Saturday, December 3, 2011
Friday, October 14, 2011
New URL
http://everythingesquivias.blogspot.com/
Wednesday, October 5, 2011
Monday, October 3, 2011
Saturday, September 17, 2011
Trying to conceive Tips, Tricks, and The Infertility Basics
BCP - birth control pills
BFN/BFP - big fat negative/positive
b/w- blood work
CD - cycle day
CM - cervical mucous
DPO - days past ovulation
DX - diagnosis
E2 - Estradiol (basically your follie growing hormone)
ED- Erectile Dysfunction
Endo - endometriosis
EOD- Every other day
ER/ET - egg retrieval/transfer
FF - fertiliy friend - www.fertilityfriend.com
FMU - first morning urine
Follie - Follicles (basically your eggs - or what your eggs grow in - kind of...)
FSH - follicle stimulating hormone
HCG - basically the pregnancy hormone - will be given as a trigger for ovulation
HOM - high order multiples
HPT - home pregnancy test
HSG - Hysterosalpingogram
IF - infertility
IUI - intra-uternine insemination
IVF - in vitro fertilization
LAP - laparoscopy
LP/LPD - luteal phase/ LP defect
MFI - male factor infertility
MH- My Husband
O - Ovulation
OBGYN/GYN - Obstetrician/Gyno (aka your girly bits dr)
OHSS - Ovarian hyperstimulation syndrome
OOP - out of pocket (aka your insurance company is screwing you royally)
OPK - ovulation predictor (kit)
PCOS - polycystic ovarian syndrome
PN- Prenatal Vitamin
RE - reproductive endocrinologist (aka a fertility specialist)
SA - semen analysis
SHG - Sonohysterogram
TCOYF - Taking Charge of Your Fertility (an AWESOME book)
TI - Timed intercourse
U/S - ultrasound
- Chart your Basal Body Temperature (you can purchase a cheap BB Thermometer from Walmart) Make sure you take your temperature at the same time every morning and after at least 3 hours of solid sleep. My favorite website to chart your BBT is Fertility Friend. They make it easy and have lots of lessons to help you understand your body better.
- Use Ovulation predictor tests. You can purchase ovulation tests in bulk online to make it more affordable. Ovulation kits measure the amount of Lutenizing Hormone in your body. Right before you ovulate your body releases a large amount of LH. The test kits are easy to use. They are very similar to a pregnancy test. You will have a reference line and then a sample line to compare that to. Once you show a positive test for ovulation you should have intercourse within twenty-four hours.
- Watching your body's signs of ovulation check your CM and look for EW and Watery CM. FF can help teach you how to check your cervical position as well as your cervical mucus.
- Read TCOYF to learn more about your body, ovulation, and fertility
- A lot of people suggest every other day sex around ovulation time. Other's say Every day sex. Really as long as you have sex 1+ times around ovulation you have a shot! MH and I have always tried to keep sex fun and not make it about making a baby (even though it really is) so we have sex when we want to. It usually is about EOD anyway so that works for us.
- PreSeed is a great fertility friendly lubricant
- The Husband can eat pineapple core before sex and the wife can eat it after ovulation to help with implantation
- The wife can drink Pomegranate juice or Green Tea
- Remain lying down 20 mins after well TI. Go to the restroom after that! ;)
- I know this is a hard one but try to not stress about TTC
- Another hard one but losing weight (if you need to) can't hurt
- I've read that Wheat germ can help to "normalize" your cycles
- Watch the Great Sperm Race
If you want a SA (semen analysis) can also be done this cycle. I would make sure to do this before any more invasive tests are ordered for you as this test is SOOOO easy and relatively cheap OOP.
Ok, so those tests came back. Now, if you're still not pregnant (and if it's been a year of well timed sex), then get thee to a RE!!! Once there, they'll probably take the reigns but if not, ask for a HSG or SHG next.(have you noticed that I haven't mentioned treatments yet...yes, that was on purpose - no treatments should have been ordered yet) This will show a more in depth look of your uterus and check to see if your tubes are all clear.
