I could hardly sleep two nights ago because, A) We were to meet with our IVF doctor yesterday (I guess I was excited/scared/nervous), and because B) my husband and I had a date night planned for the evening that day as well. By 5 am I gave up on sleeping, got up and showered, and headed to the grocery store. 6 am is an usual time for shopping, but man is it the way to go! I just about had the entire store to myself. But onto more interesting things…
Josh, my husband and I made the trip yesterday morning the infertility clinic. I admit I had mixed emotions about bringing Josh with us– after all, there’s nothing harder than sitting in those waiting room chairs while you’re hoping and praying for a positive pregnancy test, and having babies around you. (I’ll never forget waiting for an appointment in my Ob/Gyn’s office one time because I had a cyst and needed surgery, only to look around and discover that I was the only person in the room who wasn’t pregnant. It feels like salt in a wound!) In any case, I didn’t really have a baby sitter, and I knew the clinic nurses would want to see Josh. (Not to mention our IVF doctor.)
We had a consultation with our doctor, and he went over the statistics of me getting pregnant and the chances of having twins (if they transfer in two of the embryos), what the timeline looked liked, etc. We also reviewed the medications I’d be taking and injections with the nurse.
It was all pretty much old news. There were only two things that caught me off guard. Now I knew that the 4 embryos we had were of top notch quality. I hate to refer to human life that way (all human life is extraordinary!), but there is a grading system they use to decipher if there is cell fragmentation, how far progressed the embryos got prior to freezing, etc. All of our embryos are blastocysts (meaning they have survived for more than 5 days prior to freezing and have developed past the 8 or 10 cell stage to more like 100+ cells) and there is little or no fragmentation, earning them a score of an “A.” After I got pregnant with Josh, our doctor told us that when we did an embryo transfer, he would recommend that they transfer in 2, since they transferred in 2 before and I got pregnant with Josh and not twins. So all along, we had been thinking that 2 of our or embryos would be transferred. But then as we were sitting at the table in the consultation room, our doctor announced that he recommended 1 embryo, because he seemed to think that I had a really good chance of getting pregnant again. He asked about my work, and when I told him I worked very minimally, he said, “Well, you might do okay being pregnant with twins then.” My husband and I just looked at each other. The thought of twins really freaks me out. Not to mention the fact that I would probably voluntarily put myself on some sort of modified bed rest at 24 weeks to help ensure that we wouldn’t have 24 weeks twins in the NICU. And how would that work with a toddler? I have no idea. But conversely, if we transfer 1 in and I get pregnant, then that means we would probably keep transferring in 1 at a time until all 4 embryo have had a chance to survive. Best case scenario (assuming I get pregnant each time), that would be 4 embryo transfers, 4 more pregnancies, and a lot of money we would have to come up with while probably living on one income.
Lastly, there’s possibility that I might not get pregnant at all, and all this dithering would be for nothing.
The hubs and I went out on our date last night (thanks to his mom for baby-sitting!) to a fun burger place and hashed around the different possibilities of 1 embryo vs. 2, etc. I was shocked to discover that he was leaning toward 2. But it probably has to do with the statistics our doctor gave us which mainly imply that the chances of twins are low. Here are the stats:
Probability of getting pregnant if 2 are transferred in: 65-70%
-Chances of twins: 30%
Probability of getting pregnant if 1 transferred in: 50%
Chances of identical twins: 1%
I was more imagining trying to nurse 2 babies, and as Josh hadn’t slept well for the past 3 nights, I was imaging not one, but THREE young children all crying during the night–for most nights. And pretty much never sleeping. I was imagining carrying around Josh in the ergo front pack while pushing a double stroller. Oh, and don’t forget the triple high chairs! But the most concerning part to me was trying to be a good parent to Josh while simultaneously trying to keep twins in utero. And I really have no idea how that would work.
But am I willing to sacrifice a lot to have a family? To take love and cherish how ever many children God gives us?
You bet I am.
In the end, we decided we simply needed to pray and hear from the Lord on the matter. It’s as simple as that. We may get 0, 1 or 2 babies. As I have learned again and again, HIS plans and HIS ways are best. Always. What feels like an insurmountable challenge of twins may not be. The dread of getting a negative pregnancy test result might not be as devastating as it seems if that time comes. I have to look back and remember that when my Ob/Gyn told me I had another endometrioma and that I needed another surgery, I was devastated– but that was what pushed us to pursue IVF. At the time I thought I would never have children, and he we are considering the possibility of a second pregnancy. If you had told me this 18 months ago, I would have never believed you.
So, thanks for keeping us in your prayers. We’ll be starting this process in just a couple of weeks! Crazy!