• Timeline
  •  

    Menstrual Cycle: Introduction

    The average length of the menstrual cycle is 28 days. More

    menstrual
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    Menstrual Cycle: Days 1-5

    Day 1 of menstruation is the first day of your cycle. More

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    Menstrual Cycle: Days 1-13

    Days 1-13 of your menstrual cycle are the "follicular phase" More

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    Menstrual Cycle: Days 10-18

    Days 10-18 of your menstrual cycle are considered the "ovulatory phase". More

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    Menstrual Cycle: Days 15-28

    Days 15-28 of your menstrual cycle are considered the "luteal phase". More

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    IUI: Introduction

    With intrauterine insemination (IUI), a doctor uses a soft catheter to place sperm directly into the uterus. More

    iui
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    IUI: Day 1

    Fertility drug injections begin at the start of the your menstrual cycle. More

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    IUI: Day 2

    Follicles begin to respond to the fertility drugs and grow. More

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    IUI: Day 3

    Daily fertility drug injections cause your follicles to continue to grow. More

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    IUI: Day 4

    Your follicles continue to grow. More

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    IUI: Day 5

    As the follicles respond to the fertility drugs, your doctor will monitor your progress with vaginal ultrasound. More

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    IUI: Day 6

    Your body is producing more estrogen and your uterine lining begins to thicken. More

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    IUI: Day 7

    Fertility drug injections continued and you are monitored for ovulation. More

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    IUI: Day 8

    Daily fertility drug injections continue and follicles continue to grow. More

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    IUI: Day 9

    Your follicles are still developing and you continue fertility drug injections. More

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    IUI: Day 10

    You discontinue using injectable fertility drugs. More

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    IUI: Day 11

    The hCG trigger shot is injected to help follicles mature and release the eggs. More

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    IUI: Day 12

    Your follicles and eggs are almost mature. More

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    IUI: Day 13

    Ovulation occurs. More

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    IUI: Day 14

    Sperm is washed and you are inseminated when you are ovulating. More

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    IUI: Day 15

    The embryo, now in the fallopian tube, will continue to divide. More

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    IUI: Day 16

    The embryo continues to grow. More

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    IUI: Day 17

    The embryo travels from the fallopian tube to the uterus. More

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    IUI: Day 18

    Hormone levels continue to increase. More

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    IUI: Day 19

    The uterine lining is now 8-12 mm thick. More

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    IUI: Day 20

    Your embryo is working to ultimately attach to the lining of your uterus. More

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    IUI: Day 21

    Your embryo will attach to your uterine lining. More

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    IUI: Day 22

    The embryo is starting to implant. More

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    IUI: Day 23

    The embryo continues to implant. More

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    IUI: Day 25

    Your body begins to produce hCG and progesterone production continues. More

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    IUI: Day 26

    The embryo continues to grow, and progesterone support continues. More

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    IUI: Day 27

    The embryo continues to grow. More

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    IUI: Day 28

    A blood pregnancy test will determine if you are pregnant. More

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    IVF: Introduction

    More

    ivf
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    IVF: Day 1

    On Day 1 of your IVF cycle, you'll begin fertility drug injections. More

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    IVF: Day 2

    On Day 2 of your IVF cycle, you'll continue fertility drug injections. More

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    IVF: Day 3

    Your follicles continue to grow as they respond to the fertility drug injections. More

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    IVF: Day 4

    Your follicles continue to grow as you continue daily fertility drug injections. More

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    IVF: Day 5

    As you continue to use fertility drugs you will be monitored by your fertility doctor. More

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    IVF: Day 6

    The lining of your uterus is beginning to thicken as you continue fertility drug injections. More

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    IVF: Day 7

    Daily fertility drug injections continue, and your fertility doctor may start monitoring hormone levels. More

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    IVF: Day 8

    You'll continue fertility drug injections and follicles will continue to grow. More

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    IVF: Day 9

    You'll continue fertility drug injections and follicles will continue to grow. More

