IUI… IVF… I.Just.Want.A.Baby

Remember the hurdles analogy I keep referencing to? Well, Laryen and I were about to embark on the biggest hurdle of them all — having to pay for us to get pregnant. If you think about it, it’s not like we didn’t know it wasn’t coming. We had already paid so much money to get us to this point; insurance paid for some of it, but not all of it. (p.s. insurance usually doesn’t pay for ANY infertility treatments. It might cover a few appointments or non-infertility medications but for the most part, you’re on your own! Which I still feel is b.s. because remember 1 in 8 couples have some sort of infertility, so it’s not as rare as one would think, thus I think insurance should pay for some of it!)

Sorry…I get a little worked up about all of that 😉 Anyway, Laryen and I were really hopeful it wouldn’t get to the $$ part of infertility. But when it did it was a really weird feeling. You had so much more in the game. It was almost like we were gambling for a baby – without going to Las Vegas.

The first gamble we took was doing an IUI, or intrauterine insemination. It’s where they put the sperm inside the uterus taking away some of the obstacles and making it easier for the sperm to find the egg! The swimmers are “washed” so the bad sperm are gone leaving the “good” sperm behind. The process is done right after ovulation so you know the timing is perfect. We knew this was our best chance so far to get pregnant. But we still needed to ‘pay the man.’ $1,090 per IUI, plus the trigger shot to tell my eggs to ovulate, and Clomid to help me produce multiple eggs to increase our chances. So you’re looking at around $1,200 total per IUI.

And even though this was our best chance so far, it was still a gamble. (FYI: I’m going to throw a whole bunch of numbers at you for a second.) A normal couple trying to get pregnant only has a 20% chance every month they’ll get pregnant. Now for us, Dr. Huang said our chances were more like 2%! An IUI increases that chance to between 7%-18%, making us fall into that ‘normal’ range. But even so, it still wasn’t the best odds. Laryen said it best: “If someone had a gun and gave me a million dollars and said there was only a 15% chance that they would hit me, I’d take the money and let them shoot at me. There’s an 85% chance they WOULDN’T hit me.” Morale of the story…the chances aren’t that high. But for us, it was a SIGNIFICANTLY higher chance and the best chance we’ve ever had!

So we had our first IUI in August of 2015, followed by 2 others shortly after.

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Right before IUI #1 – who knows it could have been the last time we weren’t parents!

All of them ended up not working …. which was very heartbreaking. IUI #1 was really hard on Laryen. For me I was bummed out of course, but knew we had a better chance the second time around (the meds stay in your system, making the next time more of a chance of being successful). So when IUI #2 came back negative, I was devastated. When we started the IUI process, Dr. Huang told us we should do it 3 times. Now, it doesn’t mean that if you did it 4, 5 or even 10 times that it wouldn’t work. He knew a lot of women who got pregnant after lots of IUI’s. But like you can see in this picture below, the chances don’t keep going up. They level off. And if the IUI is supposed to work, statistically it’ll work in the first 3 tries.

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IUI chances keep going up until they level off, around the 4th try.

Unlike the saying, the third time wasn’t the charm for us. We were bummed out but knew the chances were still really low that it would work anyways. We had to keep moving forward, and we knew that every IUI was getting us closer to our end results of becoming parents. After unsuccessful IUI #3 I remember Laryen saying, “can we get our money back?” Laughter is really important to both of us and it’s helped us through this whole process. And if you’re wondering, no….you can’t get your money back, lol.

Now that brings us to where we are today. The second gamble: IVF, or invitro fertilization. Heard of the word test tube baby? Well that’s the old school way of saying that a baby was made through IVF. (and a more accurate saying would be petri-dish baby, btw). IVF is where they take the eggs out of me and fertilize them with Laryen’s sperm in a lab. Once they’re fertilized they put them back in me and, just like any other pregnancy, a healthy, beautiful baby grows! And if you haven’t figured it out yet, I’m an open and honest person and this is part of our story so I don’t mind telling you how much it’ll cost us.

We’re looking at $15,000 (on the low end) per IVF. YIKES!!!!! But got.to.stay.positive.and.keep.going. We got a loan and we’ll pay it off — there’s no way we can say it’s not worth it. It is, of course it is. We just pray that our kiddos are both super smart and really athletic to get a lot of scholarships for college 🙂

Let me tell you, science is amazing. The fact that they can actually do ANY of this stuff BLOWS MY MIND! It’s jaw-dropping awesomeness and kind of overwhelming. Just check out this drawing my doctor drew when we went in for our IVF consultation.

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IVF process from start to finish

That’s the whole process, squeezed into an 8.5″ x 11″ piece of paper. I’m a visual learner so it helped me break down the process in my head (even though I did put it in a drawer right after we met with him and didn’t bring it back out to look at until weeks later.) I won’t go into all the details of how it works, but I’ll try my best to explain the process in an IVF-nutshell.

