A super technical post + an update

I am still here in Denver plugging away at this IVF thing.  Things are going great except that I miss my girl, my husband and my bed.  Hotel beds are awesome for about 3 days.  The "me time" is great but now I feel pretty yuck and I don't really want and to get out and do anything.  I am trying hard not to mope.  

A little recap of the last few days.  

I had an ultrasound and lab on Tuesday.  All of that still looked good.  I had about 5 follicles on the left and about 9 on the right.  I was told to come back for a recheck on Thursday.  I also had a physical that day.  It seemed unnecessary but what do I know.  They did prick my finger to check a hemoglobin level and mine was a little high.  I was told to drink more water but it should be fine.  I can't not even tell you how much water I am drinking.  I am peeing every 5 minutes it seems.  

On Wednesday I had to go to a class all about the genetic testing (CCS) of our embryos.  I DID NOT want to go.  I was dreading it so much.  I just found out about the class the day before so I was not prepared.  The thought of going and listening to all of the risks and bad things that could happen to our embryos sounded like zero fun.  It took me 3 months to even decide to do the testing.  Sitting through a class that was going to make me doubt my decision was not on my list of things I wanted to do.  

As it turns out the class made me feel better about it.  Imagine that?  They went over the process, we had a little biology lesson and then she answered any questions.  A few things that stood out to me.

• 90% of their patients do CCS.  (A lot of people come here specifically for this testing)
• Less than 1% chance of damage/destruction of the embryo during the biopsy
• Less than 2% chance that an embryo will not survive the freezing/thawing process
• CCS is 95% accurate.  
• 1,200 healthy pregnancies via CCS
• They have had 9 misdiagnoses.  9 embryos that tested normal but they ended up not being normal.  7 of those ended in miscarriage and the other 2 were found at prenatal testing.  

Here is how the process works.  I know this is technical but, to me, it was interesting and it helped me to feel less stressed about the process.  

The day of my egg retrieval is considered day 0.  The eggs are injected with a sperm (ICSI) about 4 hours after the retrieval.  The next day (day 1) I will get a phone call from the embryologist telling me how many embryos were created.  They will then monitor the embryos for the next several days.  When the embryos get to the blastocyst stage (either day 5 or 6) they will then take the biopsy.  Little note here about the blastocyst.  They look for 2 things to determine if an embryo has reached the blastocyst stage.  1) they need to be 80-100 cells and 2) there needs to be differentiation of those cells.  This differentiation is when there becomes a ring of cells around the outside of the embryo which becomes the placenta and a mass of cells in the middle which becomes the baby.  Okay, so the biopsy takes 3-5 cells off of this outer ring.  Once the biopsy is done they freeze the embryos.  

They use a method called flash freezing.  Many years ago they used a method called a slow freeze and the embryo loss rate was 30%.  They have found that flash freezing is much better and the embryos tolerate it well.

Soooooo.  And this is important.  I will then receive a phone call (on day 5 or 6 after the embryos have been biopsied and frozen) telling me how may embryos we had that made it. I will hear from them on day 1 and not again until day 5 or 6.  OMG.  When I first heard this I was worried.  I have always been updated each day on how my embryos are doing.  The more I thought about it the more I came around to this idea.  First of all, hearing every day is a freaking emotional roller coaster.  Just read this post from my third IVF.  And then this one from the very next day.   I was a WRECK.  It seems on day 2 our embryos are never growing super fast and all I ever hear is bad things.  But then on day 3 they are always doing better.  So yeah, we will avoid that roller coaster of emotions.  I will be anxious for those 5 days no doubt.  But I did ask them and they said if all of the embryos arrest earlier than day 5 then they will call me immediately and let me know.  No news during those days is good news!

So that is the process.  I will learn the results of this testing 3 weeks after the test so 4 weeks after my retrieval.  Then I will be able to do a frozen transfer of the embryos that are available.  I can do a frozen transfer 8-12 weeks after my retrieval.

Moving on from that.  I had my recheck of labs and ultrasound yesterday.  Things are still looking good.  5-6 on the left and 8-9 on the right.  I talked to my nurse and she thought I may be on the stimulation meds a day or so longer than we thought.  This is normal but I only have enough meds until Saturday.  They wanted me to bring in my used vials of meds since there can be a little left in the bottom.  They drew up all that was left and were able to get another dose!  That saves be from dropping another grand at the pharmacy.  I still have to get my other medication from the pharmacy so that is what I am going to do as soon as I hit publish.  Drive into downtown Denver and try to find the pharmacy!  Awesome.  

I go back on Saturday morning for another recheck.  We are tentatively looking at an egg retrieval on Tuesday instead of Monday.  Lonnie is just waiting for confirmation before booking his flight.  

Sometimes (like right now after writing this) I feel like this is all so crazy.  There is just so much and it is overwhelming at times.  But, in the end, I know I am doing the right thing for us, for my family.  I would ramble on here about why it is right for us and how bad I want to make Blakely a big sister (and how much I miss that girl!) but then I would just cry and not be able to stop.  These hormones are no freaking joke.  

Again, I really appreciate each and every one of you for reading and supporting me.  I seriously don't know what I would do without this space and the friends I have made here.  All of the prayers, well wishes and good vibes being sent my way are working!  Love y'all!  

Also, feel free to ask any questions.  I am an open book!  Aaaaaaand just a reminder that I am documenting this on insta.gram @mile_high_mama if you want to follow me there.