For IVF, so I don't know if you guys know I don't know a lot about IVF
I've been watching other people's channels and I kind of got into the
message boards I have trouble keeping up in the message boards cuz I don't know
all the IVF acronyms and I don't know what everything means I'm I had a lot of
questions for her today she was very gracious I love her to pieces very
patient and explaining it to me like I need some things like specific to egg
like that the zona pella CUDA gets hardened but I didn't know a lot about
IVF that's what I'm trying to say and she was very gracious and generous in
her time thanks for cooking on simply Tanika
I am Tanika if you are new here welcome hit that subscribe button let's hang out
a while if you are returning welcome back
let's get those babies ladies good morning fertility fam how are you today
is Monday August 20th and I am headed to the re I am of course running late so
I'm gonna put on my clothes and it looks like rain so we'll take a raincoat and
well show boogie I'm just an update still no AF I didn't test this morning
I'm tired of painting on sticks quite honestly and she'll do an ultrasound and
blood work and we'll know definitively today so I can stop torturing myself
another symptom bleeding gums so I have a dentist appointment I think in four
weeks for cleaning so not sure if it's actually a pregnancy symptom or just
timeliness all right talk to you in a little bit mm-hmm all right we made it
outside it is sprinkling it's not too crazy my
hair is like semi straight so trying to not make it too crazy-looking yeah so I
am running late I'm meant to be there at ten I should get there about 10:30
I am saying the doctor today like I sit down meeting so hopefully that's not an
issue and they don't make me reschedule usually when you're doing blood work
they're not too particular well I shouldn't say that they are not as
strict yeah so I brought my notebook I have some questions for the doctor she's
gonna do blood work and it all just sound like I said earlier so we can
figure out like where I am my cycle maybe I actually didn't ovulate
miscalculated my ovulation date I don't know I think I did because of all the
other symptoms that I'm having like the sore nipples but I don't have
confirmation so and really if you don't do seven DPO seven days post ovulation
progesterone it's hard to tell but it should be low by now so like point one
so
and then we'll see and look at all the other numbers but yeah today just as a
refresher I want to get from her the information of what my protocol would be
for ivf confirm that she's agreeable to one more I you I get the exact
medication name and dosage so that I can meet with the nephrologist and review
the impact of those medications on my body so that's kind of it not sure if
how long I'll be hoping I'm out of there by 11:30 or noon because I do have to
get to work and yeah I also I brought my water our my water bottle so it has like
Crystal Light in it right now and water I'll finish that one the goal is to
finish that on the subway the 33 ounces and then by the time I go to the
doctor's office fill it up and took my second bottle by the time I leave the
doctor's office I think in order to do the five a day I've got to at least do
two and a half by noon or it's a wrap and hopefully that will help with my
cravings although I didn't eat last night Cheyenne didn't clean the kitchen
by the time I got back and I passed her two and an hour later she's still hadn't
and then she did and I didn't feel like cooking so I'll do better today we'll
both do better today how are you guys doing I hope all is well hope you can
see me I know it's um this umbrella I'm trying to get myself away how are you
guys doing what's going on with you and UPF peas
anybody starting a new cycle new cycle is always new opportunity let me know
down below what's going on with you ladies alright I will talk to you at the
doctor's office bye Hey ladies I'm here I'm actually kind of
excited I was driving everything yesterday and
now Amex heading to be back like I haven't been here since my canceled
cycle and I'm like okay let's get those babies
with dr. McConnell um I love her she took the time to explain everything and
it all made sense so you know the best way to make God laugh make plans I think
all the goals that I have we're gonna have to re-evaluate them yeah I think
we're gonna go right into IVF she was saying she gave me the instructions for
the Saline it's on a histogram explained that it would not be as intense as the h
SG but she did recommend taking some Tylenol before yeah I have notes because
I had a lot of questions and I'll sit down and go through with you but I think
the highlights of it are going straight to IVF and not another and I'll explain
to you why and I also asked her about the percentages because I know people
had had questions about it and I hadn't questioned it before but the percentage
for success rate is based on my specific hormone levels and what they typically
have seen so it is based on what my FSH was is why the percentage for success
for IUI and IVF are the same for me it's not the same for every woman there is
the expectation that based on my age the quality of my eggs is diminished so that
also impacts it and I asked her about well isn't it true that with the
exceeded zona public you de can be penetrated and confirmed versus or the
IUI it can be hardened and not she said yes and no if you can confirm
penetration but it doesn't mean that the DNA are going to mix properly and that
photos eight fertilization will happen and so it doesn't increase the chances
of a successful pregnancy outcome which is how they measure success when they're
