I called my obgyn's office yesterday morning explaining the situation and how to get MTX. I got a call back to go directly to ER as my doc had given my name at the front desk. She was going to be there doing surgery all day. Just for background, I moved an hour away last summer but haven't gotten around to changing OB-gyn's closer to home. DH's schedule was packed yesterday and we figured I could handle a shot by myself. I drove an hour to the hospital and arrived at 11am. I explained that I really didn't want MTX without another u/s as the last one was done last week when beta was only 515 so of course they couldn't see anything then. Plus it was a local RE's office where I am not a patient---she spent 20 seconds looking before declaring she couldn't see anything. They took more blood for HCG, liver enzymes and CBC. I was then sent to the waiting room. Of course everyone has big bellies and can't stop rubbing them. This is "Women and Infants Hospital" afterall. A bad place for an IFer. At 1pm, a nice nurse told me they had emergencies so it would be a while. She told me to go do my mammogram and breast u/s which was booked at the same hospital at 2pm. She said not to check out, just go and come back; no one would be the wiser.
I checked in at radiology and got my 2nd wristband of the day. I got the mamm quickly and it was declared negative. They automatically still do a breast u/s when there's a palpable lump felt. The tech told me she could also feel it which made me feel better, less crazy. The u/s was clear. They said it was just really thick, dense tissue at that one spot. Maybe thicker due to the HCG but there's nothing wrong. Phew. Relief on that part.
I got back to the ER. It's now 2:45. At 3:45, I asked if I was called while next door. I was afraid "nice nurse" got off at 3pm or was wrong for telling me to leave. But someone found her and she came out. I hadn't been called. She said it was just crazy that day and apologized. HCG is now 950 something. They will send me for an u/s soon.
Finally I am sent for u/s at 5pm. Tech won't tell me anything. When she asked why I was there, I said I really didn't want MTX if this was really a uterine pregnancy. I said I knew it wasn't viable. She snapped back "well if you know that why don't you just take the drug". I snapped back "because I don't want a cancer drug if I don't need it. They can fix this another way." Tired of people wanting to dismiss me and take the easy way out instead of actually treating me. I was sent back to the waiting room.
I was brought to a room at 5:40pm. A nice OB-gyn came in around 6 to get some more info. We went thru the various betas and explained that I knew it wasn't viable. I should have been 7w1d so a beta under 1000 wasn't cutting it..we'd have a hb if it was normal. . He said they "think" they can see a tiny sac in the uterus so MTX isn't needed. He said it wouldn't be "wrong" to give it but we may have other options. He tells me about doing a "manual vacuum aspiration"-MVA. It's usually done with heavy narcotics or anesthesia but since I am here alone, I can't have that. He can give me a shot of toradol (Motrin) and they use lidocaine to numb cervix. Basically they suck out the contents of the uterus and hope that the sac comes out. It's what they do for early abortions... He said he wouldn't offer it to a lot of people but thinks I can handle it. He said we may be able to test the contents. I would love that info if possible so I agreed.
More emergencies come so I keep getting pushed back. I'm a stable miscarriage and there are pregnant emergencies. Ironic and torturous. They eventually do the procedure at 11pm. 12 hours after I arrived. It was very painful. Very. There were 3 doctors doing it plus the nurse. They had to to the extraction part 3 times as they weren't getting much out. I had already bled 1.5 weeks ago and lining was thin so that made sense that not much would come out. Hopefully they got it. It will be tested and am need a repeat beta 24 hrs after procedure..Im not sure how that will work since it would be 11pm tonight...
So bad idea going solo as I couldn't have drugs and had to do it all alone. My uterus was cramping badly. They released me at midnight. I have to say the nurses were so kind and my doctor truly felt bad for me. At one point he said he didn't want to make the determination that it wasn't a viable pregnancy since it was wanted so much. I told him that I knew it wasn't viable 2 weeks ago and that it was ok to "give up" on it.
Hopefully the beta will now drop and this will be behind me. Beta should drop 20% within 24 hrs. I won't opt for that procedure ever again w/out drugs.
