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Archive for the ‘IUI #6’ Category

IUI Day

There is only one doctor in my clinic’s practice that I don’t care for. Well, actually there’s another one that I don’t like at all, but I never have to see him, because he works in the middle-of-nowhere-in-Virginia most of the time. Anywho, there’s only one doctor I don’t care for at the Rockville Office (out of 6). There’s nothing particularly wrong with him, he just rubbed me the wrong way once, and I’ve been holding an unreasonable grudge ever since. Guess who was covering IUI appointments this morning? Bleh.

Undeterred by the thick layer of ice on our cars and on our roads, since ovulation waits for no one, S left early this morning to head to the clinic. He returned home just as I was leaving for my appointment (he had to get to work) and told me that the roads were not pretty, but they were better than they had been at 7am. Fair enough.

The roads, in fact, were terrible. The Beltway wasn’t bad, but my neighborhood streets, 270, and the roads near the clinic were absolutely dreadful. Ah well. At least I made it on time. Only to discover that Dr. Annoying would be doing the IUI. Bleh.

I don’t know how to put it delicately, so I won’t bother. But… it’s the first time that I’ve heard a slurping sound at the end of the IUI. Seems a little off to me. Plus, and I really meant it when I said I don’t know how to put this delicately… usually after the IUI I lay there for five minutes, and then get up. It’s not uncommon for me to feel… um, a dripping feeling as I stand up. What has never happened until today, however, is feeling that dripping feeling as he pulled the catheter and speculum out. It felt like all of those little swimmers came pouring out of me. Now, I recognize that there probably wasn’t much spillage, and it probably doesn’t matter, but it still seems off to me.

Plus, there were only 5 million swimmers today. The only other time the count has been that low was last month, which we attributed to Seth having a pretty high fever that day. Every other time the count’s been between 20 and 40 million. Anything over 5 is acceptable to the clinic, which is fine and dandy, but still. I’m not upset about it, because even with 20 million the odds are really low and I don’t have a lot of faith in this IUI anyway. But S said he felt like an underachiever. I told him it served him right for getting such a puffed up ego about the counts for the first four IUIs. Hah!

Also, I’m incredibly crampy and nauseated now, which never happens. I’m certain the nausea is from the cramping (yes, the cramping really is that bad). but the only reasonable explanation for the cramping is the IUI. While I’ve experienced mild cramping while the catheter is being inserted, I’ve never had severe cramping and certainly not for this long after the procedure. I mean, it may be me projecting my dislike of Dr. Annoying on this whole experience and maybe nothing was off or wrong or anything and I’m overreacting. But I’m still annoyed.

Oh, while I was there, I snooped around in my record (what? It’s not MY fault they leave my record up on the screen after they leave the room!) to see what my E2 and LH were on Monday. My E2 had risen from 302 to 427, but the LH had gone down from 4.38 to 3.18. So now I’m even more confused about why they triggered when they did, even though I know that ultimatey the reason was because they were concerned that going one more day might mean I had too many mature follicles. But Still!

Anywhozit. Dr. Annoying has no sense of humour, which is funny, because the administrative staff swears that he’s very funny, but he’s always very deadpan and serious around me. Bleh. When we were talking about the fact that the IUI was on Valentine’s Day, I remarked: “Who said romance is dead?” and not only didn’t he think I was being funny, he gave me a rather horrified/offended look. whatever.

Followup Appointment with Dr. Amazing on Friday. We’ll be signing IVF consents that day as well as finalizing my protocol and timing for an upcoming IVF cycle, pending a negative beta on March 1st. The fun just keeps on coming! 🙂

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It’s snowing/sleeting/whatever here right now. Schools will probably be cancelled tomorrow. And of course this is on IUI day. Which leads to the mad scramble to figure out how to handle having to be at Shady Hell, but still having early morning coverage for J, given that we can’t just take him to school as per usual.

So my mother, grandmother extraordinaire, is coming over tonight and spending the night so that she can be with J in the morning (we are assuming that school will, indeed, be cancelled) and we’ll have to figure out the rest of the day after the appointment. This leads to the rather uncomfortable situation in which I had to (yet again) disclose to my mother that we had appointments at Shady Hell tomorrow. Non-reschedulable appointments. So she’s not stupid, so she knows exactly why we’re going. And I find this supremely annoying. I do try to minimize the number of people in real-life who know when exactly my IUIs are scheduled and when I’m in the two week wait. I hate that she can’t help but give me meaningful glances and all that garbage. It’s not her fault, but I am still irritated. Nevertheless, I’m extraordinarily grateful that she’s willing to come over in the middle of nasty weather to take care of J for us on absolutely no notice.

