. I politely but knowingly decline; I just don’t seem to feel pain.
7pm, I feel pain, quite a bit of pain. I succumb to the lure of drugs and fall asleep on the sofa at 8:30pm drooling attractively on husband’s shoulder.
Day 15: I wake up feeling a bit like I’ve been run over by a small bus, maybe a minivan, right through my abdomen. Apparently my body didn’t get the memo that I’m not affected by pain. Zara joins us in bed for early morning snuggles and kicks me in the stomach to further humble me on that front.
Today is the start of what will be just over two weeks of pretty agonising suspense. There’s a lot of feeling tense and useless, waiting, hoping, wondering… In my experience this is the hardest part of the IVF process, I’ll take the needles over the not knowing any day. We’ll receive a call from the embryologists today to tell us how many eggs have fertilised to become embryos, but this is just the first hurdle. There’s a natural attrition rate at each stage so not all of the embryos will survive til the subsequent day. The worst thing about all of it is that there’s nothing, but nothing we can do to influence the outcome. It’s entirely out of our control and, for a minor control freak like me, that’s complete torture.
I spent the morning with my phone firmly attached to my palm waiting for the call then nearly forget how to answer the damn thing when it did ring. Of the 16 eggs retrieved 12 were suitable for fertilisation, the other four were either too small or had mutations that would prevent them being productive. Now I’m told that of those 12, eight have successfully fertilised. While this is a fantastic starting point I’m careful to temper my excitement. First time around we started with nine fertilised eggs and ended up with two that reached five day old blastocyst stage. The first was transferred but didn’t implant and the second was later defrosted to become our hardy little girl. Clearly she was meant to be and I just hope there’s another tough little trooper in this batch.
Day 17: Day three in the embryo development calendar, we get an update from the clinic to let us know how they’re progressing. I’m honestly expecting that we might have four or five from the eight that fertilised still going strong so it’s a bit of a shock, albeit a pleasant one, to be told that they’re all still alive and dividing as good growing embryos should. Although I know we only need one goodie it’s reassuring news to hear that, at the moment at least, we have a decent buffer. Conversation over lunch with husband is pleasantly optimistic; we talk about when the baby would be due, I start to lay seeds about the schmick (read: eye-wateringly expensive) double stroller I’ve been eyeing up and we wonder about the process for transferring frozen embryos back to New Zealand. Sure it’s all still a little premature given I haven’t even had the transfer yet but it’s nice to let myself feel like it’s a more plausible reality. My mood is light and I don’t even want to slap husband for having a glass of wine with his meal. Would’ve been a different story if he’d said yes to the second glass though.
Day 18: After the embryo transfer tomorrow I have to act like I’m pregnant in terms of abiding by all the stupid dietary rules that put the kaibosh on pretty much anything good, so I’ve spent most of the weekend gorging on soon to be forbidden foods. Smoked salmon four times in two days isn’t excessive right? And runny soft poached eggs. God I love them.
Day 19: This is it, transfer day. I haven’t had a call from the clinic this morning so I’m working on the basis that no news is good news and there’s at least one still alive to be put back where it belongs – i.e. in me! The walk from home to the clinic takes about an hour and the whole time it’s a very strange, almost surreal feeling thinking that I’m on my way to maybe, hopefully be impregnated by someone who is not my husband while my daughter is in the room. How odd.
I meet with the nurse who fills me in on the embryo status and I’m stunned to learn that they’re all still alive although there’s one that hasn’t progressed past seven cell stage so he/she/it is looking dubious to survive. We go through a chart detailing where each one is in the stages of development, there are three early blastocysts, two morulas, and the rest are still at embryo stage.
They’ve selected Early Blastocyst number 3 to transfer today, who I nickname EB. This leaves seven that they’ll keep an eye on over the next two days to determine which are suitable for freezing. Given that we only had one to ice last time I’m buoyed by this news although again, I also know a lot can change in two days.