If this comes back clear, then it's likely treatments will start... (see next section for more info)
The next step in testing is a LAP. This is a diagnostic surgery. It's very simple in surgery terms and most women have easy recoveries. Little cameras will be inserted through small incisions in your belly and they'll look around. This is the only way to definitively diagnose endo and other issues. It will also give them a look at other organs around the uterus and inside.
Sometimes your doctor, whether new or old, might order repeats of tests. This is especially true of shady SA's. If you get bad results with those a repeat will almost always be ordered a few months down the road.
Now you're in the treatment phase. Treatment will depend greatly on your diagnosis. Some people only require simple treatments and some will skip straight to IVF. It really just depends.
One of the most simple treatments is a medicated cycle with TI. Common medications for first cycles are Clomid and Femara. Here is the protocol that should be followed for almost any medicated cycle:
CD3: baseline u/s and b/w - this will be a check to make sure you don't have any cysts, your lining is appropriately thin, your blood flow to your uterus is good and your hormone levels are where they should be.
CD10-12: Follie check & b/w - this will check to see how and if your follies are growing and to make sure you aren't over responding (OHSS)
Then you'll go in every few days or so until you have mature follies. Then your RE will either instruct you on when to have sex or give you a trigger shot (to give yourself at home) so you'll O 36 hours later and know when exactly to have sex.
7DPO: this will be to check your progesterone levels. If your progesterone is too low, then you cannot sustain a pregnancy and then you might be put onto prog. supplements.
This monitoring might seem extreme but it is so so SOOOOO important. I don't know why anyone would want to risk their reproductive health when there are options to help. Many fertility medications (like Clomid) can be very dangerous. It can cause horrible cysts, thinned uterine lining which may be permanent, HOM (wanna be the next Kate+8?) and other awful side effects.
Ok, so you tried a few cycles of TI and it didn't work. The next step would be medicated cycle + IUI. You will follow the same protocol up until the sex part and then instead your husband will go give a sample about an hour before you go in to be sperminated. May the sperm be with you. There are varying levels of IUI protocol's. After Clomid/Femara there are then FSH injects. These increase the odds of pregnancy but then also increase the odds of HOM. They're also like liquid gold as the medications can cost thousands of dollars each cycle.
Next, if you and your RE feel that IUI isn't working and they want to go to the next step, that would be IVF. IVF is very invasive and very expensive. You will inject yourself at home (with similar drugs or the same drugs) as you used in an injects cycle. When your follies are ready you'll then go in for an egg retrieval. This is where your RE goes in and removes your eggs - as many mature ones as they can. This might be 20 or it might be 3. Of course higher numbers mean more chances but there are no guarantees. After the eggs are retrieved, they will be sperminated by your RE with your husband's sperm. They will then closely monitor your new embryos. Depending on the quality of your embryos that were fertilized (if any) they will transfer them back in 3 or 5 days after (I've also heard of day 6 transfers). Now, make sure you have a responsible doctor and only transfer 1 or 2 (mayyyybe 3). Don't go Octomom on us and transfer 10, mmmkay?
Now, that was an extremely sugarcoated version of IVF. It's painful, emotional, expensive, and hard. I've never been in that situation but know a few people that have been through it.
Medicated + TI: $500-1,000
Medicated + IUI: $700-1500
Injects + IUI: $1000-3000
IVF: $9,000+ (each time)
FET: 3,000+
I hope this information was helpful to someone, and at least informative to any others wanting to learn more about Fertility.
Wednesday, September 7, 2011
A Song for me
What you got if you ain't got love?
The kind that you just wanna give away
It's okay to open up
Go ahead and let the light shine through
I know it's hard on a rainy day
You wanna shut the world out
And just be left alone
But don't run out on your faith
'Cause sometimes that mountain you've been climbing
Is just a grain of sand
And what you've been out there searching for forever
Is in your hands
And when you figure out
Love is all that matters after all
It sure makes everything else
Seem so small
It's so easy to get lost inside
A problem that seems so big at the time
It's like a river that's so wide
It swallows you whole
While you're sitting around thinking 'bout what you can't change
[ From: http://www.elyrics.net/read/c/carrie-underwood-lyrics/so-small-lyrics.html ]
And worrying about all the wrong things
Time's flying by, moving so fast
You better make it count 'cause you can't get it back
Sometimes that mountain you've been climbing
Is just a grain of sand
And what you've been out there searching for forever
Is in your hands
Oh, and when you figure out
Love is all that matters after all
It sure makes everything else
Seem so small!
