In connection with the last post. I waited for 13 minutes past my schedule time when Dr. K came to the room today with a nurse. He asked me again if I know the procedure and I had him repeat what it is since it's better to be clear on what his doing. The nurse previously that assisted me to the room told me about how it's going to be like, gave me another antibiotic that I will take in full stomach during lunch. She asked me too about what day I am on my period and if I am bleeding or not.
Anyway, Dr. K didn't waste his time. He was so polite even inserting the spatula. From time to time while checking on the screen, he always let me know what to expect from the pain and so forth. I am very impressed of his light hand. I am beginning to feel so comfy with the exam. It took more than 15 minutes when he did it. I saw him checking thoroughly on my uterus wall cavity making sure he didn't miss any spot. Everything was clear. Oh my, thanks God. Prayers work wonder.
After all of that, Dr. K asked me if he can do anything else for me and so I asked if my AMH of 4.6 is okay. He smiled and said it's very good. I said Thank you Lord in silence.
I got dressed up. Sneak some photos from my phone and a little video for my own purposes only. Sorry will not post it in here. Try to be discreet in some way.
I then went to the front desk and the staff schedule me for Dr. A in October. Darn! That's too far. I could have scheduled it in advance when I know when to take all my test. Okay so be it. I have no other choice. I like Dr. A. I even asked if Dr. K has a better schedule but his also booked one week earlier. There's no point of getting that early when my cycle will still be fall for October. I decide stick to it. Hope DH will not be complaining again on the long wait.
You may ask how I feel during the exam. I feel the cramps but the pain was tolerable. HSG was way far worst. It was my nightmare. In my preparation for the exam. I took Doxycycline 100mg tablet the night before and Ibuprofen 600mg an hour before the procedure with a full stomach. So that's it guys. I am pretty much normal. It's just timing I guess.
With the longevity of my schedule to see Dr. A, it could mean there's more natural cycle to do. Who knows, it might work with just us doing the deed.
Friday, August 30, 2013
Waiting like forever
I got to the building at 8:10z. Signed it at the register, peed on a cup in the bathroom as requested, delivered to the lab and waiting for the exam.
I dont know what to expect today. I read my amh result last night with 4.6 and read things online. It said its above normal could have PCOS. I am anxious to know what the doctor will tell me about what's wrong and what's good and my chances.
Monday, August 26, 2013
Blood Test Results
I went Saturday to Pamf Mountain View to have my blood drawn. The nurse that checked me in was new I guess because it took her time to print the labels and process what my requirement tests are. I specifically told her to have me tested on the hormone test and have my primary doctor checked the rest. I hope she didn't screw up my record.
It was 3 vials of blood. I can't even look at it. I tried to draw my attention to somewhere else. I hate needles. Medical profession isn't my thing. I am afraid of sharp objects LOL.
So today I got an email about my results. Here it is...
Tsh 1.43
Prolaction 16.8
Lh 2.4
Estradiol 23
Fsh 6.5
I don't know how to interpret all these numbers. I looked at the normal range of the lab and my score are within the range. I don't see red flags and such. So I guess I am fine. I hope!
I will wait and see until I can talk to Dr. K about my result. I will get back to you on Friday and tell you how my experience with Sonohysterogram and Physical Exam with Dr. G.
It was 3 vials of blood. I can't even look at it. I tried to draw my attention to somewhere else. I hate needles. Medical profession isn't my thing. I am afraid of sharp objects LOL.
So today I got an email about my results. Here it is...
Tsh 1.43
Prolaction 16.8
Lh 2.4
Estradiol 23
Fsh 6.5
I don't know how to interpret all these numbers. I looked at the normal range of the lab and my score are within the range. I don't see red flags and such. So I guess I am fine. I hope!
I will wait and see until I can talk to Dr. K about my result. I will get back to you on Friday and tell you how my experience with Sonohysterogram and Physical Exam with Dr. G.