The transfer process itself is ridiculously quick and easy considering its potential outcome. It’s basically like having a smear test but with something being put in rather than taken out. Once I’m hoisted into the stirrups I make polite chit chat with my doctor while he sits between my thighs and Zara gurgles away in the corner like this is all just the most natural thing in the world. It’s not, it’s fucking weird. EB is delivered in a catheter that’s inserted into my uterus, squirted in and, once they’ve checked the catheter under a microscope to ensure EB has left the building that’s it. Pants on and off you go thanks luv. I feel like we should share a post-coital cigarette or something except I don’t smoke and I’ve heard it’s bad for unborn babies too.
I’m free to get up and walk around straight away but it feels like a strange thing to do with my delicate new cargo on board. I find myself subconsciously squeezing my thighs together and contracting my pelvic muscles in an attempt to stop EB falling out even though I know that’s a physical impossibility. Ultimately it just makes me walk strangely but I’m pretty sure the post-transfer waddle is a common sight for the lovely receptionist, at least she’s polite enough not to snicker.
There’s no reason I couldn’t walk home again but the crazy lady in my head can’t quite cope with that concept so husband arrives to collect us and chats cheerily with our doctor who just put a maybe-baby in my womb. Like I said, fucking weird.
There is a lot of research to support the efficacy of acupuncture to increase the success rate of IVF and this is the one complimentary medicine fertility specialists are happy to endorse. Last time I went for sessions all throughout the injection stage (because obviously I wasn’t putting enough fucking needles in me on a daily basis) but this time, between just having moved cities, full time Zara and husband’s work hours I haven’t been able to fit it in. The good news is that apparently the treatment immediately post-transfer is the most important to help with implantation so at least I can go for a session this evening. Husband thinks it’s all witch-doctoring and it could well be for all I know but I figure it can’t hurt and I’m willing to do anything that might help our chances. Also I get to have an uninterrupted 45-minute nap, which is a total bonus.
Day 20: There is a huge range of advice for what’s acceptable in terms of physical activity post-transfer. The very conservative end of the scale is zero exercise in the two weeks following to keep the heart rate below 120 and avoid raising the core temperature too high. No exercise for two weeks is my hell on earth. Movement is my meditation and the idea of sitting on my arse for two weeks makes me feel physically ill. Fortunately my doctor is totally fine with me continuing to exercise provided I step the intensity down a bit from my usual. So while there’s none of my beloved kettle bells, burpees or hot and sweaty RPM I can at least get out for some decent walks and yoga which is good for both body and mind at this stage. I’ll take any distractions I can over the next couple of weeks.
Day 21: Final update from the clinic. The embryologist calls mid-morning and prefaces the conversation by saying ‘I have some good news for you’ which gives me a sudden jolt of excitement. I find myself half hoping, half expecting her to tell me they’ve frozen six of the remaining seven embryos, so when she tells me it was actually two I feel irrationally disappointed and momentarily tearful. I know this is ridiculous; two is a really good result but I can’t help the slightly sick feeling in the pit of my stomach and I just need to take a moment to let myself feel sad.
The others had failed to develop any further, so on the bright side it means the two that have been frozen are tough little nuggets with the best chance of survival if and/or when we decide to use them. Of course I’m hoping that little EB will stick and we won’t need these guys for a while but it creates a bit of panic and more ‘what ifs’. With only two more chances on ice there’s a bit more pressure but, to keep it in perspective, it’s two more chances than we had to start with. The Monty Python philosophy to always look on the bright side comes in pretty handy about now!
Day 22: In the interest of taking it easy on the exercise front I start doing the yoga I’ve been promising myself I’d do for months. I get a bit caught up in the zen vibe and find myself talking out loud to EB, welcoming him/her/it into my body with an invitation to make a home in my womb where I will offer love and nourishment. I feel like a fucking weirdo but at least it’s in the privacy of my own lounge room.
Day 23: Already I’ve forgotten about all the stupid pregnancy food rules (of which there are far too many by the way) that I now have to abide by just in case. I cook a truly beautiful medium rare butterfly lamb leg then realise I should be eating it cooked to oblivion. I resentfully allocate all the lovely pink bits to husband’s plate then shove a lump of it in my mouth when he’s not looking.