Another fine reason I wish I didn’t have a full-time job. I hate working. But that’s another story.

In other news, I can’t find my IVF info packet ANYWHERE, which is not good because it contains the consents that S and I need to sign. I was planning to bring them with me to Friday’s followup appointment with Dr. Amazing. The consents are very annoying because they must be signed in front of a witness at Shady Hell or notarized. S and I are almost never at Shady Hell at the same time, so it’s been impossible to get the consents signed. We never have time during business hours to get to a notary at the same time. And I really, really, really don’t want our friend/neighbor who does all of our notarizing for us to be witnessing this particular set of signatures. It’s just a bit too personal. (yet somehow, I don’t have a problem with him seeing our financial documents, which I’m usually pretty closed-mouthed about)

Obviously, my nurse can provide me new copies of the consents, but I really wanted to go over them ahead of time, because we never really settled on how we were going to deal with some of the things we have to address in the consents (e.g. what happens to frozen embryos, if there are any, in the event that, chas v’shalom, one of us dies? Discard, transfer to the sole custody of the surviving spouse, donate, etc?) Those just aren’t questions I wanted to have to address without initial review together. Oh well. I guess we’ll figure it out.

Bleh.

Well, there’s nothing more cheesy than having an IUI on Valentine’s Day. My life isn’t cliche enough to be the cycle that works, so we’ll just count on a negative beta on March 1st, CD1 around the 4th, and BCPs around March 7th until after Passover, when I will re-start Follistim. Yippee.

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It's snowing/sleeting/whatever here right now. Schools will probably be cancelled tomorrow. And of course this is on IUI day. Which leads to the mad scramble to figure out how to handle having to be at Shady Hell, but still having early morning coverage for J, given that we can't just take him to school as per usual.

So my mother, grandmother extraordinaire, is coming over tonight and spending the night so that she can be with J in the morning (we are assuming that school will, indeed, be cancelled) and we'll have to figure out the rest of the day after the appointment. This leads to the rather uncomfortable situation in which I had to (yet again) disclose to my mother that we had appointments at Shady Hell tomorrow. Non-reschedulable appointments. So she's not stupid, so she knows exactly why we're going. And I find this supremely annoying. I do try to minimize the number of people in real-life who know when exactly my IUIs are scheduled and when I'm in the two week wait. I hate that she can't help but give me meaningful glances and all that garbage. It's not her fault, but I am still irritated. Nevertheless, I'm extraordinarily grateful that she's willing to come over in the middle of nasty weather to take care of J for us on absolutely no notice.

Another fine reason I wish I didn't have a full-time job. I hate working. But that's another story.

In other news, I can't find my IVF info packet ANYWHERE, which is not good because it contains the consents that S and I need to sign. I was planning to bring them with me to Friday's followup appointment with Dr. Amazing. The consents are very annoying because they must be signed in front of a witness at Shady Hell or notarized. S and I are almost never at Shady Hell at the same time, so it's been impossible to get the consents signed. We never have time during business hours to get to a notary at the same time. And I really, really, really don't want our friend/neighbor who does all of our notarizing for us to be witnessing this particular set of signatures. It's just a bit too personal. (yet somehow, I don't have a problem with him seeing our financial documents, which I'm usually pretty closed-mouthed about)

Obviously, my nurse can provide me new copies of the consents, but I really wanted to go over them ahead of time, because we never really settled on how we were going to deal with some of the things we have to address in the consents (e.g. what happens to frozen embryos, if there are any, in the event that, chas v'shalom, one of us dies? Discard, transfer to the sole custody of the surviving spouse, donate, etc?) Those just aren't questions I wanted to have to address without initial review together. Oh well. I guess we'll figure it out.

Bleh.

Well, there's nothing more cheesy than having an IUI on Valentine's Day. My life isn't cliche enough to be the cycle that works, so we'll just count on a negative beta on March 1st, CD1 around the 4th, and BCPs around March 7th until after Passover, when I will re-start Follistim. Yippee.

