Saturday, September 22, 2012

We're having a baby!

I wanted to document everything in a journal format to print out someday, so to start - here's a timeline of how everything happened...


PLANNING FOR A BABY:
Babies were first mentioned between Russ and I before our second date even happened! We were talking on the phone one night and I asked him if he was done having kids or if he’d be open to having more. He luckily said he’d be open to having more! If he had said he was done I’m not sure what would have happened between us, because I knew I wasn’t done with just one child of my own! As our dating got more serious we even talked about what we would name our future children. We were at his work one night when the NRG manager (at the time) was talking about his grandson named Deacon. Both of us thought that name was cute. As for a girl… it started off as a joke actually… that we would name a baby girl “Abby” after Abby Runyan who set us up. I say it started off as a joke because not long into our dating, Abby emailed me to ask how things were going, and Russ helped me reply to her email, saying that we were planning a fall wedding and that we were going to name our first daughter together “Abby”. Well, I actually think the name Abby is so cute, and Russ thought so too. Abby was always a name Auburn planned to use for a baby girl but she’s done having kids and didn’t use it, which makes the name up for grabs!

When Russ and I got married, we decided to wait about a year before trying to have a baby. We didn’t really do anything about really preventing a baby from coming but still nothing happened. Around September 2010, a little less than a year after our wedding, we decided it was time. So for the next year we tried for a baby with no luck! We did insemination 3 times in the fall / winter of 2011 … again with no luck. It was a frustrating time to say the least. At the start of 2012, we made a plan to take a break from all of the infertility doctor appointments and save our money for a try at IVF if it came down to that. I hoped that by taking my mind off of getting pregnant for awhile, that I would become pregnant – since I’ve heard that happens for so many people. Well, I can’t say that I really ever took my mind off of it. When you want a baby so bad it’s not easy to just forget about it for any length of time. We planned to go back to the doctor in the summertime if nothing had happened. 

PREPARING FOR IVF:
As soon as June rolled around, I called and made an appointment to see Dr. Moffit at ARMS (Arizona Reproductive Medicine Specialists). We met with him in mid-June and told him we were ready for IVF and didn’t want to waste any more time. He gave us instructions and a timeline of what to plan for. As we read through the IVF information booklet, we realized that we had a lot of decisions to make – decisions we didn’t realize existed.
           
First, we had a decision to make about the financial side of things. There was an option to pay for one round of IVF OR a chance at 3 “fresh” rounds and 3 “frozen” rounds, with a 70% money-back guarantee if you didn’t take a baby home with all of those tries. The second option was twice as expensive as the first option. From all the testing we had undergone in the previous year, Dr. Moffit thought that I would have a pretty good egg supply but couldn’t guarantee anything. We prayed to know the right decision and we both felt like we could go with option number 1 – to pay for 1 “fresh” cycle and see how that went. (A “fresh” cycle is when you implant an embryo without it ever being frozen; and a “frozen” cycle is when one of the embryos that were frozen are thawed and then implanted.) When Russ and I made our decision, we counted on having some embryos that could be frozen for future tries, because a frozen round of IVF was really not too expensive.

The next decision that I thought was a difficult one to make… was the decision on what to do with extra embryos when we were done having kids. When there are embryos to freeze, you can keep them frozen for as long as you want (there is yearly storage fee for them). The 3 options were: discard them; donate them to research; or donate them to another couple who didn’t have embryos of their own. Russ immediately said that we should donate them to another couple. I was hesitant because I could imagine myself wondering where those embryos ended up. I could imagine seeing a little kid who looked like us, and wanting to find out if he or she came from a donated embryo!! Russ thought I was crazy! I thought that maybe we should donate the embryos to research. I talked to Dr. Moffit about this decision, since he is a member of the church and I thought he could give me some advice or direct me to an article that help me make a good decision. Dr. Moffit said that the church has never published anything on embryos but all of his other LDS patients have decided to donate their extra embryos to another couple. This answer that Dr. Moffit gave me made my decision for me. I still felt like I might wonder about our embryos but I felt peaceful about the decision to donate them to another couple – like that was the only decision and I didn’t need to feel torn about it.

Finally, the last difficult decision to make… was how many embryos we would transfer. Dr. Moffit thought we should only do 1, because I had a good chance of 2 turning out to be babies and it is not always safe to have twins. I wasn’t sure my body, with my bad back, could handle twins. However, I knew I was in a position that if we ended up with twins… I could probably handle it not matter how hard it was! Russ was really leaning towards transferring 2 embryos. I couldn’t decide so for the time being I decided on just 1 but the nurse told me we could always change our minds and sign new paperwork for transferring 2 embryos.