As for future plans, I canceled my phone call with RBA yesterday since I was going to the ER. The RE might call me today-Atlanta has a crazy storm again so they are on limited staff etc. Some of you have asked about the use of DS for the guarantee program. Yes, we can use it but DH just isn't interested in using it.. I can't force him to so it is what it is. He never wanted to use DE either but relented on that. In my heart I am letting go of the hope that this will ever work. As for right now, I still need to transfer 2 blah-quality 6 day blasts next. They will thaw both. When thst fails, then I need to pick new donor..I can request a partial refund (it's like 80%) after that donor if no pregnancy. I also have a surgical consultation for 3/11 with my gyn oncologist to remove my tubes/ovaries due to my BRCA gene. I feel like I am playing with fire letting them stay in this long. Once those are removed, I need 6 weeks to heal before we can start another transfer cycle. haven't decided yet--I may transfer the 2 frosties and then do the surgery just to speed it all up. I want this all to be over by summertime if possible. The TTC Chapter will be 4 yrs at that point and that's enough.
TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
5 IUI's: 2/11 to 6/11 and 1/12= BFN
OE IVF#1-4 8/11-6/12= all BFN
DE IVF#1 11/12 bad embryos= BFN
DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
DE IVF #3 1/14 ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d
DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!
K & K born 11/21/14 at 38wks 4 days


SAIF/PAIF Welcome
http://waitingforraintostop.wordpress.com
Re: Rough Day/Night at the ER-long
***signature & ticker warning***
Me: 30 ~ Stage IV Endo ~ AMH .38 ~ AFC 8
AMH .97 as of 4/2012! ~ AMH 1.63 as of 4/2013!?!
Him: 29 ~ perfect swimmers
Laparotomy w/partial oophorectomy 8/2009 to remove cysts/endo.
Stopped BCP 4/2010.
Multiple clomid rounds from 11/2010 to 6/2011. ~ All BFN
IUI w/clomid 7/2011. IUI w/clomid & injectables 11/2011 & 1/2012. ~ All BFN
IVF:EPP 5/2012 ~ (4R, 3M, 2F w/ICSI). Both embryos txfrd. ~ BFN
BCP to manage endo from 10/2012 to 12/2012.
FET w/donor embryos #1: 10/2013 Cancelled
FET w/donor embryos #1.2: 11/2013 ~ ET of 2 beautiful blasts on 11/27.
Beta 1: 503(12dp5dt) Beta 2: 1035(14dpt) Beta 3: 3001(16dpt) Beta 4: 8503(19dpt)
Twins with an EDD of 8/15/14! Team Purple
G&B born 6/30/14 at 33w3d via emergency c/s.
If you're wondering about my avatar...it's a fried pickle chip shaped like a fetus!
Anovulatory cycles, increased Synthroid Diagnosed Sep 2010
1 Clomid/Ovidrel BFN May 2011
Natural cycle Aug 2011 BFP M/C 4 Weeks
1 IUI Sept 2011 BFP M/c 7 weeks
Provera Dec 2011 BFP M/C 3 Weeks
IVF March 2012 BFP m/c 4weeks 5 days (IL, Prednisone)
IVF#2w/DS July 2012 MEGA FAILURE BFN (IL, Dexamethasone)
Diagnosed No real HLA Match, DQ Beta Triad, High TNF, Low NK Cells
Oct 2012 Natural Cycle m/c 4wks (Lovenox, Prednisone)
Went to Beer Center- high tnf, low lad, implantation failure
Jan 2013 BFP
Humira,LIT,Prednisone, Lovenox, IVIG, Baby Aspirin
Miracle Born August 2013 Premature
Yours doesn't have to be a sad story
::: Married June 2003:::

TTC #1 since: Aug. 2008
Me: 34, DOR, MTHFR-A1298C (heterozygous), decreased blood flow to uterus, Mild Endo
DH: 38, Balanced translocation 5&10, unexplained MFI, normal SA and SCSA
Tx History: IUI 1&2= BFN
IVF# 1 W/ICSI= BFN
IVF# 2: cancelled d/t no response
IVF# 3= 1 egg retrieved=immature/not viable
IVF# 4= c/p
***CCRM ODWU***
Found DHs BT and Me-decreased blood flow to uterus
Recommended DE IVF w/PGD, incorporate electro-acupuncture. Decided to cycle locally
***New RE***
DE IVF# 1(cycle #6) w/pgd, (freeze all): 30R, 23M, 15F, slow/poor embryo development, 4 biopsied, 1 Normal "Norm"; DE IVF w/PGD, incorporate electro-acupuncture.