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IUI Day

There is only one doctor in my clinic's practice that I don't care for. Well, actually there's another one that I don't like at all, but I never have to see him, because he works in the middle-of-nowhere-in-Virginia most of the time. Anywho, there's only one doctor I don't care for at the Rockville Office (out of 6). There's nothing particularly wrong with him, he just rubbed me the wrong way once, and I've been holding an unreasonable grudge ever since. Guess who was covering IUI appointments this morning? Bleh.

Undeterred by the thick layer of ice on our cars and on our roads, since ovulation waits for no one, S left early this morning to head to the clinic. He returned home just as I was leaving for my appointment (he had to get to work) and told me that the roads were not pretty, but they were better than they had been at 7am. Fair enough.

The roads, in fact, were terrible. The Beltway wasn't bad, but my neighborhood streets, 270, and the roads near the clinic were absolutely dreadful. Ah well. At least I made it on time. Only to discover that Dr. Annoying would be doing the IUI. Bleh.

I don't know how to put it delicately, so I won't bother. But… it's the first time that I've heard a slurping sound at the end of the IUI. Seems a little off to me. Plus, and I really meant it when I said I don't know how to put this delicately… usually after the IUI I lay there for five minutes, and then get up. It's not uncommon for me to feel… um, a dripping feeling as I stand up. What has never happened until today, however, is feeling that dripping feeling as he pulled the catheter and speculum out. It felt like all of those little swimmers came pouring out of me. Now, I recognize that there probably wasn't much spillage, and it probably doesn't matter, but it still seems off to me.

Plus, there were only 5 million swimmers today. The only other time the count has been that low was last month, which we attributed to Seth having a pretty high fever that day. Every other time the count's been between 20 and 40 million. Anything over 5 is acceptable to the clinic, which is fine and dandy, but still. I'm not upset about it, because even with 20 million the odds are really low and I don't have a lot of faith in this IUI anyway. But S said he felt like an underachiever. I told him it served him right for getting such a puffed up ego about the counts for the first four IUIs. Hah!

Also, I'm incredibly crampy and nauseated now, which never happens. I'm certain the nausea is from the cramping (yes, the cramping really is that bad). but the only reasonable explanation for the cramping is the IUI. While I've experienced mild cramping while the catheter is being inserted, I've never had severe cramping and certainly not for this long after the procedure. I mean, it may be me projecting my dislike of Dr. Annoying on this whole experience and maybe nothing was off or wrong or anything and I'm overreacting. But I'm still annoyed.

Oh, while I was there, I snooped around in my record (what? It's not MY fault they leave my record up on the screen after they leave the room!) to see what my E2 and LH were on Monday. My E2 had risen from 302 to 427, but the LH had gone down from 4.38 to 3.18. So now I'm even more confused about why they triggered when they did, even though I know that ultimatey the reason was because they were concerned that going one more day might mean I had too many mature follicles. But Still!

Anywhozit. Dr. Annoying has no sense of humour, which is funny, because the administrative staff swears that he's very funny, but he's always very deadpan and serious around me. Bleh. When we were talking about the fact that the IUI was on Valentine's Day, I remarked: "Who said romance is dead?" and not only didn't he think I was being funny, he gave me a rather horrified/offended look. whatever.

Followup Appointment with Dr. Amazing on Friday. We'll be signing IVF consents that day as well as finalizing my protocol and timing for an upcoming IVF cycle, pending a negative beta on March 1st. The fun just keeps on coming! 🙂

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It's snowing/sleeting/whatever here right now. Schools will probably be cancelled tomorrow. And of course this is on IUI day. Which leads to the mad scramble to figure out how to handle having to be at Shady Hell, but still having early morning coverage for J, given that we can't just take him to school as per usual.

So my mother, grandmother extraordinaire, is coming over tonight and spending the night so that she can be with J in the morning (we are assuming that school will, indeed, be cancelled) and we'll have to figure out the rest of the day after the appointment. This leads to the rather uncomfortable situation in which I had to (yet again) disclose to my mother that we had appointments at Shady Hell tomorrow. Non-reschedulable appointments. So she's not stupid, so she knows exactly why we're going. And I find this supremely annoying. I do try to minimize the number of people in real-life who know when exactly my IUIs are scheduled and when I'm in the two week wait. I hate that she can't help but give me meaningful glances and all that garbage. It's not her fault, but I am still irritated. Nevertheless, I'm extraordinarily grateful that she's willing to come over in the middle of nasty weather to take care of J for us on absolutely no notice.

