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Monday, January 30, 2012

Utah Share

I have been having a difficult time dealing with the emotions that have come with my miscarriage and I am just not in much of a blogging (or do anything for that matter) mood.  As I was looking at the Utah Share website, which. is for anyone who has experienced the loss of a baby through miscarriage, ectopic pregnancy, stillbirth,  newborn, or infant death, I found this grief information.  Just thought I would share...

      When a Baby Dies
Many people do not recognize the grief that can follow a pregnancy loss from miscarriage, ectopic pregnancy, stillbirth, or newborn death. They respond with an attitude of: “Cheer up; you can try again.” This attitude rarely comforts. Because the baby was never held or perhaps never seen, some people assume the parents should not feel loss. The parent-infant bonding process begins long before birth, so grief is a common and normal response to a loss. The grief following a pregnancy loss can be especially difficult when society seems to say that the grief doesn’t exist. The following guidelines may help you deal with your grief.

Grief
The grief you feel for the loss of your baby is painful. The pain can be lessened a bit by understanding what is happening. Grief seems to follow a pattern of four stages which may overlap, and you may find yourself at different phases at different times. Each parent will be unique in going through the stages of grief. Remember that the grieving process is a normal and necessary part of saying goodbye to your baby.

Shock and Numbness
This stage happens initially and may last 48 hours to two weeks. This is a normal and healthy defense. Your emotions may seem uncontrollable. You may have some difficulty concentrating or taking in information. Your appetite may disappear. You may be exhausted, yet unable to sleep. You may want to sleep all the time.
You may experience feelings of guilt, fear, anxiety, depression, or think that you are losing your mind. You’ll find expressing your true feelings will be healthy. Friends and family may accept grief for a short time. They may not realize how long it can take to resolve. 

Searching and Yearning
This stage may last for several months. You may have the feeling that you’re looking for what you’ve lost. You may feel anger at doctors, nurses, the hospital, or even God. These are normal responses to a loss. Anger is also a normal feeling during this stage of grief. Share your feelings with someone who understands.

Disorientation and Disorganization
This stage may be the most severe in the 4th through 6th months after your loss. Feelings of depression may be strongest at this point. You may experience a lack of motivation, overeating, or no appetite at all. You may have difficulty in making decisions or lose interest in your appearance. You may not feel like leaving the house or going to family gatherings.

Reorganization
This stage does not occur quickly. Be patient with yourself and your partner. Your actions will no longer be mechanical, and you will experience a sense of release, renewed energy, and an ability to enjoy yourself and have a good time without feeling guilty. You will never forget your baby, but you will be able to go on with your life and look to the future.

Emotions, Thoughts, and Feelings
Gradually your grieving will begin to lessen, but this process is not completely smooth. Just as you are starting to feel better, something (an anniversary of your loss or the birth of a friend’s baby) may trigger sadness. After a pregnancy loss, some women feel “phantom kicks” or hear “phantom cries.” They may experience literally aching arms from longing to hold their baby. Some women may be comforted by holding a doll, teddy bear, or even a blanket. There is even the possibility of experiencing some phobias. These are all normal responses and should not cause alarm.

Communication and Patience
Often parents experience marital difficulties following a pregnancy loss. This can be due to the stress of the situation itself or to differences in grieving styles. Because mothers and fathers bond differently with the baby, they may feel the loss differently. Men often think that they must “be strong” and not show their emotions. A woman may mistakenly think that this means her partner does not care. The more a couple can accept and discuss these differences, the less painful their grieving will be.

Other Grieving Tips
During this time of stress, you need extra attention or pampering. Allow yourself any luxury that you can: a new outfit, a movie, dinner out, time alone. Enjoying yourself does not mean you have forgotten your baby; it means that you are taking care of yourself.
Often friends or relatives make statements such as: “You are young,” “You can try again,” “You’re lucky you didn’t get to know the baby,” or “Be grateful your baby is an angel in heaven.” These comments can hurt, although they are usually intended to comfort. Most people are uncomfortable with grief and often don’t know what to say or do to be supportive.


