Thirty One Goodies!

One of my friends, E, mama to Will and Max, is a Thirty One consultant. Thirty One sells really adorable storage, home and bag products, seriously some of the cutest stuff around. I've ordered a few things in the past and just hosted a party for her,  so when I got home yesterday I was greeted by a big box of goodies.

Thus far, I already had:

 

Milou's agility bag, an Organizing Utility Tote in Black Happy Dot. It has fabulous pockets for all her training odds and ends and is super durable. We're really hard on it, it's basically always on the grass or in the mud, and I love that I can just hose it off. I just ordered a pocket tote to go inside so I have a zippered compartment Milou can't get in to.

 

A Keep It Caddy in Turquoise Cross Pop. I use it as a gym bag and its the perfect size, small enough to bring into my gym classes, but big enough to hold all my things. Again, super easy to wash if I get it wet or sweaty. 

A Fresh Market Thermal in Pink Pop Medallion. This is my favorite grocery/party companion now, it keeps everything hot or cold and can fit two 9x13 casserole dishes. I put the bag into the cart, top open, and put my frozen groceries directly into it. I also used it at Thanksgiving to carry two 9x13 trays, one of potatoes and one of spinach, and a pie. It's also awesome for carting around the animals raw food, it's probably one of my most useful Thirty One products. 

This bad boy is a Large Utility Tote in Best Buds. It's probably the most versatile tote out there, it has a frame at the top but is flexible on the bottom so you can flatten it for storage. It's great for holding groceries (Costco anyone?), storing things, it's basically the perfect size. I use mine to keep the closet organized but I could use another couple for my trunk and it would be great for beach stuff or storing other things.

I've been so happy with everything I have so far that I ordered a Super Organizing tote in Organic Poppy, another pocket tote to go inside it, an adorable thermal pouch in their winter owl print, a Casual Cargo Purse in Railroad Denim for my grandma, another Super Organizing Tote in Awesome Blossom to give as a thank you gift and my new favorite, my hostess exclusive, a Suite Success Tote.

This is the ultimate work or diaper bag, it has three compartments including a laptop pocket, and a thermal lined pouch for keeping snacks cool. It's awesome and I can't wait to use it. I think I'll use it for a work bag for now, and then transition it to a gender neutral diaper bag once we had kiddos. Even E said he'd be happy to carry it, and it's got two pockets that would be perfect for bottles. It's really sharp :)

Stealth Cats

Where one goes, the other must surely follow. E brought home a flat of water bottles so Cillian and Zuzu had to investigate immediately. I love their bright eyed faces poking out of the packaging <3 bombing="" br="" can="" cillian="" closely="" if="" look="" photo.="" photo="" s="" see="" stealth="" you="" zuzu="">

 

I wonder if Zuzu knows his back end is sticking out?  He's gotten so huge, at least 4 pounds heavier than Cillian who was 10lbs at last weigh in. He's basically massive.

AZFb Microdeletions and a Hysteroscopy

About a week ago E and I went to his follow up urology appointment and received the terrible news that he has a complete AZFb microdeletion. I've started to post a handful of times, but knowing that information hasn't provided us with the answers we need.

The AZF region is located on the long arm of the Y chromosome and there are three segments, the proximal, central and distal, or A, B and C.  Keeping in mind that these microdeletions are extremely rare, deletions in the B region are the most uncommon and have the worst prognosis. After getting my hands on every AZFb paper I could find, the literature concludes that men with complete AZFb deletions do not produce sperm. Men with C region deletions usually have low but usable counts, but B region deletions are an end of the line sentence.  Although E did have several 0 or near 0 semen analyses, he also had a 10 million, 23 million and 2 million, so he is very clearly producing sperm.

(Source)

 
This leaves us with three possibilities:
- The genetic test was wrong, which is unlikely
- All the semen analyses were wrong, which is unlikely since they were done at 3 different labs
- E is an anomaly about whom they will write papers

We just repeated the genetic test but still need to schedule an appointment with the genetic counselor, and have a more detailed semen analysis done at a fertility clinic. We know if we were able to use E's swimmers that we'd have to select for girls, but I'm sure the counselor will want to go over it with us. That and the likelihood of donor sperm, which we are already prepared for.

For me, I had my Hysteroscopy done today, and while it was worse than I was expecting, it wasn't horrible. After the HSG I was picturing the Hysteroscopy as fairly similar, a little catheter threaded up, a numbing injection this time which I was sure would hurt, but nothing too terrible. Instead, there were at least 8 local anesthetic injections into my cervix and let me tell you they HURT, way more than I was expecting. I could feel those suckers all the way down my butt and thighs and they made me shake all over.

Then came the manual dilation of the cervix. Here I mistakenly assumed that since they'd done all those numbing injections, I wouldn't feel anything. Yeah, that was TOTALLY WRONG. I felt every single second of that and it hurt like a bitch. They ended up having to do it multiple times, including one time after they'd tried to put the camera in and it wouldn't fit. Once the camera was actually in, it wasn't horrible and it was pretty cool to see the inside of my uterus on the screen.