Another fine reason I wish I didn't have a full-time job. I hate working. But that's another story.

In other news, I can't find my IVF info packet ANYWHERE, which is not good because it contains the consents that S and I need to sign. I was planning to bring them with me to Friday's followup appointment with Dr. Amazing. The consents are very annoying because they must be signed in front of a witness at Shady Hell or notarized. S and I are almost never at Shady Hell at the same time, so it's been impossible to get the consents signed. We never have time during business hours to get to a notary at the same time. And I really, really, really don't want our friend/neighbor who does all of our notarizing for us to be witnessing this particular set of signatures. It's just a bit too personal. (yet somehow, I don't have a problem with him seeing our financial documents, which I'm usually pretty closed-mouthed about)

Obviously, my nurse can provide me new copies of the consents, but I really wanted to go over them ahead of time, because we never really settled on how we were going to deal with some of the things we have to address in the consents (e.g. what happens to frozen embryos, if there are any, in the event that, chas v'shalom, one of us dies? Discard, transfer to the sole custody of the surviving spouse, donate, etc?) Those just aren't questions I wanted to have to address without initial review together. Oh well. I guess we'll figure it out.

Bleh.

Well, there's nothing more cheesy than having an IUI on Valentine's Day. My life isn't cliche enough to be the cycle that works, so we'll just count on a negative beta on March 1st, CD1 around the 4th, and BCPs around March 7th until after Passover, when I will re-start Follistim. Yippee.

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Trigger Time

Trigger tonight (CD20).

IUI on Wednesday (Valentine’s Day, which I find somewhat irrelevant since we don’t celebrate Valentine’s day, but it’s still an interesting coincidence).

I am ambivalent about triggering tonight. I think it’s too early, to be honest. I forgot to ask what my E2/LH was, which might have made the difference. If my LH was surging, there may not have been a choice. If my E2 hadn’t gone up much, it might have indicated that I did, indeed have only one lead follicle. But I was in the middle of a meeting when my nurse called, so I didn’t run through my normal list of questions. Anyway, on the one hand, I fear that it is too early to trigger and that it’s a waste of time. But on the other hand, who cares if it’s a waste of time? I’m done with IUIs as of Wednesday.

I have scheduled a followup appointment with Dr. Amazing, at his request, to review the IVF protocol going forward. Follow up is this Friday, Feb. 16th. It’s sooner than I would have expected, but my only other option was to wait until March 8th, which is after I would have started BCPs, so may as well meet with him sooner rather than later.

Beta will be March 1st. I should start BCPs around March 7th at the latest, assuming I even make it that far (remember that CD3 of this cycle fell on the day that my original Beta for last cycle was scheduled, so it could be I start BCPs earlier.

Oh, I mean, I suppose it’s possible I won’t start BCPs at all, since, well, this IUI could theoretically work, but that’s crazy-talk. So there you have it.

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Last night I took a Flexiril (muscle relaxant) and codeine along with my nightly medications. The good news is that I woke up without much of a headache, but the bad news is I’m not entirely convinced that I’m even awake yet. Flexiril always does this to me, and yet I never learn my lesson. All I really want to do right now is curl up into a little tiny ball and sleep for a few more hours. Hard to do in a desk chair at the office. Bah.

Something about my monitoring appointment this morning felt “off”… like I’d already done this before. Oh wait, I had… just yesterday! Same bat room, same bat channel. Today’s ultrasound was promising, but troubling. I’ve got a lot of good growth, which is great, but unfortunately, there may be too much. The doctor covering monitoring today said that they’ll have to balance their options after getting my bloodwork results back, but that right now it’s a choice between triggering tonight, possibly a little too early or going in for one day of monitoring, risking too much growth and having to cancel due to too many follicles. Here’s where things are right now:

Right Ovary: 15.4, 14.2, 13.4
Left Ovary: 16.4, 14.2, 14.0
Lining: 15.23mm (huhwha? I’ve never had a lining that thick. Is that good or bad?? I know in theory the thicker the better, but isn’t that getting a little ridiculous?)