Sometimes that mountain you've been climbing
Is just a grain of sand
And what you've been out there searching for forever
Is in your hands
And then you figure out
Love is all that matters after all
It sure makes everything else
Oh, it sure makes everything else
Seem so small
Sunday, September 4, 2011
September is PCOS Awareness Month
Friday, August 26, 2011
Third times the charm?
“Trust the Lord with all your heart and lean not on your own understanding; in all your ways acknowledge Him, and He shall direct your path.” Proverbs 3:4-5
Sunday, August 7, 2011
Three years ago today
We were taken back to our hotel and I remember thinking I was going to die because I felt so strange inside I thought I was for sure having internal bleeding. Once the strange feeling subsided and I saw a Doctor I felt a little better. Josue and I were given some muscle relaxers because the whip lash was terrible and I was given some antibiotic for my gash. We tried to use the next few days to relax and heal but it was hard, and we were both so glad to leave.
When we got home I was different. I was so grateful to be alive and praising God for choosing the seats he did for us. I couldn't imagine losing Josue, or him losing me. But I felt guilty, and sad all the time. I hurt inside and had horrible night terrors. It started to be hard for me to hide my feelings and Josue started to notice. He urged me to talk to him, but always said I was fine. Months went by and I didn't feel any better. I finally saw a Doctor and was diagnosed with Post Traumatic Stress Disorder and Survivors Guilt. I saw a therapist and started to take some medications. It was then I realized I had a problem, and needed to work through it. In all honesty I think what helped me the most was opening up about the accident. I started by telling God, then Josue and my Mom, I went further and explained how I felt to my friends. Being open about my feelings helped me tremendously. I would never be able to explain the accident if it hadn't been for my healing. I have so much gratitude and feel so blessed now, and when I think of this day three years ago I can't smile, but I can feel good about God's choice to keep me and my husband alive. I'm still afraid of buses, and I'm not sure if I will ever like them or feel completley safe on one, but I've ridden one and I'm ok.
After the accident
Thursday, August 4, 2011
How times have changed
Here is what is looked like a couple years ago
And this month
(sorry you have to click on them to make them bigger not sure why)
Wednesday, August 3, 2011
Low Carb Double Chocolate Brownies
This brownie recipe doesn’t taste like a stereotypical health food brownie. You’d never know that it’s dairy free, gluten free and low in carbohydrates. That’s part of the fun of making this type of treat. You can share it with the people you care about and later inform them that they unknowingly ate something that was actually nutritious. This even works with kids. Or, you can keep it your own little secret.
In order to transform a conventional, refined grain and sugar laden brownie into something genuinely health promoting, you’ll need to swap out several ingredients. Start by ditching the wheat flour in favor of almond meal. Instead of using a milk chocolate base, opt for non-alkalized, organic cocoa powder. Next, skip the butter by using full fat, organic coconut milk. Finally, employ an all natural sugar substitute in place of caloric sweeteners such as agave syrup, evaporated cane sugar and honey.
