You are here

The IVF Train is About to Leave the Station

lieutenant_dad's picture

Quick recap: DH had a vas reversal in 2019. It was technically successful, but his counts didn't return fully to normal so we had an uphill battle conceiving naturally. Tried IUI late last year/early this year and those failed. Fertility doctor assumes I have endometriosis due solely to the pain I feel during my period, my IBS, and the failed IUIs.

So, now after three months of being on suppression meds, we're gearing up for IVF in October. I honestly have no idea how to feel about it all. Should I feel a sense of relief? Doom? Optimism? Sorrow? I think I don't know how to feel so I just haven't.

My fertility clinic gave DH and I homework to do before we go to our initial IVF appointment. Cool info, but brings up ethical questions about what to do if we have extra embryos, etc that DH and I have both shoved into the backs of our brains. It seems too early to talk about it, but I understand why the doc wants to do know to do before we get started. 

I've tried not to do too much research on purpose. It just amps up my anxiety. I'm going back to the gym, eating healthier, and trying to be kind to myself. In theory, after this month, work will slow down a bit until the New Year so it's a good time for me to do this.

I'm not sure if I'm seeking advice, support, or distraction. It has been a crazy year even outside COVID, and I might just be tapped emotionally. I do feel a sense of calm about all of this, which is probably for the best.

Anything positive from folks would be welcome!

Comments

justmakingthebest's picture

Those are all big decisions for sure!

Sending you prayers of peace during this time, take care of you, ok?

lieutenant_dad's picture

Thanks JMTB. I'm trying to take care of me. This month is busy for work and school, but next month looks much less chaotic on thos fronts. I'd just love to be able to sleep, but one of the meds they put me on keeps giving me hot flashes so I'm roasting at night.

ProbablyAlreadyInsane's picture

i guess all I got (never having gone through pregnancy, treatments, etc.) is just that you got this and I hope for the best possibly outcome for you.  Definitley talk over the moral things with your DH, make the best decision you can, and once you've made it, write it down, and remind yourself, that no matter what is is, you and your DH made the best possible decision for yourselves. IF you change that decision later for any reason, just remind yourself that that's okay :)  I think with a process like this, you're going to have to be kind to yourselves on a lot of things.

You got this! ANd we're here Smile I would stay hestitantly optomistic.

lieutenant_dad's picture

Thank you PAI. Hesitantly optimistic seems accurate, lol.

The moral/ethical questions that the clinic wants us to think about are around what to do with extra embryos. That's such a hard thing to wrap your mind around when you don't even have ONE yet. I get why they ask, though. If you have the embryos and your marriage ends, either by divorce or death, what do you want the clinic to do? Who gets to use them? Who's going to pay storage fees? For them, they're running a highly regulated business that needs to be highly regulated, but questions about donating embryos, planning for divorce and death, etc is just wild to discuss when we haven't even tried making one yet.

SeeYouNever's picture

 I had to go through fertility treatment to have my first, but an IUI worked for me. 

No advice just commiseration that the whole process is a mindf*ck, especially if your husband has kids already. It's like you're going through infertility alone rather than as a couple. If it doesn't work eh, he's already got kids so it's less pressure for him. Then there's the fact that his ex was able to have kids easily, maybe even unintentionally, and that hurts too. 

We have 2 kids now and my husband is about to get a vasectomy. It feels so strange to try so hard to have kids and now to try not to have them. 

lieutenant_dad's picture

I feel all of this. It has calmed a bit over the years, but I used to get incredibly upset when I thought about how easy it was for ET to get pregnant (and how ill-timed it was) and how much of a struggle it was going to be, and had been, for us.

I think it also hits women differently than men. We get told our entire lives to be mothers, and we're judged so harshly when we do it wrong. Not being able to get pregnant feels like a bodily failure of the highest order. It has really screwed with my head because no one has ever brought up that I might have endometriosis until now since my only symptoms are pain (that is controlled by OTC meds) and IBS. 

You get it, though. Thank you for the support.

SeeYouNever's picture

 I had to go through fertility treatment to have my first, but an IUI worked for me. 

No advice just commiseration that the whole process is a mindf*ck, especially if your husband has kids already. It's like you're going through infertility alone rather than as a couple. If it doesn't work eh, he's already got kids so it's less pressure for him. Then there's the fact that his ex was able to have kids easily, maybe even intentionally, and that hurts too. 

We have 2 kids now and my husband is about to get a vasectomy. It feels so strange to try so hard to have kids and now to try not to have them. 

Rumplestiltskin's picture

My sister had both her kids through IVF, in her mid-30s. They did the procedure 3 times, with the first and third being her 2 kids. Her husband had a low sperm count, too, from a medical condition. I remember the stress of sinking that much money into it and knowing that most people try it a few times before one "takes."