IVF is just like any normal pregnancy, except all the fertilization happens outside the body and in a lab. The doctor pumps me up with a lot of extra hormones (in the form of shots that I need to give myself) so I produce multiple eggs. Once the doctor takes the eggs out of me (a quick hour-long surgery), they are brought to the lab where they are fertilized!

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ICSI process: sperm goes into the egg

 

A teeny needle inserts 1 teeny tiny sperm into each egg (the process is called ICSI) and the miracle of life begins.

 

 

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A 1 cell embryo becomes 200 cells called a blastocyst

Over the next 3-5 days, the cells divide, and divide again and again, etc until they become embryos. And once they have enough cells (at that stage they’re called blastocysts), 2 of the eggs are put back into me and (fingers crossed) they like my warm cozy uterus and want to stay for there oh 9 months or so. 🙂

 

Some of you may be wondering, how many eggs do they get? Well, 18 or 20 eggs isn’t unrealistic. But all those eggs aren’t going to be good…some might be overripe or not 100% developed. And even after they’re fertilized not all of them are going to get to that last stage. In our doctor’s example if you have 12 mature eggs and fertilized them all, on average only 4 will develop into healthy embryos.

Some of you also might be wondering, why don’t they put all the fertilized eggs back in you so you have a better chance at getting prego? Well, 1) I don’t want to be Octomom and 2) it actually doesn’t increase your chances. Not all doctors are the same, but my doctor won’t put more than 2 embryos back in during IVF. Our clinics stats over the past couple of years look like this: With 2 embryos you have a 70% chance of having a positive pregnancy test (yay!) and a 50% of a viable pregnancy meaning there’s a heartbeat. That’s what is scary – still not 100% but it’s damn good odds if I do say so myself. It’s also not healthy for mom or baby(ies) if there’s too many in there. The risk is just not worth it. So we’re gambling on those 2 🙂

Another question we had is what happens to the other fertilized eggs? They go right into the freezer (no, not next to the ice cream in ours at home) at the lab. Those eggs are good for 10+ years, so when we’re ready for another baby we’ll do a FET or frozen embryo transfer which seems like a pretty simple process compared to IVF. You can also donate the eggs to another couple who can’t get pregnant or even donate them to research, so lots of possibilities to look into in the future.

Well, that nutshell was a lot bigger than I intended (sorry!) but I think it’s a good breakdown of the whole IVF process. And for Laryen and I, it’s almost here! It’s hard to explain how we are feeling about it. We are excited of course, but nervous and feel like we kind of have a grasp on the whole process, but in reality we have NO IDEA what the next month or two is going to entail. Every IVF couple is different and there will be a lot more hurdles we have to get through before we see those two pink lines. But we’re taking the leap, tossing the dice and spinning the wheel…

all to FINALLY make our family complete.

How we got here (AKA medical jargon and probably TMI)

Infertility really takes a lot of patience. Like, a lot. And I’m not talking about waiting until you FINALLY get that positive pregnancy test. (can’t wait until that happens btw ;)) There’s a lot of patience in the whole entire process. I wish you could just snap your fingers and say ‘ok, we’re doing invitro!’ No, the doctors won’t let that happen. Because in their eyes they want to try everything else because it is such a big process that’s tough on your body. And who knows, one of those might work and you don’t need to fork over the money for IVF. In our case, they didn’t work…so we’re forking away!

Here’s a list of what we’ve done until now. I probably forgot a few things here and there but I think this covers a lot of it.

I got off birth control in 2012. But I got the depo shots which stay in your system for who knows how long, so my period didn’t actually come back some 9 months later. That brings us to February 2013, almost 3 years ago. We started trying and after about 6 months of no pregoness, I visited my lady doctor. He said for us to keep trying into the new year and if nothing happened by then, to call. Yep, no Christmas miracle for us. So January 2014 came around…and still nada. Laryen and I went to to meet with him to go over the next steps. At the time we lived in Springfield, Missouri — a wonderful city that we loved. But there was one thing that sucked about Springfield… there were no fertility doctors there! Like none, at all! The closest ones were in Kansas City or Tulsa…a good 3 hours away from us! So our doctor could only do so much to find out WHAT was preventing us from getting pregnant. (Yet ANOTHER hurdle in the infertility game of life!)

One of the first things he did was put me on Clomid. Clomid is medicine that helps you ovulate. I’ve never missed a period in my life so I knew I was ovulating, but this would make sure that I was. We tried that for three months in a row, took a month off, then did one more round. The problem is if you take too much Clomid, it could do the opposite and prevent you from getting pregnant — and backwards is not an option for us!