Unrefined cocoa provides an excellent source of antioxidants, dietary fiber and magnesium. Study after study indicates that this form of dark chocolate supports a healthy cardiovascular system via improvements in circulation, inflammation, lipid levels and oxidative stress status. But, the key to accessing these health benefits is to select cocoa products that haven’t been “mellowed” using a process known as alkalinization or Dutching. Valuable antioxidants including catechins and procyanidins are lost during this common processing technique. Be sure to check labels before buying your cocoa ingredients. (1,2,3)
The rationale for replacing butter or cream with organic coconut milk is found squarely in the scientific literature. Recent studies reveal that coconut milk and oil may: a) elevate HDL (“good”) cholesterol and reduce waist circumference in women; b) lower oxidative stress in the energy producing portion of heart cells or mitochondria; c) offer protection against liver and ulcer damage in experimental animal models. (4,5,6,7,8)
Healthy Fellow Double Chocolate Brownies
1 cup almond flour/meal
1 cup organic coconut milk
3/4 cup Truvia (stevia blend)
1/2 cup organic cocoa powder
4 large organic, omega-3 eggs
3 Tbs 60% semisweet chocolate chips
1 Tbs organic apple cider vinegar
2 tsp organic vanilla extract
1 tsp baking powder
1/2 tsp sea salt
1/4 tsp organic instant coffee
Nutritional Content: Calories: 110. Protein: 4 grams. Fat: 9 grams. Fiber: 2 grams. “Net” Carbohydrates: 3 grams. Based on a serving size of one brownie. There are 16 brownies per batch.
Preheat oven to 350ºF. Sift the dry ingredients (almond flour, baking powder, cocoa and coffee powder, sea salt and stevia) into a large bowl. Stir well before adding the wet components (apple cider vinegar, coconut milk, eggs and vanilla). Use an electric mixer to blend the ingredients until completely smooth. Grease a 9″ x 9″ pan. Pour the batter into the pan. Sprinkle the chocolate chips evenly on top of the brownie batter. Bake for about 30 to 35 minutes. Start checking for doneness at the 25 minute mark. I always use a wooden toothpick as a guide – poke it in the center of the brownie pan, if it comes out reasonably clean it’s time to take the pan out of the oven. We like our brownies a little “gooey”. I suggest refrigerating any leftovers you may have.
Saturday, July 30, 2011
Cycle Day 3 Bloodwork
I'm going to post my results I'm pretty sure I understand them, and know what they mean, but if anyone has any insight please let me know!!
Luteinizing Hormone (LH) Day 3 < 7 mIU/ml A normal LH level is similar to FSH. An LH that is higher than FSH is one indication of PCOS.
Estradiol (E2) Day 3 25-75 pg/ml Levels on the lower end tend to be better for stimulating. Abnormally high levels on day 3 may indicate existence of a functional cyst or diminished ovarian reserve.
Prolactin Day 3 < 24 ng/ml Increased prolactin levels can interfere with ovulation. They may also indicate further testing (MRI) should be done to check for a pituitary tumor. Some women with PCOS also have hyperprolactinemia.
Progesterone (P4) Day 3 < 1.5 ng/ml Often called the follicular phase level. An elevated level may indicate a lower pregnancy rate. If low progesterone levels are an issue for you, consider taking a natural fertility supplement like FertilAid for Women.
Friday, July 29, 2011
Josue's 28th Birthday Celebrations!
Josue got a grill and all the needed accessories, an Omaha steak GC, a hitch & hitch cover, and an iPod touch! He is one lucky guy!
Round Two
Saturday, July 16, 2011
Things I love right now
1.) The look of my new blog, if you're on reader you might not see it but I've made some changes around here that I love. Plus I have this new found love for blogging since it is another outlet to vent, inspire, or whatever I want.
Wednesday, July 13, 2011
First round of Clomid was a....

Not even a BFN, just a big fat fricken FAIL!!! Had my U/S today that showed no ovulation and no follicular growth. So I'm starting prometrium again tonight and starting over. My Doctor has increased my Clomid dose this time and at the advice of a friend I think we are going to up my Metformin as well. Plus I plan to include eating low carb and try to exercising more. I knew I shouldn't have let my hopes get so high, I totally thought he was going to surprise me today and be like your 4 days pregnant! I'm trying to just focus on the next cycle and stay positive, but honestly it's tough!
Monday, July 11, 2011
Wednesday, July 6, 2011
White Chicken & Potato Pizza
Place the sliced chicken, onions, and chicken all over the pizza. Then sprinkle the shredded cheese, and add the fresh mozzarella if you wish.
