Sweet Relief

Oh sweet relief.  We saw and heard our little guys heartbeat yesterday.  He is right on track for his gestational age and the MFM said the sac looked “textbook perfect.”

It’s about fucking time that something was textbook perfect.

Since this is my first rodeo, I found this chart helpful in understanding the proper heartbeat ranges based on gestational age:

Age Normal Fetal Heart Rate
5 Weeks (Beginning) 80-85 bpm
5 Weeks starts at 80 and ends at 103 bpm
6 Weeks starts at 103 and ends at 126 bpm
7 Weeks starts at 126 and ends at 149 bpm
8 Weeks starts at 149 and ends at 172 bpm
9 Weeks 155-195 bpm (average 175 bpm)
12 Weeks 120-180 bpm (average 150 bpm)

Prior to my MFM appointment, I had Anti-Xa bloodwork done at the hospital.  This is a timed test that is used to determine if the blood is thin enough while on Lovenox.  The results were back within the hour and we learned my blood is a tad too thick.  My hematologist is increasing my dosage of Lovenox from 40mg to 60mg.  I must admit,  this conversation brought me to tears, tears of relief that I (finally) have the right doctors who will monitor my issues.   It gives me some hope for this pregnancy.

Also, as much as I bemoan the issues that make my pregnancy high-risk, we were really impressed by the ultrasound machine at the MFM’s office.  Dare I say they were sex-ay? They really blew my RE’s ultrasound machines away (and those are nothing to sneeze at either.)   We also straightened out my monitoring and ultrasound schedule for the next 15 weeks or so and now we can can schedule some things we’ve been holding off on.  So while being a clotting nightmare is no prize winner, there will be many appointments, and the constant reassurance during this pregnancy is welcome.

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Worry.

I am worrying nonstop that this pregnancy will end because there will be no heartbeat next week, or that somewhere along the line, I will have a missed miscarriage. While I know this worry isn’t healthy in my current state, it is all I can think about.

In other news, we met with the new hematologist yesterday and he was perfect for me. This is such a relief. He explained everything and is on the same page as we are about my care for the next 10 months. In fact, he scheduled my Anti-Xa blood work next week, immediately before my first MFM appointment. Both appointments are conveniently at the same hospital, and close to my office too.

Second Beta Results

My second beta was 292. Huge, fat tears are rolling down my face right now as I type this. Relief tears.

According to the interwebs and my RE’s office, my doubling time was perfect, at 36.48 hours. My nurse felt I did not need a 3rd beta, but she said I could schedule one if I wanted. I am going to have a think on that and decide tomorrow.

Up next:
Ultrasound with RE, Appt with New Hematologist, First Appointment with the MFM, Anti-Xa Bloodwork, Another Ultrasound with the RE, and my First OB Appointment.

Full speed ahead.

Edited to add: I am going to do a separate page with photographs of the embryo we transferred as well as photos of my sexy pee sticks. I think this will be helpful as after my ET and before my beta I stalked the internet looking for photos of these things. From that process, one thing I learned is that there are very few photos of hatching or fully hatched blasts out there. This worried me to the point that I asked my doctor if, based on my photo, there was something wrong with my embryo. She said “no, it’s a 5BB fully hatched blast and you need to chill the F out.” I never did get the answer if it had become a 6BB (6 because it was fully hatched). But hey, that’s moot, because the little bugger stuck.

Even if I get knocked up..

I still somehow have to get that baby home.

We’ve had a tentative plan in place since 2009, when we first saw the High Risk Doctor (MFM) to ask how we would go about managing a pregnancy and managing all my clotting factors.

I believe we are as informed as we can be at this point.

The rough plan would be weekly ultrasounds, bouncing back and forth between my OB/GYN and the MFM, with a few extra ultrasounds in the first trimester at the RE’s office. I will also be on Lovenox (of course, I’ve been on Lovenox since September 2011), baby aspirin, Neevo, and extra L-metholfolate.

I have not documented my Lovenox fight with my insurance company here, but we are banking a lot on the fact that the minute I am knocked up, they will finally approve the proper dosage. And I need to find a new hematologist, as mine does not practice anywhere near our 2 hospitals. I am hoping my MFM or the OB can recommend someone. And I want someone that will run the Anti-Xa tests to confirm if my blood levels are in the right range.

Years ago, I thought getting knocked up was the easy part. It turns out. It’s all hard.

All Systems Go

Today is CD1 and the Estrace should arrive by mail tomorrow, and then after a quick doctors appointment Wednesday morning, I should start popping pills in prep for this FET Wednesday night.

I’ve been lax on taking prenatals and baby aspirin, as well as going to acupuncture.  I was given a short 2 weeks off of injections and I simply stopped taking everything.  I just started back on it all Sunday.

And in honor of my MTHFR, I need to get my hands on L-methylfolate (a non synthetic version of folic acid), B12 as Methylcobalamin, and B6 as Pyridoxal 5-Phosphate.

I cannot imagine one of our embryos sticking.  I cannot fathom being one of the lucky ones this will work for.  I simply cannot imagine myself pregnant in 2 weeks.