Me: 34 DH: 36 | Together since 2007 | Married July 2016
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3 | all BFN
IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE | 8.20.20 | Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! | 9.22.20 | MC 10.23.20 at 8 weeks
TTCAL naturally | starting 11.22.20
Initial consultation with Reproductive Immunologist | 9.14.21
Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono | 10.15.21 | normal
Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22 | biopsy provided same effect as endometrial scratch; added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI | 6.6.23
Saline sono, endometritis biopsy, skin & eye check | all normal
Labs | high TSH, Factor XIII mutation, high %CD56
Follow up | 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3 | all BFN
IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE | 8.20.20 | Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! | 9.22.20 | MC 10.23.20 at 8 weeks
TTCAL naturally | starting 11.22.20
Initial consultation with Reproductive Immunologist | 9.14.21
Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono | 10.15.21 | normal
Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22 | biopsy provided same effect as endometrial scratch; added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI | 6.6.23
Saline sono, endometritis biopsy, skin & eye check | all normal
Labs | high TSH, Factor XIII mutation, high %CD56
Follow up | 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
Re: Product Spotlight: Breast Pumps and Accessories
I had the Spectra S1 (the blue one) and loved it! I liked that it had hospital grade suction, while also being portable. I got it thru my insurance company and paid the $100 for it to upgrade from the S2 (well worth the $100 in my opinion). The portability of it was unmatched - I pumped in my car, in the middle of a park, at friends and family's houses, hotel rooms, the beach, the pool, you name it.
I looked into getting a Willow or Elvie once I switched to exclusively pumping, but I have a pacemaker and you cannot use those hands free pumps with one unfortunately (there are magnets located in the pumps that cannot be that close to your pacemaker). Please also note that those hands free pumps do not have the same suction, and if you end up exclusively pumping you cannot use those as your primary pump. I do think the new Elvie Stride looks like I can use it with a pacemaker, so I am hopeful that I can get that thru my insurance this time around to use as my secondary pump. The Elvie Stride is stated to have hospital grade suction, so it may be able to be used as a primary pump. I did end up buying a laptop strap and putting that thru the handle of my spectra and I was able to wash dishes, vacuum the house, and do lots of other things while pumping hands free.
Please note that the flange sizes that come with breast pumps are not a one size fits all. Generally pumps come with a 32, 28 and 24mm flange. I ended up needing a 15mm flange. If you are not using the correct flange size, this will negatively effect your output and you could end up with clogs. I ended up using the brand "Maymom" flanges from amazon (and I used their brand duckbill valve replacements and larger collection bottles). You can get sized by a lactation consultant.
I purchased so many pumping bras and was really annoyed in the beginning when I was still also nursing that I had to keep switching bras all day long. I ended up discovering that you can "hack" a nursing bra to use as a pumping bra and it actually held the flanges in place the best for me. These are the nursing bras I loved and here is a video showing how to "hack" them for pumping.
Exclusively pumping is ALOT of work, but that's how my breastfeeding journey ended up going. I pumped for 9 months (720 hours hooked up to that spectra to be exact), dealt with a huge oversupply, bought two deep freezers to store milk, and in the end DD will have breastmilk until she is around 15/16 months old.
I am an open book and happy to share my advice and experience if anyone has any questions about EPing!
looking into the willow for this time around, as long as i don't have to end up exclusively pumping. I work 3 days a week so will just have to pump (if all goes to plan) during those times
Pumping is it's own beast and it was honestly my least favorite part of my breastfeeding journey
Also agree with the above- i had no idea on flange sizes or all of that when i first starteed, and i also did not realize the frequency that certain parts needed to be replaced.
If anyone has any breastfeeding and pumping online resources you found helpful - i think this would be a good place to share.
In my experience i liked the Kelly Moms website and the Sarah Wells VIP group - they sell pump bags but lots of great resources and support there. I also took a breastfeeding class at my local hospital which was helpful and connected me with the LC there. I have moved since then so i still need to look into what is offered here - especially since first baby was 2018 and the world was very different!