During my saline ultrasound, the doctor had seen a little piece of something could be a polyp but she thought it was more likely to be a bit of dislodged lining. It did it fact turn out to be lining, as I had a thick, fluffy lining, despite the progesterone I'd been taking for two weeks to thin it out, so no surgery necessary. Basically everything was normal, normal size, shape, color, it had perfect blood flow, no endometriosis, no polyps, a great lining, basically nothing physical that would prevent an egg from implanting.

At the end of the procedure, the doctor gave us a little print out of shots of my uterus. It felt like a stand in because we don't have a baby for ultrasound pictures, but we took it home for our records. You can't really see anything, just pink walls and fluffy lining.  It's scintilating.

Behold: My Insides

We also had a good chat with our doctor about possibly going with her clinic, since we have to go outside of Kaiser for IVF. I like that she is already familiar with our case and knows how the Kaiser system works, but we'll have to see if it's a good fit once we've met with the genetic counselor.   

Canopy Cat

Look who figured out how to jump on top of the fish tank. He's oh so clever. Doesn't he look stately posed up there, right before he knocked the fish food off so he could see it roll? Clever boy.

HSGs and Saline Ultrasounds

After much anticipation, I finally had the saline ultrasound and HSG this morning! And they weren't too bad.

The saline ultrasound was worse than the HSG, but the AFC/Exam portion of it was worse than the actual saline portion. I am definitely not a fan of the trans-vaginal ultrasounds, they are fast rising to the top of my things that suck list. The Dr. had a tough time counting follies on one side and had to press down on my stomach while pressing up with the wand which was really uncomfortable. She also had a tough time placing the catheter (speculum, dilate the cervix, thread the catheter through and up into the uterus) so it took awhile, but the saline injection itself wasn't too uncomfortable. All in all, I was really glad E was there holding my hand.

My ovaries looked fine, if rather empty, and my uterus looked fine too. The only concern was that she thinks she dislodged a piece of my endometrial lining when she put the catheter in but she was only 90% sure. If the little blob wasn't endometrial lining, it could have been a tiny polyp so she suggested I come back for another test, a Hysteroscopy. It sounds like an awful test (several needles to my uterus??? while I'm awake??) but she said if we're going to do IVF we might as well check everything :(

I'm still not sure how I feel about it, especially since I'm pretty darn sure it was just dislodged lining. She did a detailed ultrasound before inserting the catheter and it wasn't there until after she put the catheter in. If I go through with the test I'm supposed to start taking progesterone tonight which will thin out my lining and stop the 10.5mm follie she saw developing from maturing. I'm a week away from ovulating, from that little follie being ready to go. Logically I know DH and I have no chance of conceiving with 0 motility but actively preventing any chance just feels so wrong.

Since the RE had such a tough time getting the catheter in, she said she was going to leave it in so we could use it for my HSG. Then she accidentally pulled it out at the end, working on autopilot. Since she does these all day and the radiology department has less experience with cervixes, she put in a second one which was just soooo much fun -_- And as I'd read, you definitely leak saline afterwards, I didn't notice until it went down my leg, while I was still laying there and got my socks wet, ugh. I then got to get dressed with the catheter taped to my thigh, go down 4 floors, fill my prescription at the pharmacy, cross the street to another building, go up a floor and stand in the waiting room since I couldn't sit -_-

That was probably my least favorite part of the experience, the radiologist later asked me how I got there since I didn't have a wheelchair and you don't generally walk around with a catheter hanging out of your ladybits. I told her I took tiny steps lol.  After they wouldn't let E in, and the radiology tech tried to direct me into the wrong position, I was really glad that I'd had it put in by the RE, even if I had an uncomfortable walk. All the radiologist had to do was plug into the catheters IV port and inject the dye. Both tubes were nice and open, the dye shot through one side and after I tiled slightly, shot through the other, and not a single cramp from the dye, though it could have been that I was so uncomfy already I didn't notice.

All in all not too bad, a little uncomfortable but not awful by any stretch. 

SA Number 5, Christmas Hope??

We just got E's 5th semen analysis back and we are SO confused! I have been shoving supplements down E's throat  encouraging E to take FertilAid for Men, Count Boost for Men and Motility Boost for Men for the past few months and I can't believe they might actually be working. Keep in mind E's hormone levels have always been perfect, so its not like the supplements could correct something that wasn't broken, and we still don't have the results of his genetic testing yet, but look!

SA 1 at Lab A: 0.65 million, 0 motility
SA 2 at Lab B: 0
SA 3 at Lab C: 0
SA 4 at Lab C: 10 million, 0 motility
SA 5 at Lab C: 23 million, 0 motility

Again his doctor doesn't seem to be too enthused, he ordered another SA for him and said we should focus on my procedures tomorrow. The motility is still, and has always been, 0 and the morphology is always N/A, I think because they're don't grade them if they're not moving. We're trying not to get our hopes up since 23 million dead sperm are no more useful than 1 dead sperm, and they might still be genetically defective, but we're so so glad to see the number moving impossibly upwards!