Friday, August 23, 2013
Financial Burden with Infertility
I was stressed last night when DH and I discussed about what went on with the Financial Consultation. The financial adviser was not upfront with the cost of the treatment. DH pushed if she could gave an estimate based on previous treatment before PAMF acquired the clinic. It's $8-9k with insurance and not including medication. Since the acquisition, they don't offer packages yet. I think both companies are still in discussion to offer multiple treatments and packages. There's no telling if they could offer it. Darn!
As for us, we are in the limbo. But actually no, it's just DH. I can be happy with only doing 1 treatment. I think the insurance can cover it. DH somehow has other plans. He wants to do 3. I know him very well, he will not always go to an easy plan. Complications is his game. I hate that.
But of course, I am glad he wants to do more. If we can't afford, why don't he just stick to what's affordable. It's like the wheels are turned upside down. His opinion is much important than mine. I feel like with all this I only have a second voice when infact with all of this it should be the woman has to say and the man will give in to what the woman wants. But anyway, still I appreciate it. I hope he can only open his mind to reality that we can only do one and that probably somehow the universe want us to have.
Doing multiple treatment not only is a burden in the pocket and it could torment your soul as well. Finance for us is a big issue. We don't have the luxury of it. I wish I don't have that kind of a problem but that is the case. I had hope trying to have baby is easy but when you deal with age and finances it's hard to deal with.
To have a baby is a sacrifice and only God knows if I could be blessed with one.
As for us, we are in the limbo. But actually no, it's just DH. I can be happy with only doing 1 treatment. I think the insurance can cover it. DH somehow has other plans. He wants to do 3. I know him very well, he will not always go to an easy plan. Complications is his game. I hate that.
But of course, I am glad he wants to do more. If we can't afford, why don't he just stick to what's affordable. It's like the wheels are turned upside down. His opinion is much important than mine. I feel like with all this I only have a second voice when infact with all of this it should be the woman has to say and the man will give in to what the woman wants. But anyway, still I appreciate it. I hope he can only open his mind to reality that we can only do one and that probably somehow the universe want us to have.
Doing multiple treatment not only is a burden in the pocket and it could torment your soul as well. Finance for us is a big issue. We don't have the luxury of it. I wish I don't have that kind of a problem but that is the case. I had hope trying to have baby is easy but when you deal with age and finances it's hard to deal with.
To have a baby is a sacrifice and only God knows if I could be blessed with one.
Thursday, August 22, 2013
Upcoming Tests
It's official today with another failed natural cycle because the stupid Flow won't budge. So it means, I will proceed to IVF. With that being said, there will be a new set of tests.
Per instruction by Dr. K to call the clinic day 1, I called in and told the lady on the phone that my period started today. I asked about the Sonohysterogram appointment that Dr. K told me about, I was put on hold for a couple of minutes and then she told me they only have friday next week which is just perfect. I go ahead with the appointment on Aug 30th at 8am. I double check about the blood test on Day 3 and if I can use any other facility and they said to check what PAMF has. That's perfect, I can use the same lab when I did mine a year ago. They have much better service than the clinic.
So here are the lists:
HCG Quantitative
FSH, Follicle
Stimulating Hormone Estradiol
Luteinizing Hormone, LH
Anti-Mullerian Hormone (AMH)
Prolactin
Thyroid Function (TSH)
Complete Blood Cell Count
Antibody screen only
Comprehensive Metabolic Panel
Sonohysterogram
I am praying that everything will be fine. I hope that I am normal. Oh dear God, please! Make it happen.
Per instruction by Dr. K to call the clinic day 1, I called in and told the lady on the phone that my period started today. I asked about the Sonohysterogram appointment that Dr. K told me about, I was put on hold for a couple of minutes and then she told me they only have friday next week which is just perfect. I go ahead with the appointment on Aug 30th at 8am. I double check about the blood test on Day 3 and if I can use any other facility and they said to check what PAMF has. That's perfect, I can use the same lab when I did mine a year ago. They have much better service than the clinic.