Just remember fed is best! I recently saw a meme that made me laugh (in spoiler below):
BFP #1: 4/2/12 -- DD born 12/15/12. BFP #2: 4/1/14 -- CP. BFP #3: 4/28/14 -- EDD 1/10/15
Jan 15 NOV siggy challenge:
I also got the Spectra (I think S2, pink) and loved it. But I guess it was the only pump I used so take that with a grain of salt. The one thing I wish I would have done differently was maybe getting a different, more expensive pump through insurance and then buying the Spectra separately (since the spectra isn’t overly priced). That way I could have had 2 pumps (I guess I could have bought 2 spectras…). One for work and one for home. Instead I was lugging that thing back and froth every day. That might not be as big of an issue with a lot of people WFH now. But it was a pain for me.
If you are thinking about getting a pump second hand there’s a few things to keep in mind. Preferably you should get a closed system pump. This prevents milk from going past the tubing and into the actual motor itself. All parts that the milk touches are detachable and washable. Then there’s the open system that doesn’t have this barrier. I’m less familiar with these types of pumps, but I think if you have a friend or family member that you trust then this type could be fine as well. I just wouldn’t be getting an open system from a stranger.
Definitely agree about flange sizes. I still don’t even know if I have the right size. I bought a couple different ones from Amazon.
Being a FTM last time I struggled really hard for the first month. I think I went to the lactation consultant 4 times? It was so hard. Emotionally and physically. My milk took a while to come in, so of course DS lost a certain percentage of his birth weight. Naturally the pediatrician recommended we start supplementing with formula. The very next day my supply came in but then basically dropped back off since we were supplementing. Over the first month I had to work to get my supply back. It involved nursing for 10-20 minutes on each side, then pumping for 15min on each side. Put baby down. Wash parts. And then repeat every 2.5-3 hours. But by the time you got done washing parts it was nearly time to start feeding again. It was exhausting. And I nearly gave up. But I was able to finally get my supply back and we ended up having a healthy BFing journey for a full year.
I wish I would have waited an extra day before starting supplementation with DS. I think our journey would have been much different then. Some things that did help get us through this was following legendairymilk on Instagram. They post so many helpful tips. And also finding out that you can put your pump parts in a ziplock bag in the fridge in between pumps and not have to wash them was a game changer (only wash them once every 24 hours).
Oh and the other thing was a Haakaa. Definitely get one of those. I could never get much out of it while breastfeeding on the other side (which I think is the main purpose of the thing), but I did use it often in the hot shower when I suspected a clogged duct (again, another helpful tip I learned from legendairymilk). It’s important to get those out early so they don’t lead to mastitis.
Married: 8/2015
TTC #1: 4/2017
Testing: HSG, U/S, BW, and DH's SA all normal
DX: Unexplained
8/2018: Clomid + TI = BFN
9/2018: Clomid + TI + Progesterone = BFN
11/2018: Clomid + IUI + Progesterone = BFN
12/2018: Letrozole + IUI + Progesterone \\ Cancelled due to cyst
1/2019: Letrozole + IUI + Progesterone = BFP! \\ EDD Sept 30th, 2019
10/7/2019: Healthy baby boy!
TTC #2: 12/2020
2/2021: Letrozole + TI = BFN
3/2021: Letrozole + TI = BFN
4/2021: Surprise! Natural BFP! \\ EDD Jan 6th, 2022 \\ Chemical, betas not rising
8/2021: Letrozole + IUI + Progesterone = BFN
9/2021: Letrozole + IUI + Progesterone = BFN
10/2021: Letrozole + IUI + Progesterone = BFN
11/2021: Letrozole + IUI + Progesterone = BFP! \\ EDD July 29th, 2022
The haakaa is just a little suction cup basically that is designed to slightly draw out and catch any leakage on your opposite breast while nursing. It can be really helpful for clogged ducts too and just relieving pressure if you aren't pumping but are away from your baby. (Like @LJMoon6 said!)
It seems like people have wild success with this item, or not at all. The wild success people (like me!) rave about it constantly, but it is important to know that it doesn't work for everyone depending on supply, pumping, general lactation differences, etc. It can be a "must have" for some and a bit of a flop for others.
For me, I always leaked on the opposite side (especially in the early days) and this little contraption allowed me to a.) Not get soaked and b.) Catch and use that extra milk for bottle feeding, added to baths, cradle cap, eye and ear infections and skin rashes (oh yea FTMs your breastmilk can do ALL of that! Cool hey!?)
