Meds Update... Surrogate Side

Meds came!

These lovelies commence this evening when I begin Lupron injections. I've been taking birth control pills for the last week. 

According to my meds instructions, I will continue with the Lupron and BCP combination until I take my last BCP on the 25th. I'll continue the Lupron and should get another (!) period a few days later. Once I get my period again, I'll start my estrogen regimen; oral pills twice a day and a patch that gets changed every 3 days. 

After about 7-9 days of being on the estrogen and Lupron, I will be scheduled for an ultrasound to measure my uterine lining to be sure I am responding to the hormones appropriately. If I measure well, I will continue meds as originally instructed. If I'm thin, the nurses will have me increase my dosage and schedule another ultrasound for monitoring. 

From there, our clinic will be in touch with me and let me know the day of K's egg retrieval. On the night of her egg retrieval, I will stop Lupron and begin my progesterone injections. You know, the huge needles into my backside... 

On that same night, I will also begin some other meds; Doxycycline and Medrol. These pills are to prepare my body for the "assisted hatching" technique that the embryos will undergo. (In essence, assisted hatching entails poking a little hole into the outer shell of the fertilized embryos to help them hatch and implant better.) The Doxycycline is an antibiotic to help fight against infection and Medrol is a steroid  to help prevent my body from rejecting the embryos. 

I will continue all of those meds (the Doxycycline and Medrol are only for 4 days) throughout the first trimester should pregnancy occur; and we are HOPING it does!!!!

Until next time, world!

A miracle was born... Surrogate Side

... 1-year ago!! Today is Charlie's birthday! 

Can you believe the blessed day everyone was waiting for happened exactly ONE year ago?! K&J were given the greatest gift in the world at 4:26pm on a snowy, wintry cold night in the Northeast. I experienced the worst pain in my life, but couldn't have been anymore content just ONE year ago. 

The little man has grown into a bundle of scrumptiousness and has the most beautiful blue eyes one could ever wish to have. Charlie has been welcomed into a world of complete love and admiration; what more could one want? And I was lucky enough to be a part of creating that reality. 

The little family was able to hold their long-awaited miracle on Christmas morning; eager to witness the magic through him in years to come. 

Not only was it Charlie-man's first Christmas, but it was also K&J's first Christmas as parents. A first of many firsts yet to come. 

Our next venture is to make K&J parents of TWO! We have a bit of an update to share. Small steps, but I'll be starting birth control pills when my next period starts in order to align my cycle with K. After two weeks of birth control, I will stop the pills and begin Lupron injections. 

If you recall from our last (successful!) fresh transfer, which resulted in baby Charlie, the injections are done in my belly fat with a small, thin needle. These injections don't hurt much at all. I was very fortunate to avoid any ill-effects of the medicine last time and hope for the same this time around. Fingers crossed!

During the time that I will be on Lupron, K will undergo her her portion of the cycle. (Be forewarned - I know very little, if anything valid, about K's cycling, but I'll give it my best shot.) She will be put on meds to stimulate her follicle production and be monitored to track progress. Once everything is where it needs to be, she will endure the retrieval. From there, the eggs will be fertilized and left to "grow" for a few days before being transferred into me. 

Right before the transfer, I will be instructed to change up my meds, but we can go into that once I get my full protocol. We have a tentative transfer date for mid-February; they're thinking around the 19th. 

Stay tuned!

It's been a while... Surrogate Side

Hello world!  It's been a while!  

In my defense, not a whole heck of a lot has happened. 

Just a bunch of waiting...

That said, let me explain the waiting game.  Given our latest failed attempt at getting the super-cute Chuck a sibling, we were faced with some obstacles that needed attention prior to moving forward.  

For this past transfer, we used the remaining embryos that were frozen from our successful fresh transfer in April of 2013.  Due to the length of time from when we first started this surrogacy process for Charlie-man and our attempt for baby #2, some FDA testing had expired.  New testing is required before fresh embryos can be transferred. So, K&J got on it and had their testing completed just a little bit ago.  

K will be meeting with the IVF clinic to get her new protocol for the egg retrieval and then we'll determine the schedule for the next transfer.

Given the upcoming holidays, we are thinking that we'll shoot toward a transfer for either January or February!  Let's see if 2015 can top how awesome 2013 (we got pregnant!) and 2014 (we had Charlie!) has been.  

WooHOO!  I just can't wait to not have my period anymore...

In the meantime, I will continue to live it up during this holiday season and enjoy every moment with my little lovies while they are still in awe of the magic of Christmas.

The results are in... Surrogate Side

The 2WW is over!  The blood was drawn this morning!  The results are in...