So here are the lists:
HCG Quantitative
FSH, Follicle
Stimulating Hormone Estradiol
Luteinizing Hormone, LH
Anti-Mullerian Hormone (AMH)
Prolactin
Thyroid Function (TSH)
Complete Blood Cell Count
Antibody screen only
Comprehensive Metabolic Panel
Sonohysterogram
I am praying that everything will be fine. I hope that I am normal. Oh dear God, please! Make it happen.
Positive Ovulation Cycle for the Year
Here's my cycle for the year and corresponding positive LH surge.
2012 December 29 - day 14 - period Jan 13 (15)
2013 January 30 - day 18 - period Feb12 (13)
2013 March 2 - day 19 - period March 17 (15)
2013 April 6 - day 21 - period April 21 (15)
2013 May 12 - day 22 - period May 26 (14)
2013 June 12 - day 18 - period June 26 (14)
2013 July 8 - day 13 - period July 24 (16)
2013 Aug 7 - day 15 - period Aug 22 (15)
2013 Sept 10 - day 20 - period Sept 23 (14)
In average my LH surge is in between 14th-15th every cycle. Somehow my ovulation day varies from day 13-22. It's hard when you are irregular you can't really tell which day. All I have been doing is using the ovulation predictor. The kit really helps big time as to when to BD and do the deed.
2012 December 29 - day 14 - period Jan 13 (15)
2013 January 30 - day 18 - period Feb12 (13)
2013 March 2 - day 19 - period March 17 (15)
2013 April 6 - day 21 - period April 21 (15)
2013 May 12 - day 22 - period May 26 (14)
2013 June 12 - day 18 - period June 26 (14)
2013 July 8 - day 13 - period July 24 (16)
2013 Aug 7 - day 15 - period Aug 22 (15)
2013 Sept 10 - day 20 - period Sept 23 (14)
In average my LH surge is in between 14th-15th every cycle. Somehow my ovulation day varies from day 13-22. It's hard when you are irregular you can't really tell which day. All I have been doing is using the ovulation predictor. The kit really helps big time as to when to BD and do the deed.
Friday, August 16, 2013
This Cycle Two Week Wait
All natural this time. Only been taking prenatal vitamins and 2 tablets of Fertility Blend.
+ OPK Aug 7, 2013
1dpo - nothing
2dpo - nausea with vomit 7:58am and 10:35am, burning nipples and breast
3dpo - nausea with vomit 6:00pm, thigh cramps
4dpo - lbm, painful cramps at early dawn, nausea
5dpo - nothing
6dpo - nothing
7dpo - lbm at 5:45am and cramping stomach and legs, nausea with vomit 10:30am & 12:07pm
8dpo - lbm early dawn went to bathroom twice, cramping bad, breast tender, nausea with vomit 6:50am and 7:57am, BFN $test morning and afternoon, throwing up 9:30pm
9dpo - throwing up with nothing at 6:58am, 7:05am, 10:39am, 1:50pm, 3:27pm..cramping like period, breast tenderness, fullness of breast, dry mouth, eating in between meals to prevent from nausea
10dpo - lbm 5:28am with mild cramps, dry heaves 8:40am, later part of the day got painful AF cramps, white mucus, BFN $test
11dpo - lbm 2:38am, dry heaves in the afternoon at 2pm, painful AF cramps, hot flash early dawn, breast sore, acne
12dpo - lbm midnight, felt warm to sleep, dry heaves 10am, throbbing breast, left ovary throbbing while right ovary throbbing the whole afternoon, sharp AF pain, creamy white mucus 4pm, new acne nose and chin, lower back pain evening
13dpo - dry heaves 8:10am, tired and sleepy, white mucus, lower back pain, sore breast when pushed, stuff nose, keep yawning all day, slight headache
14dpo - dry heaves morning 6:50am, lower back pain, sore breast, brown discharge at 4pm, Af cramps pulling side to side, new acne, white mucus, Super Headache
15dpo - Af arrives
It is hard to predict what could really my symptom if I will ever get pregnant. I think base all of what happening for the past year, if I don't get a headache before my expected period then I will be sure I am pregnant. I am hoping next month end of 3rd week or 4th week of September I will start my IVF protocol.
