The Two-Week Wait!
I am put on a white coat tie me up and take me away crazy right now. Absolutely, positively (What? Did I hear positive pregnancy test?) Crazy.
The 2ww (two week wait) infertiles have to experience during an IVF cycle is by far the worst part of this IVF mumbo jumbo. First let me tell you what ‘all’ entails and then you’ll get some idea of why a simple two-week wait is such a big ass deal.
Most fertiles think IVF is the be-all in fertility treatment and works (not only does it always work, you’ll get twins-a boy and a girl, like Julia Roberts).
Put 3-months hard work (physically, emotionally, spiritually, mentally), no, make that a life-time’s hard work into a single treatment that makes you wait 2 weeks (that’s 14 whole days, 336 hours) to find out if it worked or not. It worked or it didn’t. This is black or white for baby.
Let’s dissect the medical prodigy they call In Vitro Fertilization. 1. What does it take to do it? 2. What’s involved? I’m glad you asked.
1. It takes balls (from both partners). Very likely, if you’re still alive and kicking and you’ve neared IVF territory you already have balls. Big naked balls (naked because it’s second-nature for you to nakefy yourself in front of doctors at two shakes of a cotton loincloth).
2. Finding a clinic that has doctors and staff that you respect and will trust, has good success rates, is reputable, isn’t halfway to Timbuktu, has reasonable prices (reasonable? It’s relative), will accept you as their patient. Obtaining and faxing medical records. Doctor consultation to go over medical history and get naked. Pathogen testing for both partners. FSH/E2 Day 3 blood test for female partner. A $120 semen evaluation (semen is precious, I tell you). Hysterosalpingogram (histo what? It’s an X-ray of your dye stuffed uterus and fallopian tubes to look for abnormalities). Ultrasound and trial transfer (did I mention, you get to be naked again?). Pap Smear. Instruction Class (get tx and meds instructions, tx schedule, consent forms, rx’s) Big bucks money deposit. 1, 8 pound box filled with meds you have not idea what the heck they are for.
Then comes the fun part. It’s drug-junky time. Oral contraceptives for 2 weeks, it’s to prime the ovaries for ‘optimal response’.
Moodiness sets in.
Lupron injections (subq once daily) starting at week three, to suppress your already suppressed ovaries further into a menopause state. Side effects: headaches, hot flashes, breast tenderness. Menstrual period. Penetration by “Peter” el ultrasound Probe to make sure no cysts. Doxycycline twice daily for 10 days by each partner to prevent infection. FSH (stims) injections along w/ lupron for 10 days (now we’re up to 3 injections daily, 12 hrs apart). Side effects: ovarian hyperstimulation characterized by abdominal bloating, weight gain due to body fluid retention, pelvic and abdominal discomfort.
Have I mentioned moodiness?
Impaled by “Peter” again and vampire suctioned (i.e. blood draw) every day to check E2 levels until eggs are mature. Injection of HCG hormone to induce final stages of egg maturation. Thirty-six hours later, make sweet, sweet love to Zanax and Diloted for ultrasound guided egg retrieval. (By far the best part of the whole IVF experience. I would do the whole bloody thing again for another taste).
Husband submits cup-full of semen to same morning of ER (Egg Retrieval). Pray during the ER you don’t get nicked where you shouldn’t to cause severe hemorrhage (apparently 1/1,000 chance). Bed-rest for 24-48 hours. Possibility of nausea, abdominal cramping, vaginal bleeding, bloody urine.
Sleep. Start to miss the effects of your new favorite drug.
Meanwhile eggs and sperm are having party in culture medium filled petri dish. Unless you are one of those ICSI people (Intracytoplasmic Sperm Injection), what you say? Basically an arranged marriage between 1 egg and 1 sperm! Next morning, fertilization report.
Pray they divide the way they should.
2-5 days later… Meet with doc to discuss embryo quality and how many to transfer. Transfer takes 3 minutes to complete. All this in 3 minutes? I think of Thanksgiving dinner. A 10 minute under-appreciated inhalation after hours of slaving in the kitchen. (Now comes the fun part. You wait. That’s right, you wait 2 weeks, 14 days, 336 hours without getting to do anything aggressive that you did before which gave you a warm sense of pseudo-control. No injections. No blood draws. No “Peter”. No nekky nekky. Just progesterone (aka, hell in a suppository) and anything to make you relax.
Relax. You think, oh that must be nice. After such a long haul of invasive treatments you are finally able to take private time to yourself and reminisce. Reminisce my butt! Your brain starts thinking of the possibilities. Your body plays tricks on you. Shall I give her a little gas pain and make her think it could be implantation? How about fatigue, a headache, or a metallic taste in her mouth that you only start to notice after a friend mentions it was her first symptom of pregnancy. Sore breasts? They are now. I can’t stop squeezing them to find out if they are sore or not.
I have found myself missing the staff at the clinic. It’s been 11 days and I have 3 to go. Torturous. What do you do to keep busy that keeps your mind off of ‘it’? How do you keep sane? Chocolate? Nope, sister. Caffeine is from the Devil, Remember? Ice cream, lots and lots of it.