I ended up catching way more milk than I needed (in large part because I was home with my little one for an 18 month maternity leave) and never really needed a fancy huge pump.
The last thing I'll say is that this little pump is just so, so much easier to clean and there is no taking apart/putting back together. Just use, rinse, store in a zip lock in the fridge, and boil every other day or so to sanitize. Easy!!
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3 | all BFN
IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE | 8.20.20 | Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! | 9.22.20 | MC 10.23.20 at 8 weeks
TTCAL naturally | starting 11.22.20
Initial consultation with Reproductive Immunologist | 9.14.21
Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono | 10.15.21 | normal
Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22 | biopsy provided same effect as endometrial scratch; added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI | 6.6.23
Saline sono, endometritis biopsy, skin & eye check | all normal
Labs | high TSH, Factor XIII mutation, high %CD56
Follow up | 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
I am another vote for the S1. I also pumped pretty much everywhere so the battery was worth the cost of the upgrade.
Flanges are horrible to get fitted right. I ended up getting pumpin pals (soft silicone instead of hard plastic) and had great success with them but i own probably 4 different plastic sizes and 3 different silicone and had to trade them out depending on the situation.
TTC since 2017
3/18-9/18- IUI's
11/18- IVF #1
1/19- IVF #2
8/19- DE Cycle #1- 5 PGS tested normal
9/19- FET #1- SUCCESS! May 2020
10/21- FET #2- SUCCESS! July 2022
TTC #1 since 7.2017
Dx: low morph (1%), ANA positive, low decidualization score, high TSH and testosterone, histone antibodies
IUI #1-3 | all BFN
IVF #1 | 6.11.19 | 24R, 17M, 15F, 6B, PGT-A tested - 5 normal, 3 girls & 2 boys
FET #1 | 9.10.19 | BFN "I know you, but we've never met. I'm with you, but I don't know your name"
RPL, Receptiva, & ERA testing | all normal/negative, recommended going on gluten and dairy free diet for next FET
FET #2 | 3.31.20 | Opted to cancelled due to pandemic, continued diet and tried naturally over the summer
2nd Opinion with another RE | 8.20.20 | Not immune to measles (received 1 dose); SA results similar to 2 years ago; decided to move forward with FET #2 redo at start of next cycle
Surprise natural BFP! | 9.22.20 | MC 10.23.20 at 8 weeks
TTCAL naturally | starting 11.22.20
Initial consultation with Reproductive Immunologist | 9.14.21
Decidualization score biopsy | 10.1.21 | abnormal - low score of 1; endometrial scratch recommended and progesterone supplementation
Saline sono | 10.15.21 | normal
Bloodwork | 10.21.21 | high TSH, high testosterone, positive for anti-nuclear antibodies and histone antibodies, high protein S, multiple genetic mutations
BFP! | 11.3.21 | EDD 7.14.22 | biopsy provided same effect as endometrial scratch; added supplemental progesterone and estrogen, prednisone, levothyroxine, and MTX Support to maintain pregnancy
DS born 7.19.22 after induction
TTC #2 begins 6.2023
Consultation with RI | 6.6.23
Saline sono, endometritis biopsy, skin & eye check | all normal
Labs | high TSH, Factor XIII mutation, high %CD56
Follow up | 8.8.23 | prescribed metformin, prednisone, plaquenil, and levothyroxine
Repeat labs after 3 weeks on meds
Follow up | 11.9.23 | Green light!, increase in prednisone, added lovenox
Repeat labs in 8 weeks
Follow up | 1.16.24 | Green light continues
TTC put on pause
ETA: "Federal law requires employers to provide reasonable break time for an employee to express breast milk for her nursing child for one year after the child's birth each time such employee has need to express the milk (Section 7 of the FLSA). Employers are also required to provide a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk."
I have my own office, so I was able to just close the door when I needed to pump. Like @cmhme said, perhaps paper over the window would work in one of those offices?