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    IVF: Day 10

    You'll stop using fertility drugs at this point in your IVF cycle. More

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    IVF: Day 11

    Once your body has responded to the fertility drugs, you'll receive an hCG injection (trigger shot) and egg retrieval will be scheduled. More

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    IVF: Day 12

    Your eggs are almost mature, and are ready for egg retrieval. More

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    IVF: Day 13

    At this stage of the IVF cycle, your eggs are retrieved and fertilized. More

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    IVF: Day 14

    Your eggs are fertilizing in the lab. More

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    IVF: Day 15

    Embryos will continue to develop, and if PGD has been scheduled the procedure will take place. More

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    IVF: Day 16

    Usually on Day 16 of your IVF cycle your embryo transfer will take place. More

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    IVF: Day 17

    The embryo is in your uterus, and cells continue to divide and increase. More

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    IVF: Day 18

    The embryo continues to grow and hormone levels increase. More

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    IVF: Day 19

    The lining of your uterus is now 8-12 mm thick. More

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    IVF: Day 20

    Your embryo is working to attach to the lining of your uterus. More

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    IVF: Day 21

    The embryo attaches to the uterine lining. More

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    IVF: Day 22

    The embryo begins to implant in the uterine lining. More

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    IVF: Day 23

    The embryo continues implanting in the uterine lining. More

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    IVF: Day 24

    More

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    IVF: Day 25

    Your embryo continues to grow and progesterone continues to be produced. More

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    IVF: Day 26

    Your implanted embryo continues to grow. More

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    IVF: Day 27

    The implanted embryo continues cell division. More

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    IVF Cycle: Day 28

    It's time to take a blood pregnancy test. More

Tune in Monday!

Tune in Monday!

We are very excited to let you know that Melissa Ford will be here at FertilityAuthority next week, October 19 - October 23, to discuss her book, Navigating the LAND of IF: Understanding Infertility and Exploring Your Options (Seal Press, 2009).

You may know Melissa (otherwise know as Lollipop Goldstein) from her popular and tremendously helpful blog, Stirrup Queens and Sperm Palace Jesters.

Our event next week will feature excerpts from her book and a discussion about a different infertility topic each day. You are invited and encouraged to join in and ask Melissa any questions you may have.

We look forward to having you! Please take a moment to let your friends know about this exciting, interactive event on FertilityAuthority.com!

About Melissa Ford

Melissa Ford is the author of the blog, Stirrup Queens and the editor of the daily Lost and Found. She is also a contributing editor at BlogHer. She received her MFA in creative writing from the University of Massachusetts—Amherst. She lives with her twins (hint: they're infertility treatment twins) and writer husband, Josh.

About Navigating the LAND of IF

Author of the extremely successful blog Stirrup Queens and Sperm Palace Jesters, Melissa Ford presents readers with a guide for navigating the complex world of infertility. The Land of If got its name not only because “IF” is the abbreviation for “infertility” in the online world, but also because there are so many “ifs” inherent in being here. No stranger to the Land of If herself, Ford shares her hard-earned knowledge and insights, helping couples struggling with infertility understand the lingo, learn the details doctors tend to leave out, and keep their emotional sanity despite seemingly insurmountable obstacles. Navigating the Land of If gives the nitty-gritty on injections, rejections, biting your tongue during happy parent-to-be conversations, and trying not to cry over baby shower invitations. With chapters that include how-to’s for same-sex couples, and present adoption or remaining child-free as plausible alternatives, Ford tells you exactly what you need to know, from one infertile to another.

(The Much Longer Version):

Welcome to the Land of If, shorthand for the Land of Infertility, a confusing, difficult world of choices and decisions. For the newly-diagnosed as well as those who have been living here for awhile, it can be a virtual nightmare to navigate—especially without a map. Which is why Navigating the Land of If will be an invaluable tool for any and all who visit here.

