Current Medication List

A few people have asked what my current protocol is so I thought I would post it here.  Everything listed is to assist in maintaining the pregnancy. Levothyroxine is to regulate my thyroid.  Lovenox is a blood thinner to prevent miscarriage.  The addition of extra supplements to my prenatal is because I am a vegetarian and those vitamins I tend to run low on.

Medications:
levothyroxine 50mcg - 1 a day
estradiol 2 mg - 3 a day
oral progesterone 100mg - 3 a day
progesterone suppositories 400mg - 2 a day
lovenox - 1 a day

Supplements:
Thorne basic prenatal - 3 a day
algae omega 715mg omega 3 - 3 a day
baby aspirin - 1 a day
vitamin D 5,000 iu - 2 a day
vitamin C 500mg - 1 a day
iron 15mc - 2 a day
l-5-mthf 1,000mg - 1 a day
CoQ10 200mg - 1 a day

The good news is I received the go ahead to start weaning myself off of some the meds that I'm on because the placenta has been formed and my doctor has determined that some are no longer necessary. This is amazing news. I am so excited to say goodbye to progesterone and lovenox :)  Because I have been on these for so long, I can't just quit overnight, it would be too much of a shock to the babies, so I am doing a slow weaning process.  Here is my weaning schedule:

• Switch lovenox to every other day for 1 more week
• Switch oral progesterone to 2 a day this week, then 1 a day next week
• Switch estradiol to  2 a day this week, then 1 a day next week
• Continue progesterone suppositories 400 mg 2 a day for this  week, then 200 mg 2 a day next week,  then 200 at night only the following next week
• Continue baby aspirin for 3 weeks then discontinue

The more hurdles and obstacles we pass and overcome, the more real this pregnancy gets.  I'm still on bedrest for precautionary purposes but it's pretty exciting to make it this far and know that my body is starting to take care of the babies and I no longer need these medications.  We are still on weekly ultrasound appointments so I will have another update on Thursday.

Thanks for Reading,

HEATHER

9 Week Update

According to my pregnancy app Nurture, the babies are the size of green olives.  The main development between last week and this week is that they started to grow arms and legs.  Finally the babies are starting to look more human and less blobbish.

Baby A is on the left with the head on the left, Baby B is on the right
and was moving too much for a good photo today
so that's why it is all blurry

Today we went in for another ultrasound scan and measurements.  Bath babies measured perfect!  They both measured 9 weeks and 1 day which is right on schedule.  They both also had heart beats over 170 which is also wonderful news.  The most exciting part is that we could really see the babies moving today.  Baby A is now referred to as my little dancer.  We don't know the gender yet, but for some reason I want to refer to her as a girl.  Anyways, you could see her head shaking and her arms moving up and down.  The first time the doctor said she was wiggling, the truth is I couldn't see it.  But then later on he went back and she was moving a ton.  It was so amazing to see.  And now for Baby B, otherwise known as my yogi.  This one was head down with feet up in the air doing a headstand.  The doctor again said this one was moving but I never was able to see it.  They are starting to take on a more human form, but there is still a lot of blob action going on.

As for me, I'm doing OK.  I am on day 6 of no bleeding.  That is a huge sigh of relief.  The cramping is still there though.  Cramping is normal, except that mine only comes on when I stand up and it comes on really strong.  Because of this, he isn't comfortable letting me off bed rest, so he ordered bed rest for two more weeks and then told us to discuss it with our high risk pregnancy doctor and see what she says.  So two more weeks of bed rest for me.  But really, all that matters is that the babies are doing good.

Seeing movement on the screen is amazing.  Then not only can you see the heartbeat, but you can hear it too.  It is truly amazing and we both feel so very blessed to make it here.

Thanks for Reading,
HEATHER

7 Week Update

This week was our 7 week check.  We were extremely nervous going into this appointment. With all the complications I've had, we just weren't confident in the outcome of today.  The point of the appointment was this was going to be the first appointment where we would be able to measure our progress and make sure that everything is developing as it should be and on schedule and healthy.

In the waiting room, trying to pass the time
and not think about how nervous we were.

We brought our good luck egg with us and I wore a new bracelet my Mom bought me for good luck.  I also had on my fertility charm necklace.  With crazy anxiety we headed off to our appointment.  Luckily we never wait too long at our clinic, but still the time passed so slowly.