saying the percentage is based on a take home baby
not on fertilization not on getting pregnant but delivering a healthy baby
so when I get back to the office I'll sit down and give you guys
all the notes because I did take notes but that was kind of the high level of
it and I'm going to have to start my detox sooner rather than later because
or go for the IVF all right I'll talk to you guys in a bit I stopped because it's
whoa it's wet out here my shoes are slippery but yeah I'll talk to you guys
when I get to the office I just need to process this but I wanted to tell you
that while it was fresh in my mind and I'm excited though I'm excited for
the first time in a long time I can see the light at the end of the tunnel I
feel and not because of the IVF but because I know the end is coming no
matter what so I know that more the end of the tunnel is literally and
figuratively all right talk to you in a bit what's up fertility fam how are you
I've made it home I came here early MTV is having their VMA Awards over at Radio
City Music Hall which is right across the street from my office it was all
chaos they were shutting the street standing on it so I need to talk to you
guys from conference room but I get to talk to you from my living room and
that's even better because we're in the privacy of my own home had a great
conversation with dr. McConnell went over some things with her as I told you
guys I wanted to talk to her about IU I versus IVF I wrote everything down I
normally go in with like just my iPhone and I take notes but sometimes I miss
things and so I took in my handy-dandy TTC notebook hopefully you can see that
it says stay focused and extra sparkly so I couple questions I had one her just
off the bat was can I do another out of you I and she said it was totally up to
me it was my money she laid out what the protocol would be
if I decided to move forward with another IUI which was we would add FSH
testing to my baseline protocol which we hadn't been doing before they've been
during eetu and progesterone an HCG so they would add the FSH if it was
elevated 20 or above is what we were defining as elevated then we would not
medicate me that cycle um the reason being 20 or above FSH in her experience
there will be no response which is what we saw last time right one of my own my
FSH was 22 does that make sense 15 or below is what she would want it to
be in order for me to move forward with the medicated cycle and she said from
5th at 15 it was like a 1% chance of pregnancy a successful pregnancy and
then if it drop below 15 that increased it to less than 5% chance however she
said they use it as a benchmark whatever your highest FSH s and then they kind of
average it out so you can never really get rid of that bad one she referred to
the bad when it's 20 but if you'll remember I had a 50 when I was at RMIT
or one cycle that I had to set up so all things being considered my FSH would
have to be controlled so that would be if I move forward I you I and then we
talked about IVF and my questions there were because before she said I needed to
do the Saline settle histogram before I could move forward with the IVF where
that was contingent like I had to come back and have no polyps and everything
be clear in order to you know check that off that that would not be a hindrance
to a successful IUI or IVF and so I wanted to know if I could do that while
I was in the Medicaid cycle for IUI because I was trying to like run it in
parallel and their answer was no I would not be able to do that the Saline Donald
histogram which is called an SH G instead of an HSG shg the Saline time a
histogram she said would disrupt the lining and so that would lessen the
chances of success if I were doing it while I was in a medicated IUI cycle so
that's what I will - no and then I just kind of wanted to
know what the criteria was for IVF so I don't know if you guys know I don't know
a lot about IVF I've been watching other people's channels and I kind of got into
the message boards I have trouble keeping up in the message boards cuz I
don't know all the IVF acronyms and I don't know what everything means I'm I
had a lot of questions for her today she was very gracious I love her to pieces
very patient and explaining it to me like I need some things like specific to
egg like that the zone napela CUDA gets hardened but I didn't know a lot about
IVF that's what I'm trying to say and she was very gracious and generous and
her time especially because I was like so what you look for in the IVF cycle
from me from me physically they would want to see three growing follicles
after I was medicated in order to move forward with it the follow Bulls would
need to be 18 to 20 millimeters that indicates that there's likely a mature
egg within that follicle and they would like to see that extra gel or e2 at 150
to 250 per follicle because I asked her stuff I have three follicles does that
mean that I should have like my each you
should be 600 is it 200 per and she said it's kind of an average so they would
look at it they would look at a total number and the total count so if you
have you know three and then you have 150 if you if my estrogen was 450 that
would fit within the parameters on average of 150 to 250 per file does that
make sense if not leave it in the comments below because I asked him not a
question so I'm just trying to replay like War I landed but if that doesn't
make sense let me know and that would be done on this measurement at between 10
and 12 days of stimulation so you know it wouldn't be like day three it
wouldn't be 18 like if it went that far they would cut it off and cancel the