Tomorrow is the HSG and saline ultrasound, I'm not expecting to see anything wrong on either test so hopefully our goodish news streak will continue. 

Merry Christmas Everyone!

Jew Tree 2013

This year Hanukkah was so freakishly early that it barely felt like the holidays. We didn't have our tree in time, because who has trees before Thanksgiving? and all our gifts were stored on the top of the living room Armoire. It was pretty sad. Because of the rather pathetic holiday spirit in our house, and the fact that Hanukkah was over on December 4th, it was suggested that we might forgo our tree this year. 

Not having a tree probably wouldn't have been awful, but it's one of the only holiday traditions that E and I have carried with us from house to house. It doesn't feel like the holidays without it, and with all the TTC crap we're dealing with, it turns out it means a lot to have that little symbol of the holidays in our home.

So, E and I began looking. We checked out our usual lot, as well as a handful of others, and nothing was looking right. Our environmentally friendly tree lot, Santa and Sons, had gorgeous trees, but they were all around $200+. The smaller lots had better prices, but really shoddy, sad looking trees. I was starting to get pretty discouraged when I happened upon a Groupon for Mr. Jingles, $35 for $70. Most of their trees weren't "perfect" either and E was starting to lobby for us leaving when bam! there he was. Propped up against the fence in a corner of the lot with a big gnarly bush in front of it, was a gorgeous, hugely fat Noble Fir. E was pretty sure he'd be too big for the space, being nearly as wide as he was tall, but I was in love and he was perfect.

 

Don't let the size comparison fool you! Our tree is a little shorter than normal this year, but the super helpful tree lot guy was 6'5" and he's standing on a little ledge here. E was still pretty hesitant but, helpful again, the tree lot guy sealed the deal for us. Instead of buying the Groupon, because Groupon would take a cut, tree lot guy suggested he just give us the discount as is. He also quoted us the tree at the 7-8 foot price, so instead of $115, our tree was $45. They would even put our Santa and Son's stand on the tree for us. E was sold. 

  

Giddy with our tree purchase, another Mr. Jingles employee loaded him up and we set off to make the very short trip home. I think we got maybe one or two blocks around the corner before we started to seriously regret not purchasing at Santa and Sons. While we love the tree, it was crystal clear that the lot guy had absolutely no idea how to tie it down. We had to stop over and over to tighten the increasingly slack, thin cords, while the tree slipped further and further back and I held onto it out the passenger window. It was an experience I have no desire to repeat and we were so glad to get our tree home in one piece.  Lesson learned: at least where tree tying experience is concerned, you get what you pay for.  Our Santa and Sons trees never budged on a journey 4 times as long. 

Finally we got our beauty home, squeezed him through the front door and stood him on his thankfully sturdy stand. Another surprise awaited us when I realized that our water absorbing floor pad had been peed on by a cat, so we covered the floor with tarp before putting down towels. This system works well for us, it protects the floor from any spills and allows us to fold up the towels and shake out any needles when it's time for the tree to come down. My sister L usually partakes in the tree trimming, so E and I wound our 5 million lights around the tree and waited for L to come over and help with the ornaments. 

All things considered, our 2013 Jew tree has turned out to be a surprising success. Fat and bushy, he fits perfectly in our tree space and looks gorgeous decked out in all our ornaments. I can't speak to his longevity, though I suspect he won't last until February like a Santa and Sons tree, but we are so glad he didn't fall off the top of my car.

Lab Results!

On Saturday we returned to the Kaiser lab for our multitude of tests. E submitted another semen sample and gave another 3 vials of blood, and I had the extreme pleasure of giving 11 vials of blood. The experience could have been horrible, but I got a wonderful tech who found the vein on the first try, even though she couldn't feel it. I'm so grateful for techs like her :)

Now that a couple days have gone by, the early results are starting to trickle in.  My TSH has come down to just below 2.5, which is still high for me but not as bad as we thought it was. It also turns out that I have the exact opposite blood type that I was told I have by Kaiser. In high school I donated blood at Kaiser for my grandmother's surgery, and a few days later was given a little card with my name and blood type on it. For over 10 years I've been living my life and telling doctors that I'm B- when, according to the newest test, I am actually A+. Mind blown. I'm not sure how a mistake could have been made at the blood bank, since I'm assuming my most recent test is accurate, but it will be nice to not need the RhoGam shot if/when we do get pregnant. I'm still waiting on the results of the other lab tests but they'll probably take a few weeks.

In even bigger news, we got E's 4th SA back and the results were totally startling! So far we've had a 0.65 million, a 0, another 0, and this last one showed 10 million! There was still no sign of any motility so we still don't know if we can obtain anything usable but the numbers were so shocking that E didn't believe them. Our doctor has suggested that its a one time fluke and we shouldn't get our hopes up but I've got my fingers crossed. We've been supplementing the crap out of his sperm with FertilAid for Men, Count Boost and Motile Boost and it would be great to know that they're actually working. His next SA, number 5, is on the 23rd and my tests are on the 26th so we're keeping our fingers crossed.