Our amazing doctor was able to save one of my tubes. That being said, we were still not in the clear quite yet. Our next adventure would involve IUI or, potentially, IVF. Before we get into our chosen route, which will be a dead giveaway in the description below, let me educate you on the differences between IUI and IVF because I got them mixed up as well. They are definitely different, so be careful if anyone tells you they had to go through one or the other – prego women can be sensitive and will attack if you don’t keep that trap of yours shut, so check yo’self before you wreck yo’self.
IUI, or intrauterine insemination, has HUGE differences from IVF. These include, but are not limited to, the following:
- Eggs are NOT removed from the body
- Eggs are NOT taken to a lab to create precious embryos
Like IVF, IUI follows a strict timeline, so if you’re going to go through the process, get yourself a planner if you haven’t got one already. Your cycle starts on the first day of a full-on period after 2PM, so count out to day twelve and call your doctor to schedule an ultrasound. (Make sure you remind your hubby every hour of every day the sacrifices and steps you are taking to ensure he gets a family. And ask for presents; big, exorbitant ones. Also remind him that he only steps in to the process provide his “seed” and that his level of discomfort to produce said seed does not match your level of discomfort.) On days three through seven of your cycle, you take either Clomid or Letrozole. In my case, it was Letrozole, which is slightly less potent (we will get to why this can be chosen later). On day eleven, you take and ovulation test. If it is positive, call your doctor. On day twelve, go in for your ultrasound. They will do this transvaginally, so get ready and pray that they use warm gel. At this time, they will count and measure the maturity of your egg(s). They must be at least 18mm to proceed with the next step. If they are not, go home, call your doctor, and schedule another ultrasound for day fourteen. Go into your ultrasound on day fourteen and have them measure. If your follicles, or eggs, are mature, call your doctor. On day fifteen (or thirteen if your eggs are mature then), if you’re me, expect a phone call from your doctor’s personal cell phone to warn you that there is a potential for twins and that it is VERY risky to proceed. There are no documented cases of twins with my cerclage, so “selective reduction” is an option that one can opt into in this event. Once you discuss the risks with hubby, call your doctor back and receive instructions to give yourself a “trigger” shot in the belly. (*Please note that, during this time, it is a choice to consume an alcoholic beverage as there is no harm done to the process. This could be your last adult beverage for months since, after this day, you should not consume ANY sort of alcoholic beverage.) It’s a super tiny, ultra thin needle with miracle juice that forces you into ovulation within the next 36 hours. On day sixteen (or fourteen) take hubby with you. Hubby will be hopeful that there are “materials” to help him along with his production process, but sometimes that won’t happen and he will be left to his own devices. He could also be stuck in a room with no cell reception, so proceed with caution because the pressure is ON! Also, try not to embarrass hubby by yelling out in a full waiting room, “Would you like me to come with you?!”
Now for the coolest part…
Within two hours of hubby’s production, the sperm is “washed”. During this time, they put the sperm into a machine that uses centrifugal force to pull the sperm from the semen (semen, mixed with the ph of your vagina can be toxic and kill off the little spermies). This is done twice to make ensure you’re getting the best of the best! From there, millions of little hubbies are put into a tube with a sugar water mixture where they are happy and healthy – like a theme park for sperm. Once the two hours are up, wifey returns for the finale and doc tells hubby his sperm are the Michael Phelps of sperm. This process should only take about five minutes, but, as you know, nothing can be easy for us.
At this time, our normal specialist, Dr. Woodard, was doing her rotation across the street at MD Anderson, so a different doctor was to help with the insemination part. This doctor, God bless her for dealing with me, could not find the opening to my uterus. Half an hour later, Dr. Woodard was messaged and offered to come over to help. It turns out, she had just as much trouble. You see, scar tissue had formed over my uterus after two surgeries, preventing entry to my uterus, so the opening was near microscopic. They had to dilate me. If you’ve ever bumped an old wound that has scarred over, you know that this can be painful. Imagine this on one of the most sensitive parts of your body and then times that by a million. It was absolutely PAINFUL! The dilation came with an ultrasound to help find where the opening should be, as care was taken so that they did not puncture my uterus.
Hubby was right there by my side holding my hand the entire time. I could see the worry in his face and the love and care in his eyes. He was never going to let me forget how much I mean to him and how much it meant to him that we were moving forward with this whole process. He’s my rock through everything!
After some tears, dilation, an ultrasound, and an hour and forty minutes, the catheter with our special little ones was in. Once this process is complete, you lay horizontal for twenty minutes (we opted to stay for thirty to ensure optimum swimming potential).
Once the process is all complete, you are given a potential for a 20% chance that the first time will work, but you must always remain optimistic.
Off we went on our three hour drive home…hubby with his crotchety and sore wife. Three hours.