As things progressed over the next month and we got closer to the IVF start date, I was really excited. I wasn’t nervous about anything except for when the day would come that we took a pregnancy test. All throughout the process of trying for a baby, I had hope that if nothing else worked we could always try IVF. I was nervous about losing hope if IVF didn’t work. The beginning of August was when everything would start for us, and the nurses at ARMS had explained that as soon as we started on the medications, I needed to take it easy and allow my body to concentrate on making eggs and nothing else. The first week of August – we went to the lake twice and I tried to live up every minute of being there. Without summer being over I was a little bit sad about my lake days being over. Most of me was excited to get started with the whole IVF process though. I started medications at the very beginning of August or maybe the end of July. August 4th, we had a family lake day and that night I started the shots, making it time to take things easy. For the next week and a half I strictly followed the medication schedule and was in the doctor’s office at least every other day, as they monitored how many eggs I was growing and how big they were. The shots didn’t bother me at all, it was just a little difficult sometimes to make sure we took the shot at the exact time we were supposed to. 

(This is me during the week before the egg retreival)

 During my doctor appointments, the nurses and doctors always commented on how well I was doing on the medication. They were seeing results just like they had hoped for. This made me feel good! On Sunday August 12th, based on what the ultrasound showed, Dr. Faber who saw me that morning, said I was ready! The egg retrieval date was set for Tuesday August 14th… 2 days later. That night she gave me instructions on when to take the shot, and she said that night was the most important shot of all and it needed to be taken at an exact time. Between 9:00 and 9:15 was our window. I remember being a little bit stressed as we took the girls home that night because we take them home right during that same time frame. We made it back home to our house around 9:10 and did it just in time!

EGG RETRIEVAL:
Monday, August 13th I went in to the office and had a pre-op appointment which went fine. I was given instructions for the next day when the egg retrieval would happen. The time had finally come! Monday night, we took Noah over to my parents’ house so he could spend the night and have my mom take him to school the next morning, since we needed to be at the doctor’s office so early. Russ and my dad gave me a blessing, which gave me comfort. I still was not totally nervous about any of the procedures, just whether or not it would work. The priesthood blessing reminded me that Heavenly Father has a plan for me, which is out of my control. That reminder usually gives me a little bit of comfort and helps me to not stress about things I can’t control.

Tuesday morning we woke up really early and made it to the doctor’s office on time. Shayna was our nurse that day and I loved her. She explained exactly what was going to happen and assured me that nothing would hurt. As she started my IV, she said the worst part was over. I said goodbye to Russ and they wheeled me into the “operation room”. I remember the anesthesiologist turning on the medication for me and the next thing I remember was waking up in the recovery room. Russ was there with me and I was just a little bit sore. Shayna was there to tell me that they retrieved 17 eggs! I was so excited that they got so many. She told me that they would update me on the condition of the eggs as they watched them. Russ and I rested for about an hour before they sent us home. Russ stopped and picked up lunch for us then we went home and rested for the rest of the day. I was told to only get up to use the bathroom for the rest of the day. Russ stayed home from work with me and I enjoyed having him there. He takes such good care of me and is the sweetest husband. That night my mom brought us dinner and Alisse brought me my favorite cheesecake from Cheesecake Factory. YUM! I was a little bit sore but nothing too horrible.

 EMBRYO GROWTH:
The next day, I received an update that of the 17 eggs, 13 were mature and all 13 were fertilized. I thought this was great news. They would be updating me again 2 days later.

On Friday the 17th, I received another update. Friday was considered "day 3" and the eggs were expected to have 8-10 cells (if I remember right) to be considered in good shape. I lost my notes but I think I had 8 that looked like they should and a few others that were questionable, that they weren't ruling out yet. 

At this point, I was under the impression that we would be given one final update on day 5, the morning of the transfer; and that we’d be able to make a final decision about how many blastocysts to transfer. Saturday evening rolled around and Russ and I went out for date night. All we could talk about that night was this important decision about transferring 1 or 2. Russ was leaning toward 2 and I was probably 60 / 40 and leaning toward 1. I felt very torn. I wanted a really good chance at having one baby, and if it turned out to be 2 I knew that I could handle it. The thing I was worried about was having one of those eggs split to form identical twins plus another baby. I knew that I could NOT handle 3 babies! I had read online about so many cases where 2 eggs were transferred and the couple ended up with 3 babies. Because of Russ’s idea of doing 2, that made me second-guess myself and consider transferring 2. That night and the next morning, we prayed some very specific prayers, asking that the right blastocyst(s) be chosen for transfer, and also to know whether or not we should transfer one or two.

