Tuesday, June 30, 2009

Finally?

So after months and months of TTC, numerous OPKs, an IF diagnosis of anovulation, two rounds of fertility treatment, multiple dates with the "dildo cam," and dozens of HPTs, I finally saw a second line!!! I have to admit that I was impatient and tested early, even though I wasn't supposed to. You see, when you receive a trigger shot, the hCG slowly leaves your system in the urine. Because a HPT checks for hCG, this can cause false positives. The hCG leaves the body at an averag rate of 1,000 units per day. Most women receive 10,000 units, meaning an average of 10 days before the trigger is gone. My doctor instructed me not to test early to avoid false positives, and told me I could test with FMU 14 days after the trigger.

For those who habitually POAS and are too anxious to wait a full two weeks, you can "test out the trigger," meaning you can POAS daily until the positive line disappears, then continue to POAS until you (hopefully) see another positive pop up. Otherwise, if you POAS early you have no idea if it's a true positive or false positive. I have seen some women report that the trigger is out of their system as early as 3-4 days after the trigger, and others that found it didn't completely leave their body until 13 days later. Hence my doctor's recommendation to wait 14 days.

Of course I decided to be cheap and did not test out the trigger (even though you can get HPTs at the Dollar Tree that are among the most sensitive). If you recall, most women ovulate 24-36 hours after receiving the trigger shot. I thought I felt what might be ovulation 2 days after I received the injection, and then a thermal shift on my chart confirmed it. So when I POAS 10 days after the trigger, it was about 8DPO. That is really, really early to be testing - if you don't believe me, see the stats here. But, I just couldn't resist because during this cycle, I started to feel some mild cramping during the 2ww. I normally only get cramps after AF has showed up, not before, and was wishfully thinking that these cramps could be a sign of implantation. So I POAS at just 8DPO and lo behold, after a few minutes, I saw a line. It was a very very very faint line, so much so that I was squinting and holding it out at arm's length to figure out if it was really a line, or just my eyes fooling me. I've always heard that "a line is a line" and you're PG regardless of how light or dark the line is. There's really no such thing as "sort of" PG; either you're PG or you're not. At this point, I was kicking myself for not testing the trigger out. At 10 days post trigger, this very well could be the last bit of hCG injection leaving my system... or, it could be a sign of pregnancy!!! I had no way of knowing if it was simply wishful thinking or reality, so I put away the pee sticks for a few days and resolved not to test again until 12DPO, 14 days after the trigger, as my doctor had originally instructed me.

Those next 4 days were pure torture!!! I could not stop thinking about it, and almost POAS each subsequent morning. The only thing stopping me was the fact that I only had one HPT left. If I POAS and it was negative, I'd have to either go out and buy more, or wait for AF to show up. So I resolved to wait the full 4 days. That fourth morning I awoke and ran straight to the bathroom and POAS. This time, instead of it taking a few minutes to show up, the beautiful pink line showed up before the control line even popped up! There was no question about it now - I was PG! After countless HPTs, I finally got to see a BFP!!! It was one of the most exciting days of my life, and will probably only be trumped by the day the baby is born.

I called the doctor and came in to get my blood drawn for a beta and found that my beta was 237 at 12DPO and then 735 at 14DPO. Using this beta calculator, the doubling time was 1.22 days, meaning that although rare, my BFP at 8DPO was in fact real and not a false positive from the hCG injection (it was probably about 25 at 8DPO, just high enough to be picked up by most HPTs). Using another beta calculator, I was a bit curious to find out if we were having a singleton, or if we were having twins. Unlike most couples, we had the opportunity to see my follicles before ovulation so we knew I only have one mature follie - or at least one visible follie. Sometimes they can be elusive and missed on u/s, or the embryo could have split after conception, yielding identical twins. There is absolutely no scientific evidence to prove that higher betas correspond to multiples, but I still couldn't help but wonder...

I feel so fortunate that we were able to conceive after just two courses of treatment. When you are first diagnosed as infertile, it's hard not to wonder if you'll ever get PG... and if you do, how far you'll have to go with the treatments to get there. We feel so very blessed with this baby and although it wasn't an easy journey, we know that it will help us appreciate the baby that much more.

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3 comments:

  1. OMG OMG OMG!! HUGE CONGRATS! (Sorry I just yelled all that out, but I'm so HAPPY for you!!) Yay for you for being successful so quickly after getting help, that's just so awesome. I'm wishing you a happy and healthy 9 months!!

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  2. Congratulations! That is awesome news. I'm looking forward to hearing about your pregnancy. Good luck!!

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