Wednesday, February 2, 2011

Cycle Day One: Moving On

My beta, as expected, was negative. "Less than 0.5". Hardly a surprise, since my lining had gone from 14mm at transfer to 8.5mm, with probably about 0.5mm on the dildo.

Why yes, I was getting another scan.

I spent Sunday, Monday, and most of Tuesday grieving. I called them my "rage days". I was free to be as angry as I wanted, at whomever I wanted, without feeling any guilt. (I obviously could not act on this anger, as being a convicted felon is probably not a good thing to have on my record if we move on to adoption at some point...) I cried an awful lot. I kept inserting my Crinone and didn't drink wine or take a hot bath. I burned my protocol, retrieval, and post-transfer instructions. I ate a lot of ice-cream, even though it's only 7 degrees outside. And I had several conversations with my husband, and we reached two decisions:

#1. I will not be doing another fresh cycle with this clinic. It's not the BFN. That totally fucking sucks, don't get me wrong. But it was very likely caused by chromosomal anomalies. My eggs, his sperm, and the incorrect amounts of DNA. It happens. I had 15 mature eggs, 12 fertilized, 10 embryos made it to Day 5. I really can't point a finger at them.

No, what made us decide "no more fresh IVFs" was a combination of:

(a) They tried to suppress my with Lupron twice, with disastrous results. Once, sure, that's the standard. A second time, maybe. But then they wanted my third cycle to be another long Lupron. I was the one, with knowledge from the Internet, to bring up an antagonist protocol. I was the one to put my foot down on another round of Lupron, even while the doctor was telling me that it was the Lupron flare that caused my cysts and stimmed me. So why on earth did they want to use it for suppression again? I have no problem with being my own advocate, but doesn't it seem wrong that they didn't even broach the subject of alternative protocols at this point?

(b) My cyst should have been drained in November. That monster was 7cm. That's HUGE! My emotional desire to stim I can see them dismissing, but really, a cyst larger than my uterus, so large they put me on pelvic rest...and they didn't even bring up aspiration? I did, a week later, but they just brushed me off. Then in January, I was told I had three choices: Lupron to shrink it (WHAT?), more wait-and-see, or drain. It shouldn't have lasted that long, and them bringing up Lupron again is just... *shudder*

(c) My beta. There is no reason they couldn't have done it on Monday. I understand they want to spare us the pain of a chemical pregnancy, but I wanted to have it over and done with. It was obviously negative. If they didn't think a beta that early was included in my flat-fee, they should have let me just pay to have it done and then done it again on 17DPO per their wishes. Having to keep taking progesterone, to not being able to fully kill off Hope, to no drinking/bathing/sexing during that time...it was just cruel.

So in short, my clinic is very good at handling things when they go well, but not very good at handling things when they're going very poorly, and they suck on the emotional comfort front. So...no more fresh cycles there.

But, on a happier front:
#2 I want to do a frozen embryo transfer (FET) right away. I called the nurse last evening, and was given the exact same "you know, I don't want to give you false hope, but in 20% of pregnancies...." spiel. I listened politely and then said, "I'm sorry, but that is false hope. I am getting negative pregnancy tests at 15 days past what is considered ovulation. The tests have a sensitivity of 25. You want my beta to be over 100. It would have to more than quadruple overnight. Clearly, that is not happening. But that's not the point. I want to do a frozen embryo transfer right away, this very month." She had the doctor call me back. He gave me a tentative ok, pending blood work and a lining check.

Well, my e2 is at 36. My p4 is at 2.7, but that is very likely from the Crinone. And my lining is down to 8.5mm, from 14mm at transfer. ("Light bleeding is common" my ass. That dildo-probe saw nothing 'light' about the bleeding, let me tell you.)

My doctor suggested I take a month off, for my "emotional health". That was a no-go for me. Look, I can't "take a month off" from infertility. I would spend that entire month depressed, micro-analyzing this last cycle, stressed out, counting on my fingers, hating life, wanting to put birth control in the water of every woman I know, you know, the usual.

Feeling like I'm doing something is much healthier for me. I didn't even cry today when the stupid tech wished me luck on my beta. I was joking with the receptionist while I waited. Doing something is really the only way I feel good.

So yeah, I put $2600 on my credit card and walked out with a calender and scripts for estrogen (which my insurance covers!) and more god-awful Crinone. Let's get a baby inside me. Now.

Or on Feb 23rd, I'll take that.

11 comments:

Kathleen said...

glad you gave yourself a few days of anger! i see we're in the same place with that one. as far as your clinic, urgh! they sound very frustrating to me! and i agree. i want to jump right into my frozen cycle if this one is a bfn if they'll let me. i don't have any more time to waste. take the bull by the horns, girl! and big hugs.

Lulu said...

Good for you! Sounds like you're coping well. I agree that taking a break is a hard thing to do. I hate that I'm currently on a break. Good luck with your FET : )

Bridget said...

I'm so sorry for you. I'm glad you put your foot down and got what you wanted. I am praying for you again this cycle!

Jem said...

You are the woman!

I'm so glad you have some frosties to look forward to.

Sarah said...

Geez, can you be my IF coach?:) You have me all wanting to walk into my RE's office and put MY foot down :) Im so so sorry for your negative beta, but it sounds like you have a damn good plan in place :)

ousoonerchick said...

I'm sorry your down. Hanf in there and good luck with FET!

Anonymous said...

I'm so glad you have frosties to work with!! And yeah, your clinic would not be long for my uterus (lol). Hopefully the FET's work, and you don't need to find a new clinic for fresh cycles (but that if you do, they're fabulous!)...

Bird said...

You are NOT messing around!!!!! I wish more people would feel comfortable grabbing the reigns when the doctors start dragging their feet.

sorry about your loss...but FET is supposed to be MUCH easier on the mind and body. All the luck to you!!!

Rosie said...

I love that you burned the paperwork!
Good luck with the FET!!!!!!!!!

Adele said...

I think you're the only one who gets to say whether or not you should go forward this month. I've heard the "time off for emotional reasons" thing before, and sometimes that time off is harder on the emotions than moving forward. Just is.

I'm sorry, Marissa. I'd be peeved about all those things, too. But you have embryos just waiting to make their home inside you for a good nine months, and I want that to happen soon.

Anonymous said...

Hi, I'm just jumping in here (I found you from a comment you left at Stirrup Queens) and feel free to ignore me since I obviously don't know you (yet), but are you sure your clinic has your best interest at heart? It sounds like they are not on the ball (I also read your later post about all the testing and paperwork mixups), and it just strikes me as downright cruel to make you wait for 17dpt for a beta when you're already spotting.

I'm glad you're able to stand up for yourself -- if it was me I would probably just have meekly gone for the Lupron again. Good for you!