As you respond to such statements, try to keep in mind the good intentions behind them. Let others know that you love and miss your baby. Let them know how they can help you.

Saturday, January 14, 2012

Just not meant to be...

The past few weeks have been so incredible.  From the morning we found out we were expecting, to sharing the news with our friends and family to finally feeling pregnancy symptoms instead of drug-induced symptoms.  We began to feel the excitement of what our lives would be like with our little one finally in it, were starting to look at nursery designs, pack and plays and made a couple of purchases including adorable New Orlean Saints pacifiers.  We were being showered with gifts, cards, well wishes and love and were thrilled to finally be on the journey into parenthood and were enjoying every second of it. 

Tuesday, January 10th started out as a wonderful day.  Mike and I had a first ultrasound and were going to learn if we were having one or two Baby Riccis.  Mike and I both believed I was pregnant with one little girl and were looking forward to getting half of that answer.  We walked into the infertility clinic with huge smiles on our faces, talked about how excited we were to be having our baby in September and thought this would be the last time we would be visiting the U of U Reproductive Center.

We finally got called back to an exam room and Dr. Johnstone came in and gave us a congratulations and started our ultrasound.  She verified that the pregnancy was in the uterus but as she looked further, she began to become concerned.  She had found that there was an amniotic sac, but she was unable to see a yolk sac or an embryo inside of it.  She told us she was worried I had a blighted ovum/anembryonic pregnancy but she wanted us to come back on Friday to verify her speculation. 

Mike and I knowing things didn't look good began asking a lot of questions.  As we spoke to her more, she explained that an anembryonic pregnancy is a pregnancy in which the amniotic sac develops but sometime between implantation and 6 weeks, the embryo quits growing due to chromosomoal issues or the quality of the embryo.  When we asked what our chances are she stated there was less than a 50% chance my pregnancy was healthy and viable and we should begin to prepare for the worst.  We made our next ultrasound appointment and left the clinic attempting to stay optimistic., although in my heart I knew this pregnancy was over and Baby Ricci wasn't ready to join our family just yet.  Earlier in the week I had actually started feeling differently physically and was worried something was wrong because I wasn't sick, and wasn't having the same pregnancy symptoms I had the week before.  Since I had never been pregnant before I just decided I was overreacting and tried to believe I was going to be one of the lucky women who didn't have horrible morning sickness and tried to keep a positive outlook.  I guess I should have listened to my woman's intuition. 

As we left the appointment and I tried to wrap my head around everything that was happening, I just lost it.  I was numb, sad, angry and completely bewildered.   How could such happiness come to an end so abruptly and why was yet another heartache happening to us?  A thousand questions started running through my head such as, had we done something wrong?, how were we going to tell everyone we had lost our baby?, and how would our hearts ever heal?  It was just something we never expected...

Friday the 13th we went in for our second ultrasound and Dr. Hammoud verified what we already knew; this was an anembryonic pregnancy.  He shared that the embryo had quit growing at about 5 weeks and we would need to induce a miscarriage.  Due to a trip to Tobago we were leaving for on Saturday, we decided to do a D&C so we wouldn't be waiting to pass the pregnancy and risk ending up in a Tobagan hospital.  I underwent the procedure yesterday morning and while I am physically doing ok, my heart aches for this baby we already loved so much. 

Right now we are still trying to come to terms with everything that has just happened and change our frame of mind from new parents, to parents who just endured a miscarriage.  We decided to have some genetic testing done and hopefully find out why this happened and what we can do to avoid it happening again in the future.  We are also going to take a break from IVF for a bit and plan to start back up in April/May.  It's hard to know that Baby Ricci is still so far away but we have faith in this baby and know they are stubborn and will come when they are ready.  I just wish it was sooner than later.