But first, I have to relive the moments leading up to this day with all of you.  Not a minute went by that I did not want to pee on a stick (POAS).  I used great self-control over those two weeks.  I didn't start testing until 7dp3dt (7 days past a 3-day transfer - embryos developed for 3 days before being transferred into me).  I made it clear to myself that if the home pregnancy test was negative, that I would just consider it a "practice run". 

Monday was the first test. Well, the first official test; I didn't count Sunday's effort because I didn't use a First Response Early Result (FRER) test.  Those are the best and are the only test worth squinting for.  So, long story short, Sunday's leftover Dollar Tree test from a "scare" a few months back with the Hubs didn't make the cut. 

Monday morning, I POAS.  It was negative. And believe me when I tell you that I examined that thing thoroughly.  Nothing.  Because I was adamant about giving K a really good birthday present (Monday was her BIRTHDAY!), I did a second test on Monday evening.  I saved my pee for as long as I could so it could be "concentrated".  I POAS and... negative.  Bleh.

Tuesday's test was negative.  Again, a thorough examination was performed.  By Wednesday morning, I was expecting to see a second line.  Nope.  Negative.  WTF?!

Thursday: negative.  This is when I started getting nervous.  I google around to see if other people had not gotten a positive home test before getting a positive beta (blood test).  There was still hope!!  Other people have been negative with home tests and got a positive beta!  One of my friends (who just gave birth to her second surro-baby last month) had this same thing happen to her.  At this point, I was reassured.  There was hope.

Friday.  Today.  I took my very last FRER.  I watched as only one line appeared.  For a brief moment, I thought to myself, "how the heck did I get all the faulty tests?"  Well, at least we still have the blood test...

I arrived for my blood draw and was immediately taken back; no waiting!  The phlebotomist preps my arm and takes a look at my veins.  She'd taken my blood before without an issue, so I wasn't concerned.  Welp, I was wrong.  She sucked this time.  Long story short, she had to try FOUR TIMES before she could get my blood. 

Fast forward to noon.  The clinic called.  The results are in. We are not pregnant...

9 Months...Parents Side

 

Charlie

 

Same Chair, Same Socks...Parents Side

The time had come. I had taken 4 flights in less than 24 hours and I wouldn't miss it for the world. I was so excited to see G. Every time we see each other it's like seeing family.
I couldn't wait! The surrogacy process is never boring.  I flew in the night before, and did not sleep much because I was both excited and a tiny bit nervous for the next day.  There is always the risk of losing the embryos during the thaw but knock on wood that has never happened to us before. As I walked into the large fertility center this week, there is a feeling of happiness, familiarly and a little bit of anxiety. We had been down this road before, with much success. Every cycle you do your best to prepare yourself for a failed cycle or success. This was lucky cycle number 8. It becomes common, yet never super easy. Although, 8 is my lucky number so maybe this is a good thing! G was worried since she was going to be a little late but I assured her they wouldn't start without her, and a few minutes after she arrived. So great to see her! We were sent back by the same nurse as last time. Also the same chair which seemed a little weird, but hopefully good luck. The doctor on staff that day came in and explained the little embryos thawed well and we would be able to transfer all 3, with Assisted Hatching. G and I were thrilled. As we were sent back to the surgical room, I looked around. I stared at the medical staff, G, all of the equipment and stopped for a moment and realized that no matter what happened, we were already so lucky. The amount of time and energy that it took to have Charlie was amazing. A medical miracle really. As we went through the transfer, we waited with anticipation. We hung out for a bit after, and sadly I had to head to the airport. Frankly, that was the "easy" part.... Now we wait for the dreaded 2WW.

Rush... Surrogate Side

Our transfer was scheduled for Monday, September 29th at 9:30am.  I had to be at the clinic at 9am to check-in and prep.  K had flown in and was going to meet me at the clinic in the morning.  I couldn't wait to see her!  

Because we have been through this before, I knew I had to allow enough time in the morning to accommodate the EXCESSIVE traffic that I remember hitting last time.  I gave myself a pretty good cushion of an extra hour.  As I made my way for the 3-hour trip, I was making good time.  And then...BAM!  Traffic like you wouldn't believe.  I had 18 miles to my destination.  I texted K to let her know and we both were like, "yeah, no problem. We've got this".  I had an hour to go 18 miles.  We're good.  And then, I see this:

Uh-oh....

