and more.......

April 2010- So to make a long story short we all had all of the tests done, some we had done here and some in Utah so we did a lot of traveling but we all passed with flying colors. :) We met with the lawyer and had all the legal stuff drawn up in a contract and then communicated with him over email, phone and fax to get it finalized. We had to have the legal stuff done before we could start the IVF stuff. So now all of our ducks are in a row. We then got to take a medication class in Utah at RCC. Jamie and I had to learn how to give ourselves injections.  Jamie and I then got put on birth control so that our bodies could get synchronized with each others cycles and ovulating. Once that was done then we got to start giving ourselves injections and Jamie got to start taking pills and we both had to take prenatal vitamins and that fun stuff. I have attached a copy of both our first calendars just so you get an idea of times and dates and all that we had to do and also so I don't have to type all that out. LOL!
This first calendar is for me and the second one is for Jamie.

Reproductive Care Center
Egg Source/Intended Parent Calendar (projected) - Oral Contraceptive/Long Term Lupron Protocol
Egg Source/Intended Parent Name:	Jenny Pompy
Person completing the schedule:	RN
Date Created	6/16/10
Date Menses (Bleeding) Expected (if known)	NA
Call Nursing Coordinator 801-878-8888 with actual menses start date and leave message
Coordinate with nursing coordinator or call office to make appointments for monitoring	Now
Start active Birth control pills one daily 1-5 days after starting menses (or as directed) and prior to	Monday, June 28, 2010
Start a Prenatal vitamin daily (if not already taking)	Monday, June 28, 2010
Updated signed (and witnessed) consent forms should be turned into the nurses by this date	Saturday, July 10, 2010
http://www.fertilitydr.com/fertility-patient-information.html
Schedule Lupron injection training prior to:	Saturday, July 10, 2010
Contact Billing office - Complete Cycle Payment	Prior to starting Lupron
Start Lupron (subcutaneous injection)	Saturday, July 10, 2010
Lupron Start Dose	10 units
Last day to take active Birth control pill (stop pills)	Saturday, July 17, 2010
Total days of active pills	19
Menses/bleeding expected to start before	Saturday, July 24, 2010
Meet with Billing staff to review and sign financial consents if not done previously	Saturday, July 24, 2010
Turn in updated medical history questionnaire  by	Saturday, July 24, 2010
Monitoring - Suppression check - ultrasound and blood draw for Estradiol	Saturday, July 24, 2010
Total days on Lupron prior to suppression check	13
Start stimulation (FSH and/or low dose HCG) injections (if suppression confirmed) that night	Monday, July 26, 2010
Complete Infectious disease testing egg source and intended father	Monday, July 26, 2010
Decrease Lupron Dose on	Monday, July 26, 2010
Decrease Lupron Dose (after FSH started) to	5 units
Low Dose HCG daily dose in units	20
Low Dose HCG start dose in volume (ml if concentration is 100 units/ml)	0.2
FSH (Bravelle, Gonal-F or Follistim) start dose (IU)	225
FSH (Bravelle, Gonal-F or Follistim) start dose (# of ampules if 75 IU amps)	3
Monitoring - 1st visit after starting FSH (blood draw for estradiol)	Thursday, July 29, 2010
Monitoring - 2nd (blood draw and ultrasound)	Saturday, July 31, 2010
Monitoring - 3rd (blood draw and ultrasound)	Monday, August 02, 2010
Expected Monitoring - 4th (blood draw and ultrasound) - continue as directed	Tuesday, August 03, 2010
Expected day for "trigger" High Dose HCG (do not take until specifically instructed)	Wednesday, August 04, 2010
Stop Lupron, FSH injections and low dose HCG (day of "Trigger" HCG)	Wednesday, August 04, 2010
Complete urinary pregnancy test at home before 1 pm - if not positive call the office	Thursday, August 05, 2010
Expected day for egg retrieval (variable depending on response)	Friday, August 06, 2010
On the day of the egg retrieval - nothing to eat or drink for 6 hours prior to the egg retrieval, arrive at the office 60 minutes prior to the scheduled retrieval
Expected date for sperm collection (day of egg retrieval)	Friday, August 06, 2010
# of days embryos are anticipated to be in culture	3
Target  Embryo Transfer Date into Gestational Surrogate	Monday, August 09, 2010
Call the office for increasing pain or significant abdominal distension or difficulty breathing
Abdominal swelling may increase until	Saturday, August 14, 2010
Expect Menses by	Friday, August 20, 2010
Pregnancy test for gestational surrogate	Monday, August 23, 2010
If gestational surrogate is pregnant:
2nd pregnancy test (if HCG < 100 on initial test)	Thursday, August 26, 2010
Ultrasound if pregnant (confirm location and number of sacs and R/O and ectopic pregnancy	Friday, September 03, 2010
Ultrasound, second to confirm fetal heart motion and good interval growth	Friday, September 10, 2010
3rd ultrasound if fetal heart motion is less than 100 to confirm continued fetal growth	Friday, September 17, 2010
Recommend obstetrical appointment be scheduled around this date:	Friday, September 17, 2010
Stop progesterone and estradiol 8 weeks after embryo transfer	Friday, October 01, 2010
Consider prenatal aneuploidy screening - ultrasound for nuchal thickness and blood tests for PAPP-A,  free HCG	Friday, October 08, 2010
Stop low dose aspirin (if taking) 10 weeks after embryo transfer	Friday, October 15, 2010
Expected Date of Delivery	Friday, April 29, 2011