We also got Laryen’s swimmer’s tested. They could only test a couple of things though. Fertility clinics can test way more, but this office didn’t have those means. Laryen’s numbers were great! His swimmer’s were swimming (motility) and there were a lot of them (count). Motility and count were the only things they could test, and with good results we knew we could check that off the list! I got a little more blood work done at the end of the 3rd round of Clomid and they discovered that my progesterone was low. Progesterone is what makes your uterus fluffy and nice for the little embryo to live in! If you don’t have enough of it, then the embryo can’t implant, thus no pregnancy.

We finally felt like we had a light at the end of the tunnel! FINALLY something wasn’t “right” to medical standards. Everything else was great, so this one thing could be the reason why we can’t get pregnant! Let me tell you, during infertility anything that comes up wrong or low makes you so happy! Because at least for us, it gave us something to grasp — something to hold on to. We knew that if they fixed that one thing, and if everything else was good … our bundle of joy would get here!

WRONG! haha, I just have to laugh at myself sometimes. It lightens the mood for me, because this list is a lot longer than I was thinking, lol.

Anyway, I got progesterone suppositories prescribed to me… and lemme tell you, those are not fun! You take them for 14 days and you have to put one in you (yes, up there) twice a day and you feel like you’re leaking everywhere!! But hey, it’s a little thing and I didn’t care because I knew we were moving forward. But still no positive test.

Fast forward to October 2014. We are in a new city! Being a TV anchor means you move around a lot. Now we’re settled into Lubbock, Texas and we love it! And guess what? There are fertility clinics here — a couple of them! Hallelujah! So I establish myself with a lady doc who gives me a referral to a fertility doctor but you can’t just walk right in. No… there’s a waiting list. (it just shows you how many people are going through the same thing as us!)

We got an appointment for February 2015 (2 years after we started trying). In the meantime, we got some more tests done so when we saw the doctor we could know what the next step was. They did blood work and scheduled an HSG. An HSG ( or hysterosalpingogram) is a test where they put dye in your uterus and with an x-ray can see if the dye goes all the way into your tubes and into your ovaries. If it does, then everything is clear and you’re good to go! If it doesn’t, that means something could be blocking the tubes, which means the sperm isn’t getting close to the egg. They tried to get the dye flowing 3 times … nothing. As heartbreaking as this was to hear, we were positive about it. As weird as it sounds, it was ANOTHER thing to hold on to. Something is wrong with my tubes, and that’s why we’re not pregnant.

We FINALLY meet our fertility doctor, Dr. Huang. He’s originally from Houston and over 20 + years he’s helped hundreds of couples get pregnant. He’s super nice and understanding, but also straight forward which both Laryen and I appreciate. We don’t want anyone to b.s. us around…we’ve already spent a lot of money and time getting to this point. Dr. Huang says based on the HSG x-ray and the blood work, it’s inconclusive. He wants a closer look which means surgery.

I had surgery at the end of February 2015. They checked for two things. One, they repeat the HSG to see if my tubes are working and two, they check for any other abnormalities in my uterus such as endometriosis or PCOS. Endometriosis is a disease where the tissue that normally lines the uterus grows outside the uterus. PCOS (or polycystic ovary syndrome) is a disease where your ovaries grow too big and get cysts on them. MILLIONS of women have these diseases and they’re a huge factor in infertility. (remember 1 in 8 couples have infertility).

My tubes are GREAT! The dye goes through no problem and if anything was in there blocking anything, it’s flushed away! They did find a teeny teeny bit of endometriosis but they burned it off. So it’s like my whole reproductive system is brand spankin’ new! Dr. Huang tells us to give it another few months. I get put back on Clomid and with a lot of faith and hope we give it another whirl.

May 2015: Still nothing. Back to the doctor. Dr. Huang explains they do everything they can to see if there’s a problem with the woman. We are just complicated. So many different things going on inside us that can prevent us from doing what nature wants us to do. Since I was pretty much good to go now they move on to Laryen. Remember, he was tested before and his motility and count is good. But fertility clinics can test so many more aspects of the microscopic sperm, it’s unbelievable! And we get another nugget to hold on it.

So we test Laryen again. And let me tell you, it’s crazy how they do it. He gives them a sample and they put 200 INDIVIDUAL SPERM under a microscope. Can you believe they can do that?! All the numbers are great, except for one.

Morphology. It’s pretty much the shape of the sperm. Sperm has to have a certain shape to get into the egg. They need to have a pointed head so they can dig their way into all the cells surrounding the egg (go back to 5th grade sex-ed class) Pretty much it’s one of the most important parts of what makes a sperm a sperm. Because if it’s not the right shape then no matter how fast the guys are or how many there are, if the morphology is low the swimmers just hang out outside of the egg … there’s no partying going on on the inside — which is what you want. Out of Laryen’s 200 swimmers, 0 had the correct morphology.