Is this for real?!  I'm in a rush!  At this point, I still had 14 miles to go and had already been in this traffic for about 15 minutes!  This was not good.  I stay in touch with K and let her know that I wasn't going to be on time.  It was 9am and I had 5 miles more and the traffic was bumper-to-bumper.  Long story short, I literally RUN into the clinic at 9:15am.  As soon as we saw one another, we immediately embrace.  It's like seeing family you haven't seen in a long time.

K and I were pleasantly surprised by how incredibly understanding and sweet the clinic was.  The receptionist was a doll who said, "you're here, you're safe; that's all that matters".  She even whispered 'good luck' to us as we walked away.  Lovely lady.

As we waited to be called back, we chatted about our families and, of course, gushed about Charlie and how awesome he is.  Clearly!  She listened to me complain about how badly I needed to pee.  I prepped my bladder like a champ.  When we were called back to prep, we were brought to the same station that we had last time; our nurse was even the same and K thinks she remembered us because she had said something while I was in the bathroom to undress.  I walked out of said bathroom adorned in these (and a robe):

Oh, but of course!  Couldn't forget these!  K had hers, too!

Everything was lining up to be a good transfer!  The Reproductive Endocrinologist (RE) showed us the results of the thawed embryos and told us that all 3 of them survived the thaw perfectly.  Three 6-cell embryos!  K was concerned about the quality, but the RE assured her that a 6-cell can be just as good as an 8-cell, so he was happy with the odds.  Good enough for us!  

We were escorted to the room where the transfer was to take place and my excitement skyrocketed.  I got myself situated on the table and let go of all of my modesty.  Not too long later (well, it felt like forever having an old man was staring at my goodies), the 3 embies were transferred into my fluffy uterus where they will be urged to implant and grow.  Okay, okay.  Maybe I don't wish for ALL of them to implant and grow, but you know what I mean!  (wink, wink)

After saying our goodbyes, K rushed to make her flight given the horrendous traffic.  I rushed back home (but, not without obeying all traffic laws because I was carrying precious cargo...) so I could get a nap in before picking up the kids -- a 3:45am wake-up makes for a long day!  As I was resting after our festivities that morning, my doorbell rang. 

How thoughtful! A delivery from Charlie, K&J!

So now, we wait.  We wait, we wait, we wait.  The two-week-wait (2WW).  There is nothing more frustrating than the 2WW.  Our beta blood test to test for pregnancy is scheduled for Friday, October 10th.  Let's put a rush on it, okay?  But, maybe there's a plan in place to make use of these:

Just picked these bad boys up at lunch today... o_O

It's ON... Surrogate Side

My monitoring appointment was this morning at 10am.  As I waited to be seen, I thought to myself, "I cannot believe the time has come once again".  You may think that I am crazy to be doing this again, let alone so soon, but I am SOO ready.  I am just as excited - if not more so than last time - to do this again.  I have so much invested in my IPs and their new little family that I cannot wait to be a part in helping them achieve another little bundle of their own; to give a sibling to Charlie!  

As I await my turn to be called back, I looked around the waiting room to see other couples waiting to be seen.  I wondered if there were any other surrogates in there, but since there were couples, I figured they were there for themselves.  It made me think of all the people out there, not only couples, who struggle with infertility; all coming from different walks of life.  There are so many situations out there and so many broken hearts.  I was fortunate to be able to conceive on our own.  I am also fortunate to be able to be a part of another journey to bring another joy to such a wonderful family.

Okay, okay.  On to the good stuff...  I had my labs drawn (this lady was GOOD, too) and was sent on to my ultrasound.  I was informed by the technician that a resident doctor would be in to observe the procedure.  I said okay and was ready to go.  The ultrasound technician was no stranger to maneuvering the "weenie wand".  She shoved that thing in there with a vengeance.  I was, at times, squirming around the table from the pressure.  When she was done, she said that she was going to hand over the wand to the resident doctor (who I thought was just observing the ultrasound).  What?!

Do I have a statement written on my forehead that appears any time I enter a medical facility that says, "Hey, pick me! Pick me!  I'd LOVE to be your guinea pig"??!  

Seriously, I've done my fair share!!  

Anyway, I allowed her to check things out.  After some time of just laying there and hearing them whisper amongst themselves and seeing the resident shake her head and begin to get frustrated, I interjected and asked if everything was okay.  (At this point, I still hadn't been told how things looked and whether or not my uterus had failed or succeeded.)  The resident explained that she was learning and that she couldn't locate my ovaries.  I decided to clue her in that maybe she should shove the wand a little further since it basically felt that it wasn't in very far at all.  She followed my "suggestion" and pushed a bit further and voila;  she found the goods.  

