Infertility category
Showing posts with label Infertility. Show all posts

High Risk OB Consult

2.25.2015


A few weeks ago I had an appointment at the Regional Perinatal Center in CNY.
 I just needed some clarification on the events that took place the day the Zabies were born 
and what that meant for us moving forward. 
I didn't go the the RPC when I was expecting the Zabies 
but due to the rarity of my situation {read here and complications here},
they consulted with the Chief of Obstetrics and Gynecology when I was on the table after they delivered the Zabies. 
Dr. Silverman is also the Regional Perinatal Doctor. 
So when I had detailed questions about the risks involved in becoming pregnant again my OB quickly referred me out to the RPC. 

I felt conflicted about my meeting with Dr. Silverman but had a lot of detailed questions I needed answers to. 
I didn't have to wait long before they called me back and was quickly seated in the consult room. 
The nurse was asking all of the initial questions when she realized that my patient history was a little more involved than most. She had a lot of questions about my situation. While I was explaining my history Dr. Silverman walked in and took over the appointment. 
He sat behind the desk and said, "So, I hear you're thinking about doing this again?"
I told him I was there for clarity on the situation. 
He had a medical student with him and was explaining to her, and the nurse, what happened the day I delivered.

"Mrs. Zabek was admitted for preterm labor, 90% effacement and dilated to 4 cm. She never experienced painful contractions and after one bolus of saline all contractions stopped and she was then only monitored every 12 hours for 48 hours. She was in the beginning stages of being discharged and she experienced a tetanic contraction. Doctors pushed terbutaline twice and Baby A was in d-cell. They moved forwarded with a STAT C. When they opened her up there was a lot of blood. They got both babies out and started searching for the bleed. Then they found a ruptured vessel of the posterior portion of her uterus...." 

It was like deja vu hearing it all over again. 

"Mrs. Zabek lost over half of her blood volume."

"So the question at hand is: is pregnancy contraindicated?..... Absolutely NOT!"

What? Why? I had been praying and coming to terms with the fact that we would have to have a gestational carrier for future pregnancies. This was not the information I was expecting. I really was just there to better understand why the rupture had happened. 

He explained it to me further and this is what I learned, 
"I've seen this exact same thing once before in my career, almost 10 years ago. Patient had undergone IVF treatments to gain pregnancy. It was like looking inside of the same belly. The vessel rupture was exactly the same. What we think happened is that when the embryos were being transferred back into the uterus the uterine lining was punctured and those embryos implanted deeper than normal causing the uterine wall and extra vessel (which is normal during pregnancy) to be weakened resulting in the rupture."

He continued to explain to me the risk factors and how he feels that the likelihood of it happening again is lower than 8% since it is kind of a freak incident and thought to be caused by IVF. He told me clearly that he recommends for women to never become pregnant again on a daily basis due to maternal death risks and that is not his recommendation for me. 


I walked away confused and torn.
Elated, scared, hopeful and nervous. 
I want to have more children but the risk scares me. 
To say I have been praying about it may be the understatement of the century...
I pray about it all the time. For God to help me to recognize the right path to take and to put the desire in my heart to do the right thing. 
The kicker?...
Dr. Silverman said he thought we wouldn't have a problem conceiving on our own since we have had one successful pregnancy!! 
WHAT???
Apparently, fertility rates go up after being pregnant and delivering successfully in couples who have a history of infertility. 

Since I have been praying about this, I have literally had 10 friends announce pregnancies.

A sign? Maybe.

Until I feel confident in our path, I will just keep loving and adoring these two little ladies.
They are truly a blessing.








...and of course I'm praying...every. single. day.

I am so thankful that the decision is now between me, my guy and our Heavenly Father. 

