• Timeline
  •  

    Menstrual Cycle: Introduction

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

    menstrual
  •  

    Menstrual Cycle: Days 1-5

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

  •  

    Menstrual Cycle: Days 1-13

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

  •  

    Menstrual Cycle: Days 10-18

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

  •  

    Menstrual Cycle: Days 15-28

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

  •  

    IUI: Introduction

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

    iui
  •  

    IUI: Day 1

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

  •  

    IUI: Day 2

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

  •  

    IUI: Day 3

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

  •  

    IUI: Day 4

    Your follicles continue to grow. More

  •  

    IUI: Day 5

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

  •  

    IUI: Day 6

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

  •  

    IUI: Day 7

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

  •  

    IUI: Day 8

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

  •  

    IUI: Day 9

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

  •  

    IUI: Day 10

    You discontinue using injectable fertility drugs. More

  •  

    IUI: Day 11

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

  •  

    IUI: Day 12

    Your follicles and eggs are almost mature. More

  •  

    IUI: Day 13

    Ovulation occurs. More

  •  

    IUI: Day 14

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

  •  

    IUI: Day 15

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

  •  

    IUI: Day 16

    The embryo continues to grow. More

  •  

    IUI: Day 17

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

  •  

    IUI: Day 18

    Hormone levels continue to increase. More

  •  

    IUI: Day 19

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

  •  

    IUI: Day 20

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

  •  

    IUI: Day 21

    Your embryo will attach to your uterine lining. More

  •  

    IUI: Day 22

    The embryo is starting to implant. More

  •  

    IUI: Day 23

    The embryo continues to implant. More

  •  

    IUI: Day 25

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

  •  

    IUI: Day 26

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

  •  

    IUI: Day 27

    The embryo continues to grow. More

  •  

    IUI: Day 28

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

  •  

    IVF: Introduction

    More

    ivf
  •  

    IVF: Day 1

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

  •  

    IVF: Day 2

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

  •  

    IVF: Day 3

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

  •  

    IVF: Day 4

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

  •  

    IVF: Day 5

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

  •  

    IVF: Day 6

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

  •  

    IVF: Day 7

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

  •  

    IVF: Day 8

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

  •  

    IVF: Day 9

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

  •  

    IVF: Day 10

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

  •  

    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

  •  

    IVF: Day 12

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

  •  

    IVF: Day 13

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

  •  

    IVF: Day 14

    Your eggs are fertilizing in the lab. More

  •  

    IVF: Day 15

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

  •  

    IVF: Day 16

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

  •  

    IVF: Day 17

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

  •  

    IVF: Day 18

    The embryo continues to grow and hormone levels increase. More

  •  

    IVF: Day 19

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

  •  

    IVF: Day 20

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

  •  

    IVF: Day 21

    The embryo attaches to the uterine lining. More

  •  

    IVF: Day 22

    The embryo begins to implant in the uterine lining. More

  •  

    IVF: Day 23

    The embryo continues implanting in the uterine lining. More

  •  

    IVF: Day 24

    More

  •  

    IVF: Day 25

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

  •  

    IVF: Day 26

    Your implanted embryo continues to grow. More

  •  

    IVF: Day 27

    The implanted embryo continues cell division. More

  •  

    IVF Cycle: Day 28

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

When Infertility and the Holidays Collide

When Infertility and the Holidays Collide

a blog by pamela tsigdinos

This time of year typically gets associated with turkeys, holiday trimmings and deciding how to divide time among the relatives and friends who all feel curiously compelled to see each other in the last five weeks of the year. Toss in some infertility and stand back.

Yes, we’re looking at a recipe for stress, even for the best organized and well-adjusted, infertility-fighting diplomat, cook, or shopper. The usual challenges – playing chicken in the parking lot or fighting microboredom as we wait in endless department stores lines – seem positively quaint when there’s a bigger conflict looming.

I’m no Rogers and Hammerstein (or Irving Berlin for that matter), but I do know a thing or two about words and emotions. One way to lighten the sense of dread this holiday season is to distract yourself with a little creative exercise. You can play along if you’d like. Simply choose your favorite tune and engineer a little word swap. Become your own Julie Andrews changing the lyrics to My Favorite Things or Berlin’s White Christmas or the one that jumped into my head today, a play on the catchy tune, L-O-V-E by Milt Gabler and Bert Kaempfert.

    I is for way you feel Invisible
    N is for Never-ending waiting game
    F is for the way you fight Frustration
    E is for Endless round of doctor appointments
    R is for the way you Rage at circumstance
    T is for the Truly awful things people sometimes say
    I is for the Insidious ways that cycles torture us
    L is for the Longing to succeed
    I is for the “if” in What If …
    T is very, very Trying even in the best of times
    Y is Yours to decide how You want to move ahead

Not a Billboard top 40 in any way whatsoever but a little attempt at levity and one more way to try to capture the complex intangibles that come with this thing we call infertility.

So the next time a pregnant woman or excited dad-to-be corners you to share their joyful developments, you can nod politely and hum along to the tune of your choice.

Take it from an infertility veteran whose worst holidays remain those involving my first and last IVFs. Unfortunately, my unsuccessful cycles coincided first with an all-but-mandatory, child-friendly work holiday party and last with a Big $#%&* Negative just ahead of a family get-together that included a non-stop recital from a pregnant relative who shared with me many breathless anecdotes about her impending delivery.

That was then and this is now.

What got me through it? I just repeated Gloria Gaynor's lyric:
I will survive.

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