Got the clinic’s feedback on results of my tests

Good morning everyone (or whatever part of the day you are enjoying at your place). I know I promised you to drop a line when I get some updates as to my current stimulation procedure but I was so busy celebrating that I didn’t have time to  get to my lap top at all. A year older now and it seems every person I know was there to congratulate me on this occasion. Of course, I tried not to show that I’m not too much “overwhelmed” with getting older. They all were so sincere. They told me so warm wishes and took care of presents. It was the sweetest part of all the celebration. The party was also great. My sister and her family came to our place for the whole weekend. She helped us with cooking and serving. My husband decorated the house with multicolored balloons and it looked really nice. 

My parents also came to our place. It takes them around an hour to get here by car, so it’s not so often we see each other, unfortunately. Thus, it was our family reunion. Children also had much fun together. It’s great that despite being a single child (currently), my son Den has 4 cousins of more or less similar age. When they gather together, it’s like a little “gang”.

Ok, let’s get back to the topic. I wanted to update you with my news even back on Friday. I got am email from my fertility clinic’s manager on Friday afternoon. It told that they looked through my tests and give their green light for starting hormonal treatment. Everything is within norm with my scans. Hormonal levels show that the day of testing was the first day of my menstrual period. My doctor told to make the first injection of Merional on the 10^th day of the period that is November 19. In 5 days, on November 23 I should be already in Kiev. My doctor will do ultrasound to see if everything’s fine. They told that since that day and up to the day of eggs retrieval I should stay in Kiev. By now, I have a total of 11 days of hormonal stimulation but they may add more days if follicles don’t grow the way they should. That’s why I should be there in Kiev. They will monitor the situation on their own and will correct my stimulation scenario if needed.

Of course, I’m very happy that my results were good and that I’m starting stimulation with no delays. As I’ve communicated with ladies on forums, many of them complained that Dipherelin injection may give impetus to myoma growth in ovary/ovaries. Thus, they need to postpone stimulation and treat myoma. Generally speaking, no one knows how your body reacts on these medications. In any case, I’m so glad they confirmed good results.

So, my first injection of Merional is scheduled for Saturday. I hope that my mother-in-law helps me again with injections but I’m not sure. This time I need her help each day by the time we depart to Kiev. By the way, we already booked our flights. We will travel all together, I mean all our family of three: my husband, me and our dear son. The minimal time we’ll need to spend there is 8 days (maybe more if they will have to continue stimulation). I hope that they will provide us with comfortable apartment especially knowing that we’re traveling with our son. In any case, medical aspect is still above everything else.

Loads of love on you on this wonderful Monday morning and please have a gorgeous week everyone!

One year older

Hi, it’s my birthday today! Don’t think that I’m asking for congratulations, but this is just how my day started: a handmade postcard from my boy, coffee in bed from by man and blood test results and scans in my laptop. Nothing special. Just an ordinary beginning of a day! Joking! Just all in one: you know, I have a bunch of feelings starting from anxiety and immense thrill to this very warm feeling of comfort and hope when your two dearest men care about you on your especial day. That’s awesome. This combination of feelings paints my day in richer colors even since the early morning. 

Honestly, I’m not a big fan of my birthdays. This feeling got even more vivid when I passed over 30 years margin. It’s like: “Ok, let’s celebrate! I’m getting older! Congratulations!”. In fact, I know that these are the thoughts of a worn out crone so I keep them locked in my mind and no one will ever hear them (may be but for reading as exception?). Sorry for grumbling.

We gonna have a small family celebration this night and large party with friends and relatives tomorrow evening. My husband is cooking dinner today, he said. He hardly ever cooks but there are a few recipes he perfectly mastered. So he gives me some breaks from cooking, usually on our special occasions like today. It’s especially important for me now when I seem to be dissolved in preparation to my upcoming medical procedures.