IVF# 6: (OE/DS) cancelled
IVF# 7: (OE/DS) 1R, 1M, 1F, arrested day 5
Plan-DE IVF# 2 (cycle #8): DE/DS in May 2015
http://icanhazbabyz.blogspot.com/
*******siggy/ticker warning*****
Me(31). DH (31)
DH SA normal count and motility, 1% morphology
Me .72 AMH, Fragile X premutation carrier
IVF #1 (6/12/13) BFN
IVF #2 (8/16/13) BFN
FET 10/4/13 Chemical
IVF #3 MC 5 weeks 5 days
IVF #4 DE 11/7 BFP, edd 7/28/15
All Welcome
************ Signature/Ticker Warning ************

Me (32) DH (36) - Finding our way to baby #1
Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
DH: Severe MFI
12/2/11 - IUI #1- BFN
8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)
My ovaries are just for decoration
12/6/12 - Adopted five embryos that had been frozen for over ten years!
2/11/13 - DEmbryo FET #1 Thawed four, sadly two didn't survive. Transferred two beautiful blasts.
2/16/13 - First BFP of my life @ 6dp5dt! EDD 10/30/13
3/27/13 - After beta and u/s hell, no heartbeat ever detected. D&C at 9w1d.
6/5/13 - Adopted four new embryos that had been frozen for seven years!
9/12/13 - DEmbryo FET #2. Thawed and transferred two beautiful blasts
9/17/13 - BFP @ 5dp6dt! EDD 05/31/14
9/29/13 - m/c @ 5w1d.
11/19/13 - DEmbryo FET #3. Thawed and transferred one blast from each batch. Wow!
11/23/13 - BFP @ 4dp6dt! EDD 8/7/13
Beta #1 @ 13dp6dt - 522 Beta #2 @ 16dp6dt - 1373
6w5d ultrasound showed one perfect baby with a beautiful heartbeat of 134bpm!
Snowflake baby is a girl!
Our beautiful Snowflake girl arrived on July 22, 2014!
My embryo adoption blog: Wishing on a Snowflake
TTC summer 2008
Diagnose me. DOR, DH perfect
IUI # 1 6/2010, BFN
IUI # 2 8/2010, BFN
IVF # 1 10/2010 Canceled poor response
IVF 1.2 12/2010 BFP! mc 6 weeks 2 days
Mental health break for 10 months
IVF # 2 10/2011 BFN
IVF # 3 5/2012 BFP! 10 eggs retrieved (best ever)
7 fertilized transferred 3
Beta #1 14dpo - 72, Beta #2 17dpo 145 Beta 3 20dpo 521
First u/s June 15 saw HB 126 bpm missed m/c 7/5/12 10 weeks D&C 7/6/12
IVF#4 ER 9/30 ET 10/3 Beta 10/16 BFFN. IVF #5 final with o/e. ER 1/21 only 1 retrieved, hoping my lonestar is the one. Beta #1 2/6/13 = 209.... please let this be it! Keep growing lonestar! Beta #2 2/8/13 - 586! , Beta #3 2/10/13 = 1898. First u/s perfect little heart beat at 116 bpm. Measure 6 weeks 1 day. EDD 10/14/13
3/4/13 measuring right on track beautiful heartbeat 171 bpm, graduated from RE to OB... bittersweet.
PAIF/SAIF always welcome! Its a girl!
TTC#2 No birth control since DD was born. Getting ready to jump back in the saddle. Weaning this month. RE
appt scheduled 5/8. Here we go again!
11/13 beta #1 924!!! 2nd bet 11/15 1906, one more on 11/17 3rd & final beta 3430. First u/s 12/5, 7w4d, 2 heartbeats,
Waited a long time, tried a lot of stuff, science made me a mom.
TTC#1 since April 2011
IVF#1 July 2012 5R, 3 made it to blast, sET c/p
FET#1 Aug 2012 2 blasts transferred BFN
IVF#2 Oct 2012
16R/6M/6F/2-8 cell grade 1 transfer
Beta 1-237.9, Beta 2-566, Beta 3-8657
US 6w3d shows one baby w/ HB 115
US 7w1d no more heartbeat/ D&C 11/30/12 normal karyotype
IVF#3 Mar 2013
6R/4M/4F 1 compacting and 2-8 cell transfer
ectopic pg MTX given 3 month break from TTC
IVF#4 Sept 2013--BFN


http://i61.tinypic.com/34zll06IVF#5-7 Apr 2014, Jun 2014 and Aug 2014 banking embryos for CCS testing. Praying for normals!