Linking up with:



2 years ago || A special throwback thursday

1.22.2015

Two years ago today was an experience of a lifetime.
I woke up early that morning and Josh drove me to a scheduled appointment with my acupuncturist, whom I adore. Nobu Wago is by far the best acupuncturist in Atlanta. 
His words were calming to me. 
While inserting one of the needles he said, "This one increase blood flow to uterus. 
Perfect for IBF {IVF} to work." <--- Insert your best Japanese accent here.
The session was quicker than normal but just as relaxing as every other session I had before. 
I quickly exited the building and hopped into the car with my guy.
He had went down the street and gotten me a yummy breakfast sandwich from Subway since it's usually not a good idea to eat before acupuncture. 
I could only eat part of it because my nerves were a wreck and I was full of water. 
I had already downed 16 ounces of water and was working on my next 16.
My Reproductive Endocrinologist recommended 24 ounces of water before doing the embryo transfer. 
We arrived 30 minutes early and were taken back only a few minutes later. 
They gave me a super stylish gown and hair cap to change in to. 
Can you say trend setter?
I should have just stepped out on to a runway. I was that hot. 
See for yourself below. 


Then Josh was given his super snazzy scrubs, hair cap and mask.
Can you say hottie!


Taking pictures of one another and selfies helped to ease my nerves and pass the time until they called us back along with praying, hand in hand, for our unborn child(ren).


See that Turvis of water? Well I have always drank a lot of water and in this case was an over achiever. I started having really bad pains and had to potty SUPER bad!
I was literally in tears. I was still swollen and bloated from stimulation and retrieval. 
They let me run to the restroom quickly and potty for a 10 count. 
You know one one-thousand, two one-thousand, three one-thousand.... you get the idea. 
I did so and was STILL in pain. 
They went ahead and took me back to the retrieval/transfer room and checked my bladder with the ultrasound machine. My bladder was huge and full of water. They asked me to empty my bladder for an additional 15 count. 
I did so and we were all set to move forward.



{We had way too much fun taking pictures of ourselves.}




Everyone got all set up and they transferred two little embryos.
Then we were given this picture of them. 
This is technically Kensington & Quinn's very first picture. 
Looks just like 'em huh?
It's so weird to say this and unless you have experienced IVF you may or may not understand but my heart was attached to these embryos the minute I saw them. 
They were Josh and myself put together. 
Our embryos. Our babies. 
I loved them and prayed for them the moment I saw them 
{and every day before and after, for the rest of my life}.

This transfer was not like the other I had experienced. I was much calmer and more relaxed. I'm sure having acupuncture sessions before and after helped in that category but through the whole process I prayed for a positive attitude, to stay clam and for his will to be done. 
Honestly, the prayer for a positive attitude was key for me. It was so easy for me to worry or be negative from experiencing so much hurt along the way.
I wanted needed to be positive. 
If my mind was in the right positive state then my body would have positive energy and flow which would also bring calmness. 
I felt like God had his arms wrapped around me, that day, because the worry that was there the first go 'round had vanished and excitement had replaced the fear that typically had me on my knees in tears. 
This time I was on my knees in prayer and worship. 
I knew this was it for us. I knew it in my heart. 
Thoughts for Thursday
Linking up with Annie and Natalie.

The Deliberate Mom
Linking up with Jennifer.

Infertility...