EMBRYO TRANSFER:
Sunday, August 19 - It was time to head to ARMS on Sunday morning and we still had not made a final decision. As Russ drove, I did as much reading as I could to receive any more info and enlightenment to help us make a decision. We pulled up to ARMS and decided that we would just have to talk to the doctor about the blastocysts and from there make our final decision.

Dr. Moffit and the embryologist sat down with a chart to tell us the latest update on the embryos. They said that there were 4 that made it to the blastocyst (day 5) stage and looked good, and 4 others that they were going to watch for one more day. We expressed that we were still trying to make a final decision about transferring one or two and they told us that they had already frozen 3 of the good ones and prepared only one for transfer. I was a little bit bummed at first that we didn’t get the chance to make that final decision, but at the same time I was so relieved that the decision was made and there was nothing I could do about it.

The transfer was an easy process. I did not have any anesthesia this time, and Russ got to go back into the room with me. The room was kind of dark and was connected to the embryology lab. Dr. Moffit got me all prepared and then said to the embryologist who was waiting in the lab, “we’re ready”. That’s when the embryologist brought what looked like a little syringe, and Dr. Moffit did something that transferred the embryo up inside of me. The neat part about this was that Russ and I got to see the whole thing on an ultrasound screen. Dr. Moffit pointed out where the embryo was and took a picture for us. This was somewhat of an emotional moment for me, because I was thinking that if this embryo survived the implantation and turned into a baby, Russ and I saw the moment that the baby was implanted inside of me. I didn’t want to be too sure of success so I tried to not let myself get emotional over it.

The little white line on the left side of this ultrasound picture is where the embryo was placed.

WAITING FOR A PREGNANCY TEST:
Besides all the medication that I was still on and the progesterone shots I continued to take every night, the next step in the process was the pregnancy blood test. It was scheduled for Tuesday, August 28th. That next week and a half of waiting actually went by pretty quickly. I had the blood test done first thing in the morning on the 28th and was told to expect a call later that afternoon. The paperwork I had said that if I hadn’t heard from ARMS by 4:30, that I could call them.

It was around 4pm when Russ called me on his way home from work and wondered if I had heard anything yet. Of course I hadn’t – I would have for sure called him first thing, whether the test was negative or positive. I told him at 4:30 I could call the doctor and Russ tried to get me to just call them for the next half hour. I didn’t want to be that annoying patient so I waited until 4:30. It was killing Russ! I was so nervous to hear the results – I had to use the bathroom A LOT that day and broke out in a sweat numerous times. I think I had kind of talked myself into the test being negative – probably as a way to not get my hopes up and then be totally disappointed.

At 4:30, I finally called ARMS. They put me on hold for a long time and finally one of the nurses (Kate) answered. I told her I was calling for my blood test results. She said that she actually could not go over the results with me… that had to be Dr. Moffit… but then she said “but I can tell you that good things come to those who wait”. That’s the moment we knew. Russ was on the phone with me so he got to hear it too. She confirmed that that did mean the test was positive, but Dr. Moffit would be calling me soon to discuss more with me. Kate hung up and Russ and I celebrated over the phone with each other. I wished so bad that he had been home with me so I could give him a big hug. I was so so SO excited, and shocked that I was finally pregnant.

This is a picture of me the day after we found out I was pregnant - making me 4 weeks along.

For the next week, Russ and I kept this secret to ourselves. There were a lot of people that knew we were doing IVF and waiting to hear about the results, but we didn’t tell anybody what day we would be finding out. It got to the point that our families knew that we had probably found out, so on Monday September 2 when we were at my mom’s house, we told my parents and siblings. The next day (September 3) was Tuesday when we had the girls over, and we had decided to fill them in during our Family Home Evening that night. I actually didn’t want to tell the kids until much later but we also didn’t want them to find out on accident by somebody else. We asked that they not tell anyone so we could still keep it a little bit of a secret during the early weeks, until we were more into the “safe” zone of 12+ weeks. I think the kids were excited for the most part. Just one week earlier, Noah had been asking that we have a baby boy that could sleep in his room, so I was really excited to tell him he could get up with the baby in the night. I think he changed his mind about that! Sophie said that she could take good care of the baby since she takes such good care of Lucy.

This is a still picture from the video footage we took of telling the kids we were gonna have a baby!