+ OPK Aug 7, 2013
1dpo - nothing
2dpo - nausea with vomit 7:58am and 10:35am, burning nipples and breast
3dpo - nausea with vomit 6:00pm, thigh cramps
4dpo - lbm, painful cramps at early dawn, nausea
5dpo - nothing
6dpo - nothing
7dpo - lbm at 5:45am and cramping stomach and legs, nausea with vomit 10:30am & 12:07pm
8dpo - lbm early dawn went to bathroom twice, cramping bad, breast tender, nausea with vomit 6:50am and 7:57am, BFN $test morning and afternoon, throwing up 9:30pm
9dpo - throwing up with nothing at 6:58am, 7:05am, 10:39am, 1:50pm, 3:27pm..cramping like period, breast tenderness, fullness of breast, dry mouth, eating in between meals to prevent from nausea
10dpo - lbm 5:28am with mild cramps, dry heaves 8:40am, later part of the day got painful AF cramps, white mucus, BFN $test
11dpo - lbm 2:38am, dry heaves in the afternoon at 2pm, painful AF cramps, hot flash early dawn, breast sore, acne
12dpo - lbm midnight, felt warm to sleep, dry heaves 10am, throbbing breast, left ovary throbbing while right ovary throbbing the whole afternoon, sharp AF pain, creamy white mucus 4pm, new acne nose and chin, lower back pain evening
13dpo - dry heaves 8:10am, tired and sleepy, white mucus, lower back pain, sore breast when pushed, stuff nose, keep yawning all day, slight headache
14dpo - dry heaves morning 6:50am, lower back pain, sore breast, brown discharge at 4pm, Af cramps pulling side to side, new acne, white mucus, Super Headache
15dpo - Af arrives
It is hard to predict what could really my symptom if I will ever get pregnant. I think base all of what happening for the past year, if I don't get a headache before my expected period then I will be sure I am pregnant. I am hoping next month end of 3rd week or 4th week of September I will start my IVF protocol.
Wednesday, August 14, 2013
7dpo
This cycle has been good to me except on the new symptoms, Nausea. I thought what I had on 2dpo will only going to be that day but it happen again on Saturday night with vomiting (3dpo) and on Sunday (4dpo) early dawn where I woke up with a painful cramps from stomach to thighs, nausea without vomit and lbm. I even asked my new RE on Monday during my consultation if it has something to do with high progesterone level but I've got no answer from him. Anyway, back to symptoms.. I had lbm and slightly painful cramps at 5:45am today. Is it implantation or is it a sign that AF will be happening in a week.
***************
Before I could forget, let me just tell you the experience on my first consultation with the new RE. I was scheduled at 10am Aug 12 in a clinic here in San Jose. It's a bit farther than my usual visit with my OB so I had taken a buffer on the distance and driving minutes. I got there 20 minutes, registered and pay $20. Wait for another 10 minutes and was called in to the consultation room.
Dr. A came a little bit late but when he came, he introduced himself and shake both of our hands and went straight to business. He spoke a little bit faster than average. Very informative discussion and insights. I can't tell all the details but bottom line is, I need to do some of the test again like hormone, semen analysis, physical exam, etc. as a baseline. Those tests will deplete my insurance coverage. I only have 15k lifetime maximum with a 5k/year infertility medicine. I already had spent $3600 for 2 IUI's with tests. Now, I have to do another tests again which doesn't even goes to IVF treatments. So it could mean if we do IVF, we will be putting our own hard money whatever the remaining amount to cover what our insurance can't. Hubby will going to discuss that with a financial consultant soon so we could figure the best money we could do and afford to have a baby.
Once I was done with Dr. A, we went to the nurse station and Dr. A gave instruction to one nurse but since he was so fast another nurse stepped in and also write down what he had said. Even I was listening next to him I was perplexed if the nurse get it all. I was not pretty sure about it.
Then the first nurse walked me on the front desk to schedule an appointment. I had no clue exactly what test will be done first. I was asked if I can get in yesterday Aug 13 for a sonohyterogram I said okay. I don't know exactly what it was all about. I thought maybe it's the same as HSG. So okay then I will going to have it.