While this experience has been the most difficult thing we have ever been through, I have been humbled by the entire experience and am extremely grateful for the amazing friends and family we have.  While this has been the most trying time of my life, I know we will get through it due to the amazing support we have and I feel so blessed that Mike, Baby Ricci and I are so overly loved.  When Baby Ricci does come, they truly will be a miracle and will bring so much joy and fulfillment to so many lives and for that, this baby is truly worth waiting for...

"We acquire the strength of that which we have overcome..."- Ralph Waldo Emerson 

Tuesday, December 27, 2011

Our Christmas Miracle!!!

After 2 1/2 years, multiple fertility treatments and various heartbreaks Mike and I are beyond ECSTATIC to announce that we were blessed with our Christmas miracle after a last minute decision to do another round of in-vitro.  Baby Ricci is FINALLY on their way and due to arrive Sept 3, 2012!!!! We are overjoyed with this news and we can't wait for our new addition! We found out Christmas morning and surprised both ourselves, and our families with the news on Christmas day! It was truly a magical and memorable Christmas and we are thrilled to finally be adding to our family in 2012.

I am SUPER early along but I am just too excited to not share the news. We went in for bloodwork yesterday after three positive home pregnancy tests and confirmed that I am indeed pregnant and am about 4 weeks along. We will be going in for an ultrasound on January 10th to find out if there is one baby or two in there and we can't wait to hear our little one's heartbeat. We are both still in shock and this whole experience has been completely surreal but we are already so completely in love with Baby Ricci and can't wait for the journey to parenthood to begin.

As for me I am feeling pretty well, just tired, have some back aches and headaches and have an enhanced sense of smell, but I am going to enjoy every moment of this incredible journey and I can't believe it's finally happening. Even my nightly progesterone shots are now a piece of cake. :)

Thank you all SO much for your continuted love, support, prayers, faith and hope for us and Baby Ricci. I know without our amazing families, friends and the support of this blog and my RESOLVE fertility group, we wouldn't have made it through this difficult time and Baby Ricci wouldn't be on their way.

So, "I'm Pregnant!" Wow, these words are so crazy to hear out of my mouth but are words I am so thrilled to say! It's been a hard, long wait but I always knew it would be worth it in the end and it truly is!  I will keep you all updated on my progress, for better or worse, and am looking forward to sharing the pregnancy journey with you as well.

I hope each of you had a very Merry and magical Christmas too and for all of you out there who read this and are trying, I truly hope you will be blessed with your miracles soon!  Once you see those two pink lines, I PROMISE everything you are going through will all be worth it.
All my best and love,
Lauren :)

Saturday, December 17, 2011

Transfer Day!

We made it!  For the first time we were able to make it to transfer day and what a wonderful day it was!  I woke up yesterday like a kid on Christmas morning and after running a few errands, we ended up at our appointment half an hour early.  I sat there giddy with excitement and anxious to finally get our little eggies inside of me.

We were finally taken back to the transfer room and Dr. Johnstone came in to give us an update on our eggies.  She shared with us that 8 were still viable but that only 1 made it to the blastocyst stage.  The other 7 were in various stages of the morula stage, but none were of great quality.  She asked how many we wanted to transfer and we told her two so she chose the best two, gave me a couple vallium and said she would be back in 10 minutes. 

By the time Dr. Johnstone came back I was feeling great and she got ready to transfer our little eggies. The transfer itself was pretty simple (especially after everything else I have been through), and it was only a tiny bit more invasive than a normal papsmear. In all honesty, the only part that was uncomfortable was when they cleaned my cervix.   Mike was able to stay in the room and watch the eggies get loaded into the catherter and transferred into me. The transfer took all of 5 minutes and then I spent the next half hour sleeping in the transfer room. 

Below is the first picture of Baby Ricci/Riccis and are the two eggies that were implanted in me.  I think the top is a girl because it's stronger and Miss Annie thinks the bottom looks like Mike :)  Isn't technology amazing?
  