Reproductive Care Center
Controlled Endometrial Development Fresh IVF Gestational Surrogate Calendar
Gestational Surrogate's Name:	Jamie Dennis
Egg Source/Intended Parent Name	Jenny Pompy
Person completing the schedule:	RN
Date Created	6/16/10
Start Prenatal vitamin Daily (if not already taking)	Saturday, June 12, 2010
Call office 878-8888 to make appointments for monitoring as noted below	Saturday, June 12, 2010
Download Consents and Review	Prior to starting Lupron
http://www.fertilitydr.com/fertility-patient-information.html
Start Oral contraceptive pill daily (1-7 days after menses start but prior to this date):	Saturday, June 12, 2010
Start Aspirin 81 mg Daily	Saturday, June 12, 2010
Start Lupron Daily	Wednesday, July 07, 2010
Lupron Dose (units)	10 units
Last day of oral contraceptive pill	Wednesday, July 14, 2010
Expect vaginal bleeding (may be light) before	Wednesday, July 21, 2010
Monitoring - Suppression check ultrasound and blood draw for Estradiol	Wednesday, July 21, 2010
Sign Consents with witness at RCC if not done previously	Wednesday, July 21, 2010
Start Estradiol {Estrace} (if suppression is confirmed [no cysts and low estradiol])	Wednesday, July 21, 2010
Estradiol dose (If you have generic estradiol please inform us as additional monitoring may be required). Suggest that Brand name Estrace be purchased if possible.	3 mg orally twice a day
Start decreased Lupron Dose (units)	Wednesday, July 21, 2010
Lupron Dose (units)	5 units
Blood draw for Estradiol testing - adjust Estradiol dose if needed	Saturday, July 24, 2010
Ultrasound for lining check and possible blood draw for Estradiol if thin lining	Saturday, July 31, 2010
Nursing staff will provide intermittent updates regarding the stimulation status of the egg source
Estimated Monitoring (day 15) - ultrasound lining check  day of egg retrieval	Thursday, August 05, 2010
Start progesterone therapy the morning of the egg retrieval (expected date) if vaginal progesterone used or that evening if IM progesterone	Thursday, August 05, 2010
Recommended progesterone type	Crinone 8%
Progesterone dose	8% gel vaginally once a day
Stop Lupron if progesterone is started	Thursday, August 05, 2010
Continue Estrace, Prenatal Vitamins and Low dose aspirin
# of days embryos are anticipated to be in culture	3
Target  Embryo Transfer Date	Sunday, August 08, 2010
Come with almost full bladder for embryo transfer. Diazepam (Valium) is available at the office.
If IM progesterone was started, add vaginal progesterone the evening of embryo transfer	Sunday, August 08, 2010
Recommended progesterone type	Crinone 8%
Progesterone dose	8% gel vaginally twice a day
Pregnancy test	Sunday, August 22, 2010
If pregnancy test is positive, continue estradiol, progesterone, prenatal vitamins and aspirin (if applicable)
If pregnant (may be additional costs):
2nd pregnancy test (if HCG < 100 on initial test)	Wednesday, August 25, 2010
Ultrasound if pregnant (confirm location and number of sacs and R/O and ectopic pregnancy	Thursday, September 02, 2010
Ultrasound, second to confirm fetal heart motion and good interval growth (optional, may be done with OB)	Thursday, September 09, 2010
3rd ultrasound if fetal heart motion is less than 100 to confirm continued fetal growth (optional)	Thursday, September 16, 2010
Recommend obstetrical appointment be scheduled around this date:	Thursday, September 16, 2010
Stop progesterone and estradiol 8 weeks after embryo transfer	Thursday, September 30, 2010
Consider prenatal aneuploidy screening - ultrasound for nuchal thickness and blood tests for PAPP-A,  free HCG	Thursday, October 07, 2010
Stop low dose aspirin (if taking) 10 weeks after embryo transfer	Thursday, October 14, 2010
Expected Date of Delivery	Thursday, April 28, 2011

Okay so now that you know both of us on a personal basis, ha ha! So we went to Utah on August 7th, 2010 I believe for the first embryo transfer date. We get there get all ready and Jamie, my mom and I are all in the operating room and only seconds away from the transfer and the doctor says ummmm hang on there is some dried blood in here that I don't like. The doctor then asks the embryologist to take the embryos back and put them in their safe place because he wants to clean this up and make sure nothing is wrong. Well we then explain to the doctor that Jamie started to have some spotting earlier that week so we called the nurse at RCC and ask her if this was normal and she told us yes it was, so we went on with the original schedule. Well you could only imagine what was going through our heads at this moment but I actually wasn't too freaked out at this point, not until the doctor came back in and said "I am sorry to have to tell you this but I don't feel comfortable doing the implant today because if we implant there is a chance that neither of the embryos will take and I don't want to take that risk and basically waste the embryos because we already know the chance is lower with the bleeding than it would be normally. We then agreed with the doctor and left Salt Lake with our heads hanging pretty low, but for the most part we all stayed pretty positive about the whole situation. What else can you do, right? So from here the game plan was to call RCC the next week to get things started again so we could give it another shot! :)