Put it in the oven for about 20 mins
This one is made with Pioneer Woman's pizza dough recipe
Sunday, July 3, 2011
Keeping it Real
Plain old dinner and a movie can be a great escape from reality and a fun date, but Josue and I like to turn it up a notch. We found the little gem of Vineland Drive-In a few years ago and have gone back many times. You can see two movies for eight dollars, and you can bring in your own food! Sometimes we bring in Little Ceasers, we make a picnic, or a full blown dinner. Whatever we do we have fun, plus we can talk during the movie and no one will shush us ;) If you have a SUV or truck and you're brave you can always make it Dinner, Sex and a Movie.

Outdoor Activites
One of our favorite outings are the ones during the day time where we can be out, maybe get a little exercise and bonus if we can bring our dog Bentley.
We love the Long Beach Farmer's market, it is a rare treat since usually one of us is working, but when we get a chance to go we take it! We walk Bentley up and down the aisles and pick up lots of fresh organic fruits and vegetables.
We also really like riding our bikes (teaching Bentley to tag along is out next goal) sometimes we take them to the beach and pack a picnic. Other times we just ride around our neighborhood for short trips.Theme Parks
A self expalnitory section, but if you have a theme park near you and you have an extra day with your guy go live a little. Every year we get annual passes to a different near by park. And since we have so many it makes it easy for us. It cuts down your costs too. This year we have Universal, and last we had Disneyland so it is fun to go to a new place each year.
Double Dates
We have a few friends that are couples that we like hanging out with, Johnny and Kristal, Yeimy & Ronald, Kristel & Jason, any couple from TKN, the list goes on and on. But there is this couple (Temo & Cecia) that we seem to click with and hang out with the most. Josue works with Temo and Cecia and I just hit it off. We have a lot in common even though they aren't ready for marriage and babies just yet. Bowling has been our favorite activity. If you have a bowling place near you I highly suggest it. We order drinks, get competive, it's great! We've also gone roller skaitng, ice skating, and gone to theme parks together. We love going on double dates with them, we do things with them that we wouldn't have tried on our own and vice versa. Our favorite dinner spot is Benihana. Have you ever been to a teppan cooking place? If not put it on your list of things to try, it is so yummy! We also have fun traveling with them we've gone on Vegas trips, to Big Bear, even Maui with them and they are fun travel partners. Anyway I guess the point of this was to try double dating. It may seem like your back in high school, but it can be fun and open up your eyes to things, or discuss topics that would never be brought up with just you and your spouse.
Church
This one is definetly not Josue's favorite date, but when it is my turn to pick he has to abide :) He isn't a brat about it so I love him for that. Church can be a nice time for the two of you to connect to God and eachother.

Weekend Getaways
OK now this one can be extravagant or not. Josue and I try to go away at least 4x year. I'm sure this will change when baby comes but for now we like the little escapes. We get to forget about reality and just have fun together. Some of our favorite spots are Las Vegas & San Diego. But Camping various places has become a great time too. We also like to one big trip at least once every two years, but I think the little get aways are important. Especially when going through something so emotionally draining such as TTC. I even give my self permission to leave the thermometers, and OPKs at home :)

Staying In
I realize that based on all the above information it must seem like we spend a lot of money, and yes maybe we do but we like to have fun :)
That isn't to say that we do it all the time, and that we don't have fun just hanging out at home. Some of the best time we have together are our lazy days at home. We love to cook together and watch a movie on TV. Sometimes after the farmer's market we scour the internet to look for yummy new recipes to make together. Or other times Josue makes me a candle-lit dinner, and I make him a yummy dessert.
Whatever it may be have fun together, try new things, and enjoy being married!
Also, I realize that we don't have children and things will change once we do. But for now we like to live it up and hope you can too. I believe that I can still in one way or another Date my Husband once a little miracle comes in to our lives.
Thursday, June 30, 2011
Infertile? ... Update on our Journey
Inability to conceive; Unable to get pregnant
Primary infertility describes couples who have never been able to become pregnant after at least 1 year of unprotected sex (intercourse).
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