Do you know how it feels?

It’s the seventh day after Dipherelin injection. It seems I’m feeling quite well. I’ve read some clutchy stories of how women feel after this medication: from dizziness to severe cramps and vomiting. As a newbie, I was really scared of it. Moreover, the doze is quite high (I had 3.75). I used to have headache, though. Apart of that, the place where I had injection to also used to ache for around two or three days (sorry for intimate details, but it’s in the bottom). I also felt some drawing pain in my right ovary but it was very occasional and not severe. I hope that my body’s reaction can be called good reaction, after all. Most women say that their period starts in a few days after the injection. Most women indicate their new period with menstrual bleeding. In my case, it’s a bit more complicated. I can’t have bleeding. If you remember my first posting, I had hysterectomy after my first baby was born. It was almost 4 years ago. It was partial hysterectomy: they removed uterus, but my ovaries were left (hopefully). Since then my menstruation is never accompanied with bleeding. But still I have it. I know it might sound a bit weird, but it’s just about elementary anatomy: no uterus, no endometrium, no bleeding. Still I have periods more or less similar to what a normal lady my age has. Despite of the surgery, my ovaries function ok and still produce all female hormones needed for my normal existing. However, just after the surgery and up to 3 months I had to take hormonal medicines together with a lot of other medications needed for my rehab. Since then my period day can be indicated only with the help of blood tests. However, I often feel ovulation and PMS even without tests. Hormones are still striking my brain and I still can be a real scratch-cat a couple of days prior to new cycle. I know it might be hard to figure out how it all works after such a serious surgery. Believe me: I used to feel I’m no longer a woman after hysterectomy. I used to think that I will gain weight, shave my moustache and never ever have any pleasure from sexual intercourse. My rehabilitation period was tough, mostly psychologically. My two dearest men were the ones who didn’t let me sink in depression. My son and husband: the first one always kept me busy and demanded attention and the second one persistently reminded me that he still loves me, and even more than before. He thanked me for the son. He told it almost every day. He loves him immensely. He told that we will overcome all troubles together. I got used to my new condition. Still there was at least one advantage of that all: no regular bleeding. Hey, answer ladies: have you ever dreamt of it? At least once? Not to have menstrual bleeding. Never. Have you? Frankly speaking, I had. I used to have heavy and painful menstruation since high school. And yes, there were times when my inner voice told me: “I hate this all. I wish I never experience it again!”. My “dream” came true. However, in my 16 I hardly ever thought that no menstruation means no babies. This idea never came to my teen’s head. I still can’t understand why women are called “the weaker sex”. We experience these pains ever since our 13, then survive all 9 months of pregnancy with all that morning sickness, then 20+ kg weight gain, then painful delivery and rehab period, topped with all the difficulties of lactation. How can they call us “the weaker sex”? It puzzles me.

Brief note - the process started

I think I will keep it short today and with some good news. I got an email from my Biotexcom manager who supervises our surrogacy program. Our doctor considered my last ultrasound and confirmed on stimulation. Everything within the protocol they signed back then when we traveled there for the first time in summer. We start with Dipherelin. If I’m not mistaken, this means that we’re in long protocol (they also have a short protocol). I don’t know how they determine what type of protocol is best but I hope they know what they are doing. As I’ve told you already, our doctor there is Elene Mozgovaya MD. They ensured me that she is very skilled and have been working in this clinic for already many years and that her type of treatment usually shows good result. It’s very inspiring. Moreover, I’m happy she’s a woman. I don’t know why, but I don’t like male gynecologists. I know they say that a doctor is a human being without gender, but still. Everyone knows it not true. Moreover, it’s easier for a woman to understand another woman. I think so. And yes, it’s my, very very personal, point of view. Maybe I’m wrong. In any case, I think they don’t even have other male gynecologists there. At least we saw only women.

So my trigger shot of Dipherelin was yesterday. 3.75 one shot doze. Hopefully, my mother-in-law is a nurse and she agreed to do all those injections for me. It saves a lot of time and she is really very good at it. I almost felt nothing.

I was feeling well after injection but for headache. I think it’s due to the weather so I don’t associate it with injection itself. It’s impact on my body is quite profound so I was afraid of profound side effects. It’s the second day after injection and I’m feeling well. I hope this sets a good beginning to this big deal.

Have to close by now. My biscuit-tea break is coming to an end. My son is still sleeping but I want to have a fresh banana-cream dessert cooked for him when he wakes up. He likes banana. Ok, have to go.

