{"id":1236,"date":"2008-08-04T23:54:57","date_gmt":"2008-08-05T03:54:57","guid":{"rendered":"http:\/\/lunardreams.net\/baby\/?p=1236"},"modified":"2008-08-04T23:54:57","modified_gmt":"2008-08-05T03:54:57","slug":"stuff","status":"publish","type":"post","link":"http:\/\/lunardreams.net\/baby\/?p=1236","title":{"rendered":"stuff"},"content":{"rendered":"<p>I am reading the full text of this article right now:<br \/>\nhttp:\/\/humrep.oxfordjournals.org\/cgi\/content\/abstract\/17\/6\/1604<br \/>\nThere are some very interesting bits to take from it.<\/p>\n<p>* They noted some other reasons this may occur, such as a bad hCG injection or clinic-specific issues. But all 8 patients in this study had multiple IVF cycles in multiple IVF centers &#8211; all with the same result.<\/p>\n<p>* It is normal to have a small number of immature oocytes in an IVF cycle. But they noted that when the number of immature oocytes became greater than 25% the IVF outcomes was greatly reduced.<\/p>\n<p>* They don&#8217;t know how often this happens.<\/p>\n<p>* There is some evidence (in other mammals) that such problems have a hereditary link. I obviously did not get this from my mom. But will I pass it to my daughter? (One can hope that by then they&#8217;ll know what to DO about it.)<\/p>\n<p>* They tried extending the time between hCG and retrieval; increasing the hCG dose; and extended the culture time. All failed to have an impact on the egg maturation. IVM is a suggested possible protocol. Donor eggs are the best option and has very good success rates.<\/p>\n<p>Note that this paper includes only 8 women who have <i>total<\/i> oocyte immaturity. No good ones like I had. It seems very clear to me that I am incrediby lucky to get one or two mature eggs out of my cycles. This gives us a lot of potential. Even if my next cycle goes exactly how my last one did, that would be GREAT. These are cases where a woman has no mature eggs &#8211; not even after several cycles.<\/p>\n<p>This is why I&#8217;m so scared. What if it gets worse? What if we get nothing? What if Devin is the only biological child I&#8217;ll ever be able to have? In some ways that feels so very much worse than never having any.<\/p>\n<p>I must stop this line of reasoning before I hyperventillate.<\/p>\n<p>I want to find out what stage my oocytes were arrested at. Not that that will really help me much, but&#8230; eh. Maybe it will.<\/p>\n<p>I hate that there is no real data. I hope this spurs the doctors to look into this more. I don&#8217;t know how much they can do, and I know I can&#8217;t lay the responsibility of fixing this huge issue at my clinic&#8217;s feet, but I hope they learn something. Maybe I&#8217;ll be the breathrough case or something, finding something new that can help others.<\/p>\n<p>::<\/p>\n<p>I&#8217;ve been getting worried about how IVF will conflict with my new job. It was never an issue with my current one because it&#8217;s so flexible&#8230; I can push things off for a day, or plan ahead and take some days off. I can go in &#8220;late&#8221; (though I&#8217;m never really late, because I go in when I decide to go in) with no issues. So this whole having a traditional job with a set start and end time is a little nervewracking for me. I haven&#8217;t started training or anything yet, so it&#8217;ll be a while before I find out what kind of person my boss is and if there&#8217;s any flexibility at all.<\/p>\n<p>Obviously this won&#8217;t be an issue during my probation period, because we can&#8217;t start IVF until I&#8217;ve completed that and get health insurance. But I still fret about it. (Den says, &#8220;Just like you, to worry about something that is months away!&#8221;)<\/p>\n<p>I dug out the old IVF binder from my clinic and read through to when their monitoring times are. M-F they do monitoring from 7-9. Weekends it&#8217;s 7-8. And the work schedule I was given is Thursday start at 10:45, Friday start at 9:45, Saturday start at 8:15. So really the only day that will be an issue is Saturday! What a relief!<\/p>\n<p>Obviously there&#8217;s egg retrieval and transfer days, but there&#8217;s nothing I can do about that. I&#8217;ll have to figure that one out later.<\/p>\n<p>::<\/p>\n<p>Today I pulled out my old &#8220;charting&#8221; binder &#8211; that at some point became an infertility binder. It has all my notes and doctors visits and other info in it. All my charts, some of my lab results. I hefted it in my hand. &#8220;I never thought this would get to be so&#8230; big,&#8221; I said to Den. &#8220;I just thought it would be a cute little keepsake for my child.&#8221;<\/p>\n<p>Oh how things turn out not the way you expect them to.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am reading the full text of this article right now: http:\/\/humrep.oxfordjournals.org\/cgi\/content\/abstract\/17\/6\/1604 There are some very interesting bits to take from it. * They noted some other reasons this may occur, such as a bad hCG injection or clinic-specific issues. But all 8 patients in this study had multiple IVF cycles in multiple IVF centers [&hellip;]<\/p>\n","protected":false},"author":71,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[76,69,74],"class_list":["post-1236","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-ivf-3","tag-loss","tag-ttc2"],"_links":{"self":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts\/1236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/users\/71"}],"replies":[{"embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1236"}],"version-history":[{"count":0,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts\/1236\/revisions"}],"wp:attachment":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1236"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}