I'll add that if you do have to supplement for some reason and it plans to be temporary -make sur eto still be nursing and pumping often! We had to supplement at birth because of blood glucose issues in my little one and i was pumping but then the LC was like, keep nursing and getting baby on the boob too! Definitely nothing wrong with formula but there are some good options for donor breastmilk too (which i was given the option to do in the hospital)
Y yes yes to the Haakaa as well - especially the early days. I later wished i had used it sooner and earlier.
Also agree on the 2 pump thing if you work away from home and have the ability . I ended up leaving my spectra at work, which was the primary place i pumped, and had a medela that i did not like as much that I used at home as needed. (brought the spectra home over a weekend if needed or if iwas going to be out for a bit) but having less to haul around was sooooo nice
@inthewoods23 NO to the bathroom. Legally speaking, if your office/workplace is required to abide by the Affordable Care Act, they have a legal requirement to give you a private place to pump. I'm not sure if any more has changed on this, as a lot of people just say , "they have to" but legally it's related to the ACA and only businesses that have to abide by the ACA have a legal requirement to do so. It should be an easy fix to put a covering over the window. I also highly recommend having a do not disturb sign on the door during pumping. I had a designated room at my last office but here and there It was not available at the time i needed so one of the managers let me use her office and it had window on the door, so i just would cover it with dark colored construction paper and it was fine
With my 2nd I also used the Spectra s1 (with the battery) and was overall happy with how it worked, especially compared to the ameda that was the only option available through insurance with my first. I also think a hands free pumping bra (I think mine was lansinoh?) was helpful to try and get a little work done still while pumping.
Also recently started following Karrie locher on Instagram and it seems she has a lot of great tips and resources
@inthewoods23 I echo what others have said- they need to provide a dedicated room for you to pump in. I would see if you have the ability to reserve them too. You probably won’t know what your pumping schedule will look like now but when you get back from leave, you’ll want to try to stay as close to that as possible.
Another positive experience with Haakka. I always got so excited when I would collect a few ounces each session while using it.
And just like @runnergirl2018 said to me the kiinde twist system is so worth it. Just screw them on to your pump vs bottles. Then you can just put the cap on it until ready to use. There are different flows of nipples you can attach to the bottles too. To me that was a game changer in pumping; not having to wash/sanitize bottles everyday. I know finding bottles is hard but for reference both my boys took the kiinde bottles well.
BFP 11/30/2017 | MMC 12/31/2017
BFP 6/22/2018 | CP 6/27/2018
BFP 10/5/2018 | EDD 6/14/2019
Baby girl born 6/19/19
TTC #2 May 2020-November 2021
BFP 7/18/2020 | MonoDi Twins | MMC 9/10/2020
BFP 11/7/2020 | CP 11/9/2020
RE Consult January 2021 | Dx "borderline DOR"/RPL
IVF with PGT:
Standard Antagonist:
ER #1 3/27/2021 7R | 5M | 3F | 2B | 1 PGT-A Normal, 1 low-level mosaic
ER #2 4/22/2021 10R | 7M | 3F | 2B | 0 normal, 2 aneuploid
ER #3 5/19/2021 2R | 1M | 0F
Estrogen Priming Antagonist:
ER #4 7/10/2021 5R | 4M | 3F | 1B | 1 PGT-A Normal
Duostim (Standard Antagonist):
ER #5 9/22/2021 13R | 11M | 8F | 5B | 2 PGT-A Normal, 1 low-level mosaic, 2 aneuploid
ER #6 10/9/2021 9R | 6M | 4 F | 1B | 1 aneuploid
FET #1 11/5/2021 | EDD 7/24/2022
Baby boy born 7/19/22
TTC #3 since May 2023 (ntnp)
IVF Started Fall 2023 (Standard Antagonist)
ER #7 10/6/2023 | 9R | 6M | 5F | 3B | 2 aneuploid, 1 high-level mosaic
ER #8 10/31/2023 | 5R | 4M | 3F | 1B | 1 PGT-A Normal
FET #2 11/27/23 | CP (bHCG = 8)
FET #3 planned Jan 2024
ETA: I went to their site and ordered my new pump. The Motif, but its the portable version and comes with a hands free pumping bra! It has really good reviews. I was also able to buy a pregnancy support belt for free with insurance which is awesome, because I'm already huge, like random cashier's look at my belly and go "Any day now!?" huge.