I wish you a very warm weekend with your nearest and dearest. xxx

Waiting for the green light for stimulation

All the fuss around Halloween is left behind so I can take a moment and drop a line. Our party was quite fun… for children. They were the ones who really enjoyed the holiday. The costumes were all different and they looked really cute/scary in them. And yes, they gathered a lot of candies and sweets, and for my little one – it was a problem for me to explain that he can take only 1 candy per day. I think that stock will be enough for half a year for him. Other mothers were more liberate to their kids, I mean in respect of sweets, so Den felt a bit embarrassed because of it. In any case, they had a lot of fun. Daddy of one of the girls on the holiday dressed in this terrifying ghost costume and frightened the kids. They liked it, hopefully no one were scared, even the youngest on our party. They were rather to laugh loud and run away from the ghost. What else kids need?

Next day I had to visit my gynecologist. She checked me and made ultrasound. Everything seems to be within norm, she said. She said endometrium is 11 mm. I hope it’s okey. I had to send the ultrasound to my manager at Biotexcom. She then shows it to my doctor and she recommends the best day for dipherelin and ovulation stimulation trigger. As I’ve told you before, I have all the medications for stimulation. They gave me this huge pack on the first time we came to Kiev, just after all tests, checkups and signing contract. I hope they won’t change anything in my protocol. In any case, they assured me that even if I need any extra medications for stimulation, they can send it to me or I by it here in Norway and they give me money back when I travel the next time to Ukraine.

So, I’m waiting for their feedback and still keep learning more about the medications I was prescribed. As far as I understood, my protocol is more or less “mild” if it’s admissible to say so. I’ve communicated with ladies on the forums who have much more stimulation medications on their protocol. I don’t know if it’s good or bad. I know they need to have more than two eggs appropriate for fertilization after stimulation. I don’t know if with my mild scheme they will get as much as needed. From the other hand, there’s a scary word for me “hyperstimulation” and I hope that I won’t be running the risk of it. As far as I understood, the most important thing here is eggs retrieval procedure: it must be performed on the indicated date and time, otherwise there might be problems. I hope everything will be ok with time schedule. I don’t have worries about it.

You know, when we decided to go to Ukraine for our surrogacy procedure, I was a little bit afraid that they might have problems with medical equipment and sterility. You know, I knew not so much about this country before we travelled. Of course, I knew that it’s closer to Europe than for example Georgia or India and therehow it should be quite “European type”. From the other hand, I also knew that a few decades ago it used to be a Soviet country, thus leaving its imprint on the further destiny of this country. To tell you the truth, when we booked our air tickets, I didn’t know what to expect. In any case, I had good vibes. And they didn’t let me down. I didn’t see any dirty gloves of a nurse, or outdated equipment, you know – everything old and dirty. In reality, all the clinics we visited in Kiev looked very modern, both in exterior and interior. All equipment is new. Everyone who comes into the clinic puts boot covers on – everything is absolutely clean. All medical stuff wears very neat uniform with badges indicating their names. Nurses and doctors wear one shot sterile gloves. Taking samples of blood wasn’t painful at all. To sum up, the level of medical service is high and my suspicions as to non-sterility vanished. Finally, the clinic we signed up contract with deals exclusively with foreigners, mainly westerns, so they try to keep up with high requirements of their clients. I was surprised that they have managers speaking so many foreign languages from English to Chinese and Korean. What I didn’t like, though, is that managers at Biotexcom seem to be always in a hurry, always in fuss, because they have to consult several couples per day. I think the management of the clinic should think about expanding their manager’s stuff. In any case, they keep me updated via emails and I don’t experience any lack of communication by now.

So, I shall get their response soon and trigger my stimulation. They told that they already have a surrogate mother for us but we still know nothing about her. By the way, if you choose Ukraine for your surrogacy destination like we did, be ready that they don’t allow choosing surrogate there. You can meet her only after the 12^th weeks of pregnancy. Since it’s gestational surrogacy, surrogate mother won’t have any genetic relation to the baby. She just needs to be healthy and be compatible to your blood type. Also, you won’t be able to keep in touch with your surrogate directly, only with the help of manager who is in the meantime your translator. All surrogates are Ukrainian nationals, age between 18 and 39, have at least one healthy child of their own. They ensured us that they have very strict restrictions as to surrogate’s health. They also go through psychological checks ups. Of course, I’m interested to know who she is and how she looks like, but maybe they are right that this is not the most essential thing about our surrogacy process. If you will be opting donor eggs surrogacy, here the situation is absolutely different: you may choose your donor (sure, finally you choose who your baby will take after). Still I haven’t learn the process of choosing a donor very thoroughly because we’re opting on our own first. They gave us two attempts. If they won’t work, they will have to move to donor eggs. I hope sooo much that at least one of my two attempts will work.

Ok, I’ll close by now. As soon as I get any news from them, I’ll drop a line.

Have a very good day.

Xxx

Signing up contracts: costs, guarantees, number of attempts, payments and service included.