Later part of the day when I got back to work and able to search online what sonohysterogram is, I felt a sudden panic. I called the laboratory to check their opinion but I didn't get an answer but transferred me to clinic but it was closed. So I just said to myself, to hell with it. I will deal with it tomorrow.
I worked whole morning and finished my reports. I didn't bother to call the clinic anymore. There's no way I could cancel the appointment now. The reason why.. As I read at wikipedia and other medical sites, this test should be done after your period days 5-12. I am on CD21. You have to take Ibuprofen an hour prior to your schedule appointment. I wasn't given any instruction when the staff at the clinic made the appointment.
So you see how my feelings were yesterday. The staff given me no instruction paper nor verbal. This clinic is a mess... In PAMF Mountain View and Sunnyvale, the nurse and staff are on top of their job. Man, I was disappointed.
Anyway, so I go ahead went to the clinic and registered. I was given an empty cup. Dr. A need my urine test. Okay, went to the bathroom and did it. I read some signs posted no lotion, scented, perfume and other strong odor when visiting the clinic to avoid harmful effects to eggs and sperm collection. I was worried. I wore lotion and little bit of scent. I don't want to mess other people's specimen. Now, I know! I tell you. This clinic didn't have no telltale sign of giving good instructions.
I met Dr. K after almost an hour of waiting. He was a charming and soft spoken Doctor. His nice I liked him. I was already waste down naked almost did the test when he asked me "what day are you on your cycle?" I said, "cd21". I got my LH surge + OPK on Aug 7th. Oh no! Now my intuition was right. I should have called that brain dead staff at the desk to cancel the appointment and recheck to the doctor.
Dr. K was so nice to explain to me if we will push through the procedure and it will not going to be good. It will give false result. He asked for an apology for the time I wasted and told me to call the office day 1 of my period. That's what I wanted to know..Damn, I already had taken Ibuprofen. I know deep in my heart I don't want to take it but I was afraid if I don't and if somehow they will decide to push through it, I will be in total pain. I was worried what if I already conceived.
Dr. K then walked me to the nurse station and provide me the lists of clinic that I could use for my blood test. I asked where and when to schedule the semen analysis and the staff gave me number for the lab and outside the clinic I called hubby and told him what an awful day had been and asked him if he could call the lab so he can make an appointment for his test but I ended up calling the lab later on and get an appointment next week.
So that's it. I have to wait all my tests are done until I could see Dr. A again. Until then, hopefully wishing that tests are fine and we can do the procedure not later than October.
***************
Before I could forget, let me just tell you the experience on my first consultation with the new RE. I was scheduled at 10am Aug 12 in a clinic here in San Jose. It's a bit farther than my usual visit with my OB so I had taken a buffer on the distance and driving minutes. I got there 20 minutes, registered and pay $20. Wait for another 10 minutes and was called in to the consultation room.
Dr. A came a little bit late but when he came, he introduced himself and shake both of our hands and went straight to business. He spoke a little bit faster than average. Very informative discussion and insights. I can't tell all the details but bottom line is, I need to do some of the test again like hormone, semen analysis, physical exam, etc. as a baseline. Those tests will deplete my insurance coverage. I only have 15k lifetime maximum with a 5k/year infertility medicine. I already had spent $3600 for 2 IUI's with tests. Now, I have to do another tests again which doesn't even goes to IVF treatments. So it could mean if we do IVF, we will be putting our own hard money whatever the remaining amount to cover what our insurance can't. Hubby will going to discuss that with a financial consultant soon so we could figure the best money we could do and afford to have a baby.
Once I was done with Dr. A, we went to the nurse station and Dr. A gave instruction to one nurse but since he was so fast another nurse stepped in and also write down what he had said. Even I was listening next to him I was perplexed if the nurse get it all. I was not pretty sure about it.
Then the first nurse walked me on the front desk to schedule an appointment. I had no clue exactly what test will be done first. I was asked if I can get in yesterday Aug 13 for a sonohyterogram I said okay. I don't know exactly what it was all about. I thought maybe it's the same as HSG. So okay then I will going to have it.
