8 Things You Need to Know about your IVF Protocol that No One Told You

Hi Maybes!

I’ve been a little quiet because…..I just finished my first protocol for egg retrieval. We’re going to freeze and transfer in a few months once we get this thin lining resolved.

Updates on my cycle soon to come.

Having just finished the whole processes of stimulation and retrieval, I feel like there are things no one told me,practical things, that I never knew, so I’m going to share a few things I think might be useful to know before your start.

Step. Your. Sock. Game. UP
Seriously. You will be in the stirrups more in these 10-12 days then you probably have been in all of your adult life. Give yourself a boost of confidence. Give your doctor and staff something fun to look at. Keep them guessing. Wear fun socks. Trust me on this.

Drink A Lot of Water

Why? Because you will have blood drawn every time you go in. Every. Time. You’ll feel like a pin cushion. If you’re like me (and hopefully you’re not), and have small and hard to find veins, drinking lots of water will help you a lot. Even if you’re a standard blood draw, being well hydrated makes your veins plumper and easier to find. It will make this part of the appointment go a little bit smoother.

My arm on day one of monitoring…
One of my arms on the last day of monitoring.

Give yourself an extra 5 minutes your first dose day

When taking your injections , its important that you dose at the same time every day, or as close as possible. On your first day, or your first day adding a new medication, give yourself an extra five minutes, especially if its something like Menopur, that has to be mixed by you.

It can be a little cumbersome sorting out all of your needles and viles, mixing, and measuring. Add in at least a one minute pep talk to yourself the very first day to hype yourself up to stab yourself with a needle.

On that note….

PM dosing

The needles for the injections are not that bad

They really are thin, tiny needles. Unless you have a real fear of needles, you’ll be a pro at jabbing yourself after about three doses. Except for the trigger shot. THAT needle is longer, and a little wider, but it goes in your butt, not your tummy, and is intramuscular, going into muscle, so it needs a little more length and needs to be a little wider. Its all relative, because none of these needles in more than a few millimeters across.

For this process, a little tummy fat is a good thing!

Many of the stimulation meds are given subcutaneously, meaning under the skin. Usually you have to pinch an area of skin/fat on your abdomen. If you have a lil extra there, it will be a good for these purposes for this.

You can’t be Shy (because you may have to do your shots in a public space)

If you follow me on Instagram, you saw me post about my first public dosing. Long story short: I had the bathroom all to myself, them someone came in. With her nosey self, she lingered around, taking forever to wash her hands and re-applying her lip stick oh so meticulously, to see what I would be doing since by that point I had my supplies laid out. After a while I just said “F it! She gon’ learn today ” and proceeded with my shots.

I had 2 more times I had to dose in public restrooms. Fortunately, there was room and shelf (or shelf like) space in the stall where I was able to have more privacy. Except for the lady at the road stop that was telling me her whole life story from the other stall….

Bloat. All of the bloating. And Gas

I’m telling you because I love you. After a few days of stimulation meds, you will be a little bloated, OK, a lot bloated. And gassy. You’ll feel the pressure and heaviness of those enlarged ovaries (which is great!), but it makes you feel very bloated and full. Your injection areas will be a little swollen as well. Its uncomfortable, but manageable.

Your mind will be a little foggy. You will have emotions and moods

This is commonly said, but I wanted to clarify. For me, it wasn’t the violent, quick, up and down mood swings, it was little things. I cried about something every day the first five days. Things that would usually just annoy me, made me really pissed off. Things that wouldn’t bother me at all made me upset. It’s like PMS turned up a little. There were times in the middle of an emotional moment, I said to myself “why am I crying?” or “What is wrong with me?” I was very on edge.

The fogginess, I imagine is similar to what pregnant women call “pregnancy brain”. I just didn’t feel like myself. I forgot a lot. I felt like I was operating out of body a lot of the time. It was just a general lethargy and sluggishness I fought through pretty much every day once things really go going. Some of it may not have been the meds, but also the overwhelmingness and newness of starting my first IVF cycle, and all that it meant. Just know that you will be in a strange head space, rather its med induced or not.