12.10.2014

Life before children was a dark, dark place for me. The minute that Josh and I were married the questions began flying at us like high-speed baseballs during the World Series. We weren't ready to have children yet; we just wanted to enjoy being married. Only a month into our marriage I was diagnosed with Endometriosis. For more about Endometriosis visit the Mayo Clinic.
Endometriosis was an ugly word in my home as a child. My mother had a severe case of it, and it was the sole reason that I was an only child. No siblings. None.
Although we weren't quite ready to start our family, at only one month of being married, we began having the necessary conversations with our doctors. We were told that it would take us a while to get pregnant so it wouldn't be a bad idea to start trying. Trying to get pregnant should be fun, right? Romantic, passionate, good 'ole baby making. WRONG! Well for the first 6 months, maybe. Then the worry set in, and temperature taking, charting and peeing on ovulation sticks replaced the excitement of, spontaneous, not trying but not preventing to make a baby.
Months went by quickly; either we were waiting for ovulation around CD14,  we were in our two week wait (TWW) or I was emotionally depressed because my cycle had started, once again. Trying to get pregnant is like wanting a new car, everyone around you has your dream car and it's literally on every corner. It seemed like everyone we knew was getting pregnant. Every conversations revolved around pregnancy, children, or being a mom. All of the things I longed for.
Before we knew it a year of trying to get pregnant had passed to no avail. By then I wanted to be pregnant. I was ready. More than ready. I always wanted to be a mother, but at this point I had a longing, deep in my soul, to be pregnant. I wanted to be a mom. A mother. Mama to be exact.
At our next doctor appointment, Dr. W suggestion I complete further testing. So we did. Hysterosalpingogram was the ugly name of the, awful, test that I had to have performed. The best part? It was my birthday. Cruel, I tell ya!
It hurt. Agonizing. Excruciating. Whatever word you want to use for hurt really, really bad. My mom took me for the appointment and she could hear me screaming in the waiting room. Yup, it hurt that bad. Many women compare it to labor. I would say it is comparable. Results: Tubes clear, just a build up of mucous.
You are suppose to be a fertile Myrtle the two months following a hysterosalpingogram. So we proceeded with fingers and toes crosses, along with a lot of prayers. Months passed and with no luck. We decided that it wasn't a bad idea to have Josh's fertility checked-out before I endured any further testing. His testing was way easier and much less invasive. Semen analysis Results: below normal in all areas. He completed a second test to make sure it wasn't a fluke. Result: Normal. Then a third test to give us an average. Results: below normal. His results varied so much that it was necessary to see and reproductive endocrinologist (RE); and that we did.
Our first visit was January 2011. They did further testing on us both. Blood work to check our hormone levels, ultrasounds to look at my ovaries prior to ovulation and more semen analysis' for Josh. Then it was explained that we have what is called Male Factor Infertility and my endometriosis wan't helping the situation either.
What to do? We weren't candidates for intrauterine insemination (IUI) due to motility and mobilty issues. In-vitro ferilization (IVF) was looking like our best option. We had a lot of talking to do. We were young and healthy. We were the perfect candidates for IVF and were given a very positive likelihood of success. We decided that we needed a few months to time out everything perfectly, especially our finances.
 IVF isn't free nor is it cheap. Insurance doesn't cover it so we were looking at spending thousands of dollars on our child before it was even a fetus. We waiting for a few months and decided the summer was the perfect time, financially. My due date would be just a couple of months after graduating with my bachelors.  The news of my brother-in-law and his wife expecting their first child solidified our decision to move forward with the process.
July rolled around and it was time to start the process. I cycled July into August and was cancelled due to ovarian cysts. Then we waited for my period. I cycled September in to October. Cancelled. Another stupid cyst. Then we changed protocols. My RE suspected that the Lupron was causing me to flare prematurely with cysts; this happens in a very small percentage of women- it has the opposite effect of its intended us. We switch to an antagonist protocol using Ganirelix to suppress instead of Lupron. I also used a birth control patch instead of pills.  Everything looked great and got the go ahead to finally trigger. The REs were very optimistic. Finally. I was so nervous and anxious about the egg retrieval. The retrieved 15 eggs. 13 were mature. 12 fertilized. Day 3 transfer. Non of the fertilized eggs made it to day 5. The embryologist noted that my eggs were hard to penetrate. The two week wait felt much longer than two weeks, and I was a ball of nervous energy the entire time. Did I mention that NO ONE knew we were going through all of this. Nope. Nada. We kept it a secret. For me it was hard enough that I didn't randomly miss my period and get to surprise Josh with a, freshly peed-on, positive pregnancy test.