After they used and abused me, I felt I deserved to know the outcome so I asked for the results of the thickness of my endometrial lining.  She obliged and told me I measured 12mm.  Umm, what?! 12mm!  My uterus is a rock star!  I walked out of the clinic with my head held high and nipping at the bit to text K my results.  

K and I waited (and waited and waited) until I was called by the clinic to let us know if we were good to go for the transfer on Monday.  I received the call around 3:30pm and they said my labs and ultrasound were great and we had the green light for our transfer!  They gave me my next steps as far as my meds, too.  I began progesterone in oil (PIO) injections tonight as well as began taking the antibiotics due to the assisted hatching to the embryos.  

I have to say, I totally rocked the PIO injection tonight.  Only a slight hesitation before taking the plunge...  I'm a pro.  Let's do this! 

Time just ticks away... Surrogate Side

The time has come again!  The time to suck it up like a big girl and get ready to prepare my body to cater to a growing little human.  Because the time has ticked away and we are approaching the end of my 8-9 month recovery period from giving birth to Charlie in January, the clinic has called to set things up for our new cycle. 

There were a couple quirks; one being when I called one time back in August, the nurse asked me when my last period was.  I answered that it started yesterday.  Out of nowhere, the nurse kinda gets into a panic and says that she'll have to send out the meds STAT so I can begin them right away.  I was thoroughly confused.  I let her get through her entire spiel before asking if she knew that we weren't planning to transfer until October.  Although I knew we weren't doing anything until October, I was a little freaked out! But, we got everything cleared up and I was told to call on the first day of my next period.

In preparation of our upcoming transfer, meds were mailed to my home. My protocol this time around consists of estrogen pills (twice daily) and an estrogen patch that gets changed every 3 days. If my body reacts correctly to the estrogen and my uterus gets fluffy enough (they check this with a fun internal ultrasound), I start progesterone injections a few days before the transfer. 

Fast forward to early September...

I called the clinic with my first day. The nurse proceeds to give me some instructions and says she'll call me back because she needs to work out the details. A few minutes later, she calls me back with our potential transfer date; September 29th! Yikes! RIGHT AROUND THE CORNER! So much for October, huh?? Close enough, I guess. LOL! 

I have my monitoring appointment tomorrow, 9/26/14. At this appointment, I will have some labs drawn to check my hormone levels and have the internal ultrasound to check my lining. We need it to be super fluffy!

Since we will be transferring the remaining embryos that K&J had frozen from our last journey, things are little more laid back this time around. The timetable is a bit more relaxed in comparison to the rigid schedule last time around where we had to sychronize K and my cycles and time it perfectly. This time I didn't have to suppress my ovaries to prevent my own ovulation by using Lupron (the little needle shot into my belly). Woohoo! One less needle!

So, we're hoping my uterus cooperates so we can move forward with the transfer on Monday. K will be flying out for the transfer to be with me (can't wait to see her)! Charlie will be hanging back at home with J since he's been battling the ever-so-lovely ear infections... 

Fingers crossed for a good turnout! I just cannot wait to start the intramuscular injections into my backside... Can you feel my enthusiasm??! 

ALL. WORTH. IT. 

6 Months and Next Steps...Parent Side

Charlie is 6 months old, hard to believe! He is almost crawling, has a few teeth coming in and is such a joy. We are so grateful to have him and every day is an adventure.

After we all agreed to do as sibling journey and we have spoken with our agency we also quickly reached out to our fertility center and decided we would work with them again. I had a phone conference with our physician and wanted to know what his recommendations were. I was a bit surprised that he did recommend that we try our frozen embryos before beginning a fresh cycle with G. For 2 main reasons. The first being the embryos are frozen in time, and they will be over a year in a half younger than my hubby and I are now, which makes sense. The second and the most important reason is that the frozen batch resulted in a healthy, live birth already. Of course, you always run the risk of it not working, but it seems like it makes sense to try them first. Fingers crossed, it could very well work! He stated that it was our decision on what we would like to do, but when I asked him if he were in our shoes would he try this first, he said yes. J and I agreed and we were on board. Therefore, the next steps are for everyone to enjoy the next few months, and in late October or November we will thaw all 3 remaining embryos and see which ones survive the thaw and go from there with the transfer.  Although J and I know what to anticipate more this time and there are less 'unknowns' in some ways the stakes are higher. We have seen what G has gone through in the past, realize her commitment along with ours and have now seen firsthand what a precious gift we have been given. The fact that she is willing to do this again, just blows us away. We are beyond lucky. We look forward to the coming months and will continue to complete the lengthy paperwork, screenings and legal paperwork that comes alongside surrogacy. What a journey, we can't wait.