You will also notice the fertility charm in the picture as well.  My step-dad Rod gave it to me a few months ago and I held it and rubbed it the entire time for luck.  Mike being the smart-alec and logical person he is, finally said "you should find one that says science and rub that because if this works, it's because of science."  It was a pretty funny comment and will definitely be a story we remember for life.    

Following transfer and a quick stop at Cafe Rio for lunch (to go of course), we headed home and have been spending the weekend watching the newest season of Dexter.  Mike has been a Nazi Nurse umm I mean a fabulous nurse and has been regulating every time I get up to walk anywhere.  I am not the best bed rest patient but I really am trying not to move around too much, but I really hate having to ask for everything I need/want.  I am too self-sufficient but I am trying to enjoy being waited on hand and foot because it's not going to last for long.

Even though everything went as perfect as it could yesterday, we did get some sad news this morning.  After transferring the two best quality embryos, they allowed the remaining 6 to continue growing.  Unfortunately this morning when they checked them, they had either all died or are on their way to dying.  What this means is that we don't have any to freeze so if this doesn't work, we will have to go through another fresh cycle again.  As difficult as the process is, I know I am strong enough to endure it again if I need to and this cycle was basically a freebie anyway.  I am just hoping it won't come down to that.   

So, now we wait until my pregnancy test at the end of December... It's such a strange and amazing feeling to know that there are two little embryos in there trying to find their home and that in a mere few weeks I could finally hear the words "you're pregnant".  While I am extremely optimistic that this cycle will work, I know there is a 45% chance it won't and we will have to start this process all over again.  If that's the case, I will be devastated, but in the same breath I have the most amazing husband, friends and family and we will get through it together.  I am just really hoping for a Christmas miracle and that 2012 will be a life changing year.    Happy holidays everyone!  I hope you all get your own miracles too!  :) 

Thursday, December 15, 2011

11 is our lucky number...

Hello blogreaders,

I know I have been MIA for a while and a lot of it is because I was emotionally drained from my previous IVF cycle and it took a good month and a half for me to completely heal, both physically and mentally. In order to deal with what was going on and the devastation a failed IVF cycle brought, I buried myself in work and spent a week in California working, gathering my thoughts and spending some much needed one on one time with mah Be. I came home from that trip rejuvinated and ready to jump into another IVF cycle.

To back up a little bit, my first day back at work from my previous bed rest it was announced that our infertility insurance was changing and that everything done this year wouldn't count toward our new $30,000 infertility lifetime max. Although I wasn't ready to jump into another fresh cycle so soon and my IVF Dr. didn't love the idea, we decided because my ovaries were back to size and it was basically a free cycle we would go ahead with another round. Due to the length of time a cycle takes and the Christmas holiday, we chose to do an antagonistic IVF cycle, so there were a few less shots (no Lupron) and the process was a week shorter. I started my birth control on November 7th, as well as the drug metformin, which is primarily used in diabetic patients, but has been found to help with hyperstimulation. Metformin is a pretty nasty drug though and for the first few weeks of taking it I was nauseous and threw up a few times. It was basically like having morning sickness without the baby.

My body finally got used to the metformin and on December 2nd, I began my follicle stimulating shots of Repronex and Follistim. Due to hyperstimulating last time, they decreased my dose of Follistim from 150mg to 100mg and I was going in daily for an ultrasound to see how everything was progressing. As soon as there was a follicle above 13, they had me start another daily shot of a drug called Ganorelix to stop my brain and ovaries from talking to each other.