So I got the tests and ultrasound done. I have already sent them to my clinic’s manager and wait for their feedback. I should start ovulation induction medications soon. As I’ve told you in my previous posting, it’s hard for me to determine the day of my menstrual cycle because I have no regular bleedings. To know the exact day of the cycle, they take my blood for hormonal tests: luteinizing and follicle-stimulating hormones. On forums, you will encounter just abbreviations LH and FSH respectively. Knowing their levels, they can tell precisely the day of my period. Also progesterone, estrogene and anti-mullerian hormone once again (this one stands for AMH). The last time they checked it when I applied for surrogacy program back in July. It was 3,2 back then. They said it’s good result. This time it was 2,8. It’s obviously a bit worse but they say still ok. As far as I understood, the value depends on the day of the period and on some other factors. In any case, I’m sure I will get all the blood tests again when I travel to Kiev for eggs retrieval. There they will also take additional tests such as coagulogram (how quick my blood coagulates), and hormones again. In fact, I will need to come to Kiev several days before the surgery for them to monitor my state, the way the follicles grow, choose the best time for surgery, and of course in order to omit hyperstimulation (which is another terrifying word for me in this assisted reproduction vocabulary). It’s a very dangerous complication of stimulation (or this is just specific side effect or individual body reaction on medications). Ok, I’m not a master of explaining intricate medical terms, but I know that it’s probably the worst thing that may accompany hormonal stimulation for follicles. You know, when I saw my protocol of stimulation first, it was hard to evaluate it for me. I mean to give my own estimation as to how long it is and if they prescribe too little medications or vice versa a lot of them. Now when I got to read so many articles, blogs and communicated on forums with ladies who have/had similar treatment, I realize that I don’t have much medications. I have only one gonadotropin called Merional (intramuscular injections), Metipred (tablets), and vitamins (folic acid and Vitamin E). I know they may still add certain medications when they get my recent tests. Still I’m a bit concerned of having only one gonadotropin prescribed. Will it be enough to induce superovulation in me? To get many eggs of good quality? I know these question shouldn’t come to my mind since I have a doctor to care about all those aspects, but still – I’m a woman and when it deals with my future offspring I have to be maximally aware of the situation. I hope they know what they are doing.

Have a great day and loads of love on you!

I’ll drop a line as soon as I get updates.

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

Looking forward to fussy weekend and very important Monday scan

It’s all the fuss about Halloween. Frankly speaking, I’m not a great fan of big holidays. Really. Some of my friends think I’m kind of weird in this thing. Everyone gets crazy about any single reason to celebrate and gather together with friends. I also like family and friends reunions, though. For me, they are not necessarily associated with any particular holidays. Do I need a reason to visit a friend of mine? No. Does she need a reason to call on me? No. Despite of having very positive intention, holidays still get this all stressed out. In any case, Halloween is approaching and we were invited to our best friends place to celebrate. She has three children: 10, 8 and 3 years old. Actually, her younger son is the best friend to my Den. My friend whose name is Astrid likes to cook and she cooks a lot. My role in this “universe chaos” celebration is in decorating the house and entertaining kids. Some of the games are known to us from the previous celebrations, some will be new. In any case, I think all that matters for a kid on this fussy day is his most scary costume in the world. Last year Den was in this skeleton costume which this year is too short and too tight for him. So we ordered a new one. This time it’s Batman. Ha! He looks rather cute in it, I must admit. We chose it together. Yeah, my kid is growing older and I no longer can take decisions on my own (a bitter sweet feeling).

Another stressful thing about this terrific holiday is “treat”. Yes, the essence of all this carnival. I know everyone will give them candies and I’m a crazy mom up to this point. You see, my son in his 3 years old already has cavities in 4(!) teeth and had one of the cavities stuffed just a month ago. I think his teeth are very bad genetically (from his father) and he is very apt to cavities. I’m crazy about oral hygiene that’s why candies are a forbidden fruit for my little one. On holidays, the situation always gets out of control (another reason why I’m very biased regarding holidays).

Ok, there are times when you just have to yield and let it go. Children love this holiday immensely so let them just enjoy. As for me, I know that I will have quite different thoughts running through my head when everyone will be freaking it out. My ultrasound is scheduled on Monday and it will determine the day of stimulation trigger. And one more thing to tell you: I’m not afraid anymore! I’m so resolute to start like I was never before. I still have no idea of how I will be feeling but I’ve also heard from more experienced ladies in all this assisted reproduction that the medicines on my protocol are safe and usually show great results. I also know that much depends on my attitude to the whole thing happening. That’s why I decided to take emotions under control and send my positive vibes to the universe to attract success to my surrogacy treatment.