You might be thinking — that’s it! That’s why they can’t get pregnant! His swimmers don’t want to party with Lauren’s egg, we FINALLY solved the mystery. Well, kind of. It was the first thing out of the past 2 years that made sense as to why we couldn’t get pregnant. But his numbers weren’t really that far off from “normal.” In regular couples, who aren’t infertile, on average only 4 sperm have the correct morphology. 4/200…which equals 2 percent. (when you break it all down like this, it’s amazing that ANY of us are actually here! Being pregnant really is a miracle!) And Dr. Huang made a good point. He said in another sample, there might have been 1 or 2 or more that had good morphology because in nature there isn’t zero like there isn’t 100%. We’re all somewhere in the middle. But based off of all of our results over the past 2 1/2 years, it felt like we were finally getting somewhere. The hardest hurdle next was knowing that we couldn’t get pregnant on our own. We needed help from the fertility doctor, and that’s a hard pill to swallow. We needed help. And when you realize that and move on, another hurdle. We need help to get pregnant, and we have to pay real dollars to get there. EEK!

New Year, New Beginnings

Everyone says with a new year comes a fresh start…new beginnings. Most people say their goals for the new year is to get healthy and work out more. Or get financially stable. Or travel more. Or fix that one relationship that fell away from them oh so many years ago. My New Year’s resolution? Become a mommy.

For most people that last part is the easy part. You try so hard to NOT get pregnant (am I right?) You take birth control, use condoms, only have sex at a certain time of the month…you do everything under the sun to make sure you don’t see those two pink lines. But then…you find the right guy and all of that changes. For me, I found him when I was only 16 years old (which means I’ve now known him for half my life — so crazy!) But don’t worry…I’m not 16 and pregnant…if I was I’d be writing a whole different blog 😉

Laryen and I have been married since 2008. Yes, his name is Laryen and I’m Lauren…what are the odds!

Anyway, we are high school sweethearts.

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We’re from Colorado and our parents still live 5 minutes away from each other. We love being in love with each other and I honestly don’t know what I’d do without my second half.

Ok…enough of that mushy stuff, lol.

3 years ago we decided we wanted to start a family! When you start dating someone at 16, both of you have pretty much planned your life together. 3 kids. 2 dogs. A house with a yard. Successful careers. Check, check, check…for the last three items. And we couldn’t wait to start checking off the first item on our life-long list. So I got off birth control (woohoo) and we started trying. And all those years that you have tried so hard to not get pregnant catch up to you and you think in your mind, wow. What a relief! I don’t need to worry AT ALL (am I right ladies?) And after 6 months…you think to yourself, hmm…I’ll get pregnant any day now. After 12 months…hmm maybe we aren’t having sex at the right time of month. I’m going to chart my temperature EVERY SINGLE MORNING before I get out of bed so I know when I’m ovulating. People start giving you advice, “Just relax.” “Get drunk and see what happens.” “Go on vacation.” “It’ll happen when you stop thinking about it.” After 18 months…hmmm…maybe something is wrong because we should probably already be pregnant. And that’s where our infertility story begins.

Doctors say anyone who has tried for a year without birth control and doesn’t get pregnant have some sort of infertility. You always hear these stories of people who struggle for YEARS to get pregnant but you never think it’ll happen to you. I never thought it would happen to me and Laryen. But do you want to know a scary number? 1 in 8. That’s how many couples can’t get pregnant for one reason or another. Isn’t that crazy? But you don’t know the number is that high because a lot of people simply don’t talk about. There are so many emotions tied to the concept. I went through a really tough few months through all of this being mad at myself and my body. This is the one thing (scientifically speaking) I, as a woman, am here on earth to do – to reproduce. And for one reason or another, I can’t do it. It’s just not in the cards without some sort of help and that’s a hard pill to swallow.

There are so many hurdles in the game of life; we’ve all been through them. But throw infertility in the mix, those hurdles seem to get so big you can’t leap over them. You can’t even see over the top of the hurdles to know where the finish line is. The one thing that has helped us get through all of this (well a few things I guess) are faith, optimism and support. Laryen told me not too long ago, “Honey we are going to be parents, there’s no question about it.” And we are. And I think we’ll be damn good parents too. And whenever I feel like I’m going to give up I think to myself, I can’t give up. Because if we give up, then that little bundle of joy won’t ever get here. We can’t give up for our future children, our future family … and we won’t give up. That’s the easy way out, and we don’t play that game!

So…now here we are. The new year and a new perspective on this whole thing called infertility. EVERYONE has a story. Everyone. And this is ours. And the more open I am about infertility, the more I find out that a lot more people than I first thought share parts of our story. It’s not all the same story line of course, but bits and pieces of it are the same. We aren’t alone. We have so many friends who struggled to complete their family or friends of friends who went through the same thing. That’s why I want to share our story. To help others and help them know that it will all be ok.

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You have to believe in possible -and that’s what Laryen and I are doing in the new year.