Hysteroscopy 3/2011 2 Polyps removed 4/2011
DH on Clomid / Arimidex to address hormonal issues - Sperm found July 2011!
IVF #1 September 2011 - ER 9/8/2011- 8R, 5M - icsi - 1 made it to transfer - BFFN :-(
IVF #2 Lucky November 2011 - ER 11/25/2011 - 15 eggs!, 13 mature, 10 fertilized with isci - 7 made it to transfer! Transferred 1 - 8 cell and 2 - 7 cell. BFP!!!!
1st U/S - Twins! 2nd U/S - 3 heartbeats!!! - HOLY COW!!!
Prayers for our take home babies!
2 babies born on 3/27/12 and lost. Last baby born on 3/29/12 and lost at 20 weeks.
My angels grew wings shortly after birth.
Ahava Raisel, Matisyahu Nissim & Zev Chaim - Mommy and Daddy will always love you.
IVF #3 July 2012 - ER 7/17/2012 - 10 R. 5 F. 4 made it to ET
Transferred 2 on 7/20/2012 no snow babies :-(
Beta on 7/31/2012 = BFMFN
A miracle gift expected to come to us through adoption around 9/2012
Baby girl adopted - Birth Mother changed her mind and took the baby back
IVF #4 October 2012 - New RE. Doing PGD Testing. 8 R, 7F, 2 made it to 5 day blast for PDG testing. Both Normal (Thank you G-d!!!) 1 boy and 1 girl
transferred one beautiful 5day blast (girl)
Please G-d the almighty one - let this be our take home baby!
Beta #1 158, Beta #2 318, 1 Absolutely magnificent HB at 175! Thank you G-d!!!
Baby Girl born August 5th. Thank you G-d for our precious miracle.
AMA. PAIF & SAIF always welcome - I need all the prayers I can get!
My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.
PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins.
First natural PG 9/27/11; mc: 1/20/12
First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0. Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN
IVF #4: (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...
IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
EDD 3/18/15!
***SIGNATURE WARNING***
TTC #1
Me 42, DH 47
Dx = AMA/DOR, MFI
IVF/ICSI #1 = BFN
IVF/ICSI #2 = BFP; early loss
IVF/ICSI #3 (DE) = BFP; early loss
FET = BFN
IVF/ICSI #4 (DE w/ CCS) = BFP
Beta #1 @ 10dp6dt = 265; Beta #2 @ 14dp6dt = 1251.
1st U/S @ 6w2d showed one perfect little heartbeat!
2nd U/S @ 7w2d. HB 132 & everything measuring on track.
Our beautiful little girl arrived January 2015!
ttc #2 since 2004 Me (35): Stage 3 Endo, DH (34): High DNA Frag
IVF/ICSI #2: April 2014: BFP!!!!!!
ET of 2 great quality embryos. + BFP on 9dp5dt. Beta #1 (10dp5dt): 257, Beta #2 (14dp5dt): 1561,
Beta #3 (21dp5d5): 8,172. Wow. It seems this is actually working. Shocked beyond belief.
1st u/s @6w5d: Baby A hb 124, Baby B hb 127 (Both measuring perfectly!)
Lost baby A. Praying that baby B stays healthy. Baby B hb 175 at 11 weeks
It's a GIRL!!!
My Blog
Age: 35 TTC since 2005, MFI & DOR
IVF #1 Sep '11 - canceled poor response
IVF #2 Nov '11 8R/8M/4F 3dt x2 - chemical
IVF #3 April '12 11R/6M/4F 3dt x2 - m/c
FET #1 Aug 2012 3dt x2 - BFN
**new RE**
IVF #4 Jan '13 BFN 11R/6M/6F 5dt x2 - BFN
IVF #5 July '13 16R/10M/10F 5dt x2 + 1 frostie
9dp5dt Beta 1 = 344!! 16dp5dt. Beta 2 = 4822 7wk u/s= 2 heartbeats!
Twin girls! 3/6/14
"It is better to light a candle than curse the darkness." - Eleanor Roosevelt