The day was December 23, 2011. Josh took me to get a pedicure to help relax me after the in-office blood test; he got a pedicure also. We went home and I laid on the couch hoping that the call would come before my in-laws arrived for Christmas vacation at our house. It was 1:00 and the sun was beating down on me through my living room window when my phone rang. I nervously answered the phone and my PA said, "Hi Natasha. I'm so sorry but the blood test was negative." I quickly thanked her and hung up. Why did I thank her? She gave me the worst news ever! Josh was outside working in the garage and I just laid there, crying... it didn't work! My whole heart crumbled. I saw pictures of my embryo. It was mine and Josh's DNA. Together. As one. For two weeks I felt like I was pregnant. I knew that the sperm and egg had come together; all it had to do was implant. Why didn't it work?
By the time Josh came inside I was hysterically crying. He knew what the tears meant. Just moments later his parents pulled in our drive.
Not only did we have to tell his parents that we were going through IVF but we also had to tell them that we had went thru the entire process and it didn't work.  We never expected that we would have to share with people that we had went through all of this hurt in the middle of experiencing more hurt but how else were we to explain my lack of excitement for Christmas and what should have been the most exciting Christmas announcement ever? So we chose to wait until that evening when his immediate family gathered at our house for an impromptu dinner. Honestly, we didn't want to repeat the words over and over again. I will never forget that conversation... we were all gathered in our living room sitting together, chatting and catching up on each other's lives. Josh spoke softer than normal (he's a loud whisperer usually). He said Tasha and I have something we would like to share with you... as excitement came across many of their faces he quickly redirected and said, "It isn't good news." Then shared our journey in his short and sweet version explaining that we both were in a really bad place emotionally. It was a very quiet evening as everyone mourned what could have been with us. My sister-in-law, Bri cried a lot... she was 37 weeks pregnant with a surprise baby and had a new found understanding of the desire to have children. It was the most I had felt connected to her in many months because I wanted more than anything to be in her shoes, blissfully pregnant at 37 weeks. I was so excited for my coming niece but it definitely made our situation more painful. I am so thankful that they didn't have to experience the pain that naturally comes along with being childless and struggling with infertility... honestly I wouldn't wish it on my worse enemy.
Three days later my niece was born. It was such an exciting day but I spent most of the day worrying. My hormones were balancing back out and I was worried how I would handle myself if and when the flood of emotions hit. I did pretty well and only cried when I held her. She was a miracle. Pregnancy and children are the biggest miracles and blessings in this world. That was one thing that was crystal clear to me.
 In many ways I cut off my emotions and feelings from that day forward. I wanted to enjoy my niece and not mourn what I didn't have. I did exactly that. I made the decision that I didn't want to do another round of IVF anytime soon and I wanted to just enjoy life in general... including spending time as an aunt. Me making the decision was different than life making the decision for me. Josh and I enjoyed life by traveling and dating each other, something we had forgotten how to do in the midst of the stressful IVF cycles. We went to Mexcio, Seattle, Florida and many other fun trips together. There was no testing, no poking or prodding to jumble up our days. We were just us for a year and it was really nice.
I would be lying if I said I wasn't still emotionally broken inside. Every time someone announced their pregnancy via Facebook, I cried. Every time I saw a woman with a beautiful, blossoming belly, I cried. I cried myself to sleep many, many nights and Josh would just hold me and tell me it would all work out. He believed in his heart that we would have children of our own on day.