There are plenty of books that detail the multitude of exams and procedures an infertile man or woman can expect as they start treatments. While these books show the roads leading out of The Land of If, Navigating the Land of If is the insider’s guide one needs while actually living there. Covering both emotional and practical ground, it provides the survival skills necessary for existing in this land for the long-haul, such as tips on giving hormone injections with minimal pain, how to deal with baby shower onslaughts, and how to put emotional steam valves in place to help stave off the frustration, anger and sadness that so often comes with living here.

Infertility is a crisis where things do not necessarily improve as time passes. Ensuring that infertility does not take over one’s life requires long-term coping mechanisms to help get through the emotional pitfalls. To get over the rough spots, every infertile man or woman (otherwise known as IFers) needs a friend who can talk them through the anxiety they feel during a two-week-wait or sit with them as they cry during a miscarriage. This book is the paper version of a best friend who will help the reader make decisions, accept his/her emotions, and even give him/her strength to push through and attend that third baby shower in one month.

This guide is about how to survive while stuck on this island. It covers important lessons that are only passed along from infertile person to infertile person: learning the lingo so a person can be assertive with her own treatment; feeling empowered when searching for the words to explain infertility to someone living back on the Mainland; and maintaining friendships through infertility, a crisis known for inducing jealousy and self-anger.

People are in good company on this island. About 12.5% of the general population lives here and the ranks are increasing significantly—not decreasing. This, of course, doesn’t mean that everyone will understand when an infertile woman or man tries to tell someone outside the experience about blood draws, vaginal sonograms, and the frustrations about seeing other people with children. Even though everyone knows someone who is infertile, it also is one of the last great taboo topics. It’s the problem that no one discusses therefore most newly minted IFers are taken by surprise when they receive their diagnosis. They have no idea what to expect or where to go or what questions to ask. They’re also ill-prepared for the deluge of advice that comes from well-intentioned but misinformed friends and family. Luckily, this guide will be there to help them navigate those sticky “why don’t you just adopt” conversations.

But beyond that, newly-diagnosed infertile men and women often feel quite alone in their reactions and turn a lot of their anger inward. They may begin by gathering information in the doctor’s office, but often end up turning towards the Internet to tap into the important information that doesn’t seem to be relayed by doctors or even written about in those other infertility books. After all, it’s nice to know what the abbreviation ICSI (intracytoplasmic sperm injection) stands for, but it’s as important for a fellow stirrup queen to warn that a person should use heat after an IM injection to keep knots from forming under the skin.

A Tour Book to this Infertility Tour Book

The book begins with the lay of the land. The Land of If is firmly situated in the center of the Bermuda Triangle of Hope. This is where optimism is swallowed up inside the three corners comprising the triangle: the emotional, physical, and financial realities of infertility.
Once the reader is familiarized with the basics of infertility, he will quickly learn Iffish—that strange language composed of multi-syllabic, impossible-to-pronounce medical terms on one end and mysterious abbreviations on the other. He’ll take a quick tour of what to expect and how to prepare with excursions into fertility treatments, adoption, donor gametes, surrogacy, and living child-free.

Good tour books help a person make decisions about his trip, and this tour book will help a person make decisions about his life. There is a multitude of ways off the island and while a book can’t make decisions for you, it should provide the reader with the necessary questions to ask in order to weigh options and come to the best choice for the family. The endless options can be a blessing and a curse. It’s also hard to know when a person has hit her limit or how to step onto that pathway to living child-free—a very different way of leaving the Land of If.

Tour books traditionally include tips for blending in with the new culture, but those experiencing infertility actually need etiquette advice for dealing with outsiders to the experience. The guide includes ideas for starting conversations about infertility or loss, handy excuses that allow all parties to save face when bowing out of a baby shower, and methods for turning down well-intentioned-but-still-unwanted donor gamete offers. Plus, every stirrup queen needs a just-this-side-of-polite retort in her back pocket for when someone asks her if she thinks this is the universe’s way of telling her that she’s not cut out to be a parent.

The goal, of course, is to get off this island--and this book does provide a lot of information about doing that. But unlike other infertility books, it is also about existing on this island and not allowing the experience to swallow you whole...try as it might.

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