I've been thinking about your situation a lot and really hoping for success. Nobody is more mentally and emotionally prepared for parenthood than you! 

lieutenant_dad's picture

Thank you Rumple! Hearing success stories makes it feel a little less helpless. I'm under 35 and apparently have ovaries brimming with eggs, so my fertility doc has a lot of hope that this will work and is the right course of action. But yeah, the sunk cost is something else. My meds alone are going to cost nearly $5k.

Aniki-Moderator's picture

LD, I went through a bunch of fertility treatments and know it can be stressful, a sex-for-fun killer, and amp up ye olde anxiety. It sounds like you are approaching this with the right frame of mind. Prayers and well wishes for you!!!

lieutenant_dad's picture

Thank you so much Aniki. I had a hard time explaining to DH how much this process was a sex-for-fun killer. While he "gets it", he's not the one doing morning temping, peeing on ovulation test strips, and ultimately feeling cramps knowing that it failed yet again. Toss in lower sperm count so everything has to be timed as to not deplete the troops, and it's just not fun anymore. I'll be thankful when this is over in either direction so that we can be intimate again without pressure.

Aniki-Moderator's picture

Not sure if it's still done but I haven't forgotten the "keep my pelvis tilted 30 degrees for 30 minutes afterwards". Sex is the doctor's office was mortifying.  Dash 1

ESMOD's picture

I didn't have kids of my own and never really went this route.. just figured my drive to reproduce wasn't high enough to accept the cost..lol.

But, I wish you and your dH nothing but the best here.. I hope it works out for you!

 

lieutenant_dad's picture

Thanks ESMOD. The cost has definitely been something I never expected I'd be okay with paying. I always said I didn't want to do IVF, but once we got to that stage, I found myself not being able to say no to it. I'm thankful we're in a financial position to do it because it's not cheap, financially or emotionally.

TheAccidentalSM's picture

I've always been child free by choice so have no experience or wisdom to share from a personal point of view.  However, everything I've read says that it is tiring and emotional.  Be gentle with yourself as you go through the process.

lieutenant_dad's picture

Thank you. I'm trying to be gentle. I think it's actually good that we had to go through this process as slowly as we have. It has required me to slow down and really think about my want to be a parent. I've been kinder to myself than when we started this process, and my sense of peace with it all is helping.

CLove's picture

Thanks for the personal update - you are so good at focusing on other's questions, issues and angsts, that Im glad that you are letting off a little "steam" (for that train, lol...)

Good luck on that, I know it must be more stressful than you are letting on, but Ive always believed that the right thing will happen, at the right time.

Biggrin

And about those ethical issues. I tend to be a "lets do this and get to it person" once I make my mind up to do something. And then process it later...so kudos to you for beginning your processing gradually, and acknowledging that its "there".

I am looking forward to the good news that I will be a "Steptalk Auntie" Biggrin

lieutenant_dad's picture

Thanks CLove. It's hard for me to gauge my stress levels. I have a lot going on right now, so I'm taking it one day at a time. I'm getting better at telling people no or giving them a realistic timeline versus killing myself to make something happen. I'm ready to do the thing I want for ME, and others just need to be okay with that for a while.

And those ethical questions are less "ethical dilemma" and more practical implementation. I would never recommend anyone with ethical quandries about when life begins and the personhood of embryos to go through this unless they're willing to be very flexible in their thinking. It takes a lot of the "what if" out of the equation because "what if" becomes "it will most likely happen, and you have to be okay with it".

bananaseedo's picture

Oh hon, that does sound stressful.  I hope everything works out wonderfully for you both.  You are such a giving person.  You deserve this.

lieutenant_dad's picture

Thank you so much. I'm just ready for it to all be over so I can stop living in limbo. I feel like I can't move forward in making certain decisions until this piece gets sorted out. I'm hoping by 2022 that I can start making plans again.

ndc's picture

I was very fortunate that we conceived DD on my last round of Covid, so while we'd met with the IVF doctor, we haven't had to go that route.  Infertility sucks, but it sounds like you've got the right mindset.  I hope you and your DH get exactly what you want, and I'm wishing some magical baby dust your way. 

lieutenant_dad's picture

Thank you ndc. Apparently my issue is the inflammation caused by endometriosis (or that's what my fertility doc assumes), mixed with less-than-optimal sperm count. Basically, my body is killing the sperm and egg before they can meet. IVF should get around all that.

Delilah's picture

what is IUI?

I have endometriosis and also tried IVF (specifically ICSI as DD5's dad has slow sperm...so they had to pick the "best" sperm and egg, then injected the healthiest sperm into said egg). I ensured I had a laporoscopy before I had IVF as apparently it can increase fertility by up to 13% and then within that year had IVF.

