I just had an email back from one of the larger US donor bank sites which was recommended by another egg freezer I chatted to on eggsurance. The bank told me they can't ship to the UK. This really sucks as so far they've had the largest amount of CMV negative donors who match my coloring. Back to square one.
Monday, October 26, 2015
I called the GP this morning to ask about my unusual blood test results as reported by my clinic nurse. The woman I spoke to on the phone said there was nothing unusual about my tests at all! The only thing remotely out if the ordinary was that when I had my swab test in July, I tested positive for thrush. But that was July, and I haven't had any symptoms of a yeast infection. I mean, I could go get a pill from the pharmacist if I was worried I guess. In the meantime, it's a relief to know that everything else was completely fine! So that was a weekend of worry for no good reason.
Sunday, October 25, 2015
In general I think this is a very good idea. Before I started on this journey I had looked at some sites on the internet, and in particular sites where children of donors talked about their feelings and experiences. I think one of the harder things a child of a donor has to deal with is wanting to know where they come from. I read stories from donor children saying that they would walk down the street wondering if the people they passed were relatives. I get that. And I think that's not very nice. So even before I knew that it was the law in the UK that you use a non-anonymous donor, I had already decided that this was a requirement for me.
The next thing I need to be aware of is that I am CMV negative. This means that I can only use a donor who is also CMV negative. If I was CMV positive, I could use a donor who was either negative or positive. So this restricts my choices somewhat as more people are CMV positive. On the other hand, limiting choice isn't necessarily a bad thing, because there are a lot!
Other things I have come to find out is that many donors are tested for various genetic diseases and you get profiles on their test results. Some donors I have come across have tested positive for genes known to be related to certain diseases. I haven't had my own genetic testing done, so I don't know what I may or may not carry. This means that an ideal donor to me would not be positive on any genetic diseases, because what if I am too? So this also limits some of the available options.
I talked to the clinic about what I should buy. I mean, how much do you buy and should it be washed or unwashed or what? They told me that for IUI I could get washed or unwashed. If it was washed it needed to be >10 motility and if it was unwashed it needed to be >20 motility. For IVF (assuming my 2 planned cycles of IUI don't work) unwashed is fine but it needs to be >20 motility. Annoyingly, not all clinics give this information. And I've also noticed that there seems to be a limited supply of >20 sperm.
The clinic suggested I order 6 samples to cover my treatment. My next surprise? How expensive sperm is! We're looking at around £600(±) per sample. With shipping, that's around £3000 just for the donor sperm. A bit more than I was anticipating. That's basically the cost of both IUI cycles combined! But it is what it is. I know this process is expensive. Still, if I spend that much and get pregnant on the first go- can you sell the samples back?? It's a bit weird. I don't think I fully understand all the detail yet.
Really I'm just looking at donor profiles at the moment. Trying to find one that meets the above criteria as well as my own criteria which is to be vaguely of my own complexion and look. I've read up on being a single mother and a recommendation is to pick a donor with your own coloring so that you aren't always asked about the father if the child looks nothing like you. I think that makes sense. This also helps then to limit the options.
It's just that when you keep limiting the options and keep limiting the options you start to feel like you don't have any!! Each bank that my clinic recommended has only 1-5 donors that meet the above criteria, if that! On the one hand it feels like such a big decision. This possible future child is going to be half made up of this mystery person. It's a little bit scary because you don't know them. You don't really know anything much about them. And you don't really know what they look like. On the other hand, this possible future child is half me. And how much does the genetics matter over the nurture? Ah, the age old question. I'm sure that most of the donors would be perfectly fine. I guess it's just that when you aren't picking the person because you love them and have a relationship with them, the ONLY thing you have to go on is their genetic contribution. And that makes you feel a bit panicked. Like somehow you're making a wrong choice.
It's not that it's a bad thing, it just seems like a particularly great responsibility, to have this level of choice, but then to feel that you aren't really informed enough to make a good one, you know?
At any rate, more donor updates as warranted. Stay tuned.
The results of my AMH test that the clinic did on my first visit came back and was 8.5 pmol/L. In early 2013, my AMH was 9.4 so it makes sense that it's gone down, although not by too much so that's great. It means my fertility is in the low bracket but still completely reasonable for my age. I also had a good number of follicles (11?) when the doctor did my scan. So although my fertility isn't like it was when I was younger, I'm in good shape for attempting to get pregnant naturally based on these results.
The AMH test results also meant that I could go ahead with the second test that I needed to ensure that I could try an IUI cycle, which was the hycosi. I had this on Tuesday. It was a relatively easy procedure although not very comfortable. I cycled up to the clinic from work (about 2 miles/15 minutes) and waited for my appointment. I was shown to a recovery area and asked to remove all my clothing from the waist down (I left on my socks) and was given two hospital robes- one to put on the front and one to use as a dressing gown in the back. The doctor came in and explained the procedure. He was assisted by a nurse and another doctor who may have been training. She didn't do anything, she just watched and asked questions.