Everything had been going well and they were monitoring my estrogen levels very closely because of what happened last time, that is until I went in on Friday, December 9th. The day before they had drawn some blood to check my estrogen and found that it was once again high (3,000) and I was going down the same hyperstimulation path as I had last time. The Dr. had me have more blood work done and then ordered me to bed rest and put me on a gatorade diet to help alleviate some of the hyperstimulation symptoms. As I sat in the office with tears running down my face that Friday and trying not to bawl as they once again handed me a "hat" and a measuring tape, they informed me of a fairly new protocol they are able to use in antagonistic cycles. Due to the fact that I had not been taking Lupron this cycle, they could use Lupron to to trigger my ovulation instead of HCG because it doesn’t contribute to hyperstimulation. They also put me on a cautionary prescription and told me to take it easy Friday and Saturday and they would call me after they got the results of my estrogen to decide whether or not it was OK for me to go in for a retrieval. They also reminded me that even if I could do a retrieval, my hyperstimulation symptoms would most likely increase and there was a very small chance I would be able to do a transfer and we would most likely need to freeze all of the embryos and do a frozen cycle at a later date.

After I left the Dr.'s office and had my complete meltdown, I received a call from the U. They informed me that even though my estrogen was still high (4,000), they wanted to do a retrieval on Sunday and I needed to trigger that night. Although I was excited this cycle was still a go, I was really worried about the pain and anguish I thought I would for sure feel. I went in on Sunday extremely anxious, although hopeful, and went through another egg retrieval.

To my surprise and relief, I came out of my retrieval feeling pretty good. I did not experience any of the same symptoms I had last time and just spent Sunday taking it easy and drinking gatorade to keep the symptoms at bay. They were able to retrieve 16 eggies and on Tuesday I learned that 12 were mature, 11 were able to fertilize and 11 were still growing and dividing like they should. As of this morning, all 11 were still growing, although three aren't doing as well as the others, and I am scheduled for my first transfer tomorrow morning at 11:00 am. I am in total shock that we are getting to this point and I am feeling extremely blessed and thankful that the Dr.'s were able to reverse the hyperstimulation and salvage this cycle.

So that's my story for the past few months. I apologize for not sharing earlier but I kept this cycle on the DL because of everything that happened last time and my fear of the same thing happening. It was only after I was told that this cycle looked as though it was going to fail as well that I felt the courage and need to share our journey again.

I am anxiously awaiting my transfer tomorrow and am happy to report that Mike is on board with transferring two. For some reason this time feels so much different than anything else we have ever done and I am extremely hopeful that Baby Ricci or Riccis will be on their way soon.

Thanks again for all of your love, support, comments, advice and inspiring words. I wouldn't be able to get through all of this without my amazing friends, family, my RESOLVE group, co-workers and this blog.

XOXOX...

Lauren

Tuesday, November 15, 2011

Fertility math?

From the outside, Holly Finn certainly looks fertile.
 
With shoulder-length dark hair, smooth skin and a slim but curvaceous figure, the San Francisco-area writer could be any young mom with a baby on her hip.

But at 43, Finn says, her ovaries know better — and she would have, too, if not for what she believes is society’s widespread ignorance about infertility.

“I really feel that there are important pieces of information that don’t get passed along,” says Finn, who has now tried for four years to conceive through in-vitro fertilization. “I actually think it’s quite a brutal dishonesty.

Most women aren't taught — and don't learn — basic facts about fertility and aging, says Finn, author of the e-book “The Baby Chase." Instead, celeb moms the likes of Salma Hayek (a baby girl at 41), Marcia Cross (twins at 44) and Mariah Carey (twins at 41) make being an older mom look easy — and glamorous.

“It’s not that we’re stupid,” she says. “It’s that we’ve been misinformed.”

As proof, she points to a new survey conducted on behalf of RESOLVE, the National Infertility Association, and presented at the American Society of Reproductive Medicine’s recent annual meeting.

The poll of 1,000 women ages 25 to 35 who had talked to doctors about fertility found that participants could correctly answer seven out of 10 basic questions less than half the time. The Fertility IQ 2011 Survey found that women were wrong most often about how long it takes to get pregnant — and about how much fertility declines at various ages.

“We were not at all surprised,” says Barbara Collura, executive director of RESOLVE. “This is what we experience every day.”