I was lucky. Just remember to be chilled out as much as possible, take care of yourself and good luck!

lieutenant_dad's picture

IUI = intrauterine insemination. They take a catheter through the cervix and into the uterus, then release sperm. It's meant to get the sperm closer to the egg to make fertilization easier.

My fertility doctor explained that there were generally two types of endometriosis: one that attacks the ovaries and tubes, and one that causes inflammation. Most women have one or the other, and I have the second. She didn't recommend surgery for me because she didn't think it would help based on my symptoms. She has had me take an estrogen suppressant (not birth control) for the last three months to calm the inflammation. My ovaries responded well with the stimulation drugs when we tried IUI, so she's very hopeful that this is the best course.

It brings me hope that it worked for you. I dread going to the infertility support boards because it's such a mixed bag of elation and devastation. I appreciate your support here where I feel more grounded. Thank you.

Delilah's picture

Yeah I avoided those forums for the exact reasons you noted, its such a difficult and overwhelming journey that it can be hard to verbalise the plethora of emotions. My feelings were like the scattering of sand, abrasive and many.

You are welcome to private message me anytime. I am keeping everything crossed for you.

strugglingSM's picture

We used fertility treatments to have DD. DH has a low count due to a genetic issue. SSs were born through IVF (BM also had major fertility issues). I think they went through six rounds total. DH didn't mention all this before we decided to try to have kids. He assumed he was "fine" because they mostly talked about BM's issues, but looking at his medical records (which we got when we talked to a fertility specialist), he always had a majorly low sperm count. 

My advice: 

1) Choose your fertility doctor wisely. The first person we saw was supposedly an expert in male infertility. She "discovered" DH's genetic condition (which I already suspected he had and told her so on the first appointment) and then said she was going to "cure" him and become famous publishing articles about it. She then put DH on a medication that dropped his low count to zero. I did my own research and begged her to start him on another medication, she finally relented and two months after he started that medication, his sperm returned. We then met with several others before choosing more wisely the second time around. The whole process is all about trust, because there are so many unknowns. Make sure you advocate for yourself at every step in the process. 

2) Try to remain cautiously optimistic and don't let the numbers get you down. DH's sperm count was so low that we never would have stood a chance in h$ll of getting pregnant naturally and even IUI was out of the question. I was also older at the time we started, but had no known fertility issues and all my tests looked good for my age. Still the odds were heavily stacked against us and I feel so lucky everyday that we have a perfectly healthy daughter. 

3) It is so much harder to go through all of this as a stepmom. I said several times to DH that if this failed for us, it would be really hard for me, because I'd still have to be a stepmom. It bothered me that BM was able to have children, but I knew it was hard for her, so at least it wasn't as if it came easy. Our state doesn't require insurance coverage for fertility treatment, thought, so we only had one shot (which we turned into two after the debacle with the first doctor). There were a few moments when I thought it wouldn't happen though and I thought I would not have been able to handle being a stepmom anymore (esp given my situation with a HCBM and Skids who are alienated enough that they treat DH like a piggy bank rather than a dad and report everything...and I mean everything...back to BM). 

4) Take everything with a grain of salt. There is so much information out there, but, as I said above, so many unknowns. Do what feels right for you and find things that can be calming. I don't know if acupuncture actually helps, but I found it calming and fortunately was partially covered by my insurance. I also tried to do some yoga and meditation. While DH and I were doing all this, BM was having one of her cage-rattling sessions, so I was stressed out of my mind and wish I had been able to insulate myself more from everything. 

5) Focus on the positive, but try to keep yourself grounded. Remember, there is a chance with everything, so you could be one of the positive outcomes. However, IVF doesn't guarantee a baby and the process will feel like a roller coaster. There will be a lot of "hurry up and wait" happening...

Best of luck! I was lucky that I did not have any known fertility problems myself. However, I have friends who had severe endometriosis and adenomyosis and it made the process more challenging. 

lieutenant_dad's picture

Thank you strugglingSM. We chose our doctor based on reviews online and we had friends who successfully conceived through her clinic. She also has a relationship with DH's fertility surgeon (who was awesome). She practices in the "rich" part of the city, and if she sucked at her job, she'd be out of business. She's expensive, but seems to get results.

I still question the endometriosis diagnosis. Unless I have surgery, there is no proof that I have it. However, having surgery right now is tricky and my doc isn't convinced it would help based on my symptoms, blood work, SIS results, etc. If this fails and I'm still willing to try a second round of IVF, I'd pull out all the stops.

I'm trying to be optimistic. My doc has been pretty straightforward about our chances. She told us IUI was a gamble, but she feels pretty confident in our IVF potential. I wasn't as sold on her at the start, but the longer I've worked with her and the clinic, the more I've learned to trust her.