Day 8 (Round 1 of IVF Stims): First Day at Seattle Clinic

Day 8 (Round 1 of IVF Stims): First Day at Seattle Clinic

(Entry written prior to posted date).


The plan for the day was that as soon as my flight landed we were to immediately go to my fertility clinic for my blood test and ultrasound. Normally they do this first thing in the morning, but I was getting there several hours past their normal cutoff time, but they said it would be okay in my case. My mom came with me for the trip because my husband cannot take anymore time off work. So here we were, my mom and I, dragging all our luggage into the clinic. I think we both felt quite silly, everyone was looking at us. It didn’t help matters that I had to keep digging into my bag to check all of my medication levels because I just remembered they needed a full inventory of what remains. I didn’t want to guess with those numbers because if I was off I could end up paying a lot more money. I felt kind of silly rummaging through my suitcase, feeling like everyone in the waiting room was looking at me.



Upside-down and lid popped off. My folic acid pills scattered everywhere inside my suitcase.


I felt super out of place and frazzled. I didn’t sleep the night before or on the plane. But I told myself something that made me feel better about the whole situation, “I am exactly where I need to be and I am not out of place at all. This is the exact time for me to be here and the exact place I need to be.” This really reassured me. S***, with the amount of money I paid to the clinic I most definitely deserve to be there! Mom was feeling a little out of place there too. I told her that I was happy she was with me and not to worry about what anyone was thinking. I guarantee they were more worried about their egg count or their husband’s sperm motility and morphology. Because us women who deal with infertility have a real knack for being a little self-obsessed about the status of our womb more than anything. Am I right? I think the only thing they could have thought looking at us is possibly jealousy because my stomach looked so bloated from the medication that I already looked pregnant. I’m a big girl as it is, throw fertility medication on top of that and I looked like the Ghostbusters’ Marshmallow Man, all blimped out. I was kind of self-conscious about making other people sad, who may have thought I was pregnant when I was just a bloated fatty. Part of me wanted to say, “Don’t be sad, I’m not pregnant, I’m just fat.” I was imagining the conversations I would have with other patients in the waiting room who would mistakenly think I was pregnant, and how I would explain my gut to people.


“Let me guess, 7 months?” a thin girl would ask me in the waiting room.

“Oh, I wish! Thank you. It looks like it though huh? I’m super bloated.” I would say.

“Oh I’m sorry…”

“Oh don’t be sorry. It’s these damn fertility drugs. You’re tiny now, just you wait!”

“Really?” her eyes would bug out.

“Oh yeah, I was tiny just like you before I started this.” I’d laugh, knowing I was totally lying and making her believe she was going to gain 50 pounds in two weeks.



My clinic, Seattle Reproductive Medicine (SRM).


Nope, I’m just a plus-sized girl who only gained six pounds in a short amount of time, which is pretty average from what I hear. I’ve heard that a 10-pound weight gain is  average. So they called me back and I left Mom out in the waiting room to guard our pile of luggage, since I knew it was a routine blood draw and ultrasound. The doctor saw on the ultrasound I have four mature eggs that would be good for fertilization. We are doing ICSI (Intracytoplasmic Sperm Injection) so hopefully that will increase our odds of success. I’m kind of disappointed I don’t have more eggs, or at least closer to the average of 10 eggs they were expecting. But then again I am diagnosed with a very low AMH level, so I suppose it’s better than nothing. I’m trying to stay positive. I’ve learned that staying positive and being optimistic are different things. You can stay positive despite the bleak outlook. It’s more of a decision you make, whereas I tend to view optimism to be aligned with good outcomes. My odds are very slim of this working, but I’d at least like the chance to look back and say that I tried all I could.


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3 Practical Tips for Adapting to Changing Fertility Plans

3 Practical Tips for Adapting to Changing Fertility Plans

Quick Update: We just received the good news from our suppression check that my cyst has finally reduced in size, and I am good to go for IVF! Our IVF cycle was delayed by 2 weeks due to that issue but it has now been resolved. That recent experience inspired me to write this article today.


I am an advocate for not only prayer (happy thoughts, good vibes, or what have you) but also a huge advocate for taking action. This action can include advocating for ourselves at appointments, deciding when to do a certain treatment, or defending our stance to other people about how your treatment plan is your personal choice. But what if your treatment plan is constantly changing because your body is not doing what you thought it should be?