Most women simply don’t realize that at 30, a healthy woman has about a 20 percent chance of conceiving and by the time she reaches 40, her odds drop to about 5 percent per month, Collura said.
Instead, many of those surveyed thought that a 30-year-old woman would have a 70 percent chance of conceiving and that a 40-year-old’s chances could approach 60 percent.

They also believed that a 20-year-old woman might get pregnant in less than two months of unprotected sex, rather than the five months that is the average.

“It’s basic biology and basic knowledge of how age impacts your fertility if you’re a woman,” says Collura.

But most women aren’t getting those basics until it’s too late, said Dr. William Schoolcraft, medical director of the Colorado Center for Reproductive Medicine in Denver and two other locations.
"They don't even come in for fertility treatment until they're literally in their 40s," he said. "Some come in and they have run out of time."

In a country where sex education focuses primarily on avoiding pregnancy and preventing sexually transmitted diseases, most women believe that having a baby is inevitably easy.

But that neglects the reality that infertility affects some 7.3 million women in the United States, or 12 percent of the child-bearing female population, and about 1 in 8 couples, according to the Centers for Disease Control and Prevention. After about age 35, fertility plummets, Schoolcraft said.

So when women decide they want to get pregnant and can’t, they’re stunned. Some of the shock is because of advances in health and beauty that allow women to look — and feel — younger, even as their reproductive systems march on.

“People kind of think now at 40 what they used to think at 30,” Schoolcraft said. “People do yoga and they run and they do all these healthy things. They assume that means ‘I’m not aging.’ But their eggs don’t know that.”

Part of the disconnect is because of advances in infertility treatment, which have helped boost the rates of births among women in their 40s, even as rates have dropped for younger moms. Between 2008 and 2009, births in women aged 20 to 24 reached a record low, falling 7 percent. At the same time, the rates for women aged 40 to 44 jumped 3 percent and births to women older than 50 climbed 5 percent.

Those numbers are exemplified by a series of high-profile births in older celebrities, including icons such as Kelly Preston (son at 48), Holly Hunter (twins at 47) and Jane Seymour (twins at 44.)
The famous mamas may or may not disclose whether they’ve used fertility aids, such as IVF or donated eggs, says Schoolcraft. That further contributes to the notion that it’s never too late to have a baby.

“It sends the message, if she can do it, then Miss Healthy Boring Me, I won’t have any trouble at 41 or 42,” Schoolcraft says.

The trouble is, such thinking can cheat a woman out of her options, Collura says. It’s one thing to postpone children in order to pursue education or a career, fully knowing it might be more difficult to get pregnant later. It’s another thing to be surprised by infertility.

“This is not about empowering women and women’s rights,” she says. “This is about science and biology 101.”

That is precisely Holly Finn’s point. She wishes she had realized earlier the effects that endometriosis and age might have on her ability to conceive. If she had her way, she’d tell women ages 26 to 34 one thing: "Start having babies now."

After eight unsuccessful cycles, Finn is taking a break from IVF therapy, but she plans to pursue other infertility treatments or different paths to parenthood in the future.

“Giving up hope is almost impossible,” Finn says.

-JoNel Aleccia
Today.com

Tuesday, October 25, 2011

Please be gentle with me...

 A friend of mine shared this blogpost on Brave Girls Club with me and this story really resonated with me.
The story talks about the masks we wear and the signs we wish we could wear around our necks so everyone knew what trial we were currently enduring and would be a little more understanding.  I know I have not been my normal self and have been much more flaky then I usually am, but it's because I am hurting.  I am hurting physically and emotionally and I can barely be there enough for myself, so I haven't been able to be there for anybody else.  I feel bad that I have let certain things fall through the cracks and am only able to give myself 80%, but it's because I am broken, I am hollow and I am missing a piece of myself.  So...
and I really am.  I wish I could be the person I have aways been but right now, I have to be selfish, I have to take care of me.  So if I have not been the friend, the daughter, the wife, the listening ear, the co-worker, the volunteer, the confidant or the person I normally am, please forgive me, I am doing all I can to hold myself together...