cycle they're not gonna keep stimming me the protocol would be they would start
me with an estrogen patch to lower my FS before we got started with anything else
because again we don't want that elevated FSH it decreases my opportunity
of success in IUI or IVF so any medicated protocol it increases because
especially in ivf she said they're adding FSH learn creasing the follicle
stimulating hormone which is FSH and so if mine is already high it means my body
is already working really really hard to try to get follicle stimulated which
it's kind of counterintuitive because you always think like higher is better
but now with your FSH you want it to be as low as possible because that means
your body is like girl I got you I'm on my way with those follicles if it's high
that means it's struggling like okay okay okay I'm gonna get it I'm gonna get
it so high is not good so my protocol they would start me with an estrogen
patch and they would start that on cycle day 21 of the cycle before we would be
doing the IVF to kind of lower benefice age quiet everything get me ready to go
so then I would come in on between cycle 82 and 7 for my bloodwork antral
follicle count all that fun stuff intro follicle count is just like you're
resting follicle count and I'll talk a little bit about that later cuz I have a
paper that she gave me but so they would look at my intro follicle count they
would do all of my bloodwork to see where everything was they would check my
ovaries for cysts and just make sure like everything is
cool copacetic if all that pans out and I've had my estrogen patch from cycle
day 21 to the cycle day let's say I'd go and on cycle day two of the following
cycle then they would start she would start me on follow fall as stem I think
I'm saying right while the Sam and gonal-f or gonna laugh sorry at 450 is
the dosage that she gave me and I I think it's ml i you i but i don't quote
me on that we just were talking dosage I put 450 I didn't ask like the
measurement and then we would move on to menopur at 150 would be the dosage we
would have a mint follicle scan which is similar to what we do in the IUI but in
this case again we would be looking for those three growing follicles so we'd
have one or kind of check on them how are they doing is you know do we have at
least three what are they looking like what's the blood work looking like make
adjustments as needed so if they look like they were gonna be great but by the
time that ten to 12-day threshold hit keep the medicine the same if they look
like they're struggling a bit pump it up if they look like they might
be ahead of that schedule kind of reel it in a bit so just checking in with my
body seeing how I'm responding adjusting the medication accordingly then we would
come back one more time before we made a decision about that cycle
if we hit date 12 and the follicles look good we're clear for an egg retrieval my
cycle if we hit day 12 and I don't have at least three that meet this criteria
we would have to cancel that cycle which is kind of scary
so that was what we went through let's see what else and for the shg she told
me that I would need to call in on the call who was her coordinator on cycle
day one and Nicole's gonna ask me like lengthen my cycle and you got the idea
and then we would schedule the salience on the histogram and she gave me a
printout of this I had this checklist before but we kind of just like threw it
again so quickly I'll go through this with you guys um my first eight trips I
said they'll do that at the beginning e 2 which is the Esther doll which is a
form of estrogen the luteinizing hormone or LH which is what we measure when
we're taking our lovely Opie case the that's what helps us get our ovulation
going and then the baseline and ultrasound for the AFC which is the
antral follicle count as well as saying if I have the cyst the AFC it's
basically looking at the follicles and follicles at that point or like little
fluid-filled sacs with immature eggs in them and so they're kind of counting
what's up our ovaries I'll insert a picture but they're kind of like a lumpy
things but not all the eggs are ready every single month because if we would
blow our wad all at once so some of them come up the AFC antral follicle count
will vary from month to month and it's obviously pertinent in that cycle that
you're in so in that cycle they want to know how many you have right side left
side and they're looking at how many you have how big they are yeah this should
be able to be seen measured and counted so that's what they're going to do then
does that make sense so that's kind of my checklist when I have the salience
mr. graham which I'm kind of excited about and yeah and I think AAF is gonna
show up I had like the TMI the loosened bowels which usually happens when the
progesterone drops and so I just had that this afternoon
no spotting or anything yet but I typically don't spot I'm usually like a
morning starter and so I'm thinking tomorrow will be cycle day one we did
take my blood work as you guys saw earlier in the video I think I started
my bandit on yeah but because I was in so late I didn't get a call today about
five o'clock which I wasn't expecting and I was hoping mainly but I didn't um
if I had gone in through monitoring hours which is 7:00 to 8:30 I would have
got my results back today but I was late I didn't get there - like 10:45 and by
the time they did my blog workers probably 11:30 so in the morning I'm
sure they will call me I'm also like 99% sure now that I am over here so having
said all that what are our next steps
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