You may have never seen a positive on a pregnancy test before. Or a positive pregnancy test may fill you with dread because all the other positive pregnancy tests you’ve had ended in miscarriage. Or you may have a child already but are experiencing Secondary Infertility and the dream of more children seems to be getting harder and harder to achieve.  No matter what your fertility situation is, one of the most important factors for success is the ability to adapt to changing situations.


Wouldn’t you like to be able to bounce back from setbacks more quickly? Although the odds seem insurmountable, there is almost always still hope for each of us. Being able to adapt to the constantly changing treatment plan can help to reduce the negative emotions that can drag you down.


3 Practical Tips for Adapting to Changing Fertility Plans


  1. Get More Flexibility at Work


The more flexible your job situation the better, especially if your treatment is as aggressive as IVF. I had no idea how many appointments were actually involved. In my case I am in the doctor’s office at least once a week, then it will be daily the week of IVF. If your appointments begin to conflict with your work schedule, try talking to your supervisor about the options you have. You can still advocate for yourself while keeping your medical issue private. You could say, “I need to go to more appointments for a medical issue and I was wondering if option A, B, C, or D are available to me, or if you had any suggestions on how we can work this out?”


Quick Tips:

  • Try to schedule appointments during your lunch hour.
  • Save up leave time for appointments, medical issues or personal time off.
  • Change the time or day you work to a more flexible schedule if possible.
  • Consider looking for a different job if your current job cannot accommodate your appointments. Ask yourself what’s more important, starting a family or keeping a job that restricts your family planning? Trust me there are more flexible jobs out there.


2) Make a Back-up Treatment Plan


Try not to ruminate on all the what-if scenarios that could happen. One funny example I have of this is I was certain I had a balanced translocation when I really didn’t. My surgeon had mentioned that sometimes people have deletions or a balanced translocation with their DNA they pass on to their embryos, which could lead to a miscarriage. I heard this right before the weekend and I was also waiting to hear back from my geneticist. So what did I do?


I spent practically the entire weekend researching about balanced translocation. I watched so many videos, and did so much reading, I tried to decipher scholarly articles riddled with medical jargon. I fell down the research rabbit hole in an epic way. But that following Monday I heard back from my geneticist and she said I didn’t even have a balanced translocation. The time I wasted researching was unreal. Hey, maybe now I can also write a scholarly article on the subject and make use of all this information packed into my brain. The moral of the story is to focus on your current treatment plan but ask your doctor what the next immediate step would be if your current plan does not work. This helps you to not get too far ahead of yourself like I did with the above story.


Quick Tips:

  • Write down your current treatment plan including your diagnosis, medication, actions your doctor is taking, and actions you need to take.
  • Research your current treatment step to gain more knowledge.
  • Ask your doctor what Plan B is if your Plan A does not work after the expected amount of time.
  • Consider a second opinion if you feel you are not getting adequate treatment.


3) Consider Adjusting your Vacation Plans


There have been several vacations we were hoping to enjoy but could not do for one reason or another due to our treatment plan. For me it’s a no brainer, starting a family is my highest priority. My vacation can wait a year or two, not a big deal. It’s good to be hopeful and plan around the possibility of getting pregnant. Please also remember to look up on the CDC website if Zika has been found in the area you want to travel to. I chose to postpone our natural conception several months because we visited an area with Zika. It’s better to be safe than sorry. Follow your doctor’s orders.


Quick Tips:

  • Double check for Zika locations before traveling and follow your doctor’s advice about postponing conception.
  • Calculate if you’ll have enough savings for both treatment and a vacation.
  • Consider a “staycation” or doing something closer to home instead of longer distance travel to save money.
  • Think about whether you can physically go on vacation, given your diagnosis and treatment plan. Do you have a medical issue not related to fertility that could become aggravated by traveling, which in turn could postpone your fertility plans?

Commit yourself to finding solutions as opposed to dwelling on the problem. These are just a handful of practical ways to adapt to changing fertility plans. What would you recommend to others who are struggling to adapt? Please comment below. I’d love to hear back from you. As always, thank you for reading.

Featured Image Credit: Shutterstock

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