There are some other follicles, but I’m not so worried about them. I suppose I’ll know more after today’s phone call with my E2 level. I expect it’s likely that I’ll trigger tonight and have an IUI on Wednesday. I’m hoping the weather cooperates with these plans. If that is indeed the case, it won’t interfere with us going to Florida on Sunday, which is good news.

An IUI on Wednesday would put Beta day on March 1st. According to the normal timeline, I’d then be on BCPs for 3 weeks and start stims. However, that would possibly conflict with Passover, which can’t happen, which means I’d have to be on BCPs through April 11th or so before starting back up with the Follistim. I am not loving this timing, but I don’t think the solution is to squeeze one more IUI in, even though that would still end up around the same timing. I think I’m best off trying to stick as closely to the original plan as possible. So on March 1st, I expect to start taking BCPs, which is going to mean a lot of migraines for all of March and much of April. Especially when you factor in the Lupron, which tends to cause headaches as a side effect. Yay!

Well, hopefully I’ll get some definitive news this afternoon. Here’s hoping.

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Trigger Time

Trigger tonight (CD20).

IUI on Wednesday (Valentine's Day, which I find somewhat irrelevant since we don't celebrate Valentine's day, but it's still an interesting coincidence).

I am ambivalent about triggering tonight. I think it's too early, to be honest. I forgot to ask what my E2/LH was, which might have made the difference. If my LH was surging, there may not have been a choice. If my E2 hadn't gone up much, it might have indicated that I did, indeed have only one lead follicle. But I was in the middle of a meeting when my nurse called, so I didn't run through my normal list of questions. Anyway, on the one hand, I fear that it is too early to trigger and that it's a waste of time. But on the other hand, who cares if it's a waste of time? I'm done with IUIs as of Wednesday.

I have scheduled a followup appointment with Dr. Amazing, at his request, to review the IVF protocol going forward. Follow up is this Friday, Feb. 16th. It's sooner than I would have expected, but my only other option was to wait until March 8th, which is after I would have started BCPs, so may as well meet with him sooner rather than later.

Beta will be March 1st. I should start BCPs around March 7th at the latest, assuming I even make it that far (remember that CD3 of this cycle fell on the day that my original Beta for last cycle was scheduled, so it could be I start BCPs earlier.

Oh, I mean, I suppose it's possible I won't start BCPs at all, since, well, this IUI could theoretically work, but that's crazy-talk. So there you have it.

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Last night I took a Flexiril (muscle relaxant) and codeine along with my nightly medications. The good news is that I woke up without much of a headache, but the bad news is I'm not entirely convinced that I'm even awake yet. Flexiril always does this to me, and yet I never learn my lesson. All I really want to do right now is curl up into a little tiny ball and sleep for a few more hours. Hard to do in a desk chair at the office. Bah.

Something about my monitoring appointment this morning felt "off"… like I'd already done this before. Oh wait, I had… just yesterday! Same bat room, same bat channel. Today's ultrasound was promising, but troubling. I've got a lot of good growth, which is great, but unfortunately, there may be too much. The doctor covering monitoring today said that they'll have to balance their options after getting my bloodwork results back, but that right now it's a choice between triggering tonight, possibly a little too early or going in for one day of monitoring, risking too much growth and having to cancel due to too many follicles. Here's where things are right now:

Right Ovary: 15.4, 14.2, 13.4
Left Ovary: 16.4, 14.2, 14.0
Lining: 15.23mm (huhwha? I've never had a lining that thick. Is that good or bad?? I know in theory the thicker the better, but isn't that getting a little ridiculous?)

There are some other follicles, but I'm not so worried about them. I suppose I'll know more after today's phone call with my E2 level. I expect it's likely that I'll trigger tonight and have an IUI on Wednesday. I'm hoping the weather cooperates with these plans. If that is indeed the case, it won't interfere with us going to Florida on Sunday, which is good news.

An IUI on Wednesday would put Beta day on March 1st. According to the normal timeline, I'd then be on BCPs for 3 weeks and start stims. However, that would possibly conflict with Passover, which can't happen, which means I'd have to be on BCPs through April 11th or so before starting back up with the Follistim. I am not loving this timing, but I don't think the solution is to squeeze one more IUI in, even though that would still end up around the same timing. I think I'm best off trying to stick as closely to the original plan as possible. So on March 1st, I expect to start taking BCPs, which is going to mean a lot of migraines for all of March and much of April. Especially when you factor in the Lupron, which tends to cause headaches as a side effect. Yay!