I am very happy to report that we received wonderful news, every number came in perfect!  And drumroll please......, there are lots of numbers to report because we have two babies, we are having twins!!!!!!!!!!!!!!!!!!!!!!!

Meet our babies

Baby A measured 7 weeks exactly, right on schedule.  The heart rate was 153 bpm.  Baby B measured 7 weeks and 1 day and had a heart rate of 146 bpm.  These numbers are great.  At this stage we were looking for anything over 120 bpm to show a strong heart so we were just elated with our numbers.  The ultrasound machine can actually play the heart rate so we heard it for the first time.  It was all I could do to hold back the tears but I just didn't want to miss a thing he was saying.  It was such a blessing to finally hear our little miracles and see that they were both doing well.

Now for the other news, I'm still bleeding a lot but the good news is that he thinks he found the source of it.  I have a hairline tear in my cervix.  He believes that it is the result of the large amount of progesterone that I am on and exasperated by the blood thinners.  I still have the blood clot in my uterus too, but he really thinks the bleed is from the cervix.  So I still have to remain on bed rest.  He said that he will let me off of bed rest when I don't bleed for 5 days in a row but he cautioned that this probably won't happen until I'm off the progesterone and that isn't happening for another month.  So he told me to get comfy on the couch.

Our other reason to remain cautious is the irregular shape of Baby B's (on the right) gestational sac.  The gestational sac should be circular, just like Baby A (on the left).  This irregular shape is cause for concern.  I asked him when we will be able to be a little more confident in Baby B and his response was that if the babies make it to week 9, we can feel much better that they will make it to the end.

So while it is too early to really celebrate, we are over the moon that we passed the first big hurdle and at this point, both babies are doing great.  I will continue to see the doctor every week and get new measurements to track their growth.  According to my pregnancy app, that babies aren't really human looking yet and still have tails.  It showed a picture of a 7 week old and it looks more lizard like to me.  They are about 1/2" big and the size of blueberries.  Here's hoping and praying that our little blueberries keep growing and keep fighting!

Thanks for Reading,
HEATHER

Welcome To My New Blog

Welcome to my new blog and a new chapter in our journey.  As I write this post, I am officially 6 weeks pregnant (it's crazy to even type that!), which is way too soon to be official and there are many hurdles and many things that can go wrong, but in the interest of full disclosure, something we felt we wanted to share.  There is a reason that people traditionally don't tell anyone until 12 weeks because so much can go wrong between now and then, but this journey has been far from traditional.  And if God forbid, something does go wrong, we are going to need all the support we can get.

As the name of my blog suggests, I will always be a part of the infertility community, just getting a positive test results doesn't mean that we have overcome the emotional toll that infertility places on us.  We are still dealing with infertility even though I am pregnant, which sounds like such a conflicting statements.  Because this pregnancy was created through ART, we have different challenges, both mental and physical, than a spontaneous and traditional pregnancy.  I will explore those issues as we progress.

Parker is glued to my side.  I wonder if she knows...

Right now I am on bed rest, I've had complications and my doctor is concerned, so living on the couch it is.  I've had a lot of bleeding, coupled with severe cramping.  On my last ultrasound he found a blood clot in my uterus.  So couch life it is.

Huge shout out to my family!  They have been awesome and take turns coming over.  I am so thankful to be home in San Diego and to have their help.  I'm rotating through my Mom, Dad, Brother and Grandmother. And of course Ryan is here too and Parker.  Every time I take a few steps, the pain gets much worse so having them around has been great.

Our last ultrasounds was too early to take measurements of anything so all we have really been able to see is the gestational sac and the yolk sac.  We go back in a week and at 7 weeks things should be big enough to get accurate measurements and be able to tell how viable this pregnancy really is.  I asked my doctor when I can get excited and feel like this is actually something real and his answer was at 9 weeks, so we have 3 very long weeks to go.

At this point, we both go back and forth from happy to scared to death.  I am trying to stay positive but have been sucked into dark thoughts and have had several bad days. Every time I go to the doctor, we get some good news and some bad news.  Plus being so involved in the infertility community, I have heard so many awful stories.  For the last 5 years, every time I have felt a glimmer of hope, it has been a hard awful crash back down. Mentally just trying to protect myself and not get too excited just yet.  I will say though that making it to this point has been a giant relief on one very significant level.  Up until now, I had no idea if my body would ever make it to implantation.  Now at least we know that I can which is amazing in and of itself.

Thanks for Reading,
HEATHER