Day 24: The drug induced HH threat (that’s Hormone Hazard, please refer to the chart in my previous post for full explanation) has largely dissipated but there are still moments of emotional irrationality from the pressure of wondering and not knowing what EB is up to. This morning I threatened to stab husband for his endearing habit of using 27 different cups and glasses a day. He simply laughed which implies that I use violence as an empty threat far too often around here. This is a bit shameful really, I’m his wife and he should have the decency to be appropriately scared of me dammit! Perhaps I’m going to have to start following through on some of those threats so he takes me seriously.
Day 26: One week post transfer. This was my Facebook status update today:
You know when you have a genius idea to rearrange all the shelving in the kitchen which requires removing everything, only when you get halfway through you realise it isn’t quite as awesome as it was in your head and now the microwave is on the floor and you can’t get it back and your husband is going to be home soon…? Fuck.
I don’t know what got into me but I spent a large part of the day making ‘improvements’ (read: leaving unresolved trails of destruction) throughout the house. It started at 6:30am when it was suddenly urgent that I hang fairy lights in Zara’s room, then the sunshine inspired me to sort out summer clothes, until the clouds came over and I got bored and moved my attention to the kitchen resulting in the chaos above. A friend suggested it might be a burst of the nesting instinct, and while I’d love to believe that’s the case I think the more likely explanation is a combination of my inability to sit still combined with a complete lack of spatial awareness and a short attention span. Still, it killed most of the day and anything to occupy my mind right now is a good thing.
Days 28 – 31: I’m doing that thing that every woman who has been through the pain of trying to conceive through any means does – analysing every little thing that could be a potential indication of implantation and pregnancy. I’ve reignited my relationship with my old buddy Dr Google to remind myself what the possible symptoms are. They include twinges, cramps, light spotting, headaches, backaches, sore boobs, nausea, metallic taste or absolutely nothing at all, so I can pretty much find a sign in every damn gas bubble travelling through my body.
I’m rubbing my belly wondering if it’s swollen or I just ate too much (probably the latter), squeezing my boobs to figure out if they’re sore because I’m pregnant or because I keep harassing them, trying to decide if I’m oversensitive to smells and feeling squiffy while cooking or if I just need to empty the kitchen bin. I have a headache that goes on for days alternating between heavy pounding and a background thud, I’m secretly (and perversely) taking some enjoyment from it because it could be hormonally induced which would be a good sign, so of course I’m woeful when it stops. I feel like I’m peeing all day every day, annoying but reassuring because that’s a pregnancy thing right? Or it could be all the sparkling water I’m drinking.
This madness will go on for the rest of the week until I pee on a stick – which I’m really trying to avoid the temptation to do just yet. I know logically it’s too early to get a reliable result so a negative test could be totally meaningless at this stage but even knowing that, I don’t think I can take the heartache of seeing that one lonely line I’ve seen too many times before. So for now, the box remains securely sealed in the bathroom. For now…
Day 32: Twas the night before test day and all through the flat, there was pacing and prowling but rest? No, there’d be none of that…
Tomorrow it becomes official, we’ll find out if EB was meant to be. The nurse at the clinic told me told that if I go for the blood test before 10am I can get the results the same day. Seriously? You’re telling me after two weeks of torture there are people who can actually wait another day for the result? Not fucking me, I can assure you of that. Tomorrow morning I’ll be there waiting for the doors to open, fighting off anyone who threatens to delay me one second longer.
And then the result will come.
I know this is a really shitty thing to do but that’s where I’m leaving this for now. Whatever the outcome is both husband and I will need a bit of time to digest it. While I’m obviously a put-it-all-out-there, open-book kind of girl, husband is not so much and I need to respect his desire for a bit more privacy. Although, through physiological necessity it’s my body in question here, it’s his maybe-baby too and he needs to have a say in when and how we share any news about it.
Thank you so much for all your kind thoughts, good vibes and well wishes so far, here’s hoping that I’ll have some good news to share with you next post. xx