They gave me some paracetamol to take when I arrived. But otherwise, I hadn't taken anything or done anything special. I think I emptied my bladder in preparation but that was all. When they were ready for me, I walked into the procedure room which had yellow lights as it's the same room they use for embryo transfers (and the light waves can damage embryos apparently). Up onto a gynecological table and I scooted down until my butt was hanging off the edge. Then the doctor did some cleaning with a swab and went in with a speculum. They put a very fine tube through the cervix into the uterus in order to insert contrast liquid into the uterus and therefore into the Fallopian tubes. This was not very pleasant and the insertion of the tube resulted in some cramping that felt like bad period cramps. Although they subsided. Then they removed the speculum and inserted the ultrasound at which point the liquid is sent in which also felt uncomfortable and a bit crampy. They can see the uterus at this point and then need the liquid to flow into the Fallopian tube. This required some pushing on my stomach which again was unpleasant although not that bad. It mostly felt like I really had to pee and had cramps. I couldn't see the screen they were all looking at but apparently it was all fine and they could see the liquid moving cleanly through the tube and then washing over the ovary. My other tube was mostly removed when my dermoid cysted ovary was removed. So that was okay. Then everything came out and the procedure was done.
Apparently your body absorbs the liquid although you are told to expect some spotting which is pretty much what I've had. They had me lay on the procedure bed for a bit in case I felt dizzy or woozy or anything but honesty I pretty much felt fine except for a bit crampy and a bit like I had to pee. So after a few minutes they let me get up and go back to the recover room where I used the toilet, put a pad on, got dressed and that was that!
I had an appointment scheduled with a nurse to go through the next steps which I did. I also had a lot of forms to fill out giving various consents and so on. The UK has some very strict laws in place regarding fertility treatment, which is probably a good thing, but means there's a lot of paperwork to deal with.
We talked about what's needed to do the drug assisted IUI and the timing. It seems clear that I won't be able to start a cycle until my first period in January as I'm away in December and January which makes scheduling around that challenging. But that's okay. It gives me time to get the donor sperm ordered which is proving to be its own difficulty but I think I'll write a separate post about that. At this point, I'm just happy that the tests I've taken so far are good, and the next step is known and vaguely scheduled (as much as you can schedule an irregular period).
Sunday, October 18, 2015
But lots of different things can happen after you freeze your eggs. You may decide not to have a child. You may meet someone and find out you are pregnant naturally. You may meet someone and decide to use your frozen eggs to try to have a child with them. Or, like me, you can begin the process of trying to become a mother on your own which may involve using those frozen eggs, or not.
When I started my egg-freezing journey, I of course had already started to think about the possibility of single motherhood. When I spoke to the counselor she had suggested I move my planning forward, and yet here I am, just over 2 years after I froze my eggs and pretty much on the schedule I anticipated.
I haven't met a partner I want to have a child with, although I will mention that I do have a partner who I see regularly. Our relationship is great, but at the moment, it's not the sort of one where you make a child together and tie yourself to each other for the rest of your lives. He knows about my plans. I'm sure I'll mention him again as this continues, particularly if I'm successful!
So, what's happened so far.
About two to three months ago I met with my new GP (I've moved out of London) to start the process of trying to get pregnant. In Cambridge where I live now, there are limited options for clinics. Due to the frequent nature of tests and scans, it is not feasible for me to continue with my London clinic. So in Cambridge, there is basically one centrally located clinic which is also the NHS clinic. You can either go through the NHS, or private. I'm going privately but I also had to be referred by my GP.
So I met with my GP and she was very nice. She scheduled me for a progesterone test and did a swab test. Then I had to wait for my period to start so I could get the progesterone test 21 days after it. I went on day 21 and my progesterone result was 18. That was low, but my period didn't start. So I spoke to the GP and he had me come in on day 28 when my progesterone was up to 34.2 (which suggests I've ovulated which was good!) and my period finally came on day 33. In the meantime I followed up with the clinic and scheduled my first appointment for last Tuesday. I had the initial consultation with one of the three doctors and she did an ultrasound and they took my blood for a new AMH.
We discussed my options for moving forward. The discussion was pretty much in line with the last conversation I had with my egg freezing doctor. If my AMH is okay and my Fallopian tubes are open (I'm scheduled for a Hycosi this Tuesday) then she suggests I try two cycles of drug assisted IUI. She doesn't think I should waste too much time with it, but as it's much less expensive, and my fertility is unproven, then she thinks it's worth two tries. After that, it's likely to be fresh IVF cycles until I'm either pregnant or running low on resources or we decide that's not a good idea, and then (and only then) will we move on to the frozen eggs.
I've saved and set aside £30k for this journey which is no small thing by any stretch. That's on top of the money already spent on the egg freezing. You don't do something like this unless you are really really serious about it. That money could all have gone to any number of other things.
So, this is where I'm at. Tomorrow I will call the clinic to see if it's worth proceeding with the Hycosi based on my new AMH test. I am currently shopping around for donor sperm which will probably be the subject of one of my next posts. And because of holidays and travel, I'm likely to only be able to start my first cycle of trying to get pregnant in January. But that's fine. I have a plan, I'm moving forward, I'm taking action, and holy crap this is really happening.