Later part of the day when I got back to work and able to search online what sonohysterogram is, I felt a sudden panic. I called the laboratory to check their opinion but I didn't get an answer but transferred me to clinic but it was closed. So I just said to myself, to hell with it. I will deal with it tomorrow.
I worked whole morning and finished my reports. I didn't bother to call the clinic anymore. There's no way I could cancel the appointment now. The reason why.. As I read at wikipedia and other medical sites, this test should be done after your period days 5-12. I am on CD21. You have to take Ibuprofen an hour prior to your schedule appointment. I wasn't given any instruction when the staff at the clinic made the appointment.
So you see how my feelings were yesterday. The staff given me no instruction paper nor verbal. This clinic is a mess... In PAMF Mountain View and Sunnyvale, the nurse and staff are on top of their job. Man, I was disappointed.
Anyway, so I go ahead went to the clinic and registered. I was given an empty cup. Dr. A need my urine test. Okay, went to the bathroom and did it. I read some signs posted no lotion, scented, perfume and other strong odor when visiting the clinic to avoid harmful effects to eggs and sperm collection. I was worried. I wore lotion and little bit of scent. I don't want to mess other people's specimen. Now, I know! I tell you. This clinic didn't have no telltale sign of giving good instructions.
I met Dr. K after almost an hour of waiting. He was a charming and soft spoken Doctor. His nice I liked him. I was already waste down naked almost did the test when he asked me "what day are you on your cycle?" I said, "cd21". I got my LH surge + OPK on Aug 7th. Oh no! Now my intuition was right. I should have called that brain dead staff at the desk to cancel the appointment and recheck to the doctor.
Dr. K was so nice to explain to me if we will push through the procedure and it will not going to be good. It will give false result. He asked for an apology for the time I wasted and told me to call the office day 1 of my period. That's what I wanted to know..Damn, I already had taken Ibuprofen. I know deep in my heart I don't want to take it but I was afraid if I don't and if somehow they will decide to push through it, I will be in total pain. I was worried what if I already conceived.
Dr. K then walked me to the nurse station and provide me the lists of clinic that I could use for my blood test. I asked where and when to schedule the semen analysis and the staff gave me number for the lab and outside the clinic I called hubby and told him what an awful day had been and asked him if he could call the lab so he can make an appointment for his test but I ended up calling the lab later on and get an appointment next week.
So that's it. I have to wait all my tests are done until I could see Dr. A again. Until then, hopefully wishing that tests are fine and we can do the procedure not later than October.
Friday, August 9, 2013
2DPO Nausea
I am wondering if Nausea at 2dpo is a sign of early pregnancy or implantation. I had this before but I wasn't charting so I can't pinpoint if it's time around post ovulation.
I nauseated with vomit when I get to work before 8am and as of this writing I just got back from the bathroom to do the thing again. I don't want my co-worker to see me in teary eyed and might think I am pregnant because I will be ashamed to give them the impression when I am still at post ovulation.
I tried to search online and read experiences of people having the same situation but I don't find many people getting similar symptoms. I was hoping I could get a better idea on this. But I know somewhere I read about the rise of progesterone can cause nausea post ovulation. I guess this is just the hormones that clicking in me. I hope it's a good sign if it works.
My first IVF consultation will be on Monday and I am anxious to know how this is going to affect this cycle and how soon will it start. Will get back on that next week.
I nauseated with vomit when I get to work before 8am and as of this writing I just got back from the bathroom to do the thing again. I don't want my co-worker to see me in teary eyed and might think I am pregnant because I will be ashamed to give them the impression when I am still at post ovulation.
I tried to search online and read experiences of people having the same situation but I don't find many people getting similar symptoms. I was hoping I could get a better idea on this. But I know somewhere I read about the rise of progesterone can cause nausea post ovulation. I guess this is just the hormones that clicking in me. I hope it's a good sign if it works.
My first IVF consultation will be on Monday and I am anxious to know how this is going to affect this cycle and how soon will it start. Will get back on that next week.
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