Happy Halloween everyone! 

First trip to Kiev

Our first flight to Kiev was hectic. First of all, we hardly were on time for flight check in. Martin was to set off just after his business meeting. It took him longer than he expected so I thought we’d be late. We were the last ones to check in. My nervousness doubled. This time I was afraid the representative of clinic won’t meet us at the airport because we landed almost at midnight. Still they did. We made appointments with three clinics in Kiev. Biotexcom clinic, the first one we visited, offered us free airport pickup and accommodation. It made our journey less stressful as everything was planned for us. They took care about everything. The next day, their driver waited us at the set time near our hotel to take us to the clinic. So, Biotexcom was the first one on our itinerary. First impression: located not far from the city center, small separate building that looks like a fairy take castle, not a hint of hi-tech style. 

It’s located on a picturesque hill with beautiful views on the city. Interiors are very simple and plain. The clinic’s hall was crowded and some people even had no place to have a seat. We were met by our English speaking manager Anastasia. She was very busy, though, since we were not the only one couple with her that day. She invited us to a separate room with comfy upholstered chairs. She answered all our questions and we had a lot. She explained the peculiarities of each surrogacy package. They have three major packages. I’ll get it in more details the next time, if you don’t mind. Today I would like to share my general impression on the city and reproductive clinics we visited.

Ok, we thanked Anastasia for taking time and explaining everything to us. We told her that we were going to visit two other clinics. She didn’t mind and even helped us to get a cab. Our next destination was Ilaya clinic. It took us around 20 minutes to get there by car. As far as I understood, it’s located in the suburbs of Kiev. First impression was very good. Interiors are luxurious, hi-tech and seem to be very expensive. Equipment and furniture is brand new. There’re a lot of places where you can have a seat, watch TV or read a magazine (as I’ve told you already, in the first clinic having a seat was a problem as they have only one sofa for all the clients).

Unlike Biotexcom and despite of all its glory, Ilaya seemed to be deserted. The only patients I saw there were locals, no Europeans or other foreigners met. We saw a local lady (obviously patient) who was definitely not happy with something so they had rows with some lady from admiration. The reception girl we were talking to was not very good in English so it took them time to understand what we want. However, they invited us to a small room in white-green colors and offered some tea with biscuits. That was nice because we were already very hungry (they took our blood samples in the first clinic). Our manager came in around 10 minutes. It was a young and very beautiful lady. She told about all advantages of the clinic however the information on the fees was quite obscure. I don’t like it actually. To sum up, Ilaya also provides foreign patients with accommodation and translator. The minimum cost of surrogacy there is around 40k euro and is not final. All meds and possible risks like premature birth are not covered by your contract. We had to figure this out, but still there was one more clinic on our agenda. We took all those brochures and papers from Ilaya and asked them where we can have a lunch. They advised us Ukrainian food restaurant and even booked a table for us. Oh, I love this country for it. They all seem very responsive.

The restaurant was very cozy and service was quick. However, as to the food actually - Ukrainian food seemed too greasy for me. IMO. Coffee was great, though. The prices are minor if compared to our Norwegian ones. The same with taxi and public transport. 10-15 minutes taxi ride costs around 3 euro. Our restaurant lunch bill was around 10 euro. Street food is also everywhere, so you can have a bite any time. 

In restaurants, some staff speaks English and they even have their menu in English. It came as a surprise for me.

Ok, now about Victoria clinic, our last destination. It’s located in the historical part of the city. We were astonished by architecture. In the meantime, history is combined with modern streams. The clinic seemed rather small to me. Interiors and equipment seemed to be not brand new like in Ilaya still quite normal.  

We were kindly met and immediately invited to a meeting room with coffee and biscuits again. The manager spoke English very well. She was not very talkative, though. The key thing for me about this clinic was that they take care only of medical part of surrogacy program. No legal service provided, as well as they won’t help you get official papers for the baby when he or she is born. It’s not their business. Should we have run such risk? No. 

Don't count the days, make days count!