Well, hopefully I'll get some definitive news this afternoon. Here's hoping.

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Maybe not so useless after all?

Is it possible that my formerly-useless left ovary might actually be the producer this cycle? That might, indeed, be a first. Well, a first in the last 6 IUI cycles, anyway. Probably not the first time in my life, though I suppose that’s possible. Anywhozit, I had an early-morning monitoring appointment today. It would probably have been more pleasant had I not been babysitting for a friend (I know, I’m a saint) until 1am. I got to sleep around two and was NOT happy when the alarm went off at 6. Oh well. I figured I’d better, you know, shower and all, since I was pretty sure Margaret would be there today (I was right!). Gotta look nice for Margaret.

I got called back for my scan first (No! Throwing off my whole routine! I always get bloodwork drawn first! No fair confusing me!) and after I’d undressed and climbed up on the table (seriously, have they never considered that their patients might be short and fat? Why are those tables so frickin’ high?), I briefly considered turning the stirrup covers inside out a la Julie, but changed my mind when I heard the door opening. (I swear, Margaret is desperate to see me in all my glory… she keeps giving me less and less time to get undressed and has walked in a couple times before I’ve done so successfully. Sheesh! Like she doesn’t see enough of me??)

Ahem. Back en pointe. Focus, people! Margaret breezed in all cheery and happy, as always. Dear heavens how does that woman manage cheery at 7 in the morning on a Sunday? Sheesh! She said “We’re going to get you pregnant this cycle, gosh darnit.” Meh. I shrugged. I’m not counting on it, gave my usual shpiel about how I never count on any individual cycle. And besides, IUI is so last year, don’t you think? I’m so not into this cycle, no matter how hard I try to pretend that it’s got any chance of success. I mean, it DOES have 20% odds, and that’s better than zero, right? Margaret said she likes to tell people she’s not a pessimist, she’s just an optimist who’s been disappointed a lot. Heh.

And so, all pleasantries aside, on to the show! My ovaries, as per usual, were perky and eager to please. Today we saw a dramatic shift in dominance. The useless left ovary seems to be a little insulted at all the nasty things I’ve been saying about her (her? it? Certainly not him…), and she is rebelling by actually showing some positive growth. In fact, it seems that she is racing against the formerly useful right ovary in a fight for dominance. Observe:

Right Ovary: 13.8, 13.1, 12.2, 12.2
Left Ovary: 15.3, 14.4, 12.9, 8.5, 8.0
Lining: A beautiful 13.77mm today!

Now, I know you’re all aquiver with excitement, just like I am, but lest you forget who we’re talking about, my E2 and LH levels aren’t back yet. For all I know they’ve plummeted into the depths of despair again. But odds are good that they haven’t plummeted, but are rather on the rise, so I might just hold my breath for my next phone call. (though I really would do well to remember that I’m rarely on the GOOD side of fertility odds)

Since I know you’ll all be refreshing your screen madly awaiting the E2/LH update, I promise, you’ll be the first, er-second, er-third? to know after I receive my daily phone call. I expect to return to Shady Hell tomorrow, but I suppose we’ll see. I’m a little irritated at having to return tomorrow, actually, because the earliest appointment they had available was 7:45. I’m normally at work by 7:30, so a 7:45 appointment is REALLY FREAKING ANNOYING. Plus, traffic’s a lot worse then. But I’m not bitter.

Edit! Holy Shmoly! Could it be? Could this cycle be turning itself around? at 10:30 my home phone rang and it was Shady Hell. Slightly annoying since the contact number I supplied today was my cell phone number in case I was out when they called. But I’m just happy I was home to get the call. Either way, the numbers are in and they’re looking good!

E2: 302 (!!)
LH:
4.38 (up from 2.54)

Holy Cow! I’ve never, ever had an E2 that high. Seriously. The cycle that worked (sort of) my E2 only got to 113 before I triggered. I’m still not expecting this cycle to work, but the good thing about my levels going up is that it suggests an end in sight. This is a phenomenally good thing, because I’m hoping this means trigger and IUI before Sunday, since that’s when we’re supposed to be leaving for Florida. Yippee!! End of Edit

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