It’s 12^th day of my period and I’m starting stimulation this month. Hurray! Yeap, we’ve been matched with a surrogate mother (I still know absolutely nothing of who she is) and they synchronize our cycles. I have to do ultrasound in 6 days to ensure everything’s fine and I can start stimulation. It’s a long protocol starting from Dipherelin 3.75, one shot.  

Now I know it’s a high doze and I’m a bit afraid of side effects and how I will be feeling. From the other hand, I know that our doctor Elena is one of the leading specialists there in Biotexcom so I hope she knows what she is doing.

Surely, I’ll keep you updated on how we proceed, and now as I promised I’d like to tell you of how we finally made a choice, probably one of the most important choices in our whole life. These two days in Kiev were very busy but in the meantime very informative. It was not easy for us to make a choice, I must admit. All clinics we visited seemed quite good, modern and providing high level of service. Now the most crucial question was price and guarantees. Yes, guarantees. For newbies like me the category of “guarantee” sounded quite strange for a start. What guarantees do they mean? Ok, let me explain. It seemed that we were the only couple there who was opting surrogacy and knows nothing of what IVF is. Couple/women contacting fertility center for surrogacy usually have a background of a row of unsuccessful treatments: IUI (intra-uterine insemination), IVFs, donor egg IVFs, and even surrogacy attempts. With all those failures, they wasted time and money. That’s why guarantee of having a baby is so important to them. You know, we met a very kind couple from Denmark there in the clinic. They had 6 unsuccessful attempts of ivfs (both donor and own eggs) and trying to conceive for almost 10 years. I felt really sorry for them. I can’t even imagine how painful it might be. Now they switched to surrogacy. They told me that they had signed with this clinic mainly because they provide unlimited number of attempts for fixed price. In this particular case – donor eggs surrogacy. The same is provided by our contract. The only difference is that I give my own eggs. I go through hormonal stimulation. They can’t stimulate me endlessly. Thus, in case it won’t work from the first two attempts, they will have to shift for donor eggs. They told us that if we desperately want it to be our eggs with no shift to donor eggs, we’d better choose single attempt surrogacy program. It costs less but no guarantees, as you understand. Just one shot. Like a Russian roulette. Of course, I desperately want my future baby to be genetically connected to me. But losing money and flying away with big fat negative was also not a great prospective for us. We signed up for unlimited number of attempts: two attempts on my own with further transfer to donor eggs. Still hope so-so-so MUCH that our two attempts will work. I will do everything possible and impossible for this.

They offered us to choose between three contracts. The cheapest one is Economy package, cost 29 900 euro. Then comes Standard package – 39 900, and VIP package 49 900. All three are “all-inclusive” and provide guaranteed success. All legal and medical expenses are covered in each package, as well surrogate mother and egg donor fees (in case of egg donation). In economy package, you will have to cover all expenses in case of premature birth. Also, if pregnancy due to certain conditions stops after the 12^th week (very unlikely, still may happen), you pay compensation to a surrogate mother – 6 k euro. With Standard package, the clinic covers all these expenses (premature birth and pregnancy loss after 12 week). It may sound a bit too complicated to figure this all out, I know. We read all those contacts several times and asked dozens of questions before we could finally digest information and take a certain decision. With VIP contract, it’s easier – your contact is ultimately all inclusive: no extra charges, luxurious separate accommodation, business car transfers and personal driver, Ukrainian mobile phone, baby sitter, pediatrician and even all baby stuff you need. I think this package enables you with much more privilege, however we didn’t consider this package as an option for us mainly because of the price. So obviously I can’t be a very good counselor as to this particular package. I’m sure it’s more than great, but still we were choosing between economy and standard. We finally signed up for the last one. For us, it seemed to be a perfect combination of price and quality. Also, with this contact they provide better and more spacious accommodation which was a very important criteria for us because next times we will be travelling with our 3 (almost 4) year old son and he needs a separate bedroom.

It seems that I forgot to mention that no matter what package you choose, they provide airport pickup, transfers, interpreter service and even meals. I find it rather comfortable. We spoke with those who are already parenting babies there in biotex (waiting for all their papers to be ready for leaving back home which may take a month or two, so be ready). They said that it’s so comfortable: they have a maid who cleans the house and cooks fresh meals so that you can concentrate on your baby with no extra fuss.

Having made the first payment of 8 k euro, we we’ve been waiting for a match with gestational carrier for around 10 weeks. Our next payment (7 900 euro) is scheduled on the day of eggs retrieval. I’m still very overwhelmed, a bit worried about hormonal stimulation (mainly because I’m afraid to do anything wrong) and afraid of eggs retrieval surgery in general. But still I have this very warm feeling deep in my heart that it will work for us. 

PS: the photo attached is our hotel room provided by the clinic we’ve been staying at in Kiev