It was a very tough week. A row of good and bad things happened. The news was a shock and even when it seemed that it couldn’t be worse it was. Ok, I’m not going to upset you because this bad news is just for my family. I hope your week was joyful and happy.

In any case, after frustration for a couple of days it seems that I have strength to move forward. At such moments you realize like you did never before that life is so short. It’s just a blink of eye between the past and future. And you are the only one who can change anything NOW. There is no yesterday or tomorrow. Just today and now. Unfortunately, we leave so many things “for tomorrow”, “next week”, “next year”. This is probably one of the biggest mistakes we make.

As I get older, I discover so many things that were obviously hiding somewhere behind our daily routine and all the joys of the 20s+ ages. Is this natural? Am I just getting older? Getting wiser or just older? Having new wrinkles on my forehead means that I’m smarter than before? Or I’m just burning my days for nothing? And those who seemed to live this life to the fullest degree, those who are in their 70s and 80s, did they have enough time for fulfilling all their dreams? Were they brave enough to dream and make their dreams come true? Looking back on their lives, are they happy? If they could, what would they change? I was always afraid to ask these questions. As for me, asking such questions means summarizing life thus saying goodbye on default. That’s why I never asked them.

And what comes next? Or this is it? I know a very wise person who told me once: “Our immortality is in our future generations”. He knows better. Obviously, the essence of our lives is raising dignified new people who will raise new people and so on.

I still keep thinking of it.

Even if it’s true, I’m limited in this due to my infertility. Limited but not deprived. Now I’m even more convinced that I’m on the right way. I hope that my family will welcome its new member soon.

I know that many people stay childless all life long and still are happy. This is the right formula for them. For me, my happiness is in mothering and in bringing new smart, beautiful and dignified people to this world. Somebody correct me if I’m wrong. Maybe my thoughts out loud are just groundless conclusions of a young mother who has some fertility limitations and just feels guilty about that?

A question for everyone reading this: what is the sense of life for you? Please help me figure this out. 

The best is yet to come

Is there anyone waiting for these weekends more than I do?

This is going to be a great time. You may call me a lazybone but I’m looking forward to a very relaxed and free of any duties weekend. Why? My parents are taking my son to their place for the whole weekend so that me and my husband could have all the time in the world together. We’re always busy working that’s why such moments “just for ourselves” are so rare and so long-awaited by us. Of course, we’ll be missing Den. Anyways, I know he’ll have a gorgeous time with grandparents and his cousins. Yes, they are gathering a small kindergarten there! My parents love gathering all their grandchildren from time to time at their place. My dad has so many games to play with them and my mom, she cooks gorgeous pies that they love so much. Oh, I love them too but I’m no longer three years old to eat them as much as I want (age is taking its toll and now I have to be very picky in what and how much I eat).

There is one secret reason for why I’m keeping strict and very healthy diet now. Are you interested to know? I know that very soon I’ll be stimulated for eggs growing in my ovaries that will be used for our first IVF ever. If you read my previous posting, you may already know that I had my uterus removed after the first natural delivery. We took courage and applied for surrogacy program! Own eggs surrogacy! Yeah, they approved me for own eggs stimulation! Luckily, my ovaries still function ok. They checked my hormones, ovarian reserve and did blood tests (both to me and husband). All exams were fine and they gave green light for two IVF surrogacy attempts on our own genetic material. This is a long story to tell and this is actually why I started this blog.

We met a lot of new and unknown things in the sphere of reproductive medicine we were absolutely unaware before. Yeah, they really do miracles! They help even in the worst cases of infertility. They know how to omit genetic diseases. They can choose baby’s sex. They can fertilize woman even in menopause! And even more importantly – they can transfer my own embryo to a healthy woman who will give birth to my baby!

We have already signed our contract and currently we’re waiting for a proper surrogate for us. We couldn’t choose the surrogate. Our clinic’s doctors choose surrogates based on medical criteria. They told that her health is all that matters. Ok, perhaps this makes sense. As for us, we got instructions on dieting and vitamins during this period. They gave me this huge pack of medications for ovulation stimulation so we’re waiting for their green light to start.

Are we overwhelmed? Like we were never before!