• 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

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    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

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    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

Are You in the Infertility Closet?

Are You in the Infertility Closet?

a blog by murgdan

Sometimes I’m thankful I remained, for the most part, inside the infertility closet. Sometimes I’m not. Staying in the closet was completely unnatural for me, as I generally find myself in the “over-sharing about life” category. But alas, it was not my closet alone. I shared this closet with my husband, and he is a remarkably private person.

I did share our fertility journey with a few colleagues and friends, but no general acquaintances, and none of my family know the gory details of our testing or treatments. I didn’t even share the battle with my own mother. I knew it had to be this way when, after only a few months of trying to conceive I shared my frustration at our continued lack of success. Her response? “Well if there’s a problem, it isn’t you! It has to be him. No daughter of mine will ever have problems getting pregnant!” Those words were a knife that severed something in our relationship. I don’t need to explain why.

In a way, keeping things secret saved my sanity — I wasn’t forced to endure endless repetitive ignorant questions about “test tube babies” and “fertility drugs.” I didn’t have to tolerate pitiful looks or false “it’ll happen” encouragement.

But I also missed out on a lot of support. And, as it turns out, support can hide in places you never imagined it exists.

Six months ago there was a baby shower at work hosted for a man I had worked for for almost a year. His wife came up for the party. The room was next to my office, and, of course, I was the lone wolf buried in my work on the other side of the wall. I donated money for a gift, and stopped in to whisper my congratulations, but found a million reasons to quickly duck out and escape the discomfort of yet another shower that wasn’t my own. It was simply too painful.

A few days ago I asked this same man, now the proud father of a five-month old son, to help me move the heavy desk in my office. He looked at me strangely (I’m not the type to ask any man to help me move furniture). I let him in on what is no longer a secret: I am pregnant. He congratulated me and said, “Wow, we need to talk.” And began on the typical revelations I imagine any new father experiences. Sleepless nights . . . The impact at work . . . Daycare dilemmas.

I was zoning out on the conversation, tired of the baby-talk that I still didn’t feel ready for, when he said, “And after what we went through to have this baby, my wife doesn’t want anyone else watching him . . .” “What YOU went through?” I thought. I politely asked him what they had been through.

“We tried for years. We did IVF twice . . . and it didn’t work,” then he looked around before whispering, “My counts were really low. I had to have two surgeries — and biopsies. And go to that clinic with that special room with those awful movies.”

What?! Other people have male-factor infertility? What!? We aren’t alone? From the information I learned about this man and his wife in a five-minute period, I understood he hadn’t had anyone to express his frustrations with either. It’s difficult to find people who can easily discuss complaints about semen collection rooms and testicular malfunction without feeling the slightest bit uncomfortable.

In a matter of seconds, it made sense. Now I knew why he worked two jobs, seven days a week when I first met him. I never had a clue we were in the same fertility boat. I asked myself if I would have felt differently about that baby shower if I had known what they had been through to get there. Maybe not.

But in not being open about our journey, did I miss out on receiving support from these unlikely comrades?

More importantly, I have to wonder, is someone else going to miss out on my support because they make the assumption that my virile husband knocked me up the old-fashioned way on the first month we tried?

Infertility is too often a hush-hush subject. Had my husband not felt so strongly about our hiding out in the closet, I would have shouted our experience from the rooftops. I would easily have endured months of ignorant questioning if it meant I could have helped just one person feel less alone. As it is, I am sometimes grateful for my closet hideout. Sometimes I wonder what support I missed out on.

At least I have a keyboard here in my closet. I can type what I cannot shout.

So no matter where you are . . . you are not alone.

And there is hope.

5
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5

Because I'm so deep in my own IF closet, I find myself working to develop a high-sensitivity IF radar to suss out other people who might be experiencing similar challenges. I imagine though that the workplace environment might be the least conducive to sharing personal issues. The other thing I run into is that once I suspect someone of struggling to conceive it's hard to know how to broach the topic with them without being really intrusive or awkward.

5

I've been in the closet too, and as in your situation, there's a significant male-factor issue. I think my age played a role too, in that IUI's and clomid weren't enough, but without DS, we wouldn't be 5 months pregnant now. When someone asks me if I'm excited or happy about being pregnant, it's all I can do not to break into tears and tell them the whole backstory. But I tried that once or twice, and the reaction was more discomfort than support. Even in the OB's office, they donm't seem to know what to say to this anomaly, this woman who got pregnant through science rather than romance. I wonder if it's because everyone else is in the closet too. Surely I'm not the only one of the practice's 300 pregnant patients who couldn't get knocked up the old fashioned way?

We have 2 children but have had 3 miscarriages in the last 3 years as well as problems getting pregnant. Having just changed consultants we have found that while I have a High IGE which basically means my system might attack any embryo, we have also discovered that while my husband's sperm was fine in terms of mobility etc, its DNA was 25 % fragmented and with medication, it is important to get it down to 15%.
Talking about the closet, I was well and truly in there for 3 years, telling very few people and now I've eventually been able to draw a line under it - maybe because we decided we would adopt and have put in an application. We actually went on national TV here in Ireland this week - talking about DNA fragmentation in sperm because this is such new research - here's the link if it is useful to anyone
http://www.tv3.ie/shows.php?request=themorningshow... - just scroll down the page - we're the programme on Tues 8th Dec

Link to my blog: http://ouradoptivejourney.wordpress.com/

Lorna

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