Throughout that year we had family and friends praying for us and that things would happen in God's time. My relationship with Jesus Christ became so much stronger. Every Sunday during worship service I cried may way thru the words of every song and felt like God had chosen each one of them specifically for me and how I was feeling that day or week. I started to gain clarity and emotional strength when one day on my way to work I was listening to my favorite morning show in Atlanta, the Bert Show, and one of the cast members, Jenn Hobby, shared her infertility journey. That day she said, "I feel in my heart to share my journey because someone who is listening needs to hear this. Don't give up! Infertility is an emotional road and takes a toll on everyone involved but don't give up!" She said many other things that I don't remember verbatim but I felt as though she was speaking to my heart. Could anyone else hear her words? Was this message just for me... probably not but it felt like it. God speaks to us in many ways and I believe with all of my heart that he was speaking directly to me through her.
I went home that day and told Josh I was ready to give it another go. At this point it was November.... I know the same time we had unsuccessfully done IVF before. You think I would have learned my lesson before! I made an appointment with my RE to start the process. We met with the RE and made a few choices about protocols and he decided to pull out the "big guns" so to speak. The Mac Daddy protocol for poor responders. We started around Thanksgiving and they did a trans-vaginal ultrasound before stimulating because of the protocol type and how I had previously responded. I had cysts all over my ovaries. The birth control pills were causing the follicles and was probably the cause of the cysts in my prior cycles as well. What did this mean? Another cancelled cycle.
This cancelled cycle really hurt my energy. I had decided to keep a very positive attitude. I prayed every night for nothing but positive thoughts. I had been receiving acupuncture for months leading up to the start of the cycle for reproductive health, to better embryo quality and for positive energy. I increased my frequency of acupuncture visits and practically prayed myself to sleep once we were cancelled. I kept telling myself this is going to work and Christmas time is not the right time for us, obviously.
Let me tell you, waiting for CD1 is like waiting for Christmas in July! CD1 came and went since there were lab closures due to the holidays. BUMMER Then we had to wait another 35 days... darn 35 day cycle... like clockwork it was always 35 days. It was infuriating that I had to wait 35 more days. The holidays came and went and on January 2nd CD1 appeared 15 days early!! I praised the Lord so many times that day it's almost comical. During this cycle I received acupuncture twice per week. We stimulated off of my natural cycle (meaning that we didn't use birth control in the beginning of the cycle) using Lupron and then did a retrieval 1 day earlier than planned due to one follicle out growing the rest. They retrieved 11 eggs, 7 were mature, 6 fertilized and 5 made it to day 3. We transferred 2 and had none to freeze in the end. On transfer day I received acupuncture before and after the transfer to calm me and to increase blood flow to my uterus. The quality of our embryos were much better than the cycle a year earlier meaning that the acupuncture must have helped in that category. The two week wait was the slowest two weeks ever. It felt like months had passed. My HcG test was on Friday, February 1, 2013. I took the day off work and had the blood work done that morning. Josh and I left for North Carolina around 11 am to visit family and patiently waited on the phone call. Josh received a work call and minutes later my phone rang and it was my RE. He never called me. I was always his PA. He said, "Well Natasha, I'm finally getting to give you the news we've waited so long to deliver... You're Pregnant!" I just cried.... and said Thank you so much and hung up. I was in shock. Josh quickly ended his call and I clarified that my tears were joyful tears and that we were finally pregnant with an HcG level in the 200s. Praise the Lord!!!
Our two embryos. Day 3 transfer

What to expect...

8.26.2014

Do you have any idea how much pressure there is when making your "first" blog post? The pressure is INSANE!!! You have to make it count and have a lasting impression. 

When I decided to create a blog I had a pretty good idea what direction 
I wanted to go in with my blogging. 
Here is my inspiration. The Zabies. 
Photography by: Nicole James Photography
What you can expect to see here on Zabie Love.
Life with twins will be my main focus. 
From breastfeeding, pumping, solid-food feeding, caring for, 
scheduling, traveling, bathing & family activities with twins
to keeping an organized home
& maintaining me time in the midst of being a mother of twins!
We had our kids to live life with them right?
Infertility, pregnancy, bed rest and birthing will also be topics that I cover
that are near and dear to my heart. 
I hope to offer support and a fresh perspective to new moms,
moms who have growing families
 & seasoned moms who could 
probably certainly teach me a thing or two. 
I hope to be posting a lot in the coming days to get the ball rollin'. 


One of my all time favorite pictures.
 There is something about a twin bond that I'll never understand!
Sweet sisters holding hands. 

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