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The Follow Up and New Plan October 12, 2004

Before I get to the gist of my post, I want to reiterate that birth control pills are evil. I’ve come to the conclusion that they come in two different forms: the physical ones and the emotional ones, based on whichever aspect of your life they fuck up the most. During my fresh cycle, the birth control pills that I took caused me to be constantly nauseated. I could barely eat, thus the physical ones. This time, apparently this new brand is an emotional one. I’ve been weepy and depressed the past couple of days. It’s not pretty. It should be a fun three weeks.

I got a call from my RE this morning. I knew I wanted to talk to her about my transfer situation, but I didn’t want to go in for an actual appointment, so I requested a phone call. I let her know that I was happy with all aspects of my IVF cycle except for the transfer. (Well, also the fact that it didn’t work, but I figured that was fairly obvious.) We “debated” about whether a mock transfer could have prevented my transfer from hell. After all of that we discussed my options for the transfer in my FET cycle. My RE gave me two choices:

1) Have my cervix dilated a couple of days before transfer. This would be done under anesthesia at either my RE’s office or a hospital. Of course, this couldn’t be scheduled in advance, because the timing would be dependent on how my lining progresses. In this plan I would be awake during the embryo transfer in hopes that the dilation would be sufficient for a smooth transfer.

2) Have my transfer done under anesthesia. This way the dilation, if needed, could be done at the time of transfer. This would also allow my RE to be able to “pull harder” on the tenaculum (cervical clamp) in order to straighten out my right-angled cervix better.

I decided to go with choice 2. If I’m going to be knocked out one way or the other, I’d rather it be during transfer. Option two just makes more sense to me. Why dilate ahead of time when there’s a chance that my cervix could close back up before transfer? Doing the transfer under anesthesia will allow my RE to do what she needs to do (dilate, pull and prod, whatever) without having to worry about the pain factor. Of course, the anesthesia will cost extra, but if that’s what will make the difference this time around, I’ll gladly pay the extra.

Comments»

1. Sheri - October 12, 2004

So sorry the pill is making you so sick. Any chance you can take it right before you go to sleep? That use to help me back in my pill days.

I totally agree with your choice of plan 2. It makes the most sense. Best of luck.

2. Dawn - October 12, 2004

I agree with option #2 as well, with option #1 it seems as though you could be risking infection?

You seem like you are holding up really well. You truly are amazing. I am sorry I have been away for a few days and wasn’t commenting a lot. Aside from being busy, there are also times that I can’t find the right words to say and I figure (correctly, I hope) that saying nothing is better than saying something totally wrong or stupid. Anyways I admire you, hang in there with the evil BCP’s!

3. NSR - October 12, 2004

I’m sorry to hear the BCP’s are making you feel so bad. Hopefully it will get better. I agree with Option 2 as well!
Hope you are doing well.

Nina

4. Heather - October 12, 2004

Jeez, I can’t even believe she bothered to ask you which option you wanted to go with! It sounds to me like you’ve clearly made the right choice.

Good luck getting through the next three weeks with those birth control pills. Yikes!

5. Menita - October 13, 2004

Choice 2 definitely sounds like a winner.
Nasty bc pills. They made me evil.

6. Anonymous - October 14, 2004

Amanda: I had a mock transfer and I really don’t think it made the slightest difference. The doctor who did the mock made a note about my cervix being slightly crooked, and that he had to use the stiffer tube to get in. So, they used the stiffer one, but the doctor who did the transfer just could not get it in.

I agree that #2 sounds better than #1. It sounds like the RE who did it last time will be doing it again, which I actually think is a good thing, as they will know what to expect.

Good luck, as always
Kim