*Bonus Don’t call new people you meet by the name brand of one of your meds

This seriously happened to me, but I didn’t say it to his face. A group of my friends and I had just met some new people, and later I was trying to remember one guy’s name. It had a “V” and an “L” in it somewhere. I said this with all seriousness:

Me: What was his name? Vivelle? Oh wait, that’s my estrogen patch.

Just like a Felon

I know I’m late, but the new thing I love is podcasts. I’m addicted.  Serial. The Read. Freakanomics. I even sub to a wedding planning pod cast. They’re entertaining, informative, and they help me get through my long commute home,  so I’m always looking for a new show to subscribe to.
I recently started listening to Death. Sex. Money. , which describes itself as  “A podcast about the big questions and hard choices that are often left out of polite conversation.”  Since I newly discovered this series,  I’ve been catching up on past episodes. So far, an excellent pod cast and quickly becoming a favorite.

Today’s catch up episode was from April 25, 2015. An interesting interview until the subject uttered this sentence: “I think people without children should not be allowed to vote”

 Insert record scratch.

There are so many great side eye GIFs out there, selecting one was difficult. But the Dowager wins today.
There are so many great side eye GIFs out there, selecting one was difficult.
But the Dowager wins today. Me when I heard his “joke”

The person speaking was W. Kamau Bell. Comedian, blogger, and former talk show host. Now to be clear, I know that it was said in jest, because, he is a comedian. However, I still found it not funny and incredibly insensitive.  I was offended, and actually a little shocked. I don’t think he was trying to be an asshole, but that’s definitely how he came off in that moment.

I admit, I don’t know a whole lot about Bell, and I wasn’t very familiar with him before his talk show, Totally Biased. I know he’s a comedian. I’ve liked most of what I have seen from him, which is why I picked that episode to listen to. I  wanted to learn more about him. From what I have heard  from him in the past, and even in that particular interview up to that point, he is an intelligent and aware individual.

So why then, even as a joke, would he say something like that?

What he was trying to say, in a horrible,  inconsiderate way, is that parents see the world differently than they did prior to becoming parents, and make most, if not all decisions considering the lives of their children, knowing even the smallest decision affects their lives. I get it, but the premise is still a little off.

Now, it’s really not my thing to be the comedy police. As they say “everything ain’t for everybody”, so if I don’t find a comedian (or comedienne) funny,  I just don’t listen to their comedy or watch their shows (I’m looking at you, Kathy Griffin and Martin Lawrence. Black Card revoked for the Martin thing,  I know). However,  some things, to me, are universally not funny: racist jokes, violence against women centered jokes, sexual abuse jokes, etc. I say all this to say that I’m not bashing Bell as a comedian,  or even as a person. I am simply saying that he is representative of what the world thinks of us child free women, and men: We are some sort of selfish, not-fully-formed, adult-type person.

Yes. Being a parent changes you. I don’t think anyone would argue that point.  And yes, I’m sure as a parent,  your decision making shifts. But the implication here, is that somehow, by not being a parent,  you are incapable of making quality,  well thought out,  long range decisions.  Which then implies that by not being a parent,  you are some how less of an adult.
I haven’t even gotten to the sheer insensitivity this shows towards the 1 in 8 couples who literally can’t have children.

So even as a joke, he’s essentially saying that because someone consciously chooses not to, or is unable to procreate, They should be denied a civil right? Cut out of a crucial function society. No better than a felon to him I guess. (BTW, I am not someone in favor of felons losing their right to vote once they have served their time)

So the soldier who cannot have children because of the injuries he sustained in Afghanistan, and his wife shouldn’t have a say in choosing the person who shapes the foreign policy of this country? You know, because he has no ideas or insights about such things because he’s not a father.

The couple that has spent thousands upon thousands of dollars just to become parents doesn’t have a stake in the healthcare system here in this country? I mean, they have only  been navigating through it for years. What could they possibly know since they don’t yet have any children?

“Its just jokes.”  “Why are you going so deep with it?”  “Calm down.”  You might be saying.

I get it, he’s a comedian,  and a new dad, so its just for fun, and he’s experiencing the world in a new way right now.  Cool. But I should hope those two things don’t instantly render you insensitive or arrogant.
For so many people,  that was just a flippant,  funny thing to say. But for the couple who just suffered a second miscarriage, or is on the fourth round if IVF, its painful.
To the women and men who have made the choice not to become a parents, it’s down right insulting.

To Kamau I say:

Come on, bruh.

In the words of one of my podcast faves, Crissle, Words mean things. Even as a joke, words can be painful. You as a Black man should know this.  Choose your words wisely.

Being child free, rather by choice or circumstance, does not invalidate ones humanity or adultness. For those who are childless by circumstance, that type of statement can be painful.

If you have an issue with my child free status, take that up with God.

Update: Per Kamau’s twitter I stumbled upon this conversion. Looks like he stands by his “joke”, which is unfortunate.

Listen to the full podcast episode here.

How Congress Celebrates NIAW….

…and it’s not by recognizing the week with a proclamation.

Sounds about right....
Sounds about right….

Someone I know shared a little nugget about Congress and their plan to overturn a DC law that prevents women from being fired for using IVF or getting pregnant out-of-wedlock. At first, I thought it had to be some kind of Onion type article, but no. This is an actual thing.

That’s right, people of D.C.: members of Congress just voted to let your boss fire you for personal decisions you make at the doctor’s office — because your boss believes those decisions aren’t consistent with his religious beliefs. Now, the whole House may take a vote on this discriminatory measure.

 

(For those that don’t know, click here for a little history about how/why Congress can do this in DC.)

So because you don’t agree with how someone starts their family, they can be fired? That sounds real Christian. (feel the sarcasm)  I really want someone to show me the passage(s) of scripture where God said IVF will send you to hell. Don’t these people know there was infertility in the Bible, even a miscarriage?

I can’t even deal with this.
This is why it’s so important to speak out and educate others about infertility issues. I choose to believe if people understood more, they wouldn’t say and do rude or insensitive things,  and they wouldn’t make these types of judgments.

 

Anyway….

You can catch the full ACLU article is here

Also, a take on this from The Frisky here.

 

 

Coming out of the Closet: I’m a Beyonce Fan

Lets take a break form Infertility and Fibroids, and go Off Topic! A new category you will see more of, because sometimes, you just need to talk about other things.

 

Hi, my name is Jai, and I’m a Beyonce fan.  There. I said it for the whole interwebs to see!

 

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I got a new iPod for Christmas, a much needed upgrade, and I noticed as I upgraded iTunes (again) and re downloaded music, that I have a lot of Beyonce music. Like, a lot. More than I thought I did.  Now, I would never categorize myself as a Beyonce hater, because there are segments of  people who have an irrational hate of all things Beyonce (the polar opposite of the Beyhive: those that love everything Beyonce says, does, and thinks). I just never really would have categorized myself as a fan. I liked a few songs, but not a fan. I see myself as an artsy music girl. I love Erykah Badu, Mos Def (Yasin Bey), Janelle Monae, Santigold, Jay ElectronicaPrince! (who is my absolute favorite artist of all time) Surely, I don’t have room in my heart to be a fan of Beyonce’s. But, she did perform with Prince at Grammys in 2004, and he did say she was talented, and more knowledgeable about music than he thought……

(The low key shade though…)

Maybe I was still feeling some kinda way about the shade-tasic way the original Destiny’s Child broke up. I was a DC fan, but the day I turned on the original 106&Park in my college dorm and saw the Say My Name video with two new, random chicks, I was in shock. So much so that it was the topic of discussion in my crew for at least three days.

Maybe because I felt like I was too old to be a Bey fan. By that I mean that I’ve noticed that women who are really big fans of Beyonce are usually 30 and under.  They would have been tweens or little girls during the whole Destiny’s Child era.  They were a nice group of young ladies to look up to: stylish, talented, sassy but not raunchy. Those girls followed Beyonce’s evolution over time from a child and teens point of view. Adoring her every move. Women and girls 30 and under idolize her. They truly look up to her as a role model of success, style, and womanhood.

Plus, I always felt like she came across as a little vapid in interviews. But I see now that it was all an evil genius move. Well that, or her “people” never really wanted he to come off as having a mind of her own. Either way. Now, she seems more willing and comfortable speaking her mind and doing what ever the f she wants!

I have a friend, Shay, who went through this conversion a few years back. She and I were the last 2 standing in not being Beyonce fans in our circle. In fact, she referred to her as Beyowolf. Then, some time after the 4 album came out, Shay gave in, and joined the legion of Bey fans. It was just me, and I was refusing to go down.

As I recently went through my music library, I noticed not only did I own a lot of her music, I liked it. Like, those are my jamz! Doing choreography in my living room jamz. So, after I broke down and bought the Beyonce album on iTunes (yes, I got it a year later because I refused to be on the Beyonce bandwagon. That’s how serious I was about not being a fan), I had a long talk with myself and had to admit: I’m a fan. I respect her drive and push to make music and stay on top of the game, her ability to stay relevant, be a trend setter even.  Her style. Her stage show. As a former dancer, I LOVE the dancers she hires. And the choreography?!  The production. The costuming. Slaying! The fact that she manages to stay genuinely curvy and be in shape. I’m just here for all of it.

Now, I’m far from a Beyhive member, I won’t take it that far, but I am a fan. I just am.  And its OK. I can like Miles Davis, and Portishead, and The Foreign Exchange…..and Beyonce.

OK Bey. You win.    Bow down, bitches indeed.

UPDATE
Just as I started to settle in to Beyonce fandom, I may have to take it all back. Beyoncé is slated to sing Take my Hand, Precious Lord at the Grammys as a part of Common and John Legend ‘s performance if Glory from the movie Selma. The problem? Ledisi (Who is an awesome singer in her own right) sings this song (as Mahalia Jackson) in the movie. So why is Beyonce singing it, when Ledisi will be in attendance at the Grammys because she’s nominated for her own song? Good question. I can only guess there are politics involved. The better question is why did she except?
Major side eye, Bey.

Some Days are just Bad Days

I try to keep everything pretty positive around here. I generally have a positive but realistic attitude about life in general.

I haven’t yet began to dive I to my fertility issues here, but today, I’m going to jump ahead a little.

Two weeks ago, I went in to speak with my RE (Reproductive Endocrinologist, a doctor who specialize in fertility) about her analysis of my current situation after some tests and information form my surgeon. She gave her thoughts, but the basics were that we should start the process sooner rather than later, and IVF would be the best bet. She ordered a blood test (AMH test) to check my ovarian reserves, (eggs I have left).

 

It took this chick 3 sticks to actually draw blood...
It took this chick 3 sticks to actually draw blood…

Well, today I got my results, and they weren’t that great. My level is at a .6, which is below average for my age.

 

I am extremely disappointed and sad. I allowed myself to cry for the first time in a long time about my infertility, because it all got a little more real today.

The journey is not over, and I know I will bounce back and keep pushing, but today is just a bad day. It was not the result I was hoping top hear.  However, I wouldn’t be true to the purpose of this blog if I didn’t share this experience.

 

Please visit the following links for a full explanation of AMH testing and how it relates to fertility

10 Facts about Anti-Mullerian Hormone Levels (AMH